title: Mai i te kore, ki te pō, ki te ao mārama: He kohinga pūrākau hauora o ngā kaumātua Māori, Māori Elders health and wellbeing stories in life transitions

authors: Shelford, Pita

subjects: pūrākau

abstract: Introduction
New Zealand’s general population is ageing. Kaumātua (Māori elders) only make up approximately 3.1 percent of the total population and yet, they are disproportionately overrepresented in poor health, wellbeing and ageing statistics. However, this is a one-sided story and the focus of a deficit approach. There is a strong need for a strength-based approach where kaumātua voices of problem-solving and resilience related to ageing and the changes it presents, are heard. The purpose of this study is to identify and share those voices and to respond to the call from Māori academics to apply pūrākau as an alternative to Western narrative approaches. Through a pūrākau approach, this thesis sought to answer three key research questions: 

1)What are the cultural and communication features of the kaumātua teina narratives?
2) What are the cultural and communication characteristics of the kaumātua tuakana conversational styles? and 
3) What is the nature of the kaumātua journeys in how the stories unfold, and relationships develop? 

Methods
This study analyses pūrākau from the Kaumātua Mana Motuhake (KMM) collaboration project between the University of Waikato and the Rauawaawa Kaumātua Charitable Trust in Hamilton, Aotearoa New Zealand. The KMM project sought to enhance kaumātua wellbeing during life changes such as losses of licence, independence or spouse, health changes and retirement through a peer-support tuakana-teina programme. The KMM team implemented a tuakana-teina peer support programme where kaumātua (n= 121) engaged in up to three conversations as kaumātua tuakana-teina pairs. The conversations involved exploring the life changes the teina chose with the tuakana guiding the conversations and sharing potential services to help with the changes.
This thesis analysed 30 kaumātua conversations in 10 tuakana-teina pairs to tell a strengths-based story of health and wellbeing. Taking a Kaupapa Māori approach, the research prioritised, privileged and foregrounded Māori and Indigenous epistemology, ontology, and axiology. A pūrākau-grounded analysis approach was developed and applied to the conversations.

Findings
Related to the first research question, the analysis revealed kaumātua narratives that spoke to stories about adversity, turning points, independence and resilience. Regarding the second research question, the study identified key cultural and communicational characteristics kaumātua tuakana used, speaking with words of kinship and reciprocation, words of ignition and guidance, and words of empathy and affirmation. Pertaining to the third research question, the analysis illustrated conversational and relational journey types kaumātua pairs travelled, consisting of conversations that went direct to topics, detours that became defining moments, small tiki tours that came back to the topic, stories that were revisited, and hospitality becoming defining moments. 

Conclusions
The findings compiled weave a collective tapestry of kaumātua teina pūrākau, kaumātua tuakana communication styles, and kaumātua conversational and relational journeys. Kaumātua teina have voiced a pūrākau for us to understand inter-generational trauma and how cultural connection liberated their wellbeing. Kaumātua tuakana have composed a script of communication protocols emphasising connection and relationship development essential to upholding tikanga (practices, principles, communications). The paired kaumātua journeys have drawn a signposted road map that highlighted journey types, emphasising reciprocity in conversing, learning, guiding, connecting, developing, strengthening and enhancing communications, relationships, and wellbeing

Implications
Via kaumātua conversations, invaluable understandings into Māori and Indigenous wellbeing, ageing and development scholarship are offered, strengthening transformation, leadership and resilience theories. Pūrākau and whanaungatanga (relationships) methodologies are advocated for and culturally responsive research is promoted. Health, wellbeing and ageing programme development, policy and service delivery can be practically informed, accentuating mentorship, intergenerational initiatives, and culturally appropriate kaumātua support. Together, the findings can cultivate community wellbeing and nurture cultural continuity.

text: Mai i te kore, ki te pō, ki te ao mārama: He kohinga pūrākau hauora o ngā kaumātua Māori, Māori Elders health and wellbeing stories in life transitions Introduction
New Zealand’s general population is ageing. Kaumātua (Māori elders) only make up approximately 3.1 percent of the total population and yet, they are disproportionately overrepresented in poor health, wellbeing and ageing statistics. However, this is a one-sided story and the focus of a deficit approach. There is a strong need for a strength-based approach where kaumātua voices of problem-solving and resilience related to ageing and the changes it presents, are heard. The purpose of this study is to identify and share those voices and to respond to the call from Māori academics to apply pūrākau as an alternative to Western narrative approaches. Through a pūrākau approach, this thesis sought to answer three key research questions: 

1)What are the cultural and communication features of the kaumātua teina narratives?
2) What are the cultural and communication characteristics of the kaumātua tuakana conversational styles? and 
3) What is the nature of the kaumātua journeys in how the stories unfold, and relationships develop? 

