期刊
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
卷 43, 期 6, 页码 532-537出版社
ELSEVIER SCIENCE INC
DOI: 10.1111/1753-6405.12938
关键词
alcohol drinking; primary health care; social determinants of health; colonisation; racism
资金
- National Health and Medical Research Council [535041]
- Flinders University Faculty of Medicine, Nursing and Health Sciences Seeding Grant
Objective: This paper provides a case study of the responses to alcohol of an Aboriginal Community Controlled Health Service (The Service), and investigates the implementation of comprehensive primary health care and how it challenges the logic of colonial approaches. Methods: Data were drawn from a larger comprehensive primary health care study. Data on actions on alcohol were collected from: a) six-monthly service reports of activities; b) 29 interviews with staff and board members; c) six interviews with advocacy partners; and d) community assessment workshops with 13 service users. Results: The Service engaged in rehabilitative, curative, preventive and promotive work targeting alcohol, including advocacy and collaborative action on social determinants of health. It challenged other government approaches by increasing Aboriginal people's control, providing culturally safe services, addressing racism, and advocating to government and industry. Conclusions: This case study provides an example of implementation of the full continuum of comprehensive primary health care activities. It shows how community control can challenge colonialism and ongoing power imbalances to promote evidence-based policy and practice that support self-determination as a positive determinant for health.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据