In 1972, 30,000 signatures were delivered to the NZ Parliament calling for te reo Māori to be taught in schools. It was a defining moment in the journey to revitalise the language. The aim is to grow one million speakers by 2040.Of 7000-plus languages in the world today, at least 2000 are being threatened by extinction. The loss of a language is a loss to all of our human family. In our new reality of one global community, cultural diversity is as important as biodiversity. One simple way HPF suggests we can do to sustain all languages is to adopt an auxiliary language, in addition to each culture’s native language. Everyone can learn that same auxiliary language, alongside their mother tongue. Knowledge and communications can be facilitated effectively across cultural boundaries, while each culture retains and advances its distinct identity, wellbeing and contributions to its own wellbeing and our collective wellbeing.
Whakamaua: Māori Health Action Plan 2020-2025 is the implementation plan for He Korowai Oranga, New Zealand’s Māori Health Strategy and will set the Government’s direction for Māori health advancement over the next five years.Whakamaua is underpinned by the Ministry’s new Te Tiriti o Waitangi Framework. The plan presents new opportunities for the Ministry, the health and disability system, and the wider government to make considerable progress in achieving Māori health equity — a direction supported by the final report of the Health and Disability System Review. HPF’s Deputy Executive Director and Senior Strategist in Maori Health Promotion Trevor Simpson says a pleasing aspect of Whakamaua is that it reasserts the relevance and value of He Korowai Oranga which was promulgated in 2002. “Importantly, this operationalises He Korowai Oranga and provides a plan of action for work that will improve Maori health outcomes over time,” says Mr Simpson. “One aspect that will need to be part and parcel of Whakamaua is the development of an effective and efficient, well-trained workforce. In this regard, health promotion and the health promotion workforce must be supported to fulfil this role.” In his foreword to the plan Associate Minister for Health Peeni Henare says Pae ora is the overarching aim of He Korowai Oranga and is underpinned by the three key elements of whānau ora, mauri ora, and wai ora. Mr Henare says ensuring the voices of Māori are captured in the plan has been an integral part of its development. “The priorities and actions outlined are born out of the myriad conversations the Ministry and wider government had with key stakeholders including whānau, hapū, and iwi,” he said. “I am excited and hopeful for the opportunity this action plan presents.” The Ministry’s Director General of Health Ashley Bloomfield says in his foreword that the Ministry will progressively update Whakamaua to respond to the outcomes of the Health and Disability System Review, and ensure we are well positioned for recovery from the COVID-19 pandemic. “Our commitment to the Ministry’s obligations under Te Tiriti o Waitangi has fully informed the development of Whakamaua and will continue to inform its implementation over the coming years.” Whakamaua outlines a suite of actions that will help to achieve four high-level outcomes. These are:
- – Iwi, hapū, whānau and Māori communities exercising their authority to improve their health and wellbeing.
- – Ensuring the health and disability system is fair and sustainable and delivers more equitable outcomes for Māori.
- – Addressing racism and discrimination in all its forms.
- – Protecting mātauranga Māori throughout the health and disability system.
- Enable well-informed decision-making.
- Ensure the EPA understands the issues and implications of mātauranga for its decision-making processes.
- Increase the understanding of mātauranga across the EPA.
