Māori and Pasifika leaders’ experiences of government health advisory groups in New Zealand

Māori and Pasifika populations in New Zealand experience poorer health outcomes than other New Zealanders. These inequalities are a deeply entrenched injustice. This qualitative study explores the experiences of six Māori and Pasifika leaders on health policy-making advisory committees. All had extensive experience in the health system. They were recruited, provided semi-structured interviews, the data coded, and a thematic analysis undertaken. Our findings show that inequalities in the health system are reproduced in advisory committees. Participants noted their knowledge and interests were devalued and they experienced racism and tokenistic engagement. Some indicated it took considerable effort to establish credibility, be heard, have impact, and navigate advisory meetings, but even then their inputs were marginalised. Health policy advisory committees need deeper engagement and more genuine recognition of Māori and Pasifika knowledge. Māori and Pasifika leaders have constructive solutions for eliminating health inequities that could benefit all New Zealanders.     

The implications of different ethnicity categorisation methods for understanding outcomes and developing policy in New Zealand

ABSTRACT

Identifying with more than one ethnicity is becoming increasingly common in New Zealand. It is therefore important that the methods of categorising ethnicity used by government agencies and researchers effectively account for diverse ethnic identities. The aim of this research was to assess the impact of using different methods of categorising ethnicity on understanding outcomes in New Zealand, using Census 2013 information about tobacco smoking among the population aged 15+ years as an illustration. Prioritised, total response and single/combination categorisation methods were compared. Prioritised and total response categorisation generally produced similar prevalence estimates and patterns for smoking status, although estimates diverged somewhat for Māori ethnic groups and to a lesser extent for Pacific Peoples and Asian ethnic groups. Single/combination categorisation indicated that combination ethnic groups tend to have smoking outcomes between those of the constituent groups. Categorisation method had a considerable impact on the size of some ethnic groups. Prioritised ethnicity categorisation may be inappropriate for use by government agencies and for policy-relevant research principally concerned with children, young people, Māori or Pacific Peoples. Single/combination categorisation is useful for understanding the associations between ethnicity and outcomes, however previous work suggests this method should be used with caution.     

Creating Treaty-based local governance in New Zealand: Māori and Pākehā views

This article explores the need for Treaty-based local governance, raised to national prominence by the 2014 outrage against New Plymouth Mayor Andrew Judd, who advocated a Māori ward for 2016. The Treaty of Waitangi influenced the creation of Māori seats in Parliament in the nineteenth century, and a provision for Māori seats in local councils in 2001. There has been limited uptake of the latter and Māori remain significantly under-represented. Innovations in governing arrangements have allowed non-elected Māori to take up advisory roles and, in some cases, decision-making roles. We argue that these do not ensure fair and effective Māori representation. Ad hoc and unpredictable structures have failed to deliver fair and effective representation to all New Zealanders. There is a pressing need for a New Zealand constitutional debate – a conversation among Māori and non-Māori – to devise a governance model that addresses the Treaty of Waitangi as New Zealand’s founding document.     

An inconvenient truth: why evidence-based policies on obesity are failing Māori,Pasifika and the Anglo working class

Public health initiatives around obesity have generally worked well for middle class Australians and New Zealanders. This message has not had the same impact in Anglo working class areas and certain CALD communities, especially Māori and Pasifika, where obesity rates remain highest. This paper employs qualitative data from interviews with eighty-five Māori and Pasifika migrants to Australia to explore attitudes to food purchasing and consumption behaviours and associated health risks. It is evident the individual, medicalised approach to improving obesity rates has not been effective and there needs to be a new culturally responsive structural approach. This would require governments to prioritise population health over existing relationships with commercial food manufacturers – especially in relation to spatial domination of commercialised fast food outlets in low socio-economic status districts and in the areas of sports and education sponsorship. We also explore the assumptions of evidence-based health policy more generally, providing a critique of who is represented and served by the commercial solicitation and management of health research. This includes what constitutes ‘evidence’, who is conducting and funding the research, who appraises and compares the data and how is it interpreted and employed.     

Māori experiences of multiple forms of discrimination: findings from Te Kupenga 2013

ABSTRACT

Comprehensive exploration of Māori experiences of discrimination in Aotearoa New Zealand remains limited, particularly in relation to exposure to multiple and interlocking forms of discrimination. This paper presents findings from a secondary analysis of Te Kupenga 2013, the first Māori Social Survey, examining patterning and prevalence of different forms of discrimination for Māori (n?=?5,549). Māori report experiencing multiple forms of discrimination, both over their lifetimes and within the last year. Although racial discrimination was the most commonly reported form, Māori also experience discrimination on the basis of other grounds including age, gender, and income. Māori also report exposure to multiple forms of discrimination. Discrimination occurred in a range of settings, with schools and workplaces common sites. The findings support the lived reality of Māori that racial and other forms of discrimination are pervasive, and experienced in multiple domains across the life course, representing a persistent breach of rights. It is critical that other forms of discrimination are measured alongside racism in order to understand and address the realities of multiple discrimination for Māori in Aotearoa New Zealand.     

