spinofflive
Shooting of Ahikāroa season five.
Shooting for season five of Ahikāroa (Photo: Supplied)

ĀteaApril 6, 2023

Inside the success of award-winning bilingual drama Ahikāroa

Shooting of Ahikāroa season five.
Shooting for season five of Ahikāroa (Photo: Supplied)

The longrunning production works hard to counter destructive Māori stereotypes.

Throughout our TV and movie history, Māori have occupied only one of two roles – the angry addict or the model minority. We are either Jake “The Muss” Heke from Once Were Warriors or TK Samuels from Shortland Street, with no room for anyone in between. Recently, however, some productions have broken away from that mould by championing rich and nuanced Māori characters written by Māori, for Māori. One series leading this charge is Ahikāroa by Kura Productions, South Pacific Pictures, and Whakaata Māori – the fifth season of which was recently released online and on TV.

This drama follows the hectic lives of kura kaupapa raised urban rangatahi Māori, aiming to show the graphic craziness of the real world. As such, the show delves into many kaupapa. Some are gritty, like partying, alcohol, drugs and sex, but Ahikāroa also isn’t afraid to touch on nuanced aspects of te ao Māori, like politics and spirituality. Although the intended audience is those whose stories Ahikāroa highlights – rangatahi Māori – the show’s passionate fanbase has grown to cross the boundaries of age and ethnicity.   

The main Ahikāroa cast members.
The main Ahikāroa cast members. (Image: Supplied)

Ahikāroa’s lead writer, Annette Morehu (Tūhoe, Te Arawa, Te Aupouri, Te Rarawa), notes that it’s rare that any New Zealand drama, let alone a bilingual one, lasts five seasons. Turia Schmidt-Peke (Ngāti Tamaterā, Ngāti Hauā, Hāmoa) – who plays the intellectual and passionate character Geo – assumed it would be a one-season wonder. Five seasons later, the Ahikāroa whānau are stoked about their continued success, with Morehu noting that the show’s longevity gives Māori in the industry a safe workspace that opens doors for fluent te reo speakers to get paid to kōrero Māori

Nepia Takuira-Mita (Te Arawa, Hāmoa) – who plays Hemi, a character steeped in the mātauranga of old – believes Ahikāroa shows tamariki and rangatahi that “being Māori is a superpower”. He says it was amazing to incorporate things he learnt at kura kaupapa – like karakia and te reo Māori – into his paid work. After starting her career on Pākeha productions, Morehu says that Ahikāroa being embedded in te reo me ona tikanga was an awakening. “I don’t have to put my Pākehā voice on at work anymore”, she joked. For its tangata whenua crew, Ahikāroa is a home away from home and a natural continuation of the kura upbringing many of them had. 

Nepia and Turia on set.
Nepia and Turia on set. (Photo: Supplied)

Fundamentally, the show is made with the current crop of kura kaupapa kids in mind, focusing on take and kaupapa that are relevant to them. Focusing on the next generation is vital because they’re “our rangatira for āpōpō“, says Nepia. Morehu is proud to write rangatahi-relevant stories that her younger self – as well as her nieces – would resonate with. In a very Māori way, those nieces even help with the writing, as Morehu admits she learns about authentic youthful slang from them. For Turia, using relevant kupu keeps young viewers grounded in the show, as does Ahikāroa’s focus on the light and dark tales of our complicated modern reality.

Those stories and experience include everything from sexual abuse, abusive relationships, takatāpui stigma and political issues like Ihumātao. “I have had so many people come to me and tell me how much it has helped them to see those stories being told,” says Morehu – noting that it has allowed viewers to work towards overcoming their trauma. With a sixth season already in the works, their approach of taking risks and telling untold stories clearly working. 

Being a production that is by Māori, for Māori, allows Ahikāroa to deeply explore te ao Māori without having to explain everything for tauiwi. The longevity of the series is also a testament to the authenticity of Ahikāroa’s telling of the Māori experience – tangata whenua quickly call each other out when something isn’t tika. Because of that, Morehu and her colleagues feel a strong responsibility to tell the show’s tales authentically, while also continuing to deliver entertaining taglines promising “mākutu, murder and mayhem”. 

The groundbreaking nature of Ahikāroa serves to counter the destructive stereotypes about Māori that have been entrenched through our mainstream media for decades. “Growing up I never saw Māori accurately portrayed because of a lack of Māori writers, producers and directors telling our stories”, said Morehu. But now she and her colleagues are actively proving that Māori are not just the Jake Heke or TK Samuels archetypes and that, in fact, most of us occupy the diverse space in between. 

Episodes of Ahikāroa Season 5 come out at 9.30 PM each Thursday on Whakaata Māori and the show’s website. Fans with the MAORI+ app can view two episodes a week.

Keep going!
(Image: Tina Tiller)
(Image: Tina Tiller)

ĀteaApril 4, 2023

‘Woeful’ kidney transplant rates among Māori prompt calls for urgent action

(Image: Tina Tiller)
(Image: Tina Tiller)

Māori make up a third of patients starting treatment for kidney failure, yet are 14 times less likely to receive a pre-emptive transplant.

Chronic kidney disease affects hundreds of thousands among New Zealand’s population. But the impacts of the disease are felt disproportionately by Māori.

