title: He Pikinga Waiora: Supporting Maori health organisations to respond to pre-diabetes

authors: Beaton, Angela

subjects: Science & Technology

abstract: Background
Type 2 Diabetes (T2D) is a common long-term condition affecting the health and wellbeing of New Zealanders; one in every four New Zealanders is pre-diabetic. Māori, the Indigenous people of New Zealand, are at an increased risk of developing pre-diabetes and T2D and there are significant inequities between Māori and non-Māori for T2D complications. The purpose of this study was to explore the questions of how the strengths of Māori heath organisations may be leveraged, and how the barriers and constraints experienced by Māori health organisations may be negotiated, for the benefit of Māori; and from a systems perspective, to identify strategic opportunities that may be considered and applied by Māori health organisations, funders and policy makers to respond more effectively to pre-diabetes and reduce health inequities between Māori and non-Māori.

Methods
Utilising case study methodology, a range of data sources were triangulated including nine semi-structured interviews, documents, and a diabetes system map to identify possible strategic opportunities for key stakeholders to respond more effectively to pre-diabetes.

Results
Key themes and possible actions to improve health outcomes for Māori with pre-diabetes include: (1) Recognising Māori health organisations as conduits for the community voice and influential partners in the community to effect change; (2) Strengthened partnerships with Māori health organisations for community benefit and to support measurable, evidence-based change and service delivery, particularly when Māori knowledge systems are viewed alongside a Western scientific approach; and (3) Intersectoral integration of health and social services to support provision of whānau-centred care and influence the social determinants of health and local environment.
Conclusions
Māori health organisations are important actors in systems seeking to improve outcomes and eliminate health inequities. Support from funders and policy makers will be required to build on the strengths of these organisations and to overcome system challenges. To realise improved health outcomes for Māori, the value placed on whānau and community perspectives not only needs to be acknowledged in the implementation of health interventions, health and social policies and funding arrangements, but performance measures, service design and delivery must evolve to accommodate these perspectives in practice.

text: He Pikinga Waiora: Supporting Maori health organisations to respond to pre-diabetes Background
Type 2 Diabetes (T2D) is a common long-term condition affecting the health and wellbeing of New Zealanders; one in every four New Zealanders is pre-diabetic. Māori, the Indigenous people of New Zealand, are at an increased risk of developing pre-diabetes and T2D and there are significant inequities between Māori and non-Māori for T2D complications. The purpose of this study was to explore the questions of how the strengths of Māori heath organisations may be leveraged, and how the barriers and constraints experienced by Māori health organisations may be negotiated, for the benefit of Māori; and from a systems perspective, to identify strategic opportunities that may be considered and applied by Māori health organisations, funders and policy makers to respond more effectively to pre-diabetes and reduce health inequities between Māori and non-Māori.

Methods
Utilising case study methodology, a range of data sources were triangulated including nine semi-structured interviews, documents, and a diabetes system map to identify possible strategic opportunities for key stakeholders to respond more effectively to pre-diabetes.

Results
Key themes and possible actions to improve health outcomes for Māori with pre-diabetes include: (1) Recognising Māori health organisations as conduits for the community voice and influential partners in the community to effect change; (2) Strengthened partnerships with Māori health organisations for community benefit and to support measurable, evidence-based change and service delivery, particularly when Māori knowledge systems are viewed alongside a Western scientific approach; and (3) Intersectoral integration of health and social services to support provision of whānau-centred care and influence the social determinants of health and local environment.
Conclusions
Māori health organisations are important actors in systems seeking to improve outcomes and eliminate health inequities. Support from funders and policy makers will be required to build on the strengths of these organisations and to overcome system challenges. To realise improved health outcomes for Māori, the value placed on whānau and community perspectives not only needs to be acknowledged in the implementation of health interventions, health and social policies and funding arrangements, but performance measures, service design and delivery must evolve to accommodate these perspectives in practice.

