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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 Kellyexpo health promotion activity <strong>in</strong>volv<strong>in</strong>g primary and secondary Aborig<strong>in</strong>alstudents.Another success was that some staff had stayed with the health service throughits changes and chaos, and became the backbone of the organisation. Manystaff members were also tak<strong>in</strong>g courses and tra<strong>in</strong><strong>in</strong>g as part of workforcedevelopment and celebrated completion of each component with specialmorn<strong>in</strong>g teas.Focus<strong>in</strong>g on successes enabled a strengths based approach that reaffirmed coresearcher’s skills and abilities, and what had already been achieved. For someit helped to ‘give us the strength to keep go<strong>in</strong>g when the go<strong>in</strong>g gets tough’ (AHD5).Work<strong>in</strong>g with unpredictability and chaos without blameIn th<strong>in</strong>k<strong>in</strong>g about collaborative action, co-researchers identified that theywould like to work together <strong>in</strong> ways that were non-blam<strong>in</strong>g. They identifiedthat health sector programs and policies assume there is predictability <strong>in</strong> thework that we do, when their experience was that there is not. They too oftenfelt that blame was directed onto workers, managers and clients if predictedoutcomes are not achieved, lead<strong>in</strong>g to a feel<strong>in</strong>g that if we only worked harderor smarter, top down goals could be met (AH D6). <strong>Together</strong>, the coresearchersand I discussed that predictable outcomes <strong>in</strong> Primary Care werel<strong>in</strong>ked to Western scientific beliefs of logic and science, rather than thesocio/economic/cultural realities of people’s lives as <strong>in</strong> understood <strong>in</strong>comprehensive primary health care. Co-researchers stipulated thatcollaborative action needed to be flexible and responsive, and if proposedactions did not end up the way they were first <strong>in</strong>tended, then energy would bespent on understand<strong>in</strong>g what did happen and what best to do now, rather thancast<strong>in</strong>g blame. They identified the need for back up plans, flexibility andresponsiveness. They also needed the collaborative research to complementrather than complicate their current work load.Co-researchers were drawn to the PAR approach be<strong>in</strong>g developed <strong>in</strong>Collaboration Area One with community women, <strong>in</strong> particular the focus onnon- hierarchical decision mak<strong>in</strong>g, and cont<strong>in</strong>u<strong>in</strong>g cycles of Look and Listen,235

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