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Access to health services is an important contributor to health and wellbeing. It is a particularly important factor given the health status of Aboriginal and Torres Strait Islander people. From the survey, it was identified that 39% of the students could not name a health service. This is critical as there are four different types of health care facilities for indigenous Australians in Townsville. The four health services in Townsville are the National Aboriginal Community Controlled Health Organization (NACCHO) is the national peak body representing over 150 Aboriginal Community Controlled Health Services across the country on Aboriginal health and wellbeing issues. NACCHO represents a culturally appropriate health care to the community. Queensland Indigenous Family Violence Services (QIFVLS), Queensland Aboriginal Islander Health Council (QAIHC), Townsville Aboriginal and Islander Health Services (TAIHS).
The indigenous community of Townsville are privileged to have the organisation that is linked to NACCHO under the name of TAIHS that provide health services for indigenous people. The main health service TAIHS services are provided by general practitioners, allied health professionals, a mental health team including a psychologist and a fully trained team of nurses and health workers.
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The barriers associated that limits indigenous health services in Townsville is the lack of awareness and promotion of availability. In the primary it had proven that 39% of indigenous student were unable to name an indigenous health service. However 44% that stated access to services was the biggest factor to the 10 year life expectancy difference between indigenous and non-indigenous population. This leads to the lack of the first main factor of
Advanced knowledge of Aboriginal Health policy and issues at the level and national level including understanding successful measures around Closing the Gap in Aboriginal Health inequality. My desire to work in the aboriginal field begins since I was very young. That is why at 16 years of my age I started to be even more interested in understanding all the issues related to the aborigines of this country. Over time, I looked that all my knowledge be trained at health level basis to help to improve the Aboriginal quality of life standards.
In 1968 the Commonwealth Office of Aboriginal Affairs was established and acknowledged health as a major area for development and therefore started providing grants for health programs (NACCHO, History in health from 1967, online, 29/8/15). The office was later named the Department of Aboriginal Affairs in 1972, and it began making direct grants to the new aboriginal medical services opening around the nation (NACCHO, History in health from 1967, online, 29/8/15). In 1973 the Commonwealth Department of Health established an Aboriginal Health Branch in order to provide professional advice to the government (NACCHO, History in health from 1967, online, 29/8/15). Throughout the next several years indigenous health was on the radar of importance in the Government, in 1981 the Commonwealth Government initiated a $50 million five year Aboriginal Public Health Improvement plan (NACCHO, History in health from 1967, online, 29/8/15). Clearly more progress was achieved in the issue of health in the years after the referendum than those between colonisations and
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Aboriginal and Torres Strait Islanders have some of the worst health outcomes in comparison to any other indigenous community in the world (AIHW, 2011). According to United Nations official Anand Grover, Aboriginal health conditions are even worse than some Third World countries (Arup & Sharp, 2009), which is astonishing, considering Australia is one of the worlds wealthiest countries. Thoroughly identifying the causes and analysing every aspect behind poor health of indigenous Australians, and Australian health in general, is near impossible due to the complexity and abundant layers of this issue. Even within the category of social determinants, it is hard to distinguish just one factor, due to so many which interrelate and correspond with each other. The aim of this essay is to firstly identify and analyse components of the social determinants of health that impact the wellbeing of Aboriginals and Torres Strait Islanders, and demonstrate how they overlap with each other. By analysing the inequalities in health of Aboriginal and non-indigenous Australians, positive health interventions will then be addressed. Racism and the consequences it has on Indigenous health and wellbeing will be discussed, followed by an analysis of how and why social class and status is considered a determining factor when studying the health of the Aboriginal population. The issue relating ...
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
There are 1.1 million Aboriginal peoples living in Canada as of 1996 and 408,100 of them are women (Statistics Canada, 2000; Dion Stout et al, 2001). More than half live in urban centres and two thirds of those reside in Western Canada (Hanselmann, 2001). Vancouver is comprised of 28,000 Aboriginal people representing 7% of the population (Joseph, 1999). Of this total population, 70% live in Vancouver’s poorest neighbourhood which is the Downtown Eastside (DTES).
Thank you for taking time to read my letter. As a nursing student of University of Technology Sydney, I studied contemporary indigenous subject this semester. In this letter I want to illustrate 3 main social determinants of health that impact indigenous Australian health which I found and analysed during my recently study. And also offer some suggestion that could help the government improve aboriginal Australian mental health conditions in the future.
Aboriginal health is majorly determined by several social factors that are related to their cultural beliefs. Health professionals regularly find it difficult to provide health care to aboriginal people due to the cultural disparity that exists between the conventional and aboriginal cultures, predominantly with regard to systems of health belief (Carson, Dunbar, & Chenhall, 2007). The discrepancy between the aboriginal culture and typical Western customs seems to amplify the difficulties experienced in every cross-cultural setting of health service delivery (Selin & Shapiro, 2003). Most of the social determinants of the aboriginal health are due to their strict belief in superstition and divine intervention.
What is Identity? Is it what you think of yourself? Is it how others see you? Or maybe it is the way you present yourself. Stories like “Ain’t I a Woman?” by Sojourner Truth , “The Lottery” by Shirley Jackson, “The Story of an Hour” by Kate Chopin, and “Indigenous Identity: What is it, and Who Really has it?” by Hilary N. Weaver give us a few examples of identity based on each one of the authors viewpoints. Both “Ain’t I a Woman?” and “The Story of an Hour”, focus on how women were viewed and placed in society before and during the suffrage movement. “The Lottery” opens our eyes to the identity issue of blindly following tradition. The author of the story “Indigenous Identity: What is it, and Who Really has it?” tells us that identity is based on; race, gender, social status, and the knowledge of one’s heritage.
Thesis Statement: Given the struggles aboriginals have had to face in Canada, the Canadian government should take action to solve the hundreds of cases of missing and murdered aboriginal women, as it will strengthen the relations between aboriginals and Canadians.
In conclusion the colonisation of Australia and the adoption of discriminatory policies eroded Aboriginal culture and tradition affecting their sense of well-being and thus deteriorated their health. Today these policies are reflected in the social determinants of health as socio-economic disadvantages. They continue to impact contemporary Aboriginal people. In order to improve Aboriginal health outcomes; the impacts of these policies need to be overturned. This can be done by assisting them with improving their socio-economic status in the light of their needs and traditions.
• Amnesty International: Australia- governments dismissal of UN criticism undermines hard earned credibility in human rights diplomacy.
Thus equitable access to health care system, community participation, health promotion and Intersectoral collaboration is lacking in Aboriginal society in rural and remote areas, therefore leading to a high rate of poverty and mental illness. Hence, it is important to promote primary health care principles and practices in rural and remote areas to prevent and cure diseases and help reduce poverty rate in Aboriginal society and diminish mental health problems. McMurray and Clendon (2014) emphasised that culture brings people together and “cultural exclusiveness divides citizens by race… affiliation” (pg398). Bowers (2013) emphasised that spiritual and emotional poverty gets passed on through “generations and affects entire communities.”
Poor living conditions are a major health determinant throughout the indigenous population. Most Indigenous Australians are known to live in rural parts of Australia which are commonly not close to major cities and services. People living in these areas generally have poorer health than others living in the cities and other parts of Australia. These individuals do not have as much access to health services and good quality housing. In 2006 roughly 14% of indigenous households in Australia were overcrowded unlike 5% of other households (AIHW, 2009a). Overcrowded and poor quality houses are commonly associated with poor physical and mental health between the people living in them. The indigenous are n...