NACCHO Aboriginal & Torres Strait Islander Health News: Redesigning maternity services for mob

The image in the feature tile is from the Holistic Care With No Limits – Empowering the Aboriginal Community on Darkinjung Country webpage of the Yerin Eleanor Duncan Aboriginal Health Services (Central Coast, Darkinjung Country) website.

Redesigning maternity services for mob

Earlier this week more than 250 representatives from First Nations communities, health services, universities and research institutes, came together in Mparntwe (Alice Springs) to explore the scope for system-wide reform to secure the ‘best start to life’ for First Nations babies and their families.

The 2022 Best Start to Life Conference: a national gathering in Mparntwe was co-hosted by Molly Wardagugu Research Centre, Charles Darwin University (CDU) and Central Australian Aboriginal Congress (CAAC) to improve maternity services for First Nations communities and, ultimately, reduce maternal health inequities in the NT.

The Charles Darwin Universities’s Co-Director at CDU’s Molly Wardaguga Research Centre and Indigenous Health Professor Yvette Roe, who is a Njikena Jawuru woman from the West Kimberly region, WA, who grew up in Darwin, spoke on CAAMA Radio about the challenges faced by first nations mothers, in bringing up strong healthy babies.

“Before colonisation, our babies were born on country, we were raised by our mothers, we were raised by grandmothers, we had cultural ceremony and we had a real connection to community – after 200 years of colonisation, we have babies too early, too small, that are very sick when they’re born, we have mothers that have babies that are very sick, we got a health system that is being designed by a colonised system, a system imposed on our people… and this has really had poor outcomes, especially with our women in very remote communities, but also our women in urban centres.” Professor Yvette Roe said.

To view the CAAMA article Maternity services redesigned for First Nations women, which includes a video of Professor Roe speaking about the aim of the The Best Start to Life national gathering and improving maternity and birthing outcomes for First Nations women across Australia, click here.

Improving tobacco and e-cigarette control

Five ANU researchers have been awarded more than $10.7 million from the National Health and Medical Research Council (NHMRC) Investigator Grant scheme, to help tackle some of the world’s biggest medical and health challenges. Professor Emily Banks will receive more than $2.9 million to drive improved tobacco and e-cigarette control and provide new insights into cardiovascular disease prevention.

“Smoking remains Australia’s number one cause of premature death and disability,” Professor Banks said. “It is also a major cause of health inequity. Excellent progress by communities means that most Aboriginal and Torres Strait Islander people don’t smoke. At the same time, around half of all deaths at age 45 and over in this priority population are due to tobacco smoking.

“Australia is aiming for a tobacco-free future and is up against a predatory industry that is constantly innovating. E-cigarettes, or vaping, also present new challenges. My team and I will use this funding to generate and translate new insights to empower the next generation of tobacco and e-cigarette control and chronic disease prevention,” Professor Banks said.

To view the Canberra Weekly article Major ANU funding win to boost health for all Australians in full click here.

Photo: Mike Mozart, Flickr. Image source: Croakey Health Media.

Great oral health habits for kids

Smiles 4 Miles (an initiative of Dental Health Services Victoria – DHSV), the Healthy Eating Advisory Service (HEAS) and Ballarat Community Health are supporting early childhood services to improve children’s oral health and healthy eating habits. This work is highlighted in a new video case study (below) celebrating how Perridak Burron Early Learning, an Aboriginal community-owned education and care service, embedded these health priorities into their centre.

Tooth decay is largely preventable. However, public dental data shows that approximately one in four children aged five years and under who presented to public dental clinics in 2021–22 have a history of tooth decay and only 6% of Victorian children aged two to 17 eat the recommended serves of fruit and vegetables per day.

“We hope that Perridak Burron’s holistic, whole-of-service approach to healthy eating and oral health will inspire other early childhood education and care services to also make positive changes,” Smiles 4 Miles coordinator Demelza Diacogiorgis said. “Early childhood is a crucial stage in learning and development. Promoting health messages in simple ways enables children attending early childhood education and care settings to get a healthy start in life.”

To view the Bite magazine article Early childhood service leading the charge for great oral health habits in full click here.

