This essay intends to give a critical analysis of interagency working to promote the health of ethnic minority women suffering from domestic violence. The essay starts with a definition of health and then briefly looks at varying definitions of public health and how these definitions lend credence to need for interagency working in public health. The essay then looks at the social construct of community and minority communities (BME) in England and Wales, health inequalities and the geographical spread of inequalities across areas of deprivation and the spearhead authorities with a brief discussion on the social determinants of health. This will be followed by a definition of domestic violence and how the concept of culture, especially in minority communities impacts on domestic violence and how domestic violence among ethnic minority women relates to public health. There will be a discussion on two models of health that can be used to formulate interventions which are relevant to the needs of ethnic minority. The last part of the essay will discuss the role organisations can play to support victims of domestic violence and how the structure and culture of the organisation can influence positive outcomes and enhance better interagency working. Finally, a critical analysis of interagency working will be given suggesting how services can be improved.
Health as defined by the world health organisation is “a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity (Bury 2005). According to the world health organization, “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The term public health has been variously defined by scholars. Winslow (1920) cited in Maurer et al (2005) defined Public health as “a social activity that builds a comprehensive program of community service”. Winslow’s definition of public health incorporates environmental sanitation; infections control, personal hygiene; early diagnosis and preventative treatment all achieved through organised community efforts. Rothstein (2002) as cited in Verweij and Dawson (n.d) sees public health as the role of the government in taking action to protect the health of the public. However, Rothstein shifts the boundaries even further and does not see the “human rights as public” argument because “just because war, crime, hunger, poverty, illiteracy,, homelessness, and human rights abuse [including domestic violence] interfere with the health of individuals and populations, does not mean that eliminating these conditions is part of the mission of public health”(Rothstein 2000). Rothstein’s argument lends credence to the need for a multi-sectoral or interagency approach to tackling public health and societal problems like domestic violence that affect the health and wellbeing of individuals and populations.
A key element that cuts...