NACCHO Chair Justin Mohamed speech – NACCHO Health Summit 2014

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As a Goorang Goorang man from Bundaberg QLD I would like to commence by formally acknowledging the traditional owners and custodians of land upon which we meet today and pay my respects to elders both past and present. 

Today my topic is ‘investing in community controlled health makes economic sense.

I don’t need to tell most of you in the room here today that putting resources into community controlled health can have a great impact: not only in closing the health gap between Aboriginal and mainstream Australia, but also in providing employment and training opportunities and  giving an economic boost to Aboriginal and mainstream communities.

Indeed we heard many great examples of this in the presentations and workshops yesterday. There is some amazing work being done across many critical areas within local Communities and I am looking forward to hearing more success stories as the Summit continues over the next two days.

We have all known that Aboriginal Community Controlled Health Services have a flow effect into their communities – indeed most people in this room would have seen it in action.

But at times it has had its challenges for us to provide the definitive proof when asked by policy makers or funders.

Which is why last year NACCHO commissioned research into the economic benefits of Community Controlled Health Services.

We wanted to have something tangible, something that clearly articulated what we were seeing in individual services every day, was a reality across all our services and across the Nation.

So we bought in respected health economist Dr Katrina Alford, where she spent time analysing the statistics that are publicly available, reviewing the data, talking to our services and compiling a comprehensive report which we were fortunate to have been invited to launch earlier this year at the National Press Club.

Of course the report showed just what we had thought it would – that the multiplier effect of our services in terms of employment, training and improving participation of our people is significant.

Our services are large-scale employers of Aboriginal people and in fact the main source of employment in many of our communities.

Lets take a look at a service, one used as a case study in the report – Mulungu.

Mulungi is in Mareeba in far north Queensland, on the Atherton Tablelands about an hour west of Cairns. Mareeba has a population of around 10,000 people and about thirteen per cent of those are Australia’s First Peoples.

Mulungi provides employment for 41 people in this small town, thirty being Aboriginal and Torres Strait Islander people from the local community. Aboriginal employment at Mulngu accounts for more than 12 per cent of all the Aboriginal employment in the area and wages and salaries in excess of $2.6 million a year

That’s a huge economic contribution, not just to the local Aboriginal community, but to the broader community of Mareeba.

Mulngu is not alone. Our 150 Aboriginal Community Controlled Health Services employ more than 5,500 people across the country and more than 3,500 of those are Aboriginal and Torres Strait Islanders.

That’s a very high number of people who have meaningful, secure jobs – participating in the labour market and in many cases effectively breaking the welfare cycle that can persist in some of our communities.

Further, these jobs are predominantly skilled occupations – Aboriginal Health Workers, doctors, nurses, health professionals, finance, IT, medical transport and administrative staff.

They provide wages and salaries that are much higher than the average Aboriginal Australian income which is use to support their families, take into their communities and boost regional economies.

The ripple effect of this employment cannot be underestimated and so our services are providing a solution to one of the key challenges we need to address if we are to reduce the chronic unemployment rates of our people.

Dr Alford’s report also found that alongside employment, Aboriginal Community Controlled health services provide extensive education and training opportunities for Aboriginal people.

Many of us here today, including myself can testify of the opportunities and experiences that were made available to many of us as younger Aboriginal & Torres Strait Islander men and women starting out our careers were given through our local Aboriginal Community Controlled Health Organisations.

This includes being mentored by inspiring, incredible and visionary Aboriginal people  – that taught us the importance of “Aboriginal health in Aboriginal hands”.

Learning on the job, raising educational levels and earning our stripes along the way. I doubt whether we could have achieved so much if it hadn’t been for opportunities and privileges to learn and be developed in such a nurturing and culturally sensitive environment.

Sadly however, although we are slowly seeing some improvements, many of the Aboriginal and Torres Strait Islander health workforce suffer institutionalized racism in the mainstream system and many have their career paths stunted.

Yet, in an Aboriginal Community Controlled Health environment, the Aboriginal and Torres Strait Islander health workforce employees in the main flourish.

And as they do so they provide culturally appropriate, culturally safe, holistic health care which our people want to use.

They combine clinical know-how with culturally enriched local knowledge and wisdom.

We are seeing demand for our services rising at a rate of six per cent a year as more and more of our people seek our the care of the local services where they know they will be treated without judgment, but with respect and dignity.

People come to use our Services from far and wide – there are many examples of /Community members traveling many kilometres and considerable time to access our member services and in some cases by-passing mainstream health services on the way to our “culture centres of Comprehensive Primary Health Care”

 

Aboriginal Community Controlled Health Organisations

The trend toward Aboriginal people seeking check ups at their local Aboriginal Community Controlled Health service means we are starting to diagnose earlier, make real inroads into reducing risk taking behavior’s like smoking, and putting preventative health measures in place.

And as a result it is our services that are reducing child mortality by 66 per cent, and reducing overall Aboriginal and Torres Strait Islander mortality rates by 33 per cent.

This in turn is slowly reducing the pressure and costs at the chronic end of the scale, reducing the need for hospitalisation and acute care.

And so again we see that our services are ticking numerous boxes in the struggle to close the gap between Aboriginal and white Australia:

Health – tick
Employment – tick
Training – tick.

Indeed, a single investment in Aboriginal Community Control Health Organisations deals with all three of the main challenges in Aboriginal communities:

  • High unemployment
  • Low education levels
  • And poor health

It is hard, then, to argue against the proposition that investing in Aboriginal community controlled health makes economic sense.

And yet we are still fighting for that investment.

It’s true that ACCHOs funding was renewed for 12 months just prior to the Federal Budget and that was welcome given the climate of spending cuts in all areas and particularly across the board in Aboriginal affairs.

But let’s face it – this is a long way short of what is needed – long term surety and security for our services and the large numbers of people they employ.

Plus many of the programs we run outside of the core funding are still up in the air. Indigenous health spending was cut by millions in the Budget and we are still waiting to see what that will mean for us on the ground.

The introduction of the medicare co-payment will hurt our services and given most will absorb the cost rather than pass it on to their clients, it will effectively result in a cut to their operating budget.

The next twelve months will be telling.

At NACCHO we will be fighting for five-year funding agreements, such as are given to the pharmacy guild, alongside a reduction in the masses of administrative red tape which divert many of services from providing care.

We will also continue to argue at the national level for ACCHOs to be exempt from any co-payments. We simply can’t afford for there to be any barriers to Aboriginal people seeking medical advice and seeking it early.

Introducing the co-payment will take us one step backwards and in Aboriginal health we need to keep moving forward or our gains will be lost.

We have worked hard over the years to develop our multi-partisan relationships with key decision makers at the highest levels and I believe we are getting some traction.

I take it as a positive sign that the Assistant Minister for Health Fiona Nash took up the invitation to speak at the Summit yesterday. She also said on the public record in a recent press release, and I quote:

“The Government recognises that while some improvements in Indigenous health outcomes have been achieved over recent years, there is still a long way to go to close the gap between the health and life expectancy of Aboriginal and Torres Strait Islander people and non-Indigenous Australians.”

“The role that Aboriginal Community Controlled Health Organisations continue to play in the delivery of health services to Aboriginal and Torres Strait Islander people is therefore vital.”

She may be convinced, but we are yet to see how this may be realised by other politicians, our collective job is to make sure every other Member of Parliament is also convinced, so when it comes down to a decision by the Treasurer on where he puts his funding, every Member of Parliament is an advocate for our movement of Aboriginal Community Controlled Health Organisations Programs, run by our member services for diabetes, chronic disease, smoking, maternal health and there is more,  we need local, state and federal decision makers to physically see our best practice models.

