Māori and Pasifika Leaders’ Experiences of Government Health Advisory Groups in New Zealand

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aut.relation.journalKōtuitui : New Zealand Journal of Social Sciences Onlineen_NZ
aut.researcherCame-Friar, Heather
dc.contributor.authorCame-Friar, Hen_NZ
dc.contributor.authorMcCreanor, Ten_NZ
dc.contributor.authorHaenga-Collins, Men_NZ
dc.contributor.authorCornes, Ren_NZ
dc.date.accessioned2019-01-10T03:29:21Z
dc.date.available2019-01-10T03:29:21Z
dc.date.copyright2018-01-09en_NZ
dc.date.issued2018-01-09en_NZ
dc.description.abstractMāori and Pasifika populations in New Zealand experience poorer health outcomes than other New Zealanders. These inequalities are a deeply entrenched injustice. This qualitative study explores the experiences of six Māori and Pasifika advisors on health policy-making advisory committees. All are health leaders, with extensive experience in the health system. They were recruited, provided semi-structured interviews, the data coded, and a thematic analysis undertaken. Our findings show that inequalities in the health system are reproduced in advisory committees. Participants noted their knowledge and interests were devalued and they experienced racism and tokenistic engagement. Some indicated it took considerable effort to establish credibility, be heard, have impact, and navigate advisory meetings, but even then their inputs were marginalised. Health policy advisory committees need deeper engagement and more genuine recognition of Māori and Pasifika knowledge. Māori and Pasifika leaders have constructive solutions for eliminating health inequities that could benefit all New Zealanders. Our qualitative study explored Māori and Pacific experiences of bring part of health policy making advisory committees. We purposively recruited six Māori and Pacific health leaders with extensive experience and conducted semi-structured interviews. Our findings were generated through a thematic analysis. Several participants indicated it took effort to establish credibility, be heard, have impact and navigate such meetings. Other used the political opportunity to advance outcomes beneficial to Māori and Pacific populations. Many noted that Māori and Pacific knowledge and intelligence was not valued and reported witnessed racism and tokenistic engagement with their contributions and preferred protocols. Health policy would be enriched by the deeper engagement and recognition of Māori and Pacific knowledge. Māori and Pacific leaders have constructive solutions for eliminating health inequities that could benefit all New Zealanders.en_NZ
dc.identifier.citationKōtuitui: New Zealand Journal of Social Sciences Online, doi: 10.1080/1177083X.2018.1561477
dc.identifier.doi10.1080/1177083X.2018.1561477en_NZ
dc.identifier.issn1177-083Xen_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12141
dc.publisherThe Royal Society of New Zealanden_NZ
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/1177083X.2018.1561477
dc.rights© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectNew Zealand; Health policy; Māori; Pasifika; Racism
dc.titleMāori and Pasifika Leaders’ Experiences of Government Health Advisory Groups in New Zealanden_NZ
dc.typeJournal Article
pubs.elements-id343390
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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