Category AA NACCHO Chair

Jul 6 2023

NACCHO Aboriginal & Torres Strait Islander Health News: The NACCHO Board supports the Uluru Statement from the Heart

The image in the feature tile is of the Chair of NACCHO, Donnella Mills.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

The NACCHO Board supports the Uluru Statement from the Heart

NACCHO supports constitutional recognition and a First Nations Voice to Parliament. We are an organisation representing 145 Aboriginal community-controlled health organisations operating over 550 clinics across Australia, delivering services to over 410,000 Australians.

NACCHO supports the full implementation of the Uluru Statement from the Heart, including a Voice, treaty, and truth.

Alignment with the National Agreement on Closing the Gap

The Voice also aligns with the National Agreement on Closing the Gap. Supporting self-determination and building the capacity of the community-control sector is central to the commitment that all Australian governments made as part of this seminal Agreement. The Voice will only lend strength to the Agreement and to existing Aboriginal and Torres Strait Islander community-controlled organisations and structures.

The power of a Voice

There is one excellent example of what happens when Aboriginal and Torres Strait Islander people have a voice. It was when we led the way during COVID. The Aboriginal community-controlled sector stepped up early, knowing that the COVID pandemic had the potential to cause devastation among our people.

Almost 2,000 Aboriginal and Torres Strait Islander lives were saved by allowing our communities to design their own COVID responses in their own communities, when the Commonwealth Government heard our voice and even handed over the COVID funding direct to our organisations.

In early 2020, our sector asked the Commonwealth to sit down with us and get an emergency plan in place. Together, we set up the National Indigenous COVID Advisory Committee co-chaired by NACCHO and the Australian Government and including representatives from all state and territory governments. In addition, there was timely funding provided by the Australian Government, disbursed to our members. They knew, better than anyone else, what our communities needed. This meant that targeted funding was on the ground within days. The response had to be rapid, and it was.

As a result of our own Aboriginal and Torres Strait Islander COVID response, lives were saved. The original estimate was that 2,200 Aboriginal and Torres Strait Islander people would die. This was the estimated share of deaths based on population share, burden of disease and comorbidities. Yet only about 250 Aboriginal and Torres Strait Islander people lost their lives. A voice and a genuine partnership with the Department of Health, therefore, saved almost 2,000 lives. This is the power of a Voice.

To download the statement go here.

Honouring Elders and their contributions to health and wellbeing

This year’s NAIDOC Week theme is, ‘For our Elders’. This is a concept in action in Aboriginal Community Controlled Health Organisations (ACCHOs) and Aboriginal Community Controlled Organisations (ACCOs) around the country. ACCHOs and ACCOs are aware they stand on the shoulders of the Elders and older Aboriginal and Torres Strait Islander people, who are responsible for establishing systems and structures outside of the mainstream, to improve the health and wellbeing outcomes for Aboriginal and Torres Strait Islander people across the country.

These organisations are not only part of the fabric of the Aboriginal and Torres Strait Islander community, ACCHOs are now considered a leading model for primary healthcare in Australia and the world. Working alongside ACCOs, they deliver culturally secure and effective services, fostering engagement and improving health outcomes. Gunditjmara Aboriginal Cooperative and Kura Yerlo are among many organisations that have designed programs and events specifically tailored to support Aboriginal and Torres Strait Islander Elders. These initiatives aim to encourage cultural engagement, promote social connections and facilitate health and wellbeing.

Gunditjmara Aboriginal Cooperative Men’s Group is aware of the significant role of Elders in their community, what they have fought for, the culture they know, their wisdom and the importance of providing the space for that wisdom to be shared with younger generations. Levi Geebung, the Social & Emotional Wellbeing Caseworker who leads the Gunditjmara Aboriginal Cooperative Men’s Group stated:

“Elders are one of the main driving forces for why we do what we do, this is the passing down of knowledge and culture. If it wasn’t for the teaching I’ve received from my Elders, I wouldn’t be able to pass that knowledge on to those who attend our men’s group.”

To read the Croakey Health Media article Honouring Elders and their contributions to health and wellbeing in full click here. 

Kura Yerlo Elders. Image source: Croakey Health Media.

The future of NDIS in remote communities

Local expertise and responses are urgently needed for remote Aboriginal and Torres Strait Islander communities, where little has been delivered since the National Disability Insurance Scheme (NDIS) was launched. Founding NDIS chair Bruce Bonyhandy, who is co-chairing the Independent Review Panel has also said the health and education sectors need to step up to ensure that the NDIS is sustainable and transformative for people with disability. It comes as the NDIS review panel released its interim report last week, ahead of the 10th anniversary of the NDIS and amid ongoing concerns for the scheme’s future.

In the NDIS Review’s interim report, a NDIS participant’s family member said, “I love the NDIS. It has been a life saver for my family but not without stress, anxiety…and seeing my family at breaking point. Every year we go through the same mundane crap and have to fight the fight, not knowing what the outcome will be.”