Self‐reported proficiency in Māori language among those of Māori descent in New Zealand

Abstract

In a national survey in New Zealand (N = 12 992), participants of Māori descent (N = 2936) reported their proficiency in speaking, reading, and writing Māori and in understanding spoken Māori. Only 6–10% reported that they could cope “very well” in these areas while 36–52% reported their proficiency as “no more than a few words or phrases”. There was no evidence of subgroups of Māori with divergent proficiency across oral language or literacy. Six latent classes were fitted but these appeared to lie along a continuum, and analysis employing item response theory (IRT) and factor analysis confirmed this. A simple sum of scores across the four areas correlated very highly with the IRT factor score (r = 0.97). High proficiency was more common among older Māori and females, in the Midland region (lowest in the South), and for those with sole‐Māori ethnicity, followed by multi‐ethnic Māori (seldom seen in those of Māori descent but not ethnicity).     

Research and development absorptive capacity: a Māori perspective

This paper presents a view of research and development absorptive capacity from a Māori perspective. The assessment is part of a case study of a longitudinal programme – Science for Technological Innovation: Kia kotahi mai – Te Ao Putaiao me te Ao Hanagarau that aims to increase Aotearoa New Zealand’s capacity to use sci-tech for economic benefit. The paper finds that while Aotearoa New Zealand’s macro policy and meso institutional levels have become more responsive to Māori research and development demands, at the micro level of the individual or the firm there are still constraints given the small numbers of Māori in science, technology, engineering and mathematics. In response to this, a novel model of Māori sci-tech capacity is under development that considers not only research and development technical capacities, but also the human and relational capacities required to accelerate absorptive capacity to respond to Māori social and economic aspirations.     

Positive youth development in Māori and New Zealand European adolescents through an adventure education programme

Within Aotearoa New Zealand there is growing interest in positive youth development (PYD). A PYD approach provides balance to narratives surrounding outcomes for youth and broadens our views of what we consider beneficial developmental outcomes. In the current study we used sail training as a method to promote PYD in Māori and New Zealand European adolescents. Specifically, 54 Māori and 37 New Zealand European adolescents completed the 7-day youth-development voyage on-board the gaffed rigged schooner, R. Tucker Thompson. We demonstrate that, for both Māori and New Zealand European adolescents, psychological resilience, self-esteem, and positive outlook on life increased from the first day to the last day of the voyage. In addition, we demonstrate that the increases in psychological resilience were driven by the social/collective identity adolescents formed with their group over the course of the voyage.     

In search of a decolonised military: Māori cultural learning experiences in the New Zealand Defence Force

Māori people contribute significantly to the New Zealand Defence Force. Māori indigenous knowledge, however, did not feature in military curricula until recently. It was a common expectation that Māori personnel would conform to the dominant Western worldview, which often meant sacrificing indigenous identity. The introduction of the Service bicultural policies has paved the way for significant change in military education practices in the twenty-first century. This paper showcases the Māori cultural learning experiences of 34 members from the New Zealand Defence Force as they reflect on their experiences within the contemporary context of a military education and training environment, and the broader context of a decolonising society. This study argues that the inclusion of indigenous knowledge systems in military curricula improves the learning experiences of all members. Themes relating to individual development and improved organisational morale emerged that were found to be directly or indirectly attributed to the inclusion of Māori cultural training. The study is grounded in a multicultural military organisation, operating within a nation seeking to establish a bicultural co-equal partnership between Māori, the tangata whenua, original inhabitants, and non-Māori, the kaiwhakanoho whenua, or settler population, of New Zealand.     

Domestic responsibilities and the employment of young Māori women

Abstract

While the employment rate of women has risen steadily in New Zealand over the last two decades, employment is still highly variable by ethnicity and age. One of the groups least engaged in paid employment is young Māori women (15–24 years). Their employment rates are much lower than their Pākehā counterparts (42 and 64%, respectively) and this is not offset by their greater involvement in education.

Although there is a general awareness of these differences, there has been no systematic enquiry into the possible reasons for the relatively low engagement of young Māori women in the formal economy. Using a full set of 178,776 unit records pertaining to all young Māori and Pākehā women from the 2001 Census of Population and Dwellings, we develop a number of novel measures of household composition as indicators of domestic responsibilities. These become arguments in a multivariate statistical model in which young women are modelled as choosing to participate in the formal paid workforce and/ or in education.

