Understanding Health

This strategic review aim at offering a comprehensive understanding of the health problems affecting the indigenous childbirth corresponding to the Koolin Balit article known as the Balit Victorian Government strategic directions for Aboriginals health 2012-2022. To be specific, this document will offer an impression of Koolin Balit design that offers precise strategies and tactics for monitoring the Victorian administration to enhance the wellbeing of Aboriginal in the upcoming 10 years (Jatkar et al., 2017). However, the Koolin Balit proposal entails a priority helpful in exploring ‘a healthy start to life’ as the precedence location and the affected persons such as indigenous infants and women (Department of Health, 2012). On the same note, the appraisal of Koolin Balit strategy will facilitate the assessment of three determinants relating to indigenous childbirth health issue concerning social gradient, access to health services, and the educational social determinant.  

Description of the Overall Plan

Koolin Balit has strategized a healthcare proposal with an aim of providing the strategic course as well as an overarching objective for handling issues influencing the life expectancy for Aboriginal Victorians, enhancing the health outcomes and services as well as minimizing the rates of low birth, morbidity, and mortality (Conway et al., 2017). In relation to the above information, this strategy revolves around six major priorities that will affect the target groups in numerous ways as shown below:- 

1. The healthy childhood: This factor plays a role of solving the certain problem concerning attainment of child health maternal and services through promoting quality of their environment, physical health, obtained nutrition, and educational method for Aboriginals. 
2. The healthy beginning to life: This is a priority focus on depleting the mortality rate and minimizing the low birth weight as well as minimizing smoking and augment the rate of breastfeeding among the Aboriginals (Helson et al., 2017).
3. Healthy change to adulthood: This priority help in minimizing the rate of smoking, drug abuse, and also facilitate the process of reducing alcohol; and promoting safe sex. Moreover, this factor still improves the mental health impacting the young adults and teenagers in the indigenous group (Conway et al., 2017).
4. Providing care for elderly individuals: This priority targets the old Aboriginals, hence, focusing on attaining more reliable data, supports, and services meant to enhance the healthiness (Laplante et al., 2004).
5. Addressing risk factor: This factor help in enhancing the lives of Aboriginals through minimizing smoking behaviors as well as aiding people to maintain a healthy weight and reduce alcohol intake and control the oral cavity ailments (Helson et al., 2017). 
6. The use of effective health service in the process of managing illness: This priority is meant to influence the lives Victorian aboriginals through facilitating the improvement of hospital system as well as supporting the operations for minimizing the rate of chronic and acute illnesses (Jatkar et al., 2017). 

Description of one Priority Area and Two At-Risk Groups

The Koolin Balit wellbeing plan indicates that ‘a health start to life’ is among the best priority area. As a matter of fact, this phase is popular since it is a point that leads to a health condition that boosts the future of the community members. To illustrate, there is confidential information dictating that 16% of the adults experience lots of challenges relating to the firstborn condition (Helson et al., 2017). On the other hand, the two-risk groups present in this option include the pregnant aboriginal ladies and the infants. In consideration with the above information, it occurs that few aboriginal mothers have higher chances of breastfeeding their kids compared to the mothers who are not aboriginals (Conway et al., 2017). Through laying emphasis on the above details, it is clear that this plan focuses on helping the parent realize the essence of breastfeeding in order to enhance health activities, facilitating prevention of illnesses and minimizing the rate of death for children. 

On the other hand, the infants in the aboriginal groups seem to have additional relation on the selected health priority. In this case, the department of the healthcare denotes that birth weight factor in a baby is a vital sign for determining the additional health status (Laplante et al., 2004). To illustration, the notion of low-weight having more chances of being accompanied with worse health situation, negative emotion, defective body. The above information hints that adult can have higher chances of developing chronic illness (Jatkar et al., 2017). Correspondingly, the research indicates that aboriginal Victorian expectant ladies with kids having low birth weight are always many compared to the non-aboriginal women. 

Discussion of Three Relevant Determinants of Health

This part offers a comprehensive discussion of the determinants including the expectant ladies in a prioritized region, the aboriginal infant as well as food and stress relating to the two at-risk groups. Moreover, this part will also explain the manner which these determinants have an adverse effect on human health. On the other hand, addiction acts as a determinant involving various behaviors such as drug abuse, alcohol intake, and smoking (Victora et al., 2016). To illustrate, the pregnant women who abuse the above substances normally risk their lives as well as affecting their newborns in a negative manner, In consideration with the above information, researchers argue that the risk of different congenital anomalies includes 5-fold problem normally affects the kids born by mothers using drugs (Laplante et al., 2004). Generally, the expectant ladies who abuse drugs are always at risk of having respiratory disease, health issues concerning meconium amniotic fluid, seizure and their infants may suffer from hypoglycemia. Still, the women who while pregnant also have health problems such as low birth weight and ineffective blood flow in the placenta (Department of Health, 2012). Likewise, smoking mothers can also have hyperactivity symptoms, which in turn can hinder further growth and development of an infant. 

