Treaty of Waitangi in New Zealand public health strategies and plans 2006-2016

N Z Med J. 2018 Feb 2;131(1469):32-37.

Abstract

Aim: This study examines how public health policy in New Zealand has represented the Treaty of Waitangi (the English version) and te Tiriti o Waitangi (the Māori text) between 2006 to 2016.

Method: A dataset of 49 public health strategies and plans, published between 2006 and 2016, were secured from the New Zealand Ministry of Health database. A thematic analysis using Braun and Clarke's process was undertaken and then the findings were reviewed against the Māori text of te Tiriti.

Results: Twelve documents referred to either te Tiriti or the Treaty. Crown discourses were characterised as i) rhetorical, ii aspirational, iii) practical and/or iv) substantive. We present a matrix of Crown health strategy and plan discourses and analyse their relationship to te Tiriti.

Discussion: Public health strategies and plans rarely address Treaty of Waitangi or te Tiriti o Waitangi obligations. This silence is inconsistent with legislative requirements to engage with the Treaty and health equity and is likely to inform health-related Waitangi Tribunal claims [WAI 2575]. Further work needs to be done to strengthen alignment of health policy to fulfil Crown obligations under te Tiriti.

MeSH terms

  • Health Equity
  • Health Policy*
  • Health Services, Indigenous* / legislation & jurisprudence
  • Health Services, Indigenous* / organization & administration
  • Humans
  • International Cooperation*
  • Native Hawaiian or Other Pacific Islander
  • New Zealand
  • Public Health / legislation & jurisprudence*