Dr Came-Friar who is one of the coordinators of Te Tiriti based Futures: Anti-racism 2020 (TBF2020) from March 21 – 30 said the tweet was about the need for more decolonisation training.“The event is about building anti-racism capacity, deepening understanding about Te Tiriti, decolonisation, mobilising people, inspiring people, building awareness, knowledge and hopefully some action,” she said. Dr Came-Friar who is a founding member and co-chair of STIR: Stop Institutional Racism said the response to the event was phenomenal with over 4500 registrations to date, 49 partners and “’lashings’ of watch-parties and associated face-to-face events.” HPF’s Executive Director Trevor Simpson who is on the STIR team said the response to the event after months of ‘mahi’ was encouraging. Webinar topics include institutional racism and anti-racism, decolonisation, building Tiriti-based futures and transforming our constitution. Overseas presenters will also discuss lessons for Aotearoa from their experiences with these issues. The open-access webinars will be posted online, where they will become permanent resources for anti-racist activism and Tiriti education. TBF2020 also includes face-to-face events in multiple locations, these will include Tiriti workshops, train-the-Tiriti-trainer hui, public talks, webinar viewing and discussions and community pot luck dinners. New anti-racism and Tiriti resources, both printed and online, will gradually be added to the site. TBF2020 will start with a one-day hui on March 21, Race Relations Day, hosted by Te Rūnanga o Ngāti Whātua in Tāmaki Makaurau. Check out the diverse programme at https://our.actionstation.org.nz/calendars/tiriti-based-futures-2020-events#
Waitangi Day on Thursday, February 6 marks 180 years since the signing of Te Tiriti O Waitangi (Treaty of Waitangi) and is a time to reflect on our nationhood and national identity.
It is also an opportunity to reflect on the relationship between the Treaty and hauora, health and wellbeing.
“It is widely understood that in part, Te Tiriti o Waitangi was drafted based on a concern for the declining health of Maori at the time,” says HPF’s Deputy Director Trevor Simpson.
“Today, in the context of health and wellbeing, the link to Te Tiriti o Waitangi remains as relevant as ever. It is in matters of social justice, health equity and the need to address the wider determinants of health. It draws on the importance of Tino Rangatiratanga, Maori self-determination and mana motuhake.”
HPF’s Executive Director Sione Tu’itahui said because it is about the wellbeing of all peoples, and their environment, “Te Tiriti inspired us to organise the world conference on health promotion last April. Additionally it influenced our drafting of the conference’s two legacy statements. Further it has driven us to consolidate Indigenous knowledge, especially health promotion, and planetary health, at the international level, working with our partner, the International Union for Health Promotion and Education (IUHPE).
Mr Tu’itahi said viewed from that global vantage point, it is undoubtedly clear that the wellbeing of one is the wellbeing of all, whether it is at the local, national or global level.
“With increase in natural and human-made challenges, such as the coronavirus, fires and cyclones, within the context of climate and other earth systems’ crises, Te Tiriti provides a pathway to collaborative effort for the benefit of all.”
If you can’t make it to the official celebrations in Waitangi, there are numerous events to mark the day around the country.
View the legacy documents at http://www.iuhpe2019.com/iuhpe-%e2%80%93-tnz/rotorua-indigenous-statement_idl=10007_idt=2939_id=16107_.html
BANNER PIC: The museum of Waitangi features many valuable and significant historic pieces like this version of Te Tiriti O Waitangi.
Photo credit: Museum of Waitangi
HPF’s Executive Director Trevor Simpson discusses the importance of organisation-wide training
The success of an organisation often rests on the skills, knowledge and competency of the staff that it employs. When contemplating the importance of this we see that the human resource element and the ability of an organisation to achieve its goals are intimately entwined. The people we have in our workforce are critical to success and without the right employees in place, we sometimes see less than desirable results. The capability, capacity and retention of our workforce in any organisation should be of paramount concern if we are to meet our long-term goals.
In public health and other parts of the health sector, recruiting to an organisation often means we are faced with limited choices in terms of bringing in competent people. On the face of it, it depicts a fluid, dynamic and often transient workforce that by nature reduces our choices. Additionally, we are sometimes looking for specialist personnel, perhaps suitably qualified Maori, Pasifika or Asian. In health promotion this is particularly evident where inducted staff are selected to cover a role, and then are trained further to build competency.
One way forward that has seen measurable and positive results is the platform of organisation-wide training in formal education. This approach provides for an organisation to develop its staff through formal learning in the communities (and sometimes buildings) in which they are working. The advantages of doing training in this way are numerous and wide reaching.
