Evaluating Health Strategies in Primary Health Care: NUR3101

This report analyzes Australia's National Primary Health Care Strategic Framework, focusing on a public health issue. It examines determinants of health, including equity and social justice, and epidemiological factors associated with immunization programs. The report evaluates these concepts, reflecting on the WHO's five key principles of Primary Health Care, and discusses their significance to nursing practice, considering roles and responsibilities. The analysis highlights the importance of addressing socioeconomic limitations, improving immunization programs, and ensuring equitable access to healthcare services, particularly for vulnerable populations like Indigenous Australians. The report emphasizes the need for holistic care and the expansion of immunization programs globally, ensuring equal and accessible healthcare.

Running head: HEALTH CARE
Health Care
Name of the student
Name of the university
Author’s name

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Table of Contents
Introduction......................................................................................................................................2
Discussion........................................................................................................................................2
Determinants of health such as equity and social justice............................................................3
Epidemiological factors associated with Immunization..............................................................4
Analysis...........................................................................................................................................5
Conclusion.......................................................................................................................................6

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Introduction
The Strategic Context of the National Primary Health Care encourages an intervention for
the Country, regions and territories to work together for the betterment of assimilated healthcare
services across all the healthcare facilities and to enhance the healthcare results for all Australian
people. The National PHC Strategy forms a broad and ample vision of primary health care. The
strategic agenda knows the significant role of the General Physicians (GPs) and developing roles
of regular exercise in the primary healthcare system for the future. The agenda also knows the
role of the healthcare users and care providers. The agenda recognizes the necessity to develop
equality of access to healthcare amenities and is intended to comprehend the whole of healthcare
amenities that are delivered in the home and communal environment. Health model
transformations are assumed with the goal of enhancing the right to equality towards the access
of all the healthcare services. Their influence is usually evaluated on the ground of the healthcare
uses, without discriminating among the stages of care (Standing Council on Health, 2013).
Discussion
The population census data published by the Index of Relative Socioeconomic
Disadvantage (IRSD) reflects on the socioeconomic limitations of a region on the base of aspects
such as low economy, low learning rate, public sector housing at higher levels, unemployment,
and many more. It is well known that the native people face much poor health in comparison to
the rest of the populace. According to various reports, native Australians have a considerably low
survival rate, and are generally faced by adverse birth results, high death rate, and higher rates of
admittance into the hospital.

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There are social determinants of health which are the conditions in which people are born
or give birth, develop and nurture, survive, work and move through the time of life, and the
systems put in place to handle the ailment. These situations in turn are formed by a broader set of
forces: finances, social guidelines and legislations. Other than the genetic and biological
processes there are certain other factors (such as finances, social guidelines and legislations) that
form the health of people and surrounding population, which can put a positive or negative
impact. Immunization programs can work as a paradigm for effective health programs in native
people. According to a report the health reports of native Australians have been extensively
documented and are related to the continuing social and economic drawback. To reduce the
health inequities there are certain strategies which are focused on the prevention and provision of
primary care during the early stages of life (Turrell et al., 2006).
Determinants of health such as equity and social justice
Most of the people can receive an excellent healthcare service compared to people who
have a low socio-economic status (Garcia et al., 2019). Subsequently, it is usually viewed as
partial that some groups among the community, such as the people with low socio-economic
position do not receive the same type of healthcare just like others. This partiality or prejudice is
observed to be even direr if inequalities in healthcare resemble with the inadequate delivery of
other publically manufactured assets such as wages, provision to educational chances, built
settings and chances for social contribution (Garcia et al., 2019). Therefore, partiality in the
health position amid some groups in society is considered unjust if the health status of specific
groups is worse than what is experienced by others. However, this ethical statement to a definite
(minimum) health position by the aforementioned is problematical (Garcia et al., 2019).

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The right to health is associated with many other human rights, and collaboratively, they
provide a structure for targeting the wide variety of social factors of health (Stronks et al., 2016).
These comprise of civil and political rights as well as economic, social and traditional rights. The
right to health not only defines the approach to healthcare services but also about apprehending
the fundamental factors of health (Stronks et al., 2016). To a specific limit, these fundamental
factors can be addressed by using other human rights like rights to housing, food, social safety
and education, but the idea of the roots of the causes is still better and more refined, and the
human rights structure must draw motivation from the public health structure (Stronks et al.,
2016).
Epidemiological factors associated with Immunization
Although infective diseases account for only a small portion of diseases in native
Australians, are mostly upheld due to their drawbacks, such as overpopulated, the sparse
arrangement of health and sanitation, and poor nourishment. Also, they are generally more
targeted for mediation than chronic illness. Vaccine-preventable illnesses are generally
acquiescent to quick and cost-effective deterrence, and directed vaccination platforms have been
shown to decrease health inequalities. Though, distribution of these platforms, like other
healthcare mediations, is governed by the cultural healthcare facilities. The incidence and death
rate of cervical cancer are mainly linked with the socioeconomic drawback, mostly due to
inadequate access to monitoring and cure.
The human papillomavirus (HPV) immunization delivers the chance to significantly
decrease this global health inconsistency. Native women form Australia have significantly higher
incidence of cervical cancer compared to those non-native women, chiefly due to under-
screening. According to the report the native women of Australia who have been at a higher risk

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of cervical cancer are being prevented by the Australia’s national HPV immunization scheme
against the targeted kinds of HPV vaccine (Gregor et al., 2018).
Analysis
There are five ‘A’ which state the scope of accessibility of facilities –
 Approachability states that people requiring health care can approach the existing service,
that service can be reached, and it has an influence on the health of the person. Many
factors like visibility, treatment related information and facilities and different events
help the services to be more or less approachable.
 Acceptability defines the cultural and social elements which determine the possibility of
individuals to agree to the traits of the facility and the arbitrated suitability for the
individual to pursue treatment.
 Availability and accommodation denotes to the information that health facilities can be
approached both tangibly and in a well-timed routine. Availability defines the physical
presence of health assets with adequate capability to provide facilities.
 Affordability means the financial capacity of individuals which can be spent in a proper
manner to receive or utilize services. It also states that an individual can pay for health
care facilities without any excessive spending of capitals to avail the basic requirements
(such as selling home).
 Appropriateness denotes the link among amenities and person’s requirements, its aptness,
and the total care expended in measuring health issues in evaluating the proper cure and
the practical and interpersonal feature of the amenities delivered (Levesque, Harris &
Russell, 2013).

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Conclusion
Therefore, in can be concluded that holism cannot be defined, however it is performed
which is more than the words spoken to a patient. Holistic care is a theory; it’s a procedure to
guarantee care for a patient. Holistic nurses are those that identify and indulge in treating each
person distinctively. According to the findings it can be estimated that there are still two issues
related to the health issue. Firstly, there is a potential for expanding the immunization programs,
and secondly, there is also a necessity to deliver the current programs to all the countries of the
world, to provide, equal and accessible healthcare programs, especially in the non-remote
regions.

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