Causes and Ramifications of Healthy Inequality in New Zealand

Managing Organisational Equality and Diversity

Assessment 1 - Specific Task

Submitted by : Karen Enjoyment Saligumba


Good health is not simply a subject of genes and biology. The place, time and conditions people live in, their alternatives and life encounters, each is significant to find out their health position. In New Zealand, the people's health may be influenced by many factors such as employment, household income, education, working conditions, diet, enclosure, family and ethnical networks, environment, get older, gender and hereditary factors. Cultural inequalities and socio-economic are tightly related to health (Pollock, 2012).

Access to healthcare influences both end result of disease and development, and people or neighborhoods with limited usage of medical care cost worse than those that has easy access to healthcare. Socioeconomic status has profound impact to health. People who reside in poverty don't have the required resources to maintain their health (Monroe, 2007).

The authorities of New Zealand developed the rules of Treaty of Waitangi and social safety that involves participation, collaboration and cover of the Maoris to handle the changes, improvement and inequality of medical care delivery system in the country.

This task is designed to give an overview about the reason and effect romantic relationship of New Zealand's history, gender, employment status, housing and education to the use of medical services. The opportunities and healthcare gain access to of Maori and non-Maori respectively and the dissimilarities of the privileges and legitimacy of Maori. Also, it will be discuss further the power marriage of bias, vitality imbalance, changes to provide equitable, effective, effective and suitable delivery service in to healthcare.


Question 1: The reason and effect relationship of the next to the utilization of nursing services

  1. History

Before the european people arrived to New Zealand, Maoris were fit and healthy. When colonization was began many diseases demolished the local tribes who acquired no immunity to these health issues and many tribes were afflicted by disease as more Europeans arrived. Influenza, smallpox, tuberculosis, measles and typhoid fever significantly impacts Maori and death rate was seven times higher than the non-Maori credited to influenza epidemic in the year 1918. There was an increased death count to Maori people amongst small children anticipated to pneumonia and respiratory microbe infections. Another fatal disease affects the adults and older children due to typhoid fever, tuberculosis and viral diseases. It continuously declined their population before century was almost over, wherein the Pakeha even called Maori as a "dying race".

In the entire year 1840s, missionaries taken care of immediately Maori health deterioration by giving medical care and establishing government nursing homes. But most clinics are dominated by the Pakeha and many Maoris were hesitant to enter in the hospital due to cultural and financial reasons. At that time, the government funded native doctors to give medical care and assistance to Maori who couldn't able to pay for treatment. At certain time, administration officials conducted disaster replies to epidemics, vaccines received against smallpox and educators were given medications to take care of students and their own families.

  1. Gender

Most often it has been assumed that gender is inescapable and continuous to health variances. Almost everywhere on the planet, for example, life span is higher for girls than men, however, it varies highly global and within the same country. The impact of life expectancy to geographic interpretation and immediate changes in gender variations demonstrate the significance of the interpersonal environment in triggering communal disparity in health, including inequalities by gender (Community and open public health sciences device, 2015).

According to the statistics New Zealand, in 2006, life expectancy at birth was 75. 1 years for Maori females and 70. 4 years for Maori males, while life expectancy at delivery for non-Maori females 83 years and for non-Maori men was 79 years. To conclude, in the year 2006, non-Maori life expectancy at beginning was 8 years higher than that for Maori for both genders (Ministry of health, manatu hauora, 2012).

Gender and biology are both factors that contribute to health and life activities. Women experiences differ from men experience not only because of their capability to get pregnant but also their likelihood of getting paid and unpaid work, their readiness to visit doctors, and even their activities for pleasure and socializing (Cook, 2012).

  1. Employment status

The increased rate of unemployment among the list of Maori is induced by lack of education and discrimination. Occupation status influences the health stability of a person. Unemployed person faces financial adversity thus he/she is more likely to experience delayed in seeking and obtaining health care. Generally they usually do not return because of their follow up stop by at the doctor and struggling to continue the approved maintenance medication credited to financial problems. This will end result into worsening of these health condition and increasing the mortality rate.

  1. Housing

Poor real estate in almost all of the Maori inhabitants resulted in health inequalities. The primary reasons for these still the institutional racism and the ongoing effects of colonization. They will have an unhealthy housing condition because they're struggling to afford better houses credited to low earnings. Respiratory ailments like asthma is one effect of having a cool, polluting indoor warming and damp homes. In 2000s a report conducted and they discovered that properties with insulation and with non-polluting heater resulted in superior respiratory health position (Pollock, 2012).

  1. Education

From years back up for this, many Mori continue being deprived of educational opportunities that directly influence their future potential clients and quality of life because of disparities and inequities in their classes. Bishop, Berryman, Cavanagh and Teddy, (2009) claims that the overall educational achievement degree of Maori students is low in comparison to non-Maori. Their rate of suspension system to school is greater than the non-Maori and leave institution before with less formal certification. Educational inequalities among Maoris reflect on the existing educational methods and procedures of the universities who developed by colonialism and will continue to develop in the pursuits of monocultural elite. These practices and policies derive from the context of racism among dominating culture.

Education can be an important device for improving the health and well-being of individuals, family and community because it reduces the necessity for healthcare, healthcare cost, human hurting and promotes healthy lifestyle. Furthermore, socio-economic position like educational attainment, job and income is the main element to impact health. People living in poverty and uneducated will experience health inequalities than people residing in good wealth. It's been argued by the experts how socio-economic factors can affect health position. Poor education leads to poverty in a manner that if someone who has low educational attainment he has an increased chance to obtain a low paid job. Material poverty (like nutrition and poor housing) and stress which brought on by low social status outgrowth in health inequalities (Pollock, 2012).

