Since the introduction of the Ottawa Charter in 1986, health promotion across the world has taken a more preventative, or “upstream”, approach. This was done through the enlightenment of the socioenvronmental approach that focused less on lifestyle choices and immediate medical intervention, but instead the factors that directly and indirectly influenced health (Cohen, 2012). In this revolutionary charter, the socioenvironmental approach introduced key predictors to population health, which are now known as the social determinants of health (Cohen, 2012). These determinants range from income to race and gender, and encompass all of the effects that these factors have on individual and population health. Mikkonen and Raphael perfectly summarize …show more content…
In many reserves, especially northern Canada, the highest tier of medical care is not actually a hospital, but simply a nurse’s station. These nurses’ stations do provide very high level and reliable care; however, no matter how exceptional the staff may be at the nurses’ station, there will still be health concerns that require more advanced treatment. The advanced treatment for some is often difficult to acquire due to the next available hospital being hundreds of kilometers away. However, many Aboriginals often lack the awareness, or health literacy, that they even need treatment in the first place due to differing views on health and healing (Treloar et al., 2013). It is important in my future nursing practice that I provide health education to increase the health literacy of everyone, not just Aboriginal …show more content…
Contextually, Aboriginals have been failed by their government through flawed policy and health program mismanagement (Jull & Giles, 2012). There are often discrepancies in health program policy and coverage depending on the “status” of the individual and differing responses of provinces and territories to the policies; resulting in many Aboriginals not being covered for a variety of medical treatments that other populations would be covered for (Jull & Giles, 2012). To illustrate, Jordan River Anderson, a young Aboriginal boy who had been hospitalized for two years, had been waiting to return to return home, while the provincial and federal government disputed who would cover the cost of homecare (Jull & Giles, 2012). Unfortunately, the slow response of the governments resulted in Jordan passing away before he could return home (Jull & Giles, 2012). The location of many reserves where the majority of populations live can also become a factor when it comes to accessing health care. This is a result of many reserves being located long distances from more advanced health care facilities in urbanized areas (Snyder & Wilson, 2012). Not only is the commute hard financially and mentally for the remote Aboriginal population, but the actual facilities themselves pose many barriers to their
Social determinants of health (SDOH) are increasingly becoming a major problem of Public Health around the World. The impact of resources and material deprivation among people and populations has resulted in an increase in mortality rate on a planetary scale. Social determinants of health are defined as the personal, social, economic and the environmental conditions which determines the health status of an individual or population (Gardner, 2013). Today’s society is characterized by inequalities in health, education, income and many other factors which as a result is becoming a burden for Public Health around the world. Research studies have shown that the conditions in which people live and work strongly influenced their health. Individuals with high levels of education and fall within the high income bracket turn to have stable jobs, live in the best neighborhood and have access to quality health care system than individuals who have low education and fall with the low income bracket. This paper is to explain different social determinants of health and how they play ...
Wilkinson, R. M. (2003). Social determinants of health - the solid facts. [S.l.]: World Health Organization.
... 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.
The social determinants of health in this video is Aboriginal Status, due to Colonization, relocation of families and residential schools has led to the adverse health outcomes for many Canadian Aboriginal people, overcrowding in homes ,food insecurity, and low income has caused increased rate of chronic illness and reduced life expectancy (Kozier ,2014) The broader social or political issue in Northern Manitoba Reserves is that the Government is not providing enough funding to develop these reserves. Once Aboriginal people were allowed off reserves, some of them relocated to larger cities for greener pastures. Instead of employment opportunities or even relief in the form of charity, many Aboriginal people were faced with racist attitudes that had already been long entrenched in Canadian society (Center for central justice 2016).Aboriginal people face a lot of racism in other communities and some people have stereotyped them as alcoholics who do not like to work. In addition, In many Aboriginal communities,basic commodities like fruit, vegetables, and milk must be transported long distances because of bad roads and this results in high costs of food and poor food
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
Minore, B., Boone, M., Katt, M., Kinch, P., & Birch, S. (2004). Addressing the realties of health care in northern aboriginal communities through participatory action research. Journal Of Interprofessional Care, 18(4), 360-368. doi:10.1080/13561820400011784
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
Wilkinson, R. G., & Marmot, M. G. (2003). Social determinants of health: The solid facts.
According to the World Health Organisation (2017) the social determinants of health are defined as the conditions where people are born, grown, work and live, which also includes the health system. The social determinants of health determined populations health’s outcomes and therefore linked with health inequalities (WHO, 2017)
Socio-economic class or socio-economic status (SES) may refer to mixture of various factors such as poverty, occupation and environment. It is a way of measuring the standard and quality of life of individuals and families in society using social and economic factors that affect health and wellbeing ( Giddens and Sutton, 2013). Cockerham (2007 p75) argues: ‘Social class or socioeconomic status (SES) is the strongest predictor of health, disease causation and longevity in medical sociology.’ Research in the 1990s, (Drever and Whitehead, 1997) found out that people in higher SES are generally healthier, and live longer than those in lower SES.
In order to understand the impact of colonisation on Aboriginal health; it is important to recognize their worldview or set of beliefs on health (Tilburt, 2010). They practice a “holistic” approach unlike the Western Biomedical model where health is centred on biological functioning (Lock, 2007). According to this model the essence of being healthy relies on the mental, spiritual and social well-being rather than the absence of an illness (Hampton & Toombs, 2013). It is closely linked to spiritual and environmental factors; the heart of which is country, tradition and kinship. Land is a source of identity and spirituality for indigenous people (Hampton & Toombs, 2013). Kinship manages connection to land as well as ceremonial obligations and interpersonal relationships (Hampton & Toombs, 2013). For Aboriginal and Torres Strait Islanders a healthy person consists of physical and spiritual elements. It’s evident that colonisation eroded the structures upon which Indige...
The Canadian population is composed of people with different cultural background that consist of different communities of immigrants and natives. The Aboriginal community is one of the native community living in Canada holding 4.3% of total population as per National Household Survey 2011 (Statistics Canada, 2011).The Aboriginal people are culturally diverse in Canada having unique historical, linguistic and social contexts. Distinct cultural background of the Aboriginal communities is one of the reason they are experiencing inequities and disparities in health status compared to the non-aboriginal people. In this regard, Canadian nurses are expected to learn about cultural diversity, knowledge, skills and attitudes to provide culturally
Social determinants of health has been a large topic for many years and can have a positive and negative effect on individuals, families and communities. (World Health Organisation, 2009) The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. Social determinants have many factors and in this essay education will be the main social determinant of health discussed and how this could have an impact on the physical and mental sides of health.