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

whakapapalineage, descent

OR

Harkness Lecture Hon Justice Joe Williams 2014 https://www.youtube.com/watch?v=zK8ra0jWyEE

whanaungatanga relationship of kinship

Image: Landcare Research

tikangacustomary system of values and practices

• Te Tiriti

• Wai 262

• Tools

• Practice

Image credit: Te Ara, Matariki

karakiaritual chant

NoaTapu

Photo credit: Waikanae Watch/Waikanae River at Reikorangi

Health systems have a role in creating and exacerbating inequities

Wayne J Riley

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

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’)