Browsing by Author "Reweti A"

Now showing 1 - 4 of 4
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    Missed Opportunities for Addressing Maternal Mental Health: A Thematic Analysis of Mothers' Experiences of Using the Well Child Tamariki Ora Service in Aotearoa NZ
    (Hindawi collaboration with John Wiley & Sons, Inc., 2024-03-23) Clapham B; Breheny M; Reweti A; Severinsen C; Ware F; Aydin M
    Maternal mental health plays a vital role in the overall wellbeing of mothers, children, families, whānau (core support network) and communities. However, many mothers face mental health challenges during the transition to parenthood. In this study, we used an online story-sharing platform to collect the experiences of mothers who have faced unmet needs while using the Well Child Tamariki Ora (WCTO) service in Aotearoa New Zealand. From the 420 submitted stories, 125 stories related to mental health need while using the WCTO service. Using thematic analysis, we identified three main themes that highlighted the experiences of mothers with the service. This includes (1) making it seem that I'm coping: Mothers' fear of being judged; (2) i wish I had connected with my WCTO nurse: Fostering meaningful relationships to facilitate personal information sharing; and (3) beyond the baby: Mothers desire for recognition and support during WCTO visits. These findings point to several missed opportunities for WCTO providers to inquire about mental health and offer support needed by mothers. To address this, a relational approach to care would prioritise families and whānau as the focus of care rather than just monitoring the development of babies.
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    Promoting health through waka ama
    (Global Journal of Community Psychology Practice, ) Severinsen C; Reweti A
    Cultural identity and participation in society are acknowledged as key determinants of health. This research aims to identify successful measures to improve health and reduce inequities through a focus on waka ama (outrigger canoe). Waka ama is the fastest growing sport in Aotearoa New Zealand, and is increasingly used as a vehicle for health promotion. The research is informed by a kaupapa M?ori framework, utilising narratives to explore paddlers’ experience in being involved in waka ama. Waka ama is unique as a sport because, as well as the physical benefits for paddlers, it also has a strong foundation in indigenous knowledge and practice. The research findings are presented in the form of a short professionally-produced documentary. The short film showcases waka ama and its contribution to the health of paddlers. It presents the local initiative, providing an exemplar of best practice and practical health promotion solutions to inform wider communities. The film features interviews with paddlers, and footage of waka ama action.
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    Understanding how whānau-centred initiatives can improve Māori health in Aotearoa New Zealand.
    (Oxford University Press, 2023-07-13) Reweti A
    This article highlights the significance of prioritizing Indigenous voices and knowledge systems, using whānau-centred initiatives (a concept that encompasses the broader family and community) as a foundation for health promotion within an Indigenous context. Tū Kahikatea, a conceptual framework, is used to demonstrate the relationship between the values underpinning different whānau-centred initiatives and their corresponding outcomes. The framework highlights the capacity of whānau-centred initiatives to support whānau in attaining mana motuhake, which represents collective self-determination and the ability to exercise control over their own future. By doing so, these initiatives contribute to the improvement of whānau health outcomes. With recent changes to Aotearoa New Zealand's health system, the findings underscore the benefits and potential of whānau-centred initiatives in enhancing whānau health outcomes, and advocate for continued strengths-based practices in Aotearoa New Zealand's health system. By bridging the gap between academia and grassroots community action, the article demonstrates the potential of whānau-centred initiatives and contributes to a global call for integrating Indigenous viewpoints and practices into Westernized healthcare, in order to improve Indigenous health outcomes.
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    Waka ama: An exemplar of indigenous health promotion in Aotearoa New Zealand
    (John Wiley and Sons Australia, Ltd on behalf of the Australian Health Promotion Association, 2022-10) Reweti A; Severinsen C; Smith J
    ISSUE ADDRESSED: The use of old-style, top-down health education and awareness programmes in Aotearoa New Zealand, which adopt a single issue-based approach to health promotion, primarily ignores a broad approach to social determinants of health, as well as indigenous Māori understandings of wellbeing. METHODS: This paper draws on the indigenous framework Te Pae Māhutonga as a guide for presenting narratives collated from members of a waka ama rōpū (group) who were interviewed about the social, cultural and health benefits of waka ama. RESULTS: This waka ama case study is an exemplar of community-led health promotion within an indigenous context, where Māori values and practices, such as whanaungatanga (the process of forming and maintaining relationships), manaakitanga (generosity and caring for others) and kaitiakitanga (guardianship), are foundational. The findings highlight the multiple benefits of engagement in waka ama and illustrate effective techniques for enhancing wellbeing within local communities. CONCLUSION: At a time when Aotearoa New Zealand is seeing a decreasing trend in physical activity levels and an increase in mental health challenges, waka ama provides us with an exemplar of ways to increase health and wellbeing within our communities. SO WHAT?: The findings of this research contribute to the evidence base of effective indigenous health promotion, bridging the gap between academia and local community action. To better recognise, comprehend and improve indigenous health and wellbeing, we argue that active participation of people in the community is required to achieve long-term and revolutionary change.