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BN501 Session 6 The process and impact of colonisation

BN501. BN501 Session 6 The process and impact of colonisation. Session outcomes. At the end of this session students will be able to: Identify key events in the process of colonisation Relate key events of colonisation to issues in modern health care in NZ. News desk. Early 20 th century.

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BN501 Session 6 The process and impact of colonisation

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  1. BN501 BN501 Session 6 The process and impact of colonisation

  2. Session outcomes At the end of this session students will be able to: • Identify key events in the process of colonisation • Relate key events of colonisation to issues in modern health care in NZ

  3. News desk

  4. Early 20th century ApiranaNgata leading a haka at the 1940 centennial celebrations at Waitangi. The meeting house, Waitangi House, is on the left. http://www.nzhistory.net.nz/media/photo/apirana-ngata-haka-waitangi-1840

  5. Protesters and police at Bastion Point during its occupation in 1978.

  6. Break

  7. Māori land loss 1860-2000

  8. Impacts of colonisation on Māori health From around 100,000 in 1769, the Māori population had declined by 10–30% by 1840. Between 1840 and 1890, the population declined by another 50%. This was due mainly to new diseases, and the effects of the Musket Wars, including dislocation from lands that were important for agriculture and provided access to food.

  9. Health services for Māori • The earliest providers of medical care were the missionaries. • Government hospitals were set up in a few places for Māori in the 1840s. • In the early 20th century, Māori activists launched campaigns for improved health practices .

  10. Health Services for Maori (2) • In 1900 Dr MāuiPōmare headed the Māori section of the new public health department. • Native health nurses, both Pakeha and Māori, were appointed to the Māori nursing service set up by the government in 1911.

  11. 1930s Onwards • The Social Security Act 1938, made hospital admission made free for all patients. • Universal medical benefits introduced in 1941 • Maori health outcomes lower than Pakeha but have improved steadily from 1940s

  12. Inequity • Disparities in employment, education and income continued to have negative impact on Maori health • Rural housing tended to be poor and urban houses were often overcrowded.

  13. Break

  14. How does this history influence modern healthcare? • Partnership • Participation • Protection

  15. Partnership • Te HuiWhakaoranga (the Maori Health Planning Workshop) held in Auckland in 1984 led to the growth of marae-based health schemes and other Māori health providers began to emerge, offering medical care ‘by Māori, for Māori’. • The government publicly committed itself to ending the disparities between Māori and non-Māori health.

  16. Protection • The Tohunga Suppression Act was repealed in 1962. • By the mid 1980s the health authorities began to accept traditional healing practices as complementary to Western medicine, and even to recognise tohunga and incorporate their work into the mainstream health system.

  17. Participation • As a nurse, it is important to consult. This means recognition that health providers involve the client/patient in all decisions. • This includes recognition that health issues can extend to Whanau ( family) and iwi ( tribe), but only after obtaining the clients consent ( Hally, 2009).

  18. Summary and conclusion

  19. References Hally, B,N. ( 2009) A guide for international nursing students in Australia and New Zealand. Australia: Elsevier. Te Ara: The encyclopaedia of New Zealand. http://www.teara.govt.nz/en/te-hauora-maori-i-mua-history-of-maori-health/5 New Zealand History Online. http://www.nzhistory.net.nz/

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