School of People Environment and Planning
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Item “Broken” pathways : understanding the licensing experiences of overseas-trained medical doctors in Aotearoa New Zealand : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Development Studies at Massey University, Palmerston North, Aotearoa New Zealand(Massey University, 2024) Thomas-Maude, JohannaMore than 40% of registered medical doctors in Aotearoa New Zealand received their primary medical qualifications overseas. Within this landscape, the pathways that international medical graduates (IMGs) must follow to achieve professional licensing depend on their background. This research explores IMG experiences of these processes using a capabilities approach to mobility justice, finding that although pathways to registration exist on paper, many are broken, unpredictable, and often unattainable in practice. General registration is available to doctors who completed their primary qualifications, or have worked for a minimum time period, in 24 high-income, Global North countries known as Comparable Health Systems (CHS). Other IMGs must apply for registration by taking a medical knowledge examination from the United Kingdom (U.K.), Australia, Canada, or the United States of America (U.S.A.), demonstrating English language competency, and taking the New Zealand Registration Examination (NZREX), which evaluates context-specific clinical skills. While completing these steps is time-consuming and costly, IMGs on the NZREX pathway are also required to complete two years of supervised work in local hospitals. First year positions, known as Postgraduate Year One (PGY1), are limited and prioritised for New Zealand medical graduates (NZMGs). As a result, a bottleneck has delayed or prevented many of these IMGs, typically originating from Global South countries, from finding PGY1 employment. This research addresses a knowledge gap by exploring the relationship between IMG experiences, professional outcomes, and their designated pathway to registration. An exploratory sequential mixed methods research design was employed, consisting of semi-structured interviews of IMGs (n = 24) and local experts (n = 9), an online questionnaire of IMGs (N = 80), and a document analysis of historical policies, grey literature, and media reports (N = 370), across three phases. The project was framed by a capabilities approach to mobility justice that evolved alongside the research design, data collection, and analysis. This theoretical approach considers what IMGs in Aotearoa New Zealand are able to “be” and “do” as migrant professionals, through four key components known as the 4Ps. The 4Ps comprise professional mobilities and capabilities, (inter)personal mobilities and capabilities, mobilities and capabilities in practice, and mobilities and capabilities power regimes. Combining empirical data with this theoretical lens highlights how medical registration pathways and policies contribute to uneven mobilities and capabilities among IMGs in Aotearoa New Zealand. Injustices are produced through misrecognition and the arbitrary exclusion of individuals who did not train in CHS countries. Such arbitrary exclusions, in turn, produce brain waste, whereby some IMGs already residing in Aotearoa New Zealand were unable to work as doctors, or experienced significant delays in registration, even during the COVID-19 pandemic. This situation is detrimental not only to these IMGs, but also to the chronically under-resourced local medical workforce and, consequently, the broader population in need of healthcare. Furthermore, colonial vestiges can be seen to have contributed to a recurring cycle of policy changes, which have culminated in contemporary licensing policies strongly resembling those from 1905. To create more just pathways for registration for IMGs in Aotearoa New Zealand, this (post)colonial cycle needs to be examined, evaluated, and broken, paving the way for more equitable medical regulation.Item Para Kore : an alternative voice for a zero waste world : a research project presented to Massey University in partial fulfilment of the requirements for the degree of Master of International Development, College of Humanities and Social Sciences, Institute of Development Studies, Massey University, Manawatu, New Zealand(Massey University, 2019) Banfield, JaneIssues of solid waste pollution are viewed as a serious threat to the global Sustainable Development Goals. Waste minimisation in New Zealand centres around a loose government policy framework underpinned by a neoliberal belief in market-driven solutions from the business sector. The traditional ‘waste hierarchy’ model (Reduce-Reuse-Recycle-Recover) remains at the core of legislation, while the more recently developed ‘Circular Economy’ model is increasingly viewed by both state and business sector as offering new hope. However, strategies for waste minimisation in New Zealand are still failing to reduce waste, as exemplified by the annual growth in waste-to-landfill rates. Given the failures mentioned above, this research looked to investigate the merits of an alternative indigenous approach to waste minimisation based upon a different epistemology. Framed by a hope-filled post-development outlook, an in-depth critique of current literature regarding mainstream waste minimisation strategies was undertaken alongside a qualitative case study with Para Kore Marae Inc., a Māori not-for-profit organisation active in 12 regions of New Zealand. The study revealed there are contradictions within mainstream waste minimisation strategies. Resolution of waste issues is constrained by political adherence to neoliberal economic theory which promotes continuous growth in production and consumption. A dominant metanarrative around waste has developed allowing the collective impact of factors incompatible with waste eradication to remain unacknowledged and unaddressed by state actors. The Para Kore model contrasts significantly with technocentric state-led approaches. Para Kore Marae Inc. views solid waste issues through the spiritual lens of kaitiakitanga, the relationship and consequent responsibility of each person to the natural world. For participants adopting a Para Kore approach, intrinsic motivation developed to align waste reduction behaviours with personal values and cultural principles. In addition to reducing waste-to-landfill, the Para Kore approach resulted in holistic improvements