Foundations Quiz

Who created Te Whare Tapa Wha?

Sir Mason Durie

How does Te Whare Tapa Wha frame health?

Collective, Relational, and interconnected

People often think that Taha Tinana is about being super fit and healthy, what is wrong with this?

It is about having a body that is fit for purpose

Taha Hinengaro is mental wellbeing, expand on this

It is about having a clear mind that can think and respond in an appropriate way

What is Waiora- the eyes of Te Wheke

Total Wellbeing

What is wairuatanga?

Spirituality

What is Whanaungatanga?

Extended family

What is Ha a Koro ma a kui ma?

breath of life from forebears

What is Mauri?

Essential life force

What is Mana Ake?

unique identity of individuals and family

What is whatumanawa?

The open and healthy expression of emotion

How does Te Wheke centre Maori health?

It centres ancestral connection, and collective identity

Why did Maori health models emerge?

because colonisation disrupted Maori systems of knowledge, wellbeing, and social connection

How did western biomedical frameworks not meet Maori needs?

They focused on symptoms, not the whole context of peoples lives

Why do world views matter for practice?

Because competing world views can create barriers to cultural safety

Why are Maori models of health not optional?

They are treaty obligations

How does article 2 of the treaty: Tino Rangatiratanga, say that Maori health models are essential?

It protects taonga, including Maori knowledge and hauora frameworks

How does article 3 of the Treaty: Equity, say that Maori health models are essential?

it requires active protection of Maori wellbeing

What is the life expectancy gap between Maori and Pakeha?

5-7 years

Privilege is _____, not personal

structural

How is privilege relational?

Privilege and hardship can co-exist

How does privilege shape health outcomes?

Access to services, quality of care, and exposure to determinants of health

Why is it that despite increased clinical input, primary care needs are still unmet for Maori?

Because they still hit the same systemic barriers because the system was not built for them

How is colonisation tied to health outcomes for Maori?

Privilege is tied to colonisation and the consequences of health outcomes are to do with colonisation

What is societal privilege?

Pakeha are more inclined to live in well resourced areas while Maori live in under resourced areas

What is institutionalised privilege?

policies, systems, and processes embed advantage

What is interpersonal privilege?

Assumptions of whose behaviour is right

What is internalised privilege?

A sense of belonging, ease, or assumption that ones culture is the default

What is Positionality?

Your social location

Why does positionality matter in health?

It is central to understanding cultural safety

How do we understand cultural safety?

by recognising out own power and power dynamics

What is intersectionality?

How systems of oppression overlap

What is the purpose of WAI2575?

To reshape how we understand Maori health inequities

How were Maori health inequities explained before WAI2575?

in behavioural or biological ways

How were Maori health inequities explained after WAI2575?

How the health system itself creates inequitable health outcomes

What does WAI2575 clarify?

Crown obligations under Te Tiriti

What is WAI2575?

Waitangi Tribunal Health Services and Outcome Kaupapa inquiry

What are the two stages of WAI2575?

Primary health care and broader health system impacts

What was the first key finding in WAI2575?

Te Tiriti o Waitangi breaches

Why was WAI2575 needed regarding Maori health outcomes?

It was needed due to persistent inequities in Maori health outcomes.

What financial issue was identified that contributed to the necessity of WAI2575?

Chronic underfunding of Maori health providers.

How did health policies contribute to the need for WAI2575?

Health policies were not aligned with the Treaty.

What decision-making issue was highlighted that warranted WAI2575?

Lack of Maori decision making in health systems.

What was the second key finding in WAI2575?

Inequities are due to system failures

What was the first key finding in WAI2575?

Te Tiriti o Waitangi breaches.

How did WAI2575 find that Tino rangatiratanga was upheld?

It found that there was a failure to uphold Tino rangatiratanga.

What financial issue did WAI2575 identify regarding Maori health providers?

Underfunding and marginalisation of Maori health providers.

What structural issue did WAI2575 highlight that disadvantages Maori?

Maintaining structures which disadvantage Maori.

How did WAI2575 interpret the responsiveness of the health system?

Inadequate responsiveness to decades of evidence.

What was the second key finding in WAI2575?

Inequities are due to systemic failure.

How are Maori health inequities explained in WAI2575?

Maori health inequities are not about individual behaviours; they come from systems.

Why do Maori experience worse health outcomes according to WAI2575?

Because systems weren’t built for, with, or by them.

What happened during Colonialism that has impacted Maori health and wellbeing?

Land loss, disruption of iwi/hapu, and western health systems were imposed