Critical te Tiriti analysis of the New Zealand Disability Strategy 2016-2026
Main Article Content
Keywords
disabilities, policy analysis, Te Tiriti o Waitangi, health inequities, Māori, human rights, Indigenous
Abstract
Health policy is one mechanism to address inequities and protect Indigenous people’s access to the shared human right to health. Te Tiriti o Waitangi (the Māori text) negotiated between the British Crown and Māori (the Indigenous peoples of Aotearoa) outlines the social contract between Māori and Non-Māori. It was negotiated in part to protect Māori health. Within Aotearoa there continues to be significant ethnic inequities in disabilities. This paper undertakes a retrospective Critical Tiriti Analysis of the New Zealand Disability Strategy to determine its compliance with Te Tiriti. It also considers whether such an analysis might strengthen responsiveness to Indigenous peoples elsewhere. This analysis involved a five-phase process of review. Through our analysis we identified poor to fair engagement with the responsibilities outlined in Te Tiriti o Waitangi. There were promising statements about the special relationship between the Crown and Māori, conflicting statements about governance and self-determination, and limited engagement with ethnic specific equity concerns or spirituality. To strengthen the Strategy the authors determined Tāngata whaikaha (Māori disabled people’s) views needed to be more strongly centered within the structure and content. The historical and contemporary determinants of Māori health needed to be included along with deeper engagement with intersectionality and Te Tiriti o Waitangi responsibilities. Undertaking critical policy analysis is an effective method to inform and review policy that may be applicable in other settler-colonial contexts with significant ethnic health inequities.
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Leanne Manson, Māori Directorate at Te Pātaka Whaioranga (Pharmac)
Leanne is the Principal Advisor in the Māori Directorate at Te Pātaka Whaioranga (Pharmac) based in Wellington. Leanne has extensive health sector experience across clinical nursing settings, Māori health policy, Māori health equity advisory, professional nursing policy roles. Leanne governance experience includes iwi post settlement trust and health governance experience. Leanne currently is her iwi representative on Te Kahui Hauora Iwi Māori Partnership Board and is a member of the Ministry of Health statutory body, Support and Consultation for End of Life in New Zealand (SCENZ).
Tim McCreanor, Massey University
Prof. Tim McCreanor is Professor in College of Health, Massey University, and Senior Researcher at SHORE and Whāriki Research Centre. His broad public health orientation and interest in the social determinants of health and wellbeing, provide a platform for social science projects that support and stimulate social change. In particular, his research seeks to foreground, critique and redress the mechanisms of talk, text and other forms of communication that operate to produce, maintain and naturalise the disparities, exclusions and injustices so evident in our society. Key topics include racial discrimination, youth wellbeing, alcohol marketing, media representations and social cohesion.
Heather Came, Auckland University of Technology
Associate Professor Heather Came is based at Manukau campus in the Department of Public Health. Heather is an activist scholar with a commitment to applied research that disrupts institutional racism and strengthens application of Te Tiriti o Waitangi. Prior to entering academic life her professional background was in health promotion and public health. She graduated with a PhD from Waikato Management School in 2012.
She is a chair of the AUT branch of the NZ Public Health Association, founder member and co-chair of STIR: Stop Institutional Racism, a fellow of the Health Promotion Forum, and a longstanding member of Tāmaki Tiriti Workers.