NACCHO Aboriginal Health News: Historical factors impact healthcare access

feature tile text 'historical factors impact first nations accessing traditional western healthcare' & image of doctor's torso, white lab coat, stethoscope in pocket

Historical factors impact healthcare access

A NSW Upper House committee examining the challenges in accessing medical services outside metropolitan areas has been told Aboriginal people are reluctant to access public healthcare in NSW because they believe they may not survive.

The Aboriginal Health and Medical Research Council gave evidence at the hearing about why Indigenous residents in rural and regional areas will not attend hospitals even if they are very ill.

“Historical factors impact on Aboriginal people accessing western, traditional healthcare services,” Associate Professor Peter Malouf from the Aboriginal Health and Medical Research Council told the inquiry.  “Aboriginal people have a fear factor of going into the health system because they’ve seen many Aboriginal loved ones and community members passing away.”

The Upper House committee was asked to recommend to the NSW government that the public health system works closely with Aboriginal medical services to improve the quality of care given to Indigenous residents.

Aboriginal youth receiving vax at Walgett AMS

The inquiry heard Indigenous people are fearful of the public health system. Photo supplied by: Walgett Aboriginal Medical Service. Image source: ABC News website.

ACCHO to build $7m new medical facility

An Aboriginal cooperative in Bendigo is set to receive more than $7 million to build a new mixed-use medical facility. The Bendigo District Aboriginal Co-Operative (BDAC) will use the funding to help expand medical services to meet growing demand.

BDAC’s new building will include 10 consulting rooms and three allied health rooms. BDAC chief executive Raylene Harradine said the new building will be built at the current site and will help expand current medical services to meet growing demand.

Director of BDAC Programs Dallas Widdicombe said when the site opened four years ago, BDAC had around 1,100 active patients. Now, more than 2,000 residents access the Aboriginal corporation’s health services. “Our wait times can be up to a month for a doctor’s appointment, because we can only have three doctors with our limited space,” Mr Widdicombe said.

To view the article in full click here.

 BDAC staff looking at building plans

Raylene Harradine, centre, inspects the plans for the new building with Maree Edwards (left) and Jacinta Allan (right). Photo: BDAC. Image source: ABC News.

Top COVID-19 vax questions

Dr Lucas de Toca, COVID-19 Primary Care Response First Assistant Secretary, has answered the top three COVID-19 questions asked on our social accounts.

Dr de Toca spoke about people 60 years and over getting the vaccine; some of the misinformation about the vaccine and infertility or risks during pregnancy; and how to protect kids from COVID-19 and whether kids can get COVID-19. You can listen to Dr de Toca below.

Mob overrepresented in road trauma statistics

Aboriginal and Torres Strait Islander peoples are overrepresented in road trauma statistics is one more reason there needs to be culturally appropriate countermeasures which prioritise self-determination and account for the social determinants of health. There are higher rates of death and serious injury on regional, rural, and remote roads, with fatality rates associated with crashes on very remote roads more than 13 times higher than fatality rates in our major cities.

Local governments, which are responsible for managing most of our road networks, will be critical to addressing road trauma outside of our major cities, and indeed at the national level. The work of state governments will also be crucial to develop integrated, holistic, nationally consistent solutions.

To view the Parliament of Australia media release in full click here.

roadside memorial

Six people have died in the past decade on a small stretch of the highway near Barunga, 300 kms SE of Darwin. Photo: Jano Gibson. Image source: ABC News website.

More needed to tackle Kimberley suicide rate

It has been 18 months since the WA government vowed to improve mental health services and tackle high Indigenous suicide rates in the state’s north, but Aboriginal health advocates say nothing has changed.

The state’s far-north has some of the highest rates of youth suicide in the world and the suicide rate of Aboriginal people in the Kimberley is twice as high as among all Indigenous Australians.

After 13 young people took their own lives in the Kimberley in less than four years, the WA government promised to roll out more culturally appropriate mental health services, boost access to clinical services and engage with local Indigenous people on a pathway forward.

Months on, veteran Indigenous health worker Kathy Watson said she was still extremely concerned about the mental health of young people in the region.

To view the ABC News article in full click here.

Jacob Smith - social worker Headspace, Kimberleys

Jacob Smith has been working in the Kimberley to combat suicide prevention for four years and works as a social worker at Headspace. Image source: ABC News.

Food security in remote communities

Last year the National Rural Health Alliance (NRHA) made a submission to the House of Representatives Standing Committee on Indigenous Affairs Inquiry into food pricing and food security in remote Indigenous communities.

