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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 KellySummaryThis collaborative qualitative research explored ways of improv<strong>in</strong>g Aborig<strong>in</strong>alwomen’s health and well-be<strong>in</strong>g <strong>in</strong> an urban Adelaide primary health care sett<strong>in</strong>g.This <strong>in</strong>volved respectful knowledge shar<strong>in</strong>g, work<strong>in</strong>g effectively together andaddress<strong>in</strong>g issues related to colonisation, discrim<strong>in</strong>ation and exclusion. It wasidentified that while Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al professionals are committed to‘Clos<strong>in</strong>g the Gap’ <strong>in</strong> health disparities, many have questioned how best to do sowith<strong>in</strong> the current health system. Therefore, this research focused on fill<strong>in</strong>g gaps <strong>in</strong>knowledge about the spaces where Aborig<strong>in</strong>al community women, and Aborig<strong>in</strong>aland non Aborig<strong>in</strong>al health professionals can work collaboratively regardful andregardless of health system polices, programs and practices.A strong commitment to local community preferences and national Aborig<strong>in</strong>alhealth research ethics enabled Aborig<strong>in</strong>al community women and Aborig<strong>in</strong>al andnon-Aborig<strong>in</strong>al heath professional co-researchers to be actively and mean<strong>in</strong>gfully<strong>in</strong>volved with me <strong>in</strong> both the research processes and outcomes. A modifiedParticipatory Action Research (PAR), with repeated cycles of Look and Listen,Th<strong>in</strong>k and Discuss and Take Action emerged as an effective model of collaborativepractice, suitable for health care and research.Four unique yet <strong>in</strong>terconnected areas of collaboration developed, each highlight<strong>in</strong>gparticular aspects of culturally safe knowledge shar<strong>in</strong>g and collaboration <strong>in</strong> healthcare. The first <strong>in</strong>volved work<strong>in</strong>g with Aborig<strong>in</strong>al community women,acknowledg<strong>in</strong>g and address<strong>in</strong>g their most health and well-be<strong>in</strong>g priorities related tohigh levels of stress <strong>in</strong> their lives. Collaborative action <strong>in</strong>volved creat<strong>in</strong>g a women’sfriendship group, seek<strong>in</strong>g and access<strong>in</strong>g a range of services, and co-present<strong>in</strong>g ourf<strong>in</strong>d<strong>in</strong>gs at conferencesThe second Collaboration Area offers <strong>in</strong>sights <strong>in</strong>to the practicalities and difficultiesexperienced by staff as they tried to provide health services for Aborig<strong>in</strong>al women<strong>in</strong> a newly develop<strong>in</strong>g Aborig<strong>in</strong>al health organisation. The third Collaboration Areafocused on the challenges and benefits of collaboration between sectors, <strong>in</strong>particular a local high school and the Aborig<strong>in</strong>al health service. We exploredeffective ways to work across sectors and engage young Aborig<strong>in</strong>al women <strong>in</strong>8

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