First but probably not the most important (except to your accountant!) are the cost benefits. The training and the trainers come to you in your community. Staff are not required to travel to another location, meaning savings on commuting, accommodation and per diem allowances. For some this means that issues around childcare and making arrangements for whanau while they are away are also negated. They simply go home at the end of the day. Additionally, with the practice of paying a set fee, the organisation gets to make savings through having larger numbers of their staff trained at the same time. The more staff on the course the higher the saving.
Cost benefits aside, the outcomes for the organisation and the communities which it serves shouldn’t be underestimated. In health promotion we know that sometimes health promoters are isolated in their role, have limited capacity to deliver the desired outcomes because of this and are often required to explain the comprehensive approach of health promotion to other staff. Organisational training not only diminishes this problem but strengthens the organisation and makes it much more effective. If everyone in the team understands health promotion, regardless of their own specific roles, they become supportive of their colleagues and the notion of health promotion itself. It is therefore a strengths approach to building a strong organisation and by virtue of this, and over time, a strong community.
Another way to do this kind of community development is to do cross-organisational community training. This is where two or more organisations pool their funds to have training delivered in their general location. A mix of staff from each organisation attends the training. This approach can have an enduring impact on communities. A critical mass of health promoters can influence beyond the health care system to make inroads into the wider determinants of health at a local level. Perhaps think along the lines of Local authorities, schools, early childcare centres, workplaces, marae, housing and all kinds of community groups – health promoters can work in and across any of these areas. In short, the potential for improving and maintaining the health of communities is endless.
The HPF level 4 Certificate of Achievement in Introducing Health Promotion is one such course that delivers in this way. This course is delivered in collaboration with the Manukau Institute of Technology as the accredited institution, meaning that the students who complete the course will gain a recognised qualification together with 10 credit points. Although a formal framework the course can be delivered off campus in the regions or in city and urban settings. Importantly it introduces health training to returning or new students – an entry level course which can lead onto higher education and professional development in the health field.
If anyone is interested in this type of training please feel free to contact email@example.com
A report into hazardous drinking in New Zealand reveals that Māori who drink alcohol and live in deprived circumstances are less likely to have a harmful relationship with alcohol if they speak te reo Māori.
Figures on hazardous drinking among Māori which were crunched by the Health Promotion Agency, using three years of data from the New Zealand Health Survey showed the lower the socio-economic area a non-reo-speaking Māori person lived in, the more likely they were to drink dangerously.
HPF’s Deputy Executive Director and Maori Strategist Trevor says these findings are important as they give efficacy to the assertion that the Maori language is an important protective factor for the health of Maori.
“Once learned, Te Reo Maori effectively opens the learner to traditional notions of health and wellbeing- deeper understandings embedded in the language itself. In other words, Te Reo Maori can be viewed as a determinant of health for Maori.”
Hāpai Te Hauora GM Māori Public Health, Janell Dymus-Kurei says the report adds to the evidence that te reo Māori me ōna tikanga (Māori language, knowledge and traditions) are vehicles for wellbeing for Māori.
“Hopefully these findings will precipitate a new approach to health promotion which positions matauranga Māori at the centre. This is how we work in Māori public health and it’s time that the rest of the system caught up.”
Key findings from the report also show: Māori with higher levels of education are less likely to be hazardous drinkers and inequities among Māori and non-Māori persist across all age groups.
HPF commends a new initiative by Ngā Pae o te Māramatanga (NPM) New Zealand’s Māori Centre of Research Excellence to celebrate and recognise the careers of three Māori leaders and visionaries, who have a long history of bringing about major social change and impact in Aotearoa New Zealand.
Professor Rawinia Higgins, NPM board member, says the new Ruānuku positions formally acknowledge the generous ongoing roles these exceptional Māori leaders have agreed to provide to NPM.
