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Week 10-
Indigenous Health and Education

   By Amy Delaney and Sandy Gauci
Acknowledgement of Country


Before we begin the proceedings, we would like
   to respectfully acknowledge the traditional
               owners of this land.
Poor education contributes to poor health
         and poor health contributes to poor
              education- a vicious circle




(Thomson, 2003)
The Facts
         Indigenous attendance at school overall lower
        Indigenous peoples life expectancy is 20 years less than
        that of non-Indigenous people.
         The infant mortality rates are 13.6 times higher than non-
        Indigenous people.
         The highest cause of death for Indigenous people is
        disease of the circulatory system such as stroke and heart
        disease
          3.7% of all deaths amongst Indigenous people is the result
        of suicide which 2.4% higher than non-Indigenous people
         The prevalence of endocrine diseases, especially diabetes,
        is 8.3 times higher than non-Indigenous people


(Department of Health and Ageing, 2009) & (Australian Bureau of Statistics, 2006).
Lower Life Expectancy




                     11.5 years difference for males
                     10 years difference for females


(Summary of Australian Indigenous Health, 2012)
Skills for better health
       Education gives students the knowledge and
        skills needed to achieve a full and healthy life
        Skills in developing relationships
        Skills to deal with conflict
        Practical skills such as budgeting and cooking




(Thomson, 2003)
Health and the Curriculum
       It is important for students to learn about health
     concepts at school so they can make healthy and active
                          lifestyle decisions.
    In Health and Physical Education students learn about
       vital concepts related to growth and development,
         physical activity and sport, food preparation and
             nutrition, mental health, sexuality, hygiene,
      communicable disease, relationships, drugs, personal
      safety and protective behaviours, sun protection, first
                      aid and injury prevention.


(Curriculum Council, 1998)
Curriculum Links
 Health & Physical Education Learning Outcomes

     KNOWLEDGE AND UNDERSTANDINGS
     Students know and understand health and physical activity concepts that
     enable informed decisions for a healthy, active lifestyle.
     ATTITUDES AND VALUES
     Students exhibit attitudes and values that promote personal, family and
     community health, and participation in physical activity.
     SELF-MANAGEMENT SKILLS
     Students demonstrate self-management skills which enable them to make
     informed decisions for healthy, active lifestyles.
     INTERPERSONAL SKILLS
     Students demonstrate the interpersonal skills necessary for effective
     relationships and healthy, active lifestyles.



(Curriculum Council, 1998)
Ear Disease and Hearing Loss




     ‘Ear disease is a significant health issue for Aboriginal and Torres Strait
        Islander communities and is the leading cause of hearing loss’


(Ear Health, n.d.)
Otitis Media
      The infection that is most damaging to Indigenous students
        education is most likely otitus media, an inflammation or
                        infection of the middle ear.
     Many children get Otitis Media but Indigenous children are 10
        times more likely to get it than non-Indigenous children.
     As many as eight out of ten Indigenous children could have a
      Otitis media and hearing loss at some point during the school
                                    year.




(Otitis Media, 2012)
Acute Otitis Media
     Acute otitis media (AOM) is acute inflammation of
           the middle ear and tympanic membrane.
           Non-Indigenous children with AOM it is
        characterised by an abrupt onset of pain, fever
                           and irritability.
     For Indigenous children, especially those in remote
       areas it is very different. The inflammation of the
          ear can start just weeks after birth and often
        proceed to perforation without strong evidence
                   of pain, fever and irritability.

(Thomson, 2003)
Chronic Otitus Media
     Chronic Otitus Media is persistent inflammation
       of the middle of the ear, which can occur with
      or with out perforation as chronic suppurative
       otitus media or as otitus media with effusion
                which is known as ear glue.




(Thomson, 2003)
What is the result?
                              Hearing Loss
       These ear diseases may contribute to long-term or
       permanent hearing loss.
       Some have estimated that between 30% to 80% of
       Indigenous school aged children suffer hearing loss.
       The onset of hearing loss in infants has a significant
       effect on speech and language development.
       If a child has chronic or recurrent otitus media and
       results in hearing loss within the first two years of their
       life which is a critical period of child development, it is
       very likely to limit that child’s educational
       achievements.