We have a goal over the next 8-10 months to have every MP visit their local ACCHO – see first hand what goes on in our services, to get a better sense of the great work that is being done in electorates across the country, and to see for themselves the real social and economic benefit of community controlled health.

Together we are a strong and powerful entity unmatched by any group or sector in this Nation. We as Aboriginal Community Controlled Health Organisations is the door for MP’s to gain first hand experience, so in this NACCHO has created an MP kit to assist in guideing on how to engage with local MP’s. Many already have long-standing relationships, but there are a number of newly elected MP’s and many more who may never have stepped inside an ACCHO.

If there is ever a time for our us to think and act strategically “with one voice” it is now.

We have the structure across local, State and National levels, we have great support from other State and National health bodies.  The next 3-6 months will prove to be nothing short of extreme importance not only for our member services today but into future years.

Aboriginal Controlled Health has proven over 4 decades that we are the vehicle in addressing Aboriginal Health and the cultural connection between clinical and traditional healing of the physical, emotional and spiritual wellbeing our our people.

 

 

 

 

NACCHO Aboriginal health and racism : What are the impacts of racism on Aboriginal health ?

Rasism

“On an individual level, exposure to racism is associated with psychological distress, depression, poor quality of life, and substance misuse, all of which contribute significantly to the overall ill-health experienced by Aboriginal and Torres Strait Islander people.

Prolonged experience of stress can also have physical health effects, such as on the immune, endocrine and cardiovascular systems.”

Pat Anderson is chairwoman of the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research (and a former chair of NACCHO) see her opinion article below

“If you (Indigenous patient) go to a health service and you’re made to feel unwelcome, or uncomfortable or not deserving or prejudged and there are lots of scenarios of Aborginal people being considered to be perhaps being seriously intoxicated when in fact they’ve been seriously ill.”

Romlie Mokak CEO Australian Indigenous Doctors Association

JUST ADDED 3 March VACCHO POSITION PAPER Health and Racism

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It’s well known that Indigenous Australians have much lower life expectancy than other Australians, and have disproportionately high rates of diseases and other health problems.

Could that in part be due to racism?

Would cultural awareness training for health professionals would reduce the incidence of racism ?

Should governments acknowledge and address the impact of factors such as racism on health outcomes?

These are some of the question being asked in the health and community sectors, amid reports of a rise in racist incidents.

How racism affects health

The impact of racism on the health of Aboriginal and Torres Strait Islander people can be seen in:

  •   inequitable and reduced access to the resources required for health (employment, education, housing, medical care, etc)
  •   inequitable exposure to risk factors associated with ill-health (junk food, toxic substances, dangerous goods)
  •   stress and negative emotional/cognitive reactions which have negative impacts on mental health as well as affecting the immune, endocrine, cardiovascular and other physiological systems
  •  engagement in unhealthy activities (smoking, alcohol and drug use)
  •  disengagement from healthy activities (sleep, exercise, taking medications)
  •  physical injury via racially motivated assault

HOW DO WE BUILD A HEALTH SYSTEM THAT IS NOT

World news radio Santilla Chingaipe recently interviewed a number of health organisations

It’s well known that Indigenous Australians have much lower life expectancy than other Australians, and have disproportionately high rates of diseases and other health problems.

Could that in part be due to racism?

The Social Determinants of Health Alliance is a group of Australian health, social services and public policy organisations.

It lobbies for action to reduce inequalities in the outcomes from health service delivery.

Chair of the Alliance, Martin Laverty, has no doubt racism sometimes comes into play when Indigenous Australians seek medical attention.

“When an Indigenous person is admitted to hospital, they face twice the risk of death through a coronary event than a non-Indigenous person and concerningly, Indigenous people when having a coronary event in hospital are 40 percent less likely to receive a stent* or a coronary angiplasty. The reason for this is that good intentions, institutional racism is resulting in Indigenous people not always receiving the care that they need from Australia’s hospital system.”

Romlie Mokak is the chief executive of the Australian Indigenous Doctors’ Association.

Mr Mokak says the burden of ill health is already greater amongst Indigenous people – but this isn’t recognised when they go to access health services.

“Whereas Aboriginal people may present to hospitals often later and sicker, the sort of treatment they might get once in hospital, is not necessarily reflect that higher level of ill health. We’ve got to ask some questions there and why is it that the sickest people are not necessary getting the equitable access to healthcare.”

Mr Mokak says many Indigenous people are victims of prejudice when seeking medical services.

“If you (Indigenous patient) go to a health service and you’re made to feel unwelcome, or uncomfortable or not deserving or prejudged and there are lots of scenarios of Aboriginal people being considered to be perhaps being seriously intoxicated when in fact they’ve been seriously ill.”

But Romlie Mokak from the Australian Indigenous Doctors Association says the onus shouldn’t be on the federal government alone to improve the situation.

He suggests cultural awareness training for health professionals would reduce the incidence of racism.

“Not only is it at the point of the practitioner, but it’s the point of the institution that Aboriginal people must feel that they are in a safe environment. In order to do this, it’s not simply that Aboriginal people should feel resilient and be able to survive these wider systems, but those services really need to have staff that have a strong understanding of Aboriginal people’s culture, history, lived experience and the sorts of health concerns they might have and ways of working competently with Aboriginal people.”

Martin Laverty says at a recent conference, data was presented suggesting an increase in the number of Australians experiencing racism.

And he says one of the results is an increase in psychological illnesses.

“We saw evidence that said about 10 percent of the Australian population in 2004 was reporting regular occurences of individual acts of racism and that that has now double to being close to 20 percent of the Australian population reporting regular occurences of racism. We then saw evidence that the consequences of this are increased psychological illnesses. Psychological illnesses tied directly to a person’s exposure to racism and discrimination and that this is having direct cost impacts of the Australian mental health and broader acute health system.”

Mr Laverty says it’s time governments acknowledged and addressed the impact of factors such as racism on health outcomes.

He says a good start would be to implement the findings of a Senate inquiry into the social determinants of health, released last year.

“In the country of the fair go, we should be seeing Australian governments, Australian communities acting and indentifying these triggers of racism that are causing ill health and recognising that this is not just something the health system that needs to respond to, but the Australian government can respond by implementing the Senate inquiry of March 2013 that outlines the set of steps that can be taken to overcome these detriments of poor social determinants of health.”

Racism a driver of Aboriginal ill health

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On an individual level, exposure to racism is associated with psychological distress, depression, poor quality of life, and substance misuse, all of which contribute significantly to the overall ill-health experienced by Aboriginal and Torres Strait Islander people. Prolonged experience of stress can also have physical health effects, such as on the immune, endocrine and cardiovascular systems.

Pat Anderson is chairwoman of the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research (and a former chair of NACCHO)

As published in The Australian OPINION originally published in NACCHO July 2013

 In July 2013, the former federal government launched its new National Aboriginal and Torres Strait Islander Health Plan.

As with all such plans, much depends on how it is implemented. With the details of how it is to be turned into meaningful action yet to be worked out, many Aboriginal and Torres Strait Islander people, communities and organisations and others will be reserving their judgment.

Nevertheless, there is one area in which this plan breaks new ground, and that is its identification of racism as a key driver of ill-health.