Methods
This study analyses pūrākau from the Kaumātua Mana Motuhake (KMM) collaboration project between the University of Waikato and the Rauawaawa Kaumātua Charitable Trust in Hamilton, Aotearoa New Zealand. The KMM project sought to enhance kaumātua wellbeing during life changes such as losses of licence, independence or spouse, health changes and retirement through a peer-support tuakana-teina programme. The KMM team implemented a tuakana-teina peer support programme where kaumātua (n= 121) engaged in up to three conversations as kaumātua tuakana-teina pairs. The conversations involved exploring the life changes the teina chose with the tuakana guiding the conversations and sharing potential services to help with the changes.
This thesis analysed 30 kaumātua conversations in 10 tuakana-teina pairs to tell a strengths-based story of health and wellbeing. Taking a Kaupapa Māori approach, the research prioritised, privileged and foregrounded Māori and Indigenous epistemology, ontology, and axiology. A pūrākau-grounded analysis approach was developed and applied to the conversations.

Findings
Related to the first research question, the analysis revealed kaumātua narratives that spoke to stories about adversity, turning points, independence and resilience. Regarding the second research question, the study identified key cultural and communicational characteristics kaumātua tuakana used, speaking with words of kinship and reciprocation, words of ignition and guidance, and words of empathy and affirmation. Pertaining to the third research question, the analysis illustrated conversational and relational journey types kaumātua pairs travelled, consisting of conversations that went direct to topics, detours that became defining moments, small tiki tours that came back to the topic, stories that were revisited, and hospitality becoming defining moments. 

Conclusions
The findings compiled weave a collective tapestry of kaumātua teina pūrākau, kaumātua tuakana communication styles, and kaumātua conversational and relational journeys. Kaumātua teina have voiced a pūrākau for us to understand inter-generational trauma and how cultural connection liberated their wellbeing. Kaumātua tuakana have composed a script of communication protocols emphasising connection and relationship development essential to upholding tikanga (practices, principles, communications). The paired kaumātua journeys have drawn a signposted road map that highlighted journey types, emphasising reciprocity in conversing, learning, guiding, connecting, developing, strengthening and enhancing communications, relationships, and wellbeing

Implications
Via kaumātua conversations, invaluable understandings into Māori and Indigenous wellbeing, ageing and development scholarship are offered, strengthening transformation, leadership and resilience theories. Pūrākau and whanaungatanga (relationships) methodologies are advocated for and culturally responsive research is promoted. Health, wellbeing and ageing programme development, policy and service delivery can be practically informed, accentuating mentorship, intergenerational initiatives, and culturally appropriate kaumātua support. Together, the findings can cultivate community wellbeing and nurture cultural continuity.

year: 2025-11-04

title: Will access to COVID-19 vaccine in Aotearoa be equitable for priority populations?

authors: Whitehead, Jesse

abstract: AIM: This research examines the equity implications of the geographic distribution of COVID-19 vaccine delivery locations in Aotearoa New Zealand under five potential scenarios: (1) stadium mega-clinics; (2) Community Based Assessment Centres; (3) GP clinics; (4) community pharmacies; and (5) schools.
METHOD: We mapped the distribution of Aotearoa New Zealand’s population and the location of potential vaccine delivery facilities under each scenario. Geostatistical techniques identified population clusters for Māori, Pacific peoples and people aged 65 years and over. We calculated travel times between all potential facilities and each Statistical Area 1 in the country. Descriptive statistics indicate the size and proportion of populations that could face significant travel barriers when accessing COVID-19 vaccinations.
RESULTS: Several areas with significant travel times to potential vaccine delivery sites were also communities identified as having an elevated risk of COVID-19 disease and severity. All potential scenarios for vaccine delivery, with the exception of schools, resulted in travel barriers for a substantial proportion of the population. Overall, these travel time barriers disproportionately burden Māori, older communities and people living in areas of high socioeconomic deprivation.
CONCLUSION: The equitable delivery of COVID-19 vaccines is key to an elimination strategy. However, if current health services and facilities are used without well-designed and supported outreach services, then access to vaccination is likely to be inequitable.

text: Will access to COVID-19 vaccine in Aotearoa be equitable for priority populations? AIM: This research examines the equity implications of the geographic distribution of COVID-19 vaccine delivery locations in Aotearoa New Zealand under five potential scenarios: (1) stadium mega-clinics; (2) Community Based Assessment Centres; (3) GP clinics; (4) community pharmacies; and (5) schools.
METHOD: We mapped the distribution of Aotearoa New Zealand’s population and the location of potential vaccine delivery facilities under each scenario. Geostatistical techniques identified population clusters for Māori, Pacific peoples and people aged 65 years and over. We calculated travel times between all potential facilities and each Statistical Area 1 in the country. Descriptive statistics indicate the size and proportion of populations that could face significant travel barriers when accessing COVID-19 vaccinations.
RESULTS: Several areas with significant travel times to potential vaccine delivery sites were also communities identified as having an elevated risk of COVID-19 disease and severity. All potential scenarios for vaccine delivery, with the exception of schools, resulted in travel barriers for a substantial proportion of the population. Overall, these travel time barriers disproportionately burden Māori, older communities and people living in areas of high socioeconomic deprivation.
CONCLUSION: The equitable delivery of COVID-19 vaccines is key to an elimination strategy. However, if current health services and facilities are used without well-designed and supported outreach services, then access to vaccination is likely to be inequitable.

