Teaching but Not Preaching: Delivering Compulsory Ma-ori Public Health Content in an Undergraduate Health Science Degree

Abstract

Increasingly recognized as an educational domain in its own right, Ma-ori health is a central focus of medical and health sciences curricula in Aotearoa/New Zealand. As part of the Bachelor of Health Sciences offered at the University of Canterbury, Ma-ori health content is taught in a compulsory introductory course “Ma-ori Health Issues & Opportunities” (HLTH 106), positioned at the interface of Ma-ori health and public health. The course follows a trajectory through Ma-ori history, the Treaty of Waitangi, colonization, and the emergence of inequities, ending with structural and Ma-ori-led approaches for redress. Much of the content challenges prevailing public discourses relating to Aotearoa/New Zealand’s settlement and status as an egalitarian society, the basis of many students’ preconceptions. A social determinants of health frame has supported the navigation of this “tricky” terrain, and the construction of evidence-based counternarratives. Iterative curriculum development demonstrated the value of taking account not only of learner needs but also the characteristics of public health that may hinder learning.