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
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)
Indigenous Australian’s health has been a focal point and topic of interest for many members of the government and policy markers. The reasoning for why this topic has been of popular interest for the government and policy makers is due to the startling and atrocious lack of health that Indigenous Australian’s suffer. Indigenous Australian’s are disadvantaged in the Australian healthcare system and have the poorest health out of all Australians. “Between 2004 and 2008, 66% of Indigenous deaths occurred before the age of 65 compared with 20% of non-Indigenous deaths.” (Red Dust, p.1) Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor health care system and policies that haven’t been able to solve the issue. This essay will explore the significant and negative impact on the Indigenous communities and how policy decisions have impacted and continue to impact the Indigenous communities. This essay will also outline why there have been significant policy shifts over time, the current issues in delivering services to Indigenous Australian’s and why these issues have emerged.
Wilkinson, R. G., & Marmot, M. G. (2003). Social determinants of health: The solid facts.
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
Presently, access to programs and health care services is fragmented given the nature of the health care system for Aboriginal peoples (Wilson et al., 2012). The federal government is responsible for providing limited health services among Inuit living within traditional territories and status/registered Indians living on reserves (Chen et al., 2004). This responsibility is vested in the First Nations and Inuit Health Branch organizations to carry out protection activities and health promotion, and provide funding for community health programs in Inuit communities and reserves (Chen et al., 2004). Firstly, the complexity of the health care system for Aboriginal peoples has resulted in an unequal access to health services due to the First Nations and Inuit Health Branch program (FNIHB), which only applies to Inuit and Indians. Therefore, Metis and other Aboriginal peoples who do not qualify for registration under the Indian Act do not receive health services provided by FNIHB (Chen et al., 2004). Secondly, the transfer of responsibility to health boards, communities and other authorities has resulted in unequal supply of health services between territories and provinces, uneven distribution among communities, and leaves limited opportunity for increased funding (Loppie et al., 2009). It has also lead to controversy between various levels of government over the responsibility to pay for particular health services. Jurisdictional limitations, which have failed to recognize Metis identity and rights, have resulted in health disparities among the Metis population (Wilson et al., 2012). While the federal government recently decided to include Metis status in Aboriginal initiatives, the funding has not been equitable when compared to those of Inuit and First Nations or to the non-Aboriginal populations in Canada (Loppie et al., 2009). The Aboriginal health
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...
Walter, M. (2007). Aboriginality, poverty and health-exploring the connections. Beyond bandaids: exploring the underlying social determinants of aboriginal health. [online] Retrieved from: http://www.lowitja.org.au/sites/default/files/docs/Beyond-Bandaids-CH5.pdf/ [Accessed 10 Apr 2014]
... 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.
However, Canada is working towards incremental equality when regarding this concept, which in turn, impacts reconciliation. The most universal outcomes of the physical environments of reserves are to do with substantial housing shortages and poor quality of existing homes. With the lack of affordable housing off reserves, there is overcrowding in First Nation communities, as well as homelessness for Aboriginals living in urban areas, (Reading & Wien, 2009, p.8). Homes that exist on reserves lack appropriate ventilation, which results in mold, which in turn can lead to severe asthma as well as allergies. Families on reserves do not have access to a fresh supermarket that carries nutritious foods because they live in a remote community. With this being said, health conditions may develop in Aboriginal peoples because of the lack of healthy, nutritious food. Canada is working towards equality within the physical environments as William F. Morneau (2016) describes, “Budget 2016 proposes to invest $8.4 billion over five years, beginning in 2016-17, to improve the socio-economic conditions of Indigenous peoples and their communities and bring about transformational change,” (“A Better Future for Indigenous Peoples,” 2016). All of these aspects play a key role in reaching reconciliation throughout
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...
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
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
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.
...an, P., Egerter, S., & Williams, D. R. (2011). The social determinants of health: coming
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.