Hauora Māori in Practice across the Lifecourse

Question 1

Life course

Answer 1

Understanding of important aspects of Hauora across the lifecourse, and knowledge of key health issues impacting Māori.

Question 2

What are 3 aspects of Mātaranga Māori?

Answer 2

• Kete-aronui (knowledge that could help people)
• Kete-tuauri (Knowledge of ritual, memory and prayer)
• Kete-tuatea (knowledge of what is harmful)

Question 3

Waiwhero

Answer 3

The red Waters

• Menstruation is an ancient river linking generations of women
• ## Sign of mana (from Hinenuitepo) and tapū

Question 4

Te Pūtake

Answer 4

New phrase of creation was born

• Waiwhero symbolises whakapapa and promised continuation of Whānau and hapū

Question 5

Kurawaka

Answer 5

Kura - precious treasure, red, incantation

Waka - medium of atua (metaphor for the female genitalia, capacity to convey generations)

Kurawaka conveys the notion of whakapapa and connects to atua Māori

Question 6

Goddess of the of night/death?

Answer 6

Hine-nui-te-pō

Question 7

Haputanga

Answer 7

• Pregnancy and birthing practices different between iwi (and hapū)
• Mothers and pēpi should be relaxed throughout
• connection to natural environment
• traditional kōrero says pēpi is aware of their environment

Question 8

Traditionally procreation and creation process is a state of ___. The female ______ is regarded as tapu ‘__ _____ ______’ where procreation begins. A _______ is in a state of tapu when she is with ____.

Answer 8

Tapu

Genitalia

Te Whare Tangata

Wahine

Pēpi

Question 9

Hapu

Answer 9

Pregnant

Conceive or being pregnant

Sub-tribe

Question 10

Hineteiwaiwa is the ātua of ______ and there are links with _______. (Whānau structure). The outside is the _____, the Awhi rrito represents the ______ and the ____ is the child (inner).

Answer 10

Rāranga (weaving)

Harakeke (flax)

Tūpuna

Parents

Rito

Question 11

Age distribution between Māori and non-Māori.

Answer 11

Māori have more of a younger population (0-14), then a drop at (25-29) and a significant decrease at (70-85+)

Question 12

Deprivation graph

Answer 12

Māori and especially Pacific Islanders are the lowest % in (1-7) and the highest % of (8-10) more deprived

Question 13

Important health issues for pēpi?

Answer 13

SUDI

Respiratory infections

Question 14

Important health issues for tamariki (1-4)?

Answer 14

Respiratory

Infections

Fall injuries

Question 15

Important health issues for tamariki (5-14)?

Answer 15

Respiratory

Infections

Oral health

Injury

Mental health

Rheumatic fever

Question 16

Important health issues for rangatahi (15-24)?

Answer 16

Injury (motor vehicle accidents)

Mental health

Suicide

Question 17

Wahakura

Answer 17

woven harakeke bassinet for infants.

Question 18

Health sector roles in supporting Māori child health

Answer 18

• Advocacy and Addressing
• Determinants / tackling child poverty
• Prevention / Promotion – key health issues
• Cultural competence – practitioners
• Partnerships and Māori services / providers
• Research
• Accessible services

Question 19

Ministry of Health –Tamariki ora programmes

Answer 19

• Child growth and development
• family health and wellbeing
• immunisation information
• oral health (teeth and gum) checks
• early childhood education
• vision (sight) and hearing
• health and development checks for learning well at school.

Question 20

rangatahi

Answer 20

Youth, Younger generation

Question 21

Whakapiri

Answer 21

Engagement

(relationship building)

Sense of welcome and involvement

Question 22

Whakamarama

Answer 22

Enlightenment

use of kawa and engagement

Question 23

Whakamana

Answer 23

Empowerment

(Engagement and Enlightenment should lead to Empowerment)

• Emotional (felt)
• Intellectual (understood)
• Spiritual (sensed)
• Physical (preformed)
• Social (affinity)

Question 24

Te Taitimu Trust

Answer 24

• Healing hearts and minds of rangatahi reconnectingto Tangaroa.
• Learn tikanga and kawa to assist in confidence, self-esteem and resilience
• Supporting rangatahi to long, healthy and sustainable lives

STRENGTHEN RELATIONSHIP WITH TANGAROA

Question 25

Rangatahi Tu Rangatira

Answer 25

- Promote cultural and physical wellbeing for rangatahi Māori - encourage the development of rangatahi as future leaders - Ngā Taonga Tākaro wānanga, education sessions, regional provider update trainings, and event support throughout Aotearoa KI O RAHI - RAHITUTAKAHINA

Question 26

Toi Tangata

Answer 26

- kaupapa Māori based approaches to health, movement, and nutrition - Creates meaningful connections to kaupapa oranga Māori - Matua Atua Framework - Exploring whanau, hapū and iwi centric whakapapa to create or support contemporary oranga solution ENVIRONMENTAL KNOWLEDGE CONNECTION TO ATUA

Question 27

Roles of Kaumātua

Answer 27

(Elders) * Shaping Māori society * Vital survival of Māori culture * Guardians of the landscape * Anchors for whanau * Leadership

Question 28

Important issues for older Māori

Answer 28

* Cognitive conditions – dementia, alzheimers * Chronic conditiosn – strokes, diabetes * Falls and falls prevention * Muskuloskeletal conditions – arthritis * Sensory disability – hearing, sight * Issues not talked about – incontinence, impotence * Social concerns – isolation, loneliness * Health and wellbeing – nutrition, exercise * Issues of competence to make decisions * Death and dying

Question 29

Important considerations for Māori health

Answer 29

* Barriers to service utilisation * Whānau and intergenerational relations * Poverty * Cultural diversity * Supporting social connectedness * Supporting whānau capacity * Importance of place

Question 30

Whānau Navigator Impacts and outcomes for whānau

Answer 30

* Independence and empowerment * Whanau have direction * Positive outlook on life * Healthy lifestyles * Connection * Kotahitanga, Collective, Collaborative * Participating fully in Society

Question 31

Kotahitanga

Answer 31

unity, togetherness, solidarity, collective action.

Question 32

Māoritanga

Answer 32

Māori culture, Māori practices and beliefs, Māoriness, Māori way of life.