This essay highlights the need for housing for Indigenous Australians and the social determinants of health that need to be considered. It provides recommendations for policy improvement.
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Running head: HEALTHCARE HEALTHCARE Name of the student Name of the university Author note
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1HEALTHCARE The Northern Territory government has been enquiring regarding the housing for the Indigenous Australians (Baum et al. 2013). The government of the country has been considering if they should facilitate housing for this targeted group of people. The improvement of the health status of the indigenous people has been a debatable topic among the nation. The health gap that exist among the indigenous and the non-indigenous population has been a major concern highlighting the violation of the human rights of the indigenous population of Australia. The essay aims to highlight the need of housing for the targeted group of people and the relevant social determinants of health that needs to be considered. The essay furthermore provides recommendation for the policy improvement. Background The Northern territory is one of the novel ward in the reference towards the fact that includesundiscoveredassetsbothhumanandnatural.Accordingtothestatisticsofthe governmental survey, more than 30% of the inhabitants of the northern territory are indigenous community people living outside the major urban territories (Gee et al. 2014). The indigenous population are the most discriminated and socially inclusive group who furthermore lacks the proper chance or the opportunity to accessing proper health care facilities and the right to healthy and safe living. ThehousingsituationfortheindigenouscommunityofpeopleinAustraliahas nevertheless remained very poor specifically in the remote areas and in the northern territory. According toStoneham, Goodman and Daube (2014) in the year 2012, nearly three among every five of the indigenous people were living in the overcrowded houses due to the lack of housing.
2HEALTHCARE The factor of homelessness has been a significant issue for the indigenous people of the Northern territory. As per the census data, the indigenous people were classified as the homeless ones in the jurisdiction (Kingsley et al. 2013).The figure below highlights the majority of the people living in severely overcrowded house. The figure below furthermore indicates how the culture of the indigenous population and the ways of the livelihood are affecting the health status of the indigenous population of Australia. Figure – The category of the homeless population of the indigenous community Source- (Humanrights.gov.au. 2019) There lies a huge literature and the data links among the health and the housing. Factors such as early childhood development, metal health and social and emotional wellbeing, physical health , exposure towards tobacco smoking and dust targets the effect of the poor housing and homelessness among the health stats of the indigenous population.
3HEALTHCARE The health rate inequalities is generally dependent on the social gradient along with the spectrum of poor health as compared to the high gradient in the spectrum. There lies a strong evident link among the social status of the community of indigenous population and the health outcomes (Johnston et al. 2013). The factors of chronic stress connected to the challenges for accessing safe housing, overcrowding and healthy environment and finally the lack of housing resulting in homelessness are adversely affecting the health of the indigenous population in Australia. Social determinants of health (SDOH) The social determinants of health are generally the economic and the social factors that tends to have either positive or negative impact over the health of the community individuals by the impact of the environment and the conditions on which they reside. According toLea and Torzillo (2016) health is not only a physical property but the social prosperity towards the entire community. As per the definition by the World Health Organization, health is a particular state of the complete mental, physical and social wellbeing. It is not a mere absence of the infirmity. Source – (Waterworth et al. 2014)
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4HEALTHCARE The physical, spiritual and mental dimensions of the health among the indigenous youth, children and adults are distinctly influenced by a broad range of the social determinants. These includes circumstances and environments together with the systems, the structures and the institutions that influences the maintenance and the development of the health of the indigenous population. The social determinants influence a wide range of the vulnerabilities and the health capacities, health management and the health behaviors (Alexander 2013). Individuals and the communitypeopleoftheindigenouspopulationoftheNorthernterritoryofAustralia experiencing inequalities in the social determinant of health carry an additional burden of the problems related to health and are furthermore restricted from the access to the resources that might tend to ameliorate issues or challenges. The social determinants in the context of the indigenous population of Australia influences the diverse dimensions of health furthermore creatingissueandchallengesinhealththatleadtowardstheenvironmentrepresenting subsequent determinants of health. Residing in conditions of low income is linked to increased ability of illness and disability representing the social determinant that is furthermore liked todiminished opportunities for employment and enhancing the poverty (Lawless et al. 2017).The social determinants of the health are thus mostly responsible for the health inequalities among the indigenous population. Some of the relevant determinant of health are discussed below. Racism Racism is acknowledged as one of the major social determinant of health for the indigenous population in Australia. In the context of Australia, the racism undermines the wellbeing and the health of the indigenous population and their physical and mental status. The
