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AboriginalAboriginal
MothersMothers
&&
DaughtersDaughters
GatheringGathering
ProgramProgram
w
LEE HAGAN – WHN
Central West Women’s
Health Centre
LISA COLLINS – WHN
Greater Western Area Health
PROGRAM AUTHORCO-FACILITATOR & COLLABORATOR
BATHURST NSW
•Rural town 4 hrs west of Sydney CBD
•Population 37,000
•Aboriginal population 1,269
•Traditional owners Wiradjuri people
• Male prison in the town & large numbers of
other Aboriginal language groups from all over
NSW come to be near inmates; creates some
tensions
• Most live in Kelso suburb, housing commission,
high unemployment, high school dropout rate,
high AOD problems, no AMS, male Health
worker only
The Program is:
• a puberty and sex education program
for young Aboriginal girls aged 11- 13
and their mothers
• a forum for dialogue;
- between mothers & daughters
- between facilitators & Aboriginal
women & girls
The Program is:
• Run in the community
at the girls’ primary school after normal
school hours
3.30 – 6.30 pm 2 sessions = 6 hours in total
•Free of charge
•Childcare for younger siblings
•Art / craft activity with Aboriginal theme
•Gift showbag
• Certificate of attendance
•Transport can be arranged
•Fosters collaborations /
partnerships between health
& education agencies
•Utilises an
Education Assistant
Topics covered;Topics covered;
• Physical, emotional mental changes of
puberty and adolescence for boys and girls
• Management of menstruation & personal
hygiene
Basic information on;
• fertility, pregnancy & birth
• sexually transmitted infections,
contraception
• ‘women’s health’ screening – paps smears
breast checks
• Self esteem & a healthy body
image
• Staying safe & protective
behaviours
• Communication between
mothers & daughters
• What services exist in the local community
(in health & welfare)
especially those that are culturally ‘safe’
Program Rationale – the ‘why’
• Local Aboriginal women requested ‘help’
with their daughters
Behaviours often beginning very early (12-14 years)
• issues of truancy, suspensions, early school
dropout
• loss of parental control
• ‘at risk’ behaviours;
• early sexual activity,
• STI’s, pregnancy,
• alcohol & drug use, self harm.
• Increase contact and foster relationships
with local Aboriginal women and girls
• Learn more
about our local Aboriginal women
& culture – beliefs, opinions & hopes
• Desire to work in partnerships /
collaborations
• Respond to international , national and
local directives to provide sensitive
& targeted primary health care,
health promotion initiatives,
& sex education programs
International directives: WHO Alma-Ata 1978
Ottawa Charter 1986
National directives: Australian Govt: ‘Health for All by 2000’
‘Closing the Gap’ 2009
Couldn’t find another program like it
that was;
• Inclusive of a parent
•Just for females
• Affordable
• Of short duration
Objectives - forObjectives - for
participantsparticipants
1. Provision of a convenient, friendly, culturally
respectful learning space for mothers &
daughters to discuss & reflect on ‘women’s
business’ issues
2. Promotion of health & welfare services &
access, especially cervical & other health
screening
3. Provision of information &
behavioural ‘modelling’ of skills
for self efficacy in lifestyle & sexual
health decision-making & ‘informed
choice’.
Objectives - for facilitator/sObjectives - for facilitator/s
1. To increase individual sexual health literacy &
decision-making of indigenous women & girls
2.To provide information that will promote the
uptake of women’s health screening
Objectives - for facilitator/sObjectives - for facilitator/s
3. To engage in a respectful ‘two-way learning’
with Aboriginal women to learn more about
local culture, beliefs & the needs of women &
girls in the area
Program process – the ‘how’
Contact was made with a local school that
had;
• an Aboriginal student cohort large enough to attract
a minimum of 6 mother / daughter pairs
• an Aboriginal Education Assistant (AEA) or an
Aboriginal woman known & trusted by the mothers /
girls, to act as a group support person
IMPORTANT
• Suitable facilities – use of rooms,
equipment, kitchen facilities,
eating area & toilets
• At a meeting with the Principal & AEA/s
• explain the program
• take & show advertising materials
• ascertain what the school can provide
towards the program
• negotiate & organise to pay for a childcarer
& the AEA’s time for assisting with the
program
When the minimum number of interested participants
are recruited;
- set a date,
- get enrolment forms completed
& consents signed
- go the venue at least once before
starting the program to check all is in readiness,
check OH&S issues are OK,
check with AEA on food requirements
- on the day before the program,
collect all required materials, food,
equipment, ready to take to the venue
On the days the program is to be run;
- take all the required materials, food, &
equipment to the venue & ‘set up’
- orientate the child carer to the childcare area/
toilets / break & supper time & settle the
smaller children into care
- welcome the program participants &
commence the program
• clean up the areas used at the end of each program day
• escort or provide transport to those needing it to go
home
• negotiate with the school to have someone ‘lock up’
afterwards
• evaluate the program with the funding body by an
internal review of the program & facilitator’s
• evaluate the program with the Aboriginal stakeholders/
community consultants for cultural competence and
client satisfaction annually.
