1 HEALTH PROMOTION PROGRAM Social determinants of health as well as well-being can be considered as the specific conditions within which individuals are seen to born, grow, live, work and age (Treloar, 2016). These factors help to determine the situation in which individuals live and thereby gain success in their lives emotionally, mentally, financially as well as physically (Williams et al., 2018). The world health organisation has successfully recognised ten important social determinants of health as they have the ability to create inequitable differences in the health outcomes. Out of this, addiction is stated to be one of the most important determinants that are affecting the lives of large number of people in every nation. The most vulnerable group of people identified in the nation is the male aboriginal adults who are mostly subjected to their different types of addiction (Marel et al., 2016). These are the tobacco smoking, alcohol addiction and other substance abuse. Researchers have successfully identified that smoking is the major cause of chronic disease among the aboriginal’s people leading to different types of cardiovascular disorders, cardio- pulmonary disorders, cancer and many others. Half of the aboriginal males are seen to smoke tobacco throughout the year and this number is twice the number of the non-natives of Australia. Similarly, alcohol use is also considered the major contributor of different types of injury, violence as well as involvement of in the criminal justice systems (Sun & Buys, 2016). It is found that substance abuse disorders have contributed as a significant reason for the gap that is found in the health status between the indigenous a well as non-indigenous Australians. About 47.7% of the individuals in the aboriginals were found to be daily smokers. On the other hand, it was found that the rate of alcohol consumption was twice the rate of the non-natives (Wilson et al., 2017). This accounted for about 17% with theta of 8% in case of short term whiskey drinking and 15% with that of 14% in case of long term whiskey drinkers. A number of risk factors had been identified to be the contributors of the development of addiction habits among the students.
2 HEALTH PROMOTION PROGRAM One of the major reasons that is stated here that the traditional culture of the native people promotes the tobacco smoking and alcohol use as a part of their culture. This makes the aboriginal uptake the habit in order to feel accepted in the community and to mingle with the community members and feel socially included. Evidences of aboriginals taking up the habit as a matter of experiences or due to peer pressure has also been found in the different studies conducted in the risk factors. Poor employment prospects provides them with ample time and boredom,whichmakesthemdepressedandthereforepoorfinancialconditionandpoor employment becomes the risk factors for taking up of the habit of substance abuse (Brett et al., 2017).Stress and difficult societal pressure and economic status make them exposed to these habits. Lack of education and different side effects of the substance abuse disorders make them more exposed to developing habits. A number of different types of protective factors can be stated which may help in overcoming of the development of habits in the males in the aboriginal community (Cheah et al., 2017). Effective self-control and parental monitoring from young age can help the natives to grow in ways by which they do not develop addiction habits. Besides, proper academic competence and different anti-drug policies can help in prevention of the addiction habits. Strong neighbourhood attachment and health literacy would also help in prevention of the disorders. Smart Goal: The health promotion program that would be developed will mainly be based the health belief model as that would help in modifications of behaviours by which they can overcome the addiction habits. This health belief model will mainly focus on two important goals that need to be developed.
3 HEALTH PROMOTION PROGRAM Goal: to develop the health literacy of the aboriginals in order to make them understand the effects that substance abuse is conducting of their physical and mental health. Employment opportunities would be promoted through making them learn different handicraft services, making them know ways of farming, setting of small business and many others (Mooney & Sarriago, 2015). Specific: health promotion campaigns will be developed where volunteers will visit aboriginal communities and verbally make them understand the side effects with the use of colourful demonstrationsand help them to understand how they can overcome the disorders. The employment opportunities’ will help them to overcome boredom and gain financial security and hence such habits would be changed. Measurable: the goal is measurable because after every week, an interactive session will be arranged with the community participants so that the volunteers can understand own much the aboriginals had been able to understand the health literacy sessions conducted for them. This would help to understand whether the aboriginals are developing knowledge or not (Moonro et al., 2017). They should be interviewed about the ways taught to them to employ themselves and gain back their feedbacks. His would help to measure whether they are aligning with the program Attainable: this goal is easily attainable as the volunteer would be conducting sessions and the aboriginal male adults would be attending the sessions. In order to make themselves aware of the health literacy campaign, invitation pamphlets be circulated in the community. This is easily attainable as the pamphlets would help them to be aware of the discussion sessions and this would make them participate in the program. Employment opportunities will cut their boredom and make them financially stress free. This would help them to stay away from addiction.
