Résumés
Abstract
Analysis of policies relevant to Aboriginal and Torres Strait Islander Peoples could help improve health outcomes—a critical challenge in Australia. While there are many health policy analysis frameworks, we did not find one which supported decolonising approaches across stages of the policy cycle. Generic frameworks were not based on decolonising approaches, and so risk perpetuating structural inequalities underpinning health disparities. Aboriginal and Torres Strait Islander specific frameworks articulated ways of working rather than addressing policy stages. We devised a new policy analysis framework by drawing upon Aboriginal and Torres Strait Islander specific and other policy analysis frameworks. The new framework can help critically analyse existing Aboriginal and Torres Strait Islander health policy and guide future policy making.
Keywords:
- evaluation,
- assessment,
- guideline,
- protocol,
- reform,
- self-determination,
- human rights,
- cultural safety,
- decolonising health policy,
- healthy policy frameworks,
- approaches to health policy analysis
Parties annexes
Bibliography
- Aboriginal Legal Service (NSW/ACT) Limited (2020). Submission to the Council of Attorney-General’s Public Consultation into the Age of Criminal Responsibility. https://www.alsnswact.org.au/submission_to_the_council_of_attorney_general_s_public_consultation_into_the_age_of_criminal_responsibility
- Altman, J. C. (2009). Developing a national Indigenous policy framework that recognises needs, rights and legacies and delivers results. Center for Aboriginal Economic Policy Research. https://caepr.cass.anu.edu.au/research/publications/developing-national-indigenous-policy-framework-recognises-needs-rights-and
- Amin, M., MacLachlan, M., Mannan, H., Tayeb, S. E., Khatim, A. E., Swartz, L., Munthali, A., Van Rooy, G., McVeigh, J., Eide, A., & Schneider, M. (2011). EquiFrame: A framework for analysis of the inclusion of human rights and vulnerable groups in health policies. Health and Human Rights, 13(2), 82-101. https://pubmed.ncbi.nlm.nih.gov/22957368/
- Anderson, I. (2008). An analysis of national health strategies addressing Indigenous injury: Consistencies and gaps. Injury, 39 (5), S55-60. https://doi.org/10.1016/S0020-1383(08)70029-9
- Arnstein, S. R. (2019). A ladder of citizen participation. Journal of the American Planning Association, 85(1), 24-34. https://doi.org/10.1080/01944363.2018.1559388
- Australian Human Rights Commission. (2005). Achieving Aboriginal and Torres Strait Islander health equality within a generation - A human rights based approach. https://www.humanrights.gov.au/publications/achieving-aboriginal-and-torres-strait-islander-health-equality-within-generation-human
- Australian Indigenous Doctors’ Association and Centre for Health Equity Training Research and Evaluation UNSW. (2010). Health Impact Assessment of the Northern Territory Emergency Response. https://aida.org.au/resources/health-impact-assessment-of-the-northern-territory-emergency-response/
- Australian Institute of Health and Welfare. (2020). Aboriginal and Torres Strait Islander Health Performance Framework 2020 summary report. https://www.indigenoushpf.gov.au/publications/hpf-summary-2020
- Baeza, J., Bailie, R., & Lewis, J. M. (2009). Care for chronic conditions for Indigenous Australians: Key informants’ perspectives on policy. Health Policy, 92, 211–217. https://doi.org/10.1016/j.healthpol.2009.03.012
- Bailie, J., Laycock, A., & Bailie, R. (2019). Submission to the Practice Incentives Program Indigenous Health Incentive Review. University Centre for Rural Health, University of Sydney. https://www.researchgate.net/publication/334587716_Submission_to_the_Practice_Incentives_Program_Indigenous_Health_Incentive_Review
- Bainbridge, R., Tsey, K., McCalman, J., Kinchin, I., Saunders, V., Lui, F. W., Cadet-James Y., Miller A., & Lawson, K. (2015). No one’s discussing the elephant in the room: Contemplating questions of research impact and benefit in Aboriginal and Torres Strait Islander Australian health research. BMC Public Health, 15(696). https://doi.org/10.1186/s12889-015-2052-3
