Beyond awareness: Towards a critically conscious health promotion for rheumatic fever in Aotearoa, New Zealand

Anneka Anderson and Julie Spray

Social Science & Medicine, 2020, vol. 247, issue C

Abstract: Since 2014, the Rheumatic Fever Prevention Programme has targeted communities in Aotearoa, New Zealand affected by high rates of rheumatic fever (RF): namely, Māori and Pacific families. Initiated with the aim of reducing ethnic health disparities, the Health Promotion Agency attempted to use culturally appropriate approaches by engaging in consultative processes with Māori and Pacific communities and health leaders in developing the intervention. However, these consultations largely focused on evaluating strategies for reaching “priority” audiences with the message to get sore throats checked and on changing health-seeking behaviours. There was little regard for what the structural roots of RF in Aotearoa might suggest about equitable interventions, nor for the potentially harmful effects of the messages and their presentation.

Keywords: Indigenous health; Rheumatic fever; Health promotion; Māori health; Pacific health; Racism; Structural violence; Equity (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (2)

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DOI: 10.1016/j.socscimed.2020.112798

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