Indigenous trauma: a New Zealand perspective.
The study of indigenous health is an emerging specialty and differs from other health disciplines in that the traditions and beliefs of indigenous people must be considered in developing health policy. New Zealand Maori and Australian Aboriginal and Torres Straight Islanders face similar health issues but have followed a different historical path. New Zealand was settled by the Maori from Eastern Polynesia in approximately 1300AD. A structured and settled society had developed by the time of British colonization in the 1800s. Because of Maori's obvious sovereignty over New Zealand the British negotiated a treaty in 1840 (The Treaty of Waitangi) with Maori that gave provision for their rights as British and later New Zealand citizens. Maori health indices suffered after the start of colonization but slowly rebounded in the 1900s linked to a resurgence in Maori culture, sporting and combat achievements. A sustained period of protest in the years following World War II has resulted in the inclusion of the provisions of the Treaty of Waitangi in legislation. Historical grievances of Maori relating to land confiscations and injustice are being addressed with formal apology and compensation. This process has allowed Maori to create their own infrastructure, to begin to develop their own health-care initiatives and to advise health-care authorities and governments on interventions to reduce health disparities between Maori and non-Maori New Zealanders.
Koea
Jonathan B
JB
The Hepatobiliary and Upper Gastrointestinal Unit, The Department of Surgery, Auckland Hospital, Auckland, New Zealand. jonathank@adhb.govt.nz
D005260:Female; D018166:Health Care Reform / Q000941:ethics / Q000266:history* / Q000331:legislation & jurisprudence; D006303:Health Services, Indigenous / Q000941:ethics / Q000266:history* / Q000331:legislation & jurisprudence; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008297:Male; D009520:New Zealand / Q000208:ethnology; D014194:Traumatology / Q000941:ethics / Q000266:history* / Q000331:legislation & jurisprudence