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Research article
Odette Pearson
South Australian Health and Medical Research Institute
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9877-6509
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Background Indigenous populations globally are continually striving for better health and wellbeing due to experiencing significant health and social inequities. The social determinants of health are important contributors to health outcomes. Comprehensive primary health care that is governed and delivered by Indigenous people extends beyond the biomedical model of care to address the social determinants of health. Aboriginal Community Controlled Health Organisations (ACCHOs) are known to provide culturally informed, holistic health services that directly and indirectly address the social determinants of health. The range and extent of their activities in addressing the social determinants of health, however, is not well documented.
Methods The most recent ACCHO annual reports were retrieved online or by direct correspondence. For coding consistency, a dictionary informed by the World Health Organization’s Conceptual Framework for Action on the Social Determinants of Health was developed. A document and textual analysis of reports coded ACCHO activities and the determinants of health they addressed, including intermediary determinants, socio-economic position and/or socio-political context. Summary statistics were reported. Representative quotes illustrating the unique nature of ACCHO service provision in addressing the social determinants of health were used to contextualise the quantitative findings.
Results Sixty-seven annual reports were collected between 2017 and 2018. Programs were delivered to population groups across the life span. Fifty three percent of reports identified programs that included work at the socio-political level and all annual reports described working to improve socioeconomic position and intermediary determinants of health through their activities. Culture had a strong presence in program delivery and building social cohesion and social capital emerged as themes.
Conclusions This study provides evidence of the considerable efforts of the ACCHO sector, as a primary health care provider, in addressing the social determinants of health and health inequity experienced by Indigenous communities. For the Aboriginal and Torres Strait Islander population, ACCHOs not only have an essential role in addressing immediate healthcare needs but also invest in driving change in the more entrenched structural determinants of health. These are important actions that are likely to have an accumulative positive effect in closing the gap towards health equity.
Keywords
Social determinants of health, Aboriginal community-controlled primary health care, Indigenous, Primary health care
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CURRENT STATUS: Published
View the published article at BMC Public Health.
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On 20 Nov, 2020
Editorial decision: Accept
On 18 Nov, 2020
No comments provided
Submission checks complete
On 17 Nov, 2020
Editorial decision: Minor revision
On 12 Nov, 2020
Version 1
Posted 09 May, 2020
No comments provided
Editorial decision: Minor revision
On 27 Oct, 2020
Review #2 received
Received 22 Oct, 2020
Reviewer #2 agreed
On 29 Jun, 2020
Review #1 received
Received 27 Jun, 2020
Reviewer #1 agreed
On 05 Jun, 2020
Reviewers invited
Invitations sent on 20 May, 2020
Editor assigned
On 01 May, 2020
First submitted
On 30 Apr, 2020
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On 30 Apr, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Odette Pearson
South Australian Health and Medical Research Institute
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9877-6509
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 20 Nov, 2020
Editorial decision: Accept
On 18 Nov, 2020
No comments provided
Submission checks complete
On 17 Nov, 2020
Editorial decision: Minor revision
On 12 Nov, 2020
Version 1
Posted 09 May, 2020
No comments provided
Editorial decision: Minor revision
On 27 Oct, 2020
Review #2 received
Received 22 Oct, 2020
Reviewer #2 agreed
On 29 Jun, 2020
Review #1 received
Received 27 Jun, 2020
Reviewer #1 agreed
On 05 Jun, 2020
Reviewers invited
Invitations sent on 20 May, 2020
Editor assigned
On 01 May, 2020
First submitted
On 30 Apr, 2020
Submission checks complete
On 30 Apr, 2020
Editor invited
On 30 Apr, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background Indigenous populations globally are continually striving for better health and wellbeing due to experiencing significant health and social inequities. The social determinants of health are important contributors to health outcomes. Comprehensive primary health care that is governed and delivered by Indigenous people extends beyond the biomedical model of care to address the social determinants of health. Aboriginal Community Controlled Health Organisations (ACCHOs) are known to provide culturally informed, holistic health services that directly and indirectly address the social determinants of health. The range and extent of their activities in addressing the social determinants of health, however, is not well documented.
Methods The most recent ACCHO annual reports were retrieved online or by direct correspondence. For coding consistency, a dictionary informed by the World Health Organization’s Conceptual Framework for Action on the Social Determinants of Health was developed. A document and textual analysis of reports coded ACCHO activities and the determinants of health they addressed, including intermediary determinants, socio-economic position and/or socio-political context. Summary statistics were reported. Representative quotes illustrating the unique nature of ACCHO service provision in addressing the social determinants of health were used to contextualise the quantitative findings.
Results Sixty-seven annual reports were collected between 2017 and 2018. Programs were delivered to population groups across the life span. Fifty three percent of reports identified programs that included work at the socio-political level and all annual reports described working to improve socioeconomic position and intermediary determinants of health through their activities. Culture had a strong presence in program delivery and building social cohesion and social capital emerged as themes.
Conclusions This study provides evidence of the considerable efforts of the ACCHO sector, as a primary health care provider, in addressing the social determinants of health and health inequity experienced by Indigenous communities. For the Aboriginal and Torres Strait Islander population, ACCHOs not only have an essential role in addressing immediate healthcare needs but also invest in driving change in the more entrenched structural determinants of health. These are important actions that are likely to have an accumulative positive effect in closing the gap towards health equity.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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