title: Tino rangatiratanga in health policies and practises

authors: Wihongi, Helen Annette

subjects: tino rangatiratanga

abstract: The purpose of my doctoral research was to investigate tino rangatiratanga in health policies and practises in Aotearoa. My research involved defining tino rangatiratanga and exploring the expression of tino rangatiratanga in health policy and practises. A kaupapa Māori analysis of the 1996 National Cervical Screening Programme’s Policy document was at the core of the policy investigation. The analysis involved developing a kaupapa Māori analysing framework and then analysing the 1996 National Cervical Screening Policy document for empirical and normative judgements at four discursive levels, health gains, health objectives, health goals and fundamental underlying values. A Kaupapa Māori research design drew on interdisciplinary scholarship on colonisation, Te Tiriti o Waitangi, community psychology, public policy, disability theory, feminist theory and discourse theory.

I argue that the dominance of Western cultural norms and state-directed policies were made possible by the signing of Te Tiriti o Waitangi. The signing of Te Tiriti saw Crown sovereignty being implemented and tino rangatiratanga ignored. The consequences for Māori have been disastrous with loss of land and economic base which has resulted in poor health status. I also argue that tino rangatiratanga has the potential to transform the social and political context that frame Aotearoa society. Such an approach raises a critical dilemma for the state as meaningful recognition of tino rangatiratanga requires waiving full and absolute sovereignty which currently resides in the state. Hence some scholars argue that tino rangatiratanga is a site for constructive engagement where state and Māori relationships can be renegotiated. The extent to which this potential for constructive engagement is being realised in however is inadequately explored in the scholarly literature. Exploring the relationships between tino rangatiratanga and health policies and practises as undertaken in my thesis will therefore contribute to scholarly knowledge on the subject.

The findings from the research show that tino rangatiratanga is indeed a complex, fluid, multi-faceted and context related concept. Within the context of my research, tino rangatiratanga is defined as Māori sovereignty, self determination, and positive Māori development. As a Māori value it is about mana and tapu of rangatira or leadership personified. Within policies, tino rangatiratanga has emerged through resistance and demonstration and is actualised through Tiriti legislation and policies.

The legitimation of tino rangatiratanga in cervical screening services sees Māori leadership at national, regional and local levels and Māori involvement through wide ranging consultation but the Crown still controls the policy process and therefore the outcomes. Most cervical screening services are still owned and operated by the Crown or Crown agencies.

One of the consequences of Crown control is that Māori women are still twice as likely to get cervical cancer and four times more likely to die from it. To some degree this may be the result of resource allocation and the result of discriminatory service practices but also the result of resistance to the procedure itself.

Tino rangatiratanga within cervical screening services could be strengthened through iwi ownership of some cervical screening register sites. At the time of my field work (2000) there were 14 sites, all owned and operated by Crown agents. Tino rangatiratanga could also be strengthened through funding criteria that ensure practitioners are safe to practise, through the adoption of less invasive procedures and through the legitimation of Māori healing practises such as rongoā and karakia.

Overall if tino rangatiratanga is to be given full effect within the policy domain Māori must have a well established asset base, they must be in control of the decision making making process including resource allocation, service delivery must address the diversities of Māori realities and Māori must be the recipients of policy decisions made.

text: Tino rangatiratanga in health policies and practises The purpose of my doctoral research was to investigate tino rangatiratanga in health policies and practises in Aotearoa. My research involved defining tino rangatiratanga and exploring the expression of tino rangatiratanga in health policy and practises. A kaupapa Māori analysis of the 1996 National Cervical Screening Programme’s Policy document was at the core of the policy investigation. The analysis involved developing a kaupapa Māori analysing framework and then analysing the 1996 National Cervical Screening Policy document for empirical and normative judgements at four discursive levels, health gains, health objectives, health goals and fundamental underlying values. A Kaupapa Māori research design drew on interdisciplinary scholarship on colonisation, Te Tiriti o Waitangi, community psychology, public policy, disability theory, feminist theory and discourse theory.

I argue that the dominance of Western cultural norms and state-directed policies were made possible by the signing of Te Tiriti o Waitangi. The signing of Te Tiriti saw Crown sovereignty being implemented and tino rangatiratanga ignored. The consequences for Māori have been disastrous with loss of land and economic base which has resulted in poor health status. I also argue that tino rangatiratanga has the potential to transform the social and political context that frame Aotearoa society. Such an approach raises a critical dilemma for the state as meaningful recognition of tino rangatiratanga requires waiving full and absolute sovereignty which currently resides in the state. Hence some scholars argue that tino rangatiratanga is a site for constructive engagement where state and Māori relationships can be renegotiated. The extent to which this potential for constructive engagement is being realised in however is inadequately explored in the scholarly literature. Exploring the relationships between tino rangatiratanga and health policies and practises as undertaken in my thesis will therefore contribute to scholarly knowledge on the subject.

The findings from the research show that tino rangatiratanga is indeed a complex, fluid, multi-faceted and context related concept. Within the context of my research, tino rangatiratanga is defined as Māori sovereignty, self determination, and positive Māori development. As a Māori value it is about mana and tapu of rangatira or leadership personified. Within policies, tino rangatiratanga has emerged through resistance and demonstration and is actualised through Tiriti legislation and policies.

