Ka Mua Ka Muri HUI WHAKAORANGA - 2021 Mason Durie - Midland Mental Health ...
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HUI WHAKAORANGA
2021
Ka Mua Ka Muri
Mason Durie
There is no future without a past
5 decades that will shape our health
into the future
Decade one Decade three Decade five
1970–1979 1990–1999 2010–2019
1980–1989 2000–2009
Decade two Decade four
A Step back – the 1960s
Dr Tony Hura
Hirangi marae
Dr Bruce Gregory
Dr Tom Ellison
Dr Eru Pomare
Dr David Yates
Dr Leo. Buchanan
Dr Pat Ngata Dr Tony Ruakere
Winston Maniapoto
Decade One 1970-79
1972
Mental hospitals
to shut down
1970
Manawaroa
PNH
Decade One 1970-79
Language and Land
1972
Ngā Tamatoa
Te Reo petition
1975
Land March 1976
Waitangi Tribunal 1977
Bastion Point 1978
Raglan Golf
Course
Occupation
507 days
Decade Two 1980-89
1981
Kōhanga Reo 1983 1983
Whaiora
Te Kaunihera 1984
Tokanui
Ngā Neehi Hui Taumata 1984
Māori Māori Economy MWWL
‘Rapuora’
1984 1985
Kura Kaupapa
Māori
1987
Māori Language 1988
Act 1988 Matua
Te Puao-te-atatu Whangai
Decade Two 1980-1989
Hui Whakaoranga
1984
Decade Two 1980-1989
Hui Whakaoranga
1984
Decade Two 1980-1989
Hui Whakaoranga
1984Decade Three 1990-99
1990 Māori Congress
1992 Sealord Deal
1993 Electoral Reform Act
1995 First Treaty Settlements
Tainui Waikato
Ngāi Tahu
1995 Pākaitore protest WhanganuiDecade Three 1990-99
Te Ara Ahu Whakamua
Kaupapa Māori Health 1994
Organisations - KMOs Māori Health Decade Hui
1993 ‘Māori have a right to be healthy’
Govt. separation of funders from
‘Delegates wanted to see well-resourced, accessible and accountable Māori
providers organisations – whether they be iwi , or wananga , or health clinics. There
was considerable support for the establishment of a Māori Health Authority.’
1993
1994
1991
Nga Pumanawa Hauora
1995 1995
1995
1996
1998 Māori Health WorkforceDecade Four 2000-2009
2002
He Korowai Oranga
Māori Health Strategy
2002 2005
2004
Foreshore & Seabed Iwi Chairs Forum
Hikoi Takahanga Marae
2006 2007
Tuheitia 2007 Te Urewera
6th Māori King Hauora Police Raids
2008 2009
Māori Standards Māori Housing
Te Puāwaiwhero
of Health IV Māori Health & Addiction
Forum
Framework 2008−2015Decade Four 2000-2009
HUI TAUMATA MĀTAURANGA 2001-2004
✓ To live as Māori and as citizens of the world
✓ and to enjoy good health & a high standard of
living
✓ Whānau are gateways to education, health,
economy, society, and Māori potential
TPK MĀORI POTENTIAL FRAMEWORK
2005
Three enablers
Whakamana - Māori leadership, governance, influence
Mātauranga - traditional and contemporary,
knowledge and skills for Māori innovation
Rawa -resources – especially natural endowments of the
Māori world.Decade Five 2010 – 2019
2011
Wai 262
Environmental
2011
Te Matapihi 2016
protection Ihumātao 2017
Housing
Mātauranga in NZ laws Whanganui River
2018
a legal entity
Seabed mining in Taranaki
2019
Pania Newton Whakaari
eruptionDecade Five 2010-2019
Re-setting the System
2010
2014
Whānau Ora 2014
Commissioning Agencies
Pae Ora
He Korowai Oranga:
Māori Health Strategy 2019
Health Services and
Outcomes Inquiry (Wai 2575)Decade Six 2020 – 2029 & Beyond
2020 Whakamaua: Māori Health Action Plan
❖ Iwi, hapū, whānau and Māori communities can exercise authority
❖ The health and disability system is fair, sustainable and delivers more
equitable outcomes for Māori.
❖ Addressing racism and discrimination in all its forms.
+ Mātauranga Māori in the health and disability system
2021 Māori Wards
2020 COVID Māori response ❖March in Feilding to protect MDC decision
❖ Testing & vaccinations
❖ Marae safety
❖ Whānau support
❖ Road closures
2021 Māori Health Authority
❖ Part of health system reforms
2021 Māori Transition Authority
❖ Proposed by Waitangi Tribunal (Oranga Tamariki)The Decades Ahead Our future Kei ōu ringaringa te ao
A Decade or Two Ahead + The Māori population will be close to 1 million + Our people will live longer (80 +) + Whānau will be dispersed across Aotearoa and the Globe + Digital communication will zoom tangi, births, 21sts, weddings + Waters, lands, and air will be exposed to multiple threats + Global warming & an overpopulated world could spell disaster + More pandemics and other catastrophes can be expected + Early intervention will be a major focus for health + Technological innovation will change the nature of work, learning, and healing + Marae will feel the dual pressures of encroachment and cultural diffusion
Meeting the challenges in the years ahead ➢We will have many more well qualified Māori to cope with a changing world ➢We will see our rangatahi grow into confident leaders ➢As we saw during the COVID-19 pandemic, we will continue our proud tradition of responding to change in a decisive way ➢And building on the foundations already laid over the five decades past, we will be well prepared for future challenges.
