scholarly journals The Development of Indigenous Substance Misuse Services in Australia: Beliefs, Conflicts and Change

2000 ◽  
Vol 6 (2) ◽  
pp. 49 ◽  
Author(s):  
Rosa Alati ◽  
Chris Peterson ◽  
Pranee Liamputtong Rice
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Indigenous People ◽  
Alcoholics Anonymous ◽  
Substance Misuse ◽  
Cultural Beliefs ◽  
Disease Model ◽  
Primary Health ◽  
Recent Developments ◽  
People First

The aim of this paper is to overview earlier and recent issues in the field of Indigenous substance misuse intervention from its beginning to more recent developments. The overview will specifically analyse developments, advancements and change in the area of tertiary intervention or 'rehabilitation' as it is commonly referred to by Indigenous people. First, the paper will focus on Indigenous historical and theoretical constructs that have impacted on the development of Indigenous notions of 'rehabilitation' or intervention. Indigenous interpretations of the disease model of alcoholism, particularly the Alcoholics Anonymous philosophy, is analysed as well as the socio-cultural beliefs associated with those models. Second, conflicts with the mainstream management of substance misuse intervention are overviewed. Third, the paper highlights the complexity of more recent evolution of the services and discusses possible options for change. Attention is also devoted to Indigenous alternative interpretations of intervention and their relevance to the area of secondary intervention. Recent developments in the area of primary health care and their potential towards further improvement is also considered as well as obstacles to those changes.

scholarly journals “This is not my decision; I have no alternative”. Perceptions and experiences of marriage age and family planning among Syrian women and men: a primary care study

2021 ◽  
Vol 22 ◽  
Author(s):  
Pinar Döner ◽  
Kadriye Şahin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Religious Beliefs ◽  
Economic Status ◽  
Cultural Beliefs ◽  
Contraceptive Methods ◽  
Factors Affecting ◽  
Primary Health

Abstract Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Methods: The study was conducted using qualitative method, consisting of in-depth interviews with 54 participants; 43 women and 11 men who had to emigrate from varied regions of Syria at different times since 2011. Syrian women living in Hatay, in the south of Turkey were identified from Primary Health Care Center. Most of the Syrian women had given birth to the first two children before the age of 20 years. The interviewees were selected by purposive and snowball sampling. Results: The result was examined under seven headings: knowledge about FP and contraceptive methods, hesitation about contraceptive methods, emotional pressure of family and fear of maintaining marriage, embarrassing of talking about sexuality and contraception, the effects of belief and culture on contraception, psychological reflections of war, and changes in the perception of health during the process of immigration. The most significant factors affecting the approaches to FP and contraceptive methods of the women in this study were determined to be education, traditions, economic status, and religious beliefs. The most important factors affecting participants’ FP and contraceptive method approaches are education, cultural beliefs, economic status, and religious beliefs. Conclusions: The primary healthcare centers are at a very strategical point for offering FP services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes. More attention should be paid to social determinants that influence the access to reproductive health. Moreover, efforts can be done to address gender inequality that intercept FP. The most important strategy for primary health systems to follow the gender barriers that hinder access to FP services and men are empowered to share responsibility for FP.

The challenges of generalism

2013 ◽  
Vol 6 (11) ◽  
pp. 725-730
Author(s):  
John CM Gillies ◽  
George K Freeman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
21St Century ◽  
Primary Health ◽  
Recent Developments ◽  
The Uk ◽  
Training Practice

This article summarises recent developments in thinking about generalism, setting out definitions and exploring its relevance to primary health care in the UK in the 21st century. We summarise important key documents of relevance to AiTs and suggest ways in which you can learn about relevant aspects of generalism through individual reflection, in your training practice and in educational release programmes.

Primary health-care responses to methamphetamine use in Australian Indigenous communities

2015 ◽  
Vol 21 (4) ◽  
pp. 384 ◽  
Author(s):  
Sarah MacLean ◽  
Angela Harney ◽  
Kerry Arabena
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Indigenous People ◽  
Indigenous Communities ◽  
Service Planning ◽  
Indigenous Populations ◽  
Care Staff ◽  
Health Care Staff ◽  
Methamphetamine Use ◽  
Primary Health

Crystal methamphetamine (commonly known as ‘ice’) use is currently a deeply concerning problem for some Australian Indigenous peoples and can cause serious harms to individual, families and communities. This paper is intended to support best practice responses by primary health-care staff working with Australian Indigenous people who use methamphetamine. It draws on a systematic search of relevant databases to identify literature from January 1999 to February 2014, providing an overview of prevalence, treatment, education and harm reduction, and community responses. The prevalence of methamphetamine use is higher in Indigenous than non-Indigenous communities, particularly in urban and regional settings. No evidence was identified that specifically related to effective treatment and treatment outcomes for Indigenous Australians experiencing methamphetamine dependence or problematic use. While studies involving methamphetamine users in the mainstream population suggest that psychological and residential treatments show short-term promise, longer-term outcomes are less clear. Community-driven interventions involving Indigenous populations in Australia and internationally appear to have a high level of community acceptability; however, outcomes in terms of methamphetamine use are rarely evaluated. Improved national data on prevalence of methamphetamine use among Indigenous people and levels of treatment access would support service planning. We argue for the importance of a strength-based approach to addressing methamphetamine use, to counteract the stigma and despair that frequently accompanies it.

scholarly journals Putting people first: A primary health care success in rural India

2010 ◽  
Vol 35 (2) ◽  
pp. 326 ◽  
Author(s):  
Carol Vlassoff ◽  
Marcel Tanner ◽  
Mitchell Weiss ◽  
Shobha Rao
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural India ◽  
Primary Health ◽  
People First

Substance Misuse Services in Primary Health Care

2002 ◽  
Vol 9 (3) ◽  
pp. 305-310 ◽  
Author(s):  
Corinna White ◽  
Christos Kouimtsidis ◽  
Mike D'Souza ◽  
Howard Freeman ◽  
Melanie Grau ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Substance Misuse ◽  
Primary Health

scholarly journals Alma Ata after 40 years: Primary Health Care and Health for All—from consensus to complexity

2018 ◽  
Vol 3 (Suppl 3) ◽  
pp. e001188 ◽  
Author(s):  
Susan B Rifkin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
Monitoring And Evaluation ◽  
Realist Evaluation ◽  
Human Right ◽  
Political Factors ◽  
Primary Health ◽  
Recent Developments ◽  
Perception Of Health

Forty years ago, the 134 national government members of the WHO signed the Alma Ata Declaration. The Declaration made Primary Health Care (PHC) the official health policy of all members countries. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Alma Ata broadened the perception of health beyond doctors and hospitals to social determinants and social justice. In the following years implementing this policy confronted many challenges. These included: (1) whether PHC should focus on vertical disease programmes where interventions had the most possibility of success or on comprehensive programmes that addressed social, economic and political factors that influenced health improvements; (2) whether primary care and PHC are interchangeable approaches to health improvements; (3) how equity and community participation for health improvements would be institutionalised; and (4) how financing for PHC would be possible. Experiences in implementation over the last 40 years provide evidence of how these challenges have been met and what succeeded and what had failed. Lessons from these experiences include the need to understand PHC as a process rather than a blueprint, to understand the process must consider context, culture, politics, economics and social concerns, and therefore, to recognise the process is complex. PHC needs to be examined within evaluation frameworks that address complexity. Recent developments in monitoring and evaluation have begun to respond to this need. They include realist evaluation and implementation research.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Sign in / Sign up

Export Citation Format

Share Document