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UZVRT815M Health Promotion Question: Alcohol, Marijuana, Cocaine, Heroin, prescription opoids, stimulants, Benzodiazepines, , Tobacco, Cutting, other(internet, sex, gambling shopping and food). Answer: Introduction Addiction is considered to be one of the biggest concerns for the health care problems among the tribes of New Sealand. Most of the Maori women are largely addicted to addictions like tobacco, marijuana, prescription opioids, benzodiazepines and opioids. The general residents of the Maori population are Auckland, Waikato and Wellington.  9.5% of the Maori women, ageing over 15, use to suffer from various healthcare problems due to their addiction. About 19.5% of the Maori women use to consume alcohol, 49.8% are addicted to smoking and around 19.1% of the Maori women are mostly addicted to marijuana.  Moreover, inequality in the healthcare setting is one of the key causes of the increases in healthcare issues among Maori women.  Tobacco and alcohol addiction use to create complication to the Maori women during their pregnancy period. This results in the birth of unhealthy and underweight child. It is notable that around 27.5% of the Maori children are born unhealthy and underweight. This is due to their unscientific cultural norms and lack of physical activities leads them to be addicted to alcohol and smoking addiction. It is notable that 51.4% of the Maori population is women and around 2 lac of the woman are below the age of 25. Thus, the amount of healthcare issues among Maori is bigger than the national standard.  This study will be developed in the context of the various health care issues of women from Maori communities due to their excessive addiction towards alcohol, smoking and consuming marijuana. The risk factors of the health care situation will be analyzed in the context of their cultural norms and rituals. The effectiveness of the healthcare campaign among the Maori community for the development of healthcare services will be considered as the prime concern for this discussion. The comparison between the cultural norms and other minor communities of New Zealand will be analyzed in the study to locate the overall mental health situation of the minor communities of New Zealand.  The concluding part of the study will summaries the whole analysis and will recommend for the effectiveness of the health care programs for the healthcare development of Maori women. Findings And Analysis Evaluation of risks and benefits of addiction Addiction can be identified as the key issues for health care complications for Maori women. The consumption of alcohol, drugs and marihuana would create various healthcare complications. These factors increase the depression rate among Maori women. The increase of depression may the cognitive impairment of Maori women (Denison et al., 2018). The risks and benefits of addiction are as follows: The alcohol, drugs and smoking addiction among Maori women often lead them to poor physical health. The growth of poor physical health ends in mental depression (Filoche et al., 2013).   Alcohol consumption and smoking can create pregnancy complications among Maori women (Elers, 2014). The alcohol and drug consumption can reduce the life expectancy of Maori women. This reasons to death of about 2.8 times more than the non-Maori (Wyeth et al., 2018) Smoking habit can cause cardiovascular problems among Maori women (Tucker, Kivell, Laugesen & Grace, 2016). Alcohol consumption can increase their obesity and increase the problems of liver complication. As per the recent study, 27% of the Maori women are suffering from obesity (Doolan-Noble & Richardson, 2018). The increase in obesity increases the rate of disability by 24%. Addiction relapse healthcare conditions (Canady, 2015). Addiction treatment is cost-effective. A periodical treatment can be beneficial for addiction treatment of Maori women  (Canady, 2015). Training and education will be provided for a healthy lifestyle (Canady, 2015). Harm minimization approaches to community health care can be beneficial to reduce the habit of addiction for Maori women (Canady, 2015). Recommendation for best available preventive measures An arrangement for a healthcare campaign among the Maori communities can be the most suitable recommendation to mitigate the potential risk factors for the healthcare of Maori women (Frueh, 2015). Rehabilitation camps for addiction  must be arranged A free health checkup every week, providing free medicines and advice on healthy lifestyle should be scheduled (Frueh, 2015). High-quality treatment in low cost must be provided The accession of the Maori women towards the healthcare facilities must be granted