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Participatory systems approach to health improvement in Australian Aboriginal children

McDonald, Elizabeth L., Bailie, Ross S. and Morris, Peter S. (2014). Participatory systems approach to health improvement in Australian Aboriginal children. Health Promotion International,E-pub:1-12.

Document type: Journal Article
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IRMA ID cmartelxPUB126
Title Participatory systems approach to health improvement in Australian Aboriginal children
Author McDonald, Elizabeth L.
Bailie, Ross S.
Morris, Peter S.
Journal Name Health Promotion International
Publication Date 2014
Volume Number E-pub
ISSN 0957-4824   (check CDU catalogue open catalogue search in new window)
Start Page 1
End Page 12
Total Pages 12
Place of Publication United Kingdom
Publisher Oxford University Press
HERDC Category C1 - Journal Article (DIISR)
Abstract The factors underlying poor child health in remote Australian Indigenous (Aboriginal and Torres Strait Islander) communities are complex. There is a lack of consistent and reliable information that allows: (i) the identification of priorities or areas of particular need at household and community levels; (ii) monitoring progress over time; and (iii) the assessment of the impact of interventions. This paper describes the process and methods used to identify the factors that underlie high rates of poor child health in remote Aboriginal communities in the Northern Territory (NT). This work has led to the development of indicators and tools suitable for use within a continuous quality improvement programme. Indigenous and non-Indigenous individuals from a range of disciplines and backgrounds participated in study activities. This allowed for a range of perspectives, including scientific, lay and Aboriginal perspectives, to be accommodated and reflected in study outcomes and outputs. Study participants identified a wide range of physical and social factors that they believe underlies poor child health in remote Aboriginal community contexts in the NT. The approach taken in this study provides some confidence that the indicators developed will be seen as meaningful and appropriate by the residents of remote communities and key stakeholders. Two tools have been developed and are now in use in the practice setting. One assesses social determinants of health at the community level, for example water supply, food supply. The second applies to individual households and assesses the social and environmental indicators that are recognized as placing children at greater risk of poor health and development outcomes.
Keywords Indigenous
child health
participatory research
ecological approach
DOI http://dx.doi.org/10.1093/heapro/dau003   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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