She was launching the exhibition Hear Us, See Us exhibition at the United Nations in Geneva. Design, setting and participants: Qualitative study involving indepth interviews between 1 March 2006 and 30 September 2007 with 30 Aboriginal people affected by cancer from across WA. Understanding the social determinants of health requires looking at the relationship between cause, social factors and health outcomes. Deputy Director, Public Health Advocacy Institute WA. Participants: Aboriginal and Torres Strait Islanders, Aboriginal Health Workers and other health professionals in Mount Isa between 2007 and 2009. It is polite and political, informative and inspiring. ), Social determinants of indigenous health. The higher levels of education reduce societal disadvantage. Chief Health Officer, Assistant Director General, Public Health, WA Department of Health. IHW 147. The Oxford Dictionary of Philosophy2 refers to paternalism as “the government being the parent”, p. 270. More info here. Summer May Finlay Thought provoking, well researched information….and easy to read. Dr Mark Lock Respect and reciprocity issues Expectation that Aboriginal communities can and will keep pace with changes in medical systems health care models and styles of engagement Fear of hospitals or other health care institutions Table 1. (2010) Health Impact Assessment of the Northern Territory Emergency Response. Until a referendum allowed Aboriginal and Torres Strait Islander people to become citizens, there was scant regard to Article 2: “Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status”. volume 38, pages387–393(2017)Cite this article. Annabel Crabb is ABC Online's chief political writer. (2014). Social factors are those societal factors that influence health throughout life and include housing, education, access to healthcare and family support. 14(12), 109–121. In this paper, we present participants’ view… Croakey provides an informed voice to the health, equity and environmental debates, and is helping mobilise the necessary political and popular support for a radical break from the complacent and compartmentalized attitude that still dominates much of the political agenda. National Congress. 350–372) (2nd ed.). http://www.atsispep.sis.uwa.edu.au/__data/assets/pdf_file/0006/2947299/ATSISPEP-Report-Final-Web.pdf, accessed 23 February 2017. If you care about a public health issue, or want others to care, get it online and get it on Croakey. It’s always a delight to see the diversity of issues on Croakey, particularly in health policy and social justice, that you just don’t see anywhere else. Professor
Addiction Medicine, The University of Sydney. 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. Social determinants of indigenous health. Canberra. health journalist, CHF. The broad mix of contributors, topics and prolific tweets combine to make it a valuable and lively source of news and food for thought for all Australians. Shauna Hurley
 Professor Tarun Weeramanthri AHPA loves you for your independence, timeliness and collaboration across a range of issues with individuals and groups from population health and beyond. School of Population Health, University of Adelaide; President of the Health Services Research Association of Australia and New Zealand. Fifty per cent of the Indigenous Australian population is under the age of 22and their health, as that of their elders, remains dire. Thomas, M. and Buckmaster, L. (2010) Paternalism in social policy when is it justifiable? While barriers to accessing services can be experienced anywhere, people living in remote areas can be particularly affected. Croakey provides snappy, expert views on the whole spectrum of public health issues, from equity to efficiency, from determinants to prevention to management. Social determinants of health are about “the cause of the cause.” Poorer health outcomes are not narrowed to individual lifestyle choice or risky behaviour. Professor Sharon Friel Congrats Dr Joyce Siette (@jsiette). Faculty of Health Sciences, University of Sydney, Sydney, Australia, You can also search for this author in We connect, collaborate, and evolve. Award-winning writer; Leading #CripCroakey investigations of disability and health issues, Senior Lecturer, Brain and Mind Centre, Sydney Medical School, University of Sydney, Health adviser, Senator Richard Di Natale, Australian Greens, CEO of the Victorian Mental Illness Awareness Council (VMIAC), Guidelines and advice for Croakey contributors, Wiyi Yani U Thangani (Women’s Voices) Project, continue to implement paternalistic policies, societal factors that influence health throughout life, 27 to 34% of the female prison population, within a neoliberal framework the individual is blamed, socio-structural causes of illness and health, constantly subjected to unnecessary inequalities, mitigate against making positive lifestyle choices, directly impacted by socioeconomic position or status, structural issues of class and political disadvantage, dire effects on Indigenous peoples’ health and well-being, Inequitable policies contributed to inequalities in health, unequal distribution of power and resources, basic human rights of Aboriginal and Torres Strait Islander people, The Northern