1 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH Table of Contents The social- demographic characteristic for Carla......................................................................2 Social determinants of health.................................................................................................2 Key determinant of health which impact over the individuals of this case...............................2 Poor economic condition........................................................................................................2 Unemployment.......................................................................................................................3 Lack of education facilities....................................................................................................3 Dissatisfactory living standard and early marriages..............................................................3 Health promotional strategies....................................................................................................3 Role of healthcare professionals in addressing SDOH..............................................................4 References..................................................................................................................................6
2 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH The social- demographic characteristic for Carla Social determinants of health Social determinants are defined as conditions in which people live and grow, which may directly or indirectly affect the health of the person. The education facilities, social and economic conditions of family and neighbourhood, employment status in the area and availability of health care services are known as major social determinants of health(WHO, 2020). According to the case study, Carla lives in a very small coastal town which is an isolated and ruralarea.In2018, approximate13.99%populationof Australiawasfound asrural population(economics, 2020).The educational situation of the Carla was not satisfactory because she did not receive proper primary education in rural areas. The availability of schools and quality of education is very poor in remote areas of Australia(Helen Stokes, 2020).The poor economic condition of Carla is a result of her poor educational background and unavailability of jobs in remote areas. It was found in a survey that in 2014, 13.3% people of Australia who belongs from rural background including 17.7% of children lives below the poverty line(INC., 2020). Carla got married at a very early age and had to bear the responsibility of two children because of getting divorced. Due to migration of the people from remote areas to the city, a very few business was available in that area. That is why Carla had to struggle in nurturing her two children properly. Because of closure of mines and other business she could not get sufficient money to even have a balanced diet and manage her day to day expenses. Key determinant of health which impact over the individuals of this case Poor economic condition because of unemployment or partial employment is the major key determinant of health which is responsible for the poor health and social condition of the individuals of the health including Carla, Annie and Josh. The daughter of Carla is pregnant and developed gestational diabetes and she even did not have sufficient amount to meet her regularly. All the persons of the case are extremely suffering from poor economic condition. Some of the major key determinants of health are as follows:
3 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH Poor economic condition According to the case, the individuals who belong from remote areas are not in a satisfactory financial position. They do not have sufficient money to purchase the balanced diet for proper upbringing of their children. This is the major cause of poor life style and poor health status (INC., 2020). Unemployment There is a lack of employment found in the remote areas of the country. The livelihood of the persons suffers a lot because of lack of employment facilities in those areas. The government should frame proper strategies to provide sufficient employment in rural and remote areas of the country(INC., 2020). Lack of education facilities The people of remote areas even struggling in receiving primary education which is most important factor of their bad health conditions. Because of lack of education, people do not understand the symptoms and treatments of harmful diseases, they even could not aware about medical check-ups and preventive strategies for stopping the harmful diseases(INC., 2020). Dissatisfactory living standard and early marriages As discussed with the case, Carla and other individuals lives in a small apartment of one room and could not manage their day to day expenses because of unemployment or partial employment conditions. Early marriages lead towards teenage pregnancies which results in gestational diabetes and other harmful diseases for child and mother. The government of the country should frame proper strategies to maintain and manage the health issues of these people by making them more aware about various aspects of health(INC., 2020). Health promotional strategies Health promotional strategies are made for improving the economic condition of people who lives in remote areas of Australia and living below poverty line. Health promotion policies define all the activities and policies which are included in improving the health status of the person by improving the major social determinants of health(Hub, 2020).
