http://www.atsispep.sis.uwa.edu.au/__data/assets/pdf_file/0006/2947299/ATSISPEP-Report-Final-Web.pdf, accessed 23 February 2017. The challenges we experienced in creating Aboriginal CHW-type positions within two mainstream health promotion programmes caused us to question whether the focus on AHW roles had created unintended barriers to involving Aboriginal people in other opportunities to address health. Social and economic circumstances have a profound impact on individual experiences of inequity, yet within a neoliberal framework the individual is blamed for making poor choices. Fifty per cent of the Indigenous Australian population is under the age of 22and their health, as that of their elders, remains dire. You should be reading it every day if you're interested in health services or population health. The diversity of authors and timeliness of posts are very much appreciated. Research Fellow, The University of Newcastle. What’s to be done about Van Morrison and Eric Clapton’s anti-lockdown antics? passing on of cultural practices. Australian women accounted for 56 per cent of visits to General Practitioners (GPs) in 2006­07, 178 but the groups of women outlined above face significant barriers to accessing health care services and information. By virtue of that right they freely determine their political status and freely pursue their economic, social and cultural development” (Article 1 Section 1). (2016) Child protection Australia 2014–15. In B. Carson, T. Dunbar, R. Chenhall, & R. Bailie (Eds. Fundamentally, it is structural issues of class and political disadvantage that place Aboriginal and Torres Strait Islander women close to the bottom of the socioeconomic ladder. http://www.healthinfonet.ecu.edu.au/population-groups/women/reviews/our-review. We’re proud to support projects like Croakey that are an innovative platform driven by independent, ethical journalism for the public benefit. The response to the impact of these paternalistic policies has resulted in an increase in prevalence in pain and trauma based behaviours such as substance abuse. Calma, T. (2007) Social Justice Report 2007, Human Rights and Equal Opportunity Commission, Sydney. Political determinants and Aboriginal and Torres Strait Islander women: don’t leave your integrity at the political gate, http://www.healthinfonet.ecu.edu.au/population-groups/women/reviews/our-review, http://www.atsispep.sis.uwa.edu.au/__data/assets/pdf_file/0006/2947299/ATSISPEP-Report-Final-Web.pdf, http://www.ohchr.org/en/professionalinterest/pages/ccpr.aspx, http://www.aihw.gov.au/indigenous-observatory/reports/health-and-welfare-2015/indigenous-population/, http://www.abs.gov.au/ausstats/abs@.nsf/mf/4714.0/, http://www.atsispep.sis.uwa.edu.au/media-and-publications, https://www.humanrights.gov.au/publications/australia-and-universal-declaration-human-rights, http://www.un.org/en/universal-declaration-human-rights/index.html, http://nationalcongress.com.au/wp-content/uploads/2017/02/The-Redfern-Statement-9-June-_Final.pdf, https://doi.org/10.1057/s41271-017-0075-y. Denial of a human right directly violates a person’s right to self-determination. Michael Moore So happy to be creating and coding for such a dedicated, professional and good-humored team. Carson, B., Dunbar, T., Chenhall, R. and Bailie, R. Especially since the policies were developed and implemented from colonisation, with little or no evidence to support the need to change behaviours of the First Nations women of Australia. When the British colonized Australia, they did so under a paternalistic ideology that remains evident today as Australian federal, state, territory and local governments continue to implement paternalistic policies.1. Professor
Addiction Medicine, The University of Sydney. Non-Indigenous services account for 80 per cent of Indigenous expenditure, and there is a lack of transparency and clarity evaluating how these organizations address policies developed by government for Aboriginal and Torres Strait Islander people.23 Fifty per cent of the Indigenous Australian population is under the age of 2218 and their health, as that of their elders, remains dire. There aren’t enough places for these debates, and important issues affecting the health of our community risk going unexplored. International Research Collaborative, Oral Health and Equity, The University of Western Australia. J. Germov, Oxford University Press, Melbourne, (pp. Social determinants of indigenous health. The argument is not to suggest that Australia had deliberately created inequitable policies targeting Aboriginal and Torres Strait Islanders including women—but the outcome is the same even when the action was by omission or was not deliberate. Or the child may end up in prison, and although Indigenous women make up 2% of the adult female population 2% of the adult female populationin Australia they make up 27 to 34% of the female prison population across jurisdictions (see also here). Aboriginal and Torres Strait Islander women take a holistic world view that intrinsically connects family and culture with everything else that they connect with. 
