Treaty of Waitangi was signed on 6th of February 1840 in the bay of the island. It was an agreement between Maori and England and it was signed in a place called Waitangi. The Government have responsibilities and objective under the Treaty of Waitangi to improve the health status among Maori population
Four corner stones of Maori health
The four foundation of Maori health is strong and very important and either of the dimension missing in some way in a person may become unbalanced and subsequently un-well according to Maori health.
Tianna (physical health): A good physical health is required for optimal development and the capacity of physical growth and development. For Maori, the physical dimension is just one aspect of health and well-being and cannot be separated from the mind, spiritual and family. This aspect reflects the need to prevent exposure to the physical harms that lead to problems and includes promoting the benefits of healthy diet and exercise.
Wairua (spiritual health): In a traditional Maori analysis physical illness will focus on Wairau or spirit to determine where the damage could be a contributor factor. In Maori, health is related to unseen and unspoken energies, therefore, Taha Wairau is the capacity for faith and wider communication.
Whanau (family health):Taha whanau is the capacity to care and share where individuals are part of the wider social system. Therefore, this is the link to our ancestors and our ties with the past, present and future. By understanding the importance of family history which can contribute in curing the illness and also the factor behind the illness. This aspect reflects the family past and present history.
Hinehgaro (mental health): It is the capacity to communicate, to think and to feel mind and body are inseparable. Therefore, emotions, feelings, and thoughts are an integral part of the body and soul.
Three principles of Treaty of Waitangi
Partnership: it’s a working together with Whanau(family), Hapu, iwi, and Maori communities for better results for Maori’s health gain and disability services.
Participation: involving the Maoris in the different level of sectors in planning, decision making, development and delivering of health and disability services.
Protection: working to ensure that Maoris are getting at least same level of health care as non-Maori and respecting the Maori cultural concept, values and practices.
Implementation of treaty of Waitangi on health care’s delivery in New Zealand
1)Maori health and inequalities and disparities in health status that exits and that can be understood by analysed by historical, social, economic, and political, process that have effected Maori.
2) The effectiveness of health education (physiotherapist, nurses and midwife etc.) and practice in responding to Maori health issues that can be optimized by developing a bond with the local Maoris by establishing partnerships based on treaty of Waitangi between physiotherapy and the local Maori and that can help in assisting in the development of appropriate physiotherapy procedures.
3) Maori health is a complex interaction with multiple dimensions extending beyond the physical and medical diagnosis which can occur in social-political context, therefore, a physiotherapist requires recognizing the significance of Maori beliefs, values, identity and practices which physiotherapist can be used in their daily practice.
4)Physiotherapist has a responsibility to enhance the delivery of health and services to Maori and achieve positive health gains by recognizing the diversity which is exit between the population of Maori and acknowledge and respecting their beliefs and practices that can effect on their health status, improving the access to the services and by practicing within the framework that involves Maori in assessment rehabilitation.
If I will be granted registration to practice physiotherapy in New Zealand, I will practice in a culturally safe manner especially keeping Maori health/Treaty of Waitangi all the time in my mind while practicing in New Zealand
Being a registered physiotherapist in India and in the Middle East I am aware of the importance of different culture competencies, which I have utilized in my previous jobs in two different countries.
I will follow the health policies and implement the principles to provide my best service without any inequalities, disparities and discrimination based on colour, sex, customs, beliefs, and values. I will commit to Maori interests or health needs and will ensure that their privacy acts and rights related to health should be protected. I will provide a culturally safe environment by maintaining good communication skills and recognize their needs and involving them into the safe physiotherapy rehabilitation practice by providing physiotherapy education.
I will maintain all the therapeutic relationship within ethical boundaries and will be transparent to the Maori patients all time. I will involve the patient and that family related to all his/her physiotherapy procedure like consent form, assessment, examination, and treatment plan to achieve the desirable goal. I will analyse the historical, social, economic and political processes that have impacted on Maori health issues and recognize the diversity that exists amongst the population of Maori.
In the meantime, I will evaluate myself with critical self-reflection to correct myself or to improve my practice skills to achieve the best clinical outcomes. As a physiotherapist, I can approach other services (e.g. general practitioners, occupational therapist, specialists, Maori health providers and social or support services). By making an appropriate and informed referral I can build healthy link or bond between other health professionals and Maori clients and they can utilize other needed services. I will be responsible for the delivery of all the health related services to the Maori Patients as well as I will develop the bonding with Maori patient to improve health outcomes. If I will be privileged to work in New Zealand as physiotherapist I will show equal respect to Maori and all other races. I will be very keen to know more about Maori culture and Treaty of Waitangi which will be helpful to overcome any deficiencies in achieving my competencies, if required to practice as physiotherapist.