The Multidimensional Impacts of Inequities for Tāngata Whaikaha Māori (Indigenous Māori with Lived Experience of Disability) in Aotearoa, New Zealand

Tristram Richard Ingham (), Bernadette Jones, Meredith Perry, Paula Toko King, Gabrielle Baker, Huhana Hickey, Rangi Pouwhare and Linda Waimarie Nikora
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Tristram Richard Ingham: Department of Medicine, University of Otago, Wellington 6021, New Zealand
Bernadette Jones: Department of Medicine, University of Otago, Wellington 6021, New Zealand
Meredith Perry: Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Wellington 6021, New Zealand
Paula Toko King: Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, Wellington 6021, New Zealand
Gabrielle Baker: Baker Consulting, Ltd., Wellington 6011, New Zealand
Huhana Hickey: Director Pukenga Consultancy Ltd., Auckland 2158, New Zealand
Rangi Pouwhare: Poumanukura Mana Ātea, Whakatane 3192, New Zealand
Linda Waimarie Nikora: Ngā Pae o te Māramatanga, University of Auckland, Auckland 1010, New Zealand

IJERPH, 2022, vol. 19, issue 20, 1-16

Abstract: People with lived experience of disability have poorer health and socioeconomic outcomes than people without it. However, within this population, certain social groups are more likely to experience poorer outcomes due to the impacts of multiple intersecting forms of oppression including colonisation, coloniality and racism. This paper describes the multidimensional impacts of inequities for Indigenous tāngata whaikaha Māori (Māori with lived experience of disability). Semi-structured in-depth interviews were conducted with 28 tāngata whaikaha Māori and their whānau (extended family) using a kaupapa Māori Research methodology. An equity framework was used to analyse the data. The results describe: (1) inequitable access to the determinants of health and well-being; (2) inequitable access to and through health and disability care; (3) differential quality of health and disability care received; and (4) Indigenous Māori-driven solutions. These data confirm that tāngata whaikaha Māori in the nation-state known as New Zealand experience racism, ableism and disablism, compounded by the intersection between these types of discrimination. Recommendations from the data support the inclusion of tāngata whaikaha Māori in decision-making structures, including all policies and practices, along with equal partnership rights when it comes to designing health and disability systems and services.

Keywords: disability; equity; inequities; Indigenous M?ori; t?ngata whaikaha M?ori; multidimensional impacts; intersectional disadvantage; racism; ableism; disablism (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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