This may be surprising to many Australians. The common perception seems to be that racism directed towards Aboriginal and Torres Strait Islander people is regrettable, but that such incidents are isolated, trivial and essentially harmless.

Such views were commonly expressed, for example, following the racial abuse of Sydney Swans footballer Adam Goodes earlier this year.

However, the new health plan has got it right on this point, and it is worth looking in more detail at how and why.

So how common are racist behaviours, including speech, directed at Aboriginal and Torres Strait Islander people?

A key study in Victoria in 2010-11, funded by the Lowitja Institute, documented very high levels of racism experienced by Aboriginal Victorians.

It found that of the 755 Aboriginal Victorians surveyed, almost all (97 per cent) reported experiencing racism in the previous year. This included a range of behaviours from being called racist names, teased or hearing jokes or comments that stereotyped Aboriginal people (92 per cent); being sworn at, verbally abused or subjected to offensive gestures because of their race (84 per cent); being spat at, hit or threatened because of their race (67 per cent); to having their property vandalised because of race (54 per cent).

Significantly, more than 70 per cent of those surveyed experienced eight or more such incidents in the previous 12 months.

Other studies have found high levels of exposure to racist behaviours and language.

Such statistics describe the reality of the lived experience of Aboriginal and Torres Strait Islander people. Most Australians would no doubt agree this level of racist abuse and violence is unwarranted and objectionable. It infringes upon our rights – not just our rights as indigenous people but also our legal rights as Australian citizens.

But is it actually harmful? Is it a health issue? Studies in Australia echo findings from around the world that show the experience of racism is significantly related to poor physical and mental health.

There are several ways in which racism has a negative effect on Aboriginal and Torres Strait Islander people’s health.

First, on an individual level, exposure to racism is associated with psychological distress, depression, poor quality of life, and substance misuse, all of which contribute significantly to the overall ill-health experienced by Aboriginal and Torres Strait Islander people. Prolonged experience of stress can also have physical health effects, such as on the immune, endocrine and cardiovascular systems.

Second, Aboriginal and Torres Strait Islander people may be reluctant to seek much-needed health, housing, welfare or other services from providers they perceive to be unwelcoming or who they feel may hold negative stereotypes about them.

Last, there is a growing body of evidence that the health system itself does not provide the same level of care to indigenous people as to other Australians. This systemic racism is not necessarily the result of individual ill-will by health practitioners, but a reflection of inappropriate assumptions made about the health or behaviour of people belonging to a particular group.

What the research tells us, then, is that racism is not rare and it is not harmless: it is a deeply embedded pattern of events and behaviours that significantly contribute to the ill-health suffered by all Aboriginal and Torres Strait Islander Australians.

Tackling these issues is not easy. The first step is for governments to understand racism does have an impact on our health and to take action accordingly. Tackling racism provides governments with an opportunity to make better progress on their commitments to Close the Gap, as the campaign is known, in Aboriginal and Torres Strait Islander health. The new plan has begun this process, but it needs to be backed up with evidence-based action.

Second, as a nation we need to open up the debate about racism and its effects.

The recognition of Aboriginal and Torres Strait Islander peoples in the Constitution is important for many reasons, not least because it could lead to improved stewardship and governance for Aboriginal and Torres Strait Islander health (as explored in a recent Lowitja Institute paper, “Legally Invisible”).

However, the process around constitutional recognition provides us with an opportunity to have this difficult but necessary conversation about racism and the relationship between Australia’s First Peoples and those who have arrived in this country more recently. Needless to say, this conversation needs to be conducted respectfully, in a way that is based on the evidence and on respect for the diverse experiences of all Australians.

Last, we need to educate all Australians, especially young people, that discriminatory remarks, however casual or apparently light-hearted or off-the-cuff, have implications for other people’s health.

Whatever approaches we adopt, they must be based on the recognition that people cannot thrive if they are not connected.

Aboriginal and Torres Strait Islander people need to be connected with their own families, communities and cultures. We must also feel connected to the rest of society. Racism cuts that connection.

At the same time, racism cuts off all Australians from the unique insights and experiences that we, the nation’s First Peoples, have to offer.

Seen this way, recognising and tackling racism is about creating a healthier, happier and better nation in which all can thrive.

Pat Anderson is chairwoman of the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research.

NACCHO Aboriginal Health news: ‘Fat’ Federal MP dismisses food star rating system

Fat MP

When I’m opening up a tub of ice-cream, I’m not looking at the rating, I’m not opening it because it’s low-calorie, low-fat or because it’s good for me,”.

I started my own church – the Church of the Fatter Day Saints. We have communion but it’s buffet style.

“I’m opening it up because it’s chock-a-block full of chocolate.”

He listed a repertoire of “fat jokes” he said he regularly told people to poke fun at himself.

‘Fat’ MP Ewen Jones dismisses food star rating system amid government website removal controversy

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NACCHO Aboriginal health news :

Leading organisations rally: Food security the missing link in ‘closing the gap’

Health experts say food star rating system is critical

Read more: See Below

‘Fat’ MP Ewen Jones dismisses food star rating system amid government website removal controversy

By ABC political reporter Latika Bourke Photo: Ewen Jones (right) with Joe Hockey at Parliament House (AAP: Alan Porritt)

WATCH THE INTERVIEW WITH THE FAT MP HERE

A Government MP who describes himself as fat says the Coalition should discontinue any plans to restore a food star ratings website it withdrew in controversial circumstances.

Liberal National Queensland MP Ewen Jones has told the ABC that as a fat man, he knows the star ratings system will not prevent overweight and obese people reaching for calorie-laden comfort food. The member for the Townsville-based seat of Herbert said the Government had to get out of people’s lives.

“I carry weight, I am actually fat. It’s not the Government that makes me fat, I make me fat,” Mr Jones told the ABC. “I don’t need a government to come and tell me that what I’m eating is wrong.”

South Australian MP Andrew Southcott told the party room he supports the Government rolling out a ratings scheme as one of many ways to combat obesity.

But Mr Jones disagreed, and said he told his colleagues a star rating system would not stop him devouring chocolate ice-cream.

We asked whether you agreed with Ewen Jones. Here’s what you had to say.

“When I’m opening up a tub of ice-cream, I’m not looking at the rating, I’m not opening it because it’s low-calorie, low-fat or because it’s good for me,” Mr Jones said.

I started my own church – the Church of the Fatter Day Saints. We have communion but it’s buffet style.

Ewen Jones

“I’m opening it up because it’s chock-a-block full of chocolate.”

He listed a repertoire of “fat jokes” he said he regularly told people to poke fun at himself.

Sources confirmed he shared those with Prime Minister Tony Abbott and the rest of his Government colleagues when he spoke against star ratings in the party room yesterday.

“I’ve lost so much weight I can fit into things I haven’t been able to in ages, like elevators and taxis,” Mr Jones said.

“I started my own church – the Church of the Fatter Day Saints. We have communion, but it’s buffet style.”

The Government recently pulled a website about a star rating system for food products a day after it went live.
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Photo: The mobile view of the Health Star Rating website, which disappeared a day after it went live

Alastair Furnival, the most senior adviser to Assistant Health Minister Fiona Nash, later resigned due to conflict of interest allegations surrounding his links to the food industry.

The Government’s reasoning for withdrawing the website was that it wants to carry out further cost-benefit analysis.

But when asked what the Government’s policy on the issue was, Mr Jones said there was none.

“The Government’s policy is to maximise the health dollar throughout the whole health portfolio,” he said.

