TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 MAIN BODY...................................................................................................................................1 The Problem and Context.......................................................................................................1 Common frame of reference or dominant discourse evidence within this policy..................3 Targets, Stakeholders and their Representation in this policy...............................................4 Policy process.........................................................................................................................5 Policy Solutions to address the problem................................................................................6 CONCLUSION................................................................................................................................7 REFERENCES................................................................................................................................9
INTRODUCTION Healthcare sector is considered as one of the most important industry. It is very essential for them to deliver the best service to their customers in order to improve the health of an individual. Present report will focus on the Australian healthcare sector in which it will analyse the impact of policies. This assessment will focus on Women's health policy that is operating in Australia. This study will address outcomes, such as, analysing different theories and approaches to policy and will also focus on policy development to study health policy issue. Other than this, it will analyse issues in contemporary Australian health care policy and lastly it will evaluate evidence-based policy and knowledge translation issues MAIN BODY The Problem and Context There are various policies that is being operated in the healthcare sector in Australia, for example, mental health policy, women’s health policy, preventative health policy, men’s health policy, the Northern Territory intervention, etc. Current and historical policy context of Women’s health policy First women's health policy was established in 1989, known as, “Women’s Health Policy 1989” and Australia became the only country to have such type of policy which helps women to improve their health. This policy aims to enhance the wellnessof all women in Australia (The 1989 National Women’s Health Policy,2014). Seven major health issues were identified for women in this Policy of 1989, such as, Issues related to reproductive health and sexuality; Problems due to ageing women's health; Mental and emotional health of women; Violence against women; Occupational health and safety; Health needs of women as carers; and Health effects of sex-role stereotyping on women (The 1989 National Women’s Health Policy, 2014). 1
All the above mentioned factors are considered to be very important the women and has to be considered very carefully by them. This National women's health policy helps in reducing the impact of getting any kind of disease (The 1989 National Women’s Health Policy,2014). On the basis of this policy, a new policy was designed. Australia's National Women's Health Policy 2010 was established in order to help Australian women to improve their health and well-being, respectively, specially for those who are at higher risk in terms of poor health. The policy is intended to provide a framework for decision-making in both mainstream and separate women's health services (National Women’s Health Policy 2010,2016). This policy helps in building a healthy environment for the women to ensure that they are living a healthy lifestyle. This policy will help in addressing current and future health challenges as well. It focuses on developing and maintaining proper health services and programs which can help in making aware women about their health related issues. There are various fundamental areas which is covered in this policy, which is mentioned below: Chronic diseases in women, such as, such as, arthritis, diabetes, heart disease, etc. Supporting in providing healthy behavior guidelines for their lifestyle, The impact of physical and psychological health and social function on women, Issues related to their sexual and reproductive health, Impact on health behaviors, for example, physical activity, food, smoking, alcohol consumption, etc. Issues related to mental health and access to their mental health services as well, Problems related to depression and anxiety, and Possible health outcomes associated with any disease to them (National Women’s Health Policy 2010,2016). Other than this they also helpyoung, mid-age and older women’s health concerns as well, such as, transitional moments in young women, symptoms of menopause in mid age women and experience of widowhood and the availability of services to assist with older bereaved women’s health, financial and social needs. Implementation of this policy will have a huge positive impact on the lives of women in Australia. 2
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Problem which the policy seeks to address It is very important for any healthcare sector to have good and effective policies which can help an individual in improving his or her health. To have an effective Women's health policy which can assist them in getting benefit from these policies, can have a huge positive impact. As this policy helps in promoting health benefits to all the women of Australia. It is essential for the department of health, Australia to ensure that everything is going smooth and fine (A review of the Australian healthcare system: A policy perspective,2018). There are various issues and problems which women faces and this policy helps in addressing it, such as, most common is the mental and emotional health issues which every women suffers very frequently. Other than this there are problems like, reproductive health and sexuality, chronic diseases in women, such as, such as, arthritis, diabetes, etc. Problem which this policy will address is chronic diseases in women, specially obesity andhypertension. Common frame of reference or dominant discourse evidence within this policy It was a common frame of reference in proposing this policy. More than 700 women attended the conference onWomen’s Health in a Changing Society and majority of women had agreed to develop policy which can help them in improving their health quality of life as well. This helped in the development of the First National Women’s Health Policy in Australia (Alden & Aran, 2016). The main reason behind the development of this policy is to improve the well being of women in Australia.There was strong support for the health system as a whole to be more responsive to women’s health needs, including the need for training of health professionals on the impact of gender on health. In this way, establishment of women's health policy was done, respectively. Due to the implementation of this policy in the system, it helped a lot of women to fight against a lot issues related to their health. Listening to women has, again, been a driving force in developing this policy, and engaging with women from many groups has helped make the policy a reflection of the needs voiced by Australian women today (Weimer & Vining, 2017). This policy has a huge impact on their life as it has change their lifestyle and made it healthier. This will also reduce the risk factor as well which can affect them in getting chronic diseases. 3