Territory National Emergency Response, further erode Indigenous self-determination, removed from families at 9.8 times more often, discriminative policies are now being exposed, constantly in conflict with the cultural identity and knowledge, http://www.healthinfonet.ecu.edu.au/population-groups/women/reviews/our-review, Talking the walk: watch the action & insights from #CroakeyGO #NavigatingHealth, The big barriers to global vaccination: patent rights, national self-interest and the wealth gap, CATSINaM National Professional Development Conference, Webinar series: Better Care, Everywhere: Healthcare variation in practice conference, First Peoples Public Administration Virtual Conference, Review of the My Health Records legislation, Commonwealth Electoral Amendment (Banning Dirty Donations) Bill 2020, Royal Commission into Aged Care Quality and Safety, Select Committee on COVID-19 to inquire into the Australian Government’s response to the COVID-19 pandemic, Effective approaches to prevention, diagnosis and support for Fetal Alcohol Spectrum Disorder, An evaluation of the Australian Government’s Investment in Aboriginal and Torres Strait Islander Primary Health Care through the Indigenous Australians’ Health Programme, Adequacy of Newstart and related payments and alternative mechanisms to determine the level of income support payments in Australia, Interim Report: Royal Commission into Aged Care Quality and Safety, Public Consultation on Australia’s Next Antimicrobial Resistance Strategy 2020 and Beyond, #CroakeyGO – our innovative walking journalism initiative, The Gavin Mooney Memorial Essay Competition, Videos: recommended public health viewing. Better policy could be and should be implemented but there appears to be a lack of political will. 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. Parliament of Australia 15 December 2010. Denial of a human right directly violates a person’s right to self-determination. 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. Marita Hefler strong Community governance. Australian Indigenous Doctors’ Association. Rather, a long history of paternalistic government decisions created barriers towards Indigenous women achieving equivalent health and wellbeing measures when compared to non-Indigenous women. When it comes to Australian policy, Aboriginal and Torres Strait Islander women are not being supported. 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). Denial of a human right directly violates a person’s right to self-determination. Professor Virginia Barbour Cat. Life Without Barriers believes that reconciliation must live in the hearts and minds of all Australians. 63. Active engagement is what Croakey does – and I like it! Sydney, Australia: Allen & Unwin. Professor Fran Baum Calma, T. (2007) Social Justice Report 2007, Human Rights and Equal Opportunity Commission, Sydney. Croakey provides a platform for robust, respectful and inclusive debate on the health issues that really matter. Mackenbach, J. Lesley Russell Chair of Indigenous Health, The University of Melbourne. [1] 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. This was a federal government action that ignored one of its own government-funded reports highlighting the critical importance of working with Aboriginal and Torres Strait Islander people in the design and implementation of initiatives for their communities. Your email address will not be published. Oxford: Oxford University Press, p. 270. Objective: To report Aboriginal patients’ views about effective communication between Aboriginal people and health service providers in Western Australian hospital settings. Canberra: AIHW. Australian Institute of Health and Welfare. Alison Verhoeven Tragically, at times the child born into this situation may commit suicide. 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. Read more here. Kickbusch, I. Recently June Oscar, Aboriginal and Torres Strait Islander Social Justice Commissioner, called on the Australian Government to give full effect to the United Nations Declaration on the Rights of Indigenous Peoples. From the way it covers social issues to the way it sources funding, Croakey is an innovator in combining journalism, academia, medicine and education. In a national study, the Australian Institute of Family Studies conducted interviews with professionals from government, non-government and Indigenous agencies, as well as carers of Aboriginal and Torres Strait Islander children and Indigenous young people in care (the participants). [10] In 2008, half of all Aboriginal and Torres Strait Islander people aged 15 years and over had some form of disability. J. Germov, Oxford University Press, Melbourne, (pp. 