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Coober Pedy in South Australia's "Outback." PUB DATE Jul 94 NOTE 7P.; In: Issues Affecting Rural Communities

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Coober Pedy in South Australia's DOCUMENT RESUME ED 390 599 RC 020 383 AUTHOR Brice, G.; And Others TITLE Enough Bad News! Remote Social Health & Aboriginal Action in a Harsh Environment--Coober Pedy in South Australia's "Outback." PUB DATE Jul 94 NOTE 7p.; In: Issues Affecting Rural Communities. Proceedings of an International Conference Held by the Rural Education Research and Development Centre (Townsville, Queensland, Australia, July 10-15, 1994); see RC 020 376. PUB TYPE Reports Descriptive (141) Speeches/Conference Papers (150) EDRS PRICE MF01/PC01 Plus Postage. DESCRIPTORS *Community Health Services; Death; Delivery Systems; Foreign Countries; *Health Conditions; *Health Personnel; *Indigenous Personnel; *Indigenous Populations; Public Policy; *Rural Areas; Social Problems IDENTIFIERS *Australia (South Australia) ABSTRACT This paper focuses on the complexities of health care in Coober Pedy (South Australia) and the nearby Umoona Aboriginal community, and highlights the vital role of Aboriginal health workers in the implementation of primary health care principles. The Aboriginal population in this "outback" area is characterized by considerable economic problems, poor housing conditions, high unemployment and relatively few people in further education, low educational attainment, and an underlying reluctance to be counted in the census or to tell authorities of their current circumstances. Recent cause-of-death information shows a high incidence of heart and cerebrovascular disease, chronic liver disease often related to alcohol abuse, and injuries from violence including homicide and suicide. Hospital admissions are considerably higher for Aboriginal compared t ) non-Aboriginal persons, particularly for mental disorders, skin-related problems, and infectious and parasitic diseases. The Aboriginal Health Council of South Australia, Inc., an Aboriginal-controlled organization responsible for health policy, research, and community health coordination, has for many years stationed four A original health workers in Coober Pedy. The health workers provide health screenings, immunizations, and advice on health problems; hold family discussion sessions on such topics as financial problems, domestic violence, and alcohol-related problemF; make referrals to the hospital; conduct health promotion and prevention programs; and serve as liaisons with community agencies and the schools. A recent child health workshop highlighted the lack of education and empowerment in the Aboriginal community. Increased collaboration between government agencies and Aboriginal health organizations is called for. (SV) ENOUGH BAD NEWS! REMOTE SOCIAL HEALTH 6,x ABORIGINAL ACTION IN A HARSHENVIRONMENT COOBER PEDY IN SOUTH AUSTRALIAS 'OUTBACK' Bnce G, Agius T. Agars G. Edwards S. McComuck V. Williams J, Riessen C, and Brown B. (The Aboriginal Health Council of SA Inc.) 'The indigenous peoples of Australia are the poorest, sickest, most ill-educated, most chronically unemployed,most arrested and imprisoned people in this country' (Dodson 1993 119)Social Justice Commissioner of ATSIC. But the story must not end there. INTRODUCTION From 'Four Corners' on our National TV network, to glossy The National Aboriginal Health Strategy, the Royal Commission coverage in 'women's magazines', Aboriginal health is renowned Into Aboriginal Deaths in Custody, and the SA Aboriginal Health for its grim and graphic video footage- a continuous cliche of Chartbook all identify Aboriginal ill-health and reduced life Aboriginal 'reality' that stands on par with that of Mozambique,or expectancy as a continuing embarrassment to Australia's Somalia, or wherever poverty or misery attracts a news-hungry international reputation and so-called healthy national public world, at least for a moment. 'Aboriginal health' is typically policy. This paper responds to questions raised by the Umoona portrayed symbolically but not through traditional Aboriginal Community Council Substance Abuse Committee of June 1992 myth or spirituality - rather, through sLitiStiCS, graphs, and charts. concerning (a) the role of alcohol, or heart or respiratory related If we are serious about something, it 'must' be quantified . .. using problems in Coober Pedy Aboriginal deaths, (6) what is the scientific, valid and trustworihy 'facts'. relevance of 'environmental' or `domestic violence' related issuesto Two assumptions permeate this paper: firstly, that the grim reported deaths?, and (c) how records kept by Aboriginal agencies realities of Aboriginal health cannot be denied, but that no compare with those of the South Australian Health Commission statistical presentation can ever represent the complexities of and the Australian