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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 Kellyfactors that came together to make colonisation, <strong>in</strong>equity, discrim<strong>in</strong>ation andexclusion possible. The connection between these factors and the result<strong>in</strong>gexperiences of poorer health and well be<strong>in</strong>g of Aborig<strong>in</strong>al women and theirfamilies is then made. I argue that colonis<strong>in</strong>g beliefs and practices have alsoimpacted on health care policies and practices. While Government<strong>in</strong>terventions may <strong>in</strong>tend to resolve issues, they fail to account for the impactof colonisation and historical impacts, and therefore perpetuate the issues.These past and ongo<strong>in</strong>g dynamics re<strong>in</strong>force the need for knowledge shar<strong>in</strong>g,work<strong>in</strong>g together and collaboratively address<strong>in</strong>g issues <strong>in</strong> health care. Figure2.1 below provides a visual overview of how the factors discussed <strong>in</strong> thischapter relate to the central themes.Aborig<strong>in</strong>al Women’s ExperiencesHighlight the need for…Western knowledge has largelydom<strong>in</strong>ated Australian policies andgovernment and health care practices.Aborig<strong>in</strong>al knowledge generally ignoredKnowledgeShar<strong>in</strong>gAborig<strong>in</strong>al people often excluded,blocked, not recognised, and under paidfor their contributions. Effectivecollaboration and equal decision mak<strong>in</strong>ghave been rare, but highly effective.Work<strong>in</strong>g<strong>Together</strong>Land rights, unequal social determ<strong>in</strong>antsof health, ongo<strong>in</strong>g colonisation,discrim<strong>in</strong>ation and exclusions, unhealedpastAddress<strong>in</strong>gIssuesFigure 2.1 Aborig<strong>in</strong>al women’s experiences highlight<strong>in</strong>g the need forknowledge shar<strong>in</strong>g, work<strong>in</strong>g together and address<strong>in</strong>g issuesThis leads to questions of how Australian health policies, systems andprofessionals have responded to Aborig<strong>in</strong>al health and social <strong>in</strong>equities <strong>in</strong>Australia. In the next chapter I discuss the development of primary health care,Aborig<strong>in</strong>al health and women’s health <strong>in</strong> community health sett<strong>in</strong>gs <strong>in</strong> Australia63

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