5HEALTHCARE indigenous Australians experience substantial disadvantage as compared to the non-aboriginals. According to the national data, more than 27% of the indigenous population aged below 15-16 years reported of experiencing racism (Buergelt et a. 2017). Research studies on the effects of the racism over the health of the indigenous population reveals the link among racism and poor health, social inclusion that includes poor health status, and physical and mental outcomes together with substance abuse within the household. The lack of secure and suitable housing is one of the major resultants of the racial discrimination among the indigenous and the non- indigenous population in Australia (Pollard et al. 2014). As per several reviews and the Meta analysis the factor of racism has adverse effect over the physical health outcomes including the hypertension, blood pressure and cardiovascular disease. Thusthestudiesillustratethattheindigenouspopulationexperiencesubstantial disadvantages as compared to the rest of the population of Australia. This disadvantage is linked with the historical and the contemporary oppression colonization and racism. Housing The house encompasses not only a physical structure but also the social and natural environment where it is situated. Housing and accessibility are the important factors or the determinants of the status of the aboriginal health. The factor of hosing tends to influence the prosperity and the wellbeing straight forwardly by the implications through a different pathways (Scutella et al. 2013). Degradable and poor condition, like lack of safe hygiene habits, drinking water and shabby environment are associated with high risk of health disparities among the indigenous population of Australia. Disparities in the context of housing reflects a wide range of
6HEALTHCARE the other determinants including the unemployment, low socio-economic status, poverty, stress and low educational levels among the indigenous According to the data byWare (2013), more than 20% of the indigenous households in the northern territory was reported to be overcrowded in the year 2011, the rate eventually raised in the following years. The rate and the levels of the overcrowding in the remote locations raised together with the rate of the homelessness of the Indigenous people which was 14 times more than the non-indigenous ones. Inadequate facilities in the residencetogether with insufficient practice of cleanliness and the overcrowded structures of the families challenges the wellbeing of the indigenous group of people in Australia (Wood et al. 2014). It is to be noted that homelessness and overcrowding are the two major factors that are unequivocally linked towards weaker health results and experience of isolation from the mainstream society. Stress The development of stress is characterized by insecure infrastructure, congestion and structural damaged facilities. Stress is reported to be one of the imperative effects over the improvement of the emotional wellbeing issues within the indigenous population. With respect to the explanation of the National Health Strategy of 1989 it has furthermore been reported that the health status of the indigenous population is connected to the self-esteem, dignity and the control over the environment and regarding the justice (Duncan, Dockery and Cassells 2014). It has furthermore been a factor that indigenous people’s lack of control over their own lives due to the various categories of discrimination, lack of the opportunity towards the health care, lack of access to natural resources contributes to the burden of the unnatural and unhealthy level of stress and disease that results in mental and behavioral challenges and tendency of violence and
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7HEALTHCARE substance abuse among the population. As per the reports of WAACHS, the lack of the safe and healthy environment and the chronic level of stress that is the result of the inappropriate status of health and the factor of the homelessness are one of the biggest challenge for the indigenous community of people (Payne, Macgregor and McDonald 2015). Recommendation As per the research studies, living in poor and degrading quality , unaffordable and insecure housing or homelessness s associated with the poor status of health among the indigenous population. This section of the essay will highlight over the recommended measures that the government of the nation should adopt towards the improvement of the housing policy for the indigenous population residing in the Northern Territory of the country. Some of the recommended strategies for the improvement and promotion of a healthier policy for the indigenous people in the context of their health and wellbeing includes the approach to work with the families before thy become the victim of homelessness, link the families with some of the other human are services, promotion of the access towards high quality primary care, development of strong cross agency relationships and more (Walter 2016). The government of the country should ensure the fact that security and appropriate housing is the right of all the human beings as per the Universal Declaration of Human Rights. It is thus recommended for the government of the country to consider and initiate implementation plan and strategies for building housing for the homeless indigenous community people. The government of the country should consider all the relevant factors affecting the Indigenous group of people and the high rate of disease and mortality rate among the targeted community as the effect of the homelessness and implement the housing policy a per their preferences (Flatau et al. 2015). The government of Australia should furthermore initiate in proper educational facilities for the indigenous children
8HEALTHCARE andemploymentopportunitiesforthecommunitypeopledevoidofanysortofracial discrimination at the workplace so that the community people can afford a better standard of living.