Some of the girls who’ve done the program
Permission was given by the
mothers and daughters to take and
use their photographs and show
their final artwork in promoting
the program.
THANK YOU FOR YOUR TIME &
ATTENTION
Aboriginal
Mothers &
Daughters Gathering
Program
CENTRAL WEST WOMEN’S HEALTH CENTRE
BATHURST NSW

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3.5.3 Lee Hagan

  • 2. w LEE HAGAN – WHN Central West Women’s Health Centre LISA COLLINS – WHN Greater Western Area Health PROGRAM AUTHORCO-FACILITATOR & COLLABORATOR
  • 3. BATHURST NSW •Rural town 4 hrs west of Sydney CBD •Population 37,000
  • 5. • Male prison in the town & large numbers of other Aboriginal language groups from all over NSW come to be near inmates; creates some tensions • Most live in Kelso suburb, housing commission, high unemployment, high school dropout rate, high AOD problems, no AMS, male Health worker only
  • 6. The Program is: • a puberty and sex education program for young Aboriginal girls aged 11- 13 and their mothers • a forum for dialogue; - between mothers & daughters - between facilitators & Aboriginal women & girls
  • 7. The Program is: • Run in the community at the girls’ primary school after normal school hours 3.30 – 6.30 pm 2 sessions = 6 hours in total
  • 8. •Free of charge •Childcare for younger siblings •Art / craft activity with Aboriginal theme
  • 10. •Transport can be arranged •Fosters collaborations / partnerships between health & education agencies •Utilises an Education Assistant
  • 11. Topics covered;Topics covered; • Physical, emotional mental changes of puberty and adolescence for boys and girls • Management of menstruation & personal hygiene
  • 12. Basic information on; • fertility, pregnancy & birth • sexually transmitted infections, contraception • ‘women’s health’ screening – paps smears breast checks
  • 13. • Self esteem & a healthy body image • Staying safe & protective behaviours • Communication between mothers & daughters
  • 14. • What services exist in the local community (in health & welfare) especially those that are culturally ‘safe’
  • 15. Program Rationale – the ‘why’ • Local Aboriginal women requested ‘help’ with their daughters
  • 16. Behaviours often beginning very early (12-14 years) • issues of truancy, suspensions, early school dropout • loss of parental control • ‘at risk’ behaviours; • early sexual activity, • STI’s, pregnancy, • alcohol & drug use, self harm.
  • 17. • Increase contact and foster relationships with local Aboriginal women and girls • Learn more about our local Aboriginal women & culture – beliefs, opinions & hopes • Desire to work in partnerships / collaborations
  • 18. • Respond to international , national and local directives to provide sensitive & targeted primary health care, health promotion initiatives, & sex education programs International directives: WHO Alma-Ata 1978 Ottawa Charter 1986 National directives: Australian Govt: ‘Health for All by 2000’ ‘Closing the Gap’ 2009
  • 19. Couldn’t find another program like it that was; • Inclusive of a parent •Just for females • Affordable • Of short duration
  • 20. Objectives - forObjectives - for participantsparticipants 1. Provision of a convenient, friendly, culturally respectful learning space for mothers & daughters to discuss & reflect on ‘women’s business’ issues 2. Promotion of health & welfare services & access, especially cervical & other health screening
  • 21. 3. Provision of information & behavioural ‘modelling’ of skills for self efficacy in lifestyle & sexual health decision-making & ‘informed choice’.
