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Architecture can be very influential in enabling health and wellbeing in the residential built environment. In arid regions, health-supportive design would consider major environmental hazards, such as heat and dust, as well as social and cultural factors that influence household size and composition. Under current and projected conditions, the effects of climate change will increase, presenting opportunities and challenges to architects to demonstrate and deliver best practice in climate-appropriate and culturally appropriate housing design. This paper brings together a multidisciplinary team of researchers to identify the current and future needs for tropical semi-arid zone design with a focus on Indigenous communities in northern Central Australia. In a narrative review of the literature and exploratory fieldwork, current and projected impacts of climate change on housing, health, energy systems and behavioural practices are explored in a holistic way. Our findings demonstrate the growing awareness of climate-related issues for remote Indigenous housing but also the lack of place-based studies that might inform adaptation strategies. Overwhelmingly, there is limited understanding of local lived experiences that may be highly significant for developing resilience in a changing climate. Consideration of the beliefs, values and practices of Indigenous people will be integral to design solutions. [ABSTRACT FROM AUTHOR]

The nature and status of Indigenous knowledge is often debated, but the idea that Indigenous people's knowledge is local knowledge seems widely accepted: knowledge is place-based and may reference a range of places, from traditional land to other places known from social and cultural connections. Through collaboration with Koori people from the south coast of New South Wales to develop a web-based science resource, other distinctive characteristics of their knowledge emerged. This paper explores some transformations in contemporary Indigenous knowledge, while acknowledging the history of colonisation in south eastern Australia. A focus on two examples of Koori art demonstrates that Indigenous knowledge is contingent, contested and changing in culturally defined ways. These aspects are often overlooked in educational practice that essentialises Indigeneity and Indigenous people's knowledge. (Contains 3 figures.)

The theory of supportive design influences healthcare facility design but is under-researched for different cultural groups. This mixed-methods study compared two Indigenous sample populations in Australia to examine the effect of the physical environment in public hospitals and clinics on Indigenous people's perceptions and experiences of waiting for care. Quantitative survey data (n = 602) measured perceptions of relevant design attributes using paired images in a screen-based survey. Semi-structured interviews (n = 55) identified concerns about the physical healthcare environment including waiting rooms. Ceiling heights, seating arrangements and views to the outside were significant showing commonalities between perceptions of the two populations. The interviews revealed that cultural and social constructs, including privacy, fear, shame, and racism, were significant and that people's perceptions were influenced by colonization and independent of location. Our study highlights the importance of a cross-cultural approach to supportive design interventions for spatial and symbolic treatments of waiting areas. [ABSTRACT FROM AUTHOR]

Aim: This mixed-method study aimed to establish preliminary evidence for spatial and design features that can improve the experience and participation of Indigenous inpatients in healthcare. Background: Disadvantaged across a range of health measures, a disproportionately high number of Indigenous people leave hospital without receiving appropriate medical care. Australian government policies to improve cultural safety of Indigenous patients have largely ignored physical settings and their potential to improve health outcomes. Despite increasing evidence on the potential of design to reduce patient stress, there is minimal research on cross-cultural design in health facilities, including for Indigenous Australians. Methods: A cross-sectional, area-based survey elicited design preferences of four healthcare settings from Indigenous participants (n = 602). On the screen-based survey, participants selected from paired images that indicated their preferences for room layout and features of inpatient rooms. Semistructured in-depth interviews (n = 55) explored meanings behind preferences. Results: Participants showed majority preferences for the two-bed patient room, for a balcony rather than a window only, Indigenous art, and view of a park over an urban environment. Analysis of qualitative data shifted the focus from Ulrich's three supportive design components to cultural recognition, the desire for company of family members, and connection to life outdoors. Conclusions: Social and cultural factors were highly significant to patients for sense of control, family support, and positive distraction. In response, inpatient room size and type, views, access to outdoors and Indigenous art need to be considered in hospital design for Indigenous patients and families. [ABSTRACT FROM AUTHOR]

Mutton fish: the surviving culture of Aboriginal people and abalone on the south coast of New South Wales Beryl Cruse, Liddy Stewart and Sue Norman Aboriginal Studies Press, Canberra, 2004, [...]