9HEALTHCARE References Alexander, K., 2013. Social determinants of methadone in pregnancy: violence, social capital, and mental health.Issues in mental health nursing,34(10), pp.747-751. Arnautovska, U., Sveticic, J. and De Leo, D., 2014. What differentiates homeless persons who died by suicide from other suicides in Australia? A comparative analysis using a unique mortality register.Social psychiatry and psychiatric epidemiology,49(4), pp.583-589. Baum, F.E., Laris, P., Fisher, M., Newman, L. and MacDougall, C., 2013. “Never mind the logic, give me the numbers”: Former Australian health ministers' perspectives on the social determinants of health.Social Science & Medicine,87, pp.138-146. Buergelt, P.T., Maypilama, E.L., McPhee, J., Dhurrkay, G., Nirrpuranydji, S., Mänydjurrpuy, S., Wunungmurra, M., Skinner, T., Lowell, A. and Moss, S., 2017. Housing and overcrowding in remote indigenous communities: impacts and solutions from a holistic perspective.Energy Procedia,121, pp.270-277. Duncan, A., Dockery, A.M. and Cassells, R., 2014. Falling through the cracks: Poverty and disadvantage in Australia. Flatau, P., Wood, L., MacKenzie, D., Spinney, A., Zaretzky, K., Valentine, K. and Habibis, D., 2015. The Inquiry into the funding of homelessness services in Australia.AHURI Inquiry Discussion paper. Gee, G., Dudgeon, P., Schultz, C., Hart, A. and Kelly, K., 2014. Aboriginal and Torres Strait Islandersocialandemotionalwellbeing.Workingtogether:AboriginalandTorresStrait Islander mental health and wellbeing principles and practice,2, pp.55-68.
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10HEALTHCARE Humanrights.gov.au.2019.SocialdeterminantsandthehealthofIndigenouspeoplesin Australia – a human rights based approach | Australian Human Rights Commission. [online] Availableat:https://www.humanrights.gov.au/news/speeches/social-determinants-and-health- indigenous-peoples-australia-human-rights-based [Accessed 17 Apr. 2019]. Johnston, L., Doyle, J., Morgan, B., Atkinson-Briggs, S., Firebrace, B., Marika, M., Reilly, R., Cargo, M., Riley, T. and Rowley, K., 2013. A review of programs that targeted environmental determinantsofAboriginalandTorresStraitIslanderhealth.Internationaljournalof environmental research and public health,10(8), pp.3518-3542. Kingsley, J., Townsend, M., Henderson-Wilson, C. and Bolam, B., 2013. Developing an exploratoryframeworklinkingAustralianAboriginalpeoples’connectiontocountryand concepts of wellbeing.International journal of environmental research and public health,10(2), pp.678-698. Lawless, A., Lane, A., Lewis, F.A., Baum, F. and Harris, P., 2017. Social determinants of health and local government: Understanding and uptake of ideas in two Australian states.Australian and New Zealand journal of public health,41(2), pp.204-209. Lea, T. and Torzillo, P., 2016. The cunning of data in Indigenous housing and health.Journal of prevention & intervention in the community,44(4), pp.272-282. Payne, J., Macgregor, S. and McDonald, H., 2015. Homelessness and housing stress among police detainees: results from the DUMA program.Trends and Issues in Crime and Criminal Justice, (492), p.1.
11HEALTHCARE Pollard, C.M., Nyaradi, A., Lester, M. and Sauer, K., 2014. Understanding food security issues inremoteWesternAustralianIndigenouscommunities.HealthPromotionJournalof Australia,25(2), pp.83-89. Scutella, R., Johnson, G., Moschion, J., Tseng, Y.P. and Wooden, M., 2013. Understanding lifetimehomelessduration:investigatingwave1findingsfromtheJourneysHome project.Australian Journal of Social Issues,48(1), pp.83-110. Stoneham, M., Goodman, J. and Daube, M., 2014. The portrayal of Indigenous health in selected Australian media.The International Indigenous Policy Journal,5(1), pp.1-13. Walter, M., 2016. Data politics and Indigenous representation in Australian statistics.Indigenous data sovereignty: Toward an agenda,38, pp.79-98. Ware, V. 2013.Closing the gap Clearinghouse - Housing strategies that improve Indigenous healthoutcomes.[online]Aihw.gov.au.Availableat: https://www.aihw.gov.au/getmedia/cfff298b-726d-477d-bf31-69f5052b6b04/ctgc-rs25.pdf.aspx? inline=true [Accessed 17 Apr. 2019]. Waterworth, P., Rosenberg, M., Braham, R., Pescud, M. and Dimmock, J., 2014. The effect of social support on the health of Indigenous Australians in a metropolitan community.Social Science & Medicine,119, pp.139-146. Wood,G.,Batterham,D.,Cigdem,M.andMallett,S.,2014.Thespatialdynamicsof homelessness in Australia 2001–2011.