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Moving Forward Together in Aboriginal Women's Health: - Theses ...

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<strong>Mov<strong>in</strong>g</strong> <strong>Forward</strong> <strong>Together</strong>Janet Kellyneeds, but was <strong>in</strong>credibly resource <strong>in</strong>tensive. The doctors rarely took a lunchbreak.Another difficult factor relat<strong>in</strong>g to the cl<strong>in</strong>ic for staff members was the high<strong>in</strong>cidence of illness and death occurr<strong>in</strong>g at younger ages <strong>in</strong> the Aborig<strong>in</strong>alcommunity, particularly related to diabetes and heart disease. When one client<strong>in</strong> her late thirties died, the staff members were visibly upset, say<strong>in</strong>g it’s notright, and she was younger than me. They were faced with the reality ofAborig<strong>in</strong>al community health <strong>in</strong>equities every day, and often it wasoverwhelm<strong>in</strong>g. There were no debrief<strong>in</strong>g mechanisms apart from talk<strong>in</strong>g witheach other.Between a rock and a hard place; client & health service expectationsAga<strong>in</strong>st this backdrop, the local Aborig<strong>in</strong>al women (from Collaboration AreaOne) were ask<strong>in</strong>g for a craft group or women’s group. However, there was noworker employed at the Aborig<strong>in</strong>al Neighbourhood House/Aborig<strong>in</strong>alOutreach <strong>Health</strong> Service with a community development, women’s health orsocial emotional well- be<strong>in</strong>g focus. One staff member said;We know what they want, but we just don’t have the staff to provide it.The best we can do is to provide a room and some craft items for them(AH D3).Another said;… even if staff were available it is not a priority for the health service; weare at the bottom of the decision mak<strong>in</strong>g hierarchy. Even if we wanted tohelp them, we have little ability or support to do so (AH D6).One staff member discussed that the local community women had come <strong>in</strong> andgotten very angry about there not be<strong>in</strong>g support for a group. She said it’s notmy fault, and I can’t deal with their anger on top of everyth<strong>in</strong>g else (AH D2).Another commented we know what the local women want is important, butwhen you have really sick people com<strong>in</strong>g <strong>in</strong> from The Lands (remote areas) weneed to prioritise their immediate health needs (AH D5).The high and immediate needs of acutely ill people from other areas had alarge impact on service availability for local women. One worker expla<strong>in</strong>ed226

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