Targets, Stakeholders and their Representation in this policy The main target as the name suggests, is all the women who is residing in Australia, whether they are young or old. Their main target are women who are suffering from chronic disease or are prone to this disease and to provide the best service to them through which they can improve their health and can live a healthy life. This policy helps to focus on key factors, like, toimprove health services for women; providing them appropriate information on health; making women to participate in programs related to health awareness and giving them training on health care (Labonté, 2018). This will help in reducing the number of affected women in Australia by targeting them. It is essential to have all important stakeholders to be associated with this policy in order to deliver the best service to all the women in Australia. These stakeholders can include,health providers, carers, etc. which helps in providing their services to women. This policy helps to provide services to women of all age group, such as, young girls, mid age women and old age, respectively. This helps in improving the well being of all the women who is living in Australia.Chronic diseasesare long lasting conditions with persistent effectson any individual. In 2014–15, 52% offemalesreported having one or morechronicdiseases, i.e., arthritis, diabetes, heart attack, kidney disease, etc (Ginsburg & et.al. 2017). It is estimated that by the end of year 2025, 75% ofwomen will be suffering from chronic disease, which is a huge number. Chronic Disease Prevention According to some women, it is considered that the national health priority areas, such as, cardiovascular disease and stroke, cancer control, mental health specifically depression, injury prevention and control, diabetes mellitus, asthma, arthritis and musculo-skeletal conditions, etc, should be on a priority policy for women. Maximum number of women admitted that substantial increase in the health of women can be achieved by implementing proper gender analysis, effective education and delivering health services effectively to them (Loxton & et.al. 2015). An increased research and policy focus, in the context of Australia’s growing rates of chronic diseases, on how the behavioral and relational aspects of a gendered existence underpin the circumstances and decisions that put individuals at varying risk of conditions such as obesity, diabetes, cancer and heart disease (Public Health Association of Australia p. 8) 4
Preventing obesity was seen as important factor in increase in chronic diseases. Reducing the use of alcohol, cigarettes and other drugs, especially among young women, were also seen as crucial preventative health measures. All these factors have to be considered very carefully by the health professional while delivering their services to women (Fenna, 2015). There are various social groups which can have a huge impact the development of policies, such as, they can help the organization by making aware the public about the negative impact and effects from such diseases in women. They can also help in increasing women health awareness as well. Policy process The focus in developing this policy is to make Australian women live a healthy life and to improve their well being as well. The main factor which motivates the stakeholders, i.e., key stakeholdersare groups of patients, public, researchers, advocacy groups,policymakers, and others, which helps in focusing to get a significant improvementby creating this policy.By establishing this policy, they want to increase the health awareness among all their citizens so that they can live a healthy life.The policy focuses on the issues which Australian women have identified as affecting quality of care because of the way health service structures work in Australia. The policy also takes into account existing and new programs and initiatives as well. The main goal or objectives of this policy is to improve the health and well-being of all women in Australia, with a focus on those most at risk, and to encourage the health system to be more responsive to the needs of women (Dobson & et.al. 2015). The process of this policy in which it helps in preventing the rate of chronic diseases in women in Australia, such as, identification of all the factors that is responsible for developing chronic diseases in women and then making aware about the adverse impact of this disease on them. Organizing health communication strategies to increase interpreter awareness and enhance cultural sensitivity among women (Bardach & Patashnik, 2015). There are stakeholders, such as, patients and public specially women whose interest is considered in the making os policies as it will help them in improving their health. Other stakeholders include,researchers, advocacy groups,policymakers, etc. who only helps in making these policies effective. The main reason behind the motivation in order to develop these policies is to increase awareness of women health as it can have a huge impact. This will help in motivating women to life a healthy life style so that they can reduce the impact of getting any infection. 5
