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Supporting public health practice in New South Wales
RESEARCH ARTICLE

Closing the gap in a regional health service in NSW: a multistrategic approach to addressing individual and institutional racism

Hunter New England Health and Aboriginal and Torres Strait Islander Strategic Leadership Committee
+ Author Affiliations
- Author Affiliations

Corresponding authors. Emails: Tony.Martin@hnehealth.nsw.gov.au and Michael.DiRienzo@hnehealth.nsw.gov.au

NSW Public Health Bulletin 23(4) 63-67 https://doi.org/10.1071/NB12069
Published: 13 June 2012

Abstract

Building a culturally safe and respectful organisation that genuinely addresses individual and institutional racism is a substantial and complex undertaking. Achieving this outcome requires sustained commitment and a comprehensive strategy, including the active involvement of Aboriginal stakeholders. This paper describes the journey of a large regional health organisation in NSW. A multistrategic approach is broadly described, with three strategies explored in depth. These are: staff education and training; leadership; and consultation, negotiation and partnerships. Challenges are discussed in the context of promising progress and an ongoing commitment to this important organisational goal.


References

[1]  Commonwealth of Australia. National Strategic Framework for Aboriginal and Torres Strait Islander Health 2003–2013: Australian Government Implementation Plan 2007–2013. Canberra: Commonwealth of Australia; 2007.

[2]  Council of Australian Governments. National Partnership Agreement on Closing the Gap in Indigenous Health Outcomes: An agreement between the Commonwealth of Australia and the States and Territories. Canberra: Commonwealth of Australia; 2009.

[3]  National Aboriginal Community Controlled Health Organisation. Close the Gap: Solutions to the Indigenous Health Crisis Facing Australia. Braddon (Canberra): Oxfam Australia; 2007.

[4]  Health NSW. National Partnership Agreement on Closing the Gap in Indigenous Health Outcomes: Implementation Plan – Jurisdiction: New South Wales. North Sydney: NSW Department of Health; 2008.

[5]  Pink B, Allbon P. The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples. Canberra: Australian Institute of Health and Welfare; 2008.

[6]  Australian Medical Association. Institutionalised Inequity: Not Just a Matter of Money. Australian Medical Association Report Card Series 2007.

[7]  Henry BR, Houston S, Mooney GH. Institutional racism in Australian healthcare: a plea for decency. Med J Aust 2004; 180 517–20.

[8]  Larson A, Gillies M, Howard PJ, Coffin J. It's enough to make you sick: the impact of racism on the health of Aboriginal Australians. Aust N Z J Public Health 2007; 31 322–9.
It's enough to make you sick: the impact of racism on the health of Aboriginal Australians.Crossref | GoogleScholarGoogle Scholar |

[9]  Bond CJ. A culture of ill health: public health or Aboriginality? Med J Aust 2005; 183 39–41.

[10]  Durey A. Reducing racism in Aboriginal health care in Australia: where does cultural education fit? Aust N Z J Public Health 2010; 34(Suppl 1) S87–92.
Reducing racism in Aboriginal health care in Australia: where does cultural education fit?Crossref | GoogleScholarGoogle Scholar |

[11]  Gallaher G, Ziersch A, Baum F, Bentley M, Palmer C, Edmondson W et al. In our own backyard: urban health inequities and Aboriginal experiences of neighbourhood life, social capital and racism. Adelaide: Flinders University; 2009.

[12]  Australian Government Department of Families. Housing, Community Services and Indigenous Affairs. Strategic Plan for Implementation: Aboriginal and Torres Strait Islander Workforce Strategy 2010–2012. Canberra: Australian Government; 2010.

[13]  NSW Health. Respecting the difference: an Aboriginal cultural training framework for NSW Health. North Sydney: NSW Ministry of Health; 2011.

[14]  Council of Australian Governments. National Indigenous Reform Agreement: An agreement between the Commonwealth of Australia and the States and Territories. Canberra: Commonwealth of Australia; 2009.

[15]  Home Department (UK). The Stephen Lawrence Inquiry: Report of an inquiry by Sir William Macpherson of Cluny. Cm 4262-1. London: The Stationery Office; 1999.

[16]  Betancourt J, Green A, Carrillo J. Cultural competence in health care: emerging frameworks and practical approaches. The Commonwealth Fund; 2002.

[17]  HNE Health. HNE Health Strategic Plan 2012–2015 (unreleased draft). New Lambton: Hunter New England Local Health District; 2012.

[18]  Australian Health Ministers’ Advisory Council Standing Committee on Aboriginal and Torres Strait Islander Health Working Party. Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. Adelaide: Department of Health South Australia; 2004.

[19]  National Health and Medical Research Council. Cultural competency in health: a guide for policy, partnerships and participation. Canberra: Commonwealth of Australia; 2006.

[20]  Gollan S. The reasons for why…. In: Anderson L, editor. Bedtime Stories for Tired Therapists. Adelaide: Dulwich Centre Publications; 2005.

[21]  Tamasese K, Waldegrave C. Cultural and gender accountability in the ‘Just Therapy’ approach. J Fem Fam Ther 1994; 5 29–45.
Cultural and gender accountability in the ‘Just Therapy’ approach.Crossref | GoogleScholarGoogle Scholar |

[22]  Davies J. Walking together, working together: Aboriginal research partnerships. Alice Springs: Desert Knowledge Cooperative Research Centre; 2007.