“There is no actual policy. You won’t find a written policy on whether we do this health food rating or not.”

Asked how he believed the Government should best combat obesity and its huge costs to the taxpayers, Mr Jones said education was the key.

“I think it’s through education and education in school, through healthy examples in schools, but not down to tuckshops,” he said

Australia’s top public health professors have written to the state and territory food ministers calling on them to take urgent action to reinstate a healthy-food star rating system.

The website for the system was taken down after the intervention of Assistant Health Minister Fiona Nash and her former chief of staff, Alastair Furnival, who Fairfax Media revealed co-owned a lobbying firm that worked for the junk food industry.

 60 plus Health experts say food star rating system is critical     

Michael Moore.
Some 66 professors from around the country have co-signed a letter saying the threat to Australia’s health posed by obesity needs urgent action, arguing it is causing diabetes, heart and kidney disease and cancer, and urges all ministers ”to take whatever action is within their power” to implement the system as soon as possible.
In all the debate and political tumult the element of the health impact has been lost”: Public Health Association of Australia CEO, Michael Moore. Photo: Fairfax

But the conflict of interest storm has been mocked in the Coalition party room, leading to concerns the initiative could be dumped.

Public Health Association of Australia chief executive Michael Moore said:   ”We wanted to make it very, very clear that this was a health issue.  In all the debate and political tumult the element of the health impact has been lost”.

Mr Moore said Senator Nash’s argument that it would be confusing for the site to remain online when the stars had not been placed on the front of food packaging did not hold water.

”This was always a website designed primarily for industry to begin using the system, and for curious consumers to find out what was coming,” he said. ”There was no confusion whatsoever”.

In Parliament on Tuesday, Labor health spokeswoman Catherine King said  it said everything about the Coalition’s approach to preventive health that Senator Nash would appoint a ”junk food lobbyist” to be her chief of staff.

One of Australia’s foremost cancer experts, the University of Sydney’s Bruce Armstrong, said he signed the letter because getting better information out  was crucial.

”Obesity is shaping up as being one of the major drivers of cancer rates into the future,” he said. ”As a consumer myself I see how extracting from the label the information you want to find out …  is really quite difficult.”

The  opposition is expected to target Senator Nash in a Senate hearing on Wednesday over why her office pulled the website down, but many Liberals believe the star system should be scotched, slamming it as ”pure nanny-state”.

Sources have told Fairfax Media that during a party room debate, one MP mocked a colleague for spruiking the merits of the primary health measure. He was applauded by fellow MPs including Tony Abbott.

Neither Health Minister Peter Dutton, nor   Senator Nash, defended the food rating system in the debate in which several MPs spoke. Sources say it was never clearly stated whether the star-rating system was destined for the scrapheap, but it was ”abundantly clear that it had little support from coalition MPs”.

That is despite previous statements by Senator Nash that the system would be introduced in the middle of the year.

In an estimates hearing on Tuesday evening, Special Minister of State Michael Ronaldson said it was  ”common knowledge” where Mr Furnival had worked before being appointed as the chief of staff to the Assistant Health Minister. ”It was not a secret, it wasn’t hidden by anyone,” he said.
Read more: http://www.smh.com.au/federal-politics/political-news/health-experts-say-food-star-rating-system-is-critical-20140225-33fsh.html#ixzz2uPRDWZAX

Here are some of the COMMENTS ON THE ABC WEBSITE

As we constantly hear on the news people on welfare or low paying jobs are struggling to make ends meet. We are also aware of the health consequences of junk food or fast food.

Check out the price of lean meat and salad, plus the cost of cooking the meat and then compare it to the cheaper options. It’s clear why people eat at the multi national food chains. People who live in close proximity to industrial areas are many time more likely to suffer from asthma.

Rich people do not live in close proximity to industrial areas. Children don’t get a choice over any of these things. Why do people have such low paying jobs? Because the government and private enterprise conspire to keep wages down. Minimum wage should be a living wage – based on housing, food and utility costs. When I first started work I could afford to rent a flat in South Perth on basic wage, pay for everything and still have money at the end of each pay fortnight. I couldn’t do that now. Wages haven’t kept up with the cost of living. When you have fixed costs for housing and the rest, the only thing you can manipulate is food and bad food is cheaper than good food.

COMMENT

Unfortunately, this is a case of “bring on the clowns” when a distraction is required to save the Government’s bacon. This is an ill disguised attempt to deflect the heat from the Federal Assistant Health Minister, Fiona Nash, in her answers to Parliament regarding Alastair Furnival and the removal of the healthy food web site.

Ewen Jones can make all the jokes he likes in his private capacity as an auctioneer at charity events but as an elected representative of the people, he is required to demonstrate leadership by separating the personal from the public good. As one of his former teachers, I am appalled that he apparently thinks that health education should be confined to schools. (Perhaps that’s another of his little jokes !) Parents, as primary care givers, have a huge responsibility in creating healthy lifestyles and habits.
However, that doesn’t let the Government off the hook. It, too, has a responsibility to educate its citizens, not just in schools but in the community. The web site would be a welcome addition for informed decision making.

COMMENT

I am dismayed that this fat man is saying it is okay to be in that condition and eat the junk food that he does, people like him are going to be be what clog up our hospitals with there obesity related medical problems and the people who eat a sensible fruit and vegetable diet are going to pay for this by way of our taxes, when I see overweight people I feel physically unwell and have to eat more fruit and vegetables to make myself feel well again, this is my comfort food and I know I am right, he should get a grip on healthy eating and start today.

 COMMENT

Wow this guy did what a lot of obese people do to hide his embarassment about his condition – made fat jokes about it before others could.  It’s an anti-bullying technique – get in before they can and disenpower them. Many people on this post have lambasted this guy for saying what he said in his capacity as a ‘fat’ person – surely he is in a better position to profer a position as a not so lean citizen.
Listen to what he said…he became obese through his own choices because he liked the taste of what he was eating and NOT because it was good for him – he never read the labels because he didn’t care.  Why wouldn’t many others in his condition have a similar attitude – do we implement this to appease the group on the sidelines?
He said he’d thought the money would be better used on ‘Chemo’ availability rather than food rating labelling.  I would extend that to provision of better access to Dialysis, Radiation and MRI capabilities at base hospitals.
We can stop the obesity trend by educating our kids on healthy choices.  I don’t need a label on a packet of crisps that tells me that they are not good for me or for that matter on a sugary drink. Maybe we should post security guards on the fast food queues and eject any obese people from the queue….hmmm… maybe that’s where we use the money.

 COMMENT

I believe that it was Mr. Abbot, while in opposition, made statements to the effect that peoples health was their personal responsibility and that they should inform and educate themselves on their food choices. Why then is his Assistant Health Minister doing everything in her power to prevent people from making those “individual wise choices?”. Perhaps Ms. Nash should be moved to the “Assistant Prevention of Healthy Choices” portfolio.

NACCHO Healthy Futures Summit Melbourne 24-26 June 2014 : Invitation to submit abstracts

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On behalf of the NACCHO Board and Secretariat it is my pleasure to invite you to submit an abstract to the NACCHO Healthy Futures Summit at the Melbourne Convention and Exhibition Centre 24-26 June 2014.

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ALL ABSTRACTS MUST BE SUBMITTED VIA THE ABSTRACT PORTAL

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO REGISTER

NACCHO would like to demonstrate to the government at this summit how investing more in ACCHS is the best way of promoting better health more employment, more jobs and greater community economic benefits.

