Not exact matches
Gordon's vision for rural
health includes: closing the life - expectancy gap for Aboriginal and Torres Strait Islander people; cooperative service delivery through multidisciplinary
health teams; consumer empowerment for
health through
health promotion;
health education for self - management and illness prevention; the role
of the arts in establishing good
health; and a
broad understanding
of the
social determinants of health, including education, transport, fresh food, sustainable industries, viable communities etc..
Secondly, it is acknowledged that for understanding the
determinants and development
of behaviour and mental
health information is needed at different levels, that is,
social (e.g. socioeconomic background), psychological (e.g. temperament), and biological (HPA - function, DNA).18 Adherence to the second principle is demonstrated by the
broad range
of measures that has been included in the study (Table 2).
Addressing
health equity issues and the
broad range
of social determinants of health for Aboriginal and Torres Strait Islanders needs collaborative efforts from all levels
of Government.»
In addition,
broader commitments at the level
of the Council
of Australian Governments (COAG) to address Indigenous disadvantage can also be considered an address to Aboriginal and Torres Strait Islander
health to the degree they address the
social determinants of health.
Fourth, it addresses Aboriginal and Torres Strait Islander
health in a holistic manner reflecting both the
social determinants of health inequality as well as the
broader issues identified by Aboriginal and Torres Strait Islander people as impacting on their
health.
The current Australian Indigenous
health policy environment has developed in parallel with increasing recognition
of broader concepts
of health that involve
social determinants — including peace, education and
social justice, and equity — as enunciated in documents such as the Ottawa Charter11 and repeated in Australian strategic documents such as the Ways forward blueprint for Aboriginal and Torres Strait Islander mental
health.12 Unfortunately, the implementation
of such strategies appears to be held back by a lack
of coordination between federal and state governments and departments in terms
of effective administrative responsibility for Aboriginal and Torres Strait Islander
health and
social determinants.
The issue
of «equal
health» for Aboriginal and Torres Strait Islander peoples involves a
broad range
of social determinants, in addition to physical
health.
Emerging through international discussions dating back to 1986,
determinants of health have evolved over time to encompass the
broader social forces that impact upon
health.
Our innovative partnerships have helped garner national and international public attention for Indigenous child
health issues, facilitated Indigenous voice in global initiatives on a
social determinants approach to
health, and ensured
broad reach among medical professionals, educators, communities and a wide variety
of organizations.