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Experiences of senior Māori public health practitioners working in public health units in Aotearoa New Zealand

Making Education Easy

Authors:
Summary:

This Kaupapa Māori qualitative study investigated success factors and barriers to Māori public health practitioners who have worked in mainstream public health units for at least 5 years. The study found that all participants were experiencing and/or had observed restrictions on Kaupapa Māori practice and cultural freedom in the workplace. Lack of value was placed on mātauranga Māori, Kaupapa Māori practice and te ao Māori worldview. Inconsistent practice was observed in relation to hiring for positions requiring te ao Māori knowledge. Resourcing for professional development or for Māori projects has generally not been prioritised, and institutional barriers or institutional racism has been present within these decisions. The study author concluded that solutions mitigating the perpetuation of environments less suitable to Māori success are needed, ideally solutions that prevent damaging situations or environments from existing in the first place.

Comment:
Based on my experience, and particularly over the past 18 months, I really think our public health units would be strengthened with more Māori and Pacific consultants/leaders. Emma and her supervisors have really hit the nail on the head here with their description of barriers to working in New Zealand’s public health organisations – and very timely as we develop New Zealand’s Health Plan and Charter.
Reference: Auckland University of Technology 2021.
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.

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