Senior Lecturer at the Faculty of Health and Environment Sciences, Auckland University of Technology, Auckland, New Zealand.
Associate Professor at the School of Humanities and Social Sciences, Charles Sturt University, Canberra, Australia.
Health Hum Rights. 2020 Jun;22(1):209-220.
, a treaty negotiated between Māori (the Indigenous peoples of Aotearoa) and the British Crown, affirmed Māori sovereignty and guaranteed the protection of (health). The Waitangi Tribunal, established in 1975 to investigate alleged breaches of the agreement, released a major report in 2019 (registered as WAI 2575) about breaches of within the health sector in relation to primary care, legislation, and health policy. This article explores the implications of this report for the New Zealand health sector and the decolonial transformation of health systems. The tribunal found that the Crown has systematically contravened obligations under across the health sector. We complement the tribunal's findings, through critical analysis, to make five substantive recommendations: (1) the adoption of -compliant legislation and policy; (2) recognition of extant Māori political authority (); (3) strengthening of accountability mechanisms; (4) investment in Māori health; and (5) embedding equity and anti-racism within the health sector. These recommendations are critical for upholding obligations. We see these requirements as making significant contributions to decolonizing health systems and policy in Aotearoa and thereby contributing to aspirations for health equity as a transformative concept.
《怀唐伊条约》是毛利人（新西兰的原住民）与英国王室之间协商达成的条约，确认了毛利人的主权，并保证保护他们的健康。1975 年成立的怀唐伊法庭（Waitangi Tribunal）旨在调查据称违反该协议的行为，于 2019 年发布了一份关于卫生部门在初级保健、立法和卫生政策方面违反《怀唐伊条约》的主要报告（登记为 WAI 2575）。本文探讨了该报告对新西兰卫生部门和卫生系统去殖民化转型的影响。法庭发现，王室在整个卫生部门系统地违反了《怀唐伊条约》下的义务。我们通过批判性分析，对法庭的调查结果进行补充，提出了五项实质性建议：（1）通过符合《怀唐伊条约》的立法和政策；（2）承认现有的毛利政治权威（）；（3）加强问责机制；（4）投资于毛利人的健康；（5）在卫生部门内嵌入公平和平等原则。这些建议对于履行《怀唐伊条约》的义务至关重要。我们认为这些要求为新西兰的卫生系统和政策去殖民化做出了重大贡献，从而为实现健康公平作为变革性概念的愿望做出了贡献。