The legitimation of tino rangatiratanga in cervical screening services sees Māori leadership at national, regional and local levels and Māori involvement through wide ranging consultation but the Crown still controls the policy process and therefore the outcomes. Most cervical screening services are still owned and operated by the Crown or Crown agencies.

One of the consequences of Crown control is that Māori women are still twice as likely to get cervical cancer and four times more likely to die from it. To some degree this may be the result of resource allocation and the result of discriminatory service practices but also the result of resistance to the procedure itself.

Tino rangatiratanga within cervical screening services could be strengthened through iwi ownership of some cervical screening register sites. At the time of my field work (2000) there were 14 sites, all owned and operated by Crown agents. Tino rangatiratanga could also be strengthened through funding criteria that ensure practitioners are safe to practise, through the adoption of less invasive procedures and through the legitimation of Māori healing practises such as rongoā and karakia.

Overall if tino rangatiratanga is to be given full effect within the policy domain Māori must have a well established asset base, they must be in control of the decision making making process including resource allocation, service delivery must address the diversities of Māori realities and Māori must be the recipients of policy decisions made.

year: 2010

title: Maori goddesses in literature. Part 2: 1900-1940

authors: Yates-Smith, Aroha

subjects: Atua wāhine

abstract: Many contemporary Māori are familiar with atua wāhine, Māori goddesses, through accounts that have been passed on to them by word of mouth. Few, however, have had an opportunity to consult accounts of atua wāhine that date from the early period of Māori-Pākehā contact. Those who wish to do so may have considerable difficulty in sifting through all of the written materials for the information they seek. For this reason, this paper provides a review of the literature pertaining to atua wāhine from 1900 to 1940, together with a commentary on the sources to which reference is made. A review of literature on atua wāhine from 1880 – 1900 appeared in the first issue of this Journal. The period 1940 towards 2000 will be reviewed in the next issue.

text: Maori goddesses in literature. Part 2: 1900-1940 Many contemporary Māori are familiar with atua wāhine, Māori goddesses, through accounts that have been passed on to them by word of mouth. Few, however, have had an opportunity to consult accounts of atua wāhine that date from the early period of Māori-Pākehā contact. Those who wish to do so may have considerable difficulty in sifting through all of the written materials for the information they seek. For this reason, this paper provides a review of the literature pertaining to atua wāhine from 1900 to 1940, together with a commentary on the sources to which reference is made. A review of literature on atua wāhine from 1880 – 1900 appeared in the first issue of this Journal. The period 1940 towards 2000 will be reviewed in the next issue.

year: 2001-02

title: FDI Regimes in the Chinese Triangle

authors: Wang, Yucai

subjects: foreign direct investment

abstract: The existence of regimes on foreign direct investment (FDI) in the Chinese triangle (China, Hong Kong and Taiwan) is one of the most important elements that promote rapid FDI inter-flows and economic integration within the triangle. The economic policies and FDI inter-flows are leading to their regimes harmonize with international standards. Cultural backgrounds and ideological conflicts have an impact on shaping legalism towards their FDI regimes. Their FDI regimes also reflect the interaction between market and government.
As their domestic markets being oriented toward a bigger and more competitive international market, FDI regimes in the triangle need to be, at least, harmonized with each other and with international standards. Learning from East Asian countries' past examples of rapid economic growth and recent lessons of financial crisis, governments within the triangle need to improve their FDI regimes to support the Chinese triangle to be more dynamic and harmony.
In this thesis, after exploiting the backgrounds of FDI regimes in the triangle, I first compared the systems and effects of FDI regimes in the Chinese triangle, then analyzed their integration and harmonization trends. In conclusion, both market mechanisms and government strategies can and have played an important and effective role in the triangle in building regimes to attract FDI inflows to support their economic development and integration with each other. Meanwhile, as part of their legal systems that belong to three major different legal systems in the world, the integration and harmonization of FDI regimes in the triangle could be a useful preparation for the harmonization of international investment law.

text: FDI Regimes in the Chinese Triangle The existence of regimes on foreign direct investment (FDI) in the Chinese triangle (China, Hong Kong and Taiwan) is one of the most important elements that promote rapid FDI inter-flows and economic integration within the triangle. The economic policies and FDI inter-flows are leading to their regimes harmonize with international standards. Cultural backgrounds and ideological conflicts have an impact on shaping legalism towards their FDI regimes. Their FDI regimes also reflect the interaction between market and government.
As their domestic markets being oriented toward a bigger and more competitive international market, FDI regimes in the triangle need to be, at least, harmonized with each other and with international standards. Learning from East Asian countries' past examples of rapid economic growth and recent lessons of financial crisis, governments within the triangle need to improve their FDI regimes to support the Chinese triangle to be more dynamic and harmony.
In this thesis, after exploiting the backgrounds of FDI regimes in the triangle, I first compared the systems and effects of FDI regimes in the Chinese triangle, then analyzed their integration and harmonization trends. In conclusion, both market mechanisms and government strategies can and have played an important and effective role in the triangle in building regimes to attract FDI inflows to support their economic development and integration with each other. Meanwhile, as part of their legal systems that belong to three major different legal systems in the world, the integration and harmonization of FDI regimes in the triangle could be a useful preparation for the harmonization of international investment law.

year: 1998