Members of the Review spent a week visiting the NT, spending time with Aboriginal and Torres Strait Islander communities. Bonyhandy said the lack of impact from the NDIS over eight years, especially in remote communities, “is not just disappointing; it is deeply shocking that so little has been achieved.” He said the NDIA is still flying or driving support workers into and out of remote communities, rather than building the NDIS community-by-community, training local Aboriginal and Torres Strait Islander people to be support workers, allied health assistants, recovery coaches and peer workers.

This would not only be more cost effective, “it would also boost remote economies, deliver culturally-safe services, and help Close the Gap,” he said.

Read the full Croakey Health Media article here and to get involved with the NDIS Review go here.

NDIS Logo. Image Source: UNSW Canberra.

Health key policy area for the Voice

The Indigenous Voice to Parliament will be asked to give advice on four main policy areas including health, education, jobs and housing, if the referendum held later this year is successful. At the National Press Club on Wednesday Minister for Indigenous Australians Linda Burney said, “The Voice will be tasked with taking the long-view.

“I will be asking the Voice for their input to solve these most pressing issues,” she said.

Minister Burney said Australia needs new perspectives to solve old challenges. To illustrate how the Voice would work and how better policy can be developed, Ms Burney used the example of the Indigenous-led birthing on country movement.

“Aboriginal community-controlled health organisations have pioneered a more effective way of caring for mums and babies, one that embraces tradition and language so mothers feel safe accessing medical services early and often.

“And by respecting and elevating the role of the extended family Birthing on Country sets mums and babies up for a health beginning,’ she said.

Read the full National Indigenous Times article Voice to be asked for advice on four key policy areas here.

Minister for Indigenous Australians Linda Burney. Image source: Mick Tsikas AAP Photos.

TAC reflects on 50 years of providing care and advocacy

The Tasmanian Aboriginal Centre (TAC) has been dedicated to promoting Aboriginal and Torres Strait Islander rights, culture, health and wellbeing for 50 years. Serving the Tasmanian community for five decades, TAC northern regional manager, Lisa Coulson reflected on the adversity overcome by the organisation in its early days and the milestones achieved throughout the years.

“From its small beginnings in Tamar Street … to today with over 240 staff shows the growth of the organisation and the need within the Aboriginal community for the support of the programs that we deliver,” Ms Coulson said.

TAC has already ticked off a few celebratory events this year, including the Putalina Festival, “There was also the Invasion Day rally on January 26, and in March we celebrated a 30-year anniversary of the Palawa Kani language program,” said Ms Coulson.

Looking ahead TAC aims to expand its services, strengthen cultural education, and create sustainable economic opportunities for Aboriginal people and Torres Strait Islander people.

Read the full article here.

TAC northern regional manager Lisa Coulson. Image source: Rod Thompson.

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.

May 10 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Budget shows new Government is listening

feature tile image of Donnella Mills; text 'Last night's Commonwealth Budget "is full of important health measures that will help Aboriginal and Torres Strait Islander people across the country" Donnella Mills - NACCHO Chair'

The image in the feature tile is of the Chair of NACCHO, Donnella Mills from the NACCHO website page Donnella Mills, available here.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Budget shows new Government is listening

Earlier this morning NACCHO issued the following media release in response to last night’s Commonwealth Budget:

This Budget shows that the new Government is listening to Aboriginal people.

Last night’s Commonwealth Budget contains welcome measures to help close the gap in Aboriginal and Torres Strait Islander health.

In Cairns this morning, Donnella Mills, the Chair of the National Aboriginal Community Controlled Health Organisation (NACCHO) said, ‘This Budget shows that the Government is listening. It is full of important health measures that will help Aboriginal and Torres Strait Islander people across the country’.

‘You would have to say that the Government has been bold. Be it in the improvements to Medicare, the cheaper access to pharmaceuticals, the courageous plan to stamp out vaping, or the mental health funding for the referendum on the Voice. All these measures will help. But I am particularly pleased to see the $238m announced to help close the cancer gap. Cancer is the number one killer of our people’.

Aboriginal and Torres Strait Islander people are 1.4 times more likely to die from cancer than other Australians. Cancer outcomes, while improving for other Australians, have been worsening for Aboriginal and Torres Strait Islander people.

The acting CEO of NACCHO, Dr Dawn Casey, said ‘When we told the Government that the cancer gap was widening and that we needed a national strategy to address this, they listened and supported our proposal. More importantly, they worked with us to co-design a plan’.

In 2019, the potentially avoidable mortality rate from cancer for Aboriginal and Torres Strait Islander people was over three times the rate for other Australians: 323 and 98 per 100,000 respectively. While mortality rates have been declining for other Australians for at least two decades, there has been an uptrend in cancer mortality for Aboriginal and Torres Strait Islander people. The situation is far worse in regional, remote and very remote areas.

