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Community Health Care In Nursing And Midwetry (NUM3511) Assessnent 3 Final

John Marsh
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Edith Cowan University

Community health care in nursing and midwetry (NUM3511)

Community health nursing assessnent 3 final

Project Title
Health Education Workshop for Aboriginal and Torres Strait Islander pregnant mothers who
live in Geraldton, Western Australia about the influence of alcohol on babies and children.
Population and Health issue
According to the 2016 Census, there were 3740 Aboriginal and Torres Strait Islander people
(ATSI) living in the Geraldton area of Western Australia (Australian Bureau of Statistic [ABS],
2018a). The percentage of the female were 50.5% and 49.5% were male (ABS, 2018a). ATSI
children aged 0-14 yeas were 34.5%, which indicates a relatively young community.
Approximately 36.7% of ATSI people were attending a primary school and 4.8 % were attending
tertiary or technical institution (ABS, 2018a). The census reports that 14.4% completed Year 12
as their highest level of education (ABS, 2018a). ATSI peoples who used english as a spoken
language at home was 87.4% (ABS, 2018a)
The National Aboriginal and Torres Strait Islander Social Survey (NATSISS 2014-15), report
showed that 30% of ATSI peoples over the age of 15 were exceeding the single occasion risk
guidelines for alcohol consumption, which is more than a certain number of standard drinks on
one single occasion (AIHW 2019a). Also, the report showed that 1 in 5 ATSI people (18.8%)
consumed more that 11 standard drinks at least once a month (AIHW, 2019a). This rate was
6.8% times the rate of non- Indigenous populations (AIHW, 2019a).
Alcohol consumption in the ATSI community is notably higher, 1303 per 100,000 compared
to165 per 100,000 for the non-Indigenous population (AIHW, 2019a). Consuming alcohol during
pregnancy is linked to serious conditions affecting child growth and development (AIHW,
2019a). Fetal Alcohol Syndrome Disorders (FASD) is the term that describes delayed
intellectual, behavioural, neurological and physical development due to excessive exposure to
alcohol during embryonic life (Ralph, 2017). FASD prevalence in the Western Australian
population is 0.26 per 1,000 birth (Mutch, Watkins & Bower, 2015). However, the prevalence of
FASD in ATSI peoples is 4.08 per 1,000 which represents 89% of all FASD cases in WA
(Mutch, Watkins & Bower, 2015). The percentage of ATSI mothers who drank alcohol during
pregnancy declined from 20% in 2008 to 9.8% in 2014-15. However, the risk is highly significant
among women who is chronically alcoholic (NATSISS, 2016. Craft et al., 2015). According to
national guidelines for pregnancy care (Australian Department of Health, 2019), there is no safe
limit of alcohol consumption during pregnancy. FASD came to public and government attention



Community Health Care In Nursing And Midwetry (NUM3511) Assessnent 3 Final

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