scholarly journals Getting A Job

2009 ◽  
Vol 2 (1) ◽  
pp. 24-35 ◽  
Author(s):  
Bronwyn Fredericks
Keyword(s):  
Health Outcomes ◽  
Indigenous People ◽  
Torres Strait Islander ◽  
Health Sector ◽  
Self Esteem ◽  
Torres Strait Islander People ◽  
Aboriginal Women ◽  
Education Levels ◽  
Indigenous Participation ◽  
Torres Strait

Indigenous participation in employment has long been seen as an indicator of Indigenous economic participation in Australia. Researchers have linked participation in employment to improved health outcomes, increased education levels and greater self-esteem. There has been a dramatic increase in the number of Indigenous workforce policies and employment strategies as employers and industries attempt to employ more Aboriginal and Torres Strait Islander people. Coupled with this has been a push to employ more Indigenous people in specific sectors to address the multiple layers of disadvantage experienced by Indigenous people, for example, the health sector. This paper draws on interview discussions with Aboriginal women in Rockhampton, Central Queensland, along with findings from the research of others to offer a greater understanding of the mixed benefits of increased Indigenous employment. What is demonstrated is that the nature of Indigenous employment is complex and not as simple as ‘just getting a job’.

scholarly journals The Need to Extend Beyond the Knowledge Gained in Cross-Cultural Awareness Training

2008 ◽  
Vol 37 (S1) ◽  
pp. 81-89 ◽  
Author(s):  
Bronwyn Fredericks
Keyword(s):  
Cultural Awareness ◽  
Torres Strait Islander ◽  
Health Sector ◽  
Cross Cultural ◽  
Awareness Training ◽  
Torres Strait Islander People ◽  
Aboriginal Women ◽  
Torres Strait ◽  
Selection Of ◽  
Improve Service Delivery

Abstract In the Health sector, Cross-Cultural Awareness Training has been seen as a way to improve knowledge and understanding of Aboriginal and Torres Strait Islander people to therefore improve service delivery and therapeutic care to Aboriginal and Torres Strait Islander people. Health personnel may have undertaken this type of training in their workplace or as part of their education in an undergraduate degree program. Other sectors additionally undertake Cross-Cultural Awareness Training for similar reasons and in similar educational settings. This paper includes the views of a selection of Aboriginal women and highlights the need to extend beyond knowledge gained through Cross-Cultural Awareness Training to Anti-Racism Training. Furthermore, that Anti-Racism Training and addressing white race privilege is required in order to address the inequities within the health system, the marginalisation and disempowerment of Aboriginal and Torres Strait Islander peoples.

scholarly journals The effectiveness of Ear Nose and Throat outreach programs for Aboriginal and Torres Strait Islander Australians: a systematic review

2020 ◽  
Author(s):  
Anna Gotis-Graham ◽  
Rona Macniven ◽  
Kelvin Kong ◽  
Kylie Gwynne
Keyword(s):  
Health Outcomes ◽  
Torres Strait Islander ◽  
List Type ◽  
Torres Strait Islander People ◽  
Outreach Programs ◽  
Outreach Services ◽  
Torres Strait ◽  
The Impact ◽  
Nose And Throat ◽  
Improve Health

AbstractBackgroundAboriginal and Torres Strait Islander children experience a higher prevalence of ear, nose, and throat (ENT) diseases than non-Indigenous children. Many programs exist that aim to prevent and treat these diseases. Culturally appropriate and timely specialist outreach services may help improve access, service use, and outcomes but there has been a lack of rigorous evaluation of ENT outreach programs to date.ObjectiveTo examine the ability of ENT outreach programs to improve health outcomes among Aboriginal and Torres Strait Islander peopleMethodsWe performed a systematic literature search of nine databases (Medline, CINAHLS, PsychINFO, Embase, Cochrane, Scopus, Global health, Informit Rural health database and Indigenous collection) and grey literature sources for primary studies evaluating ENT outreach services for Aboriginal and Torres Strait Islander Australians. Two authors independently evaluated the eligible articles and extracted relevant information.ResultsOf the 506 studies identified, 15 were included in this review. These 15 studies evaluated eight different programs/activities. Studies were heterogeneous in design so a meta-analysis could not be conducted. Seven studies measured health-related outcomes in middle ear or hearing status; six reported overall positive changes one reported no clinically significant improvements. Five programs/activities and their corresponding studies involved Aboriginal and Torres Strait Islander people and organisations in delivery and evaluation, but involvement in program or study design was unclear.ConclusionWhile some studies demonstrated improved outcomes, the overall ability of ENT programs/activities to improve health outcomes for Aboriginal and Torres Strait Islander children is unclear. The impact of ENT outreach may be limited by a lack of evidence quality, a lack of coordination of services, and the provision of potentially unsustainable services. Improvements in the quality of evidence, service coordination and sustainability would likely improve health outcomes.Strengths and limitations of this studyStudies were identification based on a clearly defined and extensive search strategy based on a priori inclusion and exclusion criteriaStudy appraisal was performed using a relevant tool for mixed methods studiesThe involvement of Aboriginal and Torres Strait Islander people in all aspects of programs and their evaluation was examinedPROSPERO registration numberCRD42019134757