Culturally responsive health care services must be provided to Maori women Evaluation of barriers to recommendations The key barriers to developing mental healthcare campaigns are as follows The unavailability of the healthcare professionals to join in the healthcare campaigns (Parrish, 2017). The racial discrimination in the healthcare setting in New Zealand (Parrish, 2017). The shortage of financial resources (Parrish, 2017). The gender discrimination in the Maori community. Several taboos are there in the Maori communities for women (Bellamy et al., 2016). The communication gaps. The women of the Maori communities are the key stakeholders in the mental healthcare campaign. Thus, they are needed to be convinced about the effectiveness of the mental healthcare campaigns. This requires effective communication ass most of the women in the Maori community cannot understand English properly (Bellamy et al., 2016). Section 2: Treaty Of Waitangi Evaluation of three principles of the Treaty of Waitangi and its involvement in healthcare campaign The three principles of the Waitangi treaty of New Zealand are as follows Partnership: The Maori communities’ are considered to be the most deprived community in the healthcare setting of New Zealand. Thus, they must be connected properly using an interpreter to develop a healthcare partnership (Xuefei, 2018). Participation: This seeks the participation of Maoris in all the healthcare campaigns at the Maori communities. Moreover, they are offered to participate in the making, planning and decision-making process of various healthcare skims (Xuefei, 2018). This would enable the development of physical and mental healthcare structure at the Maori community. Protection: The protection principles assure the Maori women to avail the same kind of healthcare protection that is availed by the non-Maori communities. This includes valuing the cultural aspects, social practices and ethnicity practices of Maori culture (Xuefei, 2018). Two cultural norms of Maori to prevent the health issue Addiction increases both the physical and mental health of the Maori women. The two cultural activities that can prevent them from addiction are Influencing them to indulge in creating intricate works to show reverence to their community culture. This would make them busy in physical activities that can reduce their habit of addiction  (Matthews, 2016) The Maori women use to consume alcohol, marijuana and smoking to reduce their depression. Alternatively, influencing them to indulge “Waita” (signing song) during their cultural festival to keep them happy and can prevent them from depression (Matthews, 2016). Evaluation of two reasons of discrepancy between the norms for Maori women Two reasons for the discrepancy in the norms of Maoris that cannot protect the women are Lack of education: The people of Maori community do not have adequate healthcare education regarding the social inequalities. The healthcare literacy rate of Maori people is 24% to 26% which is not sufficient to gather adequate healthcare knowledge (Hochberg & Phillips, 2016). Socio-economic position:  The women of Maori community are not from a steady socioeconomic position as more than 66% of the Maori women live under the deprivation level those deciles from 7 to 10. Thus, they are living in the burden of financial inequality that increases their level of depression and they get addicted to smoking and drinking.  (Hochberg & Phillips, 2016). Compare and contrast of cultural norms of Maori women with other minorities The comparison between Maori and non-Maori culture are as follows The life expectancy of the Maori women is 76 while the life expectancy of the non-Maori women is 80yearas. This states the inequality in the distribution of effective healthcare treatment (Obertová, Scott, Brown, Stewart & Lawrenson, 2015) The health disability of the Maori women stays in 7.7 unit to 11.4 units while the disability of the non-Maori women remains in 5.2 units to 7.0 units. This signifies the inability to development of mental health care setting for Maoris (Obertová, Scott, Brown, Stewart & Lawrenson, 2015). The Maori women are not permitted in the war dance. This cultural ritual is considered to be effective for the Maori women to be free from the tension of communal war that ends in depression (Matthews, 2016). Moreover, women have the rights to change songs and performing dance can be an alternative method to reduce their habit of unhealthy addiction.   Section3: Evaluation And Effectiveness Of Healthcare Campaign The trend of healthcare issues among Maori women The trends are as follows 2% of Maori women are affected by chronic healthcare disease due to smoking  (Ruck et al., 2017). 