Te Tiriti o Waitangi & Health Equity in Aotearoa New Zealand

Vocabulary flashcards covering key terms, historical contexts, and health system concepts related to Te Tiriti o Waitangi and health equity in Aotearoa New Zealand.

Māori

Indigenous people of Aotearoa

Pākehā

New Zealanders of European descent

Tangata whenua

People of the land; Māori with ancestral authority

Tangata Tiriti

Non-Māori who belong through Te Tiriti

Tangata Moana

Pacific peoples with ancestral links to the Pacific

Mana whenua

Authority over land

Mataawaka

Māori living outside traditional rohe

Tauiwi

All non-Maori people

Ahi kā

Continuous occupation & connection

Hapü

Sub-tribe; political & social unit

He Whakaputanga (1835)

Declaration of Independence affirming Māori authority

Kāwanatanga

Governorship given to Crown (Māori text) or Crown governance

Tino rangatiratanga

Full authority retained by Māori (Māori text) or self-determination & authority

Rite tahi

Equality of tikanga (Māori text) or absolute equality

Contra proferentem

Legal principle where ambiguities are interpreted against the party who wrote the document (the Crown)

Partnership

Treaty principle stating Crown & Māori must work together in good faith

Active protection

Treaty principle stating the Crown must protect Māori rights & wellbeing

Equity

Resources allocated based on need to achieve fair outcomes

Options

Treaty principle stating Māori can choose their own pathways

Equality

Same resources for everyone regardless of need

Health inequities

Avoidable & unjust differences in health

Determinants of health

Social, economic, and environmental factors that shape health

Terra nullius

Land claimed as uninhabited

Ngang mea tuhonohono

Things that bind people together, such as agreements

Sovereignty

Ultimate authority over land & people

Waitangi Tribunal

Established in 1975 to investigate treaty breaches and make non-binding recommendations

WAI 2575

Waitangi Tribunal inquiry into Māori health services & outcomes

Tikanga

Māori customs & values

Whakapapa

Genealogical connections

Whenua

Land & connection to life

Taonga

Treasured things, such as land, health, and language

Primary care

First point of healthcare contact, such as a GP or nurse

Secondary care

Specialist healthcare provided via referral

Tertiary care

Highly specialised medical care

Biomedical model

Healthcare focus on biological causes of illness

Holistic approach

Focus on physical, mental, social, and cultural wellbeing

Structural racism

System-level inequalities

Individual racism

Personal discrimination

Implicit bias

Unconscious attitudes

Te Aka Whai Ora

The Māori Health Authority (later disestablished)

Kaupapa Māori services

Māori-designed services for Māori