Who are the Knowing? Who are the Known?

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Who are the Knowing? Who are the Known?. Terry Ehau Diabetes NZ Conference 20-22 September 2013. Korero today. The Knowing & The Known Kei te Hea ? (Who am I?) Relationships People Environment Maori Lens Scientific Lens New Knowledge. The Known. The Knowing. Who am I?. - PowerPoint PPT Presentation

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Who are the Knowing? Who are the Known?Terry EhauDiabetes NZ Conference20-22 September 2013Korero todayThe Knowing & The KnownKei te Hea? (Who am I?)RelationshipsPeopleEnvironmentMaori LensScientific LensNew Knowledge

The Known

The Knowing

Who am I?My mountain is HikurangiMy river is WaiapuMy tribe is Ngati PorouMy subtribes are Uepohatu and Te Umu ArikiMy marae is MangahaneaMy whare tupuna is HinetaporaMy dad is Tangi Haere Ehau (Full Maori)My mum is Nell Elizabeth Ehau - nee Beattie (Full Pakeha)Born Waipiro Bay 26 April 1955 Danny & Khan are my sonsKoda & Vance are my mokopunaCentre of my universe is Kathy Grace

Who am I?1 of 8 siblings1 Bedroom housePowerTarsealOrchardsGardenPuhaWatercressPigsCow - TripeRadio / WirelessTelevisionHealthPopulation 99%+ Maori

EducationFormalManutahi Maori SchoolNgata Memorial CollegeRutherford High SchoolAuckland College of EducationUniversity of AucklandTe Whare Wananga o AwanuiarangiInformalWhanau knowledgeCommunity knowledgeMaraeHuiFarmKnowledge GroupsMedia

Who am I?HealthPublicPre primary school Personal6 foot tall and bullet proofType 2 Diabetes MellitusSecondaryBroken cheek boneStomachGall bladderCVD (4 stents)Research & EvaluationNgati & Healthy Diabetes PreventionPouwhenua ClinicsNational HEHA Strategy

Work HistoryConstructionBuilders LabourerDemolition ExponentCivil engineeringConcrete layerCivil Engineering CompanyHealthPractitioner Social WorkerLeadershipOperational ManagementGovernance

AuWhakawhanaungatangaAwhiowhio FrameworkWhanaungatangaWhanaungaWhanauEhau T . Adapted from the teachings of Huata P (1996) Te Ao HurihuriTe Ao HurihuriTe Ao HurihuriTe Ao HurihuriContinuity

Storytelling as an effective way of engagement and knowledge sharing

knowledge transmission

Knowledge receipt

Knowledge internalisation

Connectivity

CulturalSpatialFeeling close where ever you areTemporalDifferent time zonesTechnicalRobust and highly reliableGeo physicalMeaningful physical visitsGroupTrust, mutual accountability, loyaltyOrganisationalAlligned values and resources

CultureTikanga, Ritenga, Matauranga MaoriChangeContinue with the sameOr take some innovative approaches

8

Te Pae MahutongaMauri OraTe Ao MaoriWaioraEnvironmental HealthToioraParticipation in SocietyTe OrangaHealthy LifestylesNga ManukuraLeadershipMana WhakahaereAutonomyAdapted from Durie 2003Te Pae Mahutonga (TPM) utilizes the symbolism of a celestial body commonly referred to as the Southern Cross. Long used as a navigational aid Associated with the discovery of Aotearoa and then New Zealand. Four central stars arranged in the form of a cross, Two stars known as the two pointers.Icon of New ZealandTPM has served as a guide for successive generationsUsed as a symbolic map for bringing together the foundations of public healthNot only as they apply to Mori, but as they might also apply to other New Zealanders. The four central stars represent the four key foundations conceptualised as:Mauri ora - access to te ao Mori; Waiora - environmental protection; Toiora - healthy lifestyles; and Te Oranga - participation in society.Two pointers symbolise the two key capacities which are needed to make progress: Ng Manukura - effective leadership, and Mana Whakahaere - autonomy, Public Health Association Of New Zealand Conference 2003 Turangawaewae, Ngaruawahia 9

AuWhakawhanaungatangaAwhiowhio FrameworkWhanaungatangaWhanaungaWhanauEhau T . Adapted from the teachings of Huata P (1996) & Durie (2004) Te Ao HurihuriTe Ao HurihuriTe Ao HurihuriTe Ao HurihuriTe Pae Mahutonga (TPM) utilizes the symbolism of a celestial body commonly referred to as the Southern Cross. Long used as a navigational aid Associated with the discovery of Aotearoa and then New Zealand. Four central stars arranged in the form of a cross, Two stars known as the two pointers.Icon of New ZealandTPM has served as a guide for successive generationsUsed as a symbolic map for bringing together the foundations of public healthNot only as they apply to Mori, but as they might also apply to other New Zealanders. The four central stars represent the four key foundations conceptualised as:Mauri ora - access to te ao Mori; Waiora - environmental protection; Toiora - healthy lifestyles; and Te Oranga - participation in society.Two pointers symbolise the two key capacities which are needed to make progress: Ng Manukura - effective leadership, and Mana Whakahaere - autonomy, Durie M (2003) Public Health Association Of New Zealand Conference Turangawaewae, Ngaruawahia 10Maori LensKaupapa Maori Theory is about the idea of struggle; the need to create space in which we wish to develop our thinking that relates to Maori elements and has its own validityLeadership is the ability To reconcile those differences while recognising that we exist within three realms; Te Ao Maori (as Maori), Aotearoa (as New Zealanders) and Te Ao Whanui (as Global Citizens).To occupy and own the space between Matauranga Maori (Maori knowledge) and other pools of knowledge is essential To recognise Maori have a way of looking at health which is markedly different from looking at disease.

Scientific LensClinicalNursesDoctorsNutritionistDietitiansPhlebotomistPhysical Exercise Clinician

ResearchEndocrinologistInvestigatorsPostdoctoral FellowsCommunity InvestigatorsManagement

Indigenous Ideology and KnowledgeScientific Ideology and KnowledgeIndigenous Scientific InterfaceAdapted from Durie, (2004 p.9)New KnowledgeC-lutionsChallenge

Community

Conversations

Continuity

Connectivity

CultureConcientisation

Conflict / Change

Champions

Competency

Credibility

Challenge came from the communityOur people are having their legs chopped off - What are we going to do about this?CommunityWent out into the community to discuss issues with whanau, what why howContinuity

Connectivity

CultureControl group

Conflict

Change

ChampionsNPH, University of Otago, Edgar National Centre for diabetes research, Ministry of Health, District Health BoardCompetency

Credibility / CollaborationRelationship between NPH, University of Otago, Edgar National Centre for diabetes research, Ministry of Health, District Health Board

16Te Roopu Mate HukaDNZTertiary InstitutesFunding OpportunitiesCommunityWhanau, Hapu, IwiIIDA