Communications Manager, Cochrane Australia 
School of Public Health and Preventive Medicine, Monash University. Croakey editor and health policy analyst, Croakey's backing of writers from diverse backgrounds is a fantastic addition to Australian media, El Gibbs The Walkley Foundation. 63. among Aboriginal people in rural and remote areas which are resulted from sub-standard water supplies, washing facilities and sanitation. Lee, V.S. The collaboration between Croakey and #IHMayDay has been fantastic for disseminating information and connecting up, so that Aboriginal and Torres Strait Islander people can have their voices heard. about aboriginal political issues and stolen generation. Question: Stion 3 In The Table Below: Yet Wered Give Two Examples Of Social, Economic And Cultural Barriers That Aboriginal And/or Torres Strait Islanders May Experience (100 - 150 Words For The Whole Table) Ked Out Of 0 Flag Question 1 A B 1 % C? Annabel Crabb is ABC Online's chief political writer. © 2021 Springer Nature Switzerland AG. Without understanding their cultural ways of doing and knowing and without working with Aboriginal and Torres Strait Islander women in making policy decisions, there will be no progress in achieving health equality for this population group. The level of Australia’s commitment to this covenant became questionable with the implementation of The Northern Territory National Emergency Response (the Intervention) in 2007. Founder, #IHMayDay, and Senior Lecturer, CNMR Indigenous Futures Research Lead, James Cook University, Townsville. Chair of Indigenous Health, The University of Melbourne. There are still many barriers to Indigenous participation and retention in the Australian workforce. These political determinants of health breech human rights conventions, lack an evidence base, and are profoundly damaging across generations. Many policies developed for Aboriginal and Torres Strait Islanders over a long period of time have contributed to the shameful inequity in Australian society between Indigenous and non-Indigenous people. Alternatively, the child born into this situation may commit suicide.6. Paternalistic policies are those that restrict choices to individuals, ostensibly in their ‘best interest’ and without their consent. The inequality in health status experienced by Aboriginal and Torres Strait Islander peoples is linked to systemic discrimination. The Northern Territory Indigenous death rates are still 2.3 times higher than those of non-Indigenous people, and Indigenous people experience assault victimization at six times the rate of non-Indigenous people.18 The 2014/2015 Social survey found that fewer than half of Aboriginal and Torres Strait Islander people aged 15 years and over were employed, and males were more than twice as likely as females to be working full time.19 The deplorable outcomes of these politically motivated policies are most clearly illustrated by the understanding that Aboriginal and Torres Strait Islander women between the ages of 20 and 24 years are four times more likely to commit suicide than are the other woman.20. Australian Indigenous Doctors’ Association. Without a change in leadership attitudes, governance and administration, Aboriginal and Torres Strait Islander women will continue to be disadvantaged, and their health will continue to suffer. Croakey has, over some years, provided a platform for debate about health policy, planning, funding and services. Many Aboriginal and Torres Strait Islanders live in situations of socio-economic disadvantage,including homelessness, poverty or unemployment. AHPA loves you for your independence, timeliness and collaboration across a range of issues with individuals and groups from population health and beyond. Social determinants of indigenous health. Social determinants of health are about “the cause of the cause.” Poorer health outcomes are not narrowed to individual lifestyle choice or risky behaviour. We pay our respects to the Traditional Custodians of the country where we live, work and travel upon, and to the Elders, past, present and future. Lesley Russell Gordon Gregory The unborn Aboriginal and/or Torres Strait Islander child of parents with high drug and/or alcohol intake, low income and low education will be born into an environment influenced at the macrosocial level by history, culture, discrimination and the political economy. Marmott, M. (2007). These outcomes demonstrate the political failure of Australian governments at national, state, territory and local government’s levels to work with the Aboriginal and Torres Strait Islander people, and the lack of integrity surrounding equitable policy administration, leadership and governance. Aboriginal and Torres Strait Islander people are more likely than other Australians to experience various forms of disadvantage, including higher unemployment rates, poverty, isolation, trauma, discrimination, exposure to violence, trouble with the law and alcohol and substance abuse. Dr Lynore Geia Such settings are associated with higherlevels of poor nutrition, excessive alcohol consumption, smoking and lack of physical activity(Thomson et al., 