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Indigenous Health: The Perpetuation of Inequality

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Dominique Hebert

on 25 October 2013

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Transcript of Indigenous Health: The Perpetuation of Inequality

Indigenous Health: The Perpetuation of Inequality
Major Health Problems in Indigenous Australians
Health Inequality in Indigenous Australians
Addressing Indigenous ill-health
By Alex Johnson
Dominique Hebert

Personal Experience in Broome
50,000-125,000 years
Complex societies & self-determining lifestyles w/ control and decision-making over all aspects of life
Healthy diets
Constantly on the move--plenty of exercise
Good at maintaining their health/ Overall good health status
Colonisation and Disposition of Aboriginals
Invasion and settlement of land justified by Terra Nullius
Ethnocentric belief
Introduction of Diseases
Direct frontier violence
Institutionalisation--"Protecting" and "civilising"
British Influence-device for controlling Indigenous people
Major health risk factor
Dry Communities
Rural vs. Urban
Mental Health
Higher rates of suicide
Social Production of Indigenous ill-health
Sociological explanations of ill-health
Socio-economic status
Non-Indigenous Males: 77
Indigenous Males: 59
Non-Indigenous Females: 82
Indigenous Females: 65
Poor Nutrition
Introduction to Western food
Low socio-economic status
National Aboriginal Health Strategy
NAHS Working party established 1987
Important Milestone
Recognition of women's vs. men's meetings
Close the Gap
Human-rights based campaign launched in April 2007
Goal: raise health/life expectancy of the I
Indigenous population by 2030
24th of March
Stolen Generation
Northern Territory Intervention
21 June 2007 announced the Northern Territory Emergency Response
Protect Aboriginal children from child abuse in the NT
The National Aboriginal Community Controlled Health Organization (NACCHO)
Dates back to 1974
Has 137 members and 30 Affiliates
Primary health care service initiated and operated by the local Aboriginal community
1967 Referendum
Until 1967 Aboriginal and Torres Strait Islander people had been outside the broad reach of the commonwealth government
Enabled powerful changes to occur
Indigenous Health Comparisons
Definition: "Health"
"Health is not just the physical well-being of the individual but the social, emotional, and cultural well-being of the whole community. This is a whole-of-life view and it also includes the cyclical concept of life-death-life".
2008-COAG 6 Targets
Close life-expectancy gap w/in generation
Halve the gap in mortality rates for children under 5
Ensure access to early childhood education in remote communities
Halve the gap in reading, writing and numeracy achievements for children
Halve the gap in Indigenous Year 12 achievement by 2020
Halve the gap in employment outcomes between Indigenous and non-indigenous Australians within a decade
COAG's 7 action areas or "Building Blocks"
Early Childhood
Economic Participation
Healthy Homes
Safe Communities
Governance and Leadership
7 Measures of Intervention
Welfare and Employment
Law and Order
Enhancing Education
Supporting Families
Improving Child and Family Health
Housing and Land Reform
Focused on:
provide primary care
health promotion
other health activities
plays leading role in representing the interests of its members to governments developing healthy policy and standards of care
Major Health Problems
Cardiovascular disease
Respiratory disorders
Diseases of the digestive system
External causes
Assimilation Policy
Post-traumatic Stress Disorder/Violence
Native Americans vs. Aboriginals and Torres Strait Islanders
Australia's last in the ranking of First World Wealthy Nations Working to Improve the Health & Life Expectancy of Indigenous Peoples
Breaking Stereotypes
1) What are other solutions to help with Indigenous health equality?

2) How can you as a future health professional help "close the gap"?
A National Aboriginal Health Strategy 1989. (n.d.). Department of Health. Retrieved October 20, 2013, from http://www.health.gov.au/
Bourke, Colin, Eleanor Bourke, and W. H. Edwards. Aboriginal
Australia: an introductory reader in aboriginal studies. 2nd ed.
St. Lucia, Qld., Australia: University of Queensland Press ;,
1998. Print.
Close the Gap 2007. (2007, September 6). YouTube. Retrieved October 20, 2013, from
Close the Gap 2012 | Power through Partnership. (2012, March 21). YouTube. Retrieved October 20, 2013, from
Closing the Gap. (n.d.). Australian Government Department of Social Services. Retrieved October 20, 2013, from http://www.dss.gov.au/our-responsibilities/indigenous-australians/programs-services/closing-the-gap
Dillon, Colin. The Impact of Drug and Alcohol Abuse on Policing and
Indigenous Communities [online]. Aboriginal and Islander Health
Worker Journal, Vol. 20, No. 2, Mar/Apr 1996: 32-36. Availability:
dn=266506795119200;res=IELIND> ISSN: 1037-3403. [cited 20 Oct 13].
Houston, Shane. National Aboriginal Health Strategy Working Party
[online]. Aboriginal and Islander Health Worker Journal, Vol. 13, No.
4, Dec 1989: 7-8. Availability:
=293151944018426;res=IELIND> ISSN: 1037-3403. [cited 20 Oct
Mayers, Naomi. "Aboriginal Health in Australia: Some Historical
Observations and Contemporary Issues." New Doctor 12.77
(2002): 3-5. Print.
Michael, Jarold. "Health Status of the Australian Aboriginal People and
the Native Americans - A Summary Comparison ." Asia-Pacific
Journal of Public Health 7.132 (1994): 132-136. Print.
NACCHO. (n.d.). NACCHO. Retrieved October 20, 2013, from http://www.naccho.org.au
Social Justice Report 2007 - Chapter 3: The Northern Territory 'Emergency Response' intervention. (n.d.). Australian Human Rights Commission. Retrieved October 20, 2013, from http://www.humanrights.gov.au/publications/social-justice-report-2007-chapter-3-northern-territory-emergency-response-intervention
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