Essay on Health Care Inequities for Aboriginal Women

Brownridge, D. A. (2003). Male Partner Violence Against Aboriginal Women in Canada: An Empirical Analysis. Journal of Interpersonal Violence, 18, 65-83. Retrieved f rom DOI: 10.1177/08862605 02238541.

Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is

Throughout history, women have been the victims of oppression in society. In specific, Aboriginal women have suffered through racism, sexism, domestic violence, and over-representation. Through the implementation of the Indian Act, Aboriginal women have been forced to abandon their culture in order to assimilate into Canadian society. The effects of colonization has changed the way Aboriginal women are treated; emotionally and physically, and therefore are the source of oppression today.

The Assimilation policy (1961) has impacted on Indigenous Australians within their physical and mental state and identity present in today’s society. Australia is commonly considered to be free and fair in their culturally diverse societies, but when the Indigenous population is closer looked into, it is clear that from a social and economical view their health needs are disadvantaged compared to non-Indigenous equals. In relation to this, the present Indigenous health is being impacted by disadvantages of education, employment, income and health status. Even urban Indigenous residents are being affected just as much as those residing in remote and rural areas of Australia.

I learned that Aboriginal seniors in Canada have more health care concerns than non-Aboriginal seniors and their needs are not well understood and were taken for granted by health care providers. I can apply in my nursing practice what I have learned from this topic that I will respect and acknowledge their culture and way of life. In addition to that, I will keep in mind that Aboriginal seniors needs more intensive support than non-aboriginal because of what they experienced at the reserved and residential schools. I want to learn more about their traditional practices

Aboriginal women face disproportionate challenges throughout their incarceration which impacts their successful community reintegration. Over the last ten years, inmate assaults involving Aboriginal women have exponentially grown, almost doubling, while use of force incidents have more than tripled. Rates of self-injury involving incarcerated Aboriginal women are seventeen times higher than that of non-Aboriginal women. To agree with Baldry, Carlton, and Cunneen, using Indigenous women as a focus point is beneficial because their "experiences embody and exemplify the intersections between colonial and neocolonial oppression and the multiple sites of gender and disadvantage and inequality that stem from patriarchal domination." Cunneen highlights that Indigenous women actually live in "many prisons"; the prison of misunderstanding; the prison of misogyny; and the prison of disempowerment. Patricia Monture insists that one way women can resist oppression and facilitate social change is by telling their own stories. The Task Force for Federally Sentenced Women developed a report called Creating Choices, which attempted to relocate the power to make choices in womens' lives out of the hands of prison officials and back to the women themselves because, according to the findings of the Task Force, it is only when people are treated with respect and when they are empowered can they take responsibility for their actions and make meaningful decisions. Monture-Okanee reflects on the irony of the final report

The poor health position of Indigenous Australians is a contemporary reflection of their historical treatment as Australia’s traditional owners. This treatment has led to Indigenous Australians experiencing social disadvantages, significantly low socio-economic status, dispossession, poverty and powerlessness as a direct result of the institutionalised racism inherent in contemporary Australian society.

The Indigenous culture was viewed as inferior and unable to adequately provide for the needs of their children, which was fully fuelled by disproportionate poverty rates as well as the repercussion of residential schools (Russell, 2015). Due to not being able to maintain the standards of European child-rearing practices and common values, social services workers attempted to rescue these children from the conditions they were living in (O’Connor, 2010). These issues have detrimental effects on the families of survivors of the residential schools for generations, also known as multigenerational trauma. Instead of addressing this social policy concern the government was contributing and controlling it, where Indigenous people had little power to address

C. (2009). Is ‘Close the Gap useful approach to improving the health and wellbeing of Indigenous Australians?. Australian Review of Public Affairs, 9(2), 1-13.

I have read and understand the Rules Relating to Awards (Rule 3 Section 18 – Academic Misconduct Including Plagiarism) as contained in the SCU Policy Library. I understand the penalties that apply for plagiarism and agree to be bound by these rules. The work I am submitting electronically is entirely my own work.

As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social

Colonialism has contributed to multiple issues in the lives of Aboriginal people including inadequate housing and clean resources on Aboriginal reserves. One significant outcome is health problems reserve residents face, including a lower life expectancy and higher mortality rate. “For Aboriginal men on reserve, life expectancy is 67.1 years, while off reserve it’s 72. 1, compared to 76 years for the general population of Canada. For Aboriginal women, it is 73.1, 77.7, and 81.5 respectively” (Frohlich et al. 134). Additionally, more than 50% of off reserve Aboriginal people have at least one chronic condition (Frohlich et al.). Reserves stem from the colonial era, where Aboriginal people were displaced by the government and are a continuous symbol of oppression.

Michael Hart begins his book by juxtaposing his position as an Aboriginal person with his experience as a social worker. Traditional social work focuses on Euro-centric ideals, not only in determining which behaviors are adaptive and maladaptive, but also in what approach therapists should take to encourage behavior change in people. Unfortunately, this approach can be, not only isolating for many Aboriginal people, but actually harmful for them. By labeling adaptive behaviors as somehow wrong or maladaptive, traditional social work approaches stigmatize Aboriginal people. This runs counter to the core value in social work, which is service, to the individual and the community.

In this essay the writer will discuss the colonisation of Australia, and the effects that dispossession had on indigenous communities. It will define health, comparing the difference between indigenous and non- indigenous health. It will point out the benefits and criticism of the Biomedical and sociological models of health, and state why it is important in healthcare to be culturally competent with Transcultural theory. The case study of Rodney will be analyzed to distinguish which models of health were applied to Rodney’s care, and if transcultural theory was present when health care workers were dealing with Rodney’s treatment plan.

It is clear that Aboriginal people are in critical need of the proper services to cater to their trans-generational trauma. Understanding the Aboriginal’s culture, spirituality, and values will provide the social work counsellor the tools needed in being culturally competent. This paper will examine the historical background of the Aboriginal people, the conflicts social workers face with cultural differences, as well as methods to overcome these challenges