Academic literature on the topic 'Australia's indigenous health policy'
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Journal articles on the topic "Australia's indigenous health policy"
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Walker, Judi, and Grant Lennox. "Duelling Band-aids: Debating and Debunking Issues Affecting Primary Health Care to Achieve Deliverance for Australia's Health." Australian Journal of Primary Health 6, no. 4 (2000): 147. http://dx.doi.org/10.1071/py00048.
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The constant pressure for growth on all areas of health spending is not matched by the country's capacity to pay. Despite a progressive shift to a primary health care approach that promotes health and wellbeing, illness prevention, healthy lifestyles, early detection, rehabilitation and public health strategies, not all segments of Australian society enjoy good health. In this paper, general indications of the health and wellbeing of Australians are described, and the health and wellbeing of two important population groups: rural and remote and Indigenous populations are discussed, providing a review of Australia's health system. Anomalies in the status of the health of Australians are apparent. Models of primary healthcare, individual health and urban health are compared with models of acute and institutional care, population health and rural health.
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FISHER, MATTHEW, SAMANTHA BATTAMS, DENNIS MCDERMOTT, FRAN BAUM, and COLIN MACDOUGALL. "How the Social Determinants of Indigenous Health became Policy Reality for Australia's National Aboriginal and Torres Strait Islander Health Plan." Journal of Social Policy 48, no. 1 (May 28, 2018): 169–89. http://dx.doi.org/10.1017/s0047279418000338.
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AbstractThe paper analyses the policy process which enabled the successful adoption of Australia's National Aboriginal and Torres Strait Islander Health Plan 2013–2023 (NATSIHP), which is grounded in an understanding of the Social Determinants of Indigenous Health (SDIH). Ten interviews were conducted with key policy actors directly involved in its development. The theories we used to analyse qualitative data were the Advocacy Coalition Framework, the Multiple Streams Approach, policy framing and critical constructionism. We used a complementary approach to policy analysis. The NATSIHP acknowledges the importance of Aboriginal and Torres Strait Islander (hereafter, Aboriginal) culture and the health effects of racism, and explicitly adopts a human-rights-based approach. This was enabled by a coalition campaigning to ‘Close the Gap’ (CTG) in health status between Aboriginal and non-Aboriginal Australians. The CTG campaign, and key Aboriginal health networks associated with it, operated as an effective advocacy coalition, and policy entrepreneurs emerged to lead the policy agenda. Thus, Aboriginal health networks were able to successfully contest conventional problem conceptions and policy framings offered by government policy actors and drive a paradigm shift for Aboriginal health to place SDIH at the centre of the NATSIHP policy. Implications of this research for policy theory and for other policy environments are considered along with suggestions for future research.
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Donato, Ronald, and Leonie Segal. "Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?" Australian Health Review 37, no. 2 (2013): 232. http://dx.doi.org/10.1071/ah12186.
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This paper provides an analysis of the national Indigenous reform strategy – known as Closing the Gap – in the context of broader health system reforms underway to assess whether current attempts at addressing Indigenous disadvantage are likely to be successful. Drawing upon economic theory and empirical evidence, the paper analyses key structural features necessary for securing system performance gains capable of reducing health disparities. Conceptual and empirical attention is given to the features of comprehensive primary healthcare, which encompasses the social determinants impacting on Indigenous health. An important structural prerequisite for securing genuine improvements in health outcomes is the unifying of all funding and policy responsibilities for comprehensive primary healthcare for Indigenous Australians within a single jurisdictional framework. This would provide the basis for implementing several key mutually reinforcing components necessary for enhancing primary healthcare system performance. The announcement to introduce a long-term health equality plan in partnership with Aboriginal people represents a promising development and may provide the window of opportunity needed for implementing structural reforms to primary healthcare. What is known about the topic? Notwithstanding the intention of previous policies, considerable health disparity exists between Indigenous and non-Indigenous Australians. Australia has now embarked on its most ambitious national Indigenous health reform strategy, but there has been little academic analysis of whether such reforms are capable of eliminating health disadvantage for Aboriginal people. What does the paper add? This paper provides a critical analysis of Indigenous health reforms to assess whether such policy initiatives are likely to be successful and outlines key structural changes to primary healthcare system arrangements that are necessary to secure genuine system performance gains and improve health outcomes for Indigenous Australians. What are the implications for practitioners? For policymakers, the need to establish genuine partnership and engagement between Aboriginal people and the Australian government in pursuing a national Indigenous reform agenda is of critical importance. The establishment of the National Congress of Australia’s First Peoples provides the opportunity for policymakers to give special status to Indigenous Australians in health policy development and create the institutional breakthrough necessary for effecting primary healthcare system change.
