Critical analysis of an individual case study
Diversity, Culture and Health
Critical analysis of an individual case study in Australia
Unit content relevant to this assessment
The material, concepts and theories from modules one to four are pertinent to this assessment.
The assessment relates in particular to the following:
• Causes of disparities in health. (Health Inequalities & Health Inequities)
• Impact of marginalization and exclusion on health status.
• Distribution and history of health inequalities among Aboriginal and Torres Strait Islander peoples.
• Economic and environmental impacts on health status.
Learning outcome relevant to this assessment;
Evaluate the roles of history, power, privilege and structural inequality in producing health disparities
• PLEASE MAKE AS (Word count: 2000 maximum)
Supporting your work with references
You are expected to support your work throughout with appropriately cited academic material (referenced evidence). Sources of this evidence include recent text books
on public health (5 years or less especially for data or statistics / facts it is ok to have out of date) or a related subject, peer reviewed journals and reliable
public health websites.
A minimum of (20) sources is required consider to be in Australia.
Assessment structure
The assessment should include an overall introduction and conclusion. Headings and subheadings may be used.
Questions must be answered in order. Complete the assessment using topic paragraphs, ensuring good logical flow throughout.
Assessment format
Please follow the APA assessment format. This includes 1.5 or double spacing, indenting paragraphs, Arial 11 or Times New Roman font 12 and correct formatting and
ordering of reference list (alphabetical order of first author and hanging indents).
Case study
Kylie is a 17 year old Aboriginal girl living in a remote community in Western Australia with her four younger siblings and two aunts, both of whom are in poor
physical health. Her 19 year old boyfriend Eddie regularly stays at the home. Her mother had type-two diabetes and recently died from complications due to renal
failure in a hospital four hour’s drive from home. Both her aunties were part of the Stolen Generation (taken from their family home as children and raised in a
Christian Children’s home) where they suffered physical and sexual abuse. Kylie and Eddie both left school at the age of 14.
Kylie now helps look after her younger siblings and aunts. Eddie gets casual work when it is available; however the family relies heavily on welfare benefits. Neither
Eddie nor Kylie drink alcohol; however, both regularly smoke tobacco.
The family lives in an overcrowded two-bedroom house which has inadequate ventilation and requires modernisation and improvement of basic sanitation and food
preparation facilities. Few people in her community speak English as a first language, including Kylie, her boyfriend and her family. Kylie and her family have no
access to a car; the community is isolated geographically and has poor public transport services. The local store has a limited supply of fresh fruit and vegetables.
The nearest health facility is the Medical Centre, which is 20 kilometres away. The community experiences high levels of unemployment, and there are few local job
opportunities. There are no active community groups and the only social facility is a small bar selling beer and other alcohol.
Kylie is pregnant with her first child. Last week she attended a medical centre for the first time in her pregnancy, at 8 months gestation. Medical examinations
revealed the baby was small for its gestation and Kylie was suffering from a chest infection.
Read the following case study carefully and answer the following questions:
What might be the contributing factors to?
1. Kylie’s non-attendance at the Medical Centre until 8 months into her pregnancy? (15 marks)
2. The baby being smaller than expected for its gestation? (15 marks)
Your answers must demonstrate a critical analysis of the case study and must be supported with reference to relevant theories (please see below) and concepts relating
to health inequity, including structural and psychosocial influences.
HOWEVER no single theory can be viewed as the only correct explanation of inequity. Recognition must be made of the potential influence across all theories, dependent
on context
A number of theories have been proposed to explain health inequities:
1. artefact explanations
2. theories of natural or social selection
3. cultural / behavioural explanations
4. materialist or structuralist explanations
5. psycho-social / social capital explanations (Germov, 2009, p. 93).
Marking rubric Criterion/ level achieved Fail (N) Pass (P) Credit (CR) Distinction (D) High Distinction (HD) Total marks
Relevance of answer to assignment task (are the questions answered fully?) The questions are inadequately answered. An insufficient amount of relevant information is
included. The questions are sufficiently answered with a satisfactory inclusion of relevant information. The majority of information included is relevant, but the
questions are not fully answered. The questions are fully answered. The majority of the information is relevant to the topic. The questions are fully answered with all
the information relevant to the topic. 6
All answers are supported by cited evidence from relevant, recent and reliable sources
Work is insufficiently supported by relevant cited sources
Satisfactory inclusion of cited material, however some of which is dated or of questionable reliability/relevance/ some inappropriate use of referenced work.
Satisfactory inclusion of relevant cited material within the work
Wide sourcing of relevant cited material within the majority of the work
Underpins all work with relevant cited material throughout
6
Answers are supported with reference to relevant theories and concepts relating to health inequity, including structural and psychosocial influences.
Insufficient relation/application shown
Limited relation/application, with some areas of confusion and errors
Demonstrates satisfactory relation/ application
Demonstrates a good level of relation/application
Demonstrates an excellent and consistent relation/application
6
Evidence of ability to critically analyse the case study information supplied
Work is limited to description
Work is mainly descriptive with little critical analysis attempted
Satisfactory evidence critical analysis
Good level of critical analysis
Excellent and consistent level critical analysis throughout
6
Logical flow: including headings, overall introduction and conclusion and subject paragraphs. High amount of disjointed work (problems with logical flow) Moderate
levels of disjointed work (problems with logical flow) Work shows satisfactory structure and logical flow overall Good structure and logical flow to the majority of
the work Excellent structure and logical flow throughout 2
Presentation: including formatting, grammar, spelling and style
High number of errors which severely impact on the readability/comprehensibility of the work in places
Moderate to high number of errors which impact on the readability/comprehensibility of the work in places
Moderate number of errors
Minimal number of errors in presentation
Few, minor errors in presentation
2
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