Ngāti Awa, Ngāi Tūhoe, Ngāti Maniapoto, Ngāti Kahungunu me Ngāi Tahu, Director; Safekids Aotearoa, Auckland District Health Board, Auckland.
Ngati Kahu Ki Whangaroa, Faculty of Medical and Health Sciences, University of Auckland, Auckland.
N Z Med J. 2021 Oct 8;134(1543):123-132.
Enduring health inequities exist between Māori and non-Māori children within child injury prevention in Aotearoa. These inequities reflect broader patterns of health inequity experienced by Indigenous peoples globally and in Aotearoa. We assert their existence is the result of the ongoing impacts of colonisation and the dominant Pākehā framing by which injury prevention messages and interventions in Aotearoa have largely been developed. We argue the need for a strengths-based approach, grounded in mātauranga Māori (traditional Māori knowledge) and te ao Māori (traditional Māori worldview) perspectives, to form the basis of more effective child injury prevention messaging and interventions. In this viewpoint, we detail foundational elements of mātauranga Māori, tikanga (customs), kawa (practices) and mātāpono (values) that underlie Māori culture and contain protective elements and safety principles that can be readily applied to injury prevention messaging. We present two values-based child-rearing practices: (1) tuakana (older sibling/s) and teina (younger sibling/s) relationships and (2) kotahitanga (collective), which are determined by mātāpono that illustrate the value of a Māori framework. Incorporating a kaupapa Māori (Māori perspective/s) approach to injury prevention is necessary to reduce health inequities between Māori and non-Māori. Moreover, it offers a culturally safe approach that is responsive to Māori and enables tamariki (children) and whānau (families) to flourish.
在新西兰,毛利族和非毛利族儿童在儿童伤害预防方面存在持久的健康不平等现象。这些不平等现象反映了全球和新西兰原住民经历的更广泛的健康不平等模式。我们断言,这些不平等现象的存在是殖民化的持续影响以及以 Pākehā 为主导的框架的结果,通过这种框架,新西兰的伤害预防信息和干预措施在很大程度上得到了发展。我们认为,需要一种基于优势的方法,以毛利知识和毛利世界观为基础,作为更有效的儿童伤害预防信息和干预措施的基础。在这个观点中,我们详细介绍了毛利知识、习俗、实践和价值观的基本要素,这些要素构成了毛利文化的基础,包含了可以直接应用于伤害预防信息的保护要素和安全原则。我们提出了两种基于价值观的育儿实践:(1)tuakana(年长者/兄弟姐妹)和 teina(年幼者/兄弟姐妹)关系,以及(2)kotahitanga(集体),这些都由 mātāpono 决定,体现了毛利框架的价值。将毛利视角的方法纳入伤害预防工作是减少毛利族和非毛利族之间健康不平等的必要条件。此外,它提供了一种文化安全的方法,对毛利人有回应,并使儿童和家庭能够茁壮成长。