Came Heather, Tudor Keith
Senior Lecturer, Taupua Waiora Centre for Māori Health Research, School of Public Health and Psychosocial Health, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland.
Professor of Psychotherapy, Head of School, School of Public Health and Psychosocial Health, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland.
N Z Med J. 2017 Jul 7;130(1458):42-47.
New Zealand's central government, and more specifically the Ministry of Health, consistently acknowledges their special relationship with Māori and the strategic importance of Māori health, and certainly, strengthening Māori health is critical to addressing systemic health inequities. This paper, framed in terms of the Crown principles attributed to the Treaty of Waitangi, ie, participation, protection and partnership, examines three structural decisions that threaten to unravel the whāriki (foundational mat) of Crown Māori health policy infrastructure. These include the disestablishment of the Ministry of Health's policy team, Te Kete Hauora, revoking mandatory district health boards' (DHB) Māori health plans and reporting, and downscaling the requirements of DHBs to consult. These actions appear to breach the Articles of te Tiriti o Waitangi and may be cited as such in the forthcoming WAI 2575 kaupapa health hearing before the Waitangi Tribunal. The authors call for the Ministry of Health to embrace its Treaty obligations, and to protect and reinstate the whāriki of Māori health infrastructure.
新西兰中央政府，更具体地说是卫生部，一直承认其与毛利人的特殊关系以及毛利人健康的战略重要性，当然，加强毛利人健康对于解决系统性健康不平等问题至关重要。本文依据《怀唐伊条约》所赋予的王室原则，即参与、保护和伙伴关系，审视了三项结构性决策，这些决策有可能破坏王室毛利人健康政策基础设施的基础框架（whāriki）。其中包括撤销卫生部的政策团队Te Kete Hauora，废除强制性的地区卫生委员会（DHB）的毛利人健康计划及报告要求，以及降低DHB进行协商的要求。这些行动似乎违反了《怀唐伊条约》的条款，并且可能会在即将举行的怀唐伊法庭关于WAI 2575健康议题听证会上被提及。作者呼吁卫生部履行其条约义务，保护并恢复毛利人健康基础设施的基础框架。
