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@ElsevierAUS

What have you experienced

in remote Australia that

has changed your world

view?

My first experience seeing remote

Australia was probably the biggest life

changing moment, in terms of my

experiences with rural and remote health.

I was raised in Brisbane, I’m a self-

confessed city girl, that’s something that

I really like and I’d never been anywhere

like that before. If you want to see the

social determinants of health in practice,

then going to a remote Indigenous

community is a really great thing to

do. However, it can be really sad and

I certainly found that it was really sad.

We live in Australia, that has so many

things to offer, and we have this

huge inequality in terms of health

and

educational

outcomes

with

Indigenous Australians and yeah, you

hear about it and you read about it,

but it’s so different to actually seeing it.

The communities that we were going

into, some of them are classified as being

the most disadvantaged communities in

both the state and Australia. So, you really

do see a lot of poverty. From the moment

we actually got off the plane and went to

the health clinic you could really see it.

You could see that the houses were run

down, some of the places didn’t have

doors on them, therewas a lot of pollution,

there were a lot of mangy dogs running

around and they looked quite sick.

Then when we got into the clinic, I

remember that there was a scabies

outbreak at the time, so a lot of the kids

had scabies. I saw a lot of head lice, not

that you don’t see these sorts of things

in Brisbane or in urban contexts, you do,

but it was much more prevalent there.

That really changed my world view and,

with a lot of the kids, you saw that certainly

they were quite sick and you could really

see that there was a disparity in health.

Another thing that I remember is that

you didn’t see a lot of old people. I didn’t

really understand why until I was driven,

from this first experience, to go and study

public health and I learnt that I didn’t

see any old people because Indigenous

Australian’s don’t tend to live until they’re

very old, particularly those who live in

those remote communities. So, I think it’s

quite interesting that my first experience

was also my most life changing.

‘These communities,

some of them are

classified as being the

most disadvantaged

communities in both

the state and Australia.

So, you really do see a

lot of poverty...’