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Table 1 Summary of key issues in the 2006 cancer council environmental scan

From: Making progress: the role of cancer councils in Australia in indigenous cancer control

Theme

Key issue

Collaboration

> Difficulties in building and sustaining relationships with Indigenous organisations.

> No Indigenous members on Cancer Council Boards

> Lack of Indigenous input into policy and programs

Workforce

> Lack of Indigenous staff working within the organisations

> Many demands placed on the few Indigenous staff members

> Some Indigenous staff were uncomfortable working in a mainstream organisation without Indigenous colleagues providing peer-support

Resources

> Indigenous health agencies were under-resourced to respond and cancer was not prioritised among many competing social and health issues

> Lack of dedicated staff time for Indigenous issues

> Few Indigenous-specific resources

Commitment

> Few planned, long-term commitments to improving Indigenous cancer control

> Lack of commitment of significant resources on a sustained basis

Cultural appropriateness

> Lack of understanding of Indigenous culture and hence the “right” way to do things

 

> Recognition that Western psychosocial and support models for cancer might not be appropriate for Indigenous clients