Ngāti Porou Health Disparities Report

Making Education Easy

Authors:

Dr Tania Riddell

October 16, 2009

Summary:

In support of the Wai 1184 claim filed with the Waitangi Tribunal for and on behalf of Ngāti Porou Hauora and Ngāti Porou whanau and hapu, a report has been written within the process related to Treaty claim settlements. The research for this report draws upon data from the latest Hauora report i.e., for the 2000–2005 period. The report also includes a series of case studies for: cardiovascular disease; cancer; diabetes; mental health; acute rheumatic heart disease; ambulatory sensitive hospitalisations; childhood immunisations; and, smoking. The report discusses differences between Māori and non-Māori within the Tairāwhiti/ Ngāti Porou rohe especially in relation to life expectancy; mortality, morbidity; hospital procedures; and, years of life lost.

Comment:

(Matire Harwood) An extremely moving and poignant presentation of the work Tania has undertaken on behalf of Dr Patarene Ngata and Ngāti Porou. Tania described the privilege and honour she felt when Dr Pat handed the task of writing the Claim to her in his last year but also the issues she faced when undertaking the mahi. She also had some useful tips for those people considering a similar project (including ‘don’t accept invitations for a cup of tea with kaumātua’ and ‘you need lots of friends and networks’)! As Dr Pat has said, Ngāti Porou are dying before their time and this was confirmed by the data; life expectancy for Māori is lower in the Tairāwhiti DHB region compared to most other DHBs and the disparity between Māori and non-Māori greater there than at other DHBs. Ngaroma, Pat’s wife, advised the hui that “Pat’s wish was that the Claim would address the inequalities in quality of health care provided to Māori and Ngāti Pororu”. Tania suggested the structural causes of disease require structural solutions and that Treaty Claims provide an ideal framework within which we can negotiate such changes.

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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