ABSTRACT SUBMISSIONS ONLINE

NACCHO Healthy futures Summit-Melbourne 24-26 June 2014

NACCHO invites abstracts submission from its members the Aboriginal Community Controlled Health Organisations, Affiliates and key stakeholder organisations to showcase policy frameworks, best practice and investment in Aboriginal Health.

The delegates will be a representation from all over Australia in clinical practice, policy and research.

IMPORTANT DATES

Call for Abstracts open 25 February
All Abstracts Due 21 Mar 2014
Abstract Notifications 4 April 2014
Presenter Registration Due 18 April 2014
Early bird registrations open 25 February 2014
Early-Bird registrations Closes 18 April 2014
Program released 4 April 2014
Exhibition and sponsorship 16 May 2014
NACCHO 2014 Summit 24 -26 June 2014

Program Streams

1.Economic Development

  • Economic models of investment  into Aboriginal Community Controlled Health Organisation
  • Economic models of investment through partnership
  • Income generation through Aboriginal Community Controlled Health Organisations
  • Brokerage Modelling with Aboriginal Community Controlled Health Organisation

2.Health Reform

2.1 Workforce

Abstract that demonstrates best practice within Aboriginal Community Controlled Health Organisations, Affiliates and key stakeholders that reflect these themes:

  • National, State, Regional and Local Workforce Needs Analysis
  • Models of success
  • Recruitment and Retention Strategies
  • Mentoring Programs
  • Workforce Innovation Partnership
  • Career pathways that incorporate Scope of Practice within ACCHO’s

2.2 Continuous Quality Improvement

  • Affiliate Registered Training Organisations Capacity Building of ACCHO’s through scope of practice
  • Accreditation
  • Clinical Standards

3.Healthy Futures

Abstract that demonstrates best practice within Aboriginal Community Controlled Health Organisations, Affiliates and key stakeholders that reflect these themes:

  • Clinic Practice/frontline servicing
  • Mental Health
  • Social Emotional Wellbeing
  • Drug & Alcohol
  • Mums & Babies
  • Women’s Health
  • Men’s Health
  • Oral Health
  • Aged Care
  • Disabilities
  • Adolescent
  • Sexual Health

4.Youth

Abstract that demonstrates best practice within Aboriginal Community Controlled Health Organisations, Affiliates and key stakeholders that reflect these themes:

  • Investment in Youth by Aboriginal Community Controlled Health Organisations
  • Career pathways within an ACCHO, Affiliates and key stakeholders
  • Youth Leadership
  • Mentoring
  • Healthy Lifestyles and Youth
  • Health Promotion Strategies

5.Research & Data

Abstract that demonstrates best practice within Aboriginal Community Controlled Health Organisations, Affiliates and key stakeholders that reflect these themes:

  • Population Health
  • Best practice models
  • Gap and Needs analysis
  • Research within Aboriginal Community Controlled Health Organisations
  • Research Partnerships
  • Health Information
  • Importance of Data
  • Cultural protocols into practice
  • What’s the Aboriginal Community Controlled Health Data telling us?

General guidelines for submissions

  • Abstracts will only be accepted by submitting through the online process below .
  • Abstracts must be a maximum of 300 words .
  • All abstracts must be original work.
  • The abstract will contain text only; no diagrams, illustrations, tables or graphics.
  • All presenting authors must register and pay for their registration for the conference by 18 April 2014 otherwise the presentation will be removed from the program.
  • The NACCHO advisory group reserves the right to accept and reject abstracts for inclusion in the program and allocate to a format that may not have been initially specified by the author/presenter.
  • The conference organisers will not be held responsible for submission errors caused by internet service outages, hardware or software delays, power outages or unforeseen events.
  • It is the responsibility of the presenting author to ensure that the abstract is submitted correctly. After an author has submitted their abstract, they should check their abstract was uploaded successfully.
  • All authors will receive notification of the outcome of their submission on 4 April 2014.
  • Responsibility for the accuracy of abstracts rests with the author.
  • Where there are co-authors, only one abstract is to be submitted. The presenting author is responsible for ensuring the co-authors agree with and are aware of the content before submitting the abstract.
  • An abstract which does not adhere to these requirements will not be accepted

ALL ABSTRACTS MUST BE SUBMITTED VIA THE ABSTRACT PORTAL

For further information contact the NACCHO SUMMIT TEAM 02 6246 9300 or EMAIL

NACCHO political alert:Federal inquiry into the harmful use of alcohol in Aboriginal and Torres Strait Islander communities

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The House of Representatives Standing Committee on Indigenous Affairs has announced an inquiry into the harmful use of alcohol in Aboriginal and Torres Strait Islander communities.

NACCHO Chair Justin Mohamed said the NACCHO secretariat will be working closely with its 150 members to make sure the role of Aboriginal Community Controlled health is recognised in any future long-term plans and recommendations as identified in NATSIHP the National Aboriginal and Torres Strait Islander Health plan 2013-2023

NACCHO ALCOHOL AND OTHER DRUGS NEWS ALERTS

The Chair of the Committee, Dr Sharman Stone, said that ‘The Committee is not singling out Aboriginal and Torres Strait Islander people as the only group that have problems with alcohol.

We know that Aboriginal and Torres Strait Islander people are more likely to abstain from alcohol than non- Aboriginal and Torres Strait Islander people. However we are concerned that Aboriginal and Torres Strait Islander people, who do consume alcohol, drink at riskier levels which has a greater impact on their health.’

Dr Stone said ‘while there is no doubt that alcohol abuse has a significant impact on families and communities right across Australia, Aboriginal and Torres Strait Islander people are between four and five times more likely to be hospitalised, and between five and eight times more likely to die as a result of harmful alcohol use

‘Statistics such as these are of great concern. The Minister has supported the Committee’s determination to identify the social and other determinants of high risk alcohol consumption. We will also identify the strategies and programs which may have had some beneficial outcomes, comparing international experience. The prevalence and impacts of FASD and FAS will also be given a particular focus. We wish to hear from specialists and communities about what is working and why and submissions are now being called for.’

The Committee will inquiry into and report on:

Terms of Reference

The Committee will inquire into and report on the harmful use of alcohol in Aboriginal and Torres Strait Islander communities, with a particular focus on:

• Patterns of supply of, and demand for alcohol in different Aboriginal and Torres Strait Islander communities, age groups and genders

• The social and economic determinants of harmful alcohol use across Aboriginal and Torres Strait Islander communities

• Trends and prevalence of alcohol related harm, including alcohol-fuelled violence and impacts on newborns e.g. Foetal Alcohol Syndrome and Foetal Alcohol Spectrum Disorders

• The implications of Foetal Alcohol Syndrome and Foetal Alcohol Spectrum Disorders being declared disabilities

• Best practice treatments and support for minimising alcohol misuse and alcohol-related harm

• Best practice strategies to minimise alcohol misuse and alcohol-related harm

• Best practice identification to include international and domestic comparisons

Interested persons and organisations are invited to make submissions addressing the terms of reference by Thursday 17 April 2014 .

SUBMISSIONS AND MORE INFO

Please Take

NACCHO needs to improve how we  connect, inform and engage into the Ifuture.

