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PUBH6000 Assessment 2 Scenario: Let Your Heart Lead Your Way Ι T1 2021 Page 1 of 5PUBH6000Public Health ProgramPUBH6000 Assessment 2: Let Your Heart Lead Your WayBackgroundThe Indigenous Australians refers to two distinct groups of Torres Strait Islanders originated from the TorresStrait Islands north of Cape York in Queensland, and Aboriginal people originated from all other parts ofAustralia(Australians Together, 2020). There are hundreds of groups, each with its own set of unique culture,histories, and languages. The Aboriginal and Torres Strait Islander (ATSI) population was approximately798,400 people accounted for 3.3% of the total Australian population in 2016 which increased by 19% from2011(Australian Bureau of Statistics, 2018).It is evident that the burden of some diseases are higher in ATSI compared to the general population suchas heart disease and diabetes. There are various determinants that can influence the health and well-beingof ATSI Australians both physically and mentally. The exponential growth of health conditions amongindigenous lead to concerns about the future of this population (Steering Committee for the Review ofGovernment Service Provision, 2016). Although some health issues, including mental conditions that existedamong ATSI communities prior to the colonial period of Australia, the prevalence of diseases was infrequentcompared to the current situation (Parker & Milroy, 2014). The national survey reported that Indigenousadults are three times more likely to develop psychological distress (Cunningham & Paradies, 2012)The health policy and guidelines have been implemented in the healthcare system for decades to close thehealth gap between Indigenous and non-indigenous population. The Australian federal and the stategovernments have collaborated with many stakeholders, including researchers to establish the best practiceto improve mental health and well-being in ATSI Australians (Hinton, Kavanagh, Barclay, Chenhall, & Nagel,2015).The scenarioWaru was born and raised in Kalkadoon (Kalkatungu) county in the Mount Isa region of Queensland, calledthe ‘Elite of the Aboriginal warriors of Queensland'(Kalkadoon PBC, 2021). His childhood days were spentwith family activities such as fishing and swimming in the Cloncurry River and working on their vegetablegarden. Waru remembers traditional foods made by his mum using their own vegetables and fish. It wasalways tasty. He loves his community and feels safe living in Kalkadoon as people are closed and related toeach other. Waru and many children attended a small school where they learned English as a secondlanguage. He was 20 years old when he wanted to explore the world. At that time, his father had beendiagnosed with heart disease and doctor advised that his mother was prone to have diabetes. His parentsneeded treatments and medications which mean they need a lot of money. As a big brother, he wanted towork to support his family and thought working in the city would be a good opportunity. Waru had somefriends who left the town two years ago for a factory job in the city. He contacted his friends and fortunately,he secured a job at a chicken factory. Waru left his parents with his two sisters who can take care of themand promised to send money back home.It had been five years since Waru started working for the chicken factory in the city. He earned a lot ofmoney by working hard and never saying ‘NO’ to the overtime. He has kept his words by sending money tosupport his family. It was also five years that he lived with lonely life in the city and missed the river and hisgarden in Kalkadoon. He shared a house with friends from his hometown and sometimes he went with themfor football games and running in the park. Unfortunately, it was not a remedy for his homesickness. He hada chance to visit his family once a year at Christmas time when the factory closed for two weeksAlthough he tried to be active as he loved to do in his hometown, the inactive life in his workplace not allowhim to do. His routine duties at the chicken factory were long-hour, repeated works in a cold environment. Hetold his family that he can keep working in this factory because the salary was high. With his salary, aftersending sufficient funds back to his family, it is enough for Waru to rent a good house and drive a decentsecond-hand car. Waru only completed primary school and did not think that he could find another job thatcould pay him as much as this job. These reasons encourage him to keep working at this factory, eventhough he knew his physical health was getting worse, particularly his thumbs and back pain.PUBH6000 Assessment 2 Scenario: Let Your Heart Lead Your Way Ι T1 2021 Page 2 of 5PUBH6000Public Health ProgramIn addition to physical issues, Waru and his friends shared the same experience of social exclusion anddisparity in the factory. They can feel that they were not included in the work community and that they wererejected from the main groups. When Waru and friends reported bully and disparity at work, no response oractions were taken to help them. These negative experiences caused him to feel powerless, loss of dignity,and trauma deep inside. It’s inevitable for his group to feel a lack of social connection and support in the cityand workplace. Waru felt down and sometimes it made him isolate himself from friends and didn’t want tosocialise with others. He also lost his appetite and often had takeaway food due to loss of interest in cooking.Waru lost some weight because he just ate to gain energy to work.He married Yindi, a childhood friend, during his hometown visit at the end of his 6th year of living away fromhome. Waru felt much better now that Yindi is living with him in the city. He often shared his stories andfeelings from work with Yindi which makes him relieve to some degree. Yindi felt excited when she firstarrived in the city with the new environment and new lifestyle. She shared good times with Waru andsupported him by cooking food and look after the house. However, the excitement only lasted two monthsbefore Yindi began feeling homesick and lonely when Waru is at work. Yindi cannot work due to noqualification, poor English, and no work skills. Also, Waru didn’t want her to work because he didn’t want herto face bullies and disparity as same as him. Yindi gained weight because of inactive lifestyle and cook lessoften because she cannot go shopping by herself. She felt down and sometimes questioned herself if shehad any values to be here. However, Yindi