Oritetanga which speaks of equity and equality, in the Treaty states that “the Queen of England will protect all the ordinary people of New Zealand and will give them the same rights and duties of citizenship as the people of England” ("Te Titiri o Waitangi — Maori ki Otago - Maori at Otago", n.d.). In a healthcare context, this statement solidifies equality and equity between Maori and the people of England, yet this hasn’t appeared to be the case. According to The Ministry of Health (MOH), Maori notably have higher mortality rates than non-Maori, dominating in almost all major disease categories (King, 2001). When we speak of equality, we speak of exact division and equal sharing. When we say equity, we refer to the qualities of justice,
…show more content…
This is supported by a review of literature, which indicated that Maori experience marginalisation within healthcare services (Elers, 2014). The cause of such marginalization derives from staff insensitivity; who have been described as judgmental, rude and disrespectful as well as having poor communication (Elers, 2014). Similarly, another study made up of 651 Maori individuals were asked what Maori health means to them, and their experiences within health-care services. Within the findings, the majority of Maori spoke of Maori health as being more holistic, not just representing the physical aspect of well-being, but including the spiritual and emotional aspects. In relation to what the Maori experienced, their interactions with Pakeha healthcare services were not overly positive. They felt that the healthcare environment is not appropriate or culturally safe and is undermined by Pakeha- dominance which refers to the idea of inter-personalized and institutional racism (Cram, Smith, and Johnstone, 2003). This idea is strengthened by another review which alluded to the idea that inter-personalized racism affects the attitudes of Maori towards seeking health services and weakens the trust in the workforce in order to cater for cultural needs (Jansen, Bacal, & Crengle, 2009). Jansen, …show more content…
On the contrary, The Primary Health Care strategy (PHCS), Maori Health Units, Whanau Ora Programme and culturally safe practices are initiatives that have been put in place in order to address these disparities. In 2001 the government initiated the PHCS with the aim to achieve and improve the large deficit of health between population groups as well as address the inequalities in wellbeing. Hon Annette King of the MOH set out goals to improve access to health services for those who are disadvantaged, involve the communities in decision making in regards to health care services, and expand providers and skills used in primary health care (King, 2001). Secondly, the creation of the Whanau Ora programme, was another strategy implemented in order to address the inequities between Maori and non- Maori. This strategy has a whanau-centered approach, which focuses on putting families first and involving them in the decision making process of health services. Similar to the PHCS, the programme aims to empower families and ultimately achieve better health, skills development, economic, and education outcomes (Te Puni Kokiri, 2016). Thirdly, Maori health units (MHU) are another strategy that has been implemented, which plays a critical role in providing support for patients getting hospital care and their whanau. Southern District Health Board, 2010
This is supported by a review of literature, which indicated that Maori experience marginalisation within healthcare services (Elers, 2014). The cause of such marginalization derives from staff insensitivity; who have been described as judgmental, rude and disrespectful as well as having poor communication (Elers, 2014). Similarly, another study made up of 651 Maori individuals were asked what Maori health means to them, and their experiences within health-care services. Within the findings, the majority of Maori spoke of Maori health as being more holistic, not just representing the physical aspect of well-being, but including the spiritual and emotional aspects. In relation to what the Maori experienced, their interactions with Pakeha healthcare services were not overly positive. They felt that the healthcare environment is not appropriate or culturally safe and is undermined by Pakeha- dominance which refers to the idea of inter-personalized and institutional racism (Cram, Smith, and Johnstone, 2003). This idea is strengthened by another review which alluded to the idea that inter-personalized racism affects the attitudes of Maori towards seeking health services and weakens the trust in the workforce in order to cater for cultural needs (Jansen, Bacal, & Crengle, 2009). Jansen, …show more content…
On the contrary, The Primary Health Care strategy (PHCS), Maori Health Units, Whanau Ora Programme and culturally safe practices are initiatives that have been put in place in order to address these disparities. In 2001 the government initiated the PHCS with the aim to achieve and improve the large deficit of health between population groups as well as address the inequalities in wellbeing. Hon Annette King of the MOH set out goals to improve access to health services for those who are disadvantaged, involve the communities in decision making in regards to health care services, and expand providers and skills used in primary health care (King, 2001). Secondly, the creation of the Whanau Ora programme, was another strategy implemented in order to address the inequities between Maori and non- Maori. This strategy has a whanau-centered approach, which focuses on putting families first and involving them in the decision making process of health services. Similar to the PHCS, the programme aims to empower families and ultimately achieve better health, skills development, economic, and education outcomes (Te Puni Kokiri, 2016). Thirdly, Maori health units (MHU) are another strategy that has been implemented, which plays a critical role in providing support for patients getting hospital care and their whanau. Southern District Health Board, 2010