Our 50 year Foundations
+ Whenua Land
+ Te Taiao Environments
+ Whānau Whanaungatanga
+ Mātauranga Knowledge
+ Raukaha Capability
+ Te Hononga Collaboration
+ Hautūtanga Leadership
+ Te Ao Whānui Global citizenship
+ Te Tiriti o Waitangi The Treaty of
Waitangi
+ Rangatiratanga Self DeterminationFoundation one
Whenua Toitū whenua
Tu tonu tangata
Connection to land will
Land is more than an asset. Land be critical for Māori
grounds us; land feeds us, land
health & wellbeing
connects us; land is the foundation for
our homes - and land defines us
The task in the future will be to protect
the land and in so doing to enable
Māori to live well as as tangata whenua.Foundation Two
Whāia te iti kahurangi, ki te tuohu koe, me he maunga
teitei
Te Taiao
To ensure that desecration ceases over land
waterways, forests, and the air, Kaitiaki should
be appointed to protect the environment. They
would have authority to oppose environmental
ventures, including those in built environments,
that are threats to Māori health & wellbeing.
Environmental assessments will be a key part
of all health-related assessments.Foundation Three
Whānau
E tū Whānau
Whānau are at the beginning and at the end; whānau link us to the past and
steer us towards the future; whānau alleviate pain and generate hope;
whānau are the gateways to marae, te reo, and te ao Māori.
Whānau autonomy will be a starting point for rangatiratanga and will be
reflected in the ways whānau assume leadership roles in a changing society.
Increasingly, whānau health will reflect ready access to housing, health,
education, and social services - but will also reflect whānau autonomy and
commitment to live wellFoundation Four
he kete mātauranga
Mātauranga Māori
Māori models for health and wellbeing, te reo Māori and Kaupapa
Māori health initiatives will enable ‘Māori to be Māori’ even when
circumstances change.Foundation Five
Raukaha
Mā whero, mā pango, ka oti ai te mahi
Māori workforce capacity and
capability will be increasingly
important.
A workforce that is:
❖part of the community
❖well versed in te ao Māori
❖spans the whole health domain that
includes professionals, supporters,
lived experience…a holistic approach that brings
Foundation Six together health, education, housing,
employment, welfare - and the
Te Hononga economy - in order to align with the
realities where Maori live.
Nau te rourou, naku te Collective action that transcends
rourou, ka ora ai te iwi disciplinary and sector silos will
endorse Māori world views and
strengthen resolve.Foundation Seven
Te Toa Takitini
Ehara taku toa i te toa takitahi, engari te toa takitini
Maori leadership will be collective and
distributed.
Maori Health leadership will:
❖be evident in communities, hospitals, and in
all health professions,
❖be supported by Iwi,
❖be evident on marae,
❖recognise Māori community priorities, and
access to quality care.
Our leaders in health will be part of
a wider Māori leadership ‘team’ to
take us to our futureFoundation Eight
Te Ao Whānui
Whiria te tangata
Māori will be global citizens
• We will still be able to ‘be Māori’ even when
living in other countries
• We will be part of a global indigenous
network
• We will be represented on international
forums, indigenous governance, world-wide
health and forums, sporting and academic
initiatives, and trade and economic ventures.Foundation Nine
Te Tiriti o Waitangi
He waka eke noa
Te Tiriti will be part of all environmental, social and economic legislation and policies
Māori will experience genuine partnership and full participation in all aspects of society
The Māori Health Authority will join other authorities to gain consistency and impact
across health, education, housing, employment, social wellbeingMāori decision-making will be evident in communities,
regions and nationally. It will be possible ‘to live as
Māori’.
Foundation ten Predictably there will be many Māori authorities built on
the foundations laid by marae, by Iwi, by Māori
Rangatiratanga commissioning agencies, by Kaupapa Māori systems,
and by Māori community agencies. And a Māori Health
Toku toa, he toa rangatira Authority will have a national role.
Māori authorities will not necessarily mimic state systems
nor will they be fragmented by a sectoral approach to
development. Instead, they will adopt Kaupapa Māori
values to ensure that Māori can flourish into the future.Foundations for Health in the
Decades Ahead
Whenua Te Taiao Whānau Mātauranga
refreshing natural Māori knowledge
Bonding with the and built Whānau are at the
land centre for health systems to the fore.
environments
Raukaha Te Hononga Haututanga
A comprehensive integrating health and collective
workforce social systems leadership
Te Tiriti o Waitangi Rangatiratanga
Te Ao Whānui
global citizenship equitable and shared Māori self determination
opportunitiesThe Future Should we be ready to respond to a changing world?
The Future
Should we be ready to respond to a changing world ?
Or
Should we create the future WE wantthe future we want
Mauri Ora
Creating our future
Concerted & integrated futures planning
Whenua Te Hononga
Te Taiao Foundations Haututanga
Whānau Built over Te Ao Whānui
Mātauranga Five Decades Te Tiriti o Waitangi
Raukaha RangatiratangaHui Whakaoranga 2021
Kia whakatōmuri te haere whakamua
There is no future without a pastFoundations that will shape our health in the
future
Whenua grounds us Te Hononga unites us
Te Taiao protects us Haututanga guide us
Whānau nuture us Te Ao Whanui extends us
Mātauranga defines us Te Tiriti guarantees us
Raukaha helps us Rangatiratanga asserts usYou can also read
