142 research outputs found
A game of slides and ladders: Māori health providers and funders
No full textDevolution of government responsibility after the neo-liberal reforms of the 1980s, and the re-orientation of health services towards public health in the 1990s, created an opportunity for Māori to take control of their own health outcomes through the delivery of culturally relevant and appropriate services. By 2000 “By Maori, For Maori” service provision had burst forth as the preferred approach with Māori. While grappling with the tendency of government agencies to fund services based on pre-existing health output criteria, Māori service providers were “walking on egg shells” under the constant threat of losing their funding. Currentcontracting does not capture the extent of the work done by Māori providers to serve precariat families. Nor does it adequately acknowledge, validate or value indigenous approaches to health and wellbeing. Instead, narrow, administratively demanding and difficult to interpret contracts threaten the provision of culturally relevant services. This chapter talks about some of the creative and insightful ways Māori service providers manage contrasting cultural and contractual expectations
Pasifika women affected by domestic violence: The case of Teuila
No full textDomestic violence is a pervasive social issue in New Zealand, with the majority of victims being women and children. In 2008, the New Zealand Crime and Safety Survey found that one in five Pasifika had experienced violence at the hands of their partner in the previous year.2 Six years later the results of the same survey reported a 19 per cent decrease of intimate partner violence among Pasifika. Despite this reduction, domestic violence is still prevalent in Pasifika communities. Women in general are known to have low rates of accessing the services available to assist them in navigating themselves and their children to safety, and Pasifika women, with even fewer social and economic resources than other women, are thus left in an even more precarious position. The research presented in this chapter focuses on identifying the barriers and supports women encounter when they attempt to access external agency support to gain protection from their abusers in order to deal with the impacts of abuse
Out of the pan and into the fire: Precariousness among women and children escaping domestic violence
No full textDomestic violence can leave women in a precarious position in regards to basic needs such as health, housing and income. It can make their participation in education, social and community life extremely marginal and seriously undermine their ability to parent in the way that they would like. Women in certain tight-knit communities may be ostracised if they speak out about the violence as they get blamed for bringing shame on to the community. Drawing on information collected over a number of studies, we discuss the myriad ways in which women resist violence and attempt to keep themselves and their children safe. We outline the strategic decisions women make in the face of precarious circumstances and reveal the various ways so-called helping agencies too often fail to help. Of particular concern is the way certain state agencies act in oppressive and controlling ways, in effect holding women responsible for the violence visited upon them and their children and requiring women to jump through the hoops to prove themselves as worthy. We offer our thoughts on what is needed to support of women and their children that will enable them to flourish
A formative evaluation of the Sistema Waikato programme: A technical report prepared for the Hamilton City Council and Sistema Waikato Steering Group
No full textSistema Waikato launched at Nawton Primary School in July 2015 and involved children from four West Hamilton schools (Rhode St Primary, Nawton Primary, Crawshaw, and Forest Lake). The intention of using music as a tool for positively transforming the lives of participating children, their families and wider communities was at the heart of its inception. Ann Shaffer and Rupert D’Cruze from the Hamilton Community Centre of Music approached Dr. Bridgette Masters-Awatere at the University of Waikato to conduct a formative evaluation of Sistema Waikato just prior to its launch. Under the supervision of Bridgette Masters-Awatere two students Juliana Brown and Makarita Tangitu-Joseph were given the opportunity to be a part of the research team and conduct the qualitative evaluation. The evaluation drew upon multiple methods: Survey, interview, photo voice, focus-group interviews and observations
Section 2: Native disruption: Maori and the precariat: Introduction
No full textWithin this section, the authors encourage the reader to look back into history and then consider the future. We are invited to re-examine deeds from this country’s past. To immerse ourselves in a narrative that may be different to the one we have been taught in school, or heard among our friends and family. Through their stories we can see multiple narratives. Readers are invited to understand, embrace and own the past. By recognising and accepting the past — our collective histories — we can determine our collective present and future
Introduction
No full textThe concept of the precariat links to situations and experiences of uncertainty, dependency, powerlessness, perilousness and insufficiency. In one sense, precarity refers to the negative consequences for the wellbeing and survival of citizens following the gradual dismantling of the welfare state and union representation; in another related sense, it refers to the changing nature of work that becomes intermittent, insecure and insufficient. Precarity emerges within the global context of a neoliberal economic system that demands greater (job, skill, employment, time) flexibility among individuals so as to improve market competition on a global level
Discussion
No full textGuy standing’s words have served as the launching point from which this book began. The book is a call for us all to renew our commitment and dedication to building diverse and powerful movements for a secure, stable and equitable society. To do so we must address inequality, as all peoples within our communities experience it. The book offers a revived purpose: not to surrender to economic and social practices as if they were inevitable and immutable but rather to pursue a common security that would enhance our communities
Developing a kaupapa Māori evaluation model – one size fits all?
