This paper reports on "Sexual health promotion south australia" health promotion and disease prevention conducted at Australian multi-disciplinary primary health care PHC services and considers the ways in which the organizational environment affects the extent and type of health promotion and disease prevention activity. Four are managed by a state health department and two by boards of governance.
We also found an increased focus on chronic disease management and prevention which prioritized individuals and behavioural change strategies rather than addressing social determinants affecting whole communities.
There was little health promotion work that reflected a salutogenic approach to the creation of health.
Most activity falls under three types: Only the non-government organizations reported advocacy on broader policy issues.
Mexican teen lesbian porn
Health reform and consequent reorganizations were seen to reduce the ability of some services to undertake health promotion. The paper concludes that PHC in Australia plays an important role in disease prevention, but that there is considerable scope to increase the amount of community-based health promotion which focuses on a salutogenic view of health and which engages in community partnerships.
Countries with strong primary care infrastructures have been found to have lower costs and better performance on major aspects of health Starfield and Shi, However, implementation of PHC has often been patchy and a more selective individualized and disease-based approach has overtaken the original vision first promulgated in Baum, Indeed, since its beginnings, the nature of PHC has been contested, with arguments that it should focus only on a few selective diseases rather than the broad Alma Ata mandate Walsh and Warren, resulting in its disease prevention and health promotion aspects being
Sexual health promotion south australia least developed Baum and Sanders, The Ottawa Charter for Health Promotion World Health Organization, drew international attention to these important aspects of PHC, arguing for a focus on healthy public policy to create environments supportive of health and, reiterating the Alma Ata ideals, strengthened community participation in, and a reorientation of "Sexual health promotion south australia" services towards, health promotion.
In Australia, recent reviews of the health system have also reinforced the importance of emphasis on PHC and health promotion in particular Dwyer, ; National Health and Hospitals Reform Commission, Despite this, there is a paucity of research that reports on and assesses the health promotion activity of PHC services.
In Australia, PHC is largely divided between two parallel systems—a fee-for service sector based on general medical practice and a state government funded and managed sector which differs from state to state in its forms and functions.
This latter sector is frequently referred to as the community health sector and it established a tradition of undertaking innovative health promotion in the and s Baum et al. Aboriginal health services are a third system that has maintained an amalgam of general medical practice and multi-disciplinary community health.
Non-government organizations also provide PHC. The origins of the Australian community health sector lie
Sexual health promotion south australia the short lived Federal Community Health Program National Hospital and Health Services Commission, and the development of an Aboriginal community controlled sector which pioneered the development of comprehensive PHC in Australia.
Aboriginal community controlled health services developed within this context include Redfern in and Congress in Foley, ; Anderson, ; Hunter, Evidence on PHC's performance beyond the component of primary medical care is very limited. There has been little published research that has considered the ways in which PHC services as a whole approach disease prevention and health promotion. A previous study of primary medical care within PHC centres in Australia found that these doctors were more likely to
Sexual health promotion south australia involvement in group health promotion activity and broader community development initiatives compared to their private practice counterparts who were limited by fee-for-service funding and reliance on a single discipline. 2 days ago Further, stigma...
The study concluded that health promotion focused on the local community is best conducted within multi-disciplinary health centres Baum et al. This study seeks to determine "Sexual health promotion south australia" health promotion is conducted in multi-disciplinary PHC centres and the extent to which health promotion is prioritized in these services. We recognize that health promotion operates on a continuum from medical interventions, behaviour and life style modification and interventions designed to change socio-environmental causes of disease Labonte, ; Commission on Social Determinants of Health, We also conceptualize health promotion as including some activities which are primarily concerned with preventing disease and others that reflect salutogenic approaches concerned with the creation of health Antonovsky, We note Kickbusch's Kickbusch,p.
In this paper, we consider the extent to which this is also true of the health promotion work in PHC services through reporting on research conducted at six PHC sites, five of which are in South Australia and one in the Northern Territory.
This paper reports on the...
The data reported in this study were collected as the first stage of a 5-year study designed to evaluate the effectiveness of comprehensive PHC. The study is based on research partnerships with six service sites—an Aboriginal Community Controlled Organisation; an NGO sexual health service; and four services funded and managed by the South Australian government.
SHine SA provides: prevention, promotion...
These services were selected on the basis that they offer a range of service models and that the research teams had sufficiently good working relationships with the staff at the service to make an in-depth study of their activities extending over 5 years feasible.
The entire research project is conducted as a research partnership with
Sexual health promotion south australia study sites. Management staff from the services are involved as co-investigators in the study and involved in all major decisions about the study. The services in this study differ in terms of their size, governance, population served, the services offered and the focus of their work. The remaining two are governed by boards—Central Australian Aboriginal Congress, an Aboriginal community controlled service, and SHine SA, a sexual health service with a statewide role in promoting sexual health, who both requested to be identified in publications.
Services collaborated with the research team to produce six monthly reports on a negotiated set of 19 questions which included staffing, discipline mix, funding, policies and programs and services. This paper draws on health promotion activity reported for the periods June—December and Jan—June At each site, 7—15 semi-structured interviews were conducted with managers, practitioners and administrative staff.
In addition, regional health executive staff and representatives from the state health department were interviewed. With one exception, where two staff were interviewed together, interviews were conducted individually and privately. Interviews were conducted by seven members of the research team from the South Australian Community Health Research Unit experienced in conducting qualitative interviews between November and March The Unit is well known to PHC services in South Australia, having conducted research in collaboration with services, including many of the participating services, for over 20 years, and has a strong relationship with each of the participating sites.
Except for the shorter 15—20 min administration staff interviews, interviews were between 40 and 90 min in length. Interviewees' length of experience in PHC ranged from a few months to over 30 years.
