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Deadly Choices or deadly choices? An ethnography of promoting Indigenous health in Australia

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Karen McPhail-Bell

on 2 October 2014

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Transcript of Deadly Choices or deadly choices? An ethnography of promoting Indigenous health in Australia

Branding: Culture is cool
Variety and fun in connecting with community
Distributive leadership - "Everyone can be a leader"
Leadership is culture; culture is relational
"We do things differently"
Innovative engagement
Decolonising health promotion
Deadly Choices or deadly choices? An ethnography of health promotion practice with Indigenous Australians
What's your Deadly Choice?
Leadership shifts according to context
Deadly Choices Ambassadors
Leadership is participating and "having a go"
Illustration by Julie Haysom for Wendy Foley's poster on dietary advice (2004)
Normalising "healthy lifestyle" in a package of identity, culture and strength
Listening and power - the anti-colonial significance
Role modelling and starting young
Building connections
See the other thing we're trying to get out of it (the program) is meeting people, especially Indigenous people from other areas and actually connecting, because you know, what Murris do in Brisbane is different to what Murris do on the Gold Coast; different lifestyles as well. They're still Murris, you know what I mean?... We try and build that leadership, say OK: here's your older group, here's your younger group, how do you support that?
" (Interview, 2013)
"...that's our culture, that's what we do, we look after each other and we support each other" (Interview 2013).
Supporting each other
Trust and reciprocity
"...establishing those relationships is probably the most important thing to do... in my experience with Indigenous kids, there are a lot of trust issues. If you can't break down barriers with them, they won't trust you, they won't engage with you" (Group interview, 2013)
Responsibility and discipline
S: Somehow, everything relates to family. Everything relates... I always ask... "why do you think its important you know about smoking?"
B: And a lot of them say, "its to tell my family."
S: Yep and then you get some say, "oh its not for me, I don't smoke". That's not the issue - you don't smoke but does someone in your family smoke? And they'll go, "oh yeh, yeh" and there is. So it is important for you to know this because...
B: Yeh, its your responsibility.
S: Yeh, its your responsibility to look after your family.
"Experience will outweigh those education tools every day"
"It's mad hey when you think even like a thing when you say our role is chronic disease, nutrition and exercise, and then the tobacco stuff with the smoking group, and we come up with leadership. But its just normal, well not normal but the way we would normally think, instead of looking out looking in, we're in looking out" (Interview 2013)
"Proud, been educated and feeling empowered" - symbolism of Deadly Choices merchandise
Indigenous identity as health-producing
Community driven concepts of health and engagement
Promoting social choices
Community defined deadly choices
Health promotion has failed Indigenous Australians
A counter-narrative and contrast to traditional health promotion
Leadership can be an approach to health promotion
Deadly Choices paves a way for decolonisation of health promotion practice
"Deadly Choices is about being part of something trying to bring back culture in a modernised way"
I'd love to hear from you! Please contact me:
Karen McPhail-Bell
0421 061 403
Full transcript