The three inaugural distinguished Ruānuku are: One of New Zealand’s most respected academics, Emeritus Professor Sir Mason Durie, who was a plenary speaker at last April’s 23rd IUHPE World Health Promotion conference co-hosted by HPF in Rotorua; Sir Tīpene O’Regan highly regarded Ngāi Tahu kaumatua and academic and award-winning Emeritus Professor Ngahuia Te Awekotuku who has been at the forefront of the women’s liberation movement in New Zealand.
“Our first three NPM Ruānuku … are esteemed scholars, visionaries in their fields, leaders in the life of our nation, and have brought about considerable social change in the lives of many Māori,” says Prof Higgins.
HPF’s Deputy Executive Director and Maori Strategist Trevor Simpson says the initiative pays homage to three outstanding individuals who have made significant contributions in their respective fields.
“Nga Pae o te Māramatanga continue to lead the way in terms of Maori advancement in research excellence. Building on this, the Ruānuku acknowledgements are a timely and appropriate way to recognise individual achievements at the highest level, over many years of effort. In all three recipients, we have wonderful examples of leadership, persistence and servitude not only to Maori but to wider society,” he says.
Professor Rawinia Higgins, NPM board member says the trio are “esteemed scholars, visionaries in their fields, leaders in the life of our nation, and have brought about considerable social change in the lives of many Māori”.
NPM recognised these inaugural appointments yesterday (Oct 22) as Māori and researchers from across the country gathered in Dunedin for the annual national Royal Society Te Apārangi Research Honours Aotearoa awards. At Te Tumu School of Māori, Pacific & Indigenous Studies, Māori senior students spoke about how these Ruānuku have influenced their studies and inspired their career choices.
Twenty years after introducing “Te Pae Mahutonga” as a framework for health promotion in New Zealand at an HPF conference in 1999, Sir Mason Durie introduced another star-based framework to guide health promotion for Maori and other Indigenous peoples.
Sir Mason introduced “Matariki” at the 23rd World Conference on Health Promotion in Rotorua, last April.
“Matariki is the Māori name for the cluster of stars also known as the Pleiades (or Subaru in Japan). It rises in mid-winter and for many Māori, it heralds the start of a new year, a time for remembering the dead, celebrating new life and planting new crops,” he said. “The focus on stars reminds us that we are part of an unbounded universe.”
Based on the eight main stars in the cluster, he named eight Matariki dimensions of health: Mana Tangata -Human dignity, Whānau Ora – Families, Hapori – Communities, Ranginui – The sky, Papatuanuku- The land, Nga Wai – Rivers and oceans, Ngahere – The forests, and Te Ao Tuturu – Rhythms of nature.
“Matariki provides a health promotion agenda for Māori and Indigenous peoples that endorse Indigenous rights, keep our skies clean and fresh, protect our lands, preserve our native forests, enable whānau and families to flourish, support community initiatives, safeguard our rivers and ocean, and restore nature’s balance, ” Sir Mason asserts.
He also pointing out that when combined, the six stars of Te Pae Mahutonga and the eight stars of Matariki can continue to guide health promotion for Indigenous peoples into the future.
Details of Sir Mason’s presentation can be found on the IUHPE2019 website.
HPF’s Deputy Executive Director Trevor Simpson, one of the principal architects of the Waiora Indigenous Statement reflects on its significance
The Waiora Indigenous Statement adopted at this year’s IUHPE World Conference in Rotorua provided a watershed moment for indigenous health promotion at the global level. It is a call to action which leverages on the assertion that indigenous people’s perspectives, worldviews and human experience informs a “new” way to think about health promotion and by virtue of this, a different perspective on planetary health and human wellbeing.
Of course, health promotion in its current format, largely based on western world views associates human health with the health of the planet. The Ottawa Charter identifies eight prerequisites, the fundamental conditions for health amongst which a stable eco-system and sustainable resources are but two. As broad fields of study these two areas remain vitally important, but it seems odd that planetary health and wellbeing is not specifically addressed within the existing health promotion framework. From observation it is more implied than defined. Further, it is difficult to discern where health promotion makes a clear and concerted effort to think past the Anthropocene, the current focus on an individual, human centred approach to health.
