Health Promotion of Maoris in New Zealand: Treaty of Waitangi Impact
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This report examines health promotion efforts targeting the Maori population in New Zealand, emphasizing the significance of the Treaty of Waitangi (ToW). It explores the treaty's articles (Tino Rangatiratanga, Kawanatanga, and Oritetanga) and their influence on health initiatives. The report discuss...
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Running head: HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
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HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
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1HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
‘Health Promotion’, implies effective healthcare strategies for empowering people to gain
control over their health (Mendes Plaza & Wallerstein, 2016).
One of the most compelling examples of health promotion in New Zealand, is the Treaty
of Waitangi (ToW). The purpose of this treaty was to improve the health and well-being of the
Maori population, and was signed between the Europeans and the Maoris (Ministry of Health,
2018). This resulted in the creation of health promotion activities in Aotearoa, New Zealand,
with the help of three articles mentioned in the treaty (Moon, 2015). These are: Tino
Rangatiratanga, Kawanatanga and Oritetanga (Xuefue, 2018). Kawanatanga focused upon the
participation of Maoris in promoting health (Brewer & Andrews, 2016). Tino Rangatiratanga
mentioned objectives aimed at imrpoving health through equal distribution of health resource
and health promotion, amongst Maoris (Broughton et al., 2015). Oritetanga foussed using health
promotion activities for reducing inequalities and improving the health of the Maori population
(Came, Cornes & McCreanor, 2018).
The year 2002 witnessed the implementation of the Treaty Understanding of Hauora in
New Zealand (TUHA-NZ), which was a health promotion framework based on fulfillment of
particular objective of health promotion associated with the ToW (Ombler, Russell & Rivera-
Munoz, 2016). The ToW also exhibits considerable usage in the New Zealand Health Strategy
(NZHS) followed at present (Prussing & Newbury, 2016). As opined by Came, McCreanor,
Doole and Rawson (2016), one of the significant strategies outlined in the NZHS, is the
formulation of a single team, for the improvement of decision-making activities by Pacific
citizens and Maoris through increase in investment (McCreanor, Doole & Rawson, 2016). The
Maori Health Strategy also utilsied the prciniple framrowork of ToW (Hayes, 2016).
‘Health Promotion’, implies effective healthcare strategies for empowering people to gain
control over their health (Mendes Plaza & Wallerstein, 2016).
One of the most compelling examples of health promotion in New Zealand, is the Treaty
of Waitangi (ToW). The purpose of this treaty was to improve the health and well-being of the
Maori population, and was signed between the Europeans and the Maoris (Ministry of Health,
2018). This resulted in the creation of health promotion activities in Aotearoa, New Zealand,
with the help of three articles mentioned in the treaty (Moon, 2015). These are: Tino
Rangatiratanga, Kawanatanga and Oritetanga (Xuefue, 2018). Kawanatanga focused upon the
participation of Maoris in promoting health (Brewer & Andrews, 2016). Tino Rangatiratanga
mentioned objectives aimed at imrpoving health through equal distribution of health resource
and health promotion, amongst Maoris (Broughton et al., 2015). Oritetanga foussed using health
promotion activities for reducing inequalities and improving the health of the Maori population
(Came, Cornes & McCreanor, 2018).
The year 2002 witnessed the implementation of the Treaty Understanding of Hauora in
New Zealand (TUHA-NZ), which was a health promotion framework based on fulfillment of
particular objective of health promotion associated with the ToW (Ombler, Russell & Rivera-
Munoz, 2016). The ToW also exhibits considerable usage in the New Zealand Health Strategy
(NZHS) followed at present (Prussing & Newbury, 2016). As opined by Came, McCreanor,
Doole and Rawson (2016), one of the significant strategies outlined in the NZHS, is the
formulation of a single team, for the improvement of decision-making activities by Pacific
citizens and Maoris through increase in investment (McCreanor, Doole & Rawson, 2016). The
Maori Health Strategy also utilsied the prciniple framrowork of ToW (Hayes, 2016).

2HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
However, inequality in healthcare is still present between Europeans and Maoris despite
presence of health promotion activities as mentioned in the ToW (Marmot, 2015). Came and
Tudor (2017) have highlighted this inequality, mainly in the form of racism in the community
and institutions as a major factor which leads to unequal healthcare distribution (Came & Tudor,
2017). Hence, there still prevails an absence of health promotion in the NZHS (Disney et al.,
2017). Thus, the need of the hour is to amend the TUHA-NZ, for the purpose of fulfilling the
foundational principles of ToW (Inwood, Oxley & Roberts, 2015). This will result in healthcare
equity and the associated health promotion (Came, 2014).
However, inequality in healthcare is still present between Europeans and Maoris despite
presence of health promotion activities as mentioned in the ToW (Marmot, 2015). Came and
Tudor (2017) have highlighted this inequality, mainly in the form of racism in the community
and institutions as a major factor which leads to unequal healthcare distribution (Came & Tudor,
2017). Hence, there still prevails an absence of health promotion in the NZHS (Disney et al.,
2017). Thus, the need of the hour is to amend the TUHA-NZ, for the purpose of fulfilling the
foundational principles of ToW (Inwood, Oxley & Roberts, 2015). This will result in healthcare
equity and the associated health promotion (Came, 2014).

3HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
References
Brewer, K. M., & Andrews, W. (2016). Foundations of equitable speech-language therapy for
all: The Treaty of Waitangi and Māori health. Speech, Language and Hearing, 19(2), 87-
95.
