Aboriginal and Torres Strait Islanders Flashcards
Social detriments of health
socio-economic status impact of poverty housing unemployment education attainment exposure to violence trauma stressful events racial discrimination
Historical determents of health
Impact of post policies
extent of historical oppression
cultural displacement
Cultural determents of health
colonisation
assimilation and self determination
Mortality rates
infants - twice as high
males - 10 years less than non ATSI
females - 9.5 years less than non ATSI
Main causes of death
Cardiovascular Neoplasms - cancer Injury related Diabetes Respiratory disease
Otitis Media
Middle ear disease
has high infection rates
long term damage
hearing loss rates are high
Why is Otitis Media a problem?
Low expectations of health Overcrowding Poor hygiene Poor resources Antibiotic resisted
The Dreaming
The dreaming explains all areas of life Economy - trade routes, travel patterns Land management -plants and animals, hunting and gathering Social organisation - division of labour Rituals - sacred objects, totemic sites Knowledge - education, language, songs
Social contexts
structure of society - hunter gatherer
Relationships - to community (kinship), to the land, to the spirit world/ancestry
Totems
Symbols of relationship between people and nature
Relationship with each other, to ancestors and the past. At particular sites.
Clan Totems
Rituals
Contact with supernatural world renews spiritual vitality
Creation stories. Gender Business
Physical markings e.g. Scarring, tooth removed
Introduction of Christianity
Many missionaries would not allow Aboriginal languages to be used, initiations to take place or heritage to be passed onto children.
Traditional ways of healing
Bush medicine
Traditional healers
Identity and Place in Culture
Caring on Country
Providing Culturally Appropriate Healthcare - Historical Background
Segregation – Gave birth in tin sheds
Stolen Generation – taken from medical facilities
Scientists – multiple research and no feedback
Providing Culturally Appropriate Healthcare - contemporary practise
Cultural Awareness Training for staff
Aboriginal Community Controlled Health services and
Aboriginal specific organisations e.g. legal, healing and education
Community Controlled Health Care
Aboriginal Community Controlled Health Services were established as an alternative to mainstream health services which were, for various reasons, not accessible or not appropriate for Aboriginal and Torres Strait Islander people
Cultural Respect
demonstrate consciousness that respect for different cultural values and meanings must be taken into consideration within their practice.
Cultural Sensitivity
encourages self reflection from participants, particularly on their personal attitudes and experiences and how this may impact on how they communicate and behave with people outside of the dominant culture
Cultural Safety
Cultural Safety is practice which
Respects
Supports and
Empowers
the cultural identity and wellbeing of an individual.
AND empowers him/her to EXPRESS that identity
AND have her/his CULTURAL NEEDS MET
Cultural Competency
(1) the capacity of the professional to work efficiently with individuals / organizations within the cultural beliefs, practices and needs presented.
(2) the capacity of the health care system to improve health and wellbeing by integrating culture into the delivery of health services
