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Paper on healthcare needs of aboriginal australians
Negative impact of colonisation
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Social Issues and Government Policies Regarding
Aboriginal Australians and Native Americans
Introduction
The Aboriginal and Torres Strait Island peoples of Australia face a wide variety of different problems that arose as a result of colonization by Europeans in the late 1700’s. A great many of these problems stem from the government’s systems for addressing the Aboriginal communities. These include health concerns, culture loss issues, lack of self-governance, and symptoms of underlying causes resulting in problems with alcohol. This paper will focus on the issues and policies of government towards Aboriginal communities currently in place in Australia and compare them to those of the Native American populations in the United States and Canada.
Healthcare
Aboriginal Australians
It is widely known across Australia that Aboriginal people have a significantly lower life expectancy than non-Aboriginal Australians. However, a recent study by Phillips et al. (2014) found that the exact degree of difference between the life expectancies of Aboriginal and non-Aboriginal Australians is difficult to determine. It was clear from their study that there is no less than eleven years between the two numbers, with potentially as high as twenty years’ difference. Aboriginal people also suffer from much higher infant mortality rates, a greater number and severity of ear infections, and poorer oral health (CITE PHILLIPS AND THE WAACHS DOCUMENT).
The two most well-known attempts to lessen the disparity in health between Aboriginal and non-Aboriginal Australians include the Closing the Gap campaign and the Northern Territory Emergency Response. Initiated in 2007, the Closing the Gap campaign seeks to reduce the disadvantage of Aboriginal people...
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... less than the rest of the population. (Devi 2011)
In the United States, Native Americans are the only ethnic group that has its own federal health service. It is the Indian Health Service (IHS), an agency in the Department of Health and Human Services, and was established in 1955. It has an annual budget of US$4 billion and serves 565 recognized tribes. It has hospitals and clinics all across the country, but primarily in Alaska and the western US. In 1975, the government passed the Indian Self-Determination and Education Assistance Act. From a healthcare perspective, it established the ability of federal agencies to provide grants to tribes able to set up not-for-profit corporations able to replace the IHS. The grant funding comes mainly from the annual IHS budget. Additionally, uninsured Native Americans can receive state-funded healthcare like all US citizens.
All tribes view health holistically, defining health to be physically, mentally, emotionally and spiritually well.
Before the Indian Child Welfare Act was passed, Congress discovered a startling statistic. 25-30% of all American-Indian children were taken from their families custody and placed with non-Indian families (Fletcher). It is impractical to believe that that many American-Indian families were inadequate to have children in their care. Even after they were taken away, the government took no interest in the child’s cultural identity and placed them with families outside the tribe, where they were never exposed to their native culture. After the ICWA was passed and Indian families were kept together, many long-term benefits appeared: Security, pride in heritage, and participation in the use of cultural norms (Cross). When the Indian children were being placed within their tribes instead of with people of other ethnic backgrounds, the children grew up immersed in their families culture and grew up to practice it themselves. They learned where their
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...
0.8% of the overall Federal health expenditure in 2009 which was spent on Aboriginal health. The overall wellbeing of an individual is more than just being free from disease. It is about their social, emotional, spiritual, physiological as well as the physical prosperity. Indigenous health issues are all around us, but we don’t recognise because it doesn’t affect us, but this issue is a concern to Indigenous Australia and also to modern day Catholics in Australia The statistics relating to Indigenous health is inexcusable, life expectancy is at an all time low, higher hospilatisation for avoidable diseases, alerting rates of deaths from diabetes and kidney disease. This issue is bigger than we all think, for example 13% of Indigenous homes
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 ...
When in 2016 I started studying an MBA in this country, my essays were oriented to help in the closing process of the Aboriginal 's gap concerning their health inequality. I understand that the gap closing process brought favourable measures, but it is evident
Aboriginal and Torres Strait Islanders have a lower life expectancy than the rest of the Australian population. In 2010 the life expectancy for Indigenous Australian men was 69.1 years and 73.7 years for women (ABS, 2010). Figured taken in 2010-2012 show that the life expectancy of aboriginal men is 10.6 years below the non-indigenous male and for the indigenous females it is 9.5 years below the non-indigenous females (ABS, 2010-2012).
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.
Since the time of federation the Aboriginal people have been fighting for their rights through protests, strikes and the notorious ‘day of mourning’. However, over the last century the Australian federal government has generated policies which manage and restrained that of the Aboriginal people’s rights, citizenships and general protection. The Australian government policy that has had the most significant impact on indigenous Australians is the assimilation policy. The reasons behind this include the influences that the stolen generation has had on the indigenous Australians, their relegated rights and their entitlement to vote and the impact that the policy has had on the indigenous people of Australia.
..., housing, education, welfare, poverty benefits, and employment. During Nixon’s term, Congress passed his Indian Self-Determination Act that restored the special legal status of Native American tribes. It gave them powers exercised by state governments, some control over federal programs on their land, and increased control over education (Hodder).
• Amnesty International: Australia- governments dismissal of UN criticism undermines hard earned credibility in human rights diplomacy.
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.
The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or tribally operated. (Marx n.d.) If a direct care facility is unable to provided services the individual will be referred to a public or private provider. (Marx n.d.) IHS is located on or near Indian reservations and services are provided by Indian Tribes, Urban Indian organizations or IHS. IHS is responsible for providing medical and public health services to members of federally recognized Indian tribes and Alaska natives.(Agency Overview) In order for a tribe to be recognized it needs to meet specific criteria from that state which also includes land and rights that are accepted as well (Agency Overview). IHS has a mission to educate the Indian people about physical, mental, social and spiritual health (Agency Overview). American Indian and Alaska Natives preside over their members and lands (Definition of Indian Health Service Definition 2012). The United States continue to work with Indian Tribes on a one on one basis focusing on issues about tribal government and other rights (Definit...
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
Department of Health South Australia. (2004). Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. Australian Health Ministers’ Advisory Council. Standing Committee on Aboriginal and Torres Strait Islander Health Working Party