Broughton, D., Te Aitanga-a-Hauiti, T., Porou, N., McBreen, K., Waitaha, K. M., & Tahu, N.
(2015). Mātauranga Māori, tino rangatiratanga and the future of New Zealand
science. Journal of the Royal Society of New Zealand, 45(2), 83-88.
Came, H. (2014). Sites of institutional racism in public health policy making in New
Zealand. Social science & medicine, 106, 214-220.
Came, H., & Tudor, K. (2017). Unravelling the whāriki of Crown Māori health
infrastructure. The New Zealand medical journal, 130(1458), 42-47.
Came, H., Cornes, R., & McCreanor, T. (2018). Treaty of Waitangi in New Zealand public
health strategies and plans 2006–2016. The New Zealand medical journal, 131(1469), 32-
37.
Came, H., McCreanor, T., Doole, C., & Rawson, E. (2016). The New Zealand Health Strategy
2016: whither health equity?. New Zealand Medical Journal, 129(1447), 72-77.
Hayes, R. (2016). Whanau Ora: A Maori health strategy to support Whanau in
Aotearoa. Whitireia Nursing and Health Journal, (23), 25-29.
Inwood, K., Oxley, L., & Roberts, E. (2015). Physical growth and ethnic inequality in New
Zealand prisons, 1840–1975. The History of the Family, 20(2), 249-269.
References
Brewer, K. M., & Andrews, W. (2016). Foundations of equitable speech-language therapy for
all: The Treaty of Waitangi and Māori health. Speech, Language and Hearing, 19(2), 87-
95.
Broughton, D., Te Aitanga-a-Hauiti, T., Porou, N., McBreen, K., Waitaha, K. M., & Tahu, N.
(2015). Mātauranga Māori, tino rangatiratanga and the future of New Zealand
science. Journal of the Royal Society of New Zealand, 45(2), 83-88.
Came, H. (2014). Sites of institutional racism in public health policy making in New
Zealand. Social science & medicine, 106, 214-220.
Came, H., & Tudor, K. (2017). Unravelling the whāriki of Crown Māori health
infrastructure. The New Zealand medical journal, 130(1458), 42-47.
Came, H., Cornes, R., & McCreanor, T. (2018). Treaty of Waitangi in New Zealand public
health strategies and plans 2006–2016. The New Zealand medical journal, 131(1469), 32-
37.
Came, H., McCreanor, T., Doole, C., & Rawson, E. (2016). The New Zealand Health Strategy
2016: whither health equity?. New Zealand Medical Journal, 129(1447), 72-77.
Hayes, R. (2016). Whanau Ora: A Maori health strategy to support Whanau in
Aotearoa. Whitireia Nursing and Health Journal, (23), 25-29.
Inwood, K., Oxley, L., & Roberts, E. (2015). Physical growth and ethnic inequality in New
Zealand prisons, 1840–1975. The History of the Family, 20(2), 249-269.
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4HEALTH PROMOTION OF MAORIS IN NEW ZEALAND
Marmot, M. (2015). The health gap: the challenge of an unequal world. The Lancet, 386(10011),
2442-2444, 1-16.
Mendes, R., Plaza, V., & Wallerstein, N. (2016). Sustainability and power in health promotion:
community-based participatory research in a reproductive health policy case study in
New Mexico. Global health promotion, 23(1), 61-74.
Ministry of Health.(2018). He Korowai Oranga. (2018). Retrieved from
https://www.health.govt.nz/our-work/populations/maori-health/he-korowai-oranga
Moon, P. (2015). The Influence of ‘Benthamite’Philosophies on British Colonial Policy on New
Zealand in the Era of the Treaty of Waitangi. The Journal of Imperial and
Commonwealth History, 43(3), 367-386.
Ombler, J., Russell, M., & Rivera-Munoz, G. (2016). Local councils and public consultation:
extending the reach of democracy. Policy Quarterly, 12(4).
Prussing, E., & Newbury, E. (2016). Neoliberalism and indigenous knowledge: Māori health
research and the cultural politics of New Zealand's “National Science Challenges”. Social
Science & Medicine, 150, 57-66.
Xuefei, W. (2018). Treaty of Waitangi. Advances in Social Sciences Research Journal, 5(2),
138-142.
Marmot, M. (2015). The health gap: the challenge of an unequal world. The Lancet, 386(10011),
2442-2444, 1-16.
Mendes, R., Plaza, V., & Wallerstein, N. (2016). Sustainability and power in health promotion:
community-based participatory research in a reproductive health policy case study in
New Mexico. Global health promotion, 23(1), 61-74.
Ministry of Health.(2018). He Korowai Oranga. (2018). Retrieved from
https://www.health.govt.nz/our-work/populations/maori-health/he-korowai-oranga
Moon, P. (2015). The Influence of ‘Benthamite’Philosophies on British Colonial Policy on New
Zealand in the Era of the Treaty of Waitangi. The Journal of Imperial and
Commonwealth History, 43(3), 367-386.
Ombler, J., Russell, M., & Rivera-Munoz, G. (2016). Local councils and public consultation:
extending the reach of democracy. Policy Quarterly, 12(4).
Prussing, E., & Newbury, E. (2016). Neoliberalism and indigenous knowledge: Māori health
research and the cultural politics of New Zealand's “National Science Challenges”. Social
Science & Medicine, 150, 57-66.
Xuefei, W. (2018). Treaty of Waitangi. Advances in Social Sciences Research Journal, 5(2),
138-142.
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