scholarly journals Effectiveness of ear, nose and throat outreach programmes for Aboriginal and Torres Strait Islander Australians: a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038273
Author(s):  
Anna Gotis-Graham ◽  
Rona Macniven ◽  
Kelvin Kong ◽  
Kylie Gwynne
Keyword(s):  
Health Outcomes ◽  
Torres Strait Islander ◽  
Assessment Tool ◽  
Grey Literature ◽  
Torres Strait Islander People ◽  
Outreach Services ◽  
Torres Strait ◽  
The Impact ◽  
Nose And Throat ◽  
Improve Health

ObjectiveTo examine the ability of ear, nose and throat (ENT) outreach programmes to improve health outcomes among Aboriginal and Torres Strait Islander people.MethodsWe conducted a systematic literature search of nine databases (Medline, CINAHLS, PsycINFO, Embase, Cochrane, Scopus, Global health, Informit Rural health database and Indigenous collection) and grey literature sources for primary studies evaluating ENT outreach services for Aboriginal and Torres Strait Islander people. This review included English language studies of all types, published between 2000 and 2018, that supplied ENT outreach services to Aboriginal and Torres Strait Islander Australians and provided data to evaluate their aims. Two authors independently evaluated the eligible articles and extracted relevant information. Risk of bias was assessed using the Mixed Methods Assessment Tool.ResultsOf the 506 studies identified, 15 were included in this review. These 15 studies evaluated eight different programs/activities. Studies were heterogeneous in design so a meta-analysis could not be conducted. Seven studies measured health-related outcomes in middle ear or hearing status; six reported overall positive changes one reported no clinically significant improvements. Five programmes/activities and their corresponding studies involved Aboriginal and Torres Strait Islander people and organisations in delivery and evaluation, but involvement in programme or study design was unclear.ConclusionWhile some studies demonstrated improved outcomes, the overall ability of ENT programmes to improve health outcomes for Aboriginal and Torres Strait Islander children is unclear. The impact of ENT outreach may be limited by a lack of quality evidence, service coordination and sustainability. Community codesign and supporting and resourcing local capacity must be a component of outreach programmes and ongoing evaluation is also recommended. Improvements in these areas would likely improve health outcomes.PROSPERO registration numberCRD42019134757.

Promoting Indigenous Participation at Tertiary Institutions: Past Attempts and Future Strategies

1995 ◽  
Vol 23 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Sue Whatman
Keyword(s):  
Torres Strait Islander ◽  
Tertiary Education ◽  
Education And Training ◽  
Torres Strait Islander People ◽  
Tertiary Institutions ◽  
National Statistics ◽  
Indigenous Participation ◽  
Torres Strait ◽  
Employment Education ◽  
And Training

Since 1967, enormous progress has been made by Aboriginal and Torres Strait Islander people in Australia in gaining access to, and participating in, tertiary education. National statistics provided by the Department of Employment, Education and Training (DEET, 1992), show that Aboriginal and Torres Strait Islander students are enrolling in, and graduating from, a wider variety of courses in ever increasing numbers.

scholarly journals Accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people

2008 ◽  
Vol 32 (4) ◽  
pp. 648 ◽  
Author(s):  
David P Thomas ◽  
Ian P Anderson ◽  
Margaret A Kelaher
Keyword(s):  
Emergency Department ◽  
Quality Of Care ◽  
Indigenous People ◽  
Emergency Departments ◽  
Torres Strait Islander ◽  
Torres Strait Islander People ◽  
Similar Time ◽  
Emergency Department Care ◽  
Torres Strait

Objectives: To examine the accessibility and quality of care received in emergency departments by Aboriginal and Torres Strait Islander people compared with other Australians. Methods: We examined 2004?05 data from the National Non-admitted Patient Emergency Department Care database from the Northern Territory and Western Australia, the only jurisdictions where Indigenous identification in the database was considered acceptable. Results: In the NT, Indigenous people were 1.7 times as likely to present to an emergency department as non-Indigenous people. Indigenous patients in the NT and WA do not appear to use EDs for ?primary care? problems more than non- Indigenous patients. More NT Indigenous patients walked out before being seen or before their treatment was completed. However, Indigenous patients generally waited a similar time, and often slightly shorter, to be seen as similar non-Indigenous patients in WA and the NT. Conclusions: We recommend the regular monitoring of equity in the accessibility and quality of ED care for Indigenous people compared with other Australians. Indigenous identification in the database needs to improve so monitoring of ED performance can extend beyond WA and the NT.

scholarly journals The effect of nutrition education on nutrition-related health outcomes of Aboriginal and Torres Strait Islander people: a systematic review

