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Inqualities in health and illness
The principles of social policy
Inqualities in health and illness
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Australian social policy is extensive and covers a number of areas in relation to different groups of citizens in society. Although these policies are intended to benefit the community, it is important that issues existing in the system are addressed. Health in particular is an area of social policy that affects every Australian at some point, and so it is essential that policies be implemented to ensure equity and wellbeing among all members of the community. For the purpose of this essay, only health in relation to women will be explored. There will be a particular focus on the impact health policies have had on women over time, as well as why there have been significant policy changes. Current issues in the delivery of these services and why these issues have emerged will also be discussed in detail.
Whilst there are several definitions that shape the term social policy, generally, the concept can be outlined as a framework of guidelines with the purpose of addressing and achieving citizen wellbeing in a particular area of interest. (Carson & Kerr, 2014). There are a number of health policies in Australia that have been developed and implemented over time to encourage equity and fairness among women. One major Australian policy known as The National Women’s Health policy was documented in 1988 and accepted for practice by Commonwealth and State governments in 1989 to advocate equal rights for women’s healthcare. (Lee, Dobson, Brown, Bryson, Byles, Warner-Smith & Young, 2005). The policy was established only after the Queen Victoria Hospital, a women’s healthcare facility in Melbourne, became linked with Monash University and opened to male staff in 1964. The hospital was originally staffed only by women who weren’t allowed ...
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...o be heard, and to have their health and wellbeing considered and attended to. The updated version of the policy focused on maintaining and improving the action plan of the original, however it aims to consider all women including those of different race and socioeconomic status, with a strong focus on prevention and education. Whilst Australia’s healthcare system has been significantly improved, it is important to recognise that some women are still disadvantaged and the system could still be reviewed and altered regarding many issues including healthcare of Indigenous and Torres Strait Islander women, care of women in rural and disadvantaged areas and care of women affected by violence. The Australian healthcare system is far more developed than previous times, however policies could still be reconsidered in order to optimise the health of all Australian women.
Through the 20th century, the communist movement advocated greatly for women's’ rights. Despite this, women still struggled for equality.
Najman, J. M. and Smith, G. S.(2000), `The embodiment of class -related and health in equalites, Australian politics', Australian and New Zealand Journal of Public Health, Canberra,Vol. 24, Iss. 1; pg.1-3pgs.
Firstly, gender disparity plays a significant role in aboriginal health, especially in the administration of health care. In Aboriginal culture, there are certain health practices that can only be done by either men or women, but not all (Bonvillain, 2001). In most cases, women are treated by their female counterparts whereas male doctors handle male patients. This means that a male doctor cannot undertake a vaginal inspection and a female nurse cannot teach an aboriginal man about self-catheterization. As a result, a breach of this traditional gender division, for instance a male doctor helping a woman in emergencies, is likely to cause shame, distress, depression, and fear of breaking a particular taboo (Freud, 2000).
Social determinants of health are the conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions of daily life. These focuses and systems include economic policies and systems, development agendas, social norms, social policies and political systems. (WHO, 2016). In the video, various social determinants of health were being portrayed. They include aboriginal status; how aboriginal people are treated and how this treatment contributes to the economic status and health status of aboriginal people. Education, as aboriginal schools receive less funding from the government. Housing, as aboriginal people are forced to live in unsuitable reserves. Social exclusion and social safety net as aboriginal people are excluded from society. The social determinants of health are what contributes to the attributes of social justice. This problem also led to a larger and broader issue in society that includes the attributes of social justice. Social justice problems such as human and civil rights that includes sexism and racism. Equity in which the distribution of society’s wealth is not distributed fairly and results aboriginal people receive less of society’s wealth. Equity refers to fair shares. (CNA, 2010). It also leads to poverty as they experience lack of access to basic needs such as food, water, clothing and shelter. It also led to higher suicide rates and increase rate of aboriginal people in federal prisons. It also contributes to many health issues such as 42% of aboriginal children lack dental care, tuberculous rate four times higher and diabetics rate three times higher. Most of all it has led
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
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...
Topic 3: "Outline the social determinants of health in Australia and provide a critical analysis of these determinants. Discuss the current health status comparisons between Indigenous and non-Indigenous Australians and interventions to remedy these inequalities.”
Gaze, G (2009) ‘The Sex Discrimination Act after 25 years: What is its role in eliminating gender inequality and discrimination in Australia?’, Insights, vol.7,p.13-17, viewed 5 October 2011, .
Social work exists inextricably within the presence of ethics and values. Human rights and other values central to social work call for highly idealistic praxis, defining contemporary best practice. Yet, social workers operating in Australian health face dilemmas of meeting at times, untenable ideals within the constraints of exceedingly regulated organisations. Policies, past and present, impact practice and often undermine the principles contingent to social work (Ife, 2008,pp.8). Regardless, social workers are compelled to uphold the ethics and values of their profession. Balance must be struck between competing factors, a task that is not entirely achievable in certain contexts (Dominelli, 2012). In this assignment, review of rural health and the level of autonomy it affords professionals will take place. Emphasis will be given to the controversial area of indigenous health. I aim to demonstrate that the reality of social work practice in Australian health is vastly different from the moral platform from which it is envisioned, whilst also acknowledging that this platform is indispensible to the integrity of contemporary practice in difficult circumstances.
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.
The constitution of the World Health Organization states that “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition” (Koh and Nowinski 2010 pp 949). One would hope that this sentiment would also include the low income women of our society, however it has become a harsh reality amongst poverty stricken women that fair and affordable health care is difficult to provide for themselves and for their families. Women with an income below the federal poverty level are at a higher risk of being uninsured or under insured than the general population (Legerski, 2012). The inability to acquire adequate health insurance both privately offered and state funded, in particular can be a serious barrier to low income women's ability to seek health care (Magge, 2013). Furthermore poverty can cause some women to engage in dangerous “street involvement” causing health care providers to act with unjust prejudice in regard to their health care (Bungay, 2013). This paper will attempt to further address and justify these broad statements regarding low income women and their relationship to health care. It makes the argument that if we must see the highest attainable standard of health care as a fundamental human right than by not safeguarding our society’s impoverished women from these trials and tribulations are we not, as a country making a concession that low income women are less worthy or these rights?
This suggests that all efforts should be made to address substance abuse by women at risk, rather than maintaining a limited focus on these women only when they are pregnant. A variety of reasons result in the lack of service Aboriginal women experience. From long waiting lists to these women fearing that they will loose custody of their children, if they admit to needing help with substance abuse during pregnancy, to the geographical location of communities, are all barriers that must be overcome.
Health policy is described as the action of the Government to achieve goals within the health sector (10). Through an analysis of policy it is understood that it is influenced
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
Newman, Constance. "Time to address gender discrimination and inequality in the health workforce." Human Resources for Health, vol. 12, no. 25, 6 May 2014, PMC. doi:10.1186/1478-4491-12-25. Accessed 4 July 2017.