to individual and community wellbeing. Cost and time constraints to waste reduction were not found to be an issue. The most significant challenge to the model was ‘burnout’ experienced by the ‘champion’ facilitators. The Para Kore approach is identified as reflecting the emergent post-neoliberal political framework, the ‘Politics of Belonging’. It is concluded that Para Kore’s approach has significant value not only in engendering waste reduction behaviours within organisations and households but also in reinvigorating individual and community wellbeing.Item Values-based evaluative management : an integrated and adaptive approach to enhance inclusion, development effectiveness, governance, and sustainability : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Development Studies at Massey University, Palmerston North, New Zealand(Massey University, 2021) Averill, CatherineSustainable development, an articulated goal of development practice in the 21st century (United Nations Development Programme, 2015a) now needs to be inclusive, based on multi-level systems of accountability, and have robust governance. This thesis proposes alternative evaluative management values and principles for inclusive sustainable development that are values-based, integrated, and adaptive. It suggests the way such values and high-level principles could underpin and reposition development, management, and evaluation approaches. An initial idea behind this research was that there needed to be a better way to connect strategic evaluative approaches within management and potentially the new sustainable development goals in international and national development. The impacts and significance of changes for both the broader development context and governance systems of country-level development, and the management and evaluation practices, were examined in the context of countries and donors in two Pacific settings: Papua New Guinea and Aotearoa/New Zealand. To achieve the sustainable development goals, current management theory and practices needs to be reconsidered. This research pointed to the emergence of evaluative management as an identifiable theoretical and instrumental discourse and knowledge frame repositioning and integrating existing management discourses underpinned by values and principles relating to strategic planning, performance management and governance. This thesis proposes that a new model of integrated management – called, in this context, evaluative management that is premised on three values (inclusion, partnership and participation) and three high-level principles (relationality, contextual sensitivity and adaptive response), is needed to underpin such considerations. The potential of evaluative management can only be realised if it is enacted through values and principles that are well communicated and widely understood. This may include effective interaction and communication between different levels of governments, agencies, sectors, regions and communities including non-governmental organisations, private sector, and development partners. This new model of integrated management would also provide the capacity to address inclusion, governance, accountability, and sustainable development with more effective strategic evaluative practices.Item (De)constructing 'refugeeness' : exploring mediated discourses of solidarity, welcome and refugee (self)representation in New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Development Studies at Massey University, Manawatū, New Zealand(Massey University, 2019) Slade, Natalie FrancesThe tragic photo of Alan Kurdi ignited protests of solidarity and compassion across the Western world in support of refugees. In New Zealand, refugee advocates and media commentators urged the government to increase the refugee quota and welcome in more refugees. Although discourses of solidarity and welcome stem from humanitarian concern, they also risk encouraging a regime of compassion and charity that speaks more about ourselves and how we feel. Refugees are framed as objects of ‘our’ moral responsibility, stereotyped as helpless vulnerable victims without agency. These discourses consequently produce a generic type of refugee – an imagining of ‘refugeeness’ – that consigns individuals to an anonymous presence, silenced and marginalised by the very act of solidarity and protest that is performed on their behalf. Situated within a post-development and post-humanitarianism paradigm, and an actor-oriented approach to discourse and agency, this research aims to explore refugee representation and discourses of solidarity and welcome in the New Zealand mainstream media, and how people from refugee backgrounds experience and contest dominant discourses of ‘refugeeness’. Using critical discourse analysis, this research critically examines the discursive constructions of refugees and solidarity in the New Zealand mainstream news media, and the power dynamics involved in the production of discourse. Semi-structured, in-depth interviews with refugee advocates and former refugees are employed to create spaces for participants to share their stories and experiences, enabling voices to be heard, misconceptions to be challenged, and new meanings to be constructed. The emergence of themes in this research highlight the relationship between discourses of solidarity, humanitarianism, and imaginings of New Zealand national identity. Within these discourses, refugees are stereotyped in a particular way that calls on the New Zealand public to respond. However, as the title of this thesis suggest, meaning is not infinitely fixed. Refugees may be labelled by discursive structures, but they will also use their agency to deconstruct and redefine the refugee label for their own ends, creating space for the construction of their own identities in the process.Item Refugee resettlement and ways forward : a dissertation submitted for the degree of Master of Philosophy in Development Studies at Massey University, Palmerston North, New Zealand(Massey University, 2004) Ibrahim, Hassan HajiNew Zealand has hosted refugees since World War II and is currently one of only ten countries in the world with a refugee resettlement programme, yet little is known about the experiences and unique needs of new refugees who are culturally, racially and ethnically extremely different from New Zealand mainstream society. The focus of this research is to provide an overview of the experiences the Afghan and Somali