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Effectiveness of the Koorliny Moort out-of-hospital health care program for Aboriginal and Torres Strait Islander children in Western Australia

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There is a well documented disparity between health outcomes for Aboriginal and Torres Strait Islander children and those for the non-Aboriginal Australian population.1 The reasons for this disparity are complex and multifactorial. Aboriginal children in remote areas are more likely to suffer from infectious illnesses as a direct result of factors such as overcrowded housing.2 There is also concern about the increasing risk of diabetes, obesity, and the social and emotional wellbeing of Aboriginal children living in both urban and rural environments.35

Despite this high burden of disease, Aboriginal children and their families are less likely to interact with health care services.2,6,7 Contributing factors to this lack of engagement include racism, lack of cultural security, restricted access to and choice of services, inadequate community consultation, and prior negative health care experiences.6,810 In addition, many services are not perceived as welcoming to Aboriginal families.1