Social Effects of Fly-in-Fly-out and Drive-in-Drive-out Services for Remote Indigenous Communities

Abstract

The use of fly-in fly-out or drive-in drive-out (FIFO-DIDO) arrangements for health, human or social service provision in remote Indigenous communities has a wide range of social effects on those communities. These types of service provision are markedly different from those in urban and town environments in which service users go to the service providers and usually have more choices. In this paper we outline some of the forms FIFO-DIDO services, briefly compare the problems to urban regions, and then review the positive and negative social aspects of FIFO-DIDO services in remote regions of Australia. We provide a preliminary matrix of different contexts in which such services might arise and ways of improving them. We argue that despite problems, FIFO-DIDO services can be improved with changes in how the service providers approach the task, how the community make use of the service, and, perhaps most importantly, how the relationships are negotiated.

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