This essay discusses the impact of colonization on the health of Australia's First People. It explores the effects of public policies, intergenerational trauma, racism, and white privilege on their health outcomes.
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Running head: FIRST PEOPLE HEALTH FIRST PEOPLE HEALTH Name of the Student Name of the University Author Note
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2 FIRST PEOPLE HEALTH Introduction First Peoples Health and Practice (3121MED) study gave me the insight about the extent and the condition of the discrimination among the First Peoples and the non-Indigenous people of Australia. However, the study helped me in the knowledge gathering about the concept in a very nominal way as I did not have any idea about the factor prior to this study. On the basis of this study I understood that the factor is the inequality among the public health facilities and the primary cause of the factor is the imbalanced or poor socio-economic structure, low level of education, rate of employment, lesser access to health care and the health literacy and belief. As lesser knowledge about the concept I had not considered the factor ofwhyAustralia’s First People that are the Indigenous population do not have the social advantage in comparison to the non-Indigenous population. Until the knowledge about the concept of the history of the colonisation among the Australian community I did not have the insight about the inequality in health care providence. In the following essay I will highlight the factor of the colonisation which I think play the crucial role in the First People Health. This factor will be comprised of the public health policy, Intergenerational trauma, racism and systematic racism, inequality in health care and white privilege. In addition with these factors I will incorporate the reflection and the sociological influence in the framework of my professional practice in public health policies. Define The colonisation history of Australia and the implementation of the public health policies showed that it resulted in an imbalanced mortality and morbidity rate and inequity in health care process(Donkin, Goldblatt, Allen, Nathanson & Marmot, 2018). The mortality and morbidity
3 FIRST PEOPLE HEALTH rates are worse among the Australia’s First People than the non-Indigenous people. Health inequality can be stated as the differences in health risk and the outcomes as the avoidable inequalities. The inequity for the First People shows the average life expectancy which highlights up to ten years lesser than the non-Indigenous people. The First People also show much higher rates of chronic diseases than the non-Indigenous ones. This condition can be changed with the development of evidence based public health policies which should be focused on the social and economic resource development for the First People of Australia(Lee et al., 2018). Public policies are the consideration of the governmental actions developed for the consideration of the public problems. At 1770 the British settlement in the Australian continent put the First People in a problematic position and the outsiders declared the land as the Terra Nullius and presented themselves as the superior population and lawfully justified as well (Hiscock, O’Connor, Balme & Maloney, 2016). Thus they take control of the land and posed as the owner of the Australian land. The Segregation and Protection policy forced the First People to live on missions, separate them from their families and communities, abandon their land, language, culture and take up new foods, medicines, beliefs thus it was the situation which forced them to up take completely foreign lifestyle(Bennett-Levy, Singer, DuBois & Hyde, 2017). Followed by which the Assimilation policy was forcibly placed over the children and they are taken away from their families and named as the stolen generation that is the affected generation in the process of these policies the intergeneration trauma occurred(Bennett, Coghlan, Evan & Morse, 2018). All these factors affected not only the people of the community in that generation also the trauma and loss carried out to the following generations. Hence, the factor of the public policies engulfed the First People into the white Australia(Clarke, Swinburn & Sacks, 2018).
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4 FIRST PEOPLE HEALTH The intergenerational trauma was the result of the factor of the public policies in which the First People felt sadness, trauma, helplessness, loss of identity and disconnection from the land. All these mal feelings transferred from generation to generation. Furthermore the practice of these public policies gave rise to the racism problem(Gould, Watt, Cadet-James & Clough, 2015). The attitude and the biased beliefs of the dominant group that is the white people or the colonial Australians had a huge effect on the social structure of the First people as well. The unfair and discriminated treatment towards the First People of the Australia leads to the oppression of these people in the social, economical, educational, justice, political and other institutes as well. The minority group faced several hurdles in coping up with the foreign beliefs and lifestyle although the racial oppression created harder situation for them(Dudgeon, Bray, D'Costa & Walker, 2017). The social and the economic disadvantage gave rise to the racial discrimination in interpersonal and institutional level and thus the exclusion of these minor people from the society leads to more disadvantage for the First People of Australia(Clifford, McCalman, Bainbridge & Tsey, 2015). The white privilege that is the unequal distribution of resources and the unearned privileges of the white people eventually became the normal social factor thus this impacts on the lifestyle of the First People of Australia. White privilege is factor that helps the dominant cultural group with the benefits of trust, respect and other privileges only for the skin colour of these people. Recent evidences refer to how present societal affairs impact on the individual and community based population such as the First People of Australia.
