whakapapa: our structural determinant of health kiri rikihana...whakapapa: our structural...
TRANSCRIPT
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Whakapapa:Our Structural Determinant of Health
#what a māori lawyer working in mortality review can share with doctors….
Kiri Rikihana (LLB, Bsoc.Sci)
RNZCGP Conference for General Practice July 2018
@HQSCNZ
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whakapapalineage, descent
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OR
Harkness Lecture Hon Justice Joe Williams 2014 https://www.youtube.com/watch?v=zK8ra0jWyEE
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whanaungatanga relationship of kinship
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Image: Landcare Research
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tikangacustomary system of values and practices
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• Te Tiriti
• Wai 262
• Tools
• Practice
Image credit: Te Ara, Matariki
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karakiaritual chant
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NoaTapu
Photo credit: Waikanae Watch/Waikanae River at Reikorangi
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Health systems have a role in creating and exacerbating inequities
Wayne J Riley
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Practice points
• Māori want to be Māori – as whānau, hāpū, iwi
• Priviledge Māori knowledge – make it is seen and recognised
• Treat me as part of my whānau & whānau as part of me
• One size does not fit all – my values differ from yours
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Whakapapa Ani Mikaere, Like Moths to the Flame? A History of Ngāti Raukawa Resistance and Recovery (2017)Harkness Lecture Hon Justice Joe Williams 2014https://www.youtube.com/watch?v=zK8ra0jWyEE
Māori models of Health and Wellbeing
Definitions
https://www.health.govt.nz/our-work/populations/maori-health/maori-health-modelshttps://www.tpk.govt.nz/mi/whakamahia/whanau-ora/about-whanau-orahttps://maoridictionary.co.nz/
Unconscious bias https://royalsociety.org/topics-policy/publications/2015/unconscious-bias/
Equity think piece www.hqsc.govt.nz (search ‘health equity’)