Donnella Mills said, ‘In a year in which we are moving towards a referendum on a Voice, this Budget measure shows what happens when you listen to Aboriginal people and how genuine partnerships can be formed with governments in which we co-design solutions. Nobody knows better than local people what local solutions should be. And it is great to see a government that is prepared to listen’.

‘Of course, there are areas we still need to progress. For example, the health funding gap ($4.4b per year or about $5,000 per Aboriginal person) needs to close. And NACCHO is concerned that palliative care, related to cancer and other health issues, remains unfunded in the ACCHO sector. But today, we want to acknowledge the ambitious cancer package and the positive outcomes that it will undoubtedly deliver for our people. The Albanese Government has listened to us, and we look forward to working with them on the cancer package’.

You can access view the NACCHO media release This Budget shows that the new Government is listening to Aboriginal people. in full on the NACCHO website here.

tile NACCHO logo, text 'Media Release - This Budget shows that the new Government is listening to Aboriginal people'

Rural healthcare needs more than modest measures

The National Rural Health Alliance (the Alliance) sees the Federal Budget 2023–24 as a missed opportunity to significantly address healthcare needs in rural Australia. This is despite their poor health status, which is below that of their urban counterparts. “While there are some modest measures included to improve healthcare access, this is not a Budget that will provide rural health improvements – which is disappointing,” said Alliance Chief Executive Susanne Tegen.

In relation to Aboriginal and Torres Strait Islander healthcare measures, the Alliance said “We support and applaud the Indigenous preventive health initiatives, including free annual health checks, national expansion of the Deadly Choices program, extending the Tackling Indigenous Smoking initiative to include vaping, culturally appropriate knowledge and skills support to prevent alcohol-exposed pregnancies, as well as early treatment through the new national lung cancer screening program. These are important measures as rates of daily smoking in First Nations Australians increase significantly with remoteness, from 30.1% in major cities to 52.3% in very remote areas.”

The Alliance said it “is disappointed that significant reform of rural health care has still not been tackled, with these modest Budget measures failing to address major medical and health workforce inequities. These measures also do not allow for the innovative community-led models of multidisciplinary primary health care that are desperately needed in rural areas. There is still work to do beyond tinkering around the edges. Further reform is needed to support the 30% of the population who live outside urban centres.”

To view the National Rural Health Alliance media release Rural communities continue to miss out on healthcare services amid modest Budget measures and economic surplus in full click here.

National Rural Health Alliance logo

Support for mob’s mental health during Voice campaign

Just as  exposure to negative sentiment during Australia’s same-sex marriage debate led to increased mental stress in the LGBT community, debate around the Voice has the potential to similarly impact Aboriginal and Torres Strait Islander mental health. In anticipation of this last night’s federal budget has allocated funding to support Indigenous mental health through the Voice campaign after concerns about potential racism and misinformation during the debate. Budget papers reveal the Department of Health and Aged care will be given an extra $10.5m to increase mental health support for First Nations people during the referendum.

A word frequently used in the media to negatively describe supporters of the Voice is ‘woke’. According to columnist and freelance writer Natalie Morris the word ‘woke’ originally meant to be awake to social injustice, particularly injustices about race. Its meaning however has been hijacked and subverted in recent years with the word now being used to suggest ‘a performative, insincere social consciousness, and inherent weakness. It’s a pjgorative term used to make fun of socially liberal ideologies and position them as inferior of silly.”

You can read:

  • The University of Sydney article Study show same-sex marriage vote damaged LGBT mental health here;
  • the National Indigenous Times article Budget allocates millions to support First Nations mental health during Voice campaign here; and
  • the Metro article How the word ‘woke’ was hijacked to silence people of colour here.
Aboriginal flag flying with new Parliament House in the background

Photo: Lukas Cosh, AAP. Image source: The Guardian.

Building healthier, stronger Torres Strait communities

A James Cook University-based health research team will collaborate with Aboriginal and Torres Strait Islander communities in the fight against chronic disease. The Healthy Ageing Research Team (HART) has embarked on a two-year project with communities in the Torres Strait region to co-design both individual health screening tools and community-level interventions. It will be funded by a $470,000 National Health and Medical Research Council Medical Research Future Fund grant.

HART researcher and clinical dietitian, Mel Kilburn, is completing her PhD on the project. She said the genesis of the project – Strong Communities, Strong Health: co-designing chronic disease prevention in the Torres Strait – came from the communities themselves. “Communities in the Torres Strait have expressed a need for these tools and will play a central role in developing these and other strategies. There will be ongoing consultation with communities at every stage of the project,” said Ms Kilburn.

She said there is limited data on diet and none on physical activity habits in adult residents, despite the escalating rate of chronic diseases in the region, including type 2 diabetes, heart and kidney diseases, and dementia. “This crucial knowledge gap is partly due to the geographic isolation of many communities, as well as the lack of culturally appropriate health assessment tools,” said Ms Kilburn. “This, in turn, has inhibited the development of sustainable health programs that are relevant and acceptable within communities.”

To view the James Cook University Australia article Building healthier, stronger Torres Strait communities from within in full click here.

