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Oranga and Māori health inequities 1769–1992.

Author Category Source

Ministry of Health, ,

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This publication explores the historical trajectory of health disparities between Māori and non-Māori populations in New Zealand from the first European contact in 1769 through to 1992.

Commissioned by the Ministry of Health, the report meticulously documents the evolution of health outcomes and the impact of colonial policies on Māori health and well-being (oranga). The authors delve into various factors contributing to health inequities, including but not limited to, land confiscation, socio-economic marginalisation, and systemic biases within the healthcare system. The report has a section on housing. Here the authors note the connection between poor quality housing and negative health outcomes, with particular reference to tuberculosis in the early 19th century. The history of the government’s focus, or lack thereof, regarding Māori housing quality and disease, again largely focused on tuberculosis, is detailed as is Turbott’s review of Māori housing in the 1930s. The section on urbanisation also focuses on the housing quality Māori experienced as they migrated. Through rigorous analysis of historical records, legislation, and health data, the report illuminates the complex interplay between colonialism and the subsequent socio-economic determinants of health that have led to persistent disparities in health outcomes between Māori and non-Māori. The authors offer valuable insights into the root causes of current health disparities. The report not only serves as a crucial document for understanding New Zealand’s colonial legacy but also acts as a call to action for addressing the ongoing impacts of these historical injustices on Māori health.

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