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Olsen, Anna, Jack Wallace, and Lisa Maher. "Responding to Australia's National Hepatitis B Strategy 2010–13: gaps in knowledge and practice in relation to Indigenous Australians." Australian Journal of Primary Health 20, no. 2 (2014): 134. http://dx.doi.org/10.1071/py12162.
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The Australian National Hepatitis B Strategy 2010–13 outlines five priority areas for developing a comprehensive response to the hepatitis B virus (HBV): building partnerships and strengthening community action; preventing HBV transmission; optimising diagnosis and screening; clinical management of people with chronic hepatitis B (CHB); and developing health maintenance, care and support for people with HBV. A scoping study was used to map the main sources and types of evidence available on the epidemiology and natural history of HBV among Indigenous Australians as well as public health responses published since 2001 (January 2001–May 2013). Gaps in current knowledge were identified. While the literature documents the success of universal infant immunisation and indicates the potential for screening initiatives to identify infected and susceptible individuals, prevalence of CHB and hepatocellular cancer remain high in Indigenous Australians. Significant gaps in knowledge and practice were identified in relation to each of the five National Hepatitis B Strategy priority action areas. Successful implementation of the strategy in Indigenous communities and reducing the burden of HBV and hepatocellular cancer in Indigenous Australians will require increased investment in research and knowledge transfer across all priority areas.
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Firebrace, Sharon. "Issues in Service Delivery for Women Statewide: Koori Context." Australian Journal of Primary Health 4, no. 3 (1998): 89. http://dx.doi.org/10.1071/py98034.
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For introduction, let me state what most of us will readily acknowledge as fact: the Koori health profile contains the greatest challenge for health providers on all levels today. This has been the case for decades and current indicators confirm the relatively stagnant health outcomes of Australia's indigenous population. Similarly challenged indigenous populations throughout the world -especially in New Zealand, Canada and USA - have improved their indigenous health profiles while we, in Australia, lag behind. Despite the best intentions of government and indigenous agencies, the state of indigenous health remains a damning indictment of our society's human rights conscience.
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Turner, Lyle, Tim Albers, Adrian Carson, Carmel Nelson, Renee Brown, and Marianna Serghi. "Building a regional health ecosystem: a case study of the Institute for Urban Indigenous Health and its System of Care." Australian Journal of Primary Health 25, no. 5 (2019): 424. http://dx.doi.org/10.1071/py19038.
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Efforts to address Indigenous health disadvantage require a refocus on urban settings, where a rapidly increasing majority (79%) of Indigenous Australians live. Proximity to mainstream primary care has not translated into health equity, with the majority of the Indigenous burden of disease (73%) remaining in urban areas and urban Indigenous people continuing to face significant barriers in accessing comprehensive and culturally appropriate care. This paper presents a case study of how the Institute for Urban Indigenous Health (IUIH) has strategically responded to these challenges in South East Queensland – home to Australia’s largest and equal fastest growing Indigenous population. The IUIH has developed a new regional and systematised model – a regional health ‘ecosystem’ – for how primary care is delivered and intersects with the broader health system. Through intentional action, which strengthens the self-efficacy of community, the IUIH System of Care has delivered real gains for the Indigenous population of the region and has the capacity to deliver similar improvements in health access and outcomes in other regions.
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Matthews, Anna, Lisa R. Jackson Pulver, and Ian T. Ring. "Strengthening the link between policy formulation and implementation of Indigenous health policy directions." Australian Health Review 32, no. 4 (2008): 613. http://dx.doi.org/10.1071/ah080613.
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This study aimed to understand the problems within the Indigenous health policy process in Australia and how weaknesses in the process impact on policy implementation. Using semistructured questions, 23 key stakeholders in the policy-making process were interviewed. Three main themes dominated; a need for increased Indigenous involvement in policy formulation at the senior Australian Government level, increased participation of Indigenous community-controlled health organisations in the policy-making process and, most importantly, ensuring that policies have the necessary resources for their implementation. The emergence of these specific themes demonstrated weaknesses in policy process from the formulation stage onward. Tackling these would, according to our informants, significantly enhance the effectiveness of the policy process and contribute to further improvement of the health of Indigenous Australians.
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Chynoweth, J., B. Daveson, M. McCambridge, J. Coutts, H. Zorbas, and K. Whitfield. "A National Priority: Improving Outcomes for Aboriginal and Torres Strait Islander People With Cancer Through an Optimal Care Pathway." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 243s. http://dx.doi.org/10.1200/jgo.18.97700.