55% of the Maori women have only one healthcare issue, 32.9% has two multiple healthcare issue disorder and 5.6% has three or more multiple health care issues due to excessive depression (Ruck et al., 2017). Three effectiveness of the program to reduce the healthcare barrier Three effectiveness  are The healthcare campaign has succeeded to locate the potential healthcare discrimination for Maoris (Elers, 2014) The program has succeeded to gather adequate information on the reasons for the mental health problems for the women of Maoris (Elers, 2014) The campaign has succeeded in providing free mental health treatment to the Maori women (Elers, 2014). Conclusion  The study is developed to the healthcare issues for the Maori women due to addiction. They use to get inadequate healthcare facilities due to discrimination. Social inequality has also played a key role in the backwardness of the mental and physical health care structure of the Maori women. Various Maori rituals have been described in the study those can be useful to develop the healthcare for the Maori women. Hence, the effectiveness of the healthcare programs lies in the equal treatment, indiscriminate healthcare structure, rehabilitation and progression in the mental healthcare situation. Reference List Bellamy, C., H. Flanagan, E., Costa, M., O’Connell-Bonarrigo, M., Tana Le, T., & Guy, K. et al. (2016). Barriers and Facilitators of Healthcare for People with Mental Illness: Why Integrated Patient-Centered Healthcare Is Necessary. Issues In Mental Health Nursing, 37(6), 421-428. doi: 10.3109/01612840.2016.1162882 Canady, V. (2015). Low-income children with MH disorders not receiving federal benefits. Mental Health Weekly, 25(38), 1-3. doi: 10.1002/mhw.30351 Denison, H., Eng, A., Barnes, L., Cheng, S., ’t Mannetje, A., & Haddock, K. et al. (2018). Inequities in exposure to occupational risk factors between M?ori and non-M?ori workers in Aotearoa New Zealand. Journal Of Epidemiology And Community Health, 72(9), 809-816. doi: 10.1136/jech-2018-210438 Doolan-Noble, F., & Richardson, G. (2018). Establishing a rural research network to promote capacity and capability within rural communities in New Zealand. International Journal Of Integrated Care, 18(s1), 30. doi: 10.5334/ijic.s1030 Elers, S. (2014). Maori Are Scum, Stupid, Lazy: Maori According to Google. Te Kaharoa, 7(1). doi: 10.24135/tekaharoa.v7i1.45 Filoche, S., Garrett, S., Stanley, J., Rose, S., Robson, B., Elley, C., & Lawton, B. (2013). W?hine hauora: linking local hospital and national health information datasets to explore maternal risk factors and obstetric outcomes of New Zealand M?ori and non-M?ori women in relation to infant respiratory admissions and timely immunisations. BMC Pregnancy And Childbirth, 13(1). doi: 10.1186/1471-2393-13-145 Frueh, B. (2015). Solving Mental Healthcare Access Problems in the Twenty-first Century. Australian Psychologist, 50(4), 304-306. doi: 10.1111/ap.12140 Hochberg, R., & Phillips, P. (2016). Discrepancy One among Homogeneous Arithmetic Progressions. Graphs And Combinatorics, 32(6), 2443-2460. doi: 10.1007/s00373-016-1734-7 Matthews, N. (2016). M?ori cultural citizenship education. Set: Research Information For Teachers, (3), 10-14. doi: 10.18296/set.0051 Obertová, Z., Scott, N., Brown, C., Stewart, A., & Lawrenson, R. (2015). Survival disparities between M?ori and non-M?ori men with prostate cancer in New Zealand. BJU International, 115, 24-30. doi: 10.1111/bju.12900 Parrish, E. (2017). Healthcare Providers with Mental Illness: Symptom Presentation and Barriers to Care. Perspectives In Psychiatric Care, 53(3), 147-147. doi: 10.1111/ppc.12230 Pearson, D. (2014). Inequality: A New Zealand Crisis. The Journal Of New Zealand Studies, (18). doi: 10.26686/jnzs.v0i18.2165 Ruck, K., Cooper, A., Hurley, A., Ashton, K., Lines, C., & Willson, A. (2017). Effective messages and media for employee health campaigns. Journal Of Communication In Healthcare, 1-8. doi: 10.1080/17538068.2017.1343173 Tucker, M., Kivell, B., Laugesen, M., & Grace, R. (2016). Changes to smoking habits and addiction following tobacco excise tax increases: a comparison of M?ori, Pacific and New Zealand European smokers. Australian And New Zealand Journal Of Public Health, 41(1), 92-98. doi: 10.1111/1753-6405.12603 Wyeth, E., Samaranayaka, A., Lambert, M., Tapsell, M., Anselm, D., & Ellison, P. et al. (2018). Understanding longer-term disability outcomes for M?ori and non-M?ori after hospitalisation for injury: results from a longitudinal cohort study. Public Health. doi: 10.1016/j.puhe.2018.08.014 Xuefei, W. (2018). Treaty of Waitangi. Advances In Social Sciences Research Journal, 5(2). doi: 10.14738/assrj.52.4235

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