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What research or surveillance systems do we need to change policies and practice ? Dr Heather Gifford Whakauae Research for Māori Health and Development.

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Presentation on theme: "What research or surveillance systems do we need to change policies and practice ? Dr Heather Gifford Whakauae Research for Māori Health and Development."— Presentation transcript:

1 What research or surveillance systems do we need to change policies and practice ? Dr Heather Gifford Whakauae Research for Māori Health and Development Aboriginal and Torres Strait Islander Pre-congress Workshop Adelaide Sept 2012

2 Who is doing the surveilling? Who is being surveilled? What is surveillance data being used for?

3 Questions being asked are of interest to the Government and defined by the Government and may not necessarily be the questions that are interesting or relevant for indigenous people themselves; said another way the agenda and control for what information is collected remains largely in the hands of the Government.

4 Statistical indicators with which progress in closing the gap will be measured represent Indigenous Australia not as a society, but as a population comprised of individuals, that may be grouped in geographically bounded ‘communities’ for the purposes of analysis or interventions. Such a framework does not account for the dynamics within Aboriginal and Torres Strait Islander societies, or of the structural conditions and relationships between Indigenous and non-Indigenous Australia. Kerryn Pholi 2009.

5 If we dispense with that definition of Aboriginal people and treat Aboriginal people as First Peoples - that is our status derives from us being here before settlement - not on the basis of race but an historical argument, then Aboriginal people become citizens with an attribute that is political, not racial. Professor Marcia Langton, Melbourne Writers Festival, 2012.

6 Source: Hill S, Sarfati D, Blakely T, et al. Ethnicity and management of colon cancer in New Zealand. Cancer 2010;116(13):3205-14. of colon cancer in New Zealand. Cancer 2010;116(13):3205-14. Step 2: What are the causes of these trends and inequalities? Incidence (e.g. tobacco, alcohol) and survival (e.g. comorbidity, health services) Example: Receipt of treatment for colon stage III cancer by ethnicity.

7 such reductionism and essentialism of Indigenous identity requires Indigenous people to either conform to the prevailing depiction of Indigenous status—to be sick, poor, under- educated, marginalised and oppressed—or cease to exist as an ‘authentically’ Indigenous person. Yin Paradies 2006

8 This is an example of the wishful thinking around the power of statistics that seems to be at work in Indigenous policy circles in Australia: that improved and increased data will magically translate into improved and increased health and wellbeing for Aboriginal and Torres Strait Islander people. In the absence of a nationally representative Indigenous body, best positioned to provide the link between data, theory and policy development, such a translation may indeed have to be magical. Kerryn Pholi 2009.

9 Government Response to the Report of the Māori Affairs Committee on its Inquiry into the tobacco industry in Aotearoa and the consequences of tobacco use for Māori – The long term goal of making New Zealand "essentially a smokefree nation by 2025"


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