5 FIRST PEOPLE HEALTH Reflection As an outsider with average skin colour I found the dominant population of Australia proved to be a boon for them as they do not have to experience the mal practices of the society on the basis of the public policies that puts forward the discrimination on the basis of the skin colour. The colonisation of the Australian community by the white people helped the dominant group in experiencing the unfair privileges. Being known to the social history of the colonisation and the First People health factor it is understood the condition for the first time about the condition of the society as well. As a result of racial discrimination and lacking the knowledge I was ignorant about the social privileges and never considered the factor of who is more eligible and the unfair practice of the society as well. A dominant cultural person always achieved the privileges without facing any problem and always took the advantages about the factor as well. However, after knowing the actual history and the public policies I felt that this mal practice should be modified(Fogarty, Bulloch, McDonnell & Davis, 2018). In a conversation about my findings about the colonisation and the public policies that threatened the First People of Australia and the shock and trauma I felt in the learning process leads to the insight of other people on the same context as well. I found that the people I know think that All Indigenous people should colonise and the community still hold on to the factor of the old traditions and they need to stop complaining about the factor and should be able to leave the factor and move on. The people I conversed with also stated that the Indigenous people should be able to leave the concepts of the old tradition and move on to adapt the new public policies in order to have the privileges as well.
6 FIRST PEOPLE HEALTH This conversation left me speechless and the confrontation made me realise that these are not the true feelings of the people I conversed with and the mental impact of the racial discrimination leads to this kind of statement. The people I conversed with also impacted with the racial discrimination and they are ignorant about the factor as well. I felt very uncomfortable with this conversation and understood that the impact of the tradition of the racial discrimination enhanced the feelings of this dominant cultural group and made them ignorant to the fact of the racism and the consequences of the problem. I had the insight that these statements are the result of the media informed stories and the old reports they have known from some sources and they believe these factors as true. On the basis of this conversation I only could be able to think about the changes we need in the public policies and how we can be able to change the thought process of the people of the society. On the other hand I came to some questions which are as follows: Why I could not be able to confront these people? Why could not I speak for the defence of the First People? However, I also found that I also belong to this racial society and I just gathered the knowledge about the actual situation and should think about the situation more deeply and compassionately in order to achieve the goal of the modification of the public policies without the racial discrimination. As I mentioned my education was also dependent on the European colonisation in the Australian continent and it lead to the knowledge about the First people in the negative light in which I could only imagine the Fist People as primitive society members. The encounter with people only gives dominant people insight about the factor of how lawfully worthy the white people are to get all the privileges of the society and the First People are incompetent for the society as well. After getting the actual knowledge about the situation I was very much shy and
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7 FIRST PEOPLE HEALTH afraid to talk about my ideas on the context and always forced myself to not talk about my knowledge with other people. However, I should admit that I actually felt pity for the First People and thought to be involved in helping these people. I feel like I have been very much ignorant about the fact of the health and social inequity and took the advantage of the white privilege. Moreover, after having the insight I acknowledged that I should think with the perspective of the First People and from the eye of a First People how the society looks and the world view as well. As unequally treated I could not imagine how harsh the situation for them was as I belong to the totally opposite cultural group which never have to experience the problems of the society. As a public health worker in my entire undergraduate degree I gained some knowledge about the society and understood some conditions as well. I also gained the knowledge about the complex way of health and wellbeing which are impacted by the social determinants such as the individual, social, political, environmental and cultural aspects. Most important thing I have learnt during the course that we do not live in an equal society. Across the world there are different cultural group of people and they experience worse health outcomes that can be measurable as inequality and unjustified. Reflecting upon the knowledge about depth of the damage caused by the colonisation in Australia and the factor of the changing the fact of this historical factor is more difficult. In order to address the inequity, injustice and the intergenerational trauma which are the result of the public policy of Australia it will be needed to consider the white privilege and the systematic racism that can be understood as the primary factor for the above mentioned mal practices of the Australian society on the First People of the continent.