- Banks, G. (2009). Evidence-based policy making: What is it? How do we get it? Productivity Commission. https://doi.org/10.22459/CRAPP.05.2009.10
- Banta, H. D. (2003). Considerations in defining evidence for public health. International Journal of Technology Assessment in Health Care, 19(3), 559-72. https://doi.org/10.1017/S0266462303000515
- Bhuyan, A., Jorgensen A., & Sharma S. (2010). Taking the pulse of policy: The policy implementation assessment tool. Group, Health Policy Initiative, Task Order 1. https://www.hrhresourcecenter.org/node/3930.html
- Black, K., & McBean, E. (2016). Increased Indigenous participation in environmental decision-making: A policy analysis for the improvement of Indigenous health. International Indigenous Policy Journal, 7(4). https://doi.org/10.18584/iipj.2016.7.4.5
- Bowen, S. A., Saunders, R. P., Richter, D. L., Hussey, J., Elder, K., & Lindley, L. (2010). Assessing levels of adaptation during implementation of evidence-based interventions: Introducing the Rogers-Rutten framework. Health Education & Behavior, 37(6), 815-830. https://doi.org/10.1177/1090198110366002
- Bowman, S., Unwin, N., Critchley, J., Capewell, S., Husseini, A., Maziak, W., Zaman, S, Ben Romdhane, H, Fouad, F., Phillimore, P., Unal, B. Khatib, R., Shoaibi, A., & Ahmad, B. (2012). Use of evidence to support healthy public policy: A policy effectiveness-feasibility loop. Bulletin of the World Health Organization, 90(11), 847-853. https://doi.org/10.2471/BLT.12.104968
- Bridgman, P., & Davis, G. (2004). The Australian policy handbook (3rd ed). Allen & Unwin.
- Browne, J., Hayes, R., & Gleeson, D. (2014). Aboriginal health policy: Is nutrition the 'gap' in 'Closing the Gap'? Australian and New Zealand Journal of Public Health, 38(4), 362-369. https://doi.org/10.1111/1753-6405.12223
- Browne, J., Coffey, B., Cook, K., Meiklejohn, S., & Palermo, C. (2018). A guide to policy analysis as a research method. Health Promotion International, 34(5) 1032-1044. https://doi.org/10.1093/heapro/day052
- Bruhn, J. (2014). Identifying useful approaches to the governance of Indigenous data. The International Indigenous Policy Journal, 5(2). https://doi.org/10.18584/iipj.2014.5.2.5
- Cairney, P. (2007). A ‘multiple lenses’ approach to policy change: The case of tobacco policy in the UK. British Politics, 2(1), 45-68. https://doi.org/10.1057/palgrave.bp.4200039
- Cairney, P., & Oliver, K. (2017). Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? Health Research Policy and Systems, 15(1), 35. https://doi.org/10.1186/s12961-017-0192-x
- Calma, T. (2007). Collaborative Indigenous policy development. Australian Human Rights Commission. https://humanrights.gov.au/about/news/speeches/collaborative-indigenous-policy-development
- Casey, M., Rohde, D., Brady, A. M., Fealy, G., Hegarty, J., Kennedy, C., McNamara, M., Nicholson, E., O'Connell, R., O'Connor, L., O'Leary, D., O'Reilly, P., & Stokes, D. (2019). Developing a new health‐related policy analysis tool: An action research cooperative inquiry approach. Journal of Nursing Management, 27(6), 1233-1241. https://doi.org/10.1111/jonm.12804
- Cheung, K. K., Mirzaei, M., & Leeder, S. (2010). Health policy analysis: A tool to evaluate in policy documents the alignment between policy statements and intended outcomes. Australian Health Review, 34(4), 405-413. https://doi.org/10.1071/AH09767
- Couzos, S. (2008). Introduction. In S. Couzos & R. Murray (Eds.), Aboriginal primary health care: An evidence-based approach (pp. xiii-xiix). Oxford University Press.
- Couzos, S., & Murray, R. B. (2008). Health, human rights, and the policy process. In S. Couzos & R. B. Murray (Eds.), Aboriginal primary health care: An evidence-based approach (3rd edition ed.) (pp. 29-73). Oxford University Press.