Torres Strait Islander family on Thursday Island standing in front of taxi van

Torres Strait Islander family on Thursday Island. Image source: Let’s Learn about the Torres Strait Islands, Oz Publishing.

Completing your final year of a pharmacy degree?

Are you an Aboriginal or Torres Strait Islander person completing your final year of a pharmacy degree?

Ever thought about completikng an internship in hospital pharmacy?

Opportunities exist at University Hospital Geelong. Give them a call or drop them a line!

Benefits of working at Barwon Health:

  • Based in Geelong on Wadawurrung country, close to the Great Ocean Road
  • Culturally safe and supportive environment
  • Aboriginal Employee Network Program
  • 1:1 mentorship
  • Structured intern program led by experienced educators
  • Work in a tema of 6 interns

To view the related flyer click here.

For more information contact Diana Bortoletto – Lead Pharmacist Education and Training by email here or Sophie Jahnecke – Intern Preceptor by email here or phone Pharmacy Direct Line (03) 4215 1582.

tile Barwon Health logo; text 'Are you an ATSI person completing your final year of a pharmacy degree? Ever thought about completing an internship in hospital pharmacy?'

 

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.

World Lupus Day – 10 May

World Lupus Day was established to take place on 10 May by the World Lupus Federation (WLF) to unite lupus groups around the world during Lupus Awareness Month and call attention to the impact that the disease has on the more than 5 million people globally affected by lupus. This year the World Lupus Federation is urging the global public, including those living with lupus, their friends and family members to raise awareness and share facts about the disease on social media and in their communities.

Lupus is a chronic autoimmune disease that can cause inflammation and pain in any part of the body, including the heart, kidney, lungs, blood, joints and skin. With lupus, the immune system, the body system that usually fights infections, attacks healthy tissue. While anyone can develop lupus, 90% of people with the disease are women. It has no known causes or cure, and can be disabling and potentially fatal. Access to care and medications continue to be a significant challenge for people with lupus around the world. A recent WLF global survey found that 1 in 4 respondents delayed or did not get medical care when needed in the last 12 months, with top reasons including wait times (44%), fatigue (22%), cost (22%). Those that delayed or did not get care also were twice as likely to have multiple flares, a time when lupus symptoms, such as pain and inflammation, worsen.

“It is an extremely important promote World Lupus Day because it is an opportunity to raise awareness of the devastating impact that lupus can have on physical, emotional and economically,” remarked Cr Barbara Ward, CE and Board member, Lupus Australia, and member of the eight-nation WLF steering committee. In Australia (where lupus disproportionately affects Aboriginal and Torres Strait Islander women) and around the world, lupus isn’t understood, which can lead to delayed diagnosis and for those living with the disease to feel misunderstood and unable to receive the care they need for this debilitating disease. Each voice sharing facts on World Lupus Day can have an incredible impact and bring greater attention and resources to efforts to end lupus.

To view the World Lupus Federation media release World Lupus Federation Urges Global Community to Raise Lupus Awareness on May 10 for World Lupus Day 2023 in full click here.

purple white yellow tile tile World Lupus Day logo; text 'May 10, 2023 - Today is World Lupus Day - worldlupusday.org'

Mar 15 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Genuine engagement needed over consultation

feature tile text 'NACCHO Chairperson tells conference that Governments need to recognise they do not have the answers; image of Donnella Mills

The image in the feature tile has been extracted from a YouTube video of NACCHO Chair Donnella Mills sharing her message on COIVD-19 and the vaccines in early 2021.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Genuine engagement needed over consultation

The Australia and NZ School of Government’s (ANZSOG’s) 2023 First Nations Public Administration Conference, held earlier this month, focused on the importance of genuine engagement rather than consultation. Delegates supported a strengths-based approach to policy and programs which recognised First Nations knowledge and culture. The conference was divided into four sessions based around the priority reforms of the National Agreement on Closing the Gap. These were: formal partnerships and shared decision-making; building the First Nations community-controlled sector; transforming Government organisations, and shared data and access to information.

Chair of the NACCHO, Donnella Mills told the conference that Governments needed to recognise they did not have the answers, and that Indigenous people would “work harder than anyone else to take care of our people”. She said structural reform was needed to change the way power was distributed. “If the National Agreement on Closing the Gap isn’t on your desk; if you can’t rattle off the priority reforms, if your Agency hasn’t resourced it — you need to lean in, and quickly. We are now in a new way of operating,” Ms Mills said.

The conference featured more than 20 First Nations speakers who discussed the transformation that was happening in First Nations policy. They outlined how approaches that included First Nations knowledge, perspectives and values could serve the wider public and First Nations interests — and how Governments needed to change to better serve First Nations communities.

To view the PS News article ANZSOC conference backs PS Indigenous in full click here.

portrait shots of John Paterson, AMSANT CEO & Robert Skeen, AH&MRC CEO

AMSANT CEO John Paterson and AH&MRC CEO Robert Skeen, were both speakers on Day Two of the conference. Image sources: ANZSOG website and AH&MRC website.

