Social Determinants of Health in Aborigines

The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.

Local Aboriginal community control in health is important as this classifies the Aboriginal entire health. Thus, it allows Aboriginal communities to find out their own relationships, protocols and procedures. NACCHO represents local Aboriginal community control at a national level. By making sure that Aboriginal people have a greater right of entry to valuable health care within Australia. A coordinated holistic response is provided by NACCHO from the community sector. Therefore, it is promoting for culturally respectful and approaches to needs requirement. This shows the improvement in health and wellbeing through ACCHSs with better outcome.

It is well studied by health authorities that the current health statistics of the Indigenous population today are clearly reflected on their health status, due to the impacts of the colonisation process. The relating problems associated with this have resulted in destructive families and communities. It is unquestionable that Indigenous Australians were adapted to the environment in which people lived and had control on every feature of their life during the colonisation period. According to ‘The Deplorable State of Aboriginal Ill Health, Chapter 1’ (2014), studies that show that numerous infectious diseases; such as, smallpox and the flu, were not present in the pre-invasion period. It is also shown that lifestyle diseases such as high BP, diabetes and heart diseases were not known to exist.

Inequality in health is one of the most controversial topics within Australian Health Care. Inequality in relation to health is defined as being “differences in health status or in the distribution of health determinants between different population groups” (World Health Organization, 2012). Within Australia inequality affects a wide range of population groups; however Indigenous Australians are most widely affected therefore this paper will focus on how inequality has impacted their health. Research shows that Australia’s Indigenous people suffer from a multitude of social and economic inequalities such as inadequate access to nutritious food and health care, being socially and

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

Among Aboriginal peoples, there are a number of similar historical and contemporary social determinants that have shaped the health and well-being of individuals, families, communities and nations. Historically, the ancestors of all three Aboriginal groups underwent colonisation and the imposition of colonial institutions, systems, as well as lifestyle disruption. However, distinctions in the origin, form and impact of those social determinants, as well as the distinct peoples involved, must also be considered if health interventions are to be successful. For example, while the mechanisms and impact of colonisation as well as historic and neo-colonialism are similar among all Aboriginal groups. The contemporary outcome of the colonial process

How we define health differs to how Indigenous Australians define health. The World Health Organisation defines health as “not only the absence of infirmity and disease but also a state of physical, mental and social well-being” (WHO, 1946) However, the National Aboriginal Health Strategy Working Party (1989)

The colonial occupation and subsequent oppression has a greatly impact to the health of indigenous population across Australia. There is still lapses in regards to biomedical and ethnomedical models of health that still needed to work on in order to provide the quality care that is culturally appropriate and acceptable by the indigenous

“The status of Indigenous health in contemporary Australia is a result of historic factors as well as contemporary socio-economic issues” (Hampton & Toombs, 2013, p. 1).

Marmot, M. (2011). Social determinants and the health of Indigenous Australians. Med J Aust, 194(10),

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

Aboriginal medicines were based upon their beliefs, the healers and medicine men were reassuring and comforting members of the community since they could communicate with these spirits. Even though they were usually men and elders ,

The inequalities in today’s indigenous communities are still strongly evident. Heard, Khoo & Birrell (2009), argued that while there has been an attempt in narrowing the gap between Indigenous and non Indigenous Australians, a barrier still exists in appropriate health care reaching indigenous people. The Indigenous people believe, health is more than the individual, it is

Since the 1970’s, many Indigenous communities have established their own independent, community-controlled health services (ACCHs) and an over-arching representatives advocacy body, the National Aboriginal Controlled Community Health Organisation (NACCHO previously NAIHO) was formed in 1975.

During colonization, there was less facility of medication in rural or remote areas, this can be reflected even today. People living in rural or remote areas do not have the facility to travel to get the medical facilities for their treatment. In some remote areas of Australia, health care providers travel around to treat the indigenous people in remote areas.