- Coveney, J. (2010). Analyzing public health policy: Three approaches. Health Promotion Practice, 11(4), 515-521. https://doi.org/10.1177/1524839908318831
- Cox, E. (2014). 'Work with us not for us' to end the Indigenous policy chaos. https://theconversation.com/work-with-us-not-for-us-to-end-the-indigenous-policy-chaos-35047
- Czyzewski, K. (2011). Colonialism as a broader social determinant of health. The International Indigenous Policy Journal, 2(1). https://doi.org/10.18584/iipj.2011.2.1.5
- Davis, M. (2016). Data and the United Nations Declaration on the Rights of Indigenous Peoples. In T. Kukutai & J. Taylor (Eds.), Indigenous data sovereignty toward an agenda. (pp. 25-38). Centre for Aboriginal Economic Policy Research College of Arts and Social Sciences. The Australian National University. https://doi.org/10.22459/CAEPR38.11.2016.02
- Dudgeon, P., Walker, R., Scrine, C., Shepherd, C. C. J., Calma, T., & Ring, I. (2014). Effective strategies to strengthen the mental health and wellbeing of Aboriginal and Torres Strait Islander people. Produced for the Closing the Gap Clearinghouse, 12. Australian Institute of Health and Welfare & Melbourne: Australian Institute of Family Studies. https://www.aihw.gov.au/reports/indigenous-australians/strategies-to-strengthen-mental-health-wellbeing/contents/table-of-contents
- Ellahi, A., & Zaka, B. (2015). Analysis of higher education policy frameworks for open and distance education in Pakistan. Evaluation Review, 39(2), 255-277. https://doi.org/10.1177/0193841X15570046
- Enserink, B., Koppenjan, J. F. M., & Mayer, I. S. (2013). A policy sciences view on policy analysis. (pp. 11-40). In W. A. H. Thissen & W. E. Walker (Eds.), Public Policy Analysis. Springer Science+Business Media, 11-40. https://doi.org/10.1007/978-1-4614-4602-6_2
- Germov, J. (2009). Imagining health problems as social issues. In J. Germov (Ed.), Second opinion: An introduction of health sociology. Oxford University Press. pp. 3-22
- Gilroy, J., Donelly, M., Colmar, S., & Parmenter, T. (2013). Conceptual framework for policy and research development with Indigenous people with disabilities. Australian Aboriginal Studies, 2, 42-58. https://www.questia.com/library/journal/1G1-354182122/conceptual-framework-for-policy-and-research-development
- Gilson, L., Orgill, M., & Shroff, Z. C. (Eds.). (2018). A health policy analysis reader: The politics of policy change in low- and middle-income countries. Geneva: World Health Organization. https://www.who.int/alliance-hpsr/resources/publications/hpa-reader/en/
- Gilson, L., & Raphaely, N. (2008). The terrain of health policy analysis in low and middle income countries: A review of published literature 1994-2007. Health Policy and Planning, 23(5), 294-307. https://doi.org/10.1093/heapol/czn019
- Haby, M., & Bowen, S. (2010). Making decisions about interventions: A guide for evidence-informed policy and practice. Prevention and Population Health Branch, Victorian Government Department of Health. https://www2.health.vic.gov.au/Api/downloadmedia/%7BD7759F46-FD35-48E4-AC4E-B8A4D78759B3%7D
- Hodge, W., & Davies, G. (2006, September 4-7). Evaluating policy with a modified “policy cycle” – the NSW Healthy School Canteen Strategy. Australian Evaluation Society International Conference, Darwin. https://www.aes.asn.au/images/images-old/stories/files/conferences/2006/papers/067%20Wendy%20Hodge.pdf
- Howlett, M. (2017). The criteria for effective policy design: Character and context in policy instrument choice. Journal of Asian Public Policy, 11(3), 245-266. https://doi.org/10.1080/17516234.2017.1412284
- Human Rights and Equal Opportunity Commission. (1997). Bringing them home: Report of the national inquiry into the separation of Aboriginal and Torres Strait Islander children from their families. Human Rights and Equal Opportunity Commission. https://humanrights.gov.au/our-work/bringing-them-home-report-1997
