This qualitative summer internship research aims to:
Explore key components of a child health consultation with te reo speaking tamariki and whānau in a primary health care setting. Specific objectives include:
• Identify the structure that doctors employ in a consultation with te reo speaking tamariki
• Explore te reo speaking tamariki and whānau experiences in a primary health care setting
• Investigate the value of te reo in a child health care setting
What is the cost of Māori health inequities in Aotearoa?
In New Zealand, the most compelling and consistent health inequalities occur between Māori and non-Māori. Although the cost of reducing inequalities is perceived as high, a recent study for Māori children showed that the economic cost of “doing nothing” is significant for New Zealand society highlighting the fact that such inequalities are preventable, unnecessary and a breach of human rights.
In 2012, a wave of youth suicides in Northland featured far too many of Ngātiwai descent. 19 people under 25 years took their own lives, a huge increase from 5 the year before (Penney & Dobbs, 2014). Suicide rates for Māori youth in Te Tai Tokerau, including the Ngātiwai rohe, is therefore a major public health issue.
While all hospitalisations can be stressful for patients and their whānau, hospitalisations involving transfers away from home can be even more so and can present unique issues in terms of how whānau negotiate distance, unfamiliarity, active engagement and help-seeking. In this study, we are interested in better understanding how whānau facilitate support and remain actively engaged in the ‘care equation’ when a whānau member is transferred or hospitalised away from their home location.
Māori are more likely to be assessed and treated by a health practitioner trained within a western cultural system that pays little attention to Māori worldviews. Māori continue to experience misdiagnosis, non-voluntary admissions, inappropriate psychometric testing, high suicide rates, limited choices, differences in medication regimes and poorer treatment outcomes.