Unsurprisingly, the statistics make for grim reading. In Aotearoa, Māori experience chronic kidney disease at three times the rate of non-Māori, non-Pacific New Zealanders. In 2019, 208 patients who identified as Māori began treatment for kidney failure, representing 32% of all patients starting kidney replacement therapy – despite Māori representing just 16.5% of the total population. And yet, in the last five years, just seven Māori patients have been provided with a pre-emptive kidney transplant compared with 125 non-Māori, non-Pasifika patients.

Studies have shown that patients who have a successful kidney transplant live longer and with less restrictions on work, travel and quality of life than those who are treated with dialysis. Median survival rates on dialysis are five to six years compared to 12 to 20 years post-transplant. However, pre-emptive kidney transplants as first treatment for kidney failure occur 14 times less frequently among Māori. Research has found that Māori are less likely to be put on the transplant waitlist, and that the difference in waitlisting cannot be completely attributed to differences in underlying health conditions. Meanwhile, the rate of dialysis among Māori was five times higher than for non-Māori, non-Pasifika patients.

But far from being an inevitability, these inequitable outcomes are the result of policy choices, says non-profit organisation Kidney Health New Zealand (KHNZ). They’re calling for immediate government action in response to “woeful” Māori rates of kidney transplantation. 

“We’ve long been aware that while patients identifying as Māori make up one-third of all patients starting treatment each year for kidney failure in Aotearoa New Zealand, their actual rates of receiving a transplant, especially a pre-emptive planned transplant from a living donor, are woefully low compared to non-Māori,” said acting KHNZ general manager Traci Stanbury in a statement. “The government needs to be doing more.”

Stanbury described this situation as “a breach of Te Tiriti ō Waitangi”, which is acknowledged by Aotearoa health authorities as the basis of Māori rights to equitable health outcomes.

The organisation pointed to research published last year that found that racism and prejudice is a significant barrier to equitable access for Māori patients.

“Despite not being asked specifically about racism in this study, participants reported feeling disempowered and disadvantaged in a health system not designed for indigenous people, nor with easy access to culturally specific assessments, weight management criteria and support, and resources for awareness campaigns and marae-based education,” said Stanbury.

Published in the Journal of Racial and Ethnic Health Disparities last year, the study, carried out by a collective of experienced renal physicians and nurses, interviewed 40 Māori patients and whānau at various stages in the kidney transplantation process in 2020. Researchers found that participants experienced prejudice and racism within the system in a variety of ways. 

Photo: Getty Images

Study co-researcher and Christchurch kidney specialist professor Suetonia Palmer explained that many participants reported feeling excluded and devalued by a healthcare system that did not incorporate tikanga Māori values and practices. Participants reported feeling unworthy, unconfident and whakamā throughout the process. According to the study, these experiences resulted in increased alienation and disengagement.

“Personally mediated racism was experienced by many of our study participants as racial profiling, with explicit forms of racism reportedly directed towards patients and their family,” said Palmer in the statement. “This unfortunately led to their mistrust of the healthcare system and perceived failures in shared decision-making.”

Disparities around kidney transplants don’t exist independently. Rather they’re just one consequence of the broader tangle of systemic racism that makes up New Zealand’s health system. A report commissioned by the Ministry of Health for Renal Services called “Māori Pacific Attitudes Towards Transplantation: Professional Perspectives” suggested a range of potential barriers to Māori undergoing kidney transplant. These included a potential deficiency of cultural competency and communication by clinicians, as well as bias around “deserving patients”. There’s the impact of being excluded from transplants because of BMI (body mass index) or diabetes – of which Māori have a higher prevalence, a lack of access to GPs, leading to higher rates of presenting in later stages of illness, and a lack of donors and awareness of kidney treatment within communities. 

In order to achieve equity of care in Aotearoa, KHNZ said both Health New Zealand Te Whatu Ora and the Māori Health Authority Te Aka Whai Ora must encourage more transparency and stronger tikanga Māori policies and practices, including consideration of a proposed Māori kidney transplant taskforce.

In 2021, the organisation urged the government to establish an equity taskforce to “examine the underlying systems and structures driving inequity” and to “put an end to decades of disparity for Māori and Pasifika patients needing kidney transplants”. At the time, it highlighted Australia’s National Indigenous Kidney Transplant Task Force which was established in 2019 to improve access to, and outcomes of, kidney transplantation for Aboriginal and Torres Strait Islander peoples. The call for a similar programme was backed by Midcentral DHB nephrologist Dr Curtis Walker (Whakatōhea, Ngāti Porou), who commented at the time, “I look around Aotearoa’s dialysis units and see far too many Māori and Pasifika patients who are clearly disadvantaged, who can’t access the ‘gold standard’ treatment of a transplant.

“Kidney transplants allow people to have a near-normal quality of life, free from the daily commitments of dialysis. This is an investment in quality as well as quantity of life.”

The Māori Health Authority Te Aka Whai Ora was born out of a commitment to embed Te Tiriti o Waitangi and health equity in all parts of the reformed health system, in an acknowledgment that the existing system reproduces inequity. “Te Aka Whai Ora’s mandate is to direct and guide the health system to understand and respond to the needs of whānau Māori,” said Stanbury. “There is much work to do and we hope real progress is seen soon, before more Māori patients desperate for kidney transplants miss out on life-saving care.”