Our results show that young Māori women's choice of paid work is no more sensitive to her domestic responsibilities than those of young Pākehā women, but they do encounter these responsibilities far more often. The results have a number of important implications for Māori development.     

Identifying health inequalities between Māori and non‐Māori using mortality tables

Abstract

While there is a need for more detailed information on health inequality to guide public health policy, the most complete and easily available data remain those in mortality tables. We investigate, via a comparative analysis of data from New Zealand on Māori and non‐Māori mortality, whether more detailed information than raw life expectancy may be extracted from the mortality tables. Given a parametric distribution for the mortality capable of fitting irregularities in mortality table data, the curvature of the survival and hazard rates can identify changes in mortality rates, such as infant and late‐life adult mortality, which allows for straightforward comparisons between the two sub‐populations. Our results identify an exogenous effect in earlier mortality among Maori, which correlates well with many published observations of health and health‐care inequalities between Māori and non‐Māori. This “proof of concept” for our method of analysis indicates that examination of bulk data such as those in mortality tables has a potential role in the design of more detailed studies involving causes of mortality.     

Ngā Mōwaho: an analysis of Māori responses to the Christchurch earthquakes

Since September 2010, a series of earthquakes have caused widespread social, financial and environmental devastation in Christchurch, New Zealand. Anecdotal evidence suggests that local Māori responded effectively to facilitate community recovery and resilience. However, the form, content and extent of that response has not been adequately recognised or documented. This qualitative research project, conducted in partnership with Te Rūnanga o Ngāi Tahu, has documented the way in which Māori cultural factors have facilitated disaster risk reduction and management in response to the earthquakes. This paper explores sets of understandings about marginalisation and inclusion within the narratives of 70 Māori community members who contributed to this research. Forms of marginalisation expressed in participants’ narratives include delayed linkages to the formal emergency management infrastructure, difficulties integrating Māori volunteers into the mainstream response as well as enduring barriers to Māori engagement within Civil Defence, illustrated in a lack of Māori representation as well as tikanga Māori within emergency planning. We argue that the knowledge, principles and practices embedded within Māori responses to the Christchurch earthquakes may be contextually relevant for national and regional policy development in the area of disaster risk management, response and recovery.     

Doing research in Aotearoa: a Pākehā exemplar of applying Te Ara Tika ethical framework

Kaupapa Māori was once, and still is for some, ordinary in the context of Aotearoa. Active processes of colonisation and assimilation led by the settler government in New Zealand have served to significantly displace Māori to the marginalised position of exotic and other. Te Ara Tika powerfully reaffirms Māori experience as ordinary, and embeds Te Tiriti o Waitangi and core Western ethical principles into a framework uniquely of this land. Within this paper I share my application of this framework as an exemplar for others to benchmark against and critique. I conclude by advocating for the uptake of the Te Ara Tika framework by Tauiwi (non-Māori) researchers as a response to the challenge from Māori to do acceptable, accountable and responsible research.     

Rethinking electoral reform in New Zealand: the benefits of citizens' assemblies

In 2011, New Zealanders decided by referendum to retain the mixed member proportional representation voting system. This article investigates the benefits of including a deliberative, participatory process in electoral reform to encourage collective debate and an informed choice by voters. In the last decade, Canada and the Netherlands have used citizens' assemblies, a form of participatory democracy, for electoral reform. This paper argues that a similar process would have been appropriate and valuable for New Zealand. Moreover, the discussion highlights the value of citizens' assemblies for minorities who can be outvoted in a referendum. This is considered with specific reference to voters in the Māori seats who had much at stake in the electoral reform. In addition to the general benefit of citizens' assemblies for electoral reform, a New Zealand assembly would have allowed for collective deliberation that ensured the inclusion of the perspectives of voters in the Māori seats.     

Seizing the cultural and political moment and catching fish: Political development of Māori in New Zealand, the Sealord Fisheries Settlement, and social movement theory

Why did Māori issues and treaty grievances become politically salient in the 1970s? I argue that contemporary social movement theory, which examines both political opportunities and the use of cultural resources by emerging movements helps to answer this question. A unique moment coalesced in the 1970s and 1980s, bringing together favorable political and cultural variables for Māori not altogether present in previous eras. I locate the negotiation of the 1992 Sealord Fisheries Settlement in this cultural and political moment and evaluate the social and political consequences for Māori and the New Zealand Government.     