2004). IHW 147. Significant risk factors that can impact on the social emotional wellbeing of Aboriginal and Torres Strait Islander communities include: widespread grief and loss. A great combination. The gap in health outcomes between Aboriginal and Torres Strait Islanders and other Australians is becoming more apparent and calls for a new and more effective response. See http://www.atsispep.sis.uwa.edu.au/media-and-publications. And the merch. Inequitable policies contributed to inequalities in health resulting from unequal distribution of power and resources between Indigenous and non-Indigenous people. Croakey Conference News Service to cover …, Chair of Indigenous Health, The University of Melbourne, Executive Officer, Australian Open Access Support Group, Chair, COPE, Professor, School of Medicine, Griffith University, Professor of Public Health, Flinders University, Professor
Addiction Medicine, The University of Sydney, Yorta Yorta woman, public health practitioner, PhD candidate, #Just Justice team member, Croakey contributor, Public Affairs Director, Australian Medical Association, Director and Professor of Health Equity Regulatory Institutions Network (RegNet), Director, Menzies Centre for Health Policy, The Australian National University, School of Population Health, University of Adelaide; President of the Health Services Research Association of Australia and New Zealand, Research Fellow, The University of Newcastle, Adj Assoc Professor at Menzies Centre for Health Policy, University of Sydney, Visiting Fellow, Australian Primary Health Care Research Institute, Australian National University, Deputy Director, Public Health Advocacy Institute WA, public health journalist, Croakey founder, PhD candidate, Australian Healthcare and Hospitals Association, Artistic Director of Rock Lily Design and Croakey, Chief Health Officer, Assistant Director General, Public Health, WA Department of Health, CEO of the Consumers Health Forum of Australia, President, Australian Health Promotion Association, Founder, #IHMayDay, and Senior Lecturer, CNMR Indigenous Futures Research Lead, James Cook University, Townsville, Sydney School of Public Health, University of Sydney, Professors Marc Tennant, Estie Kruger and Kate Dyson. The first section analyses barriers for Aboriginal and Torres Strait Islander prisoners in attempting to access parole. Change Day Australia, Croakey is a valuable voice in the health space, Catherine King In this paper, we present participants’ view… Croakey provides a platform for robust, respectful and inclusive debate on the health issues that really matter. Website Producer, Crikey. [ii] Quite often the continuous exposure to drugs and alcohol from adults becomes part of the child’s assumption of the normality of risk-taking behaviour and the cycle continues. A failure to address the causes leading to social factors that underpin the individual’s lifestyle choices reveals a half-hearted attempt by governments and institutions to understand the sociostructural causes of illness and health.7 When governments invest long-term resources and time into understanding the sociostructural causes of illness and health, they will be able to recognize that Aboriginal and Torres Strait Islander women are constantly subjected to unnecessary inequalities that mitigate against making positive lifestyle choices for future generations. Croakey has pioneered an unprecedented role in providing an open forum for the revelation and exchange of thinking on health in Australia. It delivers views and information on a wide range of issues of relevance to rural and remote health and wellbeing. Blackburn, S. (2008) The oxford dictionary of philosophy. In M. L. Fleming & E. Parker (Eds. Without a change in leadership attitudes, governance and administration, Aboriginal and Torres Strait Islander women will continue to be disadvantaged, and their health will continue to suffer. Vanessa S. Lee MPH, PhD. (2014). Mary Freer Award-winning writer; Leading #CripCroakey investigations of disability and health issues. Burns, J., MacRae, A., Thomson, N., Anomie., Catto, M., Gray, C., Levitan, L., McLoughlin, N., Potter, C., Ride, K., Stumpers, S., Trzesinski, A. and Urquhart, B. CEO of the Victorian Mental Illness Awareness Council (VMIAC), © 2015 – 2021 Croakey | Website: Rock Lily Design, independent, in-depth social journalism for health. From a crowded inbox, Croakey always leaps to my attention. Over the same period, Aboriginal and Torres Strait Islander women (12 per cent) were three times more likely to experience sexual violence than non-Indigenous women (4 per cent). Inequities in health are heightened because social class not only includes education, employment and income but also differential access to power.9 Social class structures are characterized by factors including race, sex/gender, ethnicity, Indigeneity and religion. School of Population Health, University of Adelaide; President of the Health Services Research Association of Australia and New Zealand. Its worldview has shaped Australian society and is constantly in conflict with the cultural identity and knowledge of Aboriginal and Torres