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Aboriginal health critical reflections
Aboriginal health care essays
Violation of human rights in aboriginal
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Implementation In accordance with human rights principles that support the provision of equal opportunities for health, implementation of health initiatives must be developed to ensure availability, accessibility, acceptability and quality (UN Committee on Economic, Social and Cultural Rights [CESCR], 2000). Successful collaborations, led by local Indigenous voices, priorities and SEWB understandings, will develop and support the most culturally appropriate inclusion of these human rights considerations through the development and implementation of Indigenous methodologies that they believe will address the communities' needs and achieve nominated goals. It is argued that decolonising, Indigenous methodologies that give voice to the marginalised …show more content…
Central to its design, the cyclical nature of PAR promotes ongoing observation, reflection and action to produce community-devised plans that will achieve sustainable, positive outcomes (Koch, & Kralik, 2008). Evaluation processes often involve matching objectives with outcomes and noting differences in the community before and after implementation. This may include surveys that measure the impact of research and implementation across different areas of the communities' health and wellbeing including health related behaviours (Billings, 2008). However, as it often takes time to see significant results after implementation, it is imperative that not only culturally appropriate and competent, designs and methods have been employed throughout to ensure greater chance of success in meeting community needs and objectives, but continual collaboration is employed for feedback to guide the PAR process (Koch & Kralik, 2008). If PAR is implemented correctly in respect of key considerations outlined within this plan, feedback loops would be generated from building and maintaining strong working relationships, and the facilitation of ongoing dialogue throughout all phases. The continual feedback from participants established will allow for researchers and experts to …show more content…
These are fundamental for measuring and improving social and emotional wellbeing. Successful implementations will find an increase in individual and community identity and positive health behaviours alongside the meeting of objectives set around availability, accessibility, acceptability and quality of programs and initiatives implemented in line with human rights to health (Koch & Kralik, 2008)
...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.
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...
... 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.
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...
Access is more than the availability of services; access assumes that services are provided in a way that is responsive to the needs of the health care system users, and is open to participation in the planning of those services by underserved groups. There are many different components in terms of access; client access, securing necessary services for an individual, and to organizational access amount of influence a person has to determine type, delivery and administration of services. Some may not be covered within the publicly insured health care on the other hand, maybe funded but not available when needed. There can be barriers to access these health care systems. Marginalized populations, through the lens of First Nations and Aboriginal people there are many problems and barriers they face in terms of health care. Firstly the geographical barrier many First Nations people live in remote areas where there is limited access to health services funded by the provinces. In these locations the First Nations and Inuit Health Branch of Health Canada is responsible for providing primary health services. Since many doctors, nurses and other health care professional do not live or chose to work in these distant locations due to the isolation. Communities, provision of community health services may not be in the same form as those available to other citizens; some services may not be available at all. These
The nature of traditional medicine and its intimate relationship with Aboriginal culture explains the inadequacy of Western medicine as the primary model of health care for the Aboriginal community. I believe the preservation of the Aboriginal culture is the only true cure for the Aboriginal people. Society today must work on developing an understanding towards each other, and realize that the Aboriginal people are not rebelling against the “White man” or his ways, rather Aboriginal’s are trying to help their people by going back to what has worked for their ancestors for centuries; and what they feel comfort in.
Through showing the different definitions of health, the authors explain how those different understandings affect patterns of behavior on health depend on different cultures. In addition, an analysis of the models of health demonstrates even western medical approaches to health have different cognitions, same as the Indigenous health beliefs. The most remarkable aspect is a balance, a corresponding core element in most cultures which is an important consideration in Indigenous health as well. From an Indigenous perspective, health is considered as being linked, and keeping the connection is a priority to preserve their health. Consequently, health is a very much culturally determined. Health practitioners should anticipate and respect the cultural differences when they encounter a patient from various cultures. In particular, this article is good to understand why the Indigenous health beliefs are not that different than western medicine views using appropriate examples and comparative composition, even though the implementation the authors indicated is a bit abstract, not
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
Diagnosing and investigating health problems and health hazards in the community. Informing, educating and empowering the people about health issues. Mobilizing community partnerships to identify and solve health problems. Health assessments also develop policies and plans that support individual and community health efforts. They also enforce laws and regulations that help protect health and ensure safety (Thivierge, 2016). Assessments link people to needed personal health services and assure the provision of health care when otherwise unavailable. Public health assessments can help to assure the public of the competency of the public health and personal health care workforce. These assessments evaluate effectiveness, accessibility and quality of personal and population-based health services (Thivierge,
Also the essay will discuss the strengths and weaknesses of each approach as this can be an indicator if this approach is applied, whether it can address inequality and improve the health and well being of that individual or society. The essay will use the Dahlgren and Whitehead social determinants of health of need to exemplify the determinants of health showing how these determinants can influence the way health is viewed as holistic or merely an absence of disease. Lastly, the essay will analyse the evaluation with these approaches plus the importance of evaluation to present programs and future programs or activity.
...on, race, and political belief, economic or social condition. Improving the poor health of disadvantaged individuals and reducing health gaps is important but not enough to level up health through socioeconomic groups. The objective of tackling health inequalities can be changed to local needs and priorities of a community allowing wide-ranging partnerships of support to be organised. However it needs to be made clear that what can be done to help improve the life chances and health prospects of individuals living in poverty may not come close to bringing their health prospects closer to the average of the rest of the population or prevent the gap living on throughout the generations. Being clear about what is trying to be overcome and achieved needs upmost importance in the development and delivery of policies that will promote health equality across the population.
Shediac-Rizkallah, M.C., Bone, L.R (1998) Planning for the sustainability of community based health programs : Conceptual frameworks and future directions for research, practice and policy: Health Education Research. 12 (1) pg 87-108.
The five principles of HP include building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and reorienting health services (McMurray & Clendon 2015). The first principle aims to incorporate health into all public policy decisions beyond the health system so that living and working conditions become conducive to health and equity (Germov, Freij & Richmond 2015). According to McMurray & Clendon (2015), multi-sectoral collaboration is required among different sectors, such as education, industry and social welfare, with the reciprocally influential policies that guide the community health. The second principle emphasises the socio-ecological approach to health that promotes sustainable environment and broader social support systems that encourage a safe and satisfying life (Germov, Freij & Richmond 2015; McMurray & Clendon 2015). This principle requires to acknowledge the significance of conserving the physical or social resources that allow people to maintain health (McMurray & Clendon 2015). The third principle focuses on information and learning opportunities that enable communities to make knowledgeable choices for better health (McMurray & Clendon
The purpose of this community profile is to discuss a particular health improvement issue within a chosen community. A community can be defined using many different terms. You can belong to a community through religious beliefs. Through shared experiences or interests. You can belong to a political community where all involved share the same political interests. A community can also be defined as ‘a family’ a small village where many have lived most of their lives who share the same desire to belong to that community.