Geelong community's priorities and expectations of public health care

Abstract This thesis set out to achieve the following objectives: (1) To identify the priorities and expectations that the Geelong community has of its public health care system. (2) To determine if there is a common view on the attributes of a just health system. (3) To consider a method of utilising the data in the determination of health care priority setting in Barwon Health. (4) To determine a model of community participation which enables ongoing input into the decision making processes of Barwon Health. The methodology involved a combination of qualitative and quantitative research. The qualitative work involved the use of focus groups that were conducted with 64 members of the Geelong community. The issues raised informed the development of the interview schedule that was the basis of the quantitative study, which surveyed a representative sample of 400 members of the Geelong community. Prior to reporting on this work, the areas of distributive justice, scarcity and community participation in health care were considered. The research found that timely access to public hospitals, emergency care and aged care services were the major priorities; for many people, the cost was less relevant than a quality service. Shorter waiting times and increased staffing levels were strongly supported. Increased taxes were nominated as the best means of financing the health system they sought. Community based services were less relevant than hospital services but health education was supported. An egalitarian approach to resource distribution was favoured although the community was prepared to discriminate in favour of younger people and against older people. There was strong support for the community to be involved in decision making in the public health care system through surveys or focus groups but very little support was given to priorities being determined by politicians, administrators and to a lesser extent, medical professionals.

Serving community : prosocial engagement in educational administration

The rise of managerialism in the 1990s entrenched bureaucratic practices as core education and training for educational administrators. As the educational divide between those who achieve and those who fall short continues to problematize the success of educational reforms, the work of administrators becomes critical to review. The current challenge for educational administration is to provide an environment that genuinely serves the interests of complex diversity and social justice in education systems by building the frameworks that respects differences, protects the weak, and regulates the strong. By taking a more prosocial stance with issues relating to cultural diversity, equity, and democracy, educational administration can transform society, the school, and the classroom, through humanistic and interpretive management practices, and influencing pedagogy, curriculum, educator training, and the socio-political system.

Sustainability in online communities of practice : the case study of a group of Secondary School Educators in Victoria

This paper reports on Information Technology (IT) secondary school educators in Victoria and their involvement in an online community of practice. It examined the social effects of the online mailing list technology on their participation and factors that influenced their collaboration with other colleagues. In mapping these elements, the motivations of educators and the effects on online communities of practice can be distilled and then used to build and sustain other architectures of participation. It was found that mailing list subscribers seem to trade a currency of support, thoughts, ideas and answers, which helped them in their day-to-day teaching. Online communities of practice provide a convenient way to keep up professional networks while continuing to stay abreast with subject specific knowledge and skills. The findings of this case study may be generalised to other educational mailing lists to guide designers and managers and inspire educators to join and ultimately benefit from these text based online environments.

Tutor and teacher timescapes : lessons from a home-school partnership

A partnership project was developed in which parents volunteered to support teachers
in training years 1-3 children in computer skills at a primary school in a small, low
socio-economic community. This article identifies the ways teachers and the ‘tutors’
(as the volunteers were called) understood the value of the project. ‘Being a teacher’
and ‘being a volunteer’ were structured by different forms of social engagement,
which in turn influenced the ways individuals were able to work with each other in
collaborative processes. We argue that the discursive practices encoded in homeschool-
community partnership rhetoric represent ruling-class ways of organising and
networking that may be incompatible with those of people from low socio-economic
backgrounds. When such volunteers work in schools their attendance may be sporadic
and short-term whereas teachers would like ‘reliable’ ongoing commitment. This
mismatch wrought of teachers’ and volunteers’ differing everyday realities needs to be
understood before useful models for partnerships in disadvantaged communities may
be realised.

Defining and measuring the outcomes of inclusive community for people with disability, their families and the communities with whom they engage

This paper explores the meaning of ‘inclusive community’ as understood by a major disability service provider in Victoria, Australia. Scope is a major non government agency with 1300 staff, a $50M annual budget and over 4500 clients. The recent adoption of a new Strategic plan for the organisation has focused significant attention on the priority area of building welcoming and inclusive communities. Given this mandate, the organisation has begun research to define and measure outcomes for people with a disability, their families, and the communities with whom they engage, as a result of increased community inclusion. This paper reviews literature on outcomes definition relevant to this task and suggests that outcome measures to date, especially within the field of disability, have offered a set of outcomes that are too limited in their aspiration and breadth. It has been the experience within Scope that people with a disability, including people with intellectual, multiple and complex disabilities, aspire to and experience outcomes across a far broader range of life domains than is currently captured in either existing disability outcome measures or in government policies that frame service delivery. As a result, the paper introduces an emerging outcomes framework which seeks to define outcomes across a range of citizenship domains.