$32m+ for First Nations health research projects

Through the Medical Research Future Fund (MRFF), nearly 200 ground-breaking medical research projects will share in more than $382m in grants, including more than $32m to improve First Nations health. The projects will help Australia’s outstanding medical researchers, including clinician researchers, discover new ways to diagnose, treat and care for people with a variety of health conditions. They will also support early and mid-career researchers and give more Australians access to clinical trials.

Research projects on cardiovascular disease, primary and preventive health care, respiratory diseases, maternal health, mental health and First Nations health, will receive funding to progress important work.

Two innovative First Nations-led projects to receive funding are:

University of Newcastle – $2m – Gulibaa (Coolamon) Project
This will be a co-designed model of care supporting Aboriginal mothers across NSW to be smoke-free in pregnancy and beyond. The project will co-design, embed in Aboriginal Community Controlled Health Services, and evaluate a group-based smoking cessation program.

The Sax Institute – $1.5m – Healthy Ageing for Aboriginal people
This project will evaluate the implementation and uptake of prevention programs to support healthy ageing amongst Aboriginal people. The Institute will collaborate with Aboriginal Community Controlled Health Services which run holistic and culturally safe preventive healthy ageing programs for their communities.

Of the 193 projects funded, 19 grants worth more than $32.3m are related to First Nations health and a further 13 grants worth more than $16.9m are related to mental health.

To view the Hon Mark Butler MP, Minister for Health and Aged Care’s media release Nearly $400 million for exceptional medical research projects including projects to improve First Nations health in full click here.

Aboriginal woman's hands on pregnant belly; male & 2 female ATSAI Elders, MRFF logo

Image sources: SBS; Aged Care Online website; Australian Government Department of Health and Aged Care.

Program to help teens get a good night’s sleep

Karen Chong is the world’s first Indigenous sleep coach. “We are the people of the Dreamtime with the oldest continuing culture shaped by dreams, which is why I became a sleep coach and I want to train others,” she said. Mother of seven and grandmother of 10 Ms Chong, a Waanyi Garawa Gangalida woman, knows all too well how much harder parenting can be if your kids aren’t sleeping properly. “If they weren’t having a proper night’s sleep, they were waking up cranky and moody and it affects their eating too,” she said. “The biggest issue I’ve had with my two girls is that they want to stay up all night on their phones – if you’re a parent you’ll know what kids are like.”

The University of Queensland and Beyond Blue have partnered to deliver culturally responsive sleep health services to Aboriginal and Torres Strait Islander adolescents in Queensland. Project lead Associate Professor Yaqoot Fatima from UQ’s Poche Centre for Indigenous Health said Indigenous teens experience up to twice the rates of poor sleep as other adolescents. “Poor sleep can be caused by medical conditions like sleep apnoea and restless leg syndrome, or behavioural issues such as an irregular bedtime, late nights, and not getting enough sleep,” she said.

“Indigenous adolescents sleep better when they feel connected to their culture, which is why this program is important.” The 10-week Sleep for Strong Souls program is holding workshops with more than a hundred 12-18-year-olds in north and western Queensland communities.

To view the Kyabram Free Press article Indigenous sleep coach wants a score of 40 winks all in full click here.

ATSI teenage school kids looking at table of Sleep for Strong Souls program resources with coach

The Sleep for Strong Souls program is aiming to help Indigenous teenagers get a good night’s sleep. Image source: Kyabram Free Press.

Conference to examine rural health challenges

The challenges facing the rural health system are well-documented and well-known: difficulty attracting and retaining staff, fewer resources, lack of access to services, and building capacity and resilience in times of disaster and emergency. The 2023 Shoalhaven Rural Health Research Conference aims to unpack many of these issues, and more, while focusing on how to improve rural health services through collaboration, research and innovation.

The inaugural, nation-wide conference will be held at the University of Wollongong’s (UOW) Shoalhaven Campus on Saturday 18 March 2023 with a theme of Connection and Capacity Building. Associate Professor Marlene Longbottom ,a proud Yuin woman from Roseby Park (Jerrinja) Mission in the Shoalhaven, will deliver the keynote address, titled ‘Connection and Country’.

As Principal Research Fellow at the Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre at UOW, Associate Professor Longbottom has worked extensively in the health and human services sector with Aboriginal and Torres Strait Islander communities from urban, regional and remote areas of New South Wales, Queensland and the Northern Territory. The keynote address will be followed by a series of workshops on the rural health and research landscape, hosted by UOW academics and primary healthcare professional across the fields of dietetics and nutrition, nursing, medicine and Indigenous health.

To view the University of Wollongong Australia article Inaugural conference to examine acute challenges facing rural health system in full click here.

portrait of Associate Professor Marlene Longbottom, University of Wollongong

Associate Professor Marlene Longbottom. Image source: LinkedIn.