(Thomson, 2003)
In the classroom
    Hearing loss effects learning

         Makes it hard for students to focus and maintain attention
         Language of the class may be hard to understand
         There can be a delay in the development of speaking and
        listening skills
         Following long instructions can be hard
          Students being able to sound out words and remember which
        sounds go with which letters may not develop properly
         Communication can be hard which can have serious affects on
        behaviour and relationships
         Aboriginal students with hearing loss are often unwilling to
        participate in classroom activities as they can misunderstand
        what is expected of them

(Harrison, 2011)
What can teachers do to help
  If a teacher has students who are suffering from
     hearing loss they can-

      Summarise and repeat instructions
       Use more detail when explaining what is
     happening
       Encourage students to help each other
       Having students sit closer to the teacher so that
     they are able to see the teacher’s expressions and
     lips much more clearly

(Harrison, 2011)
Contributing factors of ear disease and
                 other diseases
                                     Poor hygiene
                                     Over crowded housing
                                     Poor nutrition

      A change needs to be made in their housing, hygiene, nutrition and access to primary
                                          health care.
       Campaigns such as ‘no germs on me’ are aimed at young Indigenous Australians to
                                    improve their hygiene




(Harrison, 2011)
Absenteeism
      There are many diseases, illnesses and injuries
       Indigenous children are more prone to having
         which would prevent them from attending
                            school
        Gastrointestinal Disease
        Skin Infections
        Injury and Self Harm


(Patton & Moon, 2000)
Gastrointestinal Disease
      Gastrointestinal Disease is a huge problem for
        many young Indigenous children and infants
             which causes diarrhoea and parasitic
                           infections.
        It is contracted from food and water being
       contaminated by pathogenic microorganisms
              from faeces. This is often due to the
       unhygienic and overcrowded living conditions.

(Patton & Moon, 2000)
Skin Infections
       Skin infections tend to be more common
     amongst Indigenous children rather than non-
      Indigenous children and is mainly a result of
                     living conditions.
    Common skin infections that affect Indigenous
        Australians are scabies, pyoderma, fungal
        infections and other infections caused by
                          bacteria.

(Patton & Moon, 2000)
Injury and Self Harm
      The rate of injury and self harm amongst Indigenous
       Australians is significantly higher than the Australian
                       population as a whole.
    Dangerous behaviours for injury and suicide for Aboriginal
                   school aged students include-

      Drug and illicit substance use
      Violence and anti-social behaviour
      Early sexual activity
      Deliberate self-harm
      Poor physical and mental health
      Victimisation and trauma

(Patton & Moon, 2000)
Social and Emotional Wellbeing
     Social and emotional wellbeing of an Indigenous
          child can have a significant impact on their
                          education.
     Lack of social and emotional wellbeing in young
           Indigenous children and infants can cause
      impairments in cognitive and language functions
      and also physical and psychological development
       It can also contribute to absenteeism, limited
          assertiveness and poor learning outcomes.

(Patton & Moon, 2000)
Indigenous health and education

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Indigenous health and education

