‘There are too many parts ofour society that are broken, whether it is broken families or whether it is some communities breaking down;whether it is the level of crime, the level of gang membership; whether it’s problems of people stuck onwelfare, unable to work; whether it’s the sense that some of our public services don’t work for us—we doneed a social recovery to mend the broken society
The blame game - criticisms and unattainable political promisies without empathy or support for community.
The leadership chosen or accepted by communities does not always act in the best interests of thecommunity or certain sections of the community.
Egos and personal agendas are often a barrier in committees and groups. a community member or the HP couuld be a resources for trouble shooting in this area
may lack the skills to account for andmanage money and to follow the accountability and control of funds which is standard practice in publicorganisations or large rms.
There may be other skills lacking to enable a programme to be developed. There also may be unsourced skills in the community that need to be identified and invited into a programme.
Empowerment strategies
Empowerment strategies. HP could be a resources for exmples of similar programmes.
If a health promoteris intending to work with a community the rst step is for them to become known and trusted by thecommunity. In order to do this they will need to spend time with community members and demonstratethat they can help supply some of the needs or wants of the community. For example they might dosomething to improve health care services for children in the community. Once they are accepted they mayencourage the community to identify their issues and then to consider which of these issues should beaddressed rst. The community then decides if they want to take action to address any of these problemsand what action they wish to take. As part of this discussion they will wish to know what resources areavailable to help address the problem
Health promoter is required to: become known and trusted by the commmunity; demonstrate ability to provide for their needs; encourage community to identify issues; know what resources are available.
The ladder of citizen participation
Levels of community participation. Requires handing over of power by government departments and big business
we can take community to mean any group of people who areconsidered to have something in common and recognise themselves as sharing an identi
Definition of community...not necessarily geographical
Health in low-resource countries is often compromisedby social determinants, such as poverty, malnutrition, pooreducation, unhealthy living conditions, and lack of accessto health care, as well as by corruption in the public andprivate sector
Again, whole people groups disempowered by social determinants, perpetuated by government corruption. Immense obstacles to establishing the Ottawa charter action areas, such as strengthening supportive communities and reorientating health services. I like the term 'politial antennae' - a much needed quality for those those working in health promotion
The problem of limited access to health care in resource-poorcountries has been exacerbated by a “brain drain”.11 Healthprofessionals trained in resource-poor countries are com-monly recruited to work in wealthier countries, resultingin a severe shortage of health care workers in the former
"Brain drain" an interesting and important contributer to the problem of under resouced health system, and also a barrier to recruiting local people who maight be skilled to enable, mediate, and advocate for the community they know well.
Human rights encompass what are known ascivil, cultural, economic, political and social rights
These social determinants remain the greatest influencing factors to health and access to health care
hese elements of dataquality are derived from, or consistent with, the following frameworks:• the ABS Data Quality Framework (ABS 2009)• the AIHW Data quality statements policy and guidelines 2011 (internal document)• the Australian Commission on Safety and Quality in Health Care Strategic principles for anational approach to Australian clinical quality registries (ACSQHC 2010)• the Canadian Institute for Health Information Data Qual
Elements coherent with other frameworks
Being a visual person, I love colourful clear visuals that show direction
template at Table 3
A clear and explanatory guide to assessing data quality
The Institutional Environment is of most interest to me I would be interested to know the purpose of their data collection in the first place, their interest in the population, how they collected it, how it was resourced and how it has been used so far.
Includes pain, disability, functioning, problems at school, work disability,loss of productivity, social participation, and mental health, carer impacts
Interesting to see consideration of interrelated aspects such as individual costs and impact on social, mental health, career/education.
Recent policy directions suchas the imposition of “Shared ResponsibilityAgreements” which demand certain behav-iours from Indigenous people as a condi-tion for receiving social security benefitshave acted to reduce the autonomy ofIndigenous peoples and have been inter-preted as a return to more paternalistic pol-icy days
Top-down and bottom-up pressure needs to be consistent, agreed upon, with a common goal, and based on the evidence so far.
They are also subjected to sig-nificant racism (Hunter, 1993) and live in aworld which is dominated by invisible andlargely unacknowledged assumptions ofwhiteness
More education of the public is needed to raise awareness regarding racism and invisible assumptions. Civic groups could be instrumental in this.