“Both major parties say they are committed to Aboriginal health care – the NGO’s major activity – but until the dollar numbers are made public, there’s a question mark over the size of their commitment.
There are something like 15 health providers. This is ridiculous. We need to be working in partnership. I don’t give a hoot who gets the kudos out of that, as long as the outcomes for our clients is better.” Des Rogers
Des Rogers pictured above left with Dr Mark Wenitong and Kevin from Jimmy Little Foundation making recommendations at a recent Male health summit.
The wish list of the Central Australian Aboriginal Congress, for whomever will gain power in Canberra, contains not what it wants to get, but what it doesn’t want taken away.
From Erwin Chlanda SUBSCRIBE HERE Alice Springs News
In a swirl of rumored spending cuts, where will the money come from to drive the NGO’s newly chosen direction?
It is 40 years old, has a budget of $38m a year, for both town and “auspiced” services. More than 70% comes from the Feds. Congress has 300 employees, half of them Aboriginal. It has a new chairman (William Tilmouth), a new CEO (Donna Ah Chee) and a new Deputy CEO
The NGO has emerged from the bunker where the previous regime resided, until it got its marching orders after a string of scandals and a Federal review.
Both major parties say they are committed to Aboriginal health care – the NGO’s major activity – but until the dollar numbers are made public, there’s a question mark over the size of their commitment.
Congress now wants to go further, earning back a place in town it occupied decades ago, not only as the voice of Aboriginal people, but engaging with the broad community and economy.
On the health scene, care for children from conception to age four is a key part of the main mission, in tandem with an attack on domestic violence where the facts are horrendous, mostly “Aboriginal male violence on Aboriginal women,” says Mr Rogers.
“You only need to go to the hospital emergency department, or sit in the mall, and you’ll see young and old Aboriginal women who are bruised, battered and in some cases disabled because of violence.
“Because of customs, kinship and cultural law, particularly Aboriginal women on a community attract violence. They either end up dead or they walk into the desert and end up dead. We’ve got to do something about that.
“There are plenty of Aboriginal men who would love to stand up for Aboriginal women but they don’t get the opportunity.”
Mr Rogers quotes some figures from the Justice Department: mothers of NT children are 48 times more likely to be admitted to hospital for reasons of assault than all Australian women.
In 2009/10, more than 840 Aboriginal women had assault-related admissions to hospital in the NT, compared with 27 “other” women. In the year ending June 2012, the rate of “assault offences” recorded in Alice Springs was nearly six per 100 people (almost double the NT average). 68% of domestic violence is alcohol related. The rate of domestic violence assaults is 98% greater than the NT average.
Aboriginal women in the NT are 80 times more likely than other Australian women to be hospitalised as a result of assault.
But the news is not all bad, says Mr Rogers: “In the NT, in terms of Aboriginal health improvement, there has been a 30% decline in the all-cause mortality rate over the last decade or so, and we want to build on what is working, and not throw the baby out with the bathwater.”
Congress has a major clinic, open seven days a week; a male health unit, family partnership program, birthing centre and other programs. It has spread beyond the town limits, “auspicing” five bush clinics at Amoonguna, Santa Theresa, Areyonga, Hermannsburg and Mutitjulu.
Congress is seeking Aboriginal Benefits Account money for a truck carrying three small offices on the back for doctors, paramedics or social workers, which will do the rounds of communities, spending several weeks in each one, as long as it takes, finding out from the locals what their issues and concerns are.
“It could be alcohol, suicide, violence,” says Mr Rogers. “We’ll let the community come to us, encourage them through activities, kids, women, fellas.
“Then we would encourage other agencies which have the expertise to come out and talk to the community. It’s grassroots stuff. You might say it’s an Aboriginal problem. In fact it affects all of us, the town, the economy.”
Mr Rogers, currently on three months’ probation but willing to serve Congress for five years, says he has never been on the dole, has run a produce business for 13 years, “trained, employed and mentored more than 200 Aboriginal people” most of whom “went on to bigger and better things”.
He says some of his employees left because they didn’t like the hours – 4am starts: “On the Mondays, during footy season, I employed backpackers,” he says. “You needed to be flexible as an employer.”
He was briefly a town council alderman, and the Labor Party candidate last year in the NT seat of Namatjira. He’s had a hand in several other businesses, including hospitality and security services.
NEWS: What about self-help to end the blight of welfare dependency? Drinking, not taking children to school, not feeding them properly – isn’t all of this up to the individual, or the community?
ROGERS: Yes and no. The main problem with Aboriginal children is neglect. It’s not deliberate neglect. It’s partly because young mothers and families don’t know how to look after young people, it is partly due to addictions and other mental health conditions and it is partly due to the often very adverse social environment that parents are trying to raise their children in. It is also a lack of knowledge caused by low levels of education.
A couple of my daughters are foster carers. Young babies, one or two years old, they certainly know what a straw is but you try to bottle feed them and they have never been bottle fed.
NEWS: How can that be changed?
ROGERS: It’s about education. We can blame us mob for everything – we drink and we fight and we argue, we smell and we’re untidy, we don’t want to be part of society. My view has been for a long time that it’s the system that has created that.
If you sit under that tree over there, regardless of what colour you are, and all the service providers come to you – as hard as it is to comprehend – you accept that as normal behaviour. And the media perpetuate that.
I’ve had a fortunate life, in a sense. I was sent to school down south, to Gawler, north of Adelaide. They were establishing Elizabeth at that time, for “ten pound Poms”. You go back there today, and you see four generations of welfare recipients. And I would strongly suggest that if you went to any major city in this country, you would find suburbs with welfare recipients.
The media is quite quick to point the finger of blame at the blackfellas, look how lazy they are, ripping off the welfare system. But the system has created that, nationally.