Question 2: Medical care gain access to and opportunities for Maori and Non-Maori

In 1997 there is a study conducted in Waikatu Medical Care Survey, an evaluation between your Maori and non-Maori contact to GP for key care services and it was proven that Maori were marginally lower difference in GP contact than with non-Maori. Research also shows in contrast to hospitalization rate that Maori has double its number than with non-Maori and 30% higher for Maori in case there is mortality rate. The writers figured Maori are less inclined to visit doctor scheduled to poor awareness to health and low income status to cover the doctor's payment. Poor early elimination and treatment of disabilities contributes to an increase of hospitalization and mortality rate amongst low income Maori (Barwick, 2007).

Recently, the New Zealand government firmly implemented the equal opportunities of health services to all Maoris. Based on the code of health insurance and impairment services consumer privileges (2009), that every individual with different beliefs, culture, religion and ethnicity gets the right to acquire good quality healthcare services.

Question 3: The rights of others and legitimacy of differences

Every person gets the right and flexibility because it is a basic standard that impacts how we live together. Since from the history of New Zealand, the Maori or the local people of the country were deprive from other rights because the place was dominated by the european people. From then, there was a persistent inequality usage of services like owning a land title, receive proper education, employment, income and poor professional medical assistance.

To help understand the international individual rights basic principle, the United Country together with the treaties effectively enforced the implementation of the machine to ensure that everyone living in New Zealand either Maori or non-Maori has to see and practice the Expenses of Protection under the law and the Individual Rights Law. There are two types of real human rights, the politics and civil privileges and the ethnical, social and economic rights. The political and civil privileges are the to life and liberty; equality before the law; flexibility of expression and the to get rid discrimination, while the cultural, social and economic rights are the directly to participate in culture; the right to an adequate of living; the right to education and the right to work (Human being rights commission, 2008-2015).

Question 4. The power romance in healthcare

4. 1. Bias

The prejudice or unfair treatment of Maori to non-Maori in medical settings affects the character of medical providers (like nurses and doctors) in terms of creating trust romantic relationship between professional medical providers and the health care consumers. Inside the survey collected by the National Primary Medical Care, (2001-2002), about the evaluation of Maori to non-Maori patient sessions to doctor. The survey discovered that there is a longer amount of minutes of GP connection with the non-Maori in comparison to Maori and there was a higher ratio of laboratory and imaging test need made for non-Maori than the Maori patients in same age ranges and sex. It is clear to state that higher priority was presented with to non-Maori in terms of medical care services.

4. 2. Power Imbalances

Power imbalance is happen in most conflict situation wherein one side has more power than another. According to articles compiled by Henderson, (2003), they conducted analysis in 1998 to provide some answer regarding relationship between nurses' and patients' in health care in hospital. The patient's charter distinguishes nurses' must respect the privileges of the patients that will effect their attention and nursing practice advocates work relationship between nurses and patients. To help empowerment, nurses are encouraged to share their capacity to their patients by writing them information and support. However, the study denotes that patients feel empowered in acquiring up to date decisions by nurses.

They gathered participants from different nursing homes, 33 nurses and 32 patients were interviewed comprehensively. The analysis demonstrates nurses' opinion towards patients in treatment required them to talk about your choice making powers and information to their patients while almost all of nurses were unwilling to provide their decision making powers. This resulted to power imbalance with ensuing little patient information. The factor that recognizes ability imbalance is the values of nurses that they "know best", the problem wherein patients were having not enough knowledge and awareness causes nurses to keep onto their electricity and control.

To maintain nurses and patients work partnership, it is very important that nurses must take full effort to equalize the power imbalance by posting and presenting information easily and open communication to patients.

4. 3. Negotiation and change to provide effective, equitable, effective and satisfactory service deliver

Since Maoris health were devastated by so many factors such as low socio-economic status, lack of educational information and discrimination from health services, in 1989 the council builds up strategies to advanced Maoris health. The declaration of the brand new Zealand Public Health and Disability Function 2000, which is the current health system of the brand new Zealand, enclosed in the Expenses was the Treaty of Waitangi principles of participation, partnership and security, to be purely acknowledged and executed. The Treaty of Waitangi articles defines the tasks and responsibilities of the Crown, the Council and the medical education providers, to be an agent to create partnerships with Maori. They are really in charge in providing and ensuring coverage to Maori passions, attentive to their needs and recognised Maori health as a priority. To raise the performance of interventions and achieve a positive health results of the service delivery, Maori are encouraged to actively get involved and cooperate as well (Nursing council of New Zealand, 2005).

It is well mentioned that the federal government is formulating changes to provide equitable, effective, effective and satisfactory service delivery to all or any health consumers of New Zealand.


There was an inequality syndication of health care services between Maori and non-Maori beginning with the colonization process until they come to into the modern day, this is only because of the rampant discrimination and racist between the people. The issue of dropped socioeconomic status of the Maori correlates using their poor health conditions due to insufficient knowledge regarding the elimination of diseases and struggling to avail medical services anticipated to poor financial flows. To greatly help the tangata whenua or the Maori, the federal government of New Zealand introduced a expenses under the Treaty of Waitangi to arranged businesses and programs to use the Treaty key points of participation, collaboration and protection amongst Maori consumers.

As a healthcare provider, it is our responsibility to ensure that our patients obtain proper health care and assistance irrespective of their race, cultural background, values and socioeconomic position, this is where the treaty concepts will be applied. To targets the identical opportunities of the Maori in delivering health services while respecting their routines, culture and values. Learn how to respect others right whatever cultural background they may have even if they're off different race.


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