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4 HEALTH PROMOTION PROGRAM Relevant: This goal is relevant in the sense as the better they develop knowledge about the different side effects of the substance abuse disorder, they will become more cautious about their activities (Lee et al., 2017). They will be able to understand the modifications they require in their behaviour and hence they will be able to overcome their addiction habits. Better job opportunities will give them no reason to feel depressed or stressful and chances of taking addictive substances will reduce. Timeframe: this would require 8 months. The Ottawa Charter isthe specificinternationalagreementthatwassigned as the First International Conference on Health Promotion and this was organised as the World Health Organisation. They had planned five action areas like the building healthy public policy, developing supportive environment, strengthening community actions, developing personal skills and re-orienting health services for prevention of illness and promotion of health. Development of health literacy would ensure that the make aboriginal adults would be able to develop personal skills by which they can prevent themselves from continuing such addictive habits. Health literacy program would help in developing a supportive environment where the volunteers would provide them with every resource that would be required to help them to overcome the addictive habits (Treolar et al., 2016). They would be able to understand the ways by which they can make the, free from the addiction and once they develop knowledge they would in turn support the program and would help to make the program a success. The employment opportunities would create supportive environment and strength community financial status and hence help the, to live better lives.
5 HEALTH PROMOTION PROGRAM Implementation strategies: The health promotion program would first allocate 15 volunteers for the health promotion project to reduce the substance abuse disorders among the aboriginal adult. Out of these 15 members, different individuals would be given different roles so that everyone can act as a team and thereby help in meeting the expectations and goals of the project (Ridani et al., 2015). Two the 15-member team would mainly take up the role of health-promotion project coordinators. These two individuals would be mainly allocating tasks to the other members, monitor the activities conducted by the other team members and would be solving queries and complaints that would be circulating regarding the health promotion project. Another two members would be mainly conducting the funding allocations. They would be mainly looking for the sponsorships, aligning with different NGO companies and collect money and others resources that would be important to develop the education sessions as well as to develop the training classes by which they can be made prepared to earn in their lives and lead a better quality life. Moreover, besides the person who would be looking over the monetary part, there will be three other persons who would be given the duty to arrange for the training sessions, education programs and to advertise the health promotion programs rationale and target audience through social media, placards, advertisement boards and many others (Treolar et al., 2018). They would have the duty to advertise the cause of the health promotion project and at the same time develop strategies to spread the news in households of the communities and make the adult males interested to attend the project. Better, they develop a creative plan, better will be their ability to hold back their target population and make them interested to provide importance on the project (Munro et al., 2017). Three other members would be mainly involved in the project who would be conducting the planning for the education program. They would be developing the presentations, pamphlets, creative pieces,
6 HEALTH PROMOTION PROGRAM working and many others. They would be involved in making the work much interesting to the audience and would keep it free from medical, scientific and technical jargons. These would help them to feel interested in the presentations and the educational discussions and help them to gain knowledge about how their addiction habits are harming their physical health as well as mental and social health. At the same time, two other members would be conducting the co-curricular sessions where they would be motivating the adult aboriginals to engage themselves in small business, handicraft activities and many others by which they can not only be financially stable but also would be able to overcome many negative habits and their mental health would revive . At the same time, the two members would try to connect the community members with the job centres helping them to develop easy access to different types of job that matches with their profile and thereby help them to get work and be self-sufficient (Lee et al., 2016). This would make them independent and would provide them less scope to feel bored and thereby engage withdifferentaddictionhabits.Inthisway,developmentofproperhealthliteracyina community based manner and thereby making them motivated to develop self-sufficieny and financial security with the help of proper employment services. In this way, two social determinants of the habit of addiction like education and employment can be attended and this helps to overcome the challenges that addiction, another social determinants brings on the lies of the aboriginal native people (Vujcich et al., 2018). Evaluation program: The team would be left with two individuals. These two individuals along with the coordinators of the team would make a committee of five people. These five people would be mainly involved in the evaluation activity. Effective evaluation is mainly required in order to understand that the health promotion strategies that are taken are helping to meet the objectives
