通过主流服务提供实施"缩小差距"政策:南澳大利亚的案例研究
Emma George1, Matt Fisher2, Tamara Mackean3
1School of Allied Health Science and Practice, University of Adelaide, Adelaide, South Australia, Australia.
概括
澳大利亚政府在早期儿童服务领域的"缩小差距"战略缺乏土著的控制,导致忙实施和脱离. 真正的进步需要土著领导的过程来解决健康不平等和殖民权力不平衡.
科学领域:
- 公共卫生 公共卫生
- 土著研究土著研究.
- 政策分析 政策分析
背景情况:
- 澳大利亚政府的"缩小差距"战略旨在改善土著和托雷斯海峡岛民儿童的福祉.
- 审查了南阿德莱德 (2008-2018) 早期儿童服务中关闭差距政策的实施情况.
- 批评了缺乏土著控制的政策的复杂性和挑战.
研究的目的:
- 分析南阿德莱德关闭差距早期儿童政策的实施情况.
- 识别政策交付中的挑战和复杂性.
- 评估原住民在政策实施中的控制程度.
主要方法:
- 在南阿德莱德进行的定性案例研究.
- 采访了来自卫生和幼儿教育领域的16位政策参与者.
- 专题分析采访数据,通过主流结构了解政策实施.
主要成果:
- 关闭差距战略的实施速度很快,短期资金和削减原住民医疗服务.
- 咨询过程是象征性的,服务是主流的.
- 原住民领袖的影响力不同;参与者呼吁提供文化安全的服务,以改善儿童和社区的健康.
结论:
- 关闭差距在南阿德莱德的政策实施是忙的,复杂的,缺乏原住民控制,边缘化土著领袖和脱离社区.
- 调查结果表明,政策实施反映了殖民时期的权力不平衡.
- 以土著为首的协作方法对于有效的政策改革和解决健康不平等问题至关重要.
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