Knowledge is

From our inception, we have focused on reducing health inequity for the multicultural population.

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We have now arrived at an understanding, through our clinical service delivery in multicultural health, for the need to create a knowledge hub. It is clear to us that we are a long way of achieving health equity, eliminating health disparities and improving the health of the multicultural population due to a lack of independent and authoritative information to credibly inform and respond to multicultural health.

Whilst there is national and international research data and evidence from multicultural health services and programs across Australia, demonstrating deeply entrenched health inequities for ethnic minorities, the data is often high level or inadequate to offer more than broad recommendations or sweeping statements that have not evolved into any substantial changes in health care systems and delivery.

From the earliest stages of our work, we were aware of the need to build an understanding of the extent and nature of the relationship between ethnicity, social determinants and multiple disadvantage. Informed by our own practice experience we will now build a multicultural health knowledge hub bringing together data, research, ethnographic work, practice informed knowledge and experience, and lived experience to fully synthesise, integrate and contextualise information to provide a full and authoritative understanding of the interrelationship between inequity, systemic barriers, social determinants, disadvantage, ethnicity and poor health outcomes.

By developing a Knowledge Hub as part of our enterprise we aim to provide a platform where those working and those concerned about health inequity and the multicultural population can galvanise to share information and data from multiple perspectives to provide a more sophisticated understanding of the issues and to determine what levers of change are required to achieve health equity.

 

Specifically, we intend to:

– Increase understanding about the implications of the current data gaps about the health of the multicultural population
– Increase understanding about the intersectionality of ethnicity, social determinants, disadvantage, and poorer health outcomes
– Focus on structural inequities and systemic disadvantage
– Focus on the detail to determine the solutions
– Share knowledge of application through training, master-classes and other learning formats

We will publish and share data, research, articles and information relevant to pursuing and achieving the purpose of the knowledge hub. We will not be publishing information that is simply restating the problem of health inequity and the multicultural population as this is well documented elsewhere. We will only publish information that will contribute to the evolution of our understanding to develop a more sophisticated knowledge base to achieve lasting change.

Given the current COVID-19 pandemic and the growing body of information and literature about the disproportionate impact on ethnic minorities internationally we will share the latest information which connects the issues of race and ethnicity and disadvantage in order to understand the systemic issues that have contributed to these outcomes and what the key lessons from the pandemic are in regards to health inequity.

 

Data
https://andrewjakubowicz.com/2020/06/22/dark-data-hole-leaves-multicultural-australia-in-danger-in-second-wave-pandemic

https://www.sciencemag.org/news/2020/07/huge-hole-covid-19-testing-data-makes-it-harder-study-racial-disparities

COVID-19 and Race Inequality
https://www.theguardian.com/world/2020/jul/01/coronavirus-inquiry-could-transform-racial-inequality-in-uk

https://www.nytimes.com/interactive/2020/07/05/us/coronavirus-latinos-african-americans-cdc-data.html
https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/racial-ethnic-minorities.html

Impact on ethnic minorities
https://www.gov.uk/government/publications/covid-19-understanding-the-impact-on-bame-communities

Health Equity

Australians generally enjoy good health. However, good health is not shared equally. There are significant differences in rates of death and disease, life expectancy, self-perceived health, health behaviours, health risk factors and health service utilization. These ‘health inequities’ are associated with differences in education, occupation, income, employment status, rurality, Aboriginality and gender. They are also associated with ethnicity, culture, migration history and experiences of racism.


Health inequity is the unjust differences in health that are preventable and unnecessary. Health inequities are systemic differences in health that could be avoided. Working on the systems that create health inequity is the core business of World Wellness Group.

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Definitions

noun
  1. Social justice means the rights of all people in the community are considered in a fair and equitable manner. It upholds the view that everyone deserves equal rights and opportunities, including the right to good health. A focus on social justice aims to reduce the health inequities which are avoidable, unnecessary and unjust.

noun
  1. There are significant differences in rates of death and disease, life expectancy, self perceived health, health behaviours, health risk factors and health service utilisation (Public Health Association of Australia, 2008). These ‘health inequities’ are associated with differences in education, occupation, income, employment status, rurality, Aboriginality and gender.

    Health inequity refers to the unjust differences  in health that are preventable and unnecessary.    Health inequities are systematic differences in health that could be avoided and are regarded as unnecessary and unjust.

/ˈwɛlnəs/
noun
  1. Wellness is a modern concept with ancient roots. Tenets of wellness (the idea that physical, mental and spiritual health work in harmony) have their origins in ancient healing and medical traditions that date back thousands of years.  Ancient cultures of Africa, India, China, Greece, Rome and Pacific Islands Nations (among others) had sophisticated ways of understanding health and staying healthy emphasising the whole person. Today wellness is regarded as a multi-dimensional integration of all the components of life that allow us to pursue our goals and growth.

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