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PHCA9504 Critical Practice In Indigenous Health And Wellbeing1

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Social and economic circumstances can cause long term stress and can have powerful effects on health. The lower people are in the social hierarchy of industrialised countries, the more common these problems become.

Why Is Indigenous Health So Poor?

What Gap?

What do we know of Aboriginal and Torres Strait Islander Health?

Just What Is This ‘Noise’?

Are they recognised in current government data collection, policies and programmes?

Compare Overcoming Indigenous Disadvantage reading with speech: Are We Overcoming Indigenous Disadvantage?

What does it mean nationally – and what is its relevance to our work?

What Do The Health Goals Address?

How Do We Get There?

Racism As Risk Factor?

What’S It All Mean For Our Work And Training?




From the readings of the week, the health and wellbeing of the Indigenous people are determined by social, economic, cultural, geographic, political and historical determinants (Sjorberg & McDermott, 2016 p4). This article is a critical reflection on the week’s main topic which is the discussion of water as a social determinant of indigenous health and wellbeing. It will include the main message from the topic, how it relates to me as a health professional, the importance of the topic to the health of Indigenous Australians, what has been omitted by the readings and a reflection on the situation in the life of a healthcare provider incorporating Indigenous Australia.


Water is one of the main social determinants of the Indigenous people health and wellbeing hence clean water should be availed to the Indigenous Australians. However, the Aboriginal people do not get clean water since the water has been polluted and the setting up of illegal fish traps that are controlled by the government hence the local community does not have any direct benefits and development of diseases (Angeles, 2005 p541).

As a health professional, the above information can be used to advocate for safe clean water for the indigenous people and the local control of the fishing activities for nutrition purposes  and proper sewerage systems so as to promote the well-being and health of the Indigenous Australians for instance control of sea activities by the Ngarrindjeri Nation (Nation, 2006 p6). This topic is important as it helps to understand water as a social determinant and provides insight on the changes to be made to ensure wellness and improved health of the Aboriginal people. However, the reading omits recommendations to improve water management to promote the well-being and health of the local people which include policy making, partnership and equality to all the Australian people as suggested by the healthcare professionals.



Angeles, G.A., 2005. Winning Essay: Fish traps—a significant part of our health and wellbeing. The Medical journal of Australia, 182(10), pp.541-543.

Nation, N., 2006. Ngarrindjeri Nation Yarluwar-Ruwe Plan: caring for Ngarrindjeri sea country and culture. Prepared by the Ngarrindjeri Tendi, Ngarrindjeri Heritage Committee, Ngarrindjeri Native Title Management Committee. Camp Coorong: Ngarrindjeri Land and Progress Association.

Sjorberg, D. and McDermott, D., 2016. The deconstruction exercise. International Journal of Critical Indigenous Studies, 9(1), pp.28-48.


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