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Beyond awareness: Towards a critically conscious health promotion for rheumatic fever in Aotearoa, New Zealand

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  • Anderson, Anneka
  • Spray, Julie

Abstract

Since 2014, the Rheumatic Fever Prevention Programme has targeted communities in Aotearoa, New Zealand affected by high rates of rheumatic fever (RF): namely, Māori and Pacific families. Initiated with the aim of reducing ethnic health disparities, the Health Promotion Agency attempted to use culturally appropriate approaches by engaging in consultative processes with Māori and Pacific communities and health leaders in developing the intervention. However, these consultations largely focused on evaluating strategies for reaching “priority” audiences with the message to get sore throats checked and on changing health-seeking behaviours. There was little regard for what the structural roots of RF in Aotearoa might suggest about equitable interventions, nor for the potentially harmful effects of the messages and their presentation.

Suggested Citation

  • Anderson, Anneka & Spray, Julie, 2020. "Beyond awareness: Towards a critically conscious health promotion for rheumatic fever in Aotearoa, New Zealand," Social Science & Medicine, Elsevier, vol. 247(C).
    • Handle: RePEc:eee:socmed:v:247:y:2020:i:c:s0277953620300174
    DOI: 10.1016/j.socscimed.2020.112798
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    References listed on IDEAS

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    1. Wang, Caroline, 1992. "Culture, meaning and disability: Injury prevention campaigns and the production of stigma," Social Science & Medicine, Elsevier, vol. 35(9), pages 1093-1102, November.
    2. Schiller, Nina Glick & Crystal, Stephen & Lewellen, Denver, 1994. "Risky business: The cultural construction of AIDS risk groups," Social Science & Medicine, Elsevier, vol. 38(10), pages 1337-1346, May.
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    Cited by:

    1. Haynes, Emma & Walker, Roz & Mitchell, Alice G. & Katzenellenbogen, Judy & D'Antoine, Heather & Bessarab, Dawn, 2021. "Decolonizing Indigenous health: Generating a productive dialogue to eliminate Rheumatic Heart Disease in Australia," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Emma Haynes & Minitja Marawili & Alice Mitchell & Roz Walker & Judith Katzenellenbogen & Dawn Bessarab, 2022. "“Weaving a Mat That We Can All Sit On”: Qualitative Research Approaches for Productive Dialogue in the Intercultural Space," IJERPH, MDPI, vol. 19(6), pages 1-18, March.

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