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Aboriginal health critical reflections
Aboriginal health critical reflections
Aboriginal health critical reflections
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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... ... middle of paper ... ...ther two dimensions productivity. Social determinants are situations in which people are born, grow, live, work and age which is why they are so influential on the contemporary and future health status of the individual. Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health, which in some way can be related back to the social determinants of health. Many of these social determinants have programs implemented to try and rectified the disparities in health status between Indigenous Australians and Non-Indigenous Australians. If these programs work closing the gap between Indigenous Australians and Non-Indigenous Australians will be improved and Indigenous Australians health will not be described as third world health in a first world country, which is how Aboriginals health is described now.
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)
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.
1) First topic chosen was wellness which is “a conscious, self-directed and evolving process of achieving full potential.” (The National Wellness Institute, para 3) What wellness means to me is being with my family, surrounding myself with your loved ones, or even being with the environment. To Indigenous people it is the exact same with their wellness with each other, or the wellness with their environment. Mental wellness in Indigenous is living a journey along the way being fulfilled in good health. This changed my thoughts because sometimes I don’t always see the good or surround myself in happiness which can create bad health for me.
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
American Indians have had health disparities as result of unmet needs and historical traumatic experiences that have lasted over 500 hundred years.1(p99) Since first contact American Indians have been exposed to infectious disease and death2(p19), more importantly, a legacy of genocide, legislated forcible removal, reservation, termination, allotment, and assimilation3. This catastrophic history had led to generational historical traumas and contributes to the worst health in the United States.2 American Indians and Alaska Natives (AI/AN) represent 0.9 percent of the United States population4(p3) or 1.9 million AI/AN of 566 federally recognized tribes/nations.5 American Indians/Alaska Natives have significantly higher mortality rates of intentional and unintentional injuries, chronic liver disease and cirrhosis, diabetes mellitus, cardiovascular disease and coronary heart disease and chronic lower respiratory disease than other American.6
The 1967 referendum resulted in the change of the Constitution on August 10 of that year, initiating the start of great change for the lives of indigenous people in Australia. The referendum sought to change Sections 51 and 127 of the Constitution. Section 51 stated the Federal Government could make laws for anyone in the nation except aborigines, leaving state governments in charge (Creative Spirits – 1967 Referendum, online, 14/8/15). Section 127 specified that when the population of the Commonwealth was counted, indigenous people were not included (Creative Spirits – 1967 Referendum, online, 14/8/15). According to Faith Bandler, an indigenous civil rights activist, it was important to force the Commonwealth to be responsible for the aborigines
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.”
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).
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.
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...
The authors describe Indigenous perspectives on health and well-being based on Aboriginal and Torres Strait Islander people’s historical and cultural backgrounds. In the Indigenous culture, health comprises not just physical and mental health, but emotional well-being, social and environmental factors as well. Moreover, this holistic approach to health is most associated with their cultural and spiritual dimension. For instance, it is important to maintain their physical and cultural connection to traditional lands as well
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
In Indigenous Australian communities low birth weight infants and infant mortality is much more common than in non-Indigenous Australian communities.
Ecological determinants consist physical, biological, social and chemical factors that have a significant effect on the individuals or populations health. Ecological Factors that have a major effect on the indigenous health include: having access to affordable healthy and nutritious food, pollution, animal, dust control, clean house/area, clean water supply and personal hygiene (Australian Indigenous HealthInfoNet 2015).
...oing set of interventions is required which can only be provided by a skilled multi-disciplinary workforce, able to sustain effective long-term treating relationships and links with other providers. General practices are not able to meet these needs fully (Keys Young 1997, cited in Dwyer et al 2004), while Indigenous-specific agencies are designed to provide the basic health infrastructure required for effective service delivery. Secondly, for several reasons including historical and cultural ones, mainstream health services are not generally capable of meeting the needs of Indigenous Australians and this makes it hard for Indigenous people to use them. Many Indigenous Australians will go without primary health care (Keys Young 1997, cited in Dwyer et al, 2004) if a service that specifically welcomes them and responds appropriately to their needs is not available.