New Deadly pharmacists training course

The new Deadly pharmacists foundation training course, co-designed by PSA and NACCHO, is designed to upskill pharmacists to work in ACCHOs. Lucky Zeniou MPS, Senior Pharmacist at the Institute for Urban Indigenous Health (IUIH) in Brisbane thinks the seven-module course, available on the PSA platform, will broaden career pathways for pharmacists.

Mike Stephens MPS, Director, Medicines Policy and Programs at NACCHO, said pharmacists can expect to gain a good understanding of the key concepts that underpin Aboriginal and Torres Strait Islander health, including the importance of self-determination and community control. ‘There are so many services ACCHOs can offer their community, and clinical care and pharmacy is just one part of that integrated care model,’ he said.

‘In some ACCHOs a pharmacist may be working alongside tobacco outreach workers, legal services, diabetes educators and Aboriginal and Torres Strait Islander health workers all in the same location.’ For pharmacists interested in working in an ACCHO, Mr Stephens recommends undertaking the course before or as soon as they begin work in this space. ‘This course will be a great enabler for this emerging workforce to grow,’ he said. ‘We know many ACCHOs are looking for suitable pharmacists to employ.’

To view the Australian Pharmacist article Securing a job in an Aboriginal Community-Controlled Health Service in full click here.

Image source: PSA Deadly pharmacists foundation training course webpage.

Closing the digital exclusion gap

Tech for good’ organisation Hitnet has been working with Aboriginal and Torres Strait Islander people for over 20 years, but its recent move is going further to amplify Indigenous voices. Co-founder and director Julie Gibson has ceded the company, which brings information and services to close the digital exclusion gap in rural and remote communities, to Visual Dreaming, a First Nations technology platform drawing on cultural practices and storytelling to support Indigenous youth.

For Gibson, the business move acts as a symbol for the non-Indigenous community to make room for First Nations organisations in an authentic and meaningful way. “Myself and the other founders strongly believe that Hitnet needed First Nations innovation, knowledge, creativity and entrepreneurship to take it to the next level,” said Gibson. “It was actually us that approached Visual Dreaming after a national search of actively looking to transition out.”

“I think the time has well and truly come for businesses that operate in the First Nations space to have management structures to ensure there is solid First Nations representation, which is not tokenism, but genuine ownership and control.”

To view the Pro Bono Australia article How ‘yindyamarra’ informed a business acquisition in full, click here.

How to provide better safer care

The COVID-19 pandemic has disrupted health and healthcare in many ways. One important issue is developing a better understanding of its impacts upon Aboriginal and Torres Strait Islander peoples’ experiences of healthcare. An important indicator of the quality and cultural safety of healthcare is whether Aboriginal and Torres Strait Islander people feel safe to remain in a service to receive healthcare, or whether they leave before healthcare is delivered or completed.

According to data recently reviewed by the Australian Commission on Safety and Healthcare, there are some grounds for concern that the pandemic has been associated with an increase or, at the very least, no improvement in leave events.

Another important question is how the pandemic has affected Aboriginal and Torres Strait Islander peoples’ access to care, given widespread reports of service closures, workforce shortages and systems under grave pressure. Dr Julieann Coombes and Keziah Bennett-Brook, researchers from the George Institute who conducted a systematic review informing national policy on leave events, suggest the issue deserves far more attention from policymakers, health services and providers, through efforts to address racism and improve cultural safety at all levels of the system.

To view the Croakey Health Media article How can health services provide safer, better care for Aboriginal and Torres Strait Islander people? in full click here.

Image source: CommunitySkills WA website.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Global Handwashing Day

October 15 is Global Handwashing Day, a global advocacy day dedicated to increasing awareness and understanding about the importance of handwashing with soap as an effective and affordable way to prevent diseases and save lives.

In Australia trachoma remains a major cause of avoidable blindness and as a prevention, face and hand washing are critically important. Australia is the only developed country still with high levels of trachoma, and almost all cases occur in our remote Aboriginal communities. Curtin University in partnership with West Australian Country Health Service, the Directorate of Environmental Health (WA Health) and Indigenous Eye Health (University of Melbourne) have produced a 30 second video, available here, based on Milpa’s Six Steps to Stop Germs!

For more information about Global Handwashing Day 2022 click here.

The University of Melbourne’s School of Population and Global Health webpage.

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