Education to gain sustainability : analysis and approach from the experience obtained from two high school systems in mexican rural communities

The decade “Education for Sustainability” is just emerging and one of its goals emphasized the importance of considering the currícula in a transdisciplinary and community based programs. This includes recognizing local and regional interests as relevant topics into the currícula. “Education for sustainability” does not appear to have a strong basis on their actions as its theoretical discourse does. The study we present here about content analysis in the curricula of two high schools systems in rural Mexican communities is an example. In this research we analyzed: 1) how the curricula is oriented towards forest management and the way is connected to the social reality of the communities; 2) how does the learning process develops in the classroom and its dynamics with teachers and students and 3) how does the environmental learning take place. Results revealed that more research is needed with adolescents in order to change the educational structure in rural Mexican high schools.

Environmental learning in adolescents from a Mexican community involved in forestry

Education can generate knowledge and foster a change in attitude provided that people feel individually and collectively responsible for the state of the environment. San Juan Nuevo Parangaricutiro is an internationally recognised indigenous community located in western Mexico that manages its forest sustainably through a community-based forest enterprise. However, recent research has shown that both children and young people from the community show little interest in participating in forest activities or working in forest enterprise and have a poor standard of environmental knowledge. Our research project assessed the environmental learning process of 32 high-school pupils in three settings: at school at home and in a forest enterprise. The opinions of teachers and adults of teaching subjects which focus on communal forest management were collected using various methods (questionnaires, observation and interviews) and analysed. The results show that school and home alike are important places for learning. However, environmental issues were not much addressed in the schoolroom or in conversations between parents and children. Furthermore, no connection between the activities of the forest enterprise and the school curriculum was found.

Are adolescents from a forest community well-informed about forest management?

The indigenous community of San Juan Nuevo Parangaricutiro in Mexico has been engaged in a successful Community Forest Enterprise employing sustainable management practices since 1981. These environmental practices do not seem to be reflected in the educational programmes developed at school. In this study, the environmental knowledge and interest of 102 students at high-school (15 to 18 years old) towards forestry management were analysed. The association between their knowledge and interests in environmental issues was also estimated. These analyses examine their interest in forest management as potential employment and the effect of the educational system on environmental learning. A combination of quantitative and qualitative methods was used. Results showed that environmental concepts were poorly understood despite their inclusion in the curriculum. Adolescents did not envisage working in the forest in the future because they showed no interest in forest activities. Educational implications and strategies to encourage adolescents to become involved in community forest management are crucial for conservation.

School and local environmental knowledge, what are the links? A case study among indigenous adolescents in Oaxaca, Mexico.

Understanding environmental learning is the first step to constructing successful environmental education programs. Little research has addressed the relation between the environmental knowledge learned inside and outside schools. Environmental educators and ethnobiologists have worked independently, without assessing how school and local environmental knowledge relate to each other. This research examines school and local environmental knowledge acquisition of 95 Mexican indigenous adolescents. Multivariate regression analysis was used to assess (1) school and local environmental knowledge overlap and (2) the association between individual environmental knowledge and socio-demographic characteristics. Data show that school and local environmental knowledge are not associated in a statistically significant way. A possible explanation for the finding is that the two forms of knowledge are complementary because they exist in parallel. Adolescents’ school and local environmental knowledge is associated with their level of schooling, but not with parental occupation in community forestry. The use of traditional pedagogical practices at school and the loss of traditional culture at home might hamper indigenous adolescents’ environmental learning.

A community development perspective on behaviour change programs for men

This thesis utilised the inductive Grounded Community Development Research method to examine programs that aim to educate men in non-violent, abusive and controlling ways of relating to others. This study concluded with specific recommendations including working more closely with the legal system, assessing long term program outcomes and improving partner contact.

Three-part ecological model of community reintegration of ex-prisoners

Seventy nine prisoners completed a questionnaire before and after prison release. Drug use and health ratings changed over time, while employment and housing stability, finance, and social support did not. Participants had higher depression and anger before leaving prison, but anxiety remained low. Several life conditions predicted current emotional state.