The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems

Te Tiriti o Waitangi, a treaty negotiated between Māori (the Indigenous peoples of Aotearoa) and the British Crown, affirmed Māori sovereignty and guaranteed the protection of hauora (health). The Waitangi Tribunal, established in 1975 to investigate alleged breaches of the agreement, released a maj...

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Main Authors: Heather Came, Dominic O’Sullivan, Jacquie Kidd, Timothy McCreanor
Format: Article
Language:English
Published: Harvard FXB Center for Health and Human Rights 2020-06-01
Series:Health and Human Rights
Online Access:https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2020/06/Came.pdf
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author Heather Came
Dominic O’Sullivan
Jacquie Kidd
Timothy McCreanor
author_facet Heather Came
Dominic O’Sullivan
Jacquie Kidd
Timothy McCreanor
author_sort Heather Came
collection DOAJ
description Te Tiriti o Waitangi, a treaty negotiated between Māori (the Indigenous peoples of Aotearoa) and the British Crown, affirmed Māori sovereignty and guaranteed the protection of hauora (health). The Waitangi Tribunal, established in 1975 to investigate alleged breaches of the agreement, released a major report in 2019 (registered as WAI 2575) about breaches of te Tiriti within the health sector in relation to primary care, legislation, and health policy. This article explores the implications of this report for the New Zealand health sector and the decolonial transformation of health systems. The tribunal found that the Crown has systematically contravened obligations under te Tiriti across the health sector. We complement the tribunal’s findings, through critical analysis, to make five substantive recommendations: (1) the adoption of Tiriti-compliant legislation and policy; (2) recognition of extant Māori political authority (tino rangatiratanga); (3) strengthening of accountability mechanisms; (4) investment in Māori health; and (5) embedding equity and anti-racism within the health sector. These recommendations are critical for upholding te Tiriti obligations. We see these requirements as making significant contributions to decolonizing health systems and policy in Aotearoa and thereby contributing to aspirations for health equity as a transformative concept.
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spelling doaj.art-2a4c98bf890a413e84f52d0c899bc8c72022-12-22T03:54:23ZengHarvard FXB Center for Health and Human RightsHealth and Human Rights2150-41132150-41132020-06-01221209220The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health SystemsHeather Came0Dominic O’SullivanJacquie KiddTimothy McCreanorSenior Lecturer at the Faculty of Health and Environment Sciences, Auckland University of Technology, Auckland, New Zealand.Te Tiriti o Waitangi, a treaty negotiated between Māori (the Indigenous peoples of Aotearoa) and the British Crown, affirmed Māori sovereignty and guaranteed the protection of hauora (health). The Waitangi Tribunal, established in 1975 to investigate alleged breaches of the agreement, released a major report in 2019 (registered as WAI 2575) about breaches of te Tiriti within the health sector in relation to primary care, legislation, and health policy. This article explores the implications of this report for the New Zealand health sector and the decolonial transformation of health systems. The tribunal found that the Crown has systematically contravened obligations under te Tiriti across the health sector. We complement the tribunal’s findings, through critical analysis, to make five substantive recommendations: (1) the adoption of Tiriti-compliant legislation and policy; (2) recognition of extant Māori political authority (tino rangatiratanga); (3) strengthening of accountability mechanisms; (4) investment in Māori health; and (5) embedding equity and anti-racism within the health sector. These recommendations are critical for upholding te Tiriti obligations. We see these requirements as making significant contributions to decolonizing health systems and policy in Aotearoa and thereby contributing to aspirations for health equity as a transformative concept.https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2020/06/Came.pdf
spellingShingle Heather Came
Dominic O’Sullivan
Jacquie Kidd
Timothy McCreanor
The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
Health and Human Rights
title The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
title_full The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
title_fullStr The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
title_full_unstemmed The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
title_short The Waitangi Tribunal’s WAI 2575 Report: Implications for Decolonizing Health Systems
title_sort waitangi tribunal s wai 2575 report implications for decolonizing health systems
url https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2469/2020/06/Came.pdf
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