kept quiet because she didn’t want to add more stress on toWaru. She thought what he was facing from work was already hard on him. Waru noticed some changes inhis wife as she became quieter and detached.They have been together for three years before Yindi got pregnant. Yindi felt more down and anxious aboutraising their kid in the city and how to communicate with health professionals. Yindi cannot suppress herstress anymore so she opened up her feelings to Waru. Waru felt bad that he was not aware of herdepression. They decided to visit a midwife at a community healthcare centre, and it was the first time theyshared their feeling and concerns with health professionals. They had been referred to the ATSI healthcareworker at the hospital. At the consultation with the ATSI healthcare worker, Waru and Yindi felt that theyhave someone who understands them, and it was a safe space to share their story and ask for advice. Theyboth have been referred to mental health support for ATSI that can help them gradually resume theirconfidence and maintain their cultural and spiritual rights.Waru was interested to work for the ATSI community in the city to help people like him. He reduced hisworkload to a part-time position and started volunteering at the ATSI healthcare centre and took theessential courses. He hope to become the ATSI healthcare worker one day. He now have more time tospend with Yindi, their son and also himself. He named his son ‘Ngarra’ which means ‘together with you’ torepresent the bond he share with Yindi. bond and connect to the community.During the life crisis, you may only need someone sit with you, hold your hand, and ask a simplequestion, “How’s your day?” Most importantly, listen to your heart and let it navigate you.Note:This scenario was adapted from true stories, names, locations, and some details have been changed toremain confidentiality and to suit the education propose.Learn the meaning of namesWaru: The milky wayYindi: The Sun or motherNgarra: Together with youPUBH6000 Assessment 2 Scenario: Let Your Heart Lead Your Way Ι T1 2021 Page 3 of 5PUBH6000Public Health ProgramInstructionsRead the scenario provided by your lecturer and develop a report draw from your critical analysis andapplying theory into practice.1. Seek further information to provide a brief context of the population in the scenario and assess thepotential health problem among the population based on the given scenario and context.2. Use the Ecological Model to analyse factors relevant to the scenario that influence health behavioursand health outcomes of the population in the following perspectives• Intrapersonal level• Interpersonal level• Community level3. Critically recommend a health intervention(s) that would be appropriated to address those key socialdeterminants and scenario context.Please see the template below for more details and guidance on how to address this assessment.Key Focus:• Aboriginal and Torres Strait Islander Australians• Social determinants of health and social gradient – belief, attitude, culture, employment,education, policy• Risk of health conditions – lifestyle, behaviour, genetics, awareness, and knowledge• Social capital, social exclusion, and resiliencePUBH6000 Assessment 2 Scenario: Let Your Heart Lead Your Way Ι T1 2021 Page 4 of 5PUBH6000Public Health ProgramAssessment 2 TemplatePlease use this template to develop your assignment 2Make sure you support all your points with evidence from appropriate sources.(Title of your assignment)Assessment 2: PUBH6000: Student name , Student IDIntroductionProvide a short introduction which gives the reader an overview of the whole assignment(general information only, you will provide details in the main body not in the introduction).Introduction should not be longer than half a page.Context of potential health issue for population (20%)Provide an overview of the population and the potential health issue in the scenario: referring tospecific information of the population followed by identified health issues in the scenario.Social determinants of health and its influence on health behaviours (35%)Analyse the social determinants of the health issue in the given scenario and evaluate the influence ofthose factors on health behaviours which lead to the health outcomes/health issue for the population.Use the Ecological Model to assist critical analysis and evaluation based on three differentperspectives: Intrapersonal level, Interpersonal level and Community levelRecommendation for Public health interventions (35%)Propose your recommendation for public health practice to address social determinants of health. Therecommendation should be relevant to the scenario i.e. context and health issues for the populationand potential social determinants. You should develop recommendations from the scenario combinedwith your ideas and existing evidence such as research or implemented programs.ConclusionIn a short paragraph, provide a useful overall summary of your assignment for the reader. Do notintroduce any new information/ideas.PUBH6000 Assessment 2 Scenario: Let Your Heart Lead Your Way Ι T1 2021 Page 5 of 5PUBH6000Public Health ProgramReferenceAustralian Bureau of Statistics. (2018). Estimates of Aboriginal and Torres Strait Islander Australians, June2016 (cat. no. 3238.0.55.001). Retrieved from Canberra:https://www.abs.gov.au/statistics/people/aboriginal-and-torres-strait-islander-peoples/estimatesaboriginal-and-torres-strait-islander-australians/latest-release#data-downloadAustralians Together. (2020). Who are Indigenous Australians? Retrieved fromhttps://australianstogether.org.au/discover/the-wound/who-are-indigenous-australians/Cunningham, J., & Paradies, Y. C. (2012). Socio-demographic factors and psychological distress inIndigenous and non-Indigenous Australian adults aged 18-64 years: analysis of national survey data.BMC Public Health, 12(1), 95. doi:10.1186/1471-2458-12-95Hinton, R., Kavanagh, D. J., Barclay, L., Chenhall, R., & Nagel, T. (2015). Developing a best practicepathway to support improvements in Indigenous Australians’ mental health and well-being: aqualitative study. BMJ Open, 5(8), e007938. doi:10.1136/bmjopen-2015-007938Kalkadoon PBC. (2021). Who we are. Retrieved from https://www.kalkadoonpbc.com.au/about-us/who-weareParker, R., & Milroy, H. (2014). Mental illness in Aboriginal and Torres strait Islander peoples. In WorkingTogether (pp. 113).Steering Committee for the Review of Government Service Provision. (2016). Overcoming IndigenousDisadvantage: Key Indicators 2016. Canberra: Productivity Commission.