Sites of Institutional Racism in Public Health Policymaking in New Zealand

aut.researcherCame, Heather Anne
dc.contributor.authorCame, H
dc.date.accessioned2014-03-01T18:59:48Z
dc.date.available2014-03-01T18:59:48Z
dc.date.copyright2014
dc.date.issued2014
dc.description.abstractAlthough New Zealanders have historically prided ourselves on being a country where everyone has a ‘fair go’, the systemic and longstanding existence of health inequities between Māori and non-Māori suggests something isn’t working. This paper informed by critical race theory, asks the reader to consider the counter narrative viewpoints of Māori health leaders; that suggest institutional racism has permeated public health policy making in New Zealand and is a contributor to health inequities alongside colonisation and uneven access to the determinants of health. Using a mixed methods approach and critical anti-racism scholarship this paper identifies five specific sites of institutional racism. These sites are: majoritarian decision making, the misuse of evidence, deficiencies in both cultural competencies and consultation processes and the impact of Crown filters. These findings suggest the failure of quality assurance systems, existing anti-racism initiatives and health sector leadership to detect and eliminate racism. The author calls for institutional racism to be urgently addressed within New Zealand and this paper serves as a reminder to policy makers operating within other colonial contexts to be vigilant for such racism.
dc.identifier.citationSocial Science & Medicine. Volume 106, pp. 214–220
dc.identifier.doi10.1016/j.socscimed.2014.01.055
dc.identifier.urihttps://hdl.handle.net/10292/6945
dc.publisherElsevier
dc.relation.urihttp://dx.doi.org/10.1016/j.socscimed.2014.01.055
dc.rightsCopyright © 2014 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccess
dc.subjectInstitutional racism
dc.subjectHealth policy
dc.subjectTreaty of Waitangi
dc.subjectCritical race theory
dc.subjectNew Zealand
dc.titleSites of Institutional Racism in Public Health Policymaking in New Zealand
dc.typeJournal Article
pubs.elements-id158274
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
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