Dr Dylan Coleman Yai Purna Indigenous Health Unit
We acknowledge and pay our respects to the Kaurna people, the traditional custodians whose ancestral lands we gather on. We acknowledge the deep feelings of attachment and relationship of the Kaurna people to country and we respect and value their past, present and ongoing connection to the land and cultural beliefs.
OVERVIEW Stories of Resilience: Kaurna Acknowledgment Personal Reflections Health literacy Impacts of history Outcome based Community approaches: Strategies TSS & Yaitya Purruna
Hopes and Dreams Stories of resilience
Figure 1 Population pyramid of Indigenous and non-Indigenous populatio Figure 1: Population pyramid of Indigenous and non-Indigenous populations, 2010 SBS projections from 2006 of ATSI people suggest a Population of 562, 681 people by 30 June 2010 Clear relationship between the social inequalities experienced by Indigenous people and their current health status. Source: Derived from Australian Bureau of Statistics, 2009 [1] 2010 Australian Indigenous Health Infonet. 2011.
Inequality in SA, Key Determinants of Wellbeing Volume 1, the Evidence (2004) Indigenous Disadvantage in the report…. (Hetzel, Page, Glover and Tennant 2004)
1788-1860s Frontier Violence and Dispossession 1870s-1950s Protection and Segregation 1930s-1960s Assimilation 1970s-1980s Self-determination 1990s Reconciliation
Health is not just the physical wellbeing of the individual, but the social, emotional and cultural well being of a whole community. This is a whole-of-life view and it also includes the cyclical concepts of life-death- life.’ National Aboriginal health Strategy Working party 1989. National Health Strategy as quoted in Australian health Ministers Adviso ry Council’s standing Committee on Aboriginal and Torres Strait Islander Health, cultural respect framework for Aboriginal and Torres Straight Islander health 2004-2009 p.5.
WHAT IS HEALTH LITERACY? “The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” Source: Healthy People 2010 http://www.nih.gov/clearcommunication/healthliteracy.htm
What is health literacy? World Health Organisation (WHO) • Health literacy represents the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand the use of information in ways which promote and maintain good health. • Health literacy means more then being able to read pamphlets and make appointments. By improving people’s access to health information and their capacity to use it effectively, health literacy is critical to empowerment. World health Organisation (1994). Health Promotion Glossary . Document: HO/HPR/HEP98.1. Geneva: World Health Organization, p. 10.
Melba Coleman (nee Lawrie) Aboriginal Midwife
Why Health Literacy • Health literacy is fundamental for people to manage their own health; • This requires a range of skills and knowledge about health and health care including: • finding understanding, interpreting and communicating health information; • seeking of appropriate care; • making critical decisions.
An Outcome model for Health Promotion Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century Source: heapro.oxfordjournals.org . Health Promotion International Journal. (Nutbeam 1996)
What makes up health literacy: • Basic /functional Communication of information • Communicative/interactive: development of personal skills • Critical literacy: personal and community action for empowerment Nutbeam, D (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21 st century. Health Promotion International, 15, 3, pp. 259-267.
Cultural Competencies • knowledge and understanding • critical reflection • proficiency to engage and work effectively • Effective positive in ones profession Nation Best Practice Framework for Indigenous Cultural Competency in Australian Universities. intranet.ecu.edu.au/__.../National-Best-Practice-Framework-for-ICC-Sum...
Role of nurses Aboriginal people experience poorer health and have a shorter life expectancy than non-Aboriginal Australians. Nurses have an important role in improving the health status of Aboriginal and Torres Strait Islander people through the delivery of culturally appropriate health care and the development of quality health services. Improved access to comprehensive primary health care services is a priority to facilitate illness prevention, early intervention, and effective disease management among Aboriginal and Torres Strait Islander peoples. All nurses are able to contribute to improving the health status of Aboriginal and Torres Strait Islander peoples. However an increase in the number of Indigenous nurses in Australia is sought. The Congress of Aboriginal and Torres Strait Islander Nurses (CATSIN) is an organisation that recognises the unique contributions and commitment of Indigenous nurses in the area of health .
NACCHO 1993 manifesto ‘The NACCHO definition of health must underpin all deliberations on Aboriginal well-being, requiring non- Aboriginal health care providers to develop a comprehension of the political, cultural, spiritual, emotional, environmental, structural, economic and biological factors which impinge upon Aboriginal well- being.’ http/www.naccho.org.au.PolicyReports/PositonStatemnent/Paper.1.html
Hopes and Dreams A storyboard of resilience: youth in the northern suburbs define pathways to healthy and hopeful futures through a creative narrative storytelling tool . Collaboration between The Second Story (TSS) Youth Health Service and Yaitya Purruna Indigenous Health Unit (YPIHU) School of Population Health University of Adelaide
Hopes and Dreams A storyboard of resilience: Funded and Supported by: • SA Health (Postdoctoral Research Fellow funding) • TSS • YPIHU ,School of Population Health
Hopes and Dreams A storyboard of resilience What is a storyboard? • Creative communication tool that that centres the storytellers voice • supports community centred approaches to research and service delivery • designed to develop partnerships • health promotion tool • aspirational tool
STORYBOARD RESEARCH Ceduna and surrounding areas Substance Misuse Strategy ‘Drop - in’ / Early Day Centre Town Intervention Camp Drug and Aboriginal Strategy Alcohol Services Services Council (DASC) Division Primary Prevention/ Education Youth Stra t egy Local Rehabilitation Resources/ Safe Centre House/ Services Liquor Licensing Restrictions ‘A Time for Healing’ Report
Hopes and Dreams A storyboard of resilience: 4 STAGES 1. Ethics clearance & Aboriginal Advisory Committee 2. Storyboard research with youth 3. Mapping services in northern suburbs 4. Overlay services story and mapping for youth continue their story TSS program planning based on research, including sustainable, ongoing youth engagement.
Hopes and Dreams A storyboard of resilience: Participatory Action Research Community driven research Interactive cycle: Reflection Measureable Action Seven concepts in research – purpose, scope, methodology, findings, conclusion, limitations, contributions .
Hopes and Dreams A storyboard of resilience: POTENTIAL OUTCOMES • TSS strengthens relationship with youth • Improved service delivery • support for future tailored programs • strengthen relationships and networks with service providers • community centred approaches to research • building of youth confidence and aspirational pathways clear definition of youth aspirations and health and wellbeing, potential barriers from an Aboriginal youth perspective
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