refugees have undergone prior to resettlement in New Zealand and the hindrances to realising their dreams in New Zealand as their country of resettlement. The structure and aims of the research were guided by Alternative Development theory which focuses on eliminating injustice being done to a particular group on the basis of their race, colour, religion or gender and addressing the priority needs of people to achieve sustainable society. To achieve the research objectives, the research has applied participatory methods (individual in-depth interviews, focus groups with interactive activities and discussion and document review). The research findings indicate that resettlement is a continuum process in which the new refugees are making effort to move away from situation of under-development to a favourable situation of development worthy of decent human life. The research findings also suggest that refugee resettlement, having links with Alternative Development and Human Rights, goes beyond meeting physical needs of refugees. It also covers the restoration and sustainability of people's capabilities. Finally, the research presents practical ways to empower refugees and foster opportunities to develop their own livelihoods and integrate with structures and systems of New Zealand society.Item New Zealand's energy policy from the world system perspective : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Development Studies at Massey University(Massey University, 1994) Debahasatin, JuthaThe World-System Theory of Immanuel Wallerstein is a grand-scale theory that is useful as a framework to understand how New Zealand's path of development has been affected by the country's energy policy. The theory is appropriate in application to energy issues because its macro-level of analysis puts emphasis on both exogenous and endogenous factors. Its special emphasis on historical background and context also adds to an understanding of the New Zealand position. The World-System perspective offers three major concepts directly applicable to the case of New Zealand energy policy, namely, the interplay between politics and economics with a particular interest in the role of multinational corporations (MNCs) and the state, the notion of semiperiphery, and the cyclical nature of the world economy. During the period of the 1970s economic downturn marked by two oil crises, New Zealand as well as most other countries and the MNCs suffered a severe setback. However, while most core states, as well as some successful non-core states and the oil majors, could react appropriately to the crises and retain their potential for growth, the semiperipheral New Zealand could not. The country possessed few options because of her intermediate level of industrialisation and less competent state apparatus compared to the MNCs involved. Lacking the intention to promote local industrial capitalists, the New Zealand state chose wrong strategies, first Think Big and then disinvestment, which together have undermined the bargaining position of local entrepreneurs, over-committed the national hydrocarbon resource and disproportionately promoted the interest of the foreign oil corporations. The overall outcome of the energy policy is therefore detrimental to the country's development.Item Impact management and social performance in the petrochemical industry in Taranaki : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Development Studies at Massey University(Massey University, 2000) Whyte, MandyThis thesis addresses the practices of the petrochemical industry, in particular exploration and production companies (E& P), in interacting with operations-affected community stakeholders. It does so by reviewing the range of methodologies common to the industry, and by surveying companies active in the Taranaki region of New Zealand. It seeks to answer the question: how can exploration companies minimise their social impacts and conflict with operations-affected communities, and the associated costs, in a mutually acceptable and sustainable way? The thesis challenges the practice of addressing community concerns with, what the author has identified as, a public relations approach, the primary and underlying purpose of which is, it is argued, to further the economic interests of business. It maintains that practices arising from a public relations approach are both socially inappropriate and commercially ineffective when applied to communities who are negatively affected by companies with which they are obliged to share the same social and physical environment. Instead the thesis supports a community development approach to interactions between the petrochemical industry and community stakeholders. This approach emanates from a philosophical framework that espouses human rights and the integration of social, environmental and economic development as an enduring function of commercial enterprise. It is posited that effective management of the dynamics of opposing interests will not be achieved through companies deploying 'nice people' to negotiate with disaffected, disparate and disempowered groups, but through the use of qualified social practitioners and the community development tools of social assessment, participation and empowerment to create mutuality beneficial outcomes.Item Aspects of the ecology of feral goats (Capra hircus L.) in the Mahoenui giant weta reserve : a thesis presented in partial fulfilment of the requirements for the degree of Master of Science in Ecology at Massey University(Massey University, 1993) Stronge, Dean CharlesA field study of feral goats (Capra hircus) was carried out in the Mahoenui giant weta reserve, southern King Country, New Zealand, from March 1992 to February 1993. The reserve supports the main population of the undescribed Mahoenui giant weta (Deinacrida sp.). The dominant woody browse plant in the reserve, gorse (Ulex europaeus), provides protection, shelter and food for weta. The study aimed to provide information on aspects of the ecology of feral goats to better understand their role in the reserve, and to assess any possible effects on weta survival. The activities, foraging behaviour and broad diet of feral goats within the reserve were studied by means of direct observation and autopsies. Gorse was adequate for goat growth only during late spring/summer, and became a maintenance feed at other times of the year. Goat browsing has probably slowed down the rate of succession from gorse to native