Health Promotion Among Australian Aborigines with Respiratory Diseases

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Grant Application: An Original Study

Chronic Condition Addressed:

  • Alzheimers disease.
  • Parkinsons disease.
  • Auto-immune diseases eg ulcerative colitis, lupus, Crohns disease, Coeliac disease.
  • Blindness.
  • Hearing impairment.
  • Chronic fatigue syndrome.
  • Chronic hepatitis.
  • Chronic pain syndrome eg post-vasectomy pain syndrome.
  • Chronic renal failure.
  • Osteoarthritis, rheumatoid arthritis, osteoporosis.
  • Chronic respiratory disease, e.g., asthma, COPD.
  • Epilepsy.
  • Periodontal disease.

Executive Summary

The high prevalence rate of respiratory diseases among the Aborigines in Australia have prompted an urgency to carry out a need analysis for the its causal factors. Formulation of appropriate objectives is imperative in ensuring that the rationale of the study is achieved. The establishment of appropriate healthcare services, structures as well as strategies for the control and management of respiratory diseases will result in a great reduction in the incidences of respiratory diseases among the Aborigines.

Goal Statement

Health promotion among Australian Aborigines with respiratory diseases

Needs Analysis

Chronic respiratory diseases such as asthma and Chronic Obstructive Pulmonary Disease(OCPD) are common among Aborigines who live in Australia. The prevalence rate of respiratory diseases among the Aborigines who reside in Australi is very high. This has resulted in the mortality rate of Aboriginals rising five times higher than that of non-indegenous population. Thus, effective measures that are based on need analysis require to be undertaken in order to stop high incidence of respiratory diseases among the Aborigines (Bryman & Bell, 2008 ). The high prevalence rate of respirtaory diseases among the Aborigines shows the relactancy of Australian government to give chronic respiratory diseases in the country appropriate attention.

Therefore, Australian government and other relevant stakeholders should give respirtory diseases which are prevalent among Australian population first priority in order to curb the high motality rate resulting from respiratory illness (Anderson, 2009;Beach, 2010:Beck, 2011). The Centre for Indigenous Australian Education and Research (2012), indicate that over 27% of Aborigines suffer from respiratory lung diseases. This high rate of respiratory infections in Australia clearly indicayes that respiratory diseases are major health problems in Australia. there are high incidences of respiratory disease as a result of insufficient attention for respiratory needs of Aborigine population. in order to stop the high prevalence of respiratory diseases among the Aborigines, appropriate measures requireto be implimented based on a need analysis.

The need analysis will entails onsideration of several steps. Efforts of improving respiratory wellness and overal health should be based on the needs of communities,individuals and families and affected stakeholders should be actively involved in the interventions.To ensure that every person in Australia have access to quality and equitable respiratory health care,there must be guidelines and policies that aimed at eradicating barriers to management,prevention and care by addressing environmental,social,cultural,and economic determinants of health.An important factor in enhancing respiratory health is to improve quality of life for all.Respiratory health programs and initiatives should be culture considerate and sensitive and must build on the existing values,mission and strengths.Advocacy should enhance behavioural change and influence policy.

Rationale

Reasons that rationales as to why the intervention should be funded.

  • This intervention should be funded in order to enhance efforts aimed at moderating and preventing the impact of chronic respiratory diseases among the vulnerable Australian group. The fund will assist in the implementation and development of effective health care services that will result to awareness of health risks associated the diseases.
  • The intervention will help to implement and establish structures and straytegies that are essential for management of respiratory diseases. Examples of important structures and strategies include; partnership, legislation and policy, community support, and health care delivery and system design.
  • The intervention will help to ensure effective and efficient management and prevention of chronic respiratory diseases and their risk factors through appropriate, coordinated and enhanced surveillance and research efforts that would result in economic benefits and improved health outcomes.
  • To make the quality of life and health outcomes better for everyone in Australia through good health management and early detection of respiratory disease. In addition, early detection of risk factors is essential in combating respiratory diseases before they start taking toll on people.

