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Tackling health inequalities: moving theory to action

Making Education Easy

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Summary:

This paper reports on a series of awareness-raising workshops that aimed to increase the knowledge and skills of New Zealand health sector staff to act on, and advocate for, eliminating inequalities in health. Participants identified a range of institutional mechanisms that promote inequalities and a range of ways to address them including: undertaking further training, using Mäori (the indigenous people) models of health in policy-making, increasing Mäori participation and partnership in decision making, strengthening sector relationships with iwi (tribes), funding and supporting services provided ‘by Mäori for Mäori’, ensuring a strategic approach to intersectoral work, encouraging stronger community involvement in the work of the institution, requiring all evaluations to assess impact on inequalities, and requiring the sector to report on progress in addressing health inequalities. Ninety percent of participants rated the workshop as valuable or better and all but two rated themselves as willing to take action following the workshops.

Comment:
A ‘must read’ given the fact that leaders in Hauora Mäori and the New Zealand health sector have contributed to this paper. I found the information about ways to assist in transferring knowledge of racism in health particularly useful.
Reference: Int J Equity Health. 2007;6:12
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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