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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 Kellyrange of other service providers. Skills and activities <strong>in</strong> network<strong>in</strong>g need to besupported by health services and managers and seen to be core bus<strong>in</strong>ess.Address<strong>in</strong>g issuesThe third aspect that this research <strong>in</strong>volved identify<strong>in</strong>g wider issues that affectAborig<strong>in</strong>al women’s health and well be<strong>in</strong>g, and f<strong>in</strong>d<strong>in</strong>g pragmatic ways toaddress them. Specific issues related to ongo<strong>in</strong>g colonisation, discrim<strong>in</strong>ationand exclusion effects and health care access and experiences were highlighted<strong>in</strong> this research. Both Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al co-researchersacknowledged that while non-Aborig<strong>in</strong>al people may experience similar issuesto Aborig<strong>in</strong>al people, very few experience the compounded effect of multipleand <strong>in</strong>tergenerational issues complicated by ongo<strong>in</strong>g colonisation policies andpractices . This research found that <strong>in</strong> order to improve health and health careaccess, issues related to colonisation and exclusion need to be positivelyaddressed. This would require multi agency, policy and political changes suchas those described <strong>in</strong> the Close the Gap Campaign (Oxfam Australia 2008) andthe n<strong>in</strong>e pr<strong>in</strong>ciples of the National Strategic Framework for Aborig<strong>in</strong>al andTorres Strait Islander <strong>Health</strong> 2003-2013 (2004).In relation to health care provision, Aborig<strong>in</strong>al community women and healthprofessionals identified the importance of heal<strong>in</strong>g <strong>in</strong> health care to positivelyaddress these issues. There are many different parts to the concept of heal<strong>in</strong>g.Aborig<strong>in</strong>al community women sought collaborative programs that couldcounter their experiences of be<strong>in</strong>g ignored, unseen, unheard, unrecognised,misunderstood and marg<strong>in</strong>alised. They imag<strong>in</strong>ed a supportive health careenvironment that could help them to address the high levels of stress they wereexperienc<strong>in</strong>g <strong>in</strong> their lives. They identified the need for relationships betweenhealth services and themselves to be improved and strengthened, or <strong>in</strong> theirwords, to heal, before they could re-engage with the health system. They<strong>in</strong>dicated that sometimes access<strong>in</strong>g a health service was a personally andculturally unsafe activity and that <strong>in</strong> order to (re)engage, old hurts,expectations and experiences needed to be healed.<strong>Health</strong> professionals also spoke about the importance of healthy environmentsand heal<strong>in</strong>g for themselves. They discussed be<strong>in</strong>g caught between community339

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