Te Pou – Māori responsive rubricto provide guidance to MRCs for interpreting and reporting on Māori mortality

*

• Does not report on

Māori mortality, or there isinconsistent or insu�cientreporting by ethnicity

• Simplistic description withno Māori health and equityconsiderations

• Makes no recommendationsfor Māori or makesdeficit-based or blamingrecommendations

• Does not involve the MāoriCaucus members

• Does not establish relationshipswith agencies or services

• The expertise, wisdomand input of Māori Caucusmembers are sought but noaction is taken

• Interpretation of Māori datais limited to descriptiveepidemiological reportingwithout a Māori health andequity lens

• Provides information thatagencies and services couldact on that will benefit Māoriwhānau, hapū, iwi andcommunities

• Māori Caucus members’ inputis sought, but the MRCactioned response to adviceis variable

• Consults with relevantagencies and services

1 Ministry of Health. 2004. Ethnicity data protocols for the health and disability sector. Retrieved from www.health.govt.nz/system/files/documents/publications/ethnicitydataprotocols.pdf; Robson B, Purdie G, Cram F, et al. 2007. Age standardisation – an indigenous standard? Emerging Themes in Epidemiology 4(3). doi:10.1186/1742-7622-4-3.

2 Te Rōpū Rangahau e Eru Pōmare. 2002. Mana Whakamārama - Equal explanatory power: Mäori and non-Mäori sample size in national health surveys. Retrieved from https://www.fmhs.auckland.ac.nz/assets/fmhs/Te%20Kupenga%20Hauora%20M%C4%81ori/docs/Equal_explanatory_ power.pdf.

• The expertise, wisdomand input of Māori Caucusmembers are prioritised

• MRC members are healthliterate3 regarding, andprovide a comprehensiveunderstanding of, Māorimortality

• Uses a Māori health andequity lens to inform theinterpretation of data

• Recommendations areinformed by the contextualanalysis of Māori mortality

• Makes specificrecommendations thatfocus on improving accessto high-quality health andsocial services1 and equityof outcomes

• Makes system-leveland culturally responsiverecommendations that willbenefit Māori whānau, hapū,iwi and communities

• MRCs involve the MāoriCaucus members in theplanning process for the focus,data collection and analysis,and its interpretation andrecommendations in a timelymanner

• Establishes ongoing andmeaningful relationships withrelevant agencies and servicesto promote and guide practicechanges

TikaGetting the story and

the interpretation right

ManaakitangaBeing culturally and socially

responsible

ManaAdvancing equity,

self-determination, and social justice

Mahi tahiEstablishing relationships

for positive change

• Provides a clear detailedanalysis of Māori mortality

• Uses appropriate in-depthreviews methods to analyseinequities and access tohigh-quality health andsocial services and in equityof outcomes

• Appropriate analysis of datausing ethnicity data protocolsand appropriate techniquessuch as Māori responsivemethodologies,2 and utilisingMāori expertise to inform theanalysis

• Reports Māori mortality data

• Analysis of data by ethnicitybut quality may be inconsistentor insu�cient

• Identifies and describes someinequities for Māori

Nee

ds d

evel

opm

ent

Una

ccep

tabl

e

3 Ministry of Health. 2014. Equity for health care for Māori: A framework. Retrieved from www.health.govt.nz/system/files/documents/publications/equity-of-health-care-for-maori-a-framework-jun14.pdf.

* This framework uses the three (of the four) tikanga-basedprinciples in the Māori Ethical Framework published inTe Ara Tika by the Health Research Council of New Zealand.

Goo

d pr

actic

e