A RIGHTS BASED APPROACH - CRANAplus · 2019-06-28 · A RIGHTS BASED APPROACH WHO WHEN WHAT UN GA...
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A RIGHTS BASED APPROACH Catherine Jacka National Indigenous Coordinator PEPA The image part with relationship ID rId3 was not found in the file. The image part with relationship ID rId3 was not found in the file.
Transcript of A RIGHTS BASED APPROACH - CRANAplus · 2019-06-28 · A RIGHTS BASED APPROACH WHO WHEN WHAT UN GA...
A RIGHTS BASED APPROACH
Catherine Jacka National Indigenous Coordinator
PEPA
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Acknowledgements
• Traditional Custodians of the land we are meeting on
• Aboriginal elders and respected persons, past present and emerging
• PEPA Aboriginal & Torres Strait Islander Reference Group
• Aboriginal and Torres Strait Islander people from across Australia
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Recognition Of the contributions and partnerships of Aboriginal Australians and non-Aboriginal
Australians in the development, promotion, delivery and support of programs for Aboriginal
& Torres Strait Islander communities across Australia
Working together to support health services and health care providers to deliver quality end of
life care for individuals & families as they define • PEPA Aboriginal & Torres Strait Islander Reference Group • Aboriginal and Torres Strait Islander people from across
Australia • Queensland University of Technology • Australian Government Department of Health
To achieve understanding and equity A RIGHTS BASED APPROACH
WHO WHEN WHAT UN GA 1948 Universal Declaration of Human Rights UN GA 2007 Declaration of Rights of Indigenous Peoples
Australia 2008 Closing the Gap Strategy WHA 2013 Adapted a resolution on the inclusion of
palliative care in all health systems, at all levels of care and to the whole population
WHA 2014 Published policy directions recognizing the need for end of life care/palliative care to be provided ‘in accordance with the principles of universal health coverage’ and incorporating palliative care into all health systems. Unanimously passed to strengthen palliative care as a component of comprehensive care throughout the life course
UN - United Nations GA - General Assembly WHA - World Health Assembly
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Cultural Blindness ‘it doesn’t matter if you are black, white or
brindle, everyone gets the same service here’
• assumes similar knowledge of service, similar understandings and experiences
• assumes everyone communicates in the same way • very limited recognition of one’s own culture • poor recognition of the traditions and beliefs that are
ingrained when services are established
Dominant cultures have a notion that the beliefs and practices they hold are neutral or middle of the way, blinded to their own cultural ways. Lacking recognition of difference.
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Check your privilege • As you grew up:
– did you go to school with your siblings – know there was a pathway of
education you would take – if you watched tv, did the people look
similar to you – The professionals around you Our unconscious mind tells us – that if I have access to that then others do to.
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Colonising practices • ingrained strong western beliefs in
systems, policies and practices • upheld for the last 200 years • endorsed those similar and further
disempowered those with different understandings – power imbalances
Recently being recognised by self reflective people who are querying the outcomes • making changes to the landscape we live
and work
• Social justice means that the history of our nations is recognised and within this, the political and cultural oppression of
indigenous people is acknowledged. (Mick Dodson Social Justice Commissioner 1995)
• TRUE HISTORIES –
• RETHINKING HISTORIES – • ALTERNATE HISTORIES HOLD
ALTERNATE KNOWLEDGES – • ALTERNATE WAYS OF DOING THINGS
- WHO UPHOLDS SOCIAL JUSTICE
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Australia….. the lucky Country Everyone gets a fair go
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Cultural Considerations providing end of life care to
Aboriginal and Torres Strait Islander people
• To address the uncertainty of health care providers to engage with Aboriginal and Torres Strait Islander people
• Concept was inherited (commenced Aug 2013 – Dec 2014 mailout)
• To support service providers ease, (we are only people too)
• Provide some knowledge of diversity of beliefs • Inform any gaps – services environment and skill • Is not met to be prescriptive (too much diversity for
that)
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To provide a culturally safe resource to guide healthcare providers in specialist
palliative care services, aged care facilities, community health services and hospitals, in the provision of end of life
care to Aboriginal and Torres Strait Islander people.
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The resource also provides a useful
framework for developing educational activities in the field.
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The Flipchart was distributed to just over 3000 services across Australia
• Immediately, recipients were requesting if • Further copies were available for wider distribution • Provided to RMO’s along with discussions with
local Aboriginal services and people • Recognition of culturally safe resource • Support from grass roots worker
COAG HEALTH COUNCIL
• DISCUSSED – All Australians should experience optimal
end of life care and that their preferences and values are recognised and respected in their end of life care
ACTION – AHMAC first meeting of 2017 – Advice on actions to improve culturally
appropriate end of life care
NEWSFLASH
AHMAC considerations • Pre-service and continuing education • Raising community clinician awareness
and engagement’support • Support EOLC conversations happening
I n primary care and a wider range of community setting such as aged care
• Examining opportunities to have common language and tools to support good practice
