Representations of Māori in <i>colonial</i> health policy in Aotearoa from 2006-2016: a barrier to the pursuit of health equity

Came, Heather; Herbert, Sarah; McCreanor, Tim

doi:10.1080/09581596.2019.1686461

Cited by 21 publications

(17 citation statements)

References 22 publications

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“…Intergenerational colonial trauma remains ignored by settler-colonial society, including health practitioners who work within this sociocultural context (Came et al., 2019; Wirihana & Smith, 2014). Narratives of colonisation, etched in the memories, intergenerational knowledge, and strategies, of Indigenous people, also serve as an important reminder to the settler-state that our history continues to relate to our present; ignorance of history serves to reproduce colonial constitutive power today.…”

Section: Addressing Ongoing Colonisation In Therapeutic Practicementioning

confidence: 99%

He kākano ahau – identity, Indigeneity and wellbeing for young Māori (Indigenous) men in Aotearoa/New Zealand

Hamley

Grice

2021

Feminism & Psychology

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This article examines how dominant Eurocentric approaches to mental health are unable to address the diverse needs of young Māori men in Aotearoa/New Zealand. Drawing on current health inequities facing Māori and young Māori men in particular, this commentary explores how colonisation has impacted young Māori men in negative ways. Through shaping current health structures in Aotearoa/New Zealand, dominant Eurocentric approaches foreground individualised conceptualisations of Māori ill-health, and then apply predominantly Western therapies to resolve this. These approaches are ill-equipped to address the intergenerational and structural issues which are at the root of mental health disparities for young Māori men. This article adds to a growing body of Indigenous psychology literature that speaks to the inadequacies within (mental) health systems for addressing the ongoing challenges that Māori experience due to colonisation. It further highlights how the intersections among ethnicity/race, class, age and masculinity for Māori men are shaped by colonial discourses. These inadequacies reflect a broader issue of the constraints placed on Māori self-determination by the colonial systems of power in Aotearoa/New Zealand. The article closes by proposing some alternative approaches to supporting Māori wellbeing that centre the needs and aspirations of Māori.

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Section: Addressing Ongoing Colonisation In Therapeutic Practicementioning

confidence: 99%

He kākano ahau – identity, Indigeneity and wellbeing for young Māori (Indigenous) men in Aotearoa/New Zealand

Hamley

Grice

2021

Feminism & Psychology

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“…[32] However, for a PHC system to be compliant with Te Tiriti o Waitangi, [8] system-wide changes far beyond this are required, as well as efforts to redress historical and contemporary underlying causes of inequities and poor health outcomes among Māori. [7,9,43] In summary, we have demonstrated that the PHCS resulted in an initial decrease in copayments for individuals in accessing PHC, with the lowest co-payments being made by Pacific peoples and those living in the most deprived areas. Although Māori were more likely than non-Māori to access low-cost care at all levels of deprivation, this was less evident in more deprived compared to more affluent areas.…”

Section: Discussionmentioning

confidence: 77%

Equity in access to zero-fees and low-cost Primary Health Care in Aotearoa New Zealand: Results from repeated waves of the New Zealand Health Survey, 1996-2016

et al. 2020

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“…Importantly, Came, Herbert and McCreanor (2019) have found these negative discourses reinforced in public health policy documents in Aotearoa. As per the challenge laid down by the Waitangi Tribunal (2019) to the Crown (government) in its WAI 2575 stage one report, there needs to be a reorientation from deficit discourses of Māori health to narratives and practices where all health practitioners, managers and political leaders take responsibility and contribute to improving Māori health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Māori and Tauiwi nurses’ perspectives of anti-racism praxis: findings from a qualitative pilot study

Kidd

Came

Herbert

et al. 2020

AlterNative: An International Journal of Indigenous Peoples

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This pilot study explored Māori (Indigenous peoples of Aotearoa (New Zealand)) and Tauiwi (non-Māori) nurses’ perspectives of anti-racism. A critical qualitative design was utilised, informed by kaupapa Māori (Māori philosophical approaches). Senior nurses with more than 7 years experience were recruited for focus groups. Two focus groups, one Māori ( n = 5) and one Tauiwi ( n = 4), were conducted September 2019 in Auckland. Data were analysed using the framework of a continuum of praxis which included themes of (a) problematic or racist, (b) variable and (c) proactive or anti-racism. Problematic praxis included examples of racism and White fragility. Variable praxis included Māori language and commitment to professional development. Proactive praxis included Māori workforce and reflexivity. These overarching themes illustrate a broad spectrum of anti-racism praxis within nursing. This continuum illustrated with examples is a potentially useful tool to assess and build proactive anti-racism praxis in nursing.

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Representations of Māori in colonial health policy in Aotearoa from 2006-2016: a barrier to the pursuit of health equity

Cited by 21 publications

References 22 publications

He kākano ahau – identity, Indigeneity and wellbeing for young Māori (Indigenous) men in Aotearoa/New Zealand

He kākano ahau – identity, Indigeneity and wellbeing for young Māori (Indigenous) men in Aotearoa/New Zealand

Equity in access to zero-fees and low-cost Primary Health Care in Aotearoa New Zealand: Results from repeated waves of the New Zealand Health Survey, 1996-2016

Māori and Tauiwi nurses’ perspectives of anti-racism praxis: findings from a qualitative pilot study

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