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Background and context: Cancer survival rates in Australia are among the best in the world, yet Aboriginal and Torres Strait Islander (indigenous) people continue to experience disparities in the distribution and burden of cancer, and unwarranted variations in outcomes. Indigenous Australians are 40% more likely to die of cancer than non-Indigenous Australians. Cancer Australia developed the National Aboriginal and Torres Strait Islander Cancer Framework (the framework), which identified 7 national priorities to address disparities in cancer outcomes experienced by indigenous Australians. An ongoing collaboration with indigenous Australians was integral to developing this shared agenda. Priority 5 in the framework highlights the need to ensure indigenous Australians affected by cancer receive optimal and culturally appropriate treatment, services, and supportive and palliative care. Aim: To improve cancer outcomes for indigenous Australians through the development and national endorsement of a population-specific Optimal Care Pathway (OCP) to guide the delivery of consistent, safe, high-quality, culturally appropriate and evidence-based care. Strategy/Tactics: Cancer Australia formed a partnership with the Victorian Department of Health and Human Services (DHHS) to address Priority 5 and develop the OCP. The approach to development was underpinned by Cancer Australia's Model of Engagement for Aboriginal and Torres Strait Islander People and guided by the national Leadership Group on Aboriginal and Torres Strait Islander Cancer Control (Leadership Group). Program/Policy process: Cancer Australia, in collaboration with DHHS: • reviewed experiences of care and the framework's comprehensive evidence base • developed a draft OCP to complement tumor-specific pathways • facilitated an Expert Working Group, comprising indigenous health sector leaders and consumers to refine and validate the draft OCP • undertook national public consultation, including with the indigenous health sector and community, health professionals and professional colleges • received an indication of support to proceed to endorsement from the Leadership Group. Outcomes: The first population-specific OCP for Aboriginal and Torres Strait Islander people with cancer received national endorsement. It will guide the delivery of consistent, safe, high-quality, culturally appropriate and evidence-based care. What was learned: Key elements of optimal care include: addressing the cultural appropriateness of the healthcare environment; improving cross-cultural communication; relationship building with local community; optimizing health literacy; recognition of men's and women's business; and the need to use culturally appropriate resources. The national priority in the framework informed and unified high-level direction, which was integral to effective OCP development and endorsement. The evidence-based, step-wise development approach contributed to its relevance, utility and quality.
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Cotter, Philippa R., John R. Condon, Tony Barnes, Ian P. S. Anderson, Leonard R. Smith, and Teresa Cunningham. "Do Indigenous Australians age prematurely? The implications of life expectancy and health conditions of older Indigenous people for health and aged care policy." Australian Health Review 36, no. 1 (2012): 68. http://dx.doi.org/10.1071/ah11996.
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Objective. To assess whether Indigenous Australians age prematurely compared with other Australians, as implied by Australian Government aged care policy, which uses age 50 years and over for population-based planning for Indigenous people compared with 70 years for non-indigenous people. Methods. Cross-sectional analysis of aged care assessment, hospital and health survey data comparing Indigenous and non-indigenous age-specific prevalence of health conditions. Analysis of life tables for Indigenous and non-indigenous populations comparing life expectancy at different ages. Results. At age 63 for women and age 65 for men, Indigenous people had the same life expectancy as non-indigenous people at age 70. There is no consistent pattern of a 20-year lead in age-specific prevalence of age-associated conditions for Indigenous compared with other Australians. There is high prevalence from middle-age onwards of some conditions, particularly diabetes (type unspecified), but there is little or no lead for others. Conclusion. The idea that Indigenous people age prematurely is not well supported by this study of a series of discrete conditions. The current focus and type of services provided by the aged care sector may not be the best way to respond to the excessive burden of chronic disease and disability of middle-aged Indigenous people. What is known about the topic? The empirical basis for the Australian Government’s use of age 50 for Indigenous aged care planning, compared to age 70 for the non-indigenous population, is not well established. It is not clear whether Indigenous people’s poorer health outcomes and lower life expectancy are associated with premature ageing. What does this paper add? This paper compares Indigenous and non-indigenous life expectancy and prevalence of health conditions. Only some conditions associated with ageing appear to affect Indigenous people earlier than other Australians. The proposition of premature ageing based on this explanatory framework is uncertain. The estimated gap between Indigenous and non-indigenous life expectancy in later life is ~6 years. What are the implications for practitioners? The current rationale for using a lower Indigenous planning age is problematic; however, further research is required to assess the effectiveness of this policy measure. The much higher prevalence of preventable chronic conditions among Indigenous Australians in middle-age groups is clear. The ‘early ageing’ frame can imply irremediable disability and disease. The aged care sector may be filling gaps in other services. The community care services for this group require a more tailored approach than simply lowering the planning age for aged care services.
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Leggat, Sandra G. "Improving Aboriginal health." Australian Health Review 32, no. 4 (2008): 587. http://dx.doi.org/10.1071/ah080587.