No full textHealth statistics in Aotearoa (New Zealand) highlight that Māori, the indigenous people Aotearoa have poorer health than non- Māori. In response to the statistics a number of Māori health providers have established services that address specific areas of need in their regions. Initially there were minimal accountability requirements of providers. However, changes in the health system now mean that groups wanting to establish a new service must provide accountability measures before, during and after the funding has been allocated. As a result providers need to develop a rationale behind their decisions and assess the measure of change that has taken place as a result of the service or programme to ensure continued funding. The requirements reflect the dominant Western paradigm in which health promotion is understood to be about producing specific quantifiable behaviour changes in individuals. Māori health providers on the other hand have tended to take a holistic approach to health. Thus they have found themselves in the position of trying to show change within a paradigm where measurements are not easily taken. This has created frustration amongst Māori providers who face losing their funding because of an inability to report measurable outcomes using a framework that does not apply to their culture
Investigating the Social Supports of Successful Māori Undergraduate Appellants at the University of Waikato
No full textEducational disparities between Māori and non-Māori tertiary students are evident in regards to participation, retention, and completion rates at secondary and tertiary levels. Instead of focusing on negative statistics, it was of interest to investigate Māori students who had failed sufficient papers to initially be denied re-entry to university study, yet continued to attain their degrees, as a result of a successful appeal. Māori undergraduate students, who had successfully appealed from 2003-2012, were recruited for my research. The availability and utilisation of social supports were investigated, along with the decision to make an appeal, the role of cultural expectations, and barriers experienced by participants. A mixed method approach was utilised in this research through use of an adapted overarching Kaupapa Māori framework, statistical analysis, and 13 interviews. My research found that social supports were beneficial for participants throughout their appeal, as they provided: emotional, instrumental, appraisal, and informational support. Although the social supports utilised by participants were satisfactory, barriers to accessing formal supports were also found, which included: perceived stigma having failed their papers, pride, as well as being whakamā. The appeal process was a beneficial intervention from the University of Waikato, which provided participants another opportunity to overcome the factors that contributed to their initial failure. Post appeal, participants implemented strategies to address and reduce their factors in order to become academically engaged. Participants were deemed to be resilient from their continued pursuit of degree attainment, implementation of their strategies, and their use of perceived social supports
An examination of DHB climate change policy and implementation: Responsiveness to Māori health
No full textThe impacts of climate change have become increasingly evident throughout the world and in Aotearoa. Frequency and intensity of extreme weather events such as flooding, coastal erosion, wildfires, and droughts are notably increasing. Climate-related disasters have devastating effects on human health, as is well documented in literature. These effects include cardiovascular disease, poorer mental health, food insecurity and water borne disease.
Due to pre-existing health disparities, Māori are particularly vulnerable to the health impacts of climate change. Further, Māori have unique relationships with whenua wherein destruction of the natural environment will have a negative impact on the health of Māori people and communities. The health sector has an obligation to respond to Māori health in a way that honours Māori relationships with the environment and prioritises equitable health outcomes for Māori in climate change policy.
Although Māori face potentially severe health impacts due to climate change, there is limited literature that considers health sector climate change policy and its responsiveness to Māori health. In an effort to address this gap in literature, this thesis aims to examine whether there is existing District Health Board (DHB) policy focused on implementing institutional responses to climate change. Further, this research seeks to understand the extent to which any identified DHB climate change policy responds to Māori health.
At the time of study, DHBs were responsible for providing and funding health services throughout Aotearoa. During the late stages of this research, the health sector underwent reform, and two health authorities have replaced DHBs. The implications of this research have important ramifications within the newly established health authorities. A dedicated Māori health authority will provide the health sector with the chance to advance health equity by acting on holistic understandings of health for Māori. These actions would establish health policy that recognises Māori health as fundamentally linked to the environment and therefore uniquely impacted by climate change.
To achieve the aims of this thesis, two research methods were implemented. Initially, an environmental scan of 17 DHB websites was completed to identify climate change and Māori health policies. This was followed by qualitative interviews with three DHB staff from diverse localities. Additionally, tāngata whenua interviews from the wider research project named Haumanu Hauora, were analysed to ensure Māori understandings of climate change were included in this research (Masters-Awatere et al., 2022).
Research findings provide insights that point to highly fragmented climate change policies across the health sector. There is a glaring lack of direction in the health sector's response to climate change throughout existing policy. Māori health policies were in place across all DHBs, however, lacked recognition of the interconnection between Māori health and the natural environment, and therefore the impacts of climate change.
Although policy was fragmented across regions, there is potential to enhance both climate change and Māori health policies by recognising the interconnected nature of Māori health and climate change. This will necessitate a significant change in the health systems policy response to climate change that prioritises mātauranga Māori and addresses the ongoing impacts of colonisation
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