NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO Annual Report 2021–2022

NACCHO Annual Report 2021–2022

The NACCHO Annual Report 2021–2022 s now available to view.

The cover illustration symbolises NACCHO as the peak body for Aboriginal and Torres Strait Islander health working together with its members and affiliates towards the delivery of comprehensive and culturally competent primary health care.

It showcases the work and achievements of the Aboriginal Community Controlled Health sector and includes the audited financial statements for 2021–2022 and can be accessed here.

NACCHO and BHP partner to improve RHD outcomes

NACCHO and BHP have announced a partnership aimed at eliminating Rheumatic Heart Disease (RHD) and Acute Rheumatic Fever (ARF) among Aboriginal and Torres Strait Islander peoples. ARF and RHD are preventable diseases disproportionately affecting Aboriginal and Torres Strait Islander peoples living in regional and remote areas. Between 2016 and 2020, Aboriginal and Torres Strait Islander peoples accounted for 92% of all ARF diagnoses in Australia.

As part of the agreement, BHP will provide $9.7m over three years, helping to fund critical health care initiatives delivered by ACCHOs across Australia. The funding complements the $18m already committed by the Australian Government. An additional $13.5m is also anticipated following the Labour Party’s election commitment to combat RHD in Aboriginal and Torres Strait Islander communities. This includes $1.5m that is prioritised for the investment in portable echo-cardiogram machines, training and support for primary health care workers, including Aboriginal Health Workers and Practitioners.

NACCHO CEO, Pat Turner, said: “NACCHO’s partnership with BHP and the Australian Government is the first-ever national Aboriginal and Torres Strait Islander Sector-led initiative to combat RHD in our communities. This partnership recognises that we are best placed to design and implement health services, including prevention, screening, early diagnosis, treatment and supportive care, for our own communities. This additional investment will expand the support provided by ACCHOs to deliver evidence-based ARF and RHD activities in their communities.”

BHP’s Chief Legal, Governance and External Affairs Officer Caroline Cox said: “BHP is proud to continue its support of NACCHO, building on partnerships established with the Aboriginal community-led health sector over many years. It is important that we back Aboriginal and Torres Strait Islander leadership and put Aboriginal health in Aboriginal hands, as NACCHO’s vision sets out. We are determined to play our part in the collective action required to address the underlying causes of these health issues, such as inequality, inadequate housing and long-standing health inequities.”

BHP’s investment follows $5.9m of donations to ACCHOs throughout the pandemic for Aboriginal and Torres Strait Islander-led COVID responses across the country.

You can view the joint NACCHO and BHP media release NACCHO and BHP partner to improve ARF and RHD outcomes in Aboriginal and Torres Strait Islander communities in full on the NACCHO website here.

Image source: BHP.

Killings, disappearances a crisis in plain sight

Last night ABC Four Corners aired a story “How Many More?” – a special investigation into Australia’s murdered and missing Indigenous women. In Australia Aboriginal women are among the most victimised groups in the world, murdered up to 12 times the national average. In some regions, their deaths make up some of the highest homicide rates in the world. The killings and disappearances of Indigenous women across Australia were described in the program a crisis hidden in plain sight.

The program shows a snapshot of what this tragedy looks like. Four Corners revealed that at least 315 First Nations women have either gone missing or been murdered or killed in suspicious circumstances since 2000. But this is an incomplete picture. We will likely never know the true scale of how many First Nations women have been lost over the decades. This is because there is no agency in Australia keeping count, and there is no standard way of collecting this important data in each state and territory.

Canada calls it a genocide. The United States considers it an epidemic. But here in Australia, we’re only just waking up to the scale of the crisis.

To read the ABC News article The killings and disappearances of Indigenous women across Australia is a crisis hidden in plain sight click here and view the Four Corners episode here.

Prevalence of hearing loss research

The Australian Government has announced close to $7.5m funding to support research that will help prevent hearing loss and improve the health and wellbeing of those who live with hearing impairment. Nine projects have been funded, including a number of projects focused on improving access to hearing health for Aboriginal and Torres Strait Islander children.

Researchers at Flinders University will co-design culturally appropriate methods to overcome difficulties experienced by Aboriginal and Torres Strait Islander children accessing hearing healthcare. At Curtin University, researchers will provide the first estimates of the number of Aboriginal children who have ear infections and hearing loss from 0 to 5 years of age and will demonstrate the feasibility of screening for ear infections and hearing loss from 2 months of age.

The grants are funded for three years through the National Health and Medical Research Council’s (NHMRC) Targeted Call for Research into Hearing Health 2021: Evidence-based support services.

To read Minister Butler’s media release $7.5m for hearing health in full click here.

Image source: Central Australian Aboriginal Congress (CAAC) Ear and Hearing Health webpage or CAAC website.