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In recognition of the recent achievements of the Close the Gap campaign, this issue of AHR contains a set of papers focusing on Aboriginal health. At the national Indigenous Health Equality Summit in Canberra in March 2008, the Close the Gap Statement of Intent was signed. This Statement of Intent requires the government, health and social service agencies and the Aboriginal communities to work together to achieve equality in health status and life expectancy between Indigenous and non-Indigenous Australians by the year 2030. (See http:// www.hreoc.gov.au/Social_Justice/health/statement_ intent.html) The first three papers present important policy lessons. Matthews and her colleagues stress the need to strengthen the link between policy formulation and implementation (page 613). Their study found that the lack of progress in improving Aboriginal health may be the result of lack of Indigenous involvement in policy formulation at the senior Australian Government level, limited participation of Indigenous community controlled health organisations in the policy making process and insufficient resources for implementation. Anderson, Anderson and Smylie outline the achievements of the National Indigenous Health Performance Measurement System (page 626), and change management lessons from Aboriginal community controlled health organisations are discussed by Leanne Coombe from the Apunipima Cape York Health Council (page 639). Other papers with a focus on Aboriginal health include a review of emergency department access (page 648), overseas-trained doctors working in rural and remote Aboriginal health settings (page 655) and eye health programs within remote Aboriginal communities (page 664).
Dissertations / Theses on the topic "Australia's indigenous health policy"
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Panzironi, Francesca. "Indigenous Peoples' Right to Self-determination and Development Policy." University of Sydney, 2007. http://hdl.handle.net/2123/1699.
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Doctor of PhilosophyThis thesis analyses the concept of indigenous peoples’ right to self–determination within the international human rights system and explores viable avenues for the fulfilment of indigenous claims to self–determination through the design, implementation and evaluation of development policies. The thesis argues that development policy plays a crucial role in determining the level of enjoyment of self–determination for indigenous peoples. Development policy can offer an avenue to bypass nation states’ political unwillingness to recognize and promote indigenous peoples’ right to self–determination, when adequate principles and criteria are embedded in the whole policy process. The theoretical foundations of the thesis are drawn from two different areas of scholarship: indigenous human rights discourse and development economics. The indigenous human rights discourse provides the articulation of the debate concerning the concept of indigenous self–determination, whereas development economics is the field within which Amartya Sen’s capability approach is adopted as a theoretical framework of thought to explore the interface between indigenous rights and development policy. Foundational concepts of the capability approach will be adopted to construct a normative system and a practical methodological approach to interpret and implement indigenous peoples’ right to self–determination. In brief, the thesis brings together two bodies of knowledge and amalgamates foundational theoretical underpinnings of both to construct a normative and practical framework. At the normative level, the thesis offers a conceptual apparatus that allows us to identify an indigenous capability rights–based normative framework that encapsulates the essence of the principle of indigenous self–determination. At the practical level, the normative framework enables a methodological approach to indigenous development policies that serves as a vehicle for the fulfilment of indigenous aspirations for self–determination. This thesis analyses Australia’s health policy for Aboriginal and Torres Strait Islander peoples as an example to explore the application of the proposed normative and practical framework. The assessment of Australia’s health policy for Indigenous Australians against the proposed normative framework and methodological approach to development policy, allows us to identify a significant vacuum: the omission of Aboriginal traditional medicine in national health policy frameworks and, as a result, the devaluing and relative demise of Aboriginal traditional healing practices and traditional healers.
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Leon, de la Barra Sophia. "Building research capacity for indigenous health : a case study of the National Health and Medical Research Council : the evolution and impact of policy and capacity building strategies for indigenous health research over a decade from 1996 to 2006." University of Sydney, 2007. http://hdl.handle.net/2123/3538.
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Master of PhilosophyAs Australia’s leading agency for funding health research (expending over $400 million in 2006), the National Health and Medical Research Council (NHMRC) has a major responsibility to improve the evidence base for health policy and practice. There is an urgent need for better evidence to guide policy and programs that improve the health of Indigenous peoples. In 2002, NHMRC endorsed a series of landmark policy changes to acknowledge its ongoing role and responsibilities in Indigenous health research—adopting a strategic Road Map for research, improving Indigenous representation across NHMRC Council and Principal Committees, and committing 5% of its annual budget to Indigenous health research. This thesis examines how these policies evolved, the extent to which they have been implemented, and their impact on agency expenditure in relation to People Support. Additionally, this thesis describes the impact of NHMRC policies in reshaping research practices among Indigenous populations.
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Vujcich, Daniel Ljubomir. "Where there is no evidence, and where evidence is not enough : an analysis of policy-making to reduce the prevalence of Australian indigenous smoking." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:f2d8fbe9-b506-4747-993a-0657cb1df7bf.
