These researchers contend that it is possible to reduce persistent inequities in risk for child abuse and neglect (CAN) by using a health equity perspective, giving all children the opportunity to reach their full health and life potential. The chapter describes how the World Health Organization’s Commission on the Social Determinants of Health framework supports this goal. The researchers use the framework to explore possible mechanisms and pathways that contribute to current inequities in risk for CAN, within their US-based experience. They then discuss how this framework has been used to guide and monitor activities in the Centers for Disease Control and Prevention’s Essentials for Childhood Initiative. The chapter concludes with suggestions as to how this work can successfully prevent child abuse and neglect, and other childhood adversities by assuring safe, stable, nurturing environments for all children and families.
I recently attended the hui for the Māori Inquiry into Oranga Tamariki and was asked by a reporter why health professionals had been invited. I recalled this paper, which is just one chapter of a book called Re-visioning public health approaches for protecting children. The entire book is excellent, but I found this chapter a useful reminder for clinicians on why and how we are part of the problem, and the solution. It is not Kaupapa Māori, but I think much of it aligns with the recommendations John Rangihau and others made some 30+ years ago (https://www. msd.govt.nz/documents/about-msd-and-ourwork/ publications-resources/archive/1988- puaoteatatu.pdf).
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
