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Aboriginal Health
Introduction
Aboriginal people are the original inhabitants and
owners of the continent of Australia. Today, just over two hundred years
after the invasion of non-Aboriginal people, we are a minority in our
own land.
However, while in Australia as a whole, approximately 2% of people are
Aboriginal, here in the Northern Territory, our peoples make up around
a quarter of the population. This is because colonisation came late to
north and central Australia; it was not until early this century that
non-Aboriginal people established significant settlements in the region.
While non-Aboriginal people have taken much of the ancestral lands of
our peoples, and reduced many of them to states of poverty and ill-health
unknown before the invasion, we continue to resist colonisation.
Since the 1970s, one form of this resistance has been the setting up Aboriginal
community-controlled services: legal aid services, infrastructure organisations,
land councils, and community controlled health services. These non-Government
organisations continue the struggle against ill-health, poverty, injustice
and dispossession.
Before Northern and Central Australia were colonised by Europeans the
nomadic lifestyle of our peoples, their free access to the land and its
resources and their own traditional medicine, ensured that they were relatively
free of the health problems that now beset them. Since colonisation, our
peoples have suffered from extreme poor health.
Diseases almost unknown in white Australia for fifty years are still relatively
common in our communities. During the last twenty years or so, government
has tried various policies and programs to improve the poor level of health
amongst our people. These policies have failed; the health of our people
remains a national disgrace and an international embarrassment.
The statistics about Aboriginal illness and illness patterns are well
known. These figures vary greatly across Australia, but generally are
worse in the Northern Territory than elsewhere.
* Life expectancy
is 20 years less than for non-Aboriginal Australians
* Life expectancy
of Aboriginal people is considerably worse than for other comparable indigenous
populations, such as the native peoples of United States and Canada, and
the Maoris of Aotearoa
* Aboriginal boys
born today have only a 45% chance of living to age 65 (81% for non-Aboriginal
boys); Aboriginal girls have a 54% chance of living to age 65 (89% for
non-Aboriginal girls).
* Age standardised
death rates for Aboriginal males are 2.8 times those for non-Aboriginal
males; age standardised death rates for Aboriginal females are 3.3 times
those for non-Aboriginal females.
* Over the last
forty years, the Aboriginal infant mortality rate has declined (though
it is still around three times the national average); over the same period,
adult mortality in the Aboriginal population has increased [ABS
and AIH&W]
These figures themselves illustrate the failure of all Australian governments
to deal effectively with the health needs of our peoples.
The Aboriginal Medical Services Alliance of the Northern Territoty [AMSANT,
the peak body of Aboriginal Community Controlled Health Services] says
that for the health of our peoples to improve, Aboriginal health must
be in Aboriginal hands.
Until our right to run our own health services under our own control is
recognised in principle and supported in practice by Australian non-Aboriginal
government, our health will not improve.
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