  • 1. Week 10- Indigenous Health and Education By Amy Delaney and Sandy Gauci
  • 2. Acknowledgement of Country Before we begin the proceedings, we would like to respectfully acknowledge the traditional owners of this land.
  • 3. Poor education contributes to poor health and poor health contributes to poor education- a vicious circle (Thomson, 2003)
  • 4. The Facts Indigenous attendance at school overall lower Indigenous peoples life expectancy is 20 years less than that of non-Indigenous people. The infant mortality rates are 13.6 times higher than non- Indigenous people. The highest cause of death for Indigenous people is disease of the circulatory system such as stroke and heart disease 3.7% of all deaths amongst Indigenous people is the result of suicide which 2.4% higher than non-Indigenous people The prevalence of endocrine diseases, especially diabetes, is 8.3 times higher than non-Indigenous people (Department of Health and Ageing, 2009) & (Australian Bureau of Statistics, 2006).
  • 5. Lower Life Expectancy 11.5 years difference for males 10 years difference for females (Summary of Australian Indigenous Health, 2012)
  • 6. Skills for better health Education gives students the knowledge and skills needed to achieve a full and healthy life Skills in developing relationships Skills to deal with conflict Practical skills such as budgeting and cooking (Thomson, 2003)
  • 7. Health and the Curriculum It is important for students to learn about health concepts at school so they can make healthy and active lifestyle decisions. In Health and Physical Education students learn about vital concepts related to growth and development, physical activity and sport, food preparation and nutrition, mental health, sexuality, hygiene, communicable disease, relationships, drugs, personal safety and protective behaviours, sun protection, first aid and injury prevention. (Curriculum Council, 1998)
  • 8. Curriculum Links Health & Physical Education Learning Outcomes KNOWLEDGE AND UNDERSTANDINGS Students know and understand health and physical activity concepts that enable informed decisions for a healthy, active lifestyle. ATTITUDES AND VALUES Students exhibit attitudes and values that promote personal, family and community health, and participation in physical activity. SELF-MANAGEMENT SKILLS Students demonstrate self-management skills which enable them to make informed decisions for healthy, active lifestyles. INTERPERSONAL SKILLS Students demonstrate the interpersonal skills necessary for effective relationships and healthy, active lifestyles. (Curriculum Council, 1998)
  • 9. Ear Disease and Hearing Loss ‘Ear disease is a significant health issue for Aboriginal and Torres Strait Islander communities and is the leading cause of hearing loss’ (Ear Health, n.d.)
  • 10. Otitis Media The infection that is most damaging to Indigenous students education is most likely otitus media, an inflammation or infection of the middle ear. Many children get Otitis Media but Indigenous children are 10 times more likely to get it than non-Indigenous children. As many as eight out of ten Indigenous children could have a Otitis media and hearing loss at some point during the school year. (Otitis Media, 2012)
  • 11. Acute Otitis Media Acute otitis media (AOM) is acute inflammation of the middle ear and tympanic membrane. Non-Indigenous children with AOM it is characterised by an abrupt onset of pain, fever and irritability. For Indigenous children, especially those in remote areas it is very different. The inflammation of the ear can start just weeks after birth and often proceed to perforation without strong evidence of pain, fever and irritability. (Thomson, 2003)
  • 12. Chronic Otitus Media Chronic Otitus Media is persistent inflammation of the middle of the ear, which can occur with or with out perforation as chronic suppurative otitus media or as otitus media with effusion which is known as ear glue. (Thomson, 2003)
  • 13. What is the result? Hearing Loss These ear diseases may contribute to long-term or permanent hearing loss. Some have estimated that between 30% to 80% of Indigenous school aged children suffer hearing loss. The onset of hearing loss in infants has a significant effect on speech and language development. If a child has chronic or recurrent otitus media and results in hearing loss within the first two years of their life which is a critical period of child development, it is very likely to limit that child’s educational achievements. (Thomson, 2003)
  • 14. In the classroom Hearing loss effects learning Makes it hard for students to focus and maintain attention Language of the class may be hard to understand There can be a delay in the development of speaking and listening skills Following long instructions can be hard Students being able to sound out words and remember which sounds go with which letters may not develop properly Communication can be hard which can have serious affects on behaviour and relationships Aboriginal students with hearing loss are often unwilling to participate in classroom activities as they can misunderstand what is expected of them (Harrison, 2011)
  • 15. What can teachers do to help If a teacher has students who are suffering from hearing loss they can- Summarise and repeat instructions Use more detail when explaining what is happening Encourage students to help each other Having students sit closer to the teacher so that they are able to see the teacher’s expressions and lips much more clearly (Harrison, 2011)
  • 16. Contributing factors of ear disease and other diseases Poor hygiene Over crowded housing Poor nutrition A change needs to be made in their housing, hygiene, nutrition and access to primary health care. Campaigns such as ‘no germs on me’ are aimed at young Indigenous Australians to improve their hygiene (Harrison, 2011)
  • 17. Absenteeism There are many diseases, illnesses and injuries Indigenous children are more prone to having which would prevent them from attending school Gastrointestinal Disease Skin Infections Injury and Self Harm (Patton & Moon, 2000)
  • 18. Gastrointestinal Disease Gastrointestinal Disease is a huge problem for many young Indigenous children and infants which causes diarrhoea and parasitic infections. It is contracted from food and water being contaminated by pathogenic microorganisms from faeces. This is often due to the unhygienic and overcrowded living conditions. (Patton & Moon, 2000)
  • 19. Skin Infections Skin infections tend to be more common amongst Indigenous children rather than non- Indigenous children and is mainly a result of living conditions. Common skin infections that affect Indigenous Australians are scabies, pyoderma, fungal infections and other infections caused by bacteria. (Patton & Moon, 2000)
  • 20. Injury and Self Harm The rate of injury and self harm amongst Indigenous Australians is significantly higher than the Australian population as a whole. Dangerous behaviours for injury and suicide for Aboriginal school aged students include- Drug and illicit substance use Violence and anti-social behaviour Early sexual activity Deliberate self-harm Poor physical and mental health Victimisation and trauma (Patton & Moon, 2000)
  • 21. Social and Emotional Wellbeing Social and emotional wellbeing of an Indigenous child can have a significant impact on their education. Lack of social and emotional wellbeing in young Indigenous children and infants can cause impairments in cognitive and language functions and also physical and psychological development It can also contribute to absenteeism, limited assertiveness and poor learning outcomes. (Patton & Moon, 2000)

Notas do Editor

  1. http://static.bmamag.com/photologue/photos/378_exhibitionist_1/cache/EXHIBITIONIST-Contemp-Indig-Artists_article_size_1.jpg
  2. Harrison