Found in (survey) translation: lessons learned while engaging with a wharekura in Southland,New Zealand

We liaised with a wharekura (Māori language immersion school) to translate and disseminate an online survey for a group of Māori youth in Southland, New Zealand (NZ). The focus of this article is not results, but the processes of respondent orientation and engagement to more genuinely include Māori in a youth survey. An online survey about transport and well-being was conducted with older teenagers from 12 schools, including the wharekura. After working with wharekura staff and students, the survey was translated from English into te reo Māori using best-practice methods. Steps were taken to safeguard authentic engagement, including how the survey translation was conducted, and how the survey data were shared. This NZ-specific experience adds to the literature about the practice of applying the principle of respondent orientation to the process of translating an existing survey into te reo Māori, demonstrating commitment to some Treaty of Waitangi principles. While this is not a kaupapa Māori research project, it is informed by some kaupapa Māori principles. This may be seen as a limitation of this work; however, we believe there are many positive experiences and lessons to be learned from our approach.     

Writing in te reo at university

This article considers the use of te reo Māori as a language medium of research and scholarship in the universities of Aotearoa New Zealand, and reports on two small sets of empirical data about doctoral theses written in Māori: one a list of 17 such theses, the other the results of 4 interviews. All the reo Māori doctoral theses I found are written on research topics embedded in te ao Māori (the Māori world). Most focus on a specific language type, topic, or kin group; two are about Māori identity and two are about Kura Kaupapa Māori schooling. Interview results show there are steps that universities can take to support doctoral degrees written in te reo to be examined within their institutional processes, underpinned by a welcoming attitude towards te reo and tikanga. Dispensing with the international examiner, a translator to assist in the oral examination, and an abstract in English are three elements of a process that can be formalised and documented. When those individuals who can supervise and convene the examination of such work are supported by their university, to write a doctoral thesis in te reo is successful for all concerned, though never easy.     

Pākehā and Tauiwi Treaty education: an unrecognised decolonisation movement?

ABSTRACT

The Māori call to honour Te Tiriti o Waitangi is arguably the oldest continuous social movement in Aotearoa New Zealand since the Treaty for European settlement was signed. A much more recent Pākehā and Tauiwi activism for the Treaty has supported the Māori movement, but is often overlooked as a social movement. Responsibility for ensuring that Tauiwi understand the Treaty remains contentious—is Treaty education a Tauiwi or a Māori responsibility? This article describes the emergence in the 1980s of a consensus among Māori and Tauiwi activists that, as Treaty partners, Pākehā/Tauiwi should take responsibility for their own learning about Te Tiriti and colonisation. Six reasons for overlooking such decolonising education as a social movement are explored through reflexive scholarship by Treaty educators: 1. hegemonic views of social change movements as only class- or race-based and adversarial; 2. Tiriti education as counter-hegemonic education that encourages transformation of the Māori–Pākehā relationship; 3. confusion over whether the aims of Treaty education are counter-hegemonic or assimilatory; 4. the movement’s evolving membership to include many cultural identities and activism about diverse neo-colonialisms; 5. its focus on mutually-agreed relationship-building; and 6. the complexity of assessing its impact and contribution to a decolonisation agenda.     

Smokers' behavioural responses before and after the 2012 tobacco excise increase

The New Zealand tobacco tax has been increased annually since 2010, and this paper determines the short-term impacts of the 2012 tax increase. We analysed two separate sets of telephone surveys of current smokers and recent quitters conducted over a six-month period (three months before and three months after the tax increase), and compared the level of behaviour change before and after the tax increase. We found that the 14.5% increase in tobacco excise had an impact on smokers. From both surveys, we saw an increase in smoking-related behavioural change (quit/tried to quit/cut down). However, the rate of change was different by ethnicity and past three-month quit attempt status. Specifically, non-Māori and those who have made a recent quit attempt had increased likelihood of reporting a smoking-related change. Despite being a major priority target group in tobacco control, Māori smokers were not benefited by the 2012 increase in tax excise.     

Intercountry Kinship Adoptions: limits to The Hague Convention on the Protection of Children and Intercountry Adoption

There is an established international tradition of empirical research in anthropology and sociology on organ donation and transplantation. However, little empirical research on this topic has been done in New Zealand. This article contributes New Zealand data to the literature, drawing on qualitative research investigating the experiences of 78 Pākehā and Māori and their perceptions of bio-identity in the course of tissue exchange. In line with international studies our findings indicate the language used to promote organ donation as a disinterested, non-reciprocal and unconditional act does not always reflect the experiences of those involved in organ transfer procedures. At the same time, transplant recipients often speak of compelling obligations to reciprocate the ‘gift of life’. While these are common features of organ transfer generally, we suggest the psychosocial wellbeing of donors, families, recipients, and whānau rests on careful attention to the cultural specificities of this experience.