Abstracts Background This study explored the experiences of people from culturally and linguistically diverse (CALD) backgrounds in Greater Western Sydney, Australia, in selected livelihood items during COVID-19 and the perceived impacts of the pandemic on their lives. Methods A cross-sectional survey was used to collect data between 25 August and 30 September 2020 among CALD communities in Greater Western Sydney. Information was collected on respondents’ experiences in selected livelihood items, including housing, finances, safety, accessing social services and activities, finding work, food, clothing, and relationships during COVID-19 and the pandemic’s perceived impact on their lives. Descriptive and non-parametric statistics were used to analyze the data. Results One hundred and ninety-eight participants were included in the study, 45.5% male and 54.5% female. Many respondents reported their experience in the selected livelihood items as “worse” during COVID-19 at the time of the study. The feeling of safety was most disrupted, with 56% of respondents rating their experience as “worse”. This experience was followed by accessing social support group activities, with 50% of respondents stating their experience of using this service had worsened. The experience of accessing social services and financial situation was rated as “worse” by 41% of respondents. Experience in finding work, housing, and attending schools were all rated as “worse”. The median perceived impact of COVID-19 among respondents who rated their experience in the selected livelihood items as “worse” were statistically higher than those who rated their experience as the “same”. Respondents’ characteristics also predicted the perceived impact of COVID-19. Unemployed respondents were 3.53 (95% CI: 1.16–10.73, p = 0.026) times more likely to perceive the impact of COVID-19 on their lives as “high” compared to employed respondents. Conclusions The finding demonstrates that the “high” number of respondents had the same situation as before COVID-19 and highlights the level of resilience exhibited by CALD communities in the Australian context. It also suggests that services in Australia were good during the pandemic. However, enhanced policy and initiatives designed to meet the CALD population’s needs are required, particularly in the areas most reported to have been disrupted by changes associated with COVID-19.

Melbourne has a large and dynamic Greek community that began to form in the 1950s with migration to Australia in the years following the Second World War and the Greek Civil War. The elders of this community, in particular, have tried to ensure that their culture and traditions are kept alive and are handed down from generation to generation. The long history and cultural richness of the Greek tradition is a great source of pride to its members, and this is a key characteristic of the Greek community of Australia. Young and old Greek Australians speak of their country of origin with great pride and passion, as it remains central to their perception of nationality and ethnicity. This importance placed on the retention of the language and culture of their nation of origin means that cultural transmission across generations is of great significance to the community and can provide valuable insight into their interpretation of their own experiences. This paper will present findings from a three generation study about health beliefs and practices of women in the Melbourne Greek community. The experience of granddaughters, who represent the second Australian generation, and how they see their grandmothers' experience as migrants to Australia will be discussed. The impact of the Diaspora phenomenon and the creation of a Greek community in Melbourne will be considered in the context of health, memory, religion, Greek culture, food, and personal and group identity. Cultural Transmission and Maintenance of Identity The Assisted Passage Agreement made in 1952 between the Greek and Australia governments allowed for Greek people to migrate to Australia. This occurred post war, the time when Greece was occupied by the German-Italian forces during WWII and, following this, experienced a civil war that began a few months after the country was liberated. The civil war lasted from 1946

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Purpose Problems in health-care leadership are serious in West Sumatra, Indonesia, especially in hospitals, which are controlled locally. The purpose of this paper is to present the experience of three hospitals in balancing the conflicting demands of the national health-care system and the traditional model of leadership in the local community. Design/methodology/approach Three case studies of the hospital leadership dynamic in West Sumatra were developed from in-depth interviews with directors, senior administrators and a representative selection of employees in various professional categories. Findings An analysis of findings shows that traditional views about leadership remain strong in the community and color the expectations of hospital staff. Hospital directors, however, are bound by the modern management practices of the national system. This conflict has intensified since regional autonomy which emphasizes the local culture much more than in the past. Research limitations/implications The research was carried out in one Indonesian province and was limited to three hospitals of different types. Practical implications The findings elucidate a potential underlying cause of problems in hospital management in Indonesia and may inform culturally appropriate ways of addressing them. Originality/value The social and cultural contexts of management have not been rigorously studied in Indonesia. The relationship between local and national culture reported here likely has a similar effect in other parts of the country.

Young adults are a frequent target of health promotion campaigns in Australia yet there is evidence to suggest that this cohort has little understanding of the nature and intent of Public Health initiatives in their own environment. This paper describes the results of a study that evaluated the knowledge and understanding of public health of a sample of 333 first year health science students at an Australian University. Students were asked to submit photographs depicting their ideas about public health and accompany these with a written rationale for their choices. The results of the study suggest that the students at this level have a narrow interpretation of public health and do not understand the organized nature of public health efforts or the aims of such initiatives. This study provides important insight into the thinking of this cohort of young Australians, both in the context of preparing them for future careers in public health as well as in relation to their response to health promotion campaigns targeting them.

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