Through this Inquiry the Committee highlighted there continues to be significant barriers to addressing food security in remote Indigenous communities. This has been underlined by the effect of the COVID-19 pandemic and the vulnerability of remote Indigenous communities to supply chain interruptions.

Aboriginal and Torres Strait Islander people living in remote communities in Australia experience a disproportionate burden of chronic disease and there is clear evidence of the significant detrimental health effects of poor nutrition linking to a range of chronic diseases which affect life expectancy and overall community well-being. Food insecurity has adverse health and social effects from early childhood through all stages of life. The key food security issue for remote Indigenous communities relates to access to affordable, high quality, nutritious food. There are many factors that influence food security which are explored in this submission, however, the high cost of fresh food relative to the low level of incomes in remote communities emerges as a significant factor.

It is clear that market forces alone cannot be relied upon to address food security issues in remote communities, and there is a role for government at the national, state/territory and local level to intervene in the market to ensure both demand and supply side issues are addressed. Finally, locally-based solutions must be the result of outcomes designed and supported by communities in response to specific community circumstances an

To read the submission in full click here.

Aboriginal staff at checkout in Barlmarrk Supermarket

Barlmarrk Supermarket. Image source: Bawinanga Aboriginal Corporation website.

Type 2 diabetes glucose management study

The FlashGM study is a national Indigenous multicenter trial that asks: Can Flash Glucose Monitoring (FlashGM) improve glucose management in Indigenous Australians with type 2 diabetes?

Diabetes is a major contributor to the mortality gap between Indigenous and non-Indigenous Australians, and the risk and severity of diabetes complications (CVD, kidney failure, blindness) are far greater in this population than in non-Indigenous Australians.

There is an urgent need for effective and convenient ways of improving glycaemic management in Indigenous Australians. Diabetes Nurse Educator, Donna Rumbiolo, has driven recruitment for the pilot study and is an integral member of the Flash leadership team. She said “The FlashGM study is about giving communities the experience of using leading diabetes technology. Hopefully we can see this improve people’s health and makes life easier for all Aboriginal and Torres Strait Islander people living with diabetes.”

The 5th edition of the Flash Study newsletter includes recent study updates and a spotlight on Rumbalara Aboriginal Cooperative in Shepparton and Apunipima Cape York Health Service in Cairns.

As the study is expands and continues to recruit, expressions of interest are being sought for recruitment sites across Australia.  You can access the study website here for more information and if you would like to discuss the study further please feel free to contact Mariam Hachem by email here.

Aboriginal line drawing of hand with outstretched finger being pricked for sugar level diabetes check

Image source: University of Melbourne website, FlashGM Study page.

AHCSA Sexual Health and BBV Program

The AHCSA Sexual Health and Blood Borne Virus (BBV) Program works with Aboriginal health services and the broader health sector across SA, supporting the prevention and treatment of sexually transmitted infections (STIs) and BBVs.

The Program supports ACCHOs and other services working with young Aboriginal people in the promotion of, and improved access to, opportunistic and voluntary STI screening for people aged between 16 and 35 years.

For more information about the program click here.

Aboriginal art text 'end the cycle stay connected' black, olive, burnt orange, white

Image source: AHCSA website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

National Carers Week

Carers are people who provide unpaid care and support to family members and friends who have a disability, mental health condition, chronic condition, terminal illness, an alcohol or other drug issue or who are frail aged – anyone at any time can become a carer. National Carers Week is an opportunity to raise community awareness among all Australians about the diversity of carers and their caring roles.

12.4% of the Aboriginal and Torres Strait Islander population are carers, compared to 10.5% of the non-Indigenous Australian population. Aboriginal and Torres Strait Islander carers living in regional, rural, and remote areas often experience:

  • language and cultural barriers 
  • geographic barriers in accessing health and welfare services
  • and may face barriers to health literacy.

For more information click here.

text 'national carers week 10-16 October 2021' & image of aged hands being held by younger hands

Vax for people living with kidney disease

On Wednesday, 13 October from 6:30PM – 7:30PM (AEDT) Kidney Health Australia is hosting a Q&A webinar on the COVID-19 vaccine for people living with kidney disease. The webinar is open to kidney disease patients, transplant recipients, parents and carers, and health professionals, and aims to answer your questions and concerns around getting the covid vaccine.

To ensure your questions are answered, make sure to submit your question/s when registering for the webinar. Registrations close on Wednesday 13 October at 5:00PM. Click here for more information about the webinar and to register.

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