• Subject Name : Nursing

Experiences of People from Refugee Backgrounds with Disability Living in Australia

Table of Contents

Introduction to the Issue.

Present Policies.

Evidence supporting change.



Venue, Location and Staffing for the program..

Sustainability of program..



Reference List

Introduction to the Issue

The facility of Primary Healthcare in Australia for disabled Australian and “Aboriginal and Torres Strait Islander” is full of major barriers. As per AIHW or "Australian Institute of Health and Welfare 2017", total 4.4 Australian people have been leading lives with disabilities. Australia whereas has 787000 aboriginal people who also require primary healthcare supports. It has been found that even after having relevant primary healthcare policies, there are major pitfalls in supporting these disabled and aboriginal people with primary healthcare. Inadequate education, accessibility, transport, affordability, availability and discrimination are some prime barriers to healthcare for the disabled (Whittle et al., 2018). Less individualized healthcare support and information are the major deficits behind such faulty primary care support. Geographic isolation, affordability and availability are also the prime barriers to Aboriginal people’s primary care.

Present Policies

There are many existing policies outlined by the Australian government and Healthcare institute for supporting the primary care needs of the aboriginal and disabled person.

  • “National Disability Insurance Scheme” is there for funding the disabled people and their care-giver or families.
  • ICU or “Inclusive Care Unit” whereas aims to serve 24*7 emergency support to the disabled.
  • The Federal government-aided “A+TSI Australians 2020-2025” policy whereas ensures the social and healthcare needs of the Aboriginals.

Evidence Supporting Change

The A+TSI policy has shortcomings to address the cultural and social health determinants. There are also less culturally proper PWC services for these A+TSI people. It seems that more robust healthcare strategies here are required for these A+ TSI populations of Australia. The disabled people in Australia also face major barriers in terms of less individualized healthcare and information support (King et al., 2017). Hence, such major drawbacks in the existing primary healthcare policies require some immediate changes.


Considering the present primary healthcare gaps in Australia, one fictitious program named “Improving the Primary Healthcare facility implementation planning” will be outlined here. The aims of this plan are as follows:

Aim 1: To improve the infrastructure of emergency care and support in Australian healthcare so that the disabled people can have affordable and 24*7 available healthcare assistance.

Aim 2: To ensure more culturally-proper PWC support to the A+TSI people by fostering improved collaboration (Young et al., 2017)

Aim 3: To ensure enough information flow regarding healthcare services to the A+TSI and disabled people in Australia


The following strategies will be there for fulfilling the above-mentioned aims:

Strategy 1: Employing more professional healthcare workers from the aboriginal culture. They can act as the immediate mediator within the A+TSI people and the primary healthcare context. 

Strategy 2: Ensuring that the services provided to disabled people are affordable enough. The individualized healthcare institutions and professionals will also be enhanced with time. 

Strategy 3: Ensuring that the official websites for the A+TSI and disabled include more relevant information on healthcare services. It can help to mitigate the issue of less information (Jackson et al., 2019).

Strategy 4: Organising more awareness events to ensure the A+TSI and disabled people regarding their proper healthcare support. The existing employees will be trained more to serve more efficiently.

Venue, Location and Staffing for The Program

This considered program will be held under the Australian Healthcare department and will also be funded by Australian healthcare polices and other political sources. There will be near about 200 staffs working on this program and the staff will be served monthly salaries. The professionals as doctors, healthcare staff, nurses and caregivers will be employed as the human resource for this program. Employees will be employed from culturally diversified context and will include even the aboriginals (Henderson et al., 2018). One team will be working on improving the available information on the official websites. There will also be trainers who will constantly train the existing employees to serve more effective care to the disabled and T+ASI population. The employees who will be more efficient and dedicated will also be rewarded with incentives. More government-aided financial support will also be sought after for this program with passing time.

Sustainability of Program

This program will be outlined for long-term orientation. The regular progress of the program will be evaluated. Thus the program will be demonstrated on long-term future context. It will be made sure that this program satisfies the fulfillment of all its goals.


The emergency services and the awareness provided to the T+ASI and disabled people will be fully free. The program will be dedicated to improve the existing infrastructure of primary healthcare in Australia. There will although be some advanced medical schemes for the disabled. For availing these improved services, the disabled people need to pay extra charges.

Conclusion on Primary Healthcare Facility Management Plan

It is thus hoped that this considered program will be fully successful in strengthening the existing infrastructure in Australian Primary healthcare. The overall healthcare needs of the disabled and T+ASI people is hoped to be fulfilled thus. The existing gaps in the Australian primary healthcare policies thus can also be mitigated at large.

Reference List for Primary Healthcare Facility Management Plan


Henderson, J., Javanparast, S., MacKean, T., Freeman, T., Baum, F. and Ziersch, A., 2018. Commissioning and equity in primary care in Australia: Views from Primary Health Networks. Health & social care in the community26(1), pp.80-89.

Jackson, M., Stewart, R.A. and Beal, C.D., 2019. Identifying and Overcoming Barriers to Collaborative Sustainable Water Governance in Remote Australian Indigenous Communities. Water11(11), p.2410.

King, J., Edwards, N., Correa-Velez, I., Hair, S. and Fordyce, M., 2017. Disadvantage and disability: Experiences of people from refugee backgrounds with disability living in Australia.

Whittle, E.L., Fisher, K.R., Reppermund, S., Lenroot, R. and Trollor, J., 2018. Barriers and enablers to accessing mental health services for people with intellectual disability: a scoping review. Journal of Mental Health Research in Intellectual Disabilities11(1), pp.69-102.

Young, C., Tong, A., Gunasekera, H., Sherriff, S., Kalucy, D., Fernando, P. and Craig, J.C., 2017. Health professional and community perspectives on reducing barriers to accessing specialist health care in metropolitan Aboriginal communities: A semi‐structured interview study. Journal of paediatrics and child health53(3), pp.277-282.

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