Strait Islanders24 including that of women. Failure to address these fundamental social determinants in early life contributes to life-long disadvantage.4 This paper discusses social and political determinants as major contributors to the gross inequality experienced by Aboriginal and Torres Strait Islander women. There is also includes community isolation, access to essential services and infrastructure. Thought provoking, well researched information….and easy to read. Sophie Benjamin Dr Rosemary Stanton OAM Dr Melissa Stoneham Active engagement is what Croakey does – and I like it! Its worldview has shaped Australian society and is constantly in conflict with the cultural identity and knowledge of Aboriginal and Torres Strait Islanders, including that of women. Deputy Director, Public Health Advocacy Institute WA. (2015) The political determinants of health—10 years on Public health professionals need to become more politically astute to achieve their goals. I started out as a reader, then followed on Twitter, was a guest tweeter on @WePublic health, and have become a contributor. This appeared to be an excuse to further erode Indigenous self-determination rather than to address the safety of children; as one critic pointed out, “we have witnessed the abandonment of consultation with Indigenous people, diminishing use of available statistical and research evidence and increased marginalization of the experts – especially if their views diverge from national leadership.” (p. 7). Germov, J. With this definition, and the gender-specific word ‘paternalism’, it is little wonder that Aboriginal and Torres Strait Islander women have been the victims of extraordinarily high levels of sexism, domestic violence, marginalization, work-place lateral violence and racism. Sydney School of Public Health, University of Sydney. BMJ 2015;350:h81 doi: 10.1136/bmj.h81 (Published 8 January 2015). Inequities in health are heightened because social class not only includes education, employment and income but also differential access to power. We connect, collaborate, and evolve. Aboriginal and Torres Strait Islander women experience poorer health and reduced social and emotional wellbeing when compared to non-Indigenous women, and this is due to generational life circumstances. Croakey is health media rather than medical media. When governments invest long-term resources and time into understanding the socio-structural causes of illness and health, they will recognize that Aboriginal and Torres Strait Islander women are constantly subjected to unnecessary inequalities that mitigate against making positive lifestyle choices for future generations. The participants were asked to talk about what they thought were barriers and incentives to recruiting Indigenous carers and the strategies that worked well for recruiting Indigenous carers. This level of inequity is even more dramatic with regard to Indigenous women. Inequities experienced by a person are influenced by their social and economical circumstances and are often reflected in their lifestyle choices with Australian society placing the responsibility of the choice of behaviour on the individual. Croakey gives me the best independent and most relevant public health news and views. 2 Participants: Aboriginal and Torres Strait Islanders, Aboriginal Health Workers, and other health professionals in Mount Isa between 2007 and 2009. These behaviours have been associated with intellectual impairment that continues through all life stages. Western culture remains the dominant culture in Australian society. Australian Institute of Health and Welfare. Social determinants of health are about “the cause of the cause”.5 Poorer health outcomes are not narrowed to someone’s lifestyle choice or risky behaviour. CEO PHN Western Victoria. The Covenant is neither the first Human Rights Charter that Australia has signed nor the first it has violated to the disadvantage of Aboriginal and Torres Strait Islander women, their health and well-being (and of the entire Indigenous population). Public Health Association of Australia. Communications Manager, Cochrane Australia 
School of Public Health and Preventive Medicine, Monash University, Researcher, News Editor, BMJ Tobacco Control. The effects of discriminative policies are now being exposed more often – thus, they become more visible. Croakey provides snappy, expert views on the whole spectrum of public health issues, from equity to efficiency, from determinants to prevention to management. At present, most initiatives fail and Aboriginal people are tired of politicians who just keep promising. Fron Jackson-Webb This first stage of inequality can manifest in increasing risky behaviours such as smoking, drinking, unhealthy eating, and lack of exercise. ISBN 978-1-74037-560-3. Indigenous populations, dominant in remote areas, also experience a higher burden of lower birth weight and neonatal deaths than non-Indigenous populations in Australia (cited in Smith et al. Many policies developed for Aboriginal and Torres Strait Islanders over a long period of time have contributed to the shameful inequity in Australian society between