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4 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH Thehealthpromotiontheorystatedthatbyimprovingthesocialdeterminantslike unavailability of food, poor economic conditions, unemployment, unawareness and lack of medical facilities should be improved in order to provide better health conditions(Hub, 2020). People who live in remote areas of Australia are most economically and socially deprived. Especially indigenous population of Australia are suffering a lot from poor economic position. The government of Australia made a commission that isATSIC(The Aboriginal and Torres Strait Islanders Commission) which is responsible for judging the employment position of the Company(AUSTRALIA, 2020). The government of Australia is working very hard to improve the health status of those people who lives in remote areas by making effective strategies. By adopting effective health promotional policies, the government is trying best to improve the condition of the people of remote and isolated areas(Hub, 2020). Unemployment is the major cause of poor health conditions of the people of isolated and rural areas that is why government has framed health promotional strategies to improve the financial position of the people of the country. TheCDEP(Community Development Employment Projects) is mainly designed to provide meaningful employment opportunities. CDEP is trying to provide maximum job opportunities for the people who live in isolated areas of Australia so that their economic conditions may be improved up-to a satisfactory level(AUSTRALIA, 2020). Role of healthcare professionals in addressing SDOH Some Methods or ways in which health care professionals contribute to addressing social determinants of health are as follows: The healthcare professionals can work after knowing the major causes and effects of social determinants over the health of the people of a particular place. According to the case, the poor economic condition is the major cause of health disparities of the individuals of that area (BD Hunter, 2011).An empathetic approach adopted by the healthcare professionals can improve the healthstatusof the peopleof rural and isolatedareas. The health care professional should work for promoting the educational facilities in the remote areas of the
5 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH country so that people can aware about health they will be able to access the affordable medical facilities provided for the government(Alston, 2007). The health care professional should communicate to the people who stays in remote areas of Australia and should provide them appropriate employment for improving their financial condition which is the major cause of the illness and poor health status of them. The health care professionals should make them understand about the affordable medical and food facilities of the government, especially made for the people of remote areas, for improving their lifestyle(FE Baum, 2013). It is a very difficult task to communicate and understand the problems ofthe people of remote areas because most of the people of rural areas are illiterate and unable to understand the policies of government because of their low educational background.Healthcareprofessionalsshouldframeaproperstrategyinorderto communicate, understand and solve the health problems of the people of remote and isolated areas(Andermann, 2016). The health care professionals should work with a lot of patience and empathy towards the people of remote areas, mostly from indigenous community in order to understand and cure the problems of these people. Health care professionals should tell them symptoms, cases and effects of many harmful diseases like diabetes, cancer and HIV etc. so that the people of remote areas are able to receive medical treatments, medical advices and precautions to avoid the fatal diseases. Moreover the work of health professionals is directly related to the overall development and improvement the life style of these people by making them financially sound and educated(FE Baum, 2013).
6 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH References Alston, M., 2007. Globalisation, rural restructuring and health service delivery in Australia: policy failure and the role of social work?.Health & social care in the community,15(3), pp. 195-202. Andermann, A., 2016. Taking action on the social determinants of health in clinical practice: a framework for health professionals.CMAJ,188(17), pp. E474- E483. AUSTRALIA,P.o.,2020.IndigenousAustralians.[Online] Availableat: https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/ Completed_inquiries/2002-04/poverty/report/c13 BD Hunter, B. N. J. W., 2011. The importance of addressing social determinants of health at the local level: the case for social capital.Health & social care in the community,19(5), pp. 522-530. economics,T.,2020.Australia-RuralPopulation.[Online] Availableat:https://tradingeconomics.com/australia/rural-population-percent-of-total- population-wb-data.html FE Baum, D. L. T. F. A. L. R. L. &. G. M. J., 2013. The potential for multi-disciplinary primary health care services to take action on the social determinants of health: actions and constraints.BMC Public health,13(1), pp. 1-460. HelenStokes,J.S.R.H.,2020.RuralandRemoteSchoolEducation.[Online] Availableat:https://www.humanrights.gov.au/sites/default/files/content/pdf/human_rights/ rural_remote/scoping_survey.pdf Hub, R. H. I., 2020.Health Promotion and Disease Prevention Theories and Models. [Online] Availableat:https://www.ruralhealthinfo.org/toolkits/health-promotion/2/theories-and- models Hub,R.H.I.,2020.TheHealthBeliefModel.[Online] Availableat:https://www.ruralhealthinfo.org/toolkits/health-promotion/2/theories-and-
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7 ROLE OF HEALTHCARE PROFESSIONALS IN IMPROVING SDOH models/health-belief INC., N. R. H. A., 2020.POVERTY IN RURAL & REMOTE AUSTRALIA.[Online] Availableat:https://www.ruralhealth.org.au/sites/default/files/publications/nrha-factsheet- povertynov2017.pdf WHO,2020.Socialdeterminantsofhealth.[Online] Available at:https://www.who.int/social_determinants/en/