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Introducing critical Tiriti policy analysis through a retrospective review of the New Zealand Primary Health Care Strategy
Ethnicities ( IF 1.555 ) Pub Date : 2020-01-05 , DOI: 10.1177/1468796819896466
Heather Came 1 , D O’Sullivan 2 , T McCreanor 3
Affiliation  

Background Te Tiriti o Waitangi was negotiated between the British Crown and Indigenous Māori leaders of Aotearoa New Zealand in 1840. Māori understood the agreement as an affirmation of political authority and a guarantee of British protection of their lands and resources. The Crown understood it as a cession of sovereignty. The tension remains, though legal and political developments in the last 35 years, have established that the agreement places a mandatory obligation on the Crown to protect and promote Māori health. It also requires that Māori may exercise rangatiratanga, or responsibility and authority, in relation to health policy development and implementation. Methods Te Tiriti is, then, an instrument against which health policy is justly and efficaciously evaluated. This paper introduces critical Tiriti analysis as such an evaluative method. Critical Tiriti analysis involves reviewing policy documents against the Preamble and the Articles of te Tiriti o Waitangi. The review process has five defined phases: (i) orientation; (ii) close reading; (iii) determination; (iv) strengthening practice and (v) Māori final word. Results We present a working example of critical Tiriti analysis using the New Zealand Government’s Primary Health Care Strategy published in 2001. This policy analysis found poor alignment with te Tiriti overall and the indicators of its implementation that we propose. Conclusion This paper provides direction to policy makers wanting to improve Māori health outcomes and ensure Māori engagement, leadership and substantive authority in the policy process. It offers an approach to analysing policy that is simple to use and, inherently, a tool for advancing social justice.

中文翻译:

通过对新西兰初级卫生保健策略的回顾性回顾来介绍重要的Tiriti政策分析

背景信息1840年,蒂罗里·怀唐伊(Te Tiriti o Waitangi)由英国王室与新西兰奥特罗阿土著居民的毛利人领导人谈判达成。毛利人将该协议理解为对政治权威的肯定,是对英国对其土地和资源的保护的保证。官方将其理解为主权的割让。尽管在过去35年中在法律和政治方面取得了发展,但紧张局势仍然存在,该协议已确定该协议对王室规定了保护和促进毛利人健康的强制性义务。它还要求毛利人在卫生政策的制定和实施方面行使职权或责任和权力。方法Te Tiriti是衡量公正,有效评估健康政策的工具。本文介绍了临界Tiriti分析作为一种评估方法。至关重要的Tiriti分析涉及对照Te Tiriti o Waitangi的序言和条款审阅政策文件。审查过程有五个确定的阶段:(i)方向;(ii)仔细阅读;(iii)确定;(iv)加强实践和(v)毛利人的最终决定。结果我们使用2001年发布的新西兰政府的“初级卫生保健策略”,提供了一个关键的Tiriti分析的工作示例。此政策分析发现,与Tiriti的整体以及我们提出的实施指标不一致。结论本文为希望改善毛利人健康状况并确保毛利人在政策过程中的参与,领导和实质权威的决策者提供了指导。
更新日期:2020-01-05
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