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The region of Kimberly is a remotely placed region, with an estimated about approximately 40,000 residents populated in. These figures were collected and verified last in the year of 2019. This regional area represents for almost one sixth portion of Western Australia (Department of primary industry and regional development, Government of Western Australia, 2019). It can be deemed to be twice as big as region of Victoria. This region has also been recognized as one of the most culturally and environmentally fixated region in the area. This locality is acknowledged for its intrinsic value, economic, social as well as cultural opportunities as well. This is a culturally rich area in habitats more than 40 percentage of population as Indigenous population. The small locality makes up for the home town of more than 150 aboriginal communities, accommodating them within its landscape. COVID-19 is one of the most recent calamities that human race has been subjected to. It is still an ongoing pandemic war, affecting almost every nation in the world. The condition has been fatal for many population groups, irrespective of their region, race, age or sex. Ever since the beginning of this pandemic, the Australian government has been very quick and responsive in taking action to contain the infection from spreading in these localities. The Australian government recognizes the region as one of the designated biosecurity areas and it has been restricted with outside interaction, under the Biosecurity Act (Kimberly development commission, 2019). This has been done, ever since the first outbreak of corona virus, in order to protect the highly valuable Aboriginal population located and living in these regions. The paper will help in highlighting the health concerns of this community. It will also help in shedding light on underlying social determinants of health which impact the population directly and provide an angle to explore its strengths and limitations. The paper will also help in pondering upon the importance of role of healthcare nurse in enabling smooth transition of healthcare services within these communities.
The demographical spread in the region of Kimberly is quite diverse (Spencer, 2017). These remote communities also enclose remote travellers, who have settled in these dwellings over the due course of time. The town is also harboured by a fishing port that helps in connecting it with the other communities. These communities are also marked by an isolated impact. This is created by an environmental impact marked in these remote communities as compared to rural metropolitan settings. In terms of remoteness the region is also measured and compared to other regional areas. As per the accessibility/ remoteness index of Australia (ARIA), the whole region of Kimberly is deemed as very remote area. It is rated as 97% of the region classified efficiently under the ABS index as Very Remote (LoGiudice, 2020). The other two regions comprising of the remaining 3% constitutes regions of Broome and Kununurra.
The health issues of the region are broadly classified into multiple categories. The categories stratified into specific sections include the following:
The social determinants of health are very crucial for planning the best possible intervention and management plan. It is carried out mainly to ensure that the gaps in the service delivery model are keenly identified and the plan is crafted specific to the requirements of the same. Some of the social determinants of health identified in the region of Kimberly as mentioned-below:
Primary health care set ups in such remote areas can be a good and sound choice of initiative, that can help in promoting health of an individual (Primary healthcare in Australia, 2019). The role of primary health care centres can be deemed as the most priority based, as they are the one delivering healthcare solutions through multiple aspects in these communities. The community health nurses and midwives can be considered as the main climate basis for healthcare reforms in these settings. They can be observed to be directly aligned in multi-facet approach, covering various aspects of health care models. These aspects can include, emphasising on the identification and prevention of chronic disease in these communities, promoting overall health status of the individual, preventing any disease or injury to the person and advocating for the patient’s rights to narrow down the underlying health inequalities in the structural foundation. In current times of COVID-19 pandemic the role of community nurse can be very crucial in managing the spread of infection as well as providing required standards of care to the people infected by the same. The community health nurse can be useful in managing the condition in the below-mentioned manner:
Aboriginal communities form the composite part of the diverse culture and ethnicity of the region. There is a lack of proper healthcare infrastructure in the region, which limits its health promotion. The remoteness of the region of Kimberly from the main lands, adds to the multiple underlying disadvantages for the area. However, there are primary healthcare centres engaged in patient care in these regions, there is a dire need of elaborative planning and organizing of better care facilities in the region. This should be done to provide the required standards of care and marginalise the health inequalities in the region.
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Department of primary industry and regional development, Government of Western Australia, 2019. https://app.remplan.com.au/kimberleyregion/community/population/indigenous.
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Kimberly development commission, 2019. https://kdc.wa.gov.au/covid-19/
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Manifold, A., Atkinson, D., Marley, J. V., Scott, L., Cleland, G., Edgill, P., & Singleton, S. (2019). Complex diabetes screening guidelines for high-risk adolescent Aboriginal Australians: A barrier to implementation in primary health care. Australian Journal of Primary Health, 25(5), 501-508. https://doi.org/10.1071/PY19030
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Spencer, P. B., Sandover, S., Nihill, K., Wale, C. H., How, R. A., & Schmitt, L. H. (2017). Living in isolation: Ecological, demographic and genetic patterns in northern Australia’s top marsupial predator on Koolan Island. Australian Mammalogy, 39(1), 17-27. https://doi.org/10.1111/mec.14185
Stanley, S. H., Laugharne, J. D., Chapman, M., & Balaratnasingam, S. (2019). The physical health of Indigenous people with a mental illness in the Kimberley: Is ongoing monitoring effective?. Australasian Psychiatry, 27(4), 358-361. https://doi.org/10.1177%2F1039856219833776
Warwick, S., Atkinson, D., Kitaura, T., LeLievre, M., & Marley, J. V. (2019). Young aboriginal people's perspective on access to health care in remote Australia: Hearing their voices. Progress in Community Health Partnerships: Research, Education, and Action, 13(2), 171-181. https://doi.org/10.1353/cpr.2019.0017.
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