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7 HEALTH PROMOTION PROGRAM and goals that are set by the individuals (Arjunan et al., 2016). In order to evaluate whether the program is making people interested or not, the attendance sheet should be analysed n a day-to- day basis. This will help to understand whether the persons are finding the education class and the co-curricular training class interesting or not. Their footfall will help to evaluate how many people of the community is attending the classes and how many people are not yet attended any of the classes. This would help to evaluate how far the promotion program had been able to capture the attention of the people (Nathan et al., 2016). Secondly, the monitoring committee would be conducting a discussion session with the aboriginal males once in every week in order to develop an understanding of the knowledge gained by them and also understand how well they are implementing their knowledge in order to bring changes in their behaviours. The way they interact, their feedbacks, their concerns would help the committee members to evaluate how well they are perceiving the principles discussed to overcome the habits of addiction and how well they are abiding by it (tolhurst et al., 2016). Moreover, the evaluation committee also prepared questionnaires for interviewing them on their concept of employment and its need to become self-sufficient. They would be also asked about their opinion of participating in curricular activities as well as their effect on development of employment skills. If positive feelings are noticed and aboriginal patients are seen to be more proactively showing interest in contacting with job centres, set up small handicraft shop and similar businesses, the program could be found to bring out effective outcomes and are aligning with the topic. The committee members should also evaluate that with the health promotion programs are properly following the action priority areas like supporting of the community by helping to develop good habits and overcoming negative habits (Canuto et al., 2017). Once the individuals are able to develop proper habits and overcome addiction, they will be correctly able to maintain their households
8 HEALTH PROMOTION PROGRAM and teach the younger generation about the negative effects of addiction. This will also help to develop the future generation of the native lands as well. The entire fifteen members would observe an all over evaluation of the change of the tendencies of the aboriginal communities. This would help them to collect cues that whether their program is bake to bring modifications in not only the addiction behaviours of the aboriginal male of the community but also in the social trends, statistics o people still drinking and smoking habits, changes in through procedures of the culture of the community and many others. On evaluation of this, reports would be prepared and analysed and depending upon them, it would be decided that whether new strategies would be prepared or not. Therefore, this health promotion program would be effective in helping the adult aboriginal male people to live better quality life.
9 HEALTH PROMOTION PROGRAM References: Arjunan, P., Poder, N., Welsh, K., Bellear, L., Heathcote, J., Wright, D., ... & Wen, L. M. (2016). Smoking among Aboriginal adults in Sydney, Australia.Health Promotion Journal of Australia,27(1), 66-69. Brett, J., Dawson, A., Ivers, R., Lawrence, L., Barclay, S., & Conigrave, K. (2017). Healing at Home:DevelopingaModelforAmbulatoryAlcohol“Detox”inanAboriginal CommunityControlledHealthService.InternationalJournalofIndigenous Health,12(1), 24-38. Canuto, K., Aromataris, E., Lockwood, C., Tufanaru, C., & Brown, A. (2017). Aboriginal and Torres Strait Islander health promotion programs for the prevention and management of chronic diseases: a scoping review protocol.JBI database of systematic reviews and implementation reports,15(1), 10-14. Cheah, A. L. S., Pandey, R., Daglish, M., Ford, P. J., & Patterson, S. (2017). A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility.Health & social care in the community,25(3), 1209-1217. Lee, K. K., Dawson, A., & Conigrave, K. M. (2016). Insights into the effective management of support groups for Aboriginal Australian women with substance use disorders.Society, Health & Vulnerability,7(1), 29474.
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11 HEALTH PROMOTION PROGRAM Sun, J., & Buys, N. (2016). Effects of community singing program on mental health outcomes of Australian Aboriginal and Torres Strait Islander people: a meditative approach.American Journal of Health Promotion,30(4), 259-263. Tolhurst, P., Lindberg, R., Calder, R., & de Courten, M. (2016). Australia's health tracker 2016: A report card on preventable chronic diseases, conditions and their risk factors: Tracking progress for a healthier Australia by 2025. Treloar, C. (2016). 7.2 Knowledge about liver diseases and liver fibrosis assessment among people who inject drugs in alcohol and other drug treatment.Annual Report of Trends in Behaviour 2016,18, 242-249. Treloar, C., Hopwood, M., Cama, E., Saunders, V., Jackson, L. C., Walker, M., ... & Ward, J. (2018). Evaluation of the Deadly Liver Mob program: insights for roll-out and scale-up of a pilot program to engage Aboriginal Australians in hepatitis C and sexual health education, screening, and care.Harm reduction journal,15(1), 5. Vujcich, D., Thomas, J., Crawford, K., & Ward, J. (2018). Indigenous Youth Peer-Led Health Promotion in Canada, New Zealand, Australia, and the United States: A Systematic ReviewoftheApproaches,StudyDesigns,andEffectiveness.FrontiersinPublic Health,6, 31. Williams, H. M., Percival, N. A., Hewlett, N. C., Cassady, R. B., & Silburn, S. R. (2018). Online scan of FASD prevention and health promotion resources for Aboriginal and Torres Strait Islander communities.Health Promotion Journal of Australia.
12 HEALTH PROMOTION PROGRAM Wilson, H., Brener, L., Jackson, L. C., Saunders, V., Johnson, P., & Treloar, C. (2017). HCV knowledge among a sample of HCV positive Aboriginal Australians residing in New South Wales.Psychology, health & medicine,22(5), 625-632.