University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

189

Pages:

2
Author:

Mariam A. A.

Cardiovascular Disease in Indigenous Genetics of CVD – disputing the myth that CVD risk factors are genetically determined • Focus exclusively on individual biology • Gene/gene and gene/environment interactions complex • Concept of ‘racial difference’ lacks firm scientific foundation o Am Assoc. Physical Anthropology “pure races in terms of genetically homogeneous populations do not exist in human species today” • Ignore evidence of social and environmental factors in determining patterns of disease in populations Alma Ata (1978) declarations 1. Health is a human right 2. Inequality in health is unacceptable 3. Economic and social development is essential to health AND vice-versa 4. People have the right to plan their health care 5. Governments have a responsibility for the health of their people. Health for all by 2000! 6. PHC is first contact, essential care that needs to be universally accessible, acceptable & affordable 7. Primary Health Care (PHC) a. Reflects and evolves from prevailing sociocultural and political characteristics b. Addresses the main health problems in the community c. Includes education, promotion of food supply/nutrition, safe water/sanitation, MCH, immunisation, prevention of locally endemic diseases, treatment of common diseases, essential drugs d. Inter-sectoral collaboration beyond health e. Promotes community self-reliance and participation in planning of PHC f. Sustained by integrated referral systems g. Relies on suitably trained workforce Tharawal Aboriginal Corporation • • • • • Aboriginal Community Controlled Health Service Established / incorporated in 1983 Not-for–profit organization Funded by Commonwealth and NSW Health Core business = provide primary health care Campbelltown area • The average age of the population is 30 • Families with children make up 75% of the population • 28% of families are single parent families with dependant children under 15 • Low levels of education across the whole community • Unemployment rates in the area are higher than the national average • Youth unemployment runs at around 30% • Many of the families live in Department of Housing premises