Delivery in day(s): 5
Cultural safety Health Policy Assignments Solution
He Korowai Oranga: Maori Health Strategy is a health policy that had been developed with the intention of positive health development of the Maori community (Ministry of Health, 2014). It aims in contribution to a dynamic nation along with the advancement of the national well-being and wealth of the whanaus, hapu and iwi. It has developed important directions as well as action plans that would promote the creation of a business environment that will be liberating and enabling the whanau in shaping and directing their own lives. This assignment will discuss different aspects of the policy and will show how it would affect the target group.
This policy is also aimed at achieving equality in healthcare services in the nation along with ensuring effective participation in the decision-making processes and development of culturally suitable healthcare services. One of the most interesting features of this policy is that it not only takes into consideration the direct factors that affect health like inaccessibility, culturally incompetent care and others (Kersey et al., 2018). It also sets out actions plans for the social determinants of health as well like improvements in income and well-being, achievement of quality education, suitable housing, safe working conditions and even addressing of the systemic barriers. Therefore, this policy is seen to be highly evidence-based and had developed important aims, directions, key threads and pathways that would ensure high quality life and health of the whanaus, hapu and iwi effectively (Miles et al., 2016).
A large number of similarities have been found between the He Korowai Oranga and the New Zealand Health Strategy. The direction one of the Maori health policy is seen to promote the encouragement of the Maori community for determining their own aspirations and priorities in the health and the disability domains of the nation. It also guides them in planning and delivering of services that would take into account the aspirations of the Maori people. The direction two mainly describes the role of the government in supporting the aspiration of the Maori community work with effective involvement and partnership with them to achieve healthcare sectors that align with their needs and demands (Page et al., 2017). These two directions are found to be very similar to that of the NEW Zealand Health strategy 2016 where the first strategy theme is the empowerment of the people. This theme mainly speaks about the importance of the property that needs to be set by the government for delivering evidence-based public services that would be based on a more people-centred approach. This theme speaks about the importance of the members of the nation not to be only the user of the healthcare services but be effective partners in healthcare and participate in designing the system to align their needs (Came te al., 2017). Hence, striking similarity in the thinking process of the policymakers is found in the two policies. Researchers are indeed of the opinion that when community members are made active participants in their healthcare, they tend to reveal information that helps in information gathering of the healthcare researchers. Therefore, it helps in strategy development that would help in mitigating the issues and overcome the concerns.
Another of the striking similarity that has been found in both the policies is their approach towards the development of better health of the people of the nation. As seen in the He Korowai Oranga, the four pathways which had been developed in order to ensure the development of the healthcare services of the Maori community is entire community based (Shordike et al., 2017). The policy has supported that whanaus operate best within the wider context of the community and therefore different developmental procedures are prepared based on the community approaches only. Therefore, importance is placed on the development of conditions through which Maori people can ensure a strong sense of identity and belonging, developing knowledge, skills and resources for participating effectively in the ao Ma¯ori and the wider context of New Zealand (Jones, 2014). The approaches also involve community-based interventions like developing safe and nurturing physical home, work, school and even the social environment. This is very similar to the approaches that are undertaken by the New Zealand Health Strategy. The second theme of the policy shows the importance of the community-based approaches in the development of health care services in the nation. Researchers are of the opinion that more the healthcare services are broad closer to the people in the local communities, the better will be the responses and participation in the healthcare activities of the members. Healthcare professionals need to promote the concepts of community-based rehabilitation, preventive services, screening services and many others ensuring that whanau, hapu and iwi receive services and support that they need for their better health.
However, certain differences are indeed found between the two policies that need to be mentioned. He Korowai Oranga has allocated a separate section under the “key thread sections” where importance is provided over the reduction of the inequalities in the health as well as disability outcomes. It had also spoken about the importance of the improvement of the access to the different services that would contribute to the reduction of the inequalities and not increase the inequalities. Similar such stances are not discussed in the New Zealand Health strategy 2016 9wilson et al., 2015). Although it had spoken about the importance of the culturally competent care services mitigating inequalities faced by, the Maori communities have not been discussed. Another important difference that is found is that the Maori policy has focused one of its pathways on the importance of the development of the traditional healing procedures, different Maori models of health, similar such aspects and others. Such models of healthcare, which are intricately associated with Maori culture has not been much discussed in the policy (Dobl et al., 2017).
One of the most important strategic initiatives that had been implemented in the betterment of the health outcomes of the whanau, iwi and hapu is the effective participation and partnership among the communities of the Maori people and the government. These align with the principles of the Treaty of the Waitangi where partnership and participation of the community heads are taken as important ways of empowerment of the communities. As well reflected from the direction one and direction two of the “He Korowai Oranga”, the community members need to actively participate in the decision-making sessions and stagey planning session with the government (Came et al., 2017). They need to be vocal about the issues and concerns that they have regarding their health. They need to provide suggestion to the government professionals to make them understand the domains where they need modifications and betterment. This active participation from the whanau heads would ultimately help the government to understand the specific needs and requirement of the whanau. It would be helping them to reduce the chances of greater expenditure of the wider healthcare researches and social analysis as whanau members would themselves reveal their concerns and voice out their issues.
A very important positive outcome associated with this form of participation is that the members of the whanaus would feel that they are provided with the right of controlling their own health and that their voices matter. This aspect would be helping them to feel empowered. This would make them feel that their decisions matter and therefore, they would effectively collaborate with the healthcare professionals in planning their own care. Researchers are of the opinion that "involving the whanaus and iwi" as representatives and as partners in the decision-making procedures would help largely (Morgan, 2015). It would help in ensuring that the new directions and the action plans that are prepared would fit within the wider development of healthcare goals. One of the most interesting prospects that had been discussed in the He Korowai Oranga is an effective partnership between the government and the healthcare professionals with that of the Maori providers and the Maori workforce.
Collaborating between the two groups would be helping in implementing most modern evidence-based interventions along with the traditional mode of healing in ways by which new models of healthcare would be developed that help to overcome disorders (Reid et al., 2017). Development of the skills of the Maori workforce should be ensured and their effective participation would ensure the creation of healthcare models that align with the cultural traditions and practices of the whanau, iwi and hapu. This would ensure elimination of barriers and more community members would access the healthcare services. The members would be receiving culturally competent care, developed access to care, effective voicing out of their concerns and accordingly feel themselves empowered (Came et al., 2017). These would make them feel that they are enjoying equal rights and hence the health gap would variably decrease in the nation.
From the above discussion, it can be understood that the two policies like the He Korowai Oranga and the New Zealand Health strategy 2016 are mainly aimed at developing healthcare services of the nation that meets the needs of the citizens and ensure fitter health. Both the policies have focused on effective collaboration between government and community members to ensure meeting the needs of the individuals. Both of them are also seen to focus on the effective people-centred approaches where community members can disclose their concerns and become decision makers regarding their own health. Both of them have taken community-based approaches. However, the former focuses on the Maori models of care as well as reduction of the inequalities faced by the Maori community but the later had not focused in these points although both have discussed culturally competent care. The most important health initiative that would bring put positive outcome is the active participation and partnership between Mori community and government. This would help in mitigating the barriers faced by community members and help the government understand the latter's point of view. This would ensure more culturally competent care services that meet their health need and empower them.
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