The Waiora Indigenous Statement provides some interesting componentry to help us understand at a fundamental level where indigenous thinking positions itself in the planetary and human wellbeing discussion. As the document rightfully points out, indigenous people and worldviews are diverse. However, when we overlay these aspects of diversity, we can then identify the commonalities which draw indigenous peoples together.
This provides a powerful construct, particularly when we centre on the core features; the interactive relationship between the spiritual and material realms, intergenerational and collective alignments and that the Mother Earth is a living being. It posits that Planet Earth and human beings have a special relationship to each other, one founded on interconnectedness and interdependence. We are therefore in the indigenous perspective, part of nature and not above it.
In a pre-conference discussion with Tamati Kruger, one of the highly acclaimed plenary speakers at this year’s event, he touched on a key principle of the Tuhoe Iwi’s Waitangi claim settlement outcome, principally the section in the Te Urewera Act 2014 in which the Crown (Government of Aotearoa New Zealand) and the Tuhoe people agreed that the Urewera (previously the Urewera National Park) was a “living person”. He suggests that this aspect was an imperative in the settlement negotiations. Without it, it would have been very difficult to reach an agreement.
As a significant precedent in law it is also nevertheless an assertion of world views.
It comes with a necessary proviso of course, duties on both parties: a living person should be cared for and nurtured. Care and nurture have in turn strong elements of responsibility and obligation. Indigenous Tuhoe people, therefore, have no choice but to provide for and nurture their piece of nature and in return have their place and wellbeing secured. As Tamati said in his plenary speech in Rotorua, “the Tuhoe people do not own the Urewera. The Urewera owns itself”.
This indigenous viewpoint leaves much to ponder. It questions our current thinking. It touches on the need for a paradigm shift in the way human beings see themselves in their relationship with this living planet. And it is now urgent.
As a living document we encourage all to endorse, use and critically analyse the Waiora Indigenous Statement. It is an offering for health promoters, policy makers and leaders. An intergenerational gift that seeks to define what health promotion means from an indigenous worldview. It is also a very useful resource to inform the development of health promotion itself- to be part of the actual framework rather than sitting outside it. To be part of a new design for people and planet.
The Waiora Indigenous Statement is a statement for all. It asks that we make space for and privilege indigenous peoples voices and indigenous knowledge in promoting planetary health and wellbeing. It offers a new way of thinking, resetting the course for health promotion and sustainable development. It suggests that if we listen carefully, we just might hear something beautiful and profound. Something to learn, something to embrace. Something for you, me and the generations to come.
There is an unprecedented opportunity for indigenous health promotion leaders to use this platform to share our ideas, strengthen our resolve and promote wellbeing from a specific indigenous perspective.The overarching theme of the conference for the first time includes the indigenous term “Waiora” loosely meaning “life-giving water”. Similar to “Vaiola” in Pacific vernacular the word relates to the sacred nature of water as a life-giving element. Appropriately, delegates will be situated in the south of the Pacific Ocean, the largest body of water on Earth, the historical home to many indigenous people, all of whom maintain a deep appreciation and affection for the ocean and the islands upon which they depend. Te Reo Maori a world-first For the first time Te Reo Maori as an indigenous language will be one of the four official languages of the conference. It will not only be used and encouraged throughout but also built into the official programme. Delegates will be able to experience this from the opening powhiri (Maori welcome ceremony), the inaugural speech in the Maori language by a plenary speaker, Tamati Kruger through to the poroporoaki (closing ceremony) where in each case the language will take precedence. Broadly, indigenous Maori themes, language, storytelling, arts and performance will provide a wonderful array of cultural features to enhance what is shaping up to be a wonderful scientific programme. Significantly, along with Tamati Kruger four of the other 11 plenary speakers are from indigenous backgrounds. Stanley Vollant, Sir Mason Durie, Tony Capon and Colin Tukuitonga will bolster what is already a strong format for indigeneity at the plenary level. In terms of leadership this group provides a global perspective that will influence indigenous health promotion practice well into the future. The programme also includes an Indigenous sub-plenary and opportunities to observe and participate in oral presentations, workshops and poster walks where indigenous health promoters and those working in indigenous communities can share their ideas. Committed to the cause Some wonderful work is also going on in the background. For the