A network approach to policy framing: A case study of the National Aboriginal and Torres Strait Islander Health Plan

Social Determinants of Indigenous Health and Indigenous Rights in Policy: A Scoping Review and Analysis of Problem Representation

“…However, there was also a consistent view that the depth or quality of collaboration, consultation, engagement, involvement, partnership, or participation reported was variable. Browne et al (2017) highlighted that policy actors in their study advocated for "genuine" or "meaningful" partnerships, suggesting that previous partnerships had not reflected these characteristics. Multiple authors viewed colonisation as a determinant of the health of Indigenous Peoples with multiple adverse impacts (Brown, 2009;Klein, 2015;Lavoie, 2014;Lavoie & Dwyer, 2016;Munshi, Kurian, Morrison, & Morrison, 2016;Wilmot, 2018).…”

“…In addition, Black and McBean (2016) described colonisation as destructive, with far reaching consequences for Aboriginal Peoples in Canada. Peer-reviewed literature from both Australia (Bishop et al, 2009;Brown, 2009;Browne et al, 2017;Lindstedt, Moeller-Saxone, Black, Herrman, & Szwarc, 2017;Robertson et al, 2012;Stanley, 2008) and Canada (Cooke & McWhirter, 2011;Mitchell & Macleod, 2014;Shewell, 2016) described the damage caused by past policies of segregation, marginalisation, and assimilation. One particularly damaging characteristic of colonisation described was the forced removal of Indigenous children from families in Australia, the United States, and Canada (Black & McBean, 2016;Brown, 2009;Hill, 2008;Lavoie, 2014;Mitchell & Macleod, 2014;Shewell, 2016;Unal, 2018).…”

“…The literature described an expectation from the Australian, New Zealand, and Canadian governments that mainstream health services respond to the needs of Indigenous Peoples (Brown, 2009;Browne et al, 2017;Ronald & Koea, 2013;Victorian Council of Social Service, 2016) and the assumption that if this occurred Indigenous Peoples would then be more likely to use these services (Cooke & McWhirter, 2011;Cooper, 2011;Klein, 2015;Sullivan, 2011). Many discussions from "mainstream services" continue to contest both of these ideas and represent Indigenous people as a policy problem.…”

“…Ronald and Koea (2013) described a Maori definition of health that is connected to relationships with one another, community, and the land, which, in their view, is consistent with global Indigenous orientation towards holistic views of health and well-being. Both the article by Browne et al (2017) and the report by the Victorian Council of Social Service (2016) recognised a holistic view of health and the importance of the social determinants of Indigenous health. However, Browne et al (2017) highlighted that even though an Aboriginal definition of health may be quoted in policy documents, it does not always lead to holistic approaches to health in policy implementation.…”

“…Both the article by Browne et al (2017) and the report by the Victorian Council of Social Service (2016) recognised a holistic view of health and the importance of the social determinants of Indigenous health. However, Browne et al (2017) highlighted that even though an Aboriginal definition of health may be quoted in policy documents, it does not always lead to holistic approaches to health in policy implementation. Unal (2018) explained that United States federal government acts may have laid a foundation for wideranging community-based health approaches, including social determinants of Indigenous health and self-determination, but implementation is lacking, and there has been no assurance of action on social determinants of Indigenous health.…”