8 FIRST PEOPLE HEALTH Analysis The colonisation process as the public policy is the social determinant of health for the First People of Australia in the past and present as well. Public health is the concept of global health framework and includes the holistic aspect of care and incorporates the physical, mental and the spiritual wellbeing along with the social aspect. The health of First People in the view point of global health can be integrated with the family, community, culture and their own land. In the context of Australian health care the western view is dominant and that includes the wellbeing of individuals by means of self care management which dependent on the behaviours of individuals towards the healthy living and it can be addressed by the biomedical approaches towards the physical health. Hence, it can be said that the physical approach and the self care management is key aspect of Australian public health policies and to address these factors the health literacy is a crucial aspect. The inequity is also prevalent among the First People of Australia as their health literacy rate is lower than the average. However, the social determinants of health also needed to be considered along with the individual aspects which are the social, cultural, political and historical aspects of health. It can be seen that the First People view of health is different than the dominant cultural group of Australia as they focuses on the Eurocentric approach of public health(Lindstedt, Moeller-Saxone, Black, Herrman & Szwarc, 2017). The dominant cultural group hold the perspective of the biased and unhelpful assumptions towards the First People of Australia which imposes an inferior perception for them as well. This is the aspect of deficiency of cultural values and the non-Indigenous attitudes as well. The psyche of the First People of Australia became lowered by the means of the self
9 FIRST PEOPLE HEALTH efficacy and diminished their sense of self worth as well and this can be stated as the white lens. In order to change the condition the cultural competence should be considered over the negative discourse(Axelsson, Kukutai & Kippen, 2016). Learning This reflection process is both challenging and helpful in learning the history and the changes needed for the public policies of Australia. It has helped me in the deep learning of the factors affecting the health outcome of Australian First People. The reflection was on my own position within the Australian society and it was affected my feelings in the first place on the basis of my own viewpoint. For example my conversation with other people helped me develop the concept of the viewpoints of the First People and the white people as well. The discrimination among the society also played a key role and this reflection process and the conversation along with the thought process of me helped in the gathering of proper knowledge about the mal practice. On the basis of this knowledge I can be able to understand the condition and develop some plans for the modification of the public policy which I can implement in the further health care activities. I need to show compassionate behaviour towards the First People and also need to remove the discrimination at the time of the health care providence.
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10 FIRST PEOPLE HEALTH One Final Note Finally I am very much thankful to my teachers as they helped me in the knowledge gathering about this concept. I have enjoyed the course and found the learning materials very much interesting as it depicts our history. The knowledge of the First People helped me in many aspects and I wish if I could be able to gather this knowledge some years back then I could be able to help the First people before.