year: 2021

title: Rocks Can Turn to Sand and be Washed Away but Words Last Forever: A Policy Recommendation for New Zealand's Vilification Legislation

authors: Jones, Christopher David

subjects: Hate Speech

abstract: Free speech and free expression are values that are highly prized in western society. The mention of removing or altering that right creates great debate. In 2004 a Select Committee was set up to inquire into what New Zealand's stance on Hate Speech should be. The submissions to that committee made it clear that free expression was a highly held right in New Zealand. While the submitters were overwhelming opposed to any legislation, it was clear that many had no understanding of what hate speech was, and why people would want to restrict it. The select Committee needed to provide the public with more information about what was intended and what the international situation is. If nothing else this thesis should provide that comprehensive background information to ground any further debate.

This thesis makes a policy recommendation for the New Zealand Government. The policy that is examined and contrasted with international experiences is that of hate speech legislation. What should New Zealand do in regards to hate speech? 

The general debate is examined and the free expression versus legislation debate is analysed to provide a comprehensive background to the topic. The reasons why free expression is important to society and democracy are examined. Alongside free expression, the harms of hate speech are also analysed in order to demonstrate what harm occurs and if such harms should be legislated against.

The international situation is contrasted with the New Zealand experience. The legislation of the United States, Canada and Australia, is analysed in order to compare and contrast with New Zealand's legislation. These three countries are closely aligned with New Zealand in terms of language, politics and culture. These countries provide equivalent characteristics and are therefore the most useful for comparison. 

The United States is especially important as it has no hate speech legislation and provides a valuable baseline from which the effects of legislation can be compared against.

The New Zealand situation is then examined to point out its strengths and weaknesses. Where there are weaknesses this thesis recommends changes that could be made in varying political circumstances. 

Hate speech and free speech issues are not largely discussed in New Zealand literature and scholarly work. This thesis follows some work that has been previously done on the topic in New Zealand. The bulk of the work written about hate speech and free speech issues has been completed internationally and needs to be adjusted to fit the New Zealand situation. This recommendation has gone some way to doing that. 

An area of particular interest in this paper is the categories of people that deserve protection. Historically just 'race' has been provided protection from hate speech in New Zealand and this thesis examines why. Central to this investigation is why other categories are not protected.

text: Rocks Can Turn to Sand and be Washed Away but Words Last Forever: A Policy Recommendation for New Zealand's Vilification Legislation Free speech and free expression are values that are highly prized in western society. The mention of removing or altering that right creates great debate. In 2004 a Select Committee was set up to inquire into what New Zealand's stance on Hate Speech should be. The submissions to that committee made it clear that free expression was a highly held right in New Zealand. While the submitters were overwhelming opposed to any legislation, it was clear that many had no understanding of what hate speech was, and why people would want to restrict it. The select Committee needed to provide the public with more information about what was intended and what the international situation is. If nothing else this thesis should provide that comprehensive background information to ground any further debate.

This thesis makes a policy recommendation for the New Zealand Government. The policy that is examined and contrasted with international experiences is that of hate speech legislation. What should New Zealand do in regards to hate speech? 

The general debate is examined and the free expression versus legislation debate is analysed to provide a comprehensive background to the topic. The reasons why free expression is important to society and democracy are examined. Alongside free expression, the harms of hate speech are also analysed in order to demonstrate what harm occurs and if such harms should be legislated against.

The international situation is contrasted with the New Zealand experience. The legislation of the United States, Canada and Australia, is analysed in order to compare and contrast with New Zealand's legislation. These three countries are closely aligned with New Zealand in terms of language, politics and culture. These countries provide equivalent characteristics and are therefore the most useful for comparison. 

The United States is especially important as it has no hate speech legislation and provides a valuable baseline from which the effects of legislation can be compared against.

The New Zealand situation is then examined to point out its strengths and weaknesses. Where there are weaknesses this thesis recommends changes that could be made in varying political circumstances. 

Hate speech and free speech issues are not largely discussed in New Zealand literature and scholarly work. This thesis follows some work that has been previously done on the topic in New Zealand. The bulk of the work written about hate speech and free speech issues has been completed internationally and needs to be adjusted to fit the New Zealand situation. This recommendation has gone some way to doing that. 

An area of particular interest in this paper is the categories of people that deserve protection. Historically just 'race' has been provided protection from hate speech in New Zealand and this thesis examines why. Central to this investigation is why other categories are not protected.

year: 2007