Project Objectives

Objective: Impact measures:
To develop effective health care services that will help in prevention of respiratory diseases in Australia within the next 5 years.
  • Increased awareness on the effect of the environment on respiratory wellbeing at home, schools, during play and workplaces..
  • Minimize exposure to environmental risk factors by encouraging people especially the vulnerable populations against exposure
  • Making preventive measures of chronic respiratory diseases within health care reforms a national priority.
To establish, strengthen and develop support structures tby 2030 for management of respiratory diseases through.
  • Establish and promote strategic partnership that involves input from different sectors, disciplines and jurisdictions.
  • Enhance access and availability of programs in community to promote respiratory health.
  • Create of available and accessible structures for knowledge exchange among stakeholders in relation to respiratory health.
To establish effective prevention and management strategies in the next 2 years for chronic respiratory diseases through surveillance measures and coordinated research which can in turn improve health outcomes.
  • Increase in research capacity for chronic respiratory diseases. This also involves research towards prevention, care and detection measures.
  • Enhance research, which analyzes the relationship between vulnerable populations and respiratory health (Cofer, 2009).
  • Improve respiratory health surveillance and measurement of health outcomes as part of comprehensive surveillance mechanism for the diseases.

Intervention Proposals

Objective 1: To develop preventive measures against respiratory diseases by establishing and implementing appropriate health promotion and awareness measures.These measures can be augmented by steps that improve quality of life and health outcomes in Australia.
Action/strategies
Creation Health awareness, promotion, and chronic respiratory disease prevention measures.
Partners
Medical personel, patients, community elders, social workers, Australia public health division, and the ministry of health (Raphael, 2009).
Time frame (6/12)
12/12
Resources required e.g., staff, facilities, printing etc.
Hospitals,transport for hire ,clerical staff,program coordinatorsstationery and printing materials,and laptops.Total cost $4500
Process Evaluation Indicators
A wide range of preventive measures such as minimizing risk factors and early and constant diagnosis of risk groups agreed.
Detection and management of the disease. Medical personell and patients. 12/12 Medical tools such as stethoscope,computers,labaratories,stationary,transport, and clerical staff.Total cost $5000 Different types of detecting nad management system of the disease discussed.Remedies for combating deases that would consider cultural background of the aborigines agrred.
Community support and partnership. Social workers,patients,sponsors,the government through ministry of health,medical and personel (Moore, 2000). 6/12 Computers,stationary, computers,stationary,phones and clerical staff.Total cost $2500. Partnership between the main stakeholders established.Community programs such as poverty eradication and establishment of rural health care facilities was agreed on.
Surveillance and research. Medical personel,communities,medical research board,respiratory disease patients, and public health personell. 12/12. laptops,phomes,Database specialists,program coordinators,clerical staff,stationary,and transport.Total cost is $9000. Research report accepted.Publications made and conclusion discussed by main stakeholders.results from mthe research stored in a newly establishged database for chronic respiratory disorders among the aborigines.
Objective 2: To establish, strengthen and develop support structures that are important in effective management strategies for respiratory health through partnership, legislation, policy, and support from the community.
Action/strategies
developing of appropriate policies that establish support structure to deal with the health conditions among vilnerable groups.
Partners
legislators(policy makers),community,sponsors,healthcare personel,ministry of health officials (Porter, 2008).
Time frame (6/12)
6/12.
Resources required e.g., staff, facilities, printing etc.
Hospitals,transport for hire at&2500,clerical staff,program coordinatorsstationery and printing materials,and laptops.Total cost $4500.
Process Evaluation Indicators
All stakeholders agreed on the importance of developing policies that would establish support structures in rural areas.
Appropriate publications made on the points of discussion.
Forms of sponsorship agreed
Enhanced Community support and partnership among different stakeholders Social workers,patients,sponsors,the government through ministry of health,medical and personnel (Feldman, 2009). 12/12 Computers,stationary, computers,stationary,phones and clerical staff.Total cost $5000 (Mathers, 2010). artnership between the main stakeholders established.Comminity programs such as poverty management and establishment of rural health care facilities was agreed on.
Enhanced community involvement in managing respiratory diseases Members of the community of the vulnerable groups,community heads,social workers,medical personell , and the government through the ministry of health (Hull, 2010). 12/12. Computers,stationary, computers,stationary,phones and clerical staff.Total cost $2500(McKenzie , Abramson, Crockett, 2008). Partnership between the main stakeholders established.Community programs such as poverty eradication and establishment of rural health care facilities was agreed on&
Establishing enough rural health facilities in rural and remote areas with few health faciulities. Spnsors,government,communities and medical personell (Millonig,Newman.& Reid, 2010). 12/12 temporary shelters for health provision such as tents.Hospitals,transport for hire ,clerical staff,program coordinatorsstationery and printing materials,and laptops.Total cost $15,000. It was agreed that mobile health facilities be established.Temporary structures to be employed to enhance mobility of health services to remote areas.Sponsors and government to fund the excercise.
Objective 3: Establish an effective prevention and management strategies for chronic respiratory diseases and their risk factors through appropriate surveillance measures and coordinated research which can in turn improve health outcomes..
Action/strategies
Establishment of a national advisory group to oversee development of chronic respiratory diseases database
Partners
.The government,policy makers,IT specialists, and the community (Paluska & Schwenk, 2008).
Time frame (6/12)
12/12.
Resources required e.g., staff, facilities, printing etc
clerical staff,program coordinatorsstationery and printing materials,and laptops.Total cost $3500.
Process Evaluation Indicators
It was agreed that necessary commitee be set to oversee the implementation nof research outcomes.
development of preventive measures such as constant screening in order to detect the disease earlier. Policy makers,healthcare personel,the community,patients,social workers, and public health personels ( Burdon & Town ,2012)). 6/12. clerical staff,program coordinators stationery,mobile phones and printing materials (Rob,Chang & Graeme, 2009)). It was agreed that preventive measures should be given priority by all stakeholders in order to combat increase prevalence of the disease in future.Training of more support staff and social workers was seen as an important step in combating the problem.
Sponsorship of pilot projects to improve health outcome Sponsors,the government, and the community (Drane, 2010). 12/12. Computers,stationary, computers,stationary,phones and clerical staff.Total cost $5000. It was agreed that more health projects were needed in remore areas.It was also agreed that the number of non governmental organizations that raise awareness on the risk factors be sponsored.
Establishment of appropriate database for future references and further research. IT specialists,health researchers,and the government through the ministry of health (Lowe, 2011). 6/12 Computers,appropriate software,clerical staff,mobile phones and transport (Vinson, 2011).). It was agreed that a secure database to store the results and recommendations be established.

