Flashcards in Lecture 25: Health Promotion In Action Deck (45)
Why do we need Maori health promotion?
- Maori health status/inequalities
- Rights as indigenous peoples and Treaty partners
- 'Mainstream' health promotion interventions have generally been less effective for Maori than for non-Maori
- Maori health is everyone's responsibility
Where are systematic disparities seen in Maori health?
1. In health outcomes
2. In exposures to the determinants of health
3. In health system responsiveness
4. In representation in the workforce
Can ethnic equalities be reversed?
Yes, they can be reduced, eliminated and prevented. They should NOT be normalised
Discuss Maori mortality rates?
Although the overall trend is decreasing, Maori overall life expectancy is far lower than non Maori
What causes health inequalities?
The unequal distribution of the social determinants of health
What are examples of social determinants of health?
- education, income, employment
- housing, place, area
- poverty, deprivation
- health care
What is an example of Maori being overworked enter in exposure to an adverse social determinant?
What are two models for Maori health promotion?
1. The Ottawa Charter
2. Te Pae Mahutonga
(Neither is better than the other, there are many more)
Who benefits most from health promotion in general?
Those already better off (ie the inverse care law)
-Maori/Pacific islanders tend to be worse off
What is conventional Health Promotion?
- based on universal models
- universal formula (one size fits all)
- often simply adapted for Maori
- doesn't incorporate Maori values and realities
- superficial vs structural approach
- has tended to benefit non- maori to a greater extent than Maori
Examples of superficial promotion?
smoking not our future
What are prerequisites for the Ottawa charter?
Peace, shelter, education, food, income, stable ecosystem, sustainable resources, social justice and equity
What are core aspects of the Ottawa charter?
- build healthy public policy
- create supportive environments
- strengthen community action
- develop personal skills
- reorient health services
Who developed Te Mae Mahutonga?
Sir Mason Durie
What symbol is the Te Mae Mahutonga based on?
The southern cross (as a navigational point)
What are the key components to the Te Mae Mahutonga?
4 central stars (key tasks) and two pointers (pre requisites)
What is the Te Mae Mahutonga?
Fundamental components of health promotion from a Maori point of view (but could apply to other New Zealanders)
Maori for autonomy?
Te Mana Whakahaere
Maori for community leadership?
Maori for physical environment/environment protection?
Maori for healthy lifestyle?
Maori for participation in society?
Maori for cultural identity/access to Te Ao Maori?
What are the four key tasks of Te Pae Mahutonga?
What are two prerequisites/ pointers of Te Pae Mahutonga?
Te Mana Whakahaere
Examples of Mauriora?
Access to the Maori world, eg connection to the land, whanau, Maori cultural resources
Examples of Toiora?
Examples of Waiora?
How healthy environments enable and unhealthy environments restrict
Examples of Te Oranga?
Participation in society
1. Social economic resources (eg education, employment, income)
2. Political participation (eg determine own future)