- Hunt, J. (2013). Engaging with Indigenous Australia—Exploring the conditions for effective relationships with Aboriginal and Torres Strait Islander communities, 5. Produced for the Closing the Gap Clearinghouse. Australian Institute of Health and Welfare & Melbourne: Australian Institute of Family Studies. https://www.aihw.gov.au/reports/indigenous-australians/engaging-with-indigenous-australia-exploring-the/contents/table-of-contents
- Jackson, D., Hutchinson, M., Barnason, S., Li, W., Mannix, J., Neville, S., Piper, D., Power, T., Smith, G. D., & Usher, K. (2016). Towards international consensus on patient harm: Perspectives on pressure injury policy. Journal of Nursing Management, 24(7), 902-914. https://doi.org/10.1111/jonm.12396
- Jackson, S., Tan, P-L., Mooney, C., Hoverman, S., & White, I. (2012). Principles and guidelines for good practice in Indigenous engagement in water planning. Journal of Hydrology, 474, 57-65. https://doi.org/10.1016/j.jhydrol.2011.12.015
- Kalisch, D., & Al-Yaman, F. (2013). Evaluating Indigenous programs and policies: Communicating the outcomes. Productivity Commission, Better Indigenous policies: the role of evaluation: Roundtable proceedings. Australian Government. https://www.pc.gov.au/research/supporting/better-indigenous-policies/11-better-indigenous-policies-chapter9.pdf
- Kelaher, M., Luke, J., Ferdinand, A., Chamravi, D., Ewen, S., & Paradies, Y. (2018). An evaluation framework to improve Aboriginal and Torres Strait Islander health. The Lowitja Institute. https://www.lowitja.org.au/page/services/resources/health-services-and-workforce/service-solutions/Evaluation-Framework
- Kemm, J. (2006). The limitations of ‘evidence-based’ public health. Journal of Evaluation in Clinical Practice, 12(3), 319-324. https://doi.org/10.1111/j.1365-2753.2006.00600.x
- Kennedy, C., O'Reilly, P., O'Connell, R., O'Leary, D., Fealy, G., Hegarty, J. M., Brady, A. M., Nicholson, E., McNamara, M., & Casey, M. (2019). Integrative review: Identifying the evidence base for policymaking and analysis in health care. Journal of Advanced Nursing, 75(12), 3231-3245. https://doi.org/10.1111/jan.14121
- Langer, E. M., Gifford, A. L., & Chan, K. (2011). Comparative logic modeling for policy analysis: The case of HIV testing policy change at the Department of Veterans Affairs. Health Services Research, 46(5), 1628-1645. https://doi.org/10.1111/j.1475-6773.2011.01283.x
- Larkin, S. (2006). Evidence-based policy making in Aboriginal and Torres Strait Islander health. Australian Aboriginal Studies, 2, 17-26. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1013.1796&rep=rep1&type=pdf
- Lattimore, B. F., O'Neil, S., & Besculides, M. (2008). Tools for developing, implementing, and evaluating state policy. Preventing chronic disease, 5(2), A58. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396984/
- Lokuge, K., Thurber, K., Calabria, B., Davis, M., Mcmahon, K., Sartor, L., Lovett, R., Guthrie, J. & Banks, E. (2017). Indigenous health program evaluation design and methods in Australia: A systematic review of the evidence. Australian and New Zealand Journal of Public Health, 41, 480-482. https://doi.org/10.1111/1753-6405.12704
- Lovett, R. (2016). Aboriginal and Torres Strait Islander community wellbeing: Identified needs for statistical capacity. In: Kukutai, T. & Taylor, J. (eds.) Indigenous data sovereignty toward an agenda. Centre for Aboriginal Economic Policy Research College of Arts and Social Sciences: The Australian National University. https://doi.org/10.22459/CAEPR38.11.2016.12
- Lovett, R., Lee, V., Kukutai, T., Cormack, D., Rainie, S. C. & Walker, J. (2019). Good data practices for Indigenous data sovereignty and governance. In: Daly, A., Devitt, S. K. & Mann, M. (eds.) Good Data. Institute of Network Culture. https://hdl.handle.net/10289/12919