Mental health stigma a barrier for veterans

An Indigenous Navy veteran says the Australian Defence Force (ADF) has failed to address stigma around mental health among Aboriginal and Torres Strait Islander veterans. Professor Brad Murphy OAM, who now runs a veteran-focused GP clinic after serving in the Navy as a leading senior medic, has given evidence before the Royal Commission into Defence and Veteran Suicide.

He told the commission the stigma attached to seeking help for mental health issues remained a “huge impediment” to caring for Indigenous veterans. “We’ve worked so terribly hard over the years to remove stigma associated with mental health,” Professor Murphy said. “No matter how much we’ve tried, we have failed in this regard. Having [Indigenous veterans] actually reach out, or having family or community that are strong enough and well resourced to actually reach out on their behalf is a significant challenge.”

Professor Murphy told the commission more support was needed for members transitioning out of service and back into civilian life. He said many members leaving the ADF were left disconnected from their sense of family and belonging. “Indigenous culture is very much about family and my own experience and certainly my understanding of military culture is of family,” Professor Murphy said.

To read the ABC News article Indigenous veteran Professor Brad Murphy tells Defence Suicide Royal Commission mental health stigma remains a barrier in full click here.

Photo: Siobhan Heanue, ABC News.

No progress in tackling obesity

Calls for a tax on sugary drinks and warning labels on junk food have increased after a new report showed Australia has made no progress in the fight to tackle obesity. Since 2017, the Food Policy Index has been tracking progress on federal and state government policies to reduce obesity rates in Australia. “Obesity is really a public health crisis in Australia,” said Gary Sacks, an Associate Professor at Victoria’s Deakin University, and a co-author of the latest update on the Food Policy Index. “We’ve got two thirds of adults are overweight or obese, and a quarter of kids are overweight or obese.

Inequities in socioeconomic status have meant certain populations are even more impacted by the prevalence of obesity. The groups include those at higher risk of chronic disease, such as Indigenous Australians and newly arrived migrants. “These communities are at extreme risk. In Central Australia, we’ve got 60% of the Aboriginal population living with Type 2 diabetes. Access to care, such as dialysis, is really complicated, you have to come off Country, water is a real issue,” Ms Martin said. “The supply of fresh food and sometimes flying food in when the wet comes is really, really challenging.”

The prevalence of being overweight or obese is higher in Indigenous Australians compared to the general population. Of First Nations people aged between 2 and 17, the prevalence is 38% versus 24% for non-Indigenous youths, according to the Australian Institute of Health and Welfare.

To read the SBS News article ‘A public health crisis’: This is how many Australians eat a healthy diet in full click here.

Image source: The Medical Journal of Australia.

Extending scope of practice concerns

Louise Stone, a GP with clinical, research, teaching and policy expertise in mental health and Associate Professor in the Social Foundations of Medicine group, Australian National University (ANU) Medical School has written an article for AMA InSight about the push to enable health care workers to work “top of scope”.

Professor Stone says that while the scope of practice is traditionally defined by professional standards, codes of ethics and codes of professional conduct, and includes skills that an individual practitioner is “educated, authorised, competent and confident to perform” it has often implied extending practice beyond the traditional limits of a particular role.

According to Professor Stone, there seems to be an assumption that this is a good thing for health care workers, will be cheaper for the health service, and any opposition to it is merely a “turf war” argument designed to protect existing siloes. Professor Stone however doesn’t think any of us have the right to extend our scope of practice without accepting the responsibility of submitting to appropriate oversight to keep the public safe.

To view the InSight+ article “Top of scope”: no rights without responsibilities in full click here.

Associate Professor Louise Stone. Image source: InSight+.

Australia’s Biggest Quiz to end hep C 

Australia’s Biggest Quiz is coming up TOMORROW Wednesday 26 October 2022.

Hepatitis Australia is asking everyone to register and participate in Australia’s Biggest Quiz which is the national community activation of the Ending Hepatitis C Campaign. Register here and join this history-making world record breaking trivia event to have some fun while raising awareness about hepatitis C and its cure!

In the five years since hepatitis C cures became available to everyone, the number of Aboriginal and Torres Strait Islander people living with hepatitis C has declined by 17%. But more work is needed to close the gap! Australia’s Biggest Quiz aims to raise awareness that hepatitis C has a simple cure. You can get tested at your local Aboriginal Medical Service or GP. Australia’s Biggest Quiz will take place at 16 venues in all states and territories, alongside a national virtual audience, to try break a Guinness World Record, while raising awareness of hepatitis C, and its cure.

You can help promote Australia’s Biggest Quiz using the Stakeholder General Communications Kit, available here. The kit contains: tiles for social media, guidance on how to use the digital communications material, Australia’s Biggest Quiz logo, posters, social media tiles and zoom backgrounds!

This campaign is brought to you by Hepatitis Australia who is working in partnership with 80+ community groups, supported by the Australian Department of Health and Aged Care.

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.

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