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INdigenous Systems and Policies Improved and Reimagined for Ear and hearing care (INSPIRE): a multi-method study protocol.
BMJ Open
January 2024
Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Introduction: Otitis media (middle ear disease) severity and chronicity among Aboriginal and Torres Strait Islander people, as well as gaps in socioeconomic outcomes related to hearing loss, indicates a breakdown in the current ear and hearing care system. The ear and hearing care system spans multiple sectors due to long-term impacts of otitis media and hearing loss in health, education and employment, necessitating a multi-disciplinary cross-sectorial approach to ear and hearing care. Public policies shape the current ear and hearing care system and here it is argued that a critical public policy analysis across different sectors is needed, with strong Aboriginal and Torres Strait Islander leadership and guidance.
View Article and Find Full Text PDFReimagining the relationship between Gondwanan forests and Aboriginal land management in Australia's "Wet Tropics".
iScience
March 2021
Department of Archaeology and History, La Trobe University, Melbourne, Australia.
The "Wet Tropics" of Australia host a unique variety of plant lineages that trace their origins to the super-continent of Gondwanaland. While these "ancient" evolutionary records are rightly emphasized in current management of the region, multidisciplinary research and lobbying by Rainforest Aboriginal Peoples have also demonstrated the significance of the cultural heritage of the "Wet Tropics." Here, we evaluate the existing archeological, paleoenvironmental, and historical evidence to demonstrate the diverse ways in which these forests are globally significant, not only for their ecological heritage but also for their preservation of traces of millennia of anthropogenic activities, including active burning and food tree manipulation.
View Article and Find Full Text PDFSupporting black lives 'mattering' with flexible health care.
J Paediatr Child Health
December 2020
Clinical Ethics, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Black lives 'mattering' should mean intrinsically supporting feasible healthcare options for Aboriginal and Torres Strait Islander people. This requires reimagining outmoded, 'neo-colonial' type models of care with implicit prejudice in hospital emergency departments (EDs). Equitably serving the needs of vulnerable cohorts like First Nations people that currently suffer most from lack of access to suitable healthcare is incumbent on government and society.
View Article and Find Full Text PDFRisk and Representation in Research Ethics: The NunatuKavut Experience.
J Empir Res Hum Res Ethics
October 2015
NunatuKavut Community Council, Happy Valley-Goose Bay, Newfoundland and Labrador, Canada.
This article examines Canadian policy governing the ethics of research involving Indigenous communities. Academics and community members collaborated in research to examine how best to apply the Tri-Council Policy Statement guidelines in a community with complex and multiple political and cultural jurisdictions. We examined issues of NunatuKavut (Southern Inuit) authority and representation in relation to governance of research in a context where community identity is complex and shifting, and new provincial legislation mandates centralized ethics review.
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