- Mackean, T., Fisher, M., Friel, S., & Baum, F. (2020). A framework to assess cultural safety in Australian public policy. Health Promotion International, 35(2), 340-351. https://doi.org/10.1093/heapro/daz011
- Matthews, A., Pulver, L. R. J., & Ring, I. T. (2008). Strengthening the link between policy formulation and implementation of Indigenous health policy directions. Australian Health Review, 32(4), 613-25. https://doi.org/10.1071/AH080613
- Mitchell, T., Arseneau, C., Thomas, D., & Smith, P. (2019). Towards an Indigenous-informed relational approach to free, prior, and informed consent (FPIC). The International Indigenous Policy Journal, 10(4). https://doi.org/10.18584/iipj.2019.10.4.8372
- Monios, J. (2017). Policy transfer or policy churn? Institutional isomorphism and neoliberal convergence in the transport sector. Environment and Planning, 49(2), 351-371. https://doi.org/10.1177/0308518X16673367
- Morris, S. (2018). ‘The torment of our powerlessness’: Addressing Indigenous constitutional vulnerability through the Uluru Statement’s call for a First Nations voice in their affairs. University of New South Wales Law Journal, 41(3), 629-669. https://doi.org/10.53637/QKQA5656
- National Aboriginal Community Controlled Health Organisation. (2013). Investing in healthy futures for generational change 2013-2030, NACCHO 10 point plan. NACCHO. https://www.naccho.org.au/wp-content/uploads/2016/03/NACCHO-Healthy-Futures-10-point-plan-2013-2030.pdf
- National Congress of Australia's First Peoples. (2016). The Redfern Statement: Aboriginal and Torres Strait Islander peak organisations unite. National Congress of Australia's First Peoples. https://apo.org.au/node/67694
- National Constitutional Convention. (2017). Uluru Statement from the Heart. National Constitutional Convention. https://ulurustatement.org/the-statement
- Oetzel, J., Scott, N., Hudson, M., Masters-Awatere, B., Rarere, M., Foote, J., Beaton, A., & Ehau, T. (2017). Implementation framework for chronic disease intervention effectiveness in Māori and other Indigenous communities. Globalization and Health, 13(69). https://doi.org/10.1186/s12992-017-0295-8
- Pahlman, K. (2014). A critical examination of the idea of evidence‑based policymaking. The ANU Undergraduate Research Journal, 6, 83-93. https://doi.org/10.22459/AURJ.06.2014.09
- Palmer, G., & Short., S. (2000). Public policy analysis and health care. In Health care and public policy: an Australian analysis (3rd edition ed.). MacMillan Publishers Australia, pp. 22-37.
- Payne, B. K., & Vuletich, H. A. (2017). Policy insights from advances in implicit bias research. Policy Insights from the Behavioral and Brain Sciences, 5(1), 49-56. https://doi.org/10.1177/2372732217746190
- Pearson, N. (2014, 13 September 2014). 'Time to bring us into the nation’ through constitutional recognition. The Australian. https://www.theaustralian.com.au/commentary/opinion/time-to-bring-us-into-the-nation-through-constitutional-recognition/news-story/624b19f117e0bbb9c756fefdf7905bf9
- Phulkerd, S., Lawrence, M., Vandevijvere, S., Sacks, G., Worsley, A., & Tangcharoensathien, V. (2016). A review of methods and tools to assess the implementation of government policies to create healthy food environments for preventing obesity and diet-related non-communicable diseases. Implementation Science, 11, 15. https://doi.org/10.1186/s13012-016-0379-5
- Prior, D. (2007). Decolonising research: A shift toward reconciliation. Nursing Inquiry 14. https://doi.org/10.1111/j.1440-1800.2007.00361.x
- Productivity Commission. (2013). Better Indigenous policies: The role of evaluation roundtable proceedings. Productivity Commission. https://www.pc.gov.au/research/supporting/better-indigenous-policies/better-indigenous-policies.pdf.
- Productivity Commission. (2019). Indigenous Evaluation Strategy. Australian Government. https://www.pc.gov.au/inquiries/completed/indigenous-evaluation#report.
