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Is current education for health disciplines part of the failure to improve remote Aboriginal health?. A/Prof Fred McConnel Ms Suzi Demos A/Prof Dean Carson. LIME CONNECTION III 2-4 December 2009 Melbourne. The Problem - Failure to improve remote Aboriginal health.
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Is current education for health disciplines part of the failure to improve remote Aboriginal health? A/Prof Fred McConnel Ms Suzi Demos A/Prof Dean Carson LIMECONNECTION III 2-4 December 2009 Melbourne
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
The Problem - Failure to improve remote Aboriginal health Education, and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
The Recruitment – Retention Trap Education for health disciplines Recruitment Turnover Wrong Paradigm! Retention Courses for some remote practitioners Preparation inappropriate & inadequate
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
NORTHERN TERRITORY Local Government Areas Darwin Katherine Roper Gulf Shire Map Ref: www.localgovernment.nt.gov.au/__data/assets/pdf_file/0015/39003/lgshires_simple.pdf
Katherine East OPR Katherine East covers an area of 143,110 km squared and has a 0.03 Indigenous population density. It is slightly larger than Sunrise operational area. The total Indigenous population for Katherine East as at 2006 was 3,687 representing 74.8% of the total population within the OATSIH Planning Region (OPR). According to the ASGC Remoteness Category Katherine East has a 6.5% remote rating and a 93.5% very remote rating. 2009-10 OATSIH Regional Planning – NT Indigenous Health Partnership Forum Consultation Document ABS 2006 Indigenous Data www.sunrise.org.au
SUNRISE HEALTH SERVICE Operational area Map Ref: /www.ropergulf.nt.gov.au/LinkClick.aspx?fileticket=gdY0FlKXMOA%3D&tabid=135&mid=930&language=en-AUhttp://www.localgovernment.nt.gov.au/__data/assets/pdf_file/0015/39003/lgshires_simple.pdf Bulman Werenbun Menyallaluk Wugularr Katherine Barunga Ngukurr Jilkminggan Urapunga Mataranka Minyerri Area 143.110 sq km Indigenous Population 3,687
Priorities in the Sunrise’ Strategic Plan 2008-2012 – included: • build the strength of the community to engage in, and lead health activities • develop the organisation’s support structures and systems to empower communities and extend services at the community level and • develop a workforce to provide an increased range of services and deliver culturally appropriate community based programs www.sunrise.org.au
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
Education for new jobs, and new relationships Priority 1 Empowerment of AHWs Reciprocal skills for non-indigenous health professionals - beyond Cultural Awareness Priority 2 New jobs, new courses, new curricula, articulated to Higher Education Priority 3 New University qualifications - eg, Physician Assistant
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
Learning in Context • - in teams • in the community workplace • Remote area education provider or hub • Essential for sustainability
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary
Conditions for Success • Funding for alternative paradigm • Aboriginal professionals in control, and giving continuity • Education as core business of health service • Empowerment of AHWs, and reciprocal training for non-indigenous workers • New courses for new jobs working differently • Learning in Context
The Problem - Failure to improve remote Aboriginal health Education and the ‘Recruitment – Retention Trap’ An Aboriginal centred, culture-based paradigm – workforce changes Educationfor new jobs, and new relationships Learning in context Conditions for success Summary