Home > Review Articles > Kaupapa Māori > What we do matters: Supporting anti-racism and decolonisation of public health teaching and practice through the development of Māori public health competencies

What we do matters: Supporting anti-racism and decolonisation of public health teaching and practice through the development of Māori public health competencies

Making Education Easy

Authors:
Summary:

A Kaupapa Māori study of public health competencies led to development of a competency document suitable for use by universities and workplaces. Increasing language expectations, the importance of strength-based approaches and self-determination, and the need for individual responsibility to address structural racism were key themes identified in the competencies. A fundamental cross-cutting competency was reflective practice. Planetary health and political ideologies were suggested for inclusion by participants as additional socio-political determinants of health with equity impacts. The need for cultural safety, and ensuring that all public health practitioners are ‘seen’, were key concerns related to application of the competency document.

Comment:
Love the shift here in public health priorities – from the population level once about monitoring disparities to now focusing on strength-based and self-determined approaches; and the management of individual health risk moving from patients changing behaviour to physicians reflecting on their roles in maintaining institutional racism.
Reference: Aust N Z J Public Health. 2024;48(2):100132.
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.

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