Lecture 25: Health Promotion In Action Flashcards Preview

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Flashcards in Lecture 25: Health Promotion In Action Deck (45)
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1

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

2

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

3

Can ethnic equalities be reversed?

Yes, they can be reduced, eliminated and prevented. They should NOT be normalised

4

Discuss Maori mortality rates?

Although the overall trend is decreasing, Maori overall life expectancy is far lower than non Maori

5

What causes health inequalities?

The unequal distribution of the social determinants of health

6

What are examples of social determinants of health?

- education, income, employment
- housing, place, area
- poverty, deprivation
- health care

7

What is an example of Maori being overworked enter in exposure to an adverse social determinant?

Neighbourhood deprivation

8

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)

9

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

10

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

11

Examples of superficial promotion?

5+aday
smoking not our future

12

What are prerequisites for the Ottawa charter?

Peace, shelter, education, food, income, stable ecosystem, sustainable resources, social justice and equity

13

What are core aspects of the Ottawa charter?

- build healthy public policy
- create supportive environments
- strengthen community action
- develop personal skills
- reorient health services

14

Who developed Te Mae Mahutonga?

Sir Mason Durie

15

What symbol is the Te Mae Mahutonga based on?

The southern cross (as a navigational point)

16

What are the key components to the Te Mae Mahutonga?

4 central stars (key tasks) and two pointers (pre requisites)

17

What is the Te Mae Mahutonga?

Fundamental components of health promotion from a Maori point of view (but could apply to other New Zealanders)

18

Maori for autonomy?

Te Mana Whakahaere

19

Maori for community leadership?

Nga Manukura

20

Maori for physical environment/environment protection?

Waiora

21

Maori for healthy lifestyle?

Toiora

22

Maori for participation in society?

Te Oranga

23

Maori for cultural identity/access to Te Ao Maori?

Mauriora

24

What are the four key tasks of Te Pae Mahutonga?

Mauriora
Toiora
Te Oranga
Waiora

25

What are two prerequisites/ pointers of Te Pae Mahutonga?

Nga Manukura
Te Mana Whakahaere

26

Examples of Mauriora?

Access to the Maori world, eg connection to the land, whanau, Maori cultural resources

27

Examples of Toiora?

Eating
Drinking
Smoking

28

Examples of Waiora?

How healthy environments enable and unhealthy environments restrict

29

Examples of Te Oranga?

Participation in society
1. Social economic resources (eg education, employment, income)
2. Political participation (eg determine own future)

30

What is Nga Manukura?

Leadership, health professional and community leadership (so enabling, a partnership, not telling someone what to do)