Pacific and Pasifika Theses

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/4764

The theses listed in this collection were all completed at Massey University in a range of different departments and institutes. They have been included in this collection if the topic is strongly related to Pasifika/the Pacific.

Browse

Filters

2002 - 200912010 - 20161

Settings

Subject: search.filters.subject.Health services accessibility

Search Results

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    The health seeking behaviours of ageing Niuean women in Central Auckland : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University
    (Massey University, 2002) Arapai, Doreen Minnie
    This qualitative study encompasses several features in its design. It is exploratory, emergent and the realms of discovery and description are informed by Max van Manen's (1990) human science approach. Van Manen's approach has enabled analysis of the data. Human science is comprised of phenomenology, hermeneutics and language and when coupled with the data collection method of focus groups makes for interesting outcomes. Time is needed to develop the narrative texts as phenomenological interpretation is never complete. There will always be levels of understanding waiting to be discovered. As a New Zealand bom Niuean woman, I have provided a preliminary account of the health seeking behaviours of ageing Niuean women (Matua fifine) in Auckland. The context of health seeking behaviour cannot be realized until there is an understanding of the participant's perceptions of health and illness. Understanding peoples perceptions of health and illness may give insights into the reasons for the decisions that the Matua fifine make when choosing to engage or not engage primary and or secondary health services. This also includes traditional medicine and complementary therapies. The assumption is that people make a direct move to seek a healthcare provider when well and unwell. What is not appreciated are the choices that are also available such as self management or a wait and see approach. Equally important is the role of spirituality, which encompasses Christian beliefs and traditional beliefs. Background information of history and the Niuean way of life, sets the context for this study. Consultation within the Niuean community is an ethical consideration that has paved the way for support for this study. This study will enable the voice of the Matua fifine Niue to be heard so that health services will be able to respond to and preserve their dignity and individuality which are foundational for good health and positive ageing.
  • Thumbnail Image
    Item
    Building community resilience in mine impacted communities : a study on delivery of health services in Papua New Guinea : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Development Studies at Massey University, Palmerston North, New Zealand
    (Massey University, 2016) Kuir-Ayius, Dora Dau
    The purpose of this study was to explore the building of Community Resilience in mine-impacted communities in Papua New Guinea (PNG). The study aimed to establish the general relationship between community resilience, community capitals and the delivery of health services. It investigated the delivery of health services in three mining communities in PNG to see how these services contribute to or detract from the building of resilience. The study investigated relevant models of community resilience from the literature, and how the way policy functions in PNG can be related to these models. The study also developed a way of quantifying the impact of mining on health service delivery (through the use of community capitals) and the building of resilience in these communities. Furthermore, the thesis develops an indigenous, Melanesian-centric ‘Bilum Framework’ approach to resilience to create greater understanding of how resilience in the mining communities can be strengthened through improved access to health services. Three mining communities were selected as case studies, each representing a different stage of mining: (i) the beginning; (ii) the operational; and, (iii) post-mine closure. A mixed method approach comprising both quantitative and qualitative methods was used to collect data for this study. A survey questionnaire was designed to collect views of community members who accessed health services in their respective communities. Results from the survey questionnaire were converted to proxy indicators and led to the development of a Community Resilience Index (CRI) to provide a measure of resilience in each community. The qualitative research methods included document analysis, semi-structured interviews, and purposive observations. Document analysis was important in reviewing relevant policy documents and other literature to link theories to the experiences of the people while the latter methods contributed to describing people’s encounters in accessing health services. Analysis showed inconsistencies in the levels of resilience in these communities that varied with the stages of mining: both the beginning and post- mine closure stages demonstrated significantly lower levels of community resilience than the operational phase. Findings from the research indicated a lack of access to health services – a key influence in building resilience – is the result a range of factors including insufficient finances, weak sector governance, and the need for infrastructure and transport. The Bilum Framework is proposed as an approach that allows decision-makers to target assistance to strengthen and support specific community capitals and hence more effectively build community resilience in the mining communities in PNG.