Indigenous and non-Indigenous people. Without understanding their cultural ways of doing and knowing and without working with Aboriginal and Torres Strait Islander women in making policy decisions, there will be no progress in achieving health equality for this population group. Croakey is a space that invites us to to challenge and interrogate our practice and our policy. journalist, editor, Croakey moderator. Croakey is a social journalism project that enables debate and investigations of health issues and policy. These circumstances are evident across employment and education where 39 per cent of the Indigenous females were employed compared to 55 per cent of the non-Indigenous females; and 4.6 per cent overall of the Indigenous compared to 20 per cent of the non-Indigenous people have completed a bachelor degree or higher degree.3 Educational attainment and employment are intrinsically linked to economic opportunity. Dr Vanessa Lee explores these issues from a different angle below. These behaviours have been associated with intellectual impairment that continues through all life stages.4 Quite often, as the child moves through her or his life span, the continuous exposure to drugs and alcohol from adults becomes part of the child’s assumption of the normality of risky behaviour and the cycle continues. Article 2, http://www.un.org/en/universal-declaration-human-rights/index.html, accessed 24 February 2017. (2005) Class, health, inequality and social justice, in second opinion. Adj Assoc Professor at Menzies Centre for Health Policy, University of Sydney, Visiting Fellow, Australian Primary Health Care Research Institute, Australian National University. Economical – The exploitation of traditional lands and resources, marginalisation from the wage economy and forced indigenous culture as economically disadvantaged. 24(1), 2. doi:10.1093/eurpub/ckt183. Professor of Public Health, Flinders University. These outcomes demonstrate the political failure of Australian governments at national, state, territory and local levels to work with the Aboriginal and Torres Strait Islander people, and the lack of integrity surrounding equitable policy administration, leadership and governance. (2016) Aboriginal and Torres Strait Islander Peak Organisations Unite: The Redfern Statement, Thursday June 9 2016 http://nationalcongress.com.au/wp-content/uploads/2017/02/The-Redfern-Statement-9-June-_Final.pdf, accessed 24 February 2017. Better policy could be and should be implemented but there appears to be a lack of political will. A team of 13 academics from several universities across Australia uncovered a range of issues around literacy, numeracy, racism, school leadership, remote education, and school-community partnerships. Relationships between causes, social factors and life stages. The ability to move up and down the class system is directly impacted by socioeconomic position or status- including education, employment and income.9 This definition of socioeconomic position epitomizes the gross inequalities that continue to exist in Australian society. (03) 9486 9123; Things to remember. Congrats Dr Joyce Siette (@jsiette). These rights should be protected by a covenant to which Australia is a signatory—The International Covenant on Civil and Political Rights (1966) (The Covenant). Croakey cuts through health care professional and organisational interests with edgy critiques about the diverse communities they are there for. Sydney, Australia: Allen & Unwin. Professor Jon Karnon This page is the front cover of the document. 370, 1153–1163. The gap in health outcomes between Aboriginal and Torres Strait Islanders and other Australians is becoming more apparent, leading to calls for a new and more effective response. Educational attainment and employment are intrinsically linked to economic opportunity, with higher levels of education reducing societal disadvantage. Canberra: AIHW. Political Determinants of Health. Parliament of Australia 15 December 2010. More info here. Croakey has also taken a leadership role in developing a strong presence in social media, an important development for primary care in stimulating community-based approaches to health. This article presents the latest data from the 2008 National Aboriginal and Torres Strait Islander Social Survey (NATSISS) on access to health and community services. Recently, scholarly literature in Australia has focused on the issue of ensuring equitable access to healthcare for aboriginal Australians and Torres Strait Islanders, who are regarded as economically, socially, politically and culturally disadvantaged.1, 2 The goal of universal health coverage is to ensure that everyone attains his or her full health potential and has equitable, barrier-free access … Social class structures are characterized by factors including race, sex/gender, ethnicity, Indigeneity and religion. Experience poorer health than non-Indigenous women due to their life circumstances being the ”! Indigenous Futures Research Lead, James Cook University, Townsville people living in remote areas which are resulted from water... 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