Scholarship opportunities for First Nations nurses

As part of the Australian College of Nursing’s (ACN) commitment to advancing the nursing profession, the ACN Foundation has just released scholarships, grants and awards exclusively available to First Nations nurses to advance their nursing careers. Applications for the below scholarships are now open:

Graduate Certificate Nursing Scholarship, Sponsored by Johnson & Johnson Family of Companies – 20 scholarships are available for registered nurses to undertake selected ACN Graduate Certificate courses including Cancer Nursing, Community and Primary Health Care Nursing, Critical Care Nursing, Digital Health, Leadership and Management, Orthopaedic Nursing or Perioperative Nursing. Of the twenty available, five scholarships will be allocated to First Nations nurses and five will be allocated to nurses working in rural and remote areas of Australia.

Graduate Certificate Scholarships for First Nations nurses, Sponsored by HESTA – two scholarships are available for First Nations registered nurses to complete an ACN Graduate Certificate course of their choice out of ACN’s Graduate Certificate in Leadership and Management, Aged Care Nursing, Perioperative Nursing, Critical Care Nursing or Community and Primary Health Care Nursing, commencing in July 2023.

If you are not at a career stage to apply for a postgraduate nursing scholarship, discover ACN’s scholarships for undergraduates, nursing leadership courses, research and more on their website here.

Applications close 11:59 PM AEDT – Monday 3 April 2023. To apply click here.

Australian College of Nursing Foundation Grants and Awards, HESTA tile; text 'Graduate Certificate Scholarships for First Nations Nurses; photo of ATSI female student

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.

National Close the Gap Day

National Close the Gap Day is being held tomorrow, Thursday 16 March 2023, to raise community awareness about health inequalities facing Aboriginal and Torres Strait Islander people. In the SBS News – News in Depth broadcast Health differences for First Nations people targets on Close the Gap Day,available here, Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP) said “we believe the Close the Gap campaign priority reform areas are the biggest areas that will get the better gains that are required to close the gap”. Mr Briscoe said First Nations people must have access to appropriate housing, he said that with “Rheumatic Heart Disease (RHD) a fix that can be done straight away is adequate housing, we know that overcrowding is a huge component of RHD being prevalent within Aboriginal and Torres Strait Islander communities and it is really quite solvable by having adequate housing.”

In this broadcast, Dr Thalia Anthony, University of Sydney Law Professor commented on the National Agreement on Closing the Gap target of Aboriginal and Torres Strait Islander adults and young people not being overrepresented in the criminal justice system.

banner SBS News, News in Depth, text: Health differences for First Nations people targeted on Close the Gap Day; image of Uni of Sydney Law Professor Thalia Anthony

University of Sydney Law Professor Thalia Anthony. Image source: SBS News.

Mar 10 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Concrete action needed to address health disparities

feature tile text 'concrete action is needed to address health disparities in systemic, rigorous way

The image in the feature tile is of Francine Eades, Area Director of Aboriginal Health at WA’s East Metropolitan Health Service. Image source: article Minang Noongar health expert leads major health service’s mission to close the gap published in the National Indigenous Times on 9 March 2023.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

Concrete action needed to address disparities

Health services need to take “rigorous action” to Close the Gap between Aboriginal and non-Aboriginal Australia, the new Area Director of Aboriginal Health at WA’s key East Metropolitan Health Service said yesterday. Minang Noongar woman Francine Eades, who took on the role after leading WA’s COVID-19 vaccine roll out in Aboriginal communities, said it was time for “uncomfortable discussions” about racism and other issues affecting Aboriginal Australia.

“We know what the epidemiology of Aboriginal health tells us – we know about those disparities that have existed for quite some time,” Ms Eades said. “We have to acknowledge it and take concrete action to address those disparities in a systemic and rigorous way. It’s time to have some of those uncomfortable conversations about racism and how we are going to address it.” Ms Eades was speaking at a ceremony in Perth to mark her appointment.

Ms Eades has more than 30 years’ experience in the health sector, including 20 years as a registered nurse, and has a Master of Public Health in Applied Epidemiology obtained under the supervision of now Australian Chief Medical Officer Professor Paul Kelly. Ms Eades is also a past chairperson of the Derbarl Yerrigan Health Service and worked as an academic at the Curtin University Centre for Aboriginal Studies and the Curtin Medical School.

To view the National Indigenous Times article Minang Noongar health expert leads major health service’s mission to close the gap in full click here. You can also view the video featuring Francine Eades in one of the videos developed by WA Health to assist WA Aboriginal and Torres Strait Islander Healthcare Workers in their roles.

FASD Communications and Engagement Grant

NACCHO is excited to announce the FASD Communications and Engagement Grant to support NACCHO members to develop and deliver highly-localised, place-based communications materials and engagement activities to enhance and extend the Strong Born communications campaign. Strong Born has been designed to raise awareness of FASD and the harms of drinking alcohol while pregnant and breastfeeding, among Aboriginal and Torres Strait Islander peoples in rural and remote communities.

