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Introduction: Health Promotion with First Nations Peoples-Aboriginals
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The critical reflection aims to highlight upon the topic "health promotion with first nation people-aboriginals". To meet this aim, Gibb’s reflective cycle has to be used as the reflective model and to shed light on own feelings about the subject matter.
The health and well-being of the first nation of Australia and New Zealand are considered as one of significant social and governmental aspects of respective countries in current times. When I was asked to focus on the following topic, one of the significant aspects that came to my mind was colonisation. Colonisation has devastated the Aboriginal and Torres Strait Islander communities and culture (Fleming and Parker, 2020). The central part which is being avoided due to the colonisation is the health and well-being of the people who belong to the Aboriginal communities.
In spite of the growing acknowledgement of the socially determined nature of health disparities among the aboriginal people, the response to the health promotion program is challenging. Additionally, I have had knowledge about the health promotion or health-related difficulties associated with the aboriginals and the people from the Torres Islander group. However, I need more practical knowledge or practice about how to deal with the aboriginals and reach them with proper health promotional policies (Canuto et al., 2021). I was anxious and nervous, as I knew that the cultural aspects, beliefs and ethics of the aboriginals differed from non-indigenous people to a considerable extent. Apart from that, the communication barrier was another factor that put me in a dilemma about the impact of this program on me. Though, when I was exposed to the topic of discussion, it made me feel interested and involved with the topic. With the progression of time, it made me understand that despite the restriction, the Aboriginals must be involved in health promotions to ensure their good health and well-being.
During the course work, qualitative and quantitative data and information were presented in front of me regarding the health and well-being habits of the Australian first nation Aboriginals. For example, during the discussion, I learned that 47% of the indigenous Australians between the age of 15 years and older have had to consult doctors in the last 12 months, during 2018-19. I also came to know that 32% of the clinical and therapeutic treatments are provided by the GPs to Indigenous or Aboriginal patients, and it is related to an effective health promotional plan from 2010 to 2018. During the discussion, I also got information about the major diseases prevalent among the aboriginals in recent times. The core public health service of the Australian Government fund is $180 per Indigenous Australian, which is 2.5 times more than the funding for non-indigenous Australians (Fleming and Parker, 2020). This information is good in the course work, as this qualitative and quantitative information has helped me to understand about why the Aboriginals need health promotion and what will be the best-fitted health promotional plan work with the Australian first nation. Though, this course work majorly based on theoretical description rather than practical knowledge. This discussion has helped me to develop and strengthen my knowledge about the facts and figures, dos and don'ts of health promotion with the Australian first nation. Still, this discussion needed a practical approach to the health promotion and intervention plan (Barry et al., 2019).
Analysis and conclusion
From this discussion, I have chosen the aspect of colonisation and its impact on the health and well-being of aboriginals. Before, I had a misconception that colonisation might have some positive impact on the health and well-being of Aboriginals (Edelman and Kudzma, 2021). However, the discussion makes me realise that colonisation has resulted in racism, inequity, and disruption in the culture of aboriginals and Torres Strait Islanders. Additionally, before the discussion, I have an idea that the Australian Government has been successful enough to meet the health needs of Aboriginals through the promotional plan. Though with the discussion, I came to know that mental and substance use disorders like anxiety, depression and drug use, different cardiovascular disorders along with communicable diseases like AIDS/HIV are still prevalent within the first nation communities along with the lack of availability of health supports (Palmer et al., 2019). This discussion also sheds light on an essential factor that inequalities in health arise from the inequalities in the society-till now, the non-indigenous population of the country discriminate the people from aboriginal communities, and thus the health promotion programs which are formed for disease prevention, inadequate consideration of different social determinants ( age, the place where born, grow, live, work, education) can have a massive impediment to the program participation and resultant (Vallesi et al., 2018).
A more profound understanding of why there is still the existence of communicable and non-communicable diseases among the first nation people and what are the determinants factors that have to be kept in consideration to implement health promotion among aboriginals will impact my action plan as a nurse or midwife.
Firstly, when it comes to working for health promotion with the first nations people, I should consider cultural safety. The confidentiality of the information, specifically, the aboriginal females, maintaining the cultural beliefs and ethnicity should have been maintained by me as a student or midwife while reaching the First Nation People in Australia. Additionally, in health promotion, as a student and midwife, I will implement the techniques and strategies so that more people from these communities can be convinced to get involved in health promotional plans by ensuring their safety and cultural eccentricity to them.
- Barry, M.M., Clarke, A.M., Petersen, I. and Jenkins, R. eds., (2019). Implementing mental health promotion. Springer Nature.
- Canuto, K.J., Aromataris, E., Burgess, T., Davy, C., McKivett, A., Schwartzkopff, K., Canuto, K., Tufanaru, C., Lockwood, C. and Brown, A., (2021). A scoping review of Aboriginal and Torres Strait Islander health promotion programs focused on modifying chronic disease risk factors. Health Promotion Journal of Australia, 32(1), pp.46-74.
- Edelman, C.L. and Kudzma, E.C., (2021). Health promotion throughout the life span-e-book. Elsevier Health Sciences.
- Fleming, M.L. and Parker, E., (2020). Health promotion: Principles and practice in the Australian context. Routledge.
- Palmer, V.J., Weavell, W., Callander, R., Piper, D., Richard, L., Maher, L., Boyd, H., Herrman, H., Furler, J., Gunn, J. and Iedema, R., (2019). The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. Medical humanities, 45(3), pp.247-257.
- Vallesi, S., Wood, L., Dimer, L. and Zada, M., (2018). “In their own voice”—incorporating underlying social determinants into Aboriginal health promotion programs. International journal of environmental research and public health, 15(7), p.1514.