Social Exemplification Essay: The Social Determinants Of Health

According to the dictionary, the word health is “the state of being free from illness.” At a first glance, this defination seems to be very direct and simple, however the meaning of the word ‘health’ nowadays is much more complex. The above definition pretty much sums up our view of health in the first half of the 20th century.

Sadly, that's the harsh reality for many asylum seekers, seeking refuge in Australia as they are arbitrarily detained. Good morning or afternoon. It has been a profound honour to be invited to address you about the eloquently breach of basic human rights asylum seeker face while being detained in our shores. Mandatory detention should be abolished as it causes indiscriminate health risk. Instead, the Australia government should allow asylum seekers to settle into the community. We should be viewing asylum seekers as a humanitarian issue instead of a political one.

Health is a concept that relates to and describes a person's state of being. It is highly subjective as good health means different things to different people, and its meaning varies according to individual and community expectations and contexts. In this paper the definition of health, care and wellbeing is looked from an Aboriginal perspective taking into account the history of Aboriginal health and contemporary issues in health and wellbeing of Aboriginal communities.

This essay will explore housing as a social determinant of health and the effects it has on the physical and mental health and wellbeing of families, communities and individuals. Poor housing and poverty may be a result of overcrowding, dampness, mould, insufficient heating and poor ventilation. It can have detrimental effects on the behaviour of individuals, how families cooperate and friendliness within communities. Poor housing can cause anything from colds and flus to cardiovascular disease but also may affect mental health. This may lead to individuals experiencing depression and anxiety. It is also common for children’s development to be disrupted due to poor housing and poverty. Different housing-related conditions results in different physical and mental health illnesses for different age groups, for example, overcrowding affecting the respiratory system is more common in childhood whereas insufficient heating having a negative affect and causing excess winter deaths is prone to those age 65 and over.

Political unrest and local war happens around the world all the time. Many people live in a dangerous situation and suffered from violence. Hence, large amount of asylum seeker undertakes a huge perilous, try to cross the ocean and arrive Australia. To deal with this issue, Australian government enacted mandatory detention policy and offshore processing policy, these policies become highly contentious in the community with many arguments and criticisms. This report will focus on the nature and purpose of these immigration policies and the impact towards the asylum seeker as well as the criticism form international. To propose some advice about how the future policies should be framed.

“My hope finished now. I don’t have any hope. I feel I will die in detention.”
Unaccompanied 17 year old, Phosphate Hill Detention Centre, Christmas Island, 4 March 2014. 
Few social justice issues in Australia have attracted as much attention and controversy in recent times as the issue of asylum seekers. An asylum-seeker ‘is an individual who has sought international protection and whose claim for refugee status has not yet been determined’. In contrast, a refugee is an individual whose protection has been deemed necessary by the UNHCR or a State who is a signatory to the Refugee Convention. 
The issues surrounding asylum seeker has divide opinions and evoke strong emotional responses across the community. We are aware that asylum seekers are often vulnerable people, desperately fleeing civil unrest, warfare and persecution from across the world. We know that Australia is a destination of choice for many people seeking to embark on a new life in safety. And we know that there are people who will exploit the vulnerability of asylum seekers by offering them unsafe passage by sea to our shores. 
There were 584 children detained in immigration detention centres on mainland Australia and 305 children on Christmas Island. A further 179 children were detained on Nauru as at 31 March 2014.

In these detention centers, immigrants are often denied medical care, even if they are very ill, and served poor quality food and drinks. They are treated like criminals, yet have not been charged with criminal offenses (Werner). Since 2003, ninety people have died in immigration custody. Many immigrants in the detention centers are also often neglected lawyers. Oftentimes, people are waiting six months for a twenty-minute asylum interview (Hendricks). As a result of rights not being withheld, immigrants are getting unfair treatment.