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Background: Evidence-based policy making (EBPM) has become an article of faith. While critiques have begun to emerge, they are predominately based on theory or opinion. This thesis uses the 2008 case study of tobacco control policy making for Indigenous Australians to analyse empirically the concept of EBPM. Research questions: (1) How, if at all, did the Government use evidence in Indigenous tobacco control policy making? (2) What were the facilitators of and barriers to the use of evidence? (3) Does the case study augment or challenge the apparent inviolability of EBPM? Methods: Data were collected through: (1) a review of primary documents largely obtained under the Freedom of Information Act 1982; and (2) interviews with senior politicians, senior bureaucrats, government advisors, Indigenous health advocates and academics. Results: Historically, Indigenous smoking was not problematised because Indigenous people faced other urgent health/social problems and smoking was considered a coping mechanism. High prevalence data acquired salience in 2007/08 in the context of a campaign to reduce disparities between Indigenous and non-Indigenous health outcomes. Ensuing policy proposals were based on recommendations from literature reviews, but evidence contained in those reviews was weak; notwithstanding this, the proposals were adopted. Historical experiences led policy makers to give special weight to proposals supported by Indigenous stakeholders. Moreover, the perceived urgency of the problem was cited to justify a trial-and-evaluate approach. Conclusion: While the policies were not based on quality evidence, their formulation/adoption was neither irrational nor reckless. Rather, the process was a justifiable response to a pressing problem affecting a population for which barriers existed to data collection, and historical experiences meant that evidence was not the only determinant of policy success. The thesis proposes a more nuanced appraoch to conceptualising EBPM wherein evidence is neither a necessary nor a sufficient condition for policy. The approach recognises that rigorous evidence is always desirable but that, where circumstances affect the ability of such research being conducted, consideration must be given to acting on the basis of other knowledge (e.g. expert opinion, small-scale studies). Such an approach is justifiable where: (1) inaction is likely to lead to new/continued harm; and (2) there is little/no prospect of the intervention causing additional harm. Under this approach, non-evidentiary considerations (e.g. community acceptability) must be taken into account.
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Stoner, Lee, Anna G. Matheson, Lane G. Perry, Michelle A. Williams, Alexandra McManus, Maureen Holdaway, Lyn Dimer, Jennie R. Joe, and Andrew Maiorana. "Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study." ACADEMIC PRESS INC ELSEVIER SCIENCE, 2017. http://hdl.handle.net/10150/625942.
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The disparity in life expectancy between Indigenous and non-Indigenous populations, including within high-income countries, is driven by a heightened risk of cardio-metabolic diseases. The current study recruited independent panels of experts in Indigenous cardio-metabolic health from Australia, New Zealand and the United States, in order to establish local consensus opinion and initiate dialogue on appropriate prevention strategies. Therefore, a three-round Delphi process was used to consolidate and compare the opinions of 60 experts, 20 from each country. Round one, the experts were asked twelve open-ended questions across six domains: (i) prevention; (ii) consultation; (iii) educational resources; (iv) societal issues; (v) workforce issues; (vi) culture and family. Round two, the experts completed a structured questionnaire based on results from the first round, in which they ranked items according to their importance. Final round, the experts were asked to re-rank the same items after receiving summary feedback about the rank ordering from the previous round. Several themes emerged common to all three countries: (i) socio-economic and education inequalities should be addressed; (ii) educational, behaviour change and prevention strategies should address physical environmental determinants and be responsive to the local context, including being culturally appropriate; and (iii) cultural appropriateness can be achieved through consultation with Indigenous communities, cultural competency training, use of Indigenous health workers, and use of appropriate role models. These findings highlight several key priorities that can be used to initiate dialogue on appropriate prevention strategies. Such strategies should be contextualized to the local Indigenous populations.
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Parsons, Meg. "Spaces of Disease: the creation and management of Aboriginal health and disease in Queensland 1900-1970." University of Sydney, 2009. http://hdl.handle.net/2123/5572.
