Community Health Care: Analysis of Social Determinants in Kalumburu

This report examines the social determinants of health within the Kalumburu aboriginal community, focusing on factors such as child abuse, low education levels, high unemployment, and cultural issues. The report analyzes how these determinants contribute to various health problems, including mental disorders, diabetes, and obesity. It highlights the role of the Gnibi health circle program in promoting community empowerment, collaboration, and awareness of child abuse. The report also discusses the application of health care principles, such as beneficence and non-maleficence, and strategies based on the Ottawa Charter, particularly creating a supportive environment. The importance of cultural competence and strengthening community actions to improve health outcomes is also emphasized.

Running head: COMMUNITY HEALTH CARE
COMMUNITY HEALTH CARE
Name of the Student
Name of the University
Author Note

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Social affecters of health are known as the social determinants and the determination of
these affecters are the one of the primary concern for the health care personnel in the process of
health care providence. The social determinants here discussed are the child abuse and the
aboriginal living style of the Kalumburu aboriginal community people (Rural Health Channel,
2019). The factors of the child abuse could lead to mental disorders such as unnecessary anxiety,
fear or other mental issues as well. The aboriginal living pattern of these people comprised of
low level of education, higher unemployment rate and other cultural issues that leads to different
diseases in the community. These social determinants also highlight the factors of different child
diseases and the ill nutrition to the people also leads to rising of different kinds of diseases such
as diabetes, obesity and other factors. Child abuse is a factor that purely dependent on the
education and the cultural aspects of the community and here the multi cultural aspect of the
people and the low level of education both present in the community thus the effects of these
conditions has a great impact over the community people (Garg, Boynton-Jarrett & Dworkin,
2016). In the visual documentation at 15.11’ it was said that the Kalumburu young men are
arrested for child abuse and the community was devastated in October 2017 and the community
faced great mental trauma. However, the Gnibi health circle program helped in the
empowerment program for the people and also developed collaboration among them. The
program also developed awareness about the child abuse factors and the effects of these factors
on the life style of the people. On the other hand the poor life style of the people of the
community affected their diet planning, education and employment also the factor that involved
in the process that also affects the living condition of the people. Thus all these factors are the
primary social determinants for these community people that lead to several chronic mental and
physical diseases among the community people. Other than these the health care principles also

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needed to be used for the health promotion about the child abuse and the living style of the
people and changing in these factors would be profitable for the people of the community as well
(Cockerham, Hamby & Oates, 2017).
On the basis of the community health care and the social determinants of this case the
primary principles would be the beneficence and the non-malificence (Liebler & McConnell,
2016). Here the beneficence would refer to the sole benefit of the patient and in this case the
community people. This also means the prioritization of the client over any other condition.
However, the program visualized in the documentary showed that it is an empowerment program
that helps in the collaboration and knowledge development among the Kalumburu aboriginal
people. Thus the benefit of these people is the primary factor for the health care personnel of this
program. The community with different cultural barriers collaborated in this program and found
the program helpful in terms of knowledge development about different health conditions and
preventing different social determinants to develop different diseases among them. They also
empowered in the program about the child abuse problems and need of prevention of this factor
in order to provide healthy life to their future generation. On the other hand the Gnibi health
circle was the significant structure which promotes the factor of the privacy and safety of the
participants. This was a circle that comforted the people in terms of opening up to the health care
personnel and thus providing comfort and focusing on the privacy and confidentiality
maintenance of the people was one of the primary focus of the program and it can be defined as
the non-malificence principle of health care as this principle also focuses on the benefit and
security of the participants. At 16.22’ Sharna Cox stated that they created the Gnibi circle with
water which symbolizes the safety and the privacy of the program where anyone can come but
the information they share would not go out of this circle. However, the information gathering

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about the patient’s condition is also a primary concern for the health care professional in order to
treat the patient. Here the people of the community opened up to the health care providers about
their problems after they found that it will help them thus the importance of the information
gathering that is proper listening to the client is also needed as the primary health care skill along
with the principles of health care. However, the focus of the health promotion program should
primarily be on the factors that causing the health problems of the community people and try to
educate them about the prevention measures of the social determinants (Fisk et al., 2018).
In case of Kalumburu aboriginal people the condition of living not good enough and their
education is also one of the factor that held them backwards of the society. Thus it can be said
that they need more supportive measures in the health promotion programs held on them. On the
basis of the Gnibi health circle the health promotion program it can clearly be seen that the
proper support and the listening to their condition helped in collaboration and educated them
about the social determinants and changes in life that could help them in a better living. Thus
according to the Ottawa charter the international health promotion principles one strategy would
be used in case of helping the community people that is the creating supportive environment
(Flynn, 2015). On the basis of this strategy and the visual documentation of Gnibi health circle
the health promotion among the people of Kulumburu community would be supported by the
listening to their problems and help them in knowledge gathering about the ill situations and
handling them on their own. At 17.17’ the health care personnel stated that community would
rebuild if they can listen and support their problem and pain. Thus it can be said that the creating
supportive environment for the people was the factor that helped the people open up about their
problems and thus the people responsible health for promotion devised the ways by which they
can help the people of the community in collaboration and helping the people in gathering

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knowledge about several disease prevention or social determinant control for the better living.
Strengthening the community actions would be helpful in the educational development, increase
in employment rate and also in the preventing the social health affecters. Strengthening the
community action would be comprised of educating the people and also helping them in the
development of the collaborative living style and that would be the way which support the
people in the old age and also help the community people in any kind of ill situation. However,
the strengthening of the community does not help in the increase of employment rate of the
community (Fry & Zask, 2016).
The Kulumburu community comprised of different cultural and ethnic people thus the
views and ethics of life also different in this community. However, the culture did not pose any
threat to the people of the community as in the visual documentation showed that the people of
the community have connections among themselves. At 20.26’ an elder person of the community
stated that the community cultures are well cooperative and thus in past the children were safe in
the community. However, the health promotion program of the Gnibi health circle also provided
them with supports and strengthens the community actions as well. The community people with
multiple cultures collaborated among them for the living purpose in the community but the
people here are living in a ill situation and their education level is very low that is the primary
factor for their diseased life and problem in living as well. The employment and the education
are the main factors that affected their cultural competence as well. Thus it can be said that the
social determinants of the community are needed to be supported by the health promotion
program and also the community actions would be strengthened for the cause of the
strengthening of the cultural competence of the community as well. The cultural barriers of the
community leads to the child abuse as well however, the health promotion program of the Gnibi

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health circle helped the people in strengthening their cultural collaboration among the
community and also help the community people in learning about the social determinants and
here in case of the effects of child abuse on the future generation of the community (Betancourt
et al., 2016). The cultural competence of the community is one of the strengths of the community
people and if the collaboration of the people gain more ground by the health promotion program
of the Gnibi health circle then the community problems such as child abuse, unemployment, and
poor life style would be solved as well. Thus the health promotion would help the community
people in increasing the cultural competence.

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Rural Health Channel. (2019). It Takes a Village [Video]. Retrieved from
https://www.youtube.com/watch?v=XcXGuq_k2K8