Besides, food can represent a determinant for this priority that impacts human health in a greater manner. To be specific, this factor normally has a direct influence on the aboriginal infant, hence, influencing their health status. In consideration of different scenarios such as before, during and after the birth, it is essential for people to lay more emphasis on diet given to their infants (Laplante et al., 2004). For instance, Australia is among the countries recognized for practicing the fruitful nutritional exercises, but presently this trend has deteriorated at a higher rate (Helson et al., 2017). Conversely, this country had a breastfeeding rate of 96%, but aboriginal mothers have made this score to fall by 39%.  As a matter of fact, the rate of breastfeeding for babies with three months or fewer stands is very high (Victora et al., 2016). In relation to the above information, researchers indicate that the aspect of breastfeeding a child for a longer duration can help in preventing malocclusion problems and infect. Furthermore, the above practices are helpful in reducing overweight and diabetic-based issues in infants (Conway et al., 2017). In addition, the act of breastfeeding can also reduce the childhood mortality rate every year. 

Still, stress is another health determinant impacting aboriginal pregnant ladies in Australia. Based on this statement, there exist numerous factors that depress expectant ladies including illness, precarious, and financial concern. Indeed, when a mother is under stress can affect the infant, hence, making the baby develop complications (Helson et al., 2017). Evidently, the research indicates that unlike non-aboriginal mothers, the Australian ladies tend to experience negative emotions and more stress. Still, there is confidential information denoting that when pregnant women are depressed, they may end up having birth as well as giving birth to underweight kids (Jatkar et al., 2017). Also, the prenatal strain can also contribute to functional impairment on language and intellectual development in infants. 

In addition, this report has provided a general description of the Koolin Balit plan that focuses on enhancing the health outcomes of every aboriginal’s age group in the future. To be specific, this document is compiled through investigating the precedence area such as ‘healthy start to life’, thereby, presenting information regarding the aboriginal women as well as their infants as the basic elements as far as this priority is concerned (Conway et al., 2017). On the other hand, this report lay more emphasis on the three determinant including addiction, food, and stress (Jatkar et al., 2017). At this point, it is confirmed that the above factors lead to adverse effects on expectant women and their infants. Indeed, the researchers indicate that addiction, food, and stress have a negative implication on human beings growth and development, hence, affecting their wellbeing and development (Department of Health, 2012). The aspect that this plan facilitates the identification of the problems affecting the aboriginal group, it is essential to take the necessary intervention for promoting health. 

To conclude, the information about Koolin Balit plan plays a role of facilitating exploration of the state priority areas and state health strategy useful for depleting issues emanating from poor nutrition, drug abuse, and psychological problems. For instance, the researchers indicate that pregnant aboriginal ladies record high rates of mortality and morbidity rates. As a matter of fact, the above adverse implication emanates from the aspect that aboriginal women do not breastfeed their kids in an appropriate manner, hence, they end up experiencing various health problems in their lives. Based on the above information, women can promote the wellbeing for their children through observing proper breastfeeding as well as alienating themselves from things such as drug abuse and stress.

References

Department of Health. (2012). Koolin Balit: Victorian Government strategic directions for aboriginal health 2012–2022.

Jatkar, U., Anjou, M. D., & Taylor, H. R. (2017). Grampians— Closing the gap in indigenous eye health. The Medical journal of Australia, 206(2), 97-97.

Conway, J., Tsourtos, G., & Lawn, S. (2017). The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: A multiple case study. BMC health services research, 17(1), 1-13. 

Helson, C., Walker, R., Palermo, C., Rounsefell, K., Aron, Y., MacDonald, C. … & Browne, J. (2017). Is Aboriginal† nutrition a priority for local government? A policy analysis. Public health nutrition, 20(16), 3019-3028.

Laplante, D. P., Barr, R. G., Brunet, A., Du Fort, G. G., Meaney, M. L., Saucier, J. F., … & King, S. (2004). Stress during pregnancy affects general intellectual and language functioning in human toddlers. Pediatric research, 56(3), 400-410.

Victora, C. G., Bahl, R., Barros, A. J., França, G. V., Horton, S., Krasevec, J., … & Group, T. L. B. S. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475-490.