first time a team of guest editors will pull together an Indigenous Supplement to the IUHPE Global Health Promotion Journal to be released in time for the conference. The propensity for a supplement such as this to reach across the globe is not underestimated and the leadership of the IUHPE team working on the journal, the editors and guest editors to engage in such a project is a fine example of commitment to an important cause. Additionally, a small team is working on drafting a Rotorua Indigenous Statement (yet untitled) to be considered for ratification in Rotorua. Not underestimating the magnitude of this project, the team is looking to include a wide range of perspectives, draw on expert knowledge and finally put out a call for support. At this stage the proposal is to release draft one version early in the New Year for members to consider, followed by a second draft in early March. The third and final draft will be presented at the conference itself and with the support of the delegates, formally endorsed. In mentioning Rotorua, it should be noted that Te Arawa, the tribal hosts and supporters of the conference are renowned not only for their hospitality but also for their cultural strengths in history, language and arts. These are significant factors which have contributed to tribal, social and economic development not only in the city but across the lake’s region. It is impossible to escape indigeneity in this part of the world. It is an indelible asset that speaks to a world of possibilities, not only for Aotearoa New Zealand but for everyone and every place. Trevor Simpson is HPF’s Deputy Executive Director / Senior Health Promotion Strategist (with Portfolio in Māori development).
- It actively promotes the use of Taranaki mita (regional language variation), tikanga (cultural practice) and taonga (oral and cultural resources).
- There is critical awareness among leaders of the importance of whānau participation beyond the walls of the centre in the revival of language.
- The initiative maintains a firm stance on active language use and acquisition and has a rigorous whānau selection and induction process.
Longitudinal research shows that influences in early life matter greatly in terms of how a person fares later in life across a wide range of domains. It has been demonstrated that high quality early life interventions represent one of the best ‘investments’ a society can make to ensure an optimal start to life – one which will net significant returns over time via long-term benefits for individuals, whānau and society. There is huge potential for intervention in the early years to lead to substantial health gains later in life across a broad range of health issues that disproportionately impact Māori. These include health outcomes related to non-communicable diseases such as diabetes, coronary heart disease, stroke and also mental health issues and disability. While there is clear evidence around early years interventions leading to improved outcomes, what is largely missing are proven interventions that address ethnic inequalities, are effective for Māori and achieve sustainable positive health outcomes across the life-course. The aim of the Te Kura Mai i Tawhiti research is to contribute to generating an evidence base around what constitutes effective early life kaupapa Māori programming for tamariki and whānau that will lead to improved health outcomes later in life for tamariki.
Te Kura Mai i Tawhiti – research programme
Figure 1: Te Kura Mai i Tawhiti Research ProgrammeA feasibility or Proof of Principle study is under way in 2016 to firstly demonstrate the ability of the team’s research methods to determine change over time in tamariki and whānau on key constructs of interest (e.g. tuakiri, whānauranga, self-control). The Proof of Principle study will focus on whether, over the course of a year, an individual changes over time, taking into account developmental changes. Findings from the Proof of Principle study will be used to design two future studies. Firstly, a 10-year prospective project to compare same age cohort tamariki in Te Kōpae Piripono, with at least two comparison early years programmes selected from Taranaki or similar regions. This involves conducting a longitudinal study to compare groups across key child behavioural and whānau development measures (i.e. the measures used in the Proof of Principle study). In addition to the prospective study, a retrospective (historic) study will be undertaken (Figure 1 – as a part of Tangi ana te Kawekaweā). This will focus on previous graduates and whānau of Te Kōpae Piripono from the past 20 years (n>150 whanau) with an emphasis on graduate outcomes in health, education, Te Ao Māori and other determinants areas that may have been influenced by the kaupapa Māori child and whānau programming. If the research generates robust evidence of the success of the Te Kōpae Piripono model, there is potential for the overall approach and/or key elements of the intervention to be scaled up for implementation in other settings (e.g. other ECE and Māori medium) to complement broader approaches to addressing determinants of health and education and in other domains. The research is currently supported by the Health Research Council of New Zealand, the Ministry of Education, the New Zealand Council for Educational Research and the University of Otago.