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Doctor of Philosophy(PhD)Indigenous health is one of the most pressing issues confronting contemporary Australian society. In recent years government officials, medical practitioners, and media commentators have repeatedly drawn attention to the vast discrepancies in health outcomes between Indigenous and non-Indigenous Australians. However a comprehensive discussion of Aboriginal health is often hampered by a lack of historical analysis. Accordingly this thesis is a historical response to the current Aboriginal health crisis and examines the impact of colonisation on Aboriginal bodies in Queensland during the early to mid twentieth century. Drawing upon a wide range of archival sources, including government correspondence, medical records, personal diaries and letters, maps and photographs, I examine how the exclusion of Aboriginal people from white society contributed to the creation of racially segregated medical institutions. I examine four such government-run institutions, which catered for Aboriginal health and disease during the period 1900-1970. The four institutions I examine – Barambah Aboriginal Settlement, Peel Island Lazaret, Fantome Island lock hospital and Fantome Island leprosarium – constituted the essence of the Queensland Government’s Aboriginal health policies throughout this time period. The Queensland Government’s health policies and procedures signified more than a benevolent interest in Aboriginal health, and were linked with Aboriginal (racial) management strategies. Popular perceptions of Aborigines as immoral and diseased directly affected the nature and focus of government health services to Aboriginal people. In particular the Chief Protector of Aboriginals Office’s uneven allocation of resources to medical segregation facilities and disease controls, at the expense of other more pressing health issues, specifically nutrition, sanitation, and maternal and child health, materially contributed to Aboriginal ill health. This thesis explores the purpose and rationales, which informed the provision of health services to Aboriginal people. The Queensland Government officials responsible for Aboriginal health, unlike the medical authorities involved in the management of white health, did not labour under the task of ensuring the liberty of their subjects but rather were empowered to employ coercive technologies long since abandoned in the wider medical culture. This particularly evident in the Queensland Government’s unwillingness to relinquish or lessen its control over diseased Aboriginal bodies and the continuation of its Aboriginal-only medical isolation facilities in the second half of the twentieth century. At a time when medical professionals and government officials throughout Australia were almost universally renouncing institutional medical solutions in favour of more community-based approaches to ill health and diseases, the Queensland Government was pushing for the creation of new, and the continuation of existing, medical segregation facilities for Aboriginal patients. In Queensland the management of health involved inherently spatialised and racialised practices. However spaces of Aboriginal segregation did not arise out of an uncomplicated or consistent rationale of racial segregation. Rather the micro-histories of Fantome Island leprosarium, Peel Island Lazaret, Fantome Island lock hospital and Barambah Aboriginal Settlement demonstrate that competing logics of disease quarantine, reform, punishment and race management all influenced the ways in which the Government chose to categorise, situate and manage Aboriginal people (their bodies, health and diseases). Evidence that the enterprise of public health was, and still is, closely aligned with the governance of populations.
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Jenkins, Stephen. "Australia's Commonwealth Self-determination Policy 1972-1998 : the imagined nation and the continuing control of indigenous existence /." Title page, contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phj522.pdf.
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Lavoie, JoseÌe Gabrielle. "Patches of equity : policy and financing of indigenous primary health care providers in Canada." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417833.
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Albert, S. M. "Medical pluralism among the indigenous peoples of Meghalaya, northeast India : implications for health policy." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2014. http://researchonline.lshtm.ac.uk/1856013/.
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Introduction: Meghalaya is a state in northeast India that has a predominantly indigenous population and an age-old system of tribal medicine. There are practitioners of this system in most villages, who use medicinal plants sourced from the state’s vast forest bio-resources. This project studied the tribal medicine of Meghalaya from three perspectives, the healer, the community and the policy maker. It locates tribal medicine within the government’s policy on medical pluralism and seeks to understand how tribal medicine of a local context fits into the national policy of the Government of India. Methods: A mixed methods study design was employed. Estimates of awareness and use of traditional medicine in the community were obtained from the analysis of a household survey. For the qualitative component tribal healers, policy makers, and influential members of the community were interviewed. A combination of in-depth interviews, observations and focus group discussions was employed in the field with healers, while in-depth interviews were the main source of data from policy actors. Qualitative data was analysed using a thematic content analysis approach that incorporated elements of the grounded theory approach. Results: The community - tribal medicine has wide acceptance across the state, 87% believed it to be efficacious and 46 % reported using it in the 3 months prior to the survey. In comparison only 31% had heard of any of the AYUSH (Ayurveda, Yoga, Unani, Siddha and Homeopathy) systems that are being promoted by the state and only 10.5% had ever used it in their lifetime. Healers - tribal healers are a heterogeneous group who treat a wide variety of ailments. Their expertise is well regarded in the community for certain ailments such as musculoskeletal disorders, but often their services were sought when patients were dissatisfied with biomedicine. For physical ailments that are culturally understood their services are often the preferred option. Their expertise niches have evolved through their interactions with, and the perceived needs of the community. 16 Policy actors – although there were some appreciative voices, several biomedical doctors and policy makers in the government department of health derided tribal medicine’s unscientific nature. In comparison other systems like Ayurveda and homeopathy were assumed to have scientific merit mainly because of institutionalisation and government recognition of these systems. The comparison with homeopathy is pertinent as its scientific credentials are being increasingly questioned in scientific literature. In contrast those outside the health department, academics, biomedical doctors and other influential members of the community favoured tribal medicine because of its widely regarded efficacy and its cultural value. Neglect of tribal medicine while promoting the imported AYUSH systems was seen as illogical and disrespectful to their culture by the latter group. Conclusions: the current policy in Meghalaya of mainstreaming AYUSH medicine is not supported by locally relevant evidence. It has led to a disproportionate increase in AYUSH doctors in the public sector. It represents a top down approach to policy formulation that ignores local realities. This study demonstrates the importance of contextualising policy to cultural milieus. It emphasises the importance of research in health system development and questions the generalising of policy in a country as diverse as India. The study illustrates the complexities, but points to the potential benefits of supporting tribal medicine in Meghalaya.