NACCHO members located in MM4–MM7 are eligible to apply for Round 1 of the grant funding. NACCHO members located in MM1–MM3 will be eligible to apply for Round 2.

Eligible ACCHOs can apply for between $5,000–$60,000 (GST exclusive) of FASD Grant funding which can be used for activities such as:

  1. Creation of locally relevant communications materials and resources raising awareness of FASD and the harms of drinking alcohol while pregnant and breastfeeding
  2. Hosting community events and yarning circles
  3. Running information sessions for staff members
  4. Production of additional copies of the ‘Strong Born’ campaign materials
  5. Translation or adaptation of the ‘Strong Born’ campaign materials and/or key messages into Aboriginal and Torres Strait Islander languages

You can register for the grant information session being held at 1:30 PM AEDT, Wednesday 15 March 2023 here.

For more information about the FASD Grant and how to apply, visit NACCHO’s FASD Communications and Engagement Grant webpage here.

Applications for Round 1 will close 11:00 PM AEDT Wednesday 22 March 2023. Applications for Round 2 will open in May.

You can also contact the NACCHO FASD Grants team at using this email link.

tile text: FASD communications & engagement grant - open to all NACCHO members info session wed 15 Mar 1:30pm - 2pm AEDT register naccho.org.au/fasd.grant

How to improve health equity for young men

Risky behaviour, particularly among younger men, sees shorter life expectancies and higher rates of premature mortality than in women. Flinders University Professor (Health and Social Equity) James Smith has partnered with colleagues at the University of Michigan and Georgetown University in the US, to co-edit a new book about innovative health promotion programs which tackle the complex social and structural barriers facing adolescent boys and young men of colour (BYMOC) in Australia, NZ, the US and Canada.

From alcohol and drug misuse, smoking, unsafe sex, reckless driving, violent confrontations, poor dietary habits and a tendency to avoid seeking help and using health services, their new book discusses positive steps which have helped address the problems compounded by social, economic, demographic and geographic disadvantage.

The book chapters describe how to reduce incarceration, improve educational and health outcomes, offer strategies to address mental health challenges, and ways to promote access and optimal usage of health and social services.

To view the Retail Pharmacy article Strategies for improving Health Equity Among Young Men of Colour in full click here.

vector image overlapping transparent male heads different colours

Image source: Retail Pharmacy.

Why members joined the Coalition of Peaks

In 2020 the Coalition of Peaks (CoP), all Australian governments, and the Australian Local Government Association signed the National Agreement on Closing the Gap (National Agreement), to change the way governments work with Aboriginal and Torres Strait Islander people. The National Agreement has been built around what Aboriginal and Torres Strait Islander people said is important to improve their lives. The CoP is made up of 80 Aboriginal and Torres Strait Islander community-controlled peak and member organisations across Australia.

The video below Why members joined the CoP features:

  • Donna Murray, CEO Indigenous Allied Health Australia (IAHA)
  • Robert Skeen, CEO Aboriginal Health and Medical Research Council NSW (AH&MRC)
  • Fiona Cornforth, CEO The Healing Foundation
  • Scott Wilson, CEO Aboriginal Drug and Alcohol Council SA

VtP is a beginning, not an end

Yorta Yorta woman Dr Summer May Finlay who is a Senior Lecturer (Indigenous Health) at the University of Wollongong has written an opinion piece about the forthcoming referendum on a constitutionally enshrined Voice to Parliament (VtP). Dr Finlay says that “with so much media attention and conversation on social media about the Uluru Statement and the VtP, many people are seeking to understand what it means now and in the future.” According to Dr Finlay “To understand the Uluru Statement, including the Voice, you need to be clear on what the Statement says and be aware of the history of Aboriginal and Torres Strait Islander representation in this Country.”  

“There are many decisions, including legislation and policy, made by parliament. Currently, there is no systematic way Aboriginal and Torres Strait Islander people can provide their views on decisions impacting us. The Voice will be one way of ensuring our voices are heard. Consider how the 2007 NT National Emergency Response, otherwise known as the NT Intervention, would have looked if we had been able to provide advice on its development and implementation. Or would this damaging legislation never have gone ahead? The 2008 Closing the Gap targets, first developed in 2008 without the input of Aboriginal and Torres Strait Islander people, wouldn’t have needed to be revised 12 Years later in 2020 through a co-design process with the Coalition of Peaks (CoP).”

The Voice should, however, never undermine the capacity for each Aboriginal and Torres Strait Islander nation and community to have a say in what happens in their region. Local input is just as crucial as a coordinated national approach.  Ultimately, there is much to consider when considering how you will vote in the Referendum.  And for me, the most critical consideration is whether it will benefit Aboriginal and Torres Strait Islander people. I believe it will. It’s the first of many steps required. It’s a beginning.”  

To read Dr Summer May Finlay’s article The Voice to Parliament is a beginning, not an end on the University of Wollongong Australia’s The Stand webpage click here.

