A view from Aotearoa regarding indigenous health equity—looking back to move forward

作者：Jamie‐Lee Rahiri, Jason Tuhoe, Anneka Anderson, Matire Harwood · 发表于：Journal of Public Health and Emergency · 年份：2024 · DOI：10.21037/jphe-24-40 · 被引用次数：3 · 研究领域：Indigenous Health, Education, and Rights

Abstract: This article explores the multiple realities of working towards health equity for Indigenous Māori peoples in Aotearoa New Zealand (NZ). It is important that colonial settler states own their often violent and dispossessive histories if Indigenous health inequities are to be eradicated. It is also equally important that we as Indigenous peoples learn from the past whilst moving into the future. Despite overwhelming evidence describing health inequities for Māori, addressing Māori health inequities within the broader NZ socio-political context, is often met with resistance by policymakers, health care organisations, healthcare providers. We present current and past examples of Māori self-determination such as the operation of local Māori communities during coronavirus disease 2019 (COVID-19) and the redesigning of healthcare management pathways to ensure Māori survival. As Indigenous researchers, operating at the interface between science and Indigenous knowledge is not a new conception but is more relevant in the current climate as we continue to seek absolute authority and sovereignty over our own lives through the development of Indigenous-led health solutions. In order to work at the interface, Indigenous peoples require tino rangatiratanga whereby Indigenous science and knowledge holds the authority at this intersection to utilise (or not) Western science if desired. We encourage Indigenous researchers to stand strong in creating Indigenous solutions to health i...