- Māori medium early childhood education,
- Business and community partnership roles,
- Managing strategic community engagement and bottom-up leadership movements for health issues such as problem gambling, nutrition and physical activity, tobacco control; alcohol and other drugs.
- Whānau Ora- Māori Community Health Service
- Whānau Ora Mobile Service
- Community Health Promotion
- general health
- education and promotion
- advisory services
- liaison and coordination.
- health education,
- health assessments,
- children under 5 checks
- smokefree cessation and other smokefree activities
- health and social service referrals
- a transport service
- breastfeeding advice
- family violence, alcohol, drugs and problem gambling services.
- Encouraging personal management of diet and nutrition
- community gardening
- a fruit tree planting programme
- education on preserving kai
- a traditional kai gathering programme
- a Rongoa project
- smoking cessation services
- an after school programme.
HPF – and New Zealand – is making a significant contribution to world health agendas. Its most recent input was to the scientific programme of the 16th World Congress on Tobacco or Health. As a member of the board of the International Union for Health Promotion and Education (IUHPE), HPF’s Executive Director Sione Tu’itahi ensured the needs of indigenous peoples and ethnic minorities were included in the recommendations invited from the global organisation.
“This is a big step for New Zealand, the HPF and for Maori and all other indigenous peoples,” says Sione. Smaller countries and ethnic minorities are often overlooked and vulnerable to the driving force of large companies and countries. “Having a voice at this level is a wonderful opportunity to advocate for the rights of these less-represented peoples.”
Recommendations about the conference from the IUHPE included:Discussions about the post-2015 development agenda to ensure health, including non-communicable diseases and social determinants are given the appropriate attention. Discussion around support for politicians in the battle with tobacco industry on initiatives such as plain packaging. Seeing outputs and outcomes of the WHO Europe NCD ministerial event focussing primarily on tobacco.
- Focussing on ‘how to do’ as much as ‘what to do’
- Including the health needs of indigenous peoples and ethnic minorities in all strategies.
Sione is the first indigenous person from the Pacific region to hold an official post with the IUHPE. He is a member of the global board in his role as Vice-President of IUHPE, South West Pacific Region, which covers New Zealand, Australia, all small Pacific island nations and some countries in Asia.
IUHPE is a global umbrella organisation for health promotion professionals and organisations of the world. Its headquarters are in Paris. For the next three years (2013-2016) its South West Pacific Region office will be co-hosted by the Health Promotion Forum and the Health Promotion and Research and Evaluation Unit (HePPRU) of Otago University’s School of Public Health. HePPRU’s Director, Associate Professor Louise Signal, is also the Director of IUHPE for the South West Pacific Region.
Sione recently attended a meeting of the IUHPE’s Global Executive Board in Paris. Read more about the trip here.
The HPF is a national umbrella organisation for health promotion organisations and teams in New Zealand.