  • 22. Objectives - for facilitator/sObjectives - for facilitator/s 1. To increase individual sexual health literacy & decision-making of indigenous women & girls 2.To provide information that will promote the uptake of women’s health screening
  • 23. Objectives - for facilitator/sObjectives - for facilitator/s 3. To engage in a respectful ‘two-way learning’ with Aboriginal women to learn more about local culture, beliefs & the needs of women & girls in the area
  • 24. Program process – the ‘how’ Contact was made with a local school that had; • an Aboriginal student cohort large enough to attract a minimum of 6 mother / daughter pairs • an Aboriginal Education Assistant (AEA) or an Aboriginal woman known & trusted by the mothers / girls, to act as a group support person
  • 25. IMPORTANT • Suitable facilities – use of rooms, equipment, kitchen facilities, eating area & toilets
  • 26. • At a meeting with the Principal & AEA/s • explain the program • take & show advertising materials • ascertain what the school can provide towards the program • negotiate & organise to pay for a childcarer & the AEA’s time for assisting with the program
  • 27. When the minimum number of interested participants are recruited; - set a date, - get enrolment forms completed & consents signed - go the venue at least once before starting the program to check all is in readiness, check OH&S issues are OK,
  • 28. check with AEA on food requirements - on the day before the program, collect all required materials, food, equipment, ready to take to the venue
  • 29. On the days the program is to be run; - take all the required materials, food, & equipment to the venue & ‘set up’ - orientate the child carer to the childcare area/ toilets / break & supper time & settle the smaller children into care - welcome the program participants & commence the program
  • 30. • clean up the areas used at the end of each program day • escort or provide transport to those needing it to go home • negotiate with the school to have someone ‘lock up’ afterwards • evaluate the program with the funding body by an internal review of the program & facilitator’s • evaluate the program with the Aboriginal stakeholders/ community consultants for cultural competence and client satisfaction annually.
  • 31. Some of the girls who’ve done the program
  • 32.
  • 33.
  • 34. Permission was given by the mothers and daughters to take and use their photographs and show their final artwork in promoting the program.
  • 35.
  • 36. THANK YOU FOR YOUR TIME & ATTENTION
  • 37. Aboriginal Mothers & Daughters Gathering Program CENTRAL WEST WOMEN’S HEALTH CENTRE BATHURST NSW

Hinweis der Redaktion

  1. Lee & Lisa are from
  2. informal, culturally respectful & appropriate setting.
  3. could also be run; - in 3 x 2 hour sessions - in other easily accessible, acceptable venues eg High Schools, Community Centres, ACCHO’s. - for an older age group eg 12 – 18 year olds
  4. in the mother’s care on the program days by an Aboriginal childcarer
  5. (or similar, if available at the school), as a paid program collaborator & mentor for the participants.
  6. what they do, who they are, where they are, how to get help and assistance in getting there / advocacy
  7. Not many Aboriginal women/ girls attend WHN clinics due to adverse social determinants & other barriers
  8. Program Rationale continued
  9. Program Rationale continued *Ref: S.Jirowong, P. Liamputtong (2009) ‘Population Health, Communities & Health Promotion’ Oxford University Press, UK. Pages 27 - 29)
  10. Program Rationale continued
  11. * Willis, J., Anderson. I., Morris, K. ( 2005) Sexual Health Promotion for Aboriginal & Torres Strait Islander People. Office of Aboriginal & Torres Strait Islander Health (OATSIH), Australian Research Centre, La Trobe University, Melbourne. use of a targeted & tailored group level intervention.
  12. (by phone, letter & an arranged meeting)
  13. (poster, brochures, enrolment & consent forms) & ask that the program be advertised in the school newsletter to parents & verbally by the AEA to the mums ascertain what the school can provide towards the program eg art materials, paints, photocopying negotiate & organise to pay for a childcarer (if required)
  14. get enrolment forms completed & consents signed (for photo session, publicity)
  15. negotiate with the school to have someone ‘lock up’ afterwards (eg the AEA or a cleaner)