Today 60 million refugees, and asylum seekers are internally displaced . This is almost double what it was 10 years ago. Mega conflicts in Syria and Iraq have displaced millions of people. These are conflicts that are pushing refugees and migrants into flight. The world is in the midst of an unprecedented humanitarian crisis. Yet Australia’s approach in recent years has been to punish people seeking asylum, while increasing the numbers of refugees it resettles. This contrasting approach threatens the long and proud history Australia has of successful integration of refugee communities. This report reflects what we have heard from refugees and people seeking asylum, and the people supporting them. We thank all of the people who contributed to this report. The past two years have been a dramatic and traumatic period for refugees, both at home and abroad. More people are seeking safety – from persecution, conflict, violence and violations of human rights – than at any time since World War II. In the past two years, we have seen lifeless children washing up on the shores of the Mediterranean Sea. We have seen ordinary Europeans lining up to help refugees at train stations. We have seen Australians demanding successfully that their leaders let in an extra 12,000 people fleeing the crises in Syria and Iraq.

Asylum seekers or refugees have fled their countries’ due to volatile circumstances such as war, or fear of prosecution. Upon arrival in Australia they are moved to detention centres. Detention centres hold people who have come without a visa, any non-national and all unauthorised boat arrivals (Australian Human Rights Commission, 2014). These centres hold refugees for indefinite periods and in poor conditions. They are used as a spectacle to represent illegality and a threat to Australian society (Marfleet, 2007, p672).

The refugee crisis has been a contentious issue for the past decade as the amount of people seeking refuge in foreign countries is rising exponentially, with many countries turning to off shore detention as a way to deal with this issue (Coffey, Kaplan, Sampson & Tucci, 2010; Crock, Saul & Dastyari; Ljungholm, 2014). As a result of this influx the demand for human rights lawyers has increased, because the indefinite nature of the detention it is seen to be a breach of human rights (Saul, 2012; Evenhuis, 2013; Ljungholm, 2014). It is evident from the literature that long term indefinite detention of children and young adults has a significant adverse effect on their mental health, both long and short term. The two major themes that this literature

Homelessness is a major health policy issue that needs to be addressed. The amount of people that are becoming homeless in Canada is increasing drastically. This population of people face some barriers that limits their access to healthcare, in that way it results in poor health outcomes. The question is how can the country improve access to healthcare for its homeless population. This essay will talk about homelessness and access to healthcare and why it is important, several social determinant of health issues that are relevant to this policy issue, and what role values have played in shaping this health policy issue.

This report examines that the impacts of immigration detention and violating of human rights with the mental health care of asylum seekers. In the recent years, increased number of illegal immigrants arriving by boat in Australia. This raises key issues concerning about mental health of asylum-seekers, especially for detained immigrants. Research shows that Australia currently own around 13,000 refugees per annum, under the Refugee Convention (1951), Australia has obligation to evaluate refugee claims, but it processes only 2.2% of them made to 44 industrialised countries (p.315).

Racism is a social determinant of health in the indigenous population and is acknowledged as a cultural determinant of health in Australia (Priest et al, 2011, pp. 546-550a). The Australian Human Rights commission states “About Racial Discrimination” that Indigenous individuals experience discrimination, unfair treatment and racism due to how they look or where they come from (Australian Human Rights Commission). According to the National Aboriginal and Torres Strait Islander health plan 2013-2023, it states that cultural determinants of health are defined as a strength based perspective meaning the acknowledgment of stronger connections to culture and land. This links in with the social determinants of health, where people are born, live, their age and work (National Aboriginal and Torres Strait Islander

Although there were inhumane policies in the asylum seeking system, the Australian government had also attempted to rectify the issue of overcrowding and indefinite periods in detention facilities by introducing bridging visas. They are temporary visas which allow asylum seekers to legally reside within the Australian community while their appeals in seeking protection as refugees are being assessed and can be released from detention centres upon medical, identification and security checks. (Australian Human Rights Commission 2013, p.1-2) However, there are several restrictions and conditions regarding the bridging visa, the most significant one being the prohibition on working and medicare for most of the visa holders. This results in low income that leads to malnutrition, medical issues, and dependence on the Australian government for survival. These conditions could impact their ability to enjoy basic human rights and Australia may again have breached its obligations under the International Covenant on Economic, Social and Cultural Rights (ICESCR) that ‘the right of access to employment, especially for disadvantaged and marginalized individuals and groups’ be ensured as supported by Taylor (2000, p.2).

The aim of this essay is to examine the influence that socio-economic status has on an individual’s health.