“Assertive, if not aggressive approach” called for by the Right Hon Sir Edmund ThomasRetired Court Appeal Judge the Right Hon Sir Edmund Thomas (pictured right – from 3 News) called for an “assertive, if not aggressive approach” by communities and community groups; to reverse the extreme inequality that currently exists in Aotearoa New Zealand. He was speaking to a packed Maidment Theatre in Auckland, late October. HPF Health Strategist Dr Ieti Lima was in the audience and reports on some of Sir Edmund’s key points to support his argument. Call for “sufficient force” In his powerful, engaging and, at times, challenging lecture, Sir Edmund proposed a focussed campaign to promote substantive human rights. He further called for “sufficient force” to ensure people claim the minimal social, economic and cultural standards to which they have a right. Sir Edmund asserted that, if the governing bodies or the courts cannot generate the required assertive approach to support people’s rights, the community must initiate the action needed. “Discussion and debate will not suffice,” he said. “This legacy is now too entrenched to be so readily reversed.” Neo-liberalism at the heart of the problem Sir Edmund was unequivocal in linking the “extreme – even obscene – inequality” that exists in Aotearoa New Zealand to the “traumatic neo-liberal transformation” that has been pursued here. According to the retired judge, the top ten per cent of New Zealand’s population today owns half of the country’s wealth, while the bottom 50 per cent owns just five per cent of the wealth. He pointed to Maori health statistics as appalling, and declared that he finds “the neglect of a people socially and culturally offensive.” So how has this gross inequality been tolerated in a country that once prided itself on its egalitarian culture and sense of social justice? Sir Edmund’s explanation was blunt; it has been fostered and sustained by the rich and powerful, to perpetuate their own wealth and privilege. Sir Edmund argued that the term ‘equality’ is today more often than not defined in terms of equality of opportunity. By suggesting that all people have the same opportunity, the term obscures the true extent of inequality within the community. If this definition remains, it simply provides the opportunity for those in an advantaged position to further advance their superiority and privilege. “This perspective of equality in turn impairs social mobility,” he said. “The disadvantaged are stuck with being disadvantaged. … It becomes a vicious circle”. Neo-liberalism – according to Sir Edmund – is a theory that insists human well-being can best be advanced by ensuring strong property rights, free enterprise, free market and free trade. He identified eight features of the neo-liberal legacy:
- Values directed by economic order
- Governmental intervention
- Trade unions
- Social justice
Operation Eight as a health promotion issueLet’s look at why Operation Eight is an issue for health promoters. Firstly we need to look at the Māori concept of hauora. Professor Sir Mason Durie describes the four crucial factors of hauora as the four walls of a whare:
- taha tinana; physical wellbeing
- taha hinengaro; mental and emotional wellbeing
- taha whanau; social wellbeing
- taha wairua; spiritual wellbeing.
- a stable eco-system
- sustainable resources
- social justice and equity.
The role of health promotionAccording to HPF’s Deputy Executive Director Trevor Simpson (himself Tūhoe) there is a lot health promoters can do; both to help address the raids’ effects on the community, and to prevent such effects in the future. The work falls into three categories;
- to speak out about the impact of such injustices on the health of a people;
- to support those who are working to address them and
- to help build a society that has no tolerance for such abuses upon any community.
- Employ Māori health promoters to work in the community to regain self-determination, hauora and a revitalised sense of community.
- Use the health promoting schools framework in the local schools to empower students and their whānau to seek the conditions they need for hauora.
- Have health promoters help with health providers and other services to engage with the residents of the community in a culturally appropriate way to address their trauma.
Find out about HPF’s training programmes:
- A Treaty Understanding of Hauora in Aotearoa New Zealand (TUHANZ). This is a practical, hands-on course, which explains how the articles of the Treaty can be applied to health promotion planning.
- Working with the whanau ora tool . A practical guide to developing health programmes where Whanau, Hapu, Iwi and Māori communities play a leading role in achieving Whanau Ora.
- Māori indigneity, whanau ora and the determinants of health. Explores the link between Māori indigenous notions of health and wellbeing, the wider determinants of health and elements of whānau ora. As well as informing workplace practice this interactive workshop will provide an open platform for learning, sharing and personal development.
- Māori concepts of health promotion. Introduces participants to shared understandings of traditional Māori concepts, ideologies and practices in relation to health and wellbeing.
|Te Pae Mahutonga (Southern Cross Star Constellation) brings together elements of modern health promotion. View Te Pae Mahutonga (PDF, 153 KB)|
|Te Pae Mahutonga text|