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: The Struggle For Success: A Socio-Cultural Perspective on the French Marist Priests and their Māori Mission 1838-1867

authors: Harman, Sandy Angela

subjects: missionaries

abstract: The nineteenth-century Roman Catholic missionary endeavour in New Zealand had its origins in a society of priests from Lyon, known as the Marists. The Marists’ mission has been deemed a failure due to its ongoing financial problems, its reputation for having abandoned Māori adherents, and its less visible impact compared to the Anglican Mission. This thesis examines the challenges facing the pioneer Marist priests in New Zealand and asks the question: was the Mission indeed a failure? The answer lies in the correspondence of the French Marists themselves, a largely untapped historical source which contains a different view of early New Zealand contact and religious history from that of the Church Missionary Society (CMS) evangelists. ‘The Struggle for Success’ consists of three parts examining the Mission before, during and after the pioneer phase. The first describes the Marists’ early influences and religious formation in France, which serve to elucidate the missionaries’ raison d’être and provide an historical context for the Mission. It is also an important attempt at a prosopography of men whose early lives were barely documented, and whose connection with contemporaneous and historical France, and the Lyon area in particular, would greatly affect the missions in Oceania. The subsequent comparative mission history in Part Two highlights the difficulties and conflicts that affected the progress of the Marist Māori Mission in New Zealand compared with other Christian missions in Oceania, notably the CMS in New Zealand and the early Marists in Wallis, Futuna, Tonga and New Caledonia. It describes the factors leading to the alleged failure of the Marist Māori Mission and demonstrates that hardships and struggle were the common lot of pioneer missionaries in Oceania. But the Marists on the Māori Mission had the added obstacles of being Frenchmen in a British colony, ascetics surrounded by and dependent on commerce, and dutiful religious under the authority of overburdened bishops. Irish immigration into New Zealand distorted the original aims of the French Marist missionaries, and Māori politico-religious initiatives to combat the devastating impacts of British colonialism essentially quashed Marist hopes that Māori would become a decidedly Catholic people. Having considered the obstacles to success, the thesis discusses in Part Three how the pioneer Marists understood success and conversion. In retrospect, it is clear that the missionaries underestimated the tenacity of early Māori catechists, but the CMS in New Zealand and Marists throughout Oceania were equally insensible in this respect. Finally the thesis offers an assessment of the mission’s overall success taking into account the revival of the Marist Māori Mission in the late 1870s and its continuation into the twentieth century. The social, cultural and political complexities of missionary endeavour demand a less rigid evaluation of missions than has been previously offered; and success and failure are problematic terms for the pioneer Marist Māori Mission because evangelisation was and is a work in progress.

text: The Struggle For Success: A Socio-Cultural Perspective on the French Marist Priests and their Māori Mission 1838-1867 The nineteenth-century Roman Catholic missionary endeavour in New Zealand had its origins in a society of priests from Lyon, known as the Marists. The Marists’ mission has been deemed a failure due to its ongoing financial problems, its reputation for having abandoned Māori adherents, and its less visible impact compared to the Anglican Mission. This thesis examines the challenges facing the pioneer Marist priests in New Zealand and asks the question: was the Mission indeed a failure? The answer lies in the correspondence of the French Marists themselves, a largely untapped historical source which contains a different view of early New Zealand contact and religious history from that of the Church Missionary Society (CMS) evangelists. ‘The Struggle for Success’ consists of three parts examining the Mission before, during and after the pioneer phase. The first describes the Marists’ early influences and religious formation in France, which serve to elucidate the missionaries’ raison d’être and provide an historical context for the Mission. It is also an important attempt at a prosopography of men whose early lives were barely documented, and whose connection with contemporaneous and historical France, and the Lyon area in particular, would greatly affect the missions in Oceania. The subsequent comparative mission history in Part Two highlights the difficulties and conflicts that affected the progress of the Marist Māori Mission in New Zealand compared with other Christian missions in Oceania, notably the CMS in New Zealand and the early Marists in Wallis, Futuna, Tonga and New Caledonia. It describes the factors leading to the alleged failure of the Marist Māori Mission and demonstrates that hardships and struggle were the common lot of pioneer missionaries in Oceania. But the Marists on the Māori Mission had the added obstacles of being Frenchmen in a British colony, ascetics surrounded by and dependent on commerce, and dutiful religious under the authority of overburdened bishops. Irish immigration into New Zealand distorted the original aims of the French Marist missionaries, and Māori politico-religious initiatives to combat the devastating impacts of British colonialism essentially quashed Marist hopes that Māori would become a decidedly Catholic people. Having considered the obstacles to success, the thesis discusses in Part Three how the pioneer Marists understood success and conversion. In retrospect, it is clear that the missionaries underestimated the tenacity of early Māori catechists, but the CMS in New Zealand and Marists throughout Oceania were equally insensible in this respect. Finally the thesis offers an assessment of the mission’s overall success taking into account the revival of the Marist Māori Mission in the late 1870s and its continuation into the twentieth century. The social, cultural and political complexities of missionary endeavour demand a less rigid evaluation of missions than has been previously offered; and success and failure are problematic terms for the pioneer Marist Māori Mission because evangelisation was and is a work in progress.

year: 2010

title: Field trip guide to the Onland Oligocene-Miocene Sedimentary Record, Eastern Taranaki Basin Margin

authors: Nelson, Campbell S.

subjects: Taranaki Basin

abstract: This field guide affords a north to south transect through examples of the Mesozoic to Quaternary sedimentary succession exposed in the Waikato, King Country and coastal strip of the eastern Taranaki basins, with particular focus on the Oligocene and Miocene deposits and how these link into the offshore parts of Taranaki Basin. The trip starts in Hamilton and ends at Tongaporutu on the north Taranaki coast, with overnight accommodation available at either Awakino or Mokau. Primarily under both local and more distant tectonic control, the stops provide examples of the various carbonate and terrigenous (locally volcaniclastic)-dominated facies associated with marginal marine, shoreline, shelf and slope-to-basin depositional settings, and their stratigraphic architecture and wider sequence stratigraphic context. Along the way, visits are recorded to basement greywacke, serpentinite and limestone quarries.

text: Field trip guide to the Onland Oligocene-Miocene Sedimentary Record, Eastern Taranaki Basin Margin This field guide affords a north to south transect through examples of the Mesozoic to Quaternary sedimentary succession exposed in the Waikato, King Country and coastal strip of the eastern Taranaki basins, with particular focus on the Oligocene and Miocene deposits and how these link into the offshore parts of Taranaki Basin. The trip starts in Hamilton and ends at Tongaporutu on the north Taranaki coast, with overnight accommodation available at either Awakino or Mokau. Primarily under both local and more distant tectonic control, the stops provide examples of the various carbonate and terrigenous (locally volcaniclastic)-dominated facies associated with marginal marine, shoreline, shelf and slope-to-basin depositional settings, and their stratigraphic architecture and wider sequence stratigraphic context. Along the way, visits are recorded to basement greywacke, serpentinite and limestone quarries.

year: 2013