SURVEY LINK

NACCHO political health news : Abbott Government cuts to impact on Aboriginal health

Shane

Closing the gap requires a coordinated approach at the state and federal levels as the challenges faced by Aboriginal people are interconnected.You can’t improve overall health outcomes without also looking at the social determinants, things like housing, education and poverty. Similarly, you can’t improve health outcomes while the numbers of Aboriginal people in our jails continues to rise,”

Said NACCHO chair Justin Mohamed .(see press release below) pictured above with Shane Duffy NATSILS

Congress calls upon the Prime Minister to show leadership and understanding of the need for increased capacity in our organisations and communities.  He can demonstrate that by ensuring the National Aboriginal and Torres Strait Islander Legal Services is retained and strengthened,”

Said Co-Chair National Congress Les Malezer.(see press release below)

Overview

Yesterday the Federal Government delivered the Mid Year Economic and Fiscal Outlook 2013-2014.
Here are some things from the report as they relate to Aboriginal Affairs and Aboriginal Health and Health more broadly.
Ceased
-The Indigenous Carbon Farming Fund
-Remote Indigenous Energy Programme
-Aboriginal and Torres Strait Islander Health Programme ($1.0 m in 2013-2014)
-Office of the Coordinator-General for Remote Indigenous Services
-$27m from the Healthier Communities Priority Infrastructure Programme
-$5m Chronic Disease Prevention and Services Improvement Fund
-National Rural and Remote Health Infrastructure Programs – 22.3m
-Public Health Program – $6mil
Established
-$45 mil for Vocation Training and Employment Centres for 5000 Aboriginal job seekers under the Generation One model
-$5 for Empowered Communities based on Jawun Model.
-$1mil for Indigenous Advisory Council (Chaired by Warren Mundine)
-$40mil of redirected funding to re-open Indigenous Employment Programme in remote areas

NACCHO Press release

National Aboriginal Community Controlled Health Organisation (NACCHO) Chair, Justin Mohamed, said cutting legal services made no economic sense when you take into account the wider implications of incarceration on issues such as employment, education and health.

“The fact is people in our jail system often suffer from poor mental and physical health,” Mr Mohamed said.

“Incarceration also can have broader impacts on the health of those left behind – on the imprisoned person’s family and broader community.

“With rates of incarceration of Aboriginal people increasing, we should be doing everything we can to turn around the huge numbers of Aboriginal people in our prisons.

“NACCHO supports the good work of the National Aboriginal and Torres Strait Islander Legal Services and Aboriginal and Torres Strait Islander Legal Services – both who play an important role in keeping our people out of jail.

“They provide education and early intervention support and advice which can mean the difference between a life of incarceration and one that makes a contribution to the community.

“The Federal Government need to rethink their position and recognise how crucial a national voice on Aboriginal legal policy is in reducing the disproportionate numbers of Aboriginal people in the justice system.

“Aboriginal peak bodies understand better than anyone the issues their people face and the factors that contribute to them entering the justice system.

“Taking that voice from the mix to save a few dollars will just hamper future efforts to improve outcomes across a range of factors including health, education and employment.”

Mr Mohamed said closing the gap between Aboriginal and non-Aboriginal people needed an integrated approach.

“Aboriginal people make up more than thirty percent of the prison population, despite being only a fraction of the Australian population.

“Closing the gap requires a coordinated approach at the state and federal levels as the challenges faced by Aboriginal people are interconnected.

“You can’t improve overall health outcomes without also looking at the social determinants, things like housing, education and poverty. Similarly, you can’t improve health outcomes while the numbers of

Aboriginal people in our jails continues to rise,” Mr Mohamed said.

National Congress Condemns Cuts

 
The National Congress of Australia’s First Peoples (Congress) strongly opposes the decision by the Federal Government to cut funding to community controlled Aboriginal and Torres Strait Islander organisations.
The government’s ‘hit or miss’ funding cuts to our organisations, at the beginning of their term and before the completion of their highly-publicised inquiries, endangers the collaborative approach offered by the Prime Minister.
Today’s news that the national body for the Aboriginal and Torres Strait Islander Legal Services is to be defunded is a significant blow and does not reflect an effort to engage in partnership.
Having a national body for the legal services increases the skills, experience and effectiveness of all the Aboriginal and Torres Strait Islander Legal Services, and brings greater efficiency to the expenditure incurred by those legal services.
“Congress calls upon the Prime Minister to show leadership and understanding of the need for increased capacity in our organisations and communities.  He can demonstrate that by ensuring the National Aboriginal and Torres Strait Islander Legal Services is retained and strengthened,” said Co-Chair Les Malezer.
“Our Peoples must be self-determining and will not accept Governments making decisions on funding priorities without us.
“Removing our capacity for policy reform and advocacy to legal assistance programs delivered by Aboriginal, community and legal aid services will affect the most marginalised and vulnerable members of our community.
“Congress supports organisations controlled by Aboriginal and Torres Strait Islander communities to continue representing our interests and to provide expert advice on service delivery,” said Mr Malezer.
Congress recently made a strongly worded submission to the National Commission of Audit which reinforces our fundamental principles of self-determination and community decision making.
“Significant under investment by successive Governments makes our Peoples predicament comparable to some developing countries, “said Co-Chair Kirstie Parker.
“We cannot accept any reduction in Commonwealth spending on housing, remote infrastructure, legal services, community safety, native title, languages and culture, when investment and capacity building is what’s clearly required.
“We will continue to work with the Commission to engage with all of our members.
“Community input and ownership are highlighted as keys to achieve improvements by the Government’s own landmark reports – including the Department of Finance Strategic Review of Indigenous Expenditure (2011) and the Overcoming Indigenous Disadvantage: Key indicators 2011 report,” said Ms Parker.
Contact Congress : Liz Willis 0457 877 408  NACCHO Colin Cowell 0401 331 251
 
 

Government avoids scrutiny by cutting Coordinator-General for Remote Indigenous ServicesGeneral for Remote Indigenous Services.

“This cost cutting measure from the Government is deeply disappointing and will further undermine efforts to deliver on our Closing the Gap commitments,” Senator Rachel Siewert, Australian Greens spokesperson on Aboriginal and Torres Strait Islander Issues.
“The role of Coordinator General is to ‘monitor, assess, advise and drive progress relating to improvements in government service delivery in 29 remote Indigenous communities across Australia’.
Removing this role will directly affect the ability of the Government to monitor and report on the implementation of policies.
“This cut is a comparatively small amount of money that the Government admits will be used to either save money or fund other, unnamed policies.
It isn’t even being reinvested in other programs to help people in remote Australia.
“Decisions such as this make a mockery of Tony Abbott’s comments about being the Prime Minister for Indigenous Affairs, as once again his Government seeks to avoid scrutiny and accountability for its policies,” Senator Siewert concluded.

NACCHO Aboriginal Health reports:Sport and recreation programs help health in Aboriginal communities

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A paper released last week on the Closing the Gap Clearinghouse website examines the beneficial effects of participation in sports and recreation for supporting healthy Aboriginal and Torres Strait Islander communities.

The paper, Supporting healthy communities through sports and recreation programs, reviews over 30 studies, covering all geographic areas from inner city to remote regions, and age groups ranging from primary school to young adult.

DOWNLOAD THE REPORT HERE

It shows that there are many benefits to Aboriginal and Torres Strait Islander communities from participation in sport and recreational programs, including some improvements in school retention, attitudes towards learning, social and cognitive skills, physical and mental health and wellbeing; increased social inclusion and cohesion; increased validation of and connection to culture; and some evidence of crime reduction.