11 FIRST PEOPLE HEALTH References Lee, J., Schram, A., Riley, E., Harris, P., Baum, F., Fisher, M., ... & Friel, S. (2018). Addressing health equity through action on the social determinants of health: a global review of policy outcome evaluation methods.International journal of health policy and management,7(7), 581. doi: 10.15171/ijhpm.2018.04. Lindstedt, S., Moeller-Saxone, K., Black, C., Herrman, H., & Szwarc, J. (2017). Realist Review of Programs, Policies, and Interventions to Enhance the Social, Emotional, and Spiritual Well- Being of Aboriginal and Torres Strait Islander Young People Living in Out-of-Home Care. The International Indigenous Policy Journal,8(3), 5. DOI:10.18584/iipj.2017.8.3.5 Dudgeon, P., Bray, A., D'Costa, B., & Walker, R. (2017). Decolonising psychology: Validating social and emotional wellbeing.Australian Psychologist,52(4), 316-325. doi:10.1111/ap.12294 Bennett, B., Coghlan, C., Evans, K., & Morse, C. (2018). Incorporating aboriginal and Torres strait islander curriculum frameworks into practice and implications for employment. Journal of Australian Political Economy, The, (82), 171. Retrieved from https://www.researchgate.net/profile/Bindi_Bennett/publication/331032721_Incorporatin g_aboriginal_and_torres_strait_islander_curriculum_frameworks_into_practice_and_imp lications_for_employment/links/5c62177892851c48a9cd4540/Incorporating-aboriginal- and-torres-strait-islander-curriculum-frameworks-into-practice-and-implications-for- employment.pdf
12 FIRST PEOPLE HEALTH Fogarty, W., Bulloch, H., McDonnell, S., & Davis, M. (2018). Deficit Discourse and Indigenous Health: How narrative framings of Aboriginal and Torres Strait Islander people are reproduced in policy.Deficit Discourse and Indigenous Health: How Narrative Framings of Aboriginal and Torres Strait Islander People Are Reproduced in Policy, xii. Retrieved from https://www.researchgate.net/profile/Hannah_Bulloch/publication/327435399_Deficit_Disco urse_and_Indigenous_Health_How_Narrative_Framings_of_Aboriginal_and_Torres_Strait_I slander_People_are_Reproduced_in_Policy/links/5b8f728a45851540d1c9d693/Deficit- Discourse-and-Indigenous-Health-How-Narrative-Framings-of-Aboriginal-and-Torres-Strait- Islander-People-are-Reproduced-in-Policy.pdf Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2018). Global action on the social determinants of health.BMJ global health,3(Suppl 1), e000603. Retrieved from http://dx.doi.org/10.1136/bmjgh-2017-000603 Axelsson, P., Kukutai, T., & Kippen, R. (2016). The field of Indigenous health and the role of colonisation and history.Journal of Population Research,33(1), 1-7. DOI 10.1007/s12546-016-9163-2 Clarke, B., Swinburn, B., & Sacks, G. (2018). Understanding Health Promotion Policy Processes: A Study of the Government Adoption of the Achievement Program in Victoria, Australia.International journal of environmental research and public health, 15(11), 2393.doi:10.3390/ijerph15112393 Hiscock, P., O’Connor, S., Balme, J., & Maloney, T. (2016). World’s earliest ground-edge axe production coincides with human colonisation of Australia.Australian Archaeology, 82(1), 2-11. Retrieved from http://dx.doi.org/10.1080/03122417.2016.1164379
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13 FIRST PEOPLE HEALTH Clifford, A., McCalman, J., Bainbridge, R., & Tsey, K. (2015). Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review.International Journal for Quality in Health Care,27(2), 89-98. Retrieved from https://doi.org/10.1093/intqhc/mzv010 Gould, G. S., Watt, K., Cadet-James, Y., & Clough, A. R. (2015). Using the risk behaviour diagnosis scale to understand Australian Aboriginal smoking—a cross-sectional validation survey in regional New South Wales.Preventive Medicine Reports,2, 4-9. Retrieved from https://doi.org/10.1016/j.pmedr.2014.10.004 Bennett-Levy, J., Singer, J., DuBois, S., & Hyde, K. (2017). Translating e-mental health into practice: what are the barriers and enablers to e-mental health implementation by Aboriginal and Torres Strait Islander health professionals?.Journal of medical Internet research,19(1), e1. DOI: 10.2196/jmir.6269