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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 Kellythe reality of conduct<strong>in</strong>g a collaborative community based research as a PhDstudent.As researcher and author, I endeavoured to ma<strong>in</strong>ta<strong>in</strong> a delicate balance betweenrespectfully acknowledg<strong>in</strong>g the words of Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al coresearchersthrough the use of quotes (<strong>in</strong> italics) and ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g theirconfidentiality and protect<strong>in</strong>g their identity through the use of cod<strong>in</strong>g and themes.The approach taken <strong>in</strong> each <strong>in</strong>stance reflects co-researchers own preference forpublic acknowledgement or the need to rema<strong>in</strong> anonymous.The literature review sections of this thesis <strong>in</strong>clude both oral and written sources <strong>in</strong>recognition that much Aborig<strong>in</strong>al knowledge rema<strong>in</strong>s unwritten. The communityconsultation that took place as preparation for this research forms a significant partof this oral knowledge. When choos<strong>in</strong>g written texts to discuss colonisation andAborig<strong>in</strong>al experiences of health care, I have devised a hierarchy of texts thatprioritised those written by Aborig<strong>in</strong>al authors, then those written collaborativelybetween Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al authors, and then those written by non-Aborig<strong>in</strong>al people are considered an accurate account by Aborig<strong>in</strong>al co-researchersand mentors.Structure of the thesisThe structure of this thesis is also purposeful and reflects a blend<strong>in</strong>g of bothacademic and Aborig<strong>in</strong>al co-researcher and reference group priorities. Chapter Twopresents an overview of Australian colonisation and associated discrim<strong>in</strong>ation andexclusions and the impact this had, and cont<strong>in</strong>ues to have, on Aborig<strong>in</strong>al womenand their families, lead<strong>in</strong>g to current health disparities. Examples of noncollaborativeapproaches central colonisation practices and the associated impactsof social, gender, economic and environmental issues are highlighted.Chapter Three explores the development of primary health care, Aborig<strong>in</strong>al healthand women’s health as the three ma<strong>in</strong> components of Aborig<strong>in</strong>al women’s healthcare <strong>in</strong> community health sett<strong>in</strong>gs <strong>in</strong> urban Adelaide. Significant changes <strong>in</strong> each ofthese areas over the last forty years have led to a diverse and at times confus<strong>in</strong>grange of experiences, expectations and concepts relat<strong>in</strong>g to knowledge shar<strong>in</strong>g andcollaborative action by both health professionals and Aborig<strong>in</strong>al community womenclients. This chapter provides a discussion of the various and chang<strong>in</strong>g policies and23

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