MAKE A DONATION TO THE NACCHO SPORTS HEALTHY FUTURES PROGRAM

OR VIA THE NACCHO APP

APPLY FOR FUNDING FROM THE NACCHO SPORTS HEALTHY FUTURES PROGRAM HERE

The paper shows that although the effects of sports and recreation programs can be powerful and transformative, these effects tend to be indirect and therefore hard to measure.

For example, programs to reduce juvenile antisocial behaviour largely work through diversion—these can provide alternative and safer opportunities for risk-taking, for maintenance of social status, and in building healthy relationships with elders.

Because of the lack of direct measures on the impact of sports and recreation programs on various outcomes for Indigenous Australians, this resource sheet focussed on some of the principles that can help ensure that the program is successful. These include:

  • Linking sports and recreation programs with other services and opportunities;
  • Promoting a program rather than a desired outcome;
  • Engaging the community in the planning and implementation of programs, as this will ensure that the program is culturally appropriate, and potentially sustainable.

What we know

• There is some evidence, in the form of critical descriptions of programs and systematic reviews, on the benefits to Aboriginal and Torres Strait Islander communities from participation in sport and recreational programs. These include some improvements in school retention, attitudes towards learning, social and cognitive skills, physical and mental health and wellbeing; increased social inclusion and cohesion; increased validation of and connection to culture; and crime reduction.

• Although the effects of sports and recreation programs can be powerful and transformative, these effects tend to be indirect. For example, using these programs to reduce juvenile antisocial behaviour largely work through diversion, providing alternative safe opportunities to risk taking, maintenance of social status, as well as opportunities to build healthy relationships with Elders and links with culture.

• Although Indigenous Australians have lower rates of participation in sport than non-Indigenous people, surveys suggest that around one-third of Indigenous people participate in some sporting activity (ABS 2010). That makes sports a potentially powerful vehicle for encouraging Indigenous communities to look at challenging personal and community issues.

• Within Indigenous communities, a strong component of sport and recreation is the link with traditional culture. Cultural activities such as hunting are generally more accepted as a form of sport and recreation than traditional dance. Therefore sport and recreation are integral in understanding ‘culture’ within Indigenous communities, as well as highlighting the culture within which sport and recreation operate.

What works

There are a range of benefits pertaining to participation in sports and recreation activities. In the absence of evaluation evidence, below is a list of principles of ‘what works’ and ‘what doesn’t work’ to assist with sport and recreation program implementation.

• Providing a quality program experience heightens engagement in the sports or recreational activity.

• Where no activity has been previously made available, offering some type of sport or recreation program to fill that void should be given priority over making selective decisions about which program to carry out.

• Linking sports and recreation programs with other services and opportunities (for example, health services or counselling; jobs or more relevant educational programs) improves the uptake of these allied services. This assists in developing links to other important programs for improving health and wellbeing outcomes, or behavioural change.

• For sporting programs, providing long-term sustained, regular contact between experienced sportspeople and participants allows time to consolidate new skills and benefits that flow from involvement in the program.

• Promoting a program rather than a desired outcome improves the uptake of activities—for example, a physical fitness program is more likely to be well used if promoted as games or sports rather than a get-fit campaign.

• Involving the community in the planning and implementation of programs promotes cultural appropriateness, engagement and sustainability.

• Keeping participants’ costs to a minimum ensures broad access to programs.

• Scheduling activities at appropriate times enhances engagement—for example, for young people, after school, weekends and during school holidays, when they are most likely to have large amounts of unsupervised free time.

• Facilitating successful and positive risk taking provides an alternative to inappropriate risks.

• Creating a safe place through sports or recreation activities, where trust has been built, allows for community members to work through challenges and potential community and personal change without fear of retribution or being stigmatised.

• Ensuring stable funding and staffing is crucial to developing sustainable programs.

NACCHO Aboriginal health :Culture is an important determinant of health: Professor Ngiare Brown at NACCHO Summit

Ian Ring

It’s time to move away from the deficit model that is implicit in much discussion about the social determinants of health, and instead take a strengths-based cultural determinants approach to improving the health of Aboriginal and Torres Strait Islander people. This is one of the messages from Ngiare Brown, Professor of Indigenous Health and Education at the University of Wollongong.

Professor Brown also stresses the importance of a focus on resilience, and the value of the Aboriginal Community Controlled Health sector as a national network for promoting cultural revitalisation and sustainable intergenerational change.

The summary below is taken from her presentation at the recent NACCHO summit

***

Connections to culture and country build stronger individual and collective wellbeing

Professor Ngiare Brown writes:

Although widely accepted and broadly researched, the social determinants approach to health and wellbeing appear to reflect a deficit perspective – demonstrating poorer health outcomes for those from lower socioeconomic populations, with lower educational attainment, long term unemployment and welfare dependency and intergenerational disadvantage.

The cultural determinants of health originate from and promote a strength based perspective, acknowledging that stronger connections to culture and country build stronger individual and collective identities, a sense of self-esteem, resilience, and improved outcomes across the other determinants of health including education, economic stability and community safety.

Exploring and articulating the cultural determinants of health acknowledges the extensive and well-established knowledge networks that exist within communities, the Aboriginal Community Controlled Health Service movement, human rights and social justice sectors.

Consistent with the thematic approach to the Articles of the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), cultural determinants include, but are not limited to:

•Self-determination;

•Freedom from discrimination;

•Individual and collective rights;

•Freedom from assimilation and destruction of culture;

•Protection from removal/relocation;

•Connection to, custodianship, and utilisation of country and traditional lands;

•Reclamation, revitalisation, preservation and promotion of language and cultural practices;

•Protection and promotion of Traditional Knowledge and Indigenous Intellectual Property; and

•Understanding of lore, law and traditional roles and responsibilities.

The power of resilience

The exploration of resilience is a powerful and culturally relevant construct.

Resilience may be defined as the capacity to “cope with, and bounce back after, the ongoing demands and challenges of life, and to learn from them in a positive way”, positive adaptation despite adversity or “a class of phenomena characterized by good outcomes in spite of serious threats to adaptation or development”

Resilience is important because:

• It is culturally significant – we are a resilient culture, surviving and thriving;

• Resilient people/communities are better prepared for stronger, smarter, healthier, successful futures and have better outcomes across the social determinants of health (education, health, employment);

• Resilient individuals are more likely to provide a positive influence on those around them and are better able to develop and maintain positive relationships with others – family, friends, peers, colleagues;

• Resilience promotes collective benefits – social cohesion, community pride in success, economic stability, and improved health and wellbeing.

There is a developing body of international work describing cultural continuity and cultural resilience.

Scholars such as Fleming and Ledogar propose dimensions including traditional activities, traditional spirituality, traditional languages, and traditional healing.

Further, Native American educators propose cultural protective factors and cultural resources for resilience such as symbols and proverbs from common language and culture, traditional child rearing philosophies, religious leadership, counselors and Elders.

(For example, Chandler, M. J. & Lalonde, C. E. (2008). Cultural Continuity as a Protective Factor Against Suicide in First Nations Youth. Horizons –A Special Issue on Aboriginal Youth, Hope or Heartbreak: Aboriginal Youth and Canada’s Future. 10(1), 68-72; Olsson 2003, Stockholm Resilience Centre; John Fleming and Robert J Ledogar, ‘Resilience, an Evolving Concept: A Review of Literature Relevant to Aboriginal Research’,  Pimatisiwin. 2008 ; 6(2): 7–23. Iris Heavyrunner et al 2003).

The cultural determinants of health and wellbeing may be seen to be wrapping around, or cutting across individual, internal, external and collective factors.