Interview schedules were developed by the authors with additional expert input from other study investigators, based on the central tenets of PHC identified through literature and the team's extensive experience in PHC.
Sexual health promotion south australia paper uses information from Sexual health promotion south australia interviews to supplement and elaborate on the health promotion activity conducted at the sites.
Thematic analysis was conducted by the authors. Codes were developed, discussed and revised during regular team meetings ensuring rigour through constant monitoring of analysis and interpretation Morse et al. The first author then finalized the codes concerning health promotion, and lead the development of the categories and analysis presented here. Emerging findings were presented to participants at staff meetings and to investigators and stakeholders at project meetings, and interpretations discussed with them to check their
Sexual health promotion south australia. All service managers were offered the opportunity to be a co-author and two J.
All service managers are sent the final drafts of all papers emanating from the study and invited to comment and agree to the submission of the paper.
The audit information was cross-checked and supplemented with the information from the interviews and the final listing confirmed with the services. Many activities cut across these classifications
Sexual health promotion south australia address multiple groups, more than one health issue and use multiple strategies.
It is this mix that makes the work of these services comprehensive, in contrast to a model which concentrates on the provision of primary medical care to individuals. We found that with the exception of SHine SA the services offered fell primarily into three categories: An overview of the activities suggests that disease prevention work was far more prevalent than salutogenic work focusing on creating health and well-being.
The division between the two activities is rarely neat and may include elements of both
Sexual health promotion south australia prevention and salutogenic approaches. Thus supporting a playgroup for African newly arrived migrants at Service C would serve to prevent disease by promoting immunization and also work to create a sense of well-being and control among the parents.
While most of the activities we documented fall into disease prevention, each centre did at least some salutogenic work. Thus Service A's Community Foodies promoted healthy eating; Service C ran a Yoga group; Service B held exercise groups; Service D supported reconciliation week and promoted awareness of Aboriginal culture; Congress contributed to Alice Springs's Transformation Plan a social and urban redevelopment plan for the town and SHine SA was engaged in a wide range of activities promoting healthy sexuality.
The strategies used by the services clustered under:. A striking feature about the health promotion partnership work undertaken by each of the sites was the breadth and range of partners with which it engaged: Services A, B and C reported less autonomy to engage in partnerships than in the past but were still involved in a significant number and range.
Yarrow Place Rape and Sexual...
SHine SA had very strong links with schools and the education department. Congress had links with local government, a planning transition team, churches, other health services and an alcohol coalition. The importance of partnerships indicated that much of the health promotion work is not siloed but rather conducted through a mix of informal and formal regional networks, drawing upon multiple partnerships; an approach often considered essential to effective health promotion practice Jones and Barry, The other activities that signified a more comprehensive approach concerned the advocacy work that the PHC services undertook.
In the main, the advocacy reported by the four state government-managed services related only to issues faced by individual clients. They reported that advocacy on policies affecting groups or communities now happens at the regional level, and that they were very aware of the institutional limits on their ability to speak out: There's doesn't seem very much scope for that because I think being part of a government agency we have to be careful about what sort of political things that we do, and if we were advocating for community against something that the government had decided, well then that wouldn't go down too well.
These services provided an exemplar of the ways in which PHC services can be advocates for health. Congress reported leading an advocacy campaign to reduce the harm caused by alcohol in the town in which it was situated. This campaign was run with a coalition of local agencies and groups for which Congress provided leadership.
So on alcohol we've had the People's Alcohol Action Coalition since and we are mainly then working with legal practitioners, health professional groups, the churches, on a regular basis.
We meet every month. Congress also reported beginning the process of advocating for improved literacy for Aboriginal people and for appropriate and safe housing. This work represents a strong salutogenic view of the factors that create health. Congress staff noted that they could not devote as many resources as they would like to this work given the other pressures on their service.
Sexual health promotion south australia was also very prominent in national debates about health policy Bartlett and Boffa, as this manager explained: So we advocate through writing submissions to enquiries. We advocate by attending
Sexual health promotion south australia senate enquiries into particular matters that we think are relevant to the goals.
And we participate in our peak health body organisation and our national body around advocacy. But we do it individually at the level of organisations and through ministerial visits. SHine SA the other NGO in our study runs a high profile campaign to develop and support teachers to deliver a well-researched sexual health education program in schools particularly those in low socio-economic areas. Opposition from some politicians and religious figures has meant that the program has often been in the news and staff from the centre have been vocal defenders of the program and its benefits to young people.
They have also campaigned to ensure that international students arriving in Adelaide had access to sexual health information and services, a campaign that resulted from the service's knowledge of the outcomes for these students when they did not have this access. Further details of the types of health promotion conducted are given below in terms of the three main areas of activity: Many of the programs for children and parents aimed to promote health and were run at all the centres except SHine SA.
This work was often done in groups which utilized the skills of a number of
Sexual health promotion south australia. For example at Service C, an occupational therapist and dietician were involved with a
Sexual health promotion south australia for children with eating issues and another which encouraged parents to play or read with their children.
Service C also ran a playgroup for parents who for a range of reasons being young, not speaking English as a first language, had a mental illness did not use a mainstream playgroup. This group on occasion involved community health nurses and speech pathologists.
A similar service was offered by Service D. Support was also given to young mothers by the Service D through Aboriginal maternal infant care workers who look after women through ante-natal care and when their babies are born. Service A offered a number of courses to encourage communication between parents and their children and language development.
This can help if:
SAMESH - South Australia Mobilisation + Empowerment for Sexual Health in Adelaide, our services include counselling, peer support and health promotion. SHINE SA's service and education delivery model works to provide sexual health education, early intervention, health promotion, clinical services and. The South Australia Mobilisation and Empowerment for Sexual Health (SAMESH ) program delivers a range of health promotion strategies.