References

Anderson, V. (2009). Causes of High Prevalence Rate Among The Aborigines. London: Sage Publication.

Beach, D. (2010). Factors that Increase Respiratory Infections. Macmillan: Macmillan Publishing Co. Inc.

Beck, R. (2011).Causes of Asthma. New Jersey: Prentice Hall.

Bryman, A., and Bell, E. (2008). Ten Causes of Lung Diseases. Oxford: University Press, Oxford.

Burdon, J. & Town G. (2012). The Australian and New Zealand Guidelines for the Management of Chronic Obstructive Pulmonary Diseases. London.

Cofer, M. (2009). Respiratory Diseases. New York: John Wiley & Sons, Inc.

Drane D.(2010). Breastfeeding and formula feeding:A preliminary economic analysis. Australian Parenting Journal, 5,1, 45-50.

Feldman, C. (2009). Learn All About Asthma. New York :McGraw-Hill.

Hull, C. (2010). Risk Factors Associated with Lung Diseases. New York: Prentice Hall.

Lowe A. (2011). Occupation and Environmental Lung Diseases. London: Sage Publications.

Mathers C. (2010).Health differentials among adultAustralians aged 25-64 years. New York: Prentice Hall.

McKenzie D.K., Abramson M., Crockett (2008). The COPDX Plan: Australian and New Zealand Guidelines for the Management of COPD. Web.

Millonig R., Newman M.& Reid, D. (2010). Lung Health Services for Aboriginal. Cambridge: Cambridge University Press.

Moore, E. (2000). Management of Respiratory diseases. American Medical Journal.42, 3,255  265.

Paluska, S.A. & Schwenk, T.(2008). Physical Activity and Mental Health. New York:Prentice Hall.

Porter, C. (2008). What You Should Know About Respiratory Diseases. New York: Prentice Hall.

Raphael B.(2009). Scope for Prevention in Mental Health.National Medical Research Council. Australian Journal of Medicine. 3,7, 56-78.

Rob P. Chang, A. &Graeme M.(2009). Respiratory and Sleeping Health Among Aborigines. New York: Prentice Hall. Sage Publishers.

Vinson T.(2011). Unequal life:The distribution of social disadvantage in Victoria and NSW. Melbourne:The Ignatius Centre.

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