A ‘social and cultural determinants’ approach recognises that there are many drivers of ill-health that lie outside the direct responsibility of the health sector and which therefore require a collaborative, inter-sectoral approach.

There is an increasing body of evidence demonstrating that protection and promotion of traditional knowledge, family, culture and kinship contribute to community cohesion and personal resilience.

Current studies show that strong cultural links and practices improve outcomes across the social determinants of health.

There are certain services only NACCHO and ACCH sector can and should do – child protection; mental health; women’s business; and men’s health.

This is useful in assisting policy and resourcing decision-making dependent upon context, geography, demography and tailoring services to local needs and priorities

The ACCH sector provides a true national network and a vehicle for cultural revitalisation. A cultural determinants approach and cultural revitalisation drive sustainable intergenerational change.

Ten great reasons why you should not miss the NACCHO Aboriginal health summit In Adelaide

5.Healthy Futures Great

Inaugural Aboriginal health summit: why Aboriginal community control works

The National Aboriginal Community Controlled Health Organisation (NACCHO) will hold their first ever National Aboriginal Primary Health Care Summit in Adelaide later this month.

NACCHO Primary Health Care Summit

20th-22nd August 2013

Adelaide Convention Centre

The inaugural summit, which goes for three days, will bring health service professionals from around the country together to discuss national, state and local best practice in health management, and focus on three key themes: primary health care, governance, and workforce.

10 great reasons why you should not miss the NACCHO summit In Adelaide

  1. Inspiring speakers
  2. Opportunities to meet old friends and make new ones
  3. Practical take-home ideas
  4. Entertainment
  5. Resources to equip you
  6. What about ‘Three streams of break-out sessions each day’
  7. Social events
  8. Opportunities to partner with other organisations and people from inside and beyond the ACCH sector
  9. Delicious food (health of course)
  10. and Aboriginal community control according to Justin Mohamed

For more information and to register visit http://www.naccho.org.au

NACCHO Chair, Justin Mohamed (pictured above left with Megan Davis and Deputy Matthew Cooke)  said the Health Summit was a great opportunity to showcase the incredible contribution Aboriginal Community Controlled Health Organisations are making in their communities.

“We have concrete evidence that Aboriginal health in Aboriginal hands is what is really making the difference in achieving health outcomes for our people,” Mr Mohamed said.

“We are seeing big improvements in child birth weights, maternal health and management of chronic diseases like diabetes, highlighted recently in a report by the Australian Institute of Health and Welfare (AIHW) Healthy for Life Report Card.

“The Aboriginal community controlled health model has been working well for 40 years, and it is important that we get together to share best practice and discuss issues and areas where we can make improvements.

“Over the three days, summit participants will hear from Aboriginal leaders who are making a real difference in their communities.

“Our culturally appropriate health providers with majority Aboriginal governance are not only providing comprehensive primary health care to just under half of Australia’s total Aboriginal and Torres Strait Islander population, but are one of the largest employers of Aboriginal people as well.

“There is still a long way to go to Close the Gap and to build a healthy future for all Aboriginal and Torres Strait Islander people. Aboriginal Community Controlled Health Organisations are part of this picture and achieving targets to deliver better health outcomes.

NACCHO Primary Health Care Summit

20th-22nd August 2013

Adelaide Convention Centre

For more information and to register visit http://www.naccho.org.au

 

 Media contact: Colin Cowell 0401 331 251, Anaya Latter 0432 121 636

NACCHO health news:Healing the Fault Lines: uniting politicians, bureaucrats and NGOs for improved outcomes in Aboriginal Health.

olga-havnen

Prominent Aboriginal Territorian and the current CEO of Danila Dilba Health Service Olga Havnen argues that the “fault lines” between politicians, bureaucrats and NGOs and the Aboriginal Community Controlled Health sector must unite to make a real difference.

A little known positive aspect of the Northern Territory Intervention was a significant increase in resources to Aboriginal Comprehensive Primary Health Care.

This, along with parallel initiatives under Closing the Gap, gave some hope that the decades long demands from our sector for substantial extra resources in primary health care was at last being heard.

However, while we have been making some advances in the Northern Territory, we face the potential for a “race to the bottom” in Aboriginal health where the interests of politicians, bureaucrats and NGOs potentially outweigh the evidence of Aboriginal community control.

 Prominent Aboriginal Territorian and the current CEO of Danila Dilba Health Service Olga Havnen argues that the “fault lines” between these groups and the Aboriginal Community Controlled Health sector must unite to make a real difference.

Extract from the 16 pages speech which can now be download from NACCHO

I am currently the CEO of Danila Dilba Health Service in Darwin, which has not long ago celebrated its 20th anniversary. We are an Aboriginal Community Controlled Health Service—and part of a broader, national movement of community controlled comprehensive primary health care that has its origins in Redfern some 42 years ago.

At the core of what we have achieved over those many years has been an aggressive approach to basing our work on evidence. Our accumulated achievements have always been based on what works—in clinical as well as social practice.

At the heart of what we have strived to achieve is the development of a practice—both clinical and social—that displays our strong and central commitment to comprehensive primary health care.

This model was codified at an international level at Alma Ata in 1978, and subsequently endorsed by the World Health Organisation (WHO) and the United Nations:

Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.

Primary health care is socially and culturally appropriate, universally accessible, scientifically sound, first level care.

You can download  Olga Havnen full speech 16 pages here

PRESS Coverage below and picture from the Australian May 29

REMOTE indigenous communities are suffering from a government culture of “risk intolerance” which has diverted funding from community-led organisations, a leading Aboriginal figure has said.

Olga Havnen, the Northern Territory’s former co-ordinator general for remote services, last night attacked successive governments for choosing large non-government organisations for service delivery ahead of smaller indigenous-led organisations.

Ms Havnen said many community-led service delivery organisations had “disappeared” since the Northern Territory Emergency Response in 2007.

“Aboriginal control of service delivery in many areas has withered on the vine,” she said in the Lowitja O’Donoghue Oration at the University of Adelaide.

“Despite jurisdictional, national and international evidence that community control over service delivery achieves better results, with control being a key element in the social determinants of health, for example, we have gone backwards.”

 Ms Havnen, whose position in the Territory was abolished by the new Country Liberal Party government in October, said there had been a “massive expansion” of NGO involvement in service delivery with “many millions of dollars” flowing to non-indigenous NGOs and multinational NGOs, regardless of their effectiveness.

She said in the past decade, only one new community controlled health service had been established in the Territory and only two remote health clinics handed across to community control.

“It is a process which has allowed government agencies to quarantine themselves from what they too often ascribe as risk in funding Aboriginal organisations,” she said.

“By this I mean that nothing is done, or can be done, that might in any way shape or form come back to haunt politicians or bureaucrats at a Senate estimates hearing or their state and territory equivalents.”

Ms Havnen, who is now chief executive of the Danila Dilba Health Service in Darwin, an Aboriginal community controlled health service, said that there needed to be a fundamental change in the relationship between Aboriginal service delivery in the Territory and elsewhere, and politicians, bureaucrats and NGOs who were involved in the process.

“The politicians and public servants can be agents of innovation and change if they abandon risk intolerance,” she said.

“Similarly, the response of NGOs to the last decade or so of reaping the benefits of government funding into Aboriginal service delivery must also change.

“Risk intolerance cannot be part of Closing the Gap.”

Ms Havnen said she remained concerned about many elements of the 2007 intervention into Northern Territory communities, which would continue to have a psychological impact “for many years”.