year: 2019

title: Maori land in Hauraki

authors: Hart, Philip

abstract: Imagining the Hauraki Peninsula to contain payable goldfields and knowing that land to the south of Thames had great agricultural potential, Pakeha were determined to acquire it, and were frustrated by what was considered to be ‘Maori intransigence’. For their part, Maori landowners were justifiably concerned about losing their land, and hindered and delayed opening it to settlement for as long as possible. A major difficulty for officials seeking to acquire land was how to determine boundaries between different blocks and how to identify the true owners when there were rival claims put forward by hapu and individuals. Land purchase agents used a variety of means to get blocks through the land court and then to individualize the title, notably the controversial ‘raihana’ policy, which benefited some landowners at the expense of others. The expensive legal process involved often forced those who had proved their ownership to sell land to pay for their success, a success which resulted in grantees treating the land as their personal property rather than tribal property. Some Pakeha as well as many Maori protested at the unfair process; even James Mackay, the most effective practitioner of raihana, came to lament his success and its consequences for the younger generation of Maori (he blamed the system, not himself). When far too late, it was urged that land should have been leased rather than sold and that proceeds from sales should not have been squandered.
Instead of having commissions of enquiry, as some suggested, the land court system meant that judges determined ownership on the evidence presented to them, even though some owners were not present nor had their interests represented. Sometimes the evidence was false, as was admitted by some witnesses when their perjury was exposed. And in the case of the Ohinemuri district, for which the records survive, when the land was sold to the Crown some Maori received too much money, some too little, and some missed out altogether. The struggles to open Ohinemuri to miners and settlers is examined in detail, revealing that some rangatira expected economic gain and that Te Hira’s party, who opposed the opening, were undermined by some of Te Hira’s followers: being ‘Hauhau’, they refused to take money from the Crown but instead took raihana, meaning goods which were charged against their land in a way they did not understand. Nor did anyone fully understand the system apart from Mackay, whose policy was eventually repudiated by the politicians who had encouraged it previously. Not all land was lost, but because the government did not assist landowners with advice and finance until well into the twentieth century what land that was retained could not be developed adequately.

text: Maori land in Hauraki Imagining the Hauraki Peninsula to contain payable goldfields and knowing that land to the south of Thames had great agricultural potential, Pakeha were determined to acquire it, and were frustrated by what was considered to be ‘Maori intransigence’. For their part, Maori landowners were justifiably concerned about losing their land, and hindered and delayed opening it to settlement for as long as possible. A major difficulty for officials seeking to acquire land was how to determine boundaries between different blocks and how to identify the true owners when there were rival claims put forward by hapu and individuals. Land purchase agents used a variety of means to get blocks through the land court and then to individualize the title, notably the controversial ‘raihana’ policy, which benefited some landowners at the expense of others. The expensive legal process involved often forced those who had proved their ownership to sell land to pay for their success, a success which resulted in grantees treating the land as their personal property rather than tribal property. Some Pakeha as well as many Maori protested at the unfair process; even James Mackay, the most effective practitioner of raihana, came to lament his success and its consequences for the younger generation of Maori (he blamed the system, not himself). When far too late, it was urged that land should have been leased rather than sold and that proceeds from sales should not have been squandered.
Instead of having commissions of enquiry, as some suggested, the land court system meant that judges determined ownership on the evidence presented to them, even though some owners were not present nor had their interests represented. Sometimes the evidence was false, as was admitted by some witnesses when their perjury was exposed. And in the case of the Ohinemuri district, for which the records survive, when the land was sold to the Crown some Maori received too much money, some too little, and some missed out altogether. The struggles to open Ohinemuri to miners and settlers is examined in detail, revealing that some rangatira expected economic gain and that Te Hira’s party, who opposed the opening, were undermined by some of Te Hira’s followers: being ‘Hauhau’, they refused to take money from the Crown but instead took raihana, meaning goods which were charged against their land in a way they did not understand. Nor did anyone fully understand the system apart from Mackay, whose policy was eventually repudiated by the politicians who had encouraged it previously. Not all land was lost, but because the government did not assist landowners with advice and finance until well into the twentieth century what land that was retained could not be developed adequately.

year: 2016

title: Volcanic studies by members of the Royal Society of London 1665 - 1780

authors: Stokes, Evelyn

abstract: Late seventeenth century ideas about volcanic activity were largely derived from classical sources. The Philosophical Transactions of the Royal Society of London provided a vehicle for publication of information about volcanoes where many ancient notions were refuted and new hypotheses suggested. Volcanic studies by members included detailed field reports, eyewitness accounts of eruptions as well as expeditions to extinct or dormant volcanic peaks, experiments with volcanic rocks, and speculation on the nature of subterranean "fires" and causes of eruptions. The development of theories concerning the formation of the columnar basalts of the Giant's Causeway is also traced. By the 1770's there appeared a general acceptance among members of the Royal Society of the igneous origin of basalt, the existence of ancient extinct volcanoes and the implications of past geologic change.

text: Volcanic studies by members of the Royal Society of London 1665 - 1780 Late seventeenth century ideas about volcanic activity were largely derived from classical sources. The Philosophical Transactions of the Royal Society of London provided a vehicle for publication of information about volcanoes where many ancient notions were refuted and new hypotheses suggested. Volcanic studies by members included detailed field reports, eyewitness accounts of eruptions as well as expeditions to extinct or dormant volcanic peaks, experiments with volcanic rocks, and speculation on the nature of subterranean "fires" and causes of eruptions. The development of theories concerning the formation of the columnar basalts of the Giant's Causeway is also traced. By the 1770's there appeared a general acceptance among members of the Royal Society of the igneous origin of basalt, the existence of ancient extinct volcanoes and the implications of past geologic change.

year: 1971