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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 Kelly<strong>in</strong>creased unemployment1978Alma Ata Declaration of<strong>Health</strong> for AllPost Vietnam War socialchanges and challenges*Chronic disease focus &effects of affluence*Rediscovery ofprevention*A need to controlescalat<strong>in</strong>g health costs*Focus on <strong>in</strong>dividualbehaviours – behaviourmodification & lifestyleprograms*Increased recognition ofmulticultural society*Epidemiology*Increased environmentaland human rightsmovementdiabetes, cancers, smok<strong>in</strong>g etc*Population surveys of riskfactors*Grow<strong>in</strong>g <strong>in</strong>terest anddevelopment <strong>in</strong> public health,community health, women’shealth, Aborig<strong>in</strong>al health*1970 Family Plann<strong>in</strong>g SA*1973 community & women’shealth centres opened.*1975 Medibank (Australia’s firstuniversal health <strong>in</strong>surancescheme)*1983 Medicare <strong>in</strong>troduced“we’ll help you to do what we want you todo”*1970 National Aborig<strong>in</strong>al and Islander<strong>Health</strong> Organisation formed*1971 First Aborig<strong>in</strong>al controlled healthservice <strong>in</strong> Redfern, Sydney*Tent embassy <strong>in</strong> Canberra5 New Public <strong>Health</strong> EraMid 1980s – 1990sEconomic Rationalism1986 Ottawa Charter*Costs of medicaltreatment questioned*WHO policies ga<strong>in</strong><strong>in</strong>g<strong>in</strong>fluence*Focus on collectivemeasures*Emphasis on poverty andsocial justice <strong>in</strong> publichealth policies*Economic recession andcutbacks <strong>in</strong> stateexpenditure*Development of healthy publicpolicy i.e. tobacco & alcohollegislation,*Policy support for community<strong>in</strong>volvement <strong>in</strong> health promotion*Sett<strong>in</strong>gs approach to healthpromotion - i.e. <strong>Health</strong>y Cities*1984 Australian Community<strong>Health</strong> Association formed*1985 National HIV/AIDSstrategy*1987 SA <strong>Health</strong> PromotionFoundation establishedSelf management Stage 2 1988 - 1996*1989 National Aborig<strong>in</strong>al <strong>Health</strong> Strategyestablished*ATSIC <strong>in</strong>troduced*Increased emphasis on hous<strong>in</strong>g, health,employment, education <strong>in</strong> response to morevocal Aborig<strong>in</strong>al concerns*Wik Decision*10 po<strong>in</strong>t plan that limits Native Title rights*1991 the Royal Commission <strong>in</strong>to Aborig<strong>in</strong>alDeaths <strong>in</strong> Custody Report &recommendations*1992 the Council for Aborig<strong>in</strong>alReconciliation59

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