Bureau of Statistics. We willreturn to these Aboriginal social life and the diversity of Aboriginal communities. (empirical) questions later. A 5-year plan for the Umoona Secondly, that careful analysis of the underlying issues rather than Community Council was prepared in 1990. It is currently under merely the surface quantifications (and just as importantly, the review - so one purpose of this discussion paper has also beento locaVregional definition of, and capacity to act on the underlying assist Umoona Community Council with that review. issues) still remains a rarity rather than a rule. There is a place for statistics, hut we too often do not question their origins, meanings Recent SA mortality data showed that Aboriginal deathrates in the country were nearly 4 times that of their Adelaide city equivalents or scope. Therefore, what we don't need when we're talking about (that is, that in the country they were 18 times theirnon- 'Aboriginal health' is either, more 'bad news' presented in isolation, Aboriginal equivalent compared with 'just' 4.6tunes in the city of or, superficial a-historical accounts of 'the problem' and 'the solution' Adelaide) (SAHC 1993:89). Yes, thisis startling, even given the as if the 'remedy' is always straight-forward, applies normal 'colour' of Aboriginal health statistics, andwe will return to everywhere, and is only held back by a lack of resources or an inept government. The rclity, or rather, realities, are not straight- other 'facts and figures' later, but beforewe do, we want to look at things a little differently. forward, and the role of government (in its niany guises) as a key 'actor' in the 'Aboriginal health saga' is rarely considered closely. Rather, there is a continual focus upon Aboriginal 'behaviour' or BEST COPY AVAILABLE -PERMISSION TO REPRODUCE THIS U S DEPARTMENT OR EDUCATION BY ()KW e of I chrcaPorral Researchand Inv1Crfehm MATERIAL HAS BEEN GRANTED F DUCA tIONA1 RI SOURCESINFORMATION CENTER IERICI 1) McSwan thq dor urnent hS heen 10111(XRPCIIK1 al e<en.,ectrOro tne neson Co CogadMition covnahng Mmor changes have been reed,10 ITCOve reproduction (lushly 110.nts 01 vie. 0. Oponiona slatedIn the 00Cu TO THE EDUCATIONAL RESOURCES r"foO do o01 oecehhanly ,ecoilfilont Oval INFORMATION CENTER IERICI OF PI posOom or pohcy 2 crna ion I Lt. 55 LS 'deprivation or 'problems'. Governments provide services, training, person will tell you, is quite common for community and cultural personnel, infrastructure; people that analyse samples and count reasons (see eg , Gale and Wundersitz 1982). Local knowledge heads, people that hand over cheques, people who police health confirms a steady traffic between Coober Pedy and Yalata in the legislation, wine guidelines for grant funds, and provide policies States far West, as well as Oodnadatta, Port Augusta, Ceduna in SA, and legislation which uphold its principles and attitudes. and Finke in the Northern Territory which has implications not Governments also have cultures, and histories of ways of thinking only for record keeping but for health care. about Aboriginality which is all vital to this discussion. It would Of those aged 15 or older, 17% left school before the age of 15 and still seem to be the norm for Aboriginal people to be cast in the a further 11% did not go to school at all.- In other words, 1-in-4 print and electronic media as passive victims in the saga of had at most, an education to age 14; while 90% were 'not 'Abor'ginal health'not as agents of advocacy and change and qualified' and just 3% had qualifications (ie., undergraduate certainly not as partners with government in tackling the myriad diplomas). Hence Commissioner Dodson's assumption referred to tasks ahead. in our opening remarks concerning Aboriginal people being the In South Australia, the Abdriginal Health Council took the 'most ill-educated' seems supported by these Coober Pedy figures. !- develop an Aboriginal health policy in conjunction Just 10 people, 7 of whom were female, were recorded as with Aboriginal agencies, Aboriginal-controlled health services, and attending TAFE for some form of further education at Census time. with the cooperation of the South Australian Health Commission On employment, just 18 persons over the age of 15 (11%) were which provides public health services. This has formed part of the employed full-time - one half of whota were teenagers. None were Council's Strategic Plan, which has recently been published in employers or self-employed. However, and this reminds us of the draft form. One of its fundamental tenets (and therefore one that need to question statistics on Aboriginal issues, 70 people (41%) must precede any discussion of actual 'case-studies' such as Coober did not tick any boxes on this issue! The reason for this is most Pedy) is that colonialism has left a messy, bloody and multi-faceted likely to lie
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