Connect
MJA
MJA

Indigenous health: reaching beyond rhetoric

Charles Guest
Med J Aust 2007; 187 (4): 247. || doi: 10.5694/j.1326-5377.2007.tb01215.x
Published online: 20 August 2007
Social determinants of Indigenous health
Bronwyn Carson, Terry Dunbar, Richard D Chenhall, Ross Bailie, editors. Sydney: Allen & Unwin, 2007 (xxviii + 306 pp). ISBN 978 1 74175 1420

Forty years have passed since the 1967 referendum on whether Aborigines should be counted in the census. This anniversary led, yet again, to demands for greater effort and tangible improvement in Aboriginal and Torres Strait Islander health. Then, suddenly, a report on the neglect of children in the Northern Territory provoked action by the federal government. Whether this will help is hard to predict, but the matter certainly has national attention. Right now, at least, some politicians have joined the new President of the Australian Medical Association in making Indigenous health priority number one.

Is a text on the social determinants of Indigenous health relevant to this election-year drama? The book is based on a series of courses funded by the Public Health Education and Research Program (an initiative of the Australian Government Department of Health and Ageing). It provides introductory material that belongs to the cultural curriculum of modern Australia in general, and medical education specifically.

The authors first explain social models of health and epidemiology, and then move on to topics of more or less immediate importance to health status, including racism, poverty, education, employment, welfare, housing, and human rights. These issues were never more relevant than now.

A second question applies more to the average reader of the Journal, concerned with the provision of medical care. What does this book add to the coverage of Indigenous health topics needed by clinicians? These readers will probably turn to the last chapter, on interventions and sustainable programs. Three examples cover “healthy lifestyle”, with a focus on diet, exercise, and smoking cessation; injury prevention and safety promotion; and the measurement of the impact of alcohol and drug treatment programs. The key elements identified are not surprising, including governance, accountability, and appropriate staffing. Any clinician can get involved by contributing to the provision of health services. These examples show that it is possible to reach beyond the current rhetoric of disgrace.

View this article on Wiley Online Library
  • Charles Guest

  • Australian National University. Canberra, ACT


Correspondence: 

Author
remove_circle_outline Delete Author
add_circle_outline Add Author
Comment
Do you have any competing interests to declare? *
I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article
Online responses are no longer available. Please refer to our instructions for authors page for more information.