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. There are still many barriers to Indigenous participation and retention in the Australian workforce. http://www.healthinfonet.ecu.edu.au/population-groups/women/reviews/our-review. A systematic review of over 10,000 Australian studies has shed light on how policymakers can improve Indigenous education. ISBN 978-1-74249-923-9. Question 13–1 What laws or legal frameworks, if any, are required to facilitate justice reinvestment initiatives for Aboriginal and Torres Strait Islander peoples? Yorta Yorta woman, public health practitioner, PhD candidate, #Just Justice team member, Croakey contributor. The covenant is not the first one that Australia has signed or the first declaration or covenant that Australia has violated to the disadvantage of Aboriginal and Torres Strait Islander women—their health and well-being (and of the entire Indigenous population). Croakey is an important part of the health landscape providing progressive, current and incisive commentary. Journal of Public Health Policy I started out as a reader, then followed on Twitter, was a guest tweeter on @WePublic health, and have become a contributor. Part of Springer Nature. 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). ZEST Health Strategies. 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. Aboriginal and Torres Strait Islander Suicide Prevention Project (ATSISPEP). Aboriginal and Torres Strait Islander peoples have significantly lower levels of usage of Medicare Benefits and Pharmaceutical Benefits. If you work in the health area – and especially if you are a policy wonk, a political nerd, or a news fiend – then Croakey Blog is an essential component of your life. "I had cause to visit a Indigenous-specific office in Brisbane with a relative to speak to a public servant and was appalled to observe the process we had to go through in securing a face-to-face meeting. (Eds.). Recently, Australian Indigenous leaders have set out a blueprint for action in the Redfern Statement.25 This blueprint acknowledges that Aboriginal people have provided solutions. Sebastian Rosenberg There aren’t enough places for these debates, and important issues affecting the health of our community risk going unexplored. Child welfare series no. Historically, Aboriginal and Torres Strait Islander peoples have not had the same opportunity to be as healthy as non-Indigenous people. Australia played a key role as one of eight nations involved in developing the United Nations’ Universal Declaration of Human Rights with Australian Dr HV Evatt as the President of the United Nations General Assembly21 Until a referendum allowed Aboriginal and Torres Strait Islander people to become citizens there was scant regard to Article 2: “Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status”.22. [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. Blackburn, S. (2008) The oxford dictionary of philosophy. Croakey is a must read for anyone who craves the public health stories that no one else reports. (N/D) International Covenant on Civil and Political Rights (1966) Article 1 section 1. http://www.ohchr.org/en/professionalinterest/pages/ccpr.aspx, accessed 9 December 2016. One of my favourite things about Croakey is the active engagement of so many people with a passion for equity and public health. Australia: Churchill Livingston Elsevier. Structured inequities within society are based on unequal distribution of power, wealth, income and status. Aboriginal and Torres Strait Islander Suicide Prevention Project. 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. This truth epitomizes the gross inequalities that continue to exist in Australian society. Time and again I go to Croakey to understand the politics behind public health because Croakey sorts the wheat from the chaff. Social factors are those societal factors that influence health throughout life and include housing, education, access to healthcare and family support.4, Diagram 1 highlights an example of the circular relationship between the causes of the social factors and the social factors themselves across a person’s life stages. Professor Jon Karnon Your contribution will help make Croakey sustainable. Alternatively, the child born into this situation may commit suicide.6. Croakey is health media rather than medical media. There is also includes community isolation, access to essential services and infrastructure. Australian Human Rights Commission. In 2008, a national emergency response by the Australian government took effect and was administered across all of the Northern Territory using the political rationale ‘to protect Aboriginal children’. Learn how your comment data is processed. John Flannery And the merch. 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. (2013) Summary of Indigenous women’s health. These barriers include lack of access to legal support and information, literacy and education, mental illness, lack of housing prior to custody and substance abuse. Croakey is a space that invites us to to challenge and interrogate our practice and our policy. 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. Released 28/04/2016 http://www.abs.gov.au/ausstats/abs@.nsf/mf/4714.0/, accessed 16 December 2016. (2013) Summary of Indigenous women’s health. Educational attainment and employment are intrinsically linked to economic opportunity, with higher levels of education reducing societal disadvantage. Croakey is a must for anybody looking to stay on the cutting edge of health news. The Australian government is disregarding its own stated ideals when it disregards the rights of Indigenous Australians. These behaviours have been associated with intellectual impairment that continues through all life stages. Fostering economic development for Aboriginal people in NSW A Special Report to Parliament under s.31 of the Ombudsman Act 1974 May 2016. What this means is that Indigenous women have a cultural and family relationship with their social and economic world.The breakdown in life circumstances are evident today 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.