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Oborne, Katherine An. "Partnerships or ships apart? : a dilemma in the development and delivery of indigenous health policy /." Title page, abstract and contents only, 2002. http://web4.library.adelaide.edu.au/theses/09AR/09aro129.pdf.
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Macdonald, Mary Ellen 1969. "Hearing (unheard) voices : aboriginal experiences of mental health policy in Montreal." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84525.
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The focus of this dissertation is the mental health experiences of Aboriginal people in Montreal as they interface with health policy, and lack thereof, for this population.Drawing on anthropological fieldwork from Montreal, Eastern Quebec, and Ontario, this thesis endeavours to unravel the jurisdictional tapestry that Aboriginal clients must negotiate when seeking services in Montreal. Using an ethnographic methodology, this project provides an understanding of the ordering of health services for Aboriginal clients from street-level to policy offices.
This thesis draws on three theoretical areas (theories of illness, aboriginality, and public policy) to explicate four themes that emerge from the data. Analysis moves along a continuum between the illness experience and the macro-social determinants of politics and bureaucracy that impact the health of the individual as well as support and organize systems of care.
Discussion of Theme #1 (evolution of mental health and wellness categories in health theory, policy and practice) and Theme #2 ( the culture concept in health policy) demonstrates that despite the progressive evolution of concepts in health theory and policy, Aboriginal people generally do not find services in Montreal that provide culturally-sensitive, holistic care. Discussion of Theme #3 (barriers to wellness created by jurisdiction) argues that jurisdictional barriers prevent clients' access to even the most basic and rudimentary services and that such barriers can actually disable and increase distress. Discussion of Theme #4 ( Aboriginal-specific services) looks at the pros and cons of creating an Aboriginal-specific health centre in Montreal.
Together, these four themes show that understanding Aboriginal people in Montreal requires contextualizing their embodied experience within the colonial history and institutional racism which characterizes many healthcare interactions, and clarifying the bureaucracy that complicates the search for well-being. Montreal's Aboriginal problematic is located in a system characterized by entrenched bureaucracy, jurisdictional complexity and injustice, these elements mapping onto Aboriginal reality with serious repercussions for individual identity and well-being.
Hearing the voices of Aboriginal people in Montreal as they seek out care for mental health problems requires the resolution of jurisdictional and policy clashes that currently silence their suffering. This thesis endeavours to advance this crucial social agenda.
Books on the topic "Australia's indigenous health policy"
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Kaplan-Myrth, Nili. Hard yakka: Transforming indigenous health policy and politics. Lanham, MD: Lexington Books, 2007.
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Folds, Ralph. Crossed purposes: The Pintupi and Australia's indigenous policy. Sydney: UNSW Press, 2001.
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Australia's many voices: Ethnic Englishes, indigenous and migrant languages : policy and education. Berlin: Mouton de Gruyter, 2004.
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Healthy medicine: Challenges facing Australia's health services. St Leonards, N.S.W: Allen & Unwin, 1999.
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Australia's rural and remote health: A social justice perspective. 2nd ed. Croydon, Vic: Tertiary Press, 2007.
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Narody severa Rossii: Pravo na zdorovʹe : zdorovʹe i dostupnoe zdravookhranenie korennykh malochislennykh narodov ... Moskva: [b.i.], 1999.
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Renard, Ronald D. Twenty years of highland health and educational development. [Chiang Mai: s.n., 1994.
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Nyamwaya, David. African indigenous medicine: An anthropological perspective for policy makers and primary health care managers. Nairobi: African Medical and Research Foundation, 1992.
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Karin, Geiselhart, ed. Australia's new aged: Issues for young and old. St Leonards, NSW: Allen & Unwin, 1996.
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An act of genocide: Colonialism and the sterilization of Aboriginal women. Black Point, Nova Scotia: Fernwood Publishing, 2015.
Find full textBook chapters on the topic "Australia's indigenous health policy"
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Dalal, Ajit K. "Salience of Indigenous Healing Practices for Health Care Programmes in India." In Psychology, Development and Social Policy in India, 193–209. New Delhi: Springer India, 2013. http://dx.doi.org/10.1007/978-81-322-1003-0_10.
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Mugisha, James. "Sociocultural Aspects of Health Promotion in Palliative Care in Uganda." In Health Promotion in Health Care – Vital Theories and Research, 303–12. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_21.