NEWS: Isn’t this the litany we’ve heard for decades? Should the dole be withdrawn for people not reasonably accepting employment offered?
ROGERS: It’s hard when your mum and dad have never worked, your grandparents have never worked. As a welfare recipient – going back to Elizabeth, you learn to manipulate the system.
But the days of sitting on your bum and having all the services come to you are over. We’re not going to come and wake you up in the morning. But we can demonstrate we are a good employer, we have a good process in place, you show potential and we’ll mentor you into senior positions. I think that’s a great outcome.
NEWS: Could that be exported to other companies?
ROGERS: Yes, it can.
NEWS: Is such a process under way? Are you in touch with the Chamber of Commerce, for example?
ROGERS: I must say, no.
NEWS: This is the number one question today: How do you put an end to passive welfare, the issue often spoken of by Noel Pearson?
ROGERS: Sitting under that tree – if you start to withdraw some of those services, for example, the doctor and nurses, then I’ll have to get off my bum and go and see them.
What that does is instil a bit of responsibility. And I think that’s what we have to do, change the system, change the mentality. The Toyota dreaming – whitefellas coming in and out every day, yet making very little difference.
NEWS: How do you translate that into reality?
ROGERS: In this organisation, through the cross-cultural awareness program for staff.
NEWS: But these are people who have a job. What about the recipients of Congress services, how can they be motivated to help themselves?
ROGERS: Pre-birth to four, these are the formative years in terms of the development of responsibility and initiative, no matter what colour you are. We’ve got a number of generations out there who, to be honest, are a bit of a lost cause. And I’m not saying we should forget about them.
Congress does a whole bunch of stuff but we can drill it down to basically three things: we look after the elderly, we try to help the sick, and the other thing we do is preventative care. And it’s that which in the next couple of generations will make the difference. Give people a healthy upbringing then they can make choices.
NEWS: How grave is your fear that funding cuts will affect Congress work?
ROGERS: Taxation revenue is now less than 22% of GDP which is almost the lowest in the OECD and both sides want to reduce taxes further although the Coalition is planning bigger cuts than the ALP in this regard. Where is the money going to come from?
NEWS: Can the funding be streamlined?
ROGERS: There are something like 15 health providers. This is ridiculous. We need to be working in partnership. I don’t give a hoot who gets the kudos out of that, as long as the outcomes for our clients is better.
We are adopting the “collective impact” model, promoted here by Desert Knowledge here but in use world-wide now. It is about everyone working together. Here in Alice Springs, perhaps because of the funding models, we’ve had everyone working in parallel, especially Aboriginal organisations, diving into the same bucket, trying to get hold of the same money, being possessive about that as well, but serving the same clients.
That’s changing. For example, the Department of Families, Housing, Community Services and Indigenous Affairs is changing their funding model from something like 100 different funding contracts down to six. That alone is fantastic. Congress is currently dealing with some 160 projects with a string of agencies, this will cut down on a mountain of paperwork.
NEWS: Are there too many NGOs?
ROGERS: It’s up to the government. It’s a question of compliance. Are NGOs actually spending the money they get appropriately and effectively?
NEWS: How do they decide what’s working and what’s not?
ROGERS: We have an open book policy with our funding providers, and I think that needs to occur. If we get money for a specific program and we see it’s not working, we want to have the ability to say to the funding agency, we think you need to change the parameters, because we can get better results by doing it this way.
Congress is very good at presenting evidence data, we can back our outcomes or outputs with evidence. There are problems when funding agencies allow their money to be spent willy nilly. The Office for Aboriginal and Torres Strait Islander Health, which is part of the Commonwealth Department of Health and Ageing, have been very good with us. We have built a very good, honest, open relationship with them.
NEWS: What are the job opportunities right now? There used to be a cattle industry on what is now Aboriginal land, there are wild horses, camels, lots of land, idle labour and enough water. Road trains are going empty one way and could provide cheap transport of produce to markets. Should Congress develop some of these opportunities? Congress is picking up where people are already damaged. Is there not a case for that damage to be prevented?
ROGERS: Primary production has been tried here in the past but it has failed because it is a foreign industry, so to speak. We are hunters and gatherers. Where do you start? Is it housing, is it education? I’ve had a long time to think about this, and I think it starts from a health perspective. If you are a healthy child, regardless of your race, the other things will come.
NEWS: Could primary health care not include having a purpose in life, a job?
ROGERS: We are the largest primary health care provider in the NT but we’re not going to be able to fix all the problems.
NEWS: What changes is Congress making to its structure?
ROGERS: We now require people with tertiary qualifications to be in the top positions, not appointing Aboriginal people into management positions, irrespective of qualification, as a report 20 years ago recommended.
Unfortunately, that set some Aboriginal people up to fail. We are mentoring Aboriginal people into management roles. This is big business, and needs to be treated like big business.
IMAGES from the Congress annual report 2010-11, as published on the World Wide Web.
- NACCHO political alert: NACCHO calls on both parties for greater control of Aboriginal health (nacchocommunique.com)
- NACCHO political news: Labor’s Aboriginal affairs plans short on results:Scullion (nacchocommunique.com)
- NACCHO media release: Aboriginal health gap in danger of blowing out (nacchocommunique.com)
- NACCHO political news: What are the Aboriginal health priorities for the next Government ? (nacchocommunique.com)
- NACCHO download and updated press release: National Aboriginal heath plan will help close the gap (nacchocommunique.com)
- NACCHO political news:Nova Peris blasts Noel Pearson over support for NT intervention (nacchocommunique.com)
- NACCHO Adelaide summit news:Powerful,positive and achieving a healthier future for Aboriginal people (nacchocommunique.com)