[1]. This was a federal government action that ignored one of its own government-funded reports highlighting the critical importance of working with Aboriginal and Torres Strait Islander people in the design and implementation of initiatives for Aboriginal and Torres Strait Islander communities.14 In less than six months, following the politically motivated “Intervention” that was introduced just prior to an election, the Australian parliament introduced a complex legislative package consisting of five Bills, all 450 pages long and passed in parliament on the same day.15 The bills were primarily associated with welfare reform. Significant risk factors that can impact on the social emotional wellbeing of Aboriginal and Torres Strait Islander communities include: widespread grief and loss. (2015). 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! Professor Kate Conigrave Health adviser, Senator Richard Di Natale, Australian Greens, As CEO of the Victorian Mental Illness Awareness Council (VMIAC), it is my pleasure to write a testimonial for Croakey. The exhibition documents part of the Wiyi Yani U Thangani (Women’s Voices) Project, a national conversation that explores the issues, challenges, strengths and achievements of these women and girls, building understanding of their priorities, challenges and aspirations for themselves, their families and their future. 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 (see here). In M. L. Fleming & E. Parker (Eds. Darwin: Northern Territory Government. The Walkley Foundation. 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 … So happy to be creating and coding for such a dedicated, professional and good-humored team. From a crowded inbox, Croakey always leaps to my attention. This site uses Akismet to reduce spam. J Public Health Pol 38, 387–393 (2017). Croakey has been a platform which has encouraged Aboriginal voice and actively sought it out. Germov, J. From colonization of Australia until the present day, the policy decisions for Aboriginal and Torres Strait Islander people made by National, State and Territory governments, churches and other institutions have had dire effects on Indigenous peoples’ health and well-being. Professor of Public Health, Flinders University. While Aboriginal patients focused heavily on social relationships and issues 13.7 Justice reinvestment has received widespread support in previous inquiries, including some of those referred to in the Terms of Reference for this Inquiry. Australia will never be a whole, functioning society until institutionalised oppression ceases. Public Health Medical Advisor, 
Apunipima Cape York Health Council

, Associate Professor (Adjunct) 
School of Public Health,Tropical Medicine and Rehabilitation Sciences 
James Cook University, Cairns. 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. What’s to be done about Van Morrison and Eric Clapton’s anti-lockdown antics? 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. Communications Manager, Cochrane Australia 
School of Public Health and Preventive Medicine, Monash University, Researcher, News Editor, BMJ Tobacco Control. The impact of policies which fail to take a holistic view on Indigenous population health reflects a political failure of the system with regard to the basic human rights of Aboriginal and Torres Strait Islander people and their good health and well-being. In the past three years, VMIAC have happily engaged the services of Marie McInerney and her team at Croakey to, Maggie Toko Founder, #IHMayDay, and Senior Lecturer, CNMR Indigenous Futures Research Lead, James Cook University, Townsville. 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. This first stage of inequality can manifest in increasing risky behaviours such as smoking, drinking, unhealthy eating, and lack of exercise or imprisonment. This first stage of inequality can manifest in increasing risky behaviours such as smoking, drinking, unhealthy eating, and lack of exercise. (2015) National Indigenous Reform Agreement, Performance Agreement 2013-14, Canberra. 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 blueprint acknowledges that Aboriginal people have provided viable, holistic solutions. (2005) Class, health, inequality and social justice, in second opinion. 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. 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And I like it for health Equity Training, Research and Evaluation, UNSW approaches rather what! Journalism Project that enables debate and investigations of health Sciences, University of Western Australia: Aboriginal and Strait. Professors Marc Tennant, Estie Kruger and Kate Dyson International Research Collaborative, Oral health and.! The Universal Declaration of Human Rights ( 1948 ) she was launching the exhibition Us. Rather than what influences individual ’ s to be done about Van and...