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Policy Solutions to address the problem There are various options which is provided in this National Women's policy to address this issue of chronic diseases in women. There are various diseases which is included in this and all of them different solution in curing them, such as, cardiovascular disease, diabetes, cancer, respiratory diseases, etc. To prevent such chronic disease, it is very important to live a healthy live which will automatically reducethe chancesto getthisdisease in women (Women critical ofnew government health policy,2010). As women are more prone to have this, it becomes very important for them to consider some crucial prevention in order to keep themselves safe, for example, according to this policy, there are various risk factors which can be controlled by them, such as, Obesity According to the report of Organizationfor Economic Cooperation and Development (OECD), Australia comes under third worst country in terms of increasing case of obesity in women. One of the major factor which contributes a lot in this is poor nutrition. Majority of women in Australia does not consume proper fruits and vegetables. This policy helps in making them aware about the negative impacts due to obesity and they can deal with it. Adapting a healthy diet can be a great option to opt for. Decrease in physical inactivity This is another important issues which helps in increasing the chances of getting chronic disease in women. Lack of physical activity has a major role in this. To improve this, women has to develop a habit of doing daily exercise. This will help in keeping them fit and healthy as well. Adapting a healthy lifestyle can help every women to live a healthy life which can reduce their chance of getting these chronic diseases (Women critical of new government health policy, 2010). Consumption of excessive alcohol To increase the chances of getting chronic disease, this can have a huge impact on their health. Having excess of alcohol can affect their body as well. In Australia,approx30.5 per cent of Australian women aged 14 and over drank at a level considered to be risky or high risk for short-term alcohol-related harm. They have make their lifestyle in such a way which can assist them in living a healthy life and can keep themselves safe from getting chronic disease. 6
Evaluation measures or indicators that has been undertaken for this policy There are various actions which is being taken by the current government on the prevention of chronicdisease through the control of risk factors, such as, they have conducted a lot of surveys which helped them in analyzing the actual situation. For example, Australian Health Survey This survey helped in understanding the factors behind chronic disease and identify their risk factor for this as well. Different data will be collected by them in order to identify the main issues behind this. Other than this, there are various other programs developed as well, such as, for diabetes, they organized ThePrevention of Type 2 Diabetes program in which they focused aged 40–49 years with the objective of reducing or delaying their progression to Type 2 diabetes in them (Bardach & Patashnik, 2015). Same as for cancer, they have conducted programs, like, Breast Screen Australia, which helps in screening breast cancer in women which includes all the women living in rural and remote areas as well. The Australian Government is committed to investing in the development of a robust evidence base for women’s health policy. TheNational Partnership Agreement on Preventive Health (NPAPH) was developed in order to make daily lives of Australia healthy and making them aware about all the effects which they can have on their health due to chronic diseases. All these programs and surveys have a huge impact on the successful implication of this National women's health policy in Australia (Bardach & Patashnik, 2015). Continue building the evidence base through programs such as the Australian Women’s Longitudinal Health Study and explore its capacity to further investigate aspects of women’s health. Alternative solution which can be opted by the health department can include factors like, they can organize campaigns in which they can provide information related to women health that can help Australian women to keep themselves healthy and safe. Current policies on women health is working effectively and serving the Australian women by providing them sufficient information related to their disease. In this way this policy has helped a lot in making Australian women to live healthy life. CONCLUSION From the above report it can be concluded it is very important for the healthcare system to effectively manage their process. This will help in delivering the best services to their clients 7
as well. This report has focused on the National women;s health policy and issues that is being addressed in it. This policy had various areas in which it serves its services to all the women in Australia. Present assessment has focused on chronic diseases in women in Australia and also provided suitable measures in which this can be cured, such as, changes in their eating habits, reducing the consumption of excessive alcohol, performing more physical activities, etc. It is very important to have a good health asgood health includes all dimensions of well being, it is critical to understand women’s own views of their health. 8
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REFERENCES Books and Journals Alden, C. & Aran, A. (2016).Foreign policy analysis: new approaches. Routledge. Bardach, E. & Patashnik, E. M. (2015).A practical guide for policy analysis: The eightfold path to more effective problem solving. CQ press. Dobson, A. J. & et.al., (2015). Cohort profile update: Australian longitudinal study on women’s health.International journal of epidemiology.44(5). 1547-1547f. Fenna, A. (2015). The Economic Context of Policy Analysis in Australia.Policy Analysis in Australia.6. 37. Ginsburg, O. & et.al., (2017). The global burden of women’s cancers: a grand challenge in global health.The Lancet.389(10071). 847-860. Labonté, R. (2018). From mid-level policy analysis to macro-level political economy: Comment on “Developing a framework for a program theory-based approach to evaluating policy processes and outcomes: Health in All Policies in South Australia.”.Int J Health Policy Manage.7(7). 656-658. Loxton, D. & et.al., (2015). Online and offline recruitment of young women for a longitudinal health survey: findings from the Australian Longitudinal Study on Women’s Health 1989- 95 cohort.Journal of medical Internet research.17(5). Weimer, D. L. & Vining, A. R. (2017).Policy analysis: Concepts and practice. Routledge. Online A review of the Australian healthcare system: A policy perspective. 2018. [Online]. Available through: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5900819/>. NationalWomen’sHealthPolicy2010.2016.[Online].Availablethrough: <https://www.health.gov.au/internet/main/publishing.nsf/Content/3BC776B3C331D5EEC A257BF0001A8D46/$File/NWHP.pdf>. The1989NationalWomen’sHealthPolicy.2014.[Online].Availablethrough: <http://www.health.gov.au/internet/publications/publishing.nsf/Content/whdp-09~whdp- 09-ch7~whdp-09-ch7-1>. Womencriticalofnewgovernmenthealthpolicy.2010.[Online].Availablethrough: <https://www.smh.com.au/national/women-critical-of-new-government-health-policy- 20101229-19aa5.html>. 9