Pitfalls to avoid: the Australian experience

In this paper the major health problems facing Australia's Aboriginal population are reviewed and an attempt is made to assess the genetic and environmental, social and cultural factors to which they may be attributed. Among Aborigines living in remote areas under semi-tribal conditions, recent improvements in health, though considerable, have not been commensurate with the greatly increased expenditure on health and welfare services. This disappointing outcome is due partly to loss of control by Aborigines over their own lives, including matters concerning health, and partly to failure of white medical and welfare personnel to communicate with people holding different beliefs about health and disease. The bad health of Aborigines living in cities and rural areas can be attributed largely to their poverty, which in turn stems from discrimination in employment, housing and community services. In both the remote and the settled areas health services for Aborigines are increasingly coming under the control of Aborigines themselves and producing encouraging results.