forest cover but not prevented it. Successional changes may be detrimental to weta survival. Ranges of male and female herds overlapped at all times of the year and animals from several ranges occupied common bedding sites during the year. Feeding (grazing and browsing) was the dominant activity of adult feral goats in the reserve. Females spent more time feeding than males. Grazing and browsing changed seasonally for both sexes, with grazing generally decreasing from autumn to summer, and browsing increasing from summer to spring. In every season females spent more time grazing than males, but males browsed more than females. Greater use of browse by the bucks may be an affect of the presence of the does. Overall goats appear to have little direct influence on weta. A possible reduction in the rate of successional change is probably the most important effect of goats in the reserve. However, in the absence of direct manipulation of the gorse, goats can not prevent succession from occurring. Monitoring systems for the feral goat population and the vegetation community structure are recommended.Item New Zealand church initiatives for international development : a taxonomy and assessment framework : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in International Development at Massey University, Palmerston North, New Zealand(Massey University, 2016) Hart, ClaireIndividuals, groups and organisations are increasingly feeling compelled to take action and become personally involved in the field of development cooperation in an attempt to alleviate poverty and improve the lives of the poor. One such do-it-yourself phenomenon that has been observed in New Zealand involves the Christian church. A grey area has emerged where development activities are now carried out by churches which are amateurs in the field. These initiatives are run by pastors and congregation members acting on the teachings of the Christian faith but with little understanding of the complexities of poverty or development. The altruistic and often selfless intentions of those involved in such initiatives are commendable. But are these do-it-yourself solutions to complex issues of poverty and development really achieving what they say they are? If these initiatives were tested to determine their level of effectiveness, what would the results be? Motivated by these observations and questions, this thesis seeks to explore this emerging phenomenon. It asks, what does it look like? How might it be defined? Is it effective? This thesis calls the phenomenon Church Initiatives for International Development (“CIID”). It argues that CIID is conducted by new development actors and situates CIID in relation to current trends within the industry: the emergence of a fourth channel of development cooperation and the role of religion in development. CIID is compared to current actors in international development, specifically citizen-led initiatives and faith-based initiatives to demonstrate its similarities and differences. A taxonomy outlining the different types of CIID is presented which provides insight into the range of forms that CIID takes. The research also explores how the effectiveness of CIID might be understood. To achieve this, an assessment framework consisting of eight criteria was created drawing upon mainstream and alternative approaches to effectiveness. This framework was then tested through in-depth interviews with six CIID case studies from donor churches in New Zealand. By analysing information from the in-depth interviews with donor churches, the study concludes that CIID is more effective across the criteria of local ownership & participation, collaboration, relationship and partnership, and less effective in the areas of accountability, measuring success, holistic well-being and attitudes and knowledge. The research also reveals that CIID is typically more effective when a development organisation is involved in a partnership with a church that is implementing CIID. The findings on the emerging field of CIID that this thesis presents contribute further insight into the nature of do-it-yourself development initiatives in the fourth channel and the role that NZ churches are playing in international development.Item Rural communities : expressions of 'community' in context : narratives from the Lower Mataura Valley in Southland : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Development Studies at Massey University(Massey University, 2001) Howden, Shirley IsobelFocusing on the notion of 'community', this study utilises a qualitative research approach to analyse the changing nature of rural communities, as expressed by residents in the Lower Mataura Valley, in Southland, New Zealand. This study examines the changes in agriculture as a manifestation of recent economic and social restructuring in Western society, and explores the implications for a specific place-based community, by focusing on the ways in which local residents construct their ideas about this 'community'. The literature review examines past theories and draws from broader social theories to account for the complexity of the term. Likewise, the wider contexts in which the Lower Mataura Valley is influenced by, and exists within, were considered through exploring the socio-economic and environmental conditions occurring at various spatial levels: from local to global. Data collection utilized qualitative methods appropriate for a researcher with local knowledge: principally, in-depth interviews and informal conversations, as well as personal observations and secondary data while in the study area. Data analysis draws on a conceptual framework for reading 'community' by focusing on the meanings, practices, spaces and structures that were constructed, and the way that these constructions were interrelated processes which maintained, or challenged the situated meaning of 'community' in relation to the Lower Mataura Valley. Findings show the importance of understanding the place-specific arrangements and interconnections to local, national and global forces of change in accounting for people's reactions to transition. These constructions highlighted that 'community' is as much a negotiated phenomenon in perpetual process, as it is a form of social life indicative of a particular 'community'. These findings would suggest that there is a need to keep an open mind to how specific place-based communities will be materially and culturally expressed in the future.