- Rigney, L. (2001). A first perspective of Indigenous Australians participation in science: Framing Indigenous research towards Indigenous intellectual sovereignty. Kaurna Higher Education Journal, 7, 1-11. https://ncis.anu.edu.au/_lib/doc/LI_Rigney_First_perspective.pdf
- Rudoler, D., Peckham, A., Grudniewicz, A., & Marchildon, G. (2019). Coordinating primary care services: A case of policy layering. Health Policy, 123(2), 215-221. https://doi.org/10.1016/j.healthpol.2018.12.002
- Rutten, A., Luschen, G., von Lengerke, T., Abel, T., Kannas, L., Rodriguez Diaz, J. A., Vinck, J. & van der Zee, J. (2003). Determinants of health policy impact: A theoretical framework for policy analysis. Soz Praventivmed, 48(5), 293-300. https://doi.org/10.1007/s00038-003-2118-3
- Schardt, C., Adams, M. B., Owens, T., Keitz, S., & Fontelo, P. (2007). Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Medical Informatics and Decision Making, 7, 16. https://doi.org/10.1186/1472-6947-7-16
- Shahjahan, R. A. (2011). Decolonizing the evidence‐based education and policy movement: Revealing the colonial vestiges in educational policy, research, and neoliberal reform. Journal of Education Policy, 26, 181-206. https://doi.org/10.1080/02680939.2010.508176
- Sherwood, J. (2013). Colonisation – It’s bad for your health: The context of Aboriginal health. Contemporary Nurse, 46(1), 28–24. https://doi.org/10.5172/conu.2013.46.1.28
- Swan, P., & Raphael, B. (1995). Ways forward. National Aboriginal and Torres Strait Islander Mental Health Policy National Consultancy Report. Australian Government Publishing Service. https://doi.org/10.1037/e676872010-001
- Sweet, M. A., Dudgeon, P., Mccallum, K. & Ricketson, M. D. (2014). Decolonising practices: Can journalism learn from health care to improve Indigenous health outcomes? Medical Journal Australia, 200, 626-7. https://doi.org/10.5694/mja14.00528
- Thorpe, A., Arabena, K., Sullivan, P., Silburn, K., & Rowley, K. (2016). Engaging First Peoples: A review of government engagement methods for developing health policy. https://www.lowitja.org.au/page/research/research-categories/health-policy-and-systems/monitoring-and-evaluation/completed-projects/engaging-first-peoples-review-government-engagement-methods-developing-health-policy
- Trezona, A., Dodson, S., Mech, P., & Osborne, R. H. (2018). Development and testing of a framework for analysing health literacy in public policy documents. Global Health Promotion, 25(4), 24-33. https://doi.org/10.1177/1757975918769616
- Tuah, N. A., Qureshi, S., Dhillo, W. S., & Majeed, A. (2011). Development and application of the Imperial College Obesity Strategy Assessment Framework for analysing local obesity strategies. Primary Health Care Research & Development, 12(2), 83-94. https://doi.org/10.1017/S1463423610000289
- United Nations General Assembly. (2007). United Nations Declaration on the Rights of Indigenous peoples. UN General Assembly. https://www.un.org/development/desa/indigenouspeoples/wp-content/uploads/sites/19/2018/11/UNDRIP_E_web.pdf
- Vujcich, D., Rayner, M., Allender, S., & Fitzpatrick, R. (2016). When there is not enough evidence and when evidence is not enough: An Australian Indigenous smoking policy study. Frontiers in Public Health, 4:228. https://doi.org/10.3389/fpubh.2016.00228
- Walt, G., Shiffman, J., Schneider, H., Murray, S. F., Brugha, R., & Gilson, L. (2008). 'Doing' health policy analysis: Methodological and conceptual reflections and challenges. Health Policy Plan, 23(5), 308-317. https://doi.org/10.1093/heapol/czn024
- Walter, M., & Suina, M. (2018). Indigenous data, indigenous methodologies and indigenous data sovereignty. International Journal of Social Research Methodology, 22(3), 233-243. https://doi.org/10.1080/13645579.2018.1531228
- Wharam, J. F., & Daniels, N. (2007). Toward evidence-based policy making and standardized assessment of health policy reform. Journal of the American Medical Association, 298(6), 676-679. https://doi.org/10.1080/13645579.2018.1531228
- Yu, P. (2012). The power of data in Aboriginal hands. Centre for Aboriginal Economic Policy Research ANU College of Arts & Social Sciences. https://caepr.cass.anu.edu.au/research/publications/power-data-aboriginal-hands
- Yunupiŋu, G. (1988). Barunga statement. Barunga Northern Territory: Northern Land Council and Central Land Council. https://aiatsis.gov.au/explore/articles/barunga-statement