2015 ◽  
Vol 40 (S1) ◽  
pp. S42-S47 ◽  
Author(s):  
Laura Schembri ◽  
Johannah Curran ◽  
Lyndal Collins ◽  
Marta Pelinovskaia ◽  
Hayley Bell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Nutrition Education ◽  
Torres Strait Islander ◽  
Torres Strait Islander People ◽  
Torres Strait

scholarly journals Reducing smoking in Australia: how to include Aboriginal and Torres Strait Islander people

2019 ◽  
Vol 11 (2) ◽  
pp. 37-54
Author(s):  
Martin Williams ◽  
John Allan
Keyword(s):  
Smoking Cessation ◽  
Indigenous People ◽  
Torres Strait Islander ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Community Based ◽  
Health Initiatives ◽  
History Of ◽  
Smoking Patterns ◽  
Torres Strait

Issue addressed: Australia has succeeded in lowering the overall prevalence of tobacco smoking in the last four decades and has enjoyed a worldwide reputation for innovative policy. However, this success has not extended to Indigenous Australians. Method: Narrative review and critique of literature from government, public health, health promotion, marketing and communication on smoking cessation in Australia. Main points: We first consider the history of government anti-smoking measures including legislation and communication initiatives including advertising and sponsorship bans, health warnings and ‘no smoking’ rules affecting anti-smoking norms, culminating in the banning of branding and the advent of tobacco plain packaging. We also review the effects of excise increases and smoking cessation aids such as quit lines and nicotine replacement therapy. For each type of intervention, both population-wide and those specifically directed at Indigenous people, we consider the probable reasons for the failure to reach Aboriginal and Torres Strait Islander people or alter their smoking patterns, and make suggestions for improvements in interventions and their evaluation. Conclusion: The history of anti-smoking initiatives in Australia suggests that community-based health initiatives are likely to be more effective in addressing Indigenous people and helping smokers to quit.  

scholarly journals The RHD Endgame Strategy; the blueprint to eliminate rheumatic heart disease in Australia by 2031

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Wyber ◽  
K Noonan ◽  
C Halkon ◽  
S Enkel ◽  
J Carapetis
Keyword(s):  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Torres Strait Islander ◽  
Group A Streptococcus ◽  
Health Sector ◽  
Holistic Approach ◽  
Secondary Prophylaxis ◽  
Torres Strait Islander People ◽  
Torres Strait ◽  
Rheumatic Heart

Abstract Background Rheumatic heart disease (RHD) is a preventable yet deadly condition resulting from untreated Group A Streptococcus infection. Despite being eliminated from most high-income countries, RHD and its precursor acute rheumatic fever (ARF) persist in developing countries and settings of disadvantage. In Australia, Aboriginal and Torres Strait Islander people experience among the world's highest rates. Following five years of research, investigation and advocacy, the Endgame Strategy provides a technical foundation to eliminate RHD in Australia by 2031. Methods A range of potential strategies to reduce ARF and RHD were identified. Approaches at the social and environmental, primary, secondary and tertiary prevention levels were evaluated using the GRADE Evidence to Decision framework, together with structural review of the health system. Recommendations were made according to level of prevention opportunity and responsibility. Modelling was undertaken to estimate the health and economic impact of an indicative bundle of the most promising strategies. Results Reducing household crowding, improving health infrastructure, strengthening primary healthcare and enhancing delivery of secondary prophylaxis were identified as having the greatest potential impact on RHD. They are also largely acceptable, practical and readily implementable with investment. Modelling indicates that this approach would reduce ARF and RHD by 69% and 71% respectively, preventing 471 deaths and saving $188 million on healthcare expenditure to 2031. Conclusions Eliminating RHD is only possible with a holistic approach led by Aboriginal and Torres Strait Islander people with communities at the core. This will entail funding communities to develop programs, resourcing a national RHD unit to coordinate efforts across Australia, guaranteeing access to healthy housing and built environments, establishing comprehensive skin and throat programs and improving the health of those living with ARF and RHD. Key messages RHD demands responses from the health sector strengthened by political advocacy and engagement to drive evidence-based decision making. The evidence and collective experience now exist to eliminate RHD, an exemplar of the gap in health outcomes between Aboriginal and Torres Strait Islander peoples and the non-Indigenous population.

scholarly journals Rigorous follow-up systems for abnormal results are essential to improve health outcomes for Aboriginal and Torres Strait Islander people

2018 ◽  
Vol 24 (1) ◽  
pp. 1 ◽  
Author(s):  
Jodie Bailie ◽  
Veronica Matthews ◽  
Alison Laycock ◽  
Christine Connors ◽  
Ross Bailie
Keyword(s):  
Health Outcomes ◽  
Torres Strait Islander ◽  
Torres Strait Islander People ◽  
Torres Strait ◽  
Improve Health ◽  
Abnormal Results
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