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AbstractDespite its vital importance, health promotion has not occupied its due place in public health in Uganda. The country is engulfed into a rising wave of both communicable and non-communicable conditions. This rising burden of both communicable and non-communicable conditions turns health promotion and palliative care essential health care packages; though there is little to show that these two important programs are getting vital support at policy and service delivery levels. A new theoretical framework that is anchored into sociocultural issues is essential in guiding the design and delivery of both health promotion and palliative care in Uganda. The salutogenic theory puts socio-cultural issues at the centre of developing health promotion and palliative care and, seems to solve this dilemma. In this chapter, illustrations from indigenous communities in Uganda are employed to demonstrate the challenges to the health promotion and palliative care agenda in the country and how they can be addressed. Uganda Ministry of Health should develop robust structures within public health for development of health promotion and palliative care in the country. Research should be conducted on the effectiveness of the current strategies on health promotion and palliative care and their cultural sensitivity and appropriateness. Given the limited resources available for development of health care in Uganda, as an overall strategy, health promotion and palliative care should be anchored in public health and its (public health) resources.
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Dugdale, Paul, and Kerry Arabena. "Doing Indigenous Health Policy." In Doing Health Policy in Australia, 148–69. Routledge, 2020. http://dx.doi.org/10.4324/9781003115410-8.
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"The ‘Indigenous capability–right to health’ and Australia’s ‘Close the Gap’ Indigenous health policy." In The Capability Approach, 84–99. Routledge, 2012. http://dx.doi.org/10.4324/9780203116159-15.
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Biddle, Nicholas. "Improving Indigenous health: Are mainstream determinants sufficient?" In Survey Analysis for Indigenous Policy in Australia: Social Sciences Perspectives. ANU Press, 2012. http://dx.doi.org/10.22459/caepr32.11.2012.05.
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O'Sullivan, Dominic. "Economic development as differentiated citizenship: Australia." In Indigeneity: A Politics of Potential. Policy Press, 2017. http://dx.doi.org/10.1332/policypress/9781447339427.003.0007.
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Indigenous Australian economic practices and aspirations emphasise economic activity’s cultural context and purpose; practices and aspirations that routinely differ from Australian public policy’s instinctive assimilationist presumption. For example, indigenous actors’ repeated attention to trans-generational well-being shows that economic development is understood as part of a complex policy domain closely intertwined with social stability, employment, health and educational opportunities. Culture can explain economic activity’s purpose. It is also preliminary to effective schooling which is, in turn, a determinant of indigenous access to labour markets, utilisation of land rights for material purposes and access to the middle class which can be an important constituent of equal citizenship and participatory parity.
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Langton, Marcia, Odette Mazel, and Lisa Palmer. "Agreements Treaties and Negotiated Settlements Database." In Information Technology and Indigenous People, 266–71. IGI Global, 2007. http://dx.doi.org/10.4018/978-1-59904-298-5.ch035.
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The Agreements Treaties and Negotiated Settlements (ATNS) database (www.atns.net.au) is an online gateway and resource that links current information, historical detail and published material relating to agreements made between indigenous peoples and others in Australia and overseas. Designed for use by indigenous and other community organisations, researchers, government and industry bodies, the ATNS database includes information on agreements not only relating to land, but those made in the areas of health, education, research, policy and indigenous relations. Since its public launch in 2003, the database has become an important research facility and is the only resource of its kind in Australia that demonstrates the range and variety of agreement making with indigenous peoples in various jurisdictions.
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Langton, Marcia, Odette Mazel, and Lisa Palmer. "Agreements Treaties and Negotiated Settlements Database." In Database Technologies, 1472–76. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-058-5.ch089.
Full textAbstract:
The Agreements Treaties and Negotiated Settlements (ATNS) database (www.atns.net.au) is an online gateway and resource that links current information, historical detail and published material relating to agreements made between indigenous peoples and others in Australia and overseas. Designed for use by indigenous and other community organisations, researchers, government and industry bodies, the ATNS database includes information on agreements not only relating to land, but those made in the areas of health, education, research, policy and indigenous relations. Since its public launch in 2003, the database has become an important research facility and is the only resource of its kind in Australia that demonstrates the range and variety of agreement making with indigenous peoples in various jurisdictions.
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Anderson, Ian. "Policy processes." In Social Determinants of Indigenous Health, 231–52. Routledge, 2020. http://dx.doi.org/10.4324/9781003117247-11.
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McDonald, Elizabeth, and Ross Bailie. "Improving hygiene and children's health in remote Indigenous communities." In Analysing Health Policy, 271–83. Elsevier, 2008. http://dx.doi.org/10.1016/b978-0-7295-3843-5.50022-3.
Full textConference papers on the topic "Australia's indigenous health policy"
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Hasan, Aliah B. Purwakania, and Hendri Tanjung. "Islamic Religious Based Mental Health Education: Developing Framework for Indonesia mental health policy analysis." In 8th International Conference of Asian Association of Indigenous and Cultural Psychology (ICAAIP 2017). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/icaaip-17.2018.5.
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