Dr Summer May Finlay

Dr Summer May Finlay. Image source: Public Health Association Australia’s Intouch Public Health webpage.

Unlocking hope for people with kidney disease

For the first time in 20 years, two new classes of drugs have become available in Australia for the treatment of diabetic kidney disease, the most common cause of kidney failure. Both are extremely effective, safe, and relatively affordable. However, too few people with kidney disease are using these breakthrough drugs. We can only unlock these benefits if doctors, patients and the broader community have greater awareness of kidney disease, and the tools we have to fight it.

Chronic kidney disease (CKD) is a gradual loss of the kidneys’ ability to filter waste and excess fluid from the blood. It’s quite insidious. In Australia, kidney disease affects an estimated one in 10 people, but most won’t be aware they have it until it is quite advanced. At the point of diagnosis, many people are at risk of progressing to kidney failure.

For someone with kidney failure, their life expectancy is reduced by three quarters – equivalent to many cancers. Patients with CKD experience a dramatically reduced quality of life – they feel weak and tired, and they can’t think clearly. Not to mention they’re at greater risk of a whole range of other conditions including heart disease, heart failure and stroke.

To view Professor Vlado Perkovic’s article Unlocking hope for people with kidney disease published on the University of NSW’s Newsroom webpage in full click here.

tablets being poured from a bottle into the palm of a hand

Photo: iStock. Image source: UNSW Sydney Newsroom webpage.

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.

Mar 8 2023

NACCHO Aboriginal & Torres Strait Islander Health News: International Women’s Day 2023

feature tile photo of woman with loud speaker, text: Reflections on IWD 2023 & opportunities for ATSI women

The image in the feature tile is from the International Women’s Development Agency website, available here.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

International Women’s Day 2023

International Women’s Day (IWD) is held on 8 March each year, with events and activities taking place across the globe. It celebrates the social, economic, cultural and political achievements of women. IWD is an opportunity to celebrate the contributions women make to our communities and marks a call to action for accelerating gender equality to create a world where women and girls everywhere have equal rights and opportunities.

The IWD 2023 theme is Cracking the Code: Innovation for a gender-equal future. The theme emphasises the importance of bold, transformative ideas, inclusive technologies, and accessible education in combating discrimination and marginalisation of women around the world. The message being that innovation can accelerate our progress towards a gender equal future.

In an interview on NITV Radio earlier today Reconciliation Australia CEO Karen Mundine reflected on IWD 2023 and the opportunities for First Nations women. With more than 20 years’ experience leading community engagement, public advocacy, communications and social marketing campaigns; Karen has shaped the national journey towards a just, equitable and reconciled Australia. You can listen to her interview in full here. You can also find out more about IWD on the International Women’s Development Agency’s website here.

NITV Radio logo, portrait of Karen Mundine, Reconciliation Australia CEO & 08:47 minute icon

Karen Mundine, Reconciliation Australia CEO. Image source: NIT 1 March 2023.

NACCHO delegation to Timor-Leste

A NACCHO delegation, accompanied by a Department of Foreign Affairs and Trade representative, are in Timor-Leste this week (Sunday 5  – Friday 10 March 2023) to:

  • gain an understanding of the country, cultural, political and health service delivery context of a potential First Nations partnership
  • gain an understanding of a Timorese perspective of how primary health care is delivered, with a focus on workforce training and community ownership of primary health care programs
  • initiate relationships with key Ministry of Health officials that could form the basis of future potential First Nations partnership work

and along with DFAT:

  • identify key issues which may be addressed in partnership
  • identify issues to inform the further refinement of the concept note and key stages and timeframes for the potential First Nations partnership

The delegation is comprised of:

  • Donnella Mills, NACCHO Chair (Cairns)
  • Pat Turner, NACCHO CEO and Lead Convenor of the Coalition of Peaks (Canberra)
  • Rob McPhee, CEO of the Danila Dilba Health Service (Darwin)
  • Jenny Bedford, Executive Manager, Kimberley Aboriginal Health Services (Broome)
  • Alice Kemble (Dili)
  • Sara Moriarty, First Nations Taskforce (Canberra), Department of Foreign Affairs and Trade

During the visit the delegation will meet with:

  • Partnerships for Human Development (overview of the structure of the Timorese health system)
  • East Timor Development Agency (NFP provided training and guidance to strengthen the capacity of Timorese people to plan an integral, role in the development of their Nation)
  • Ministry of Health (introduction to community health services in Timor Leste, including model of care, workforce training and service delivery)
  • National Health Institute (responsible for planning and delivery of health workforce and clinical training)
  • Maluk Timor (an Australian and Timorese NGO seeking to advance primary healthcare in Timor-Leste)
  • Agora Food Studio (a social enterprise mentoring Timorese innovators and storytellers and elevating local food)
  • Comoro Community Health Clinic in Dili (urban health centre)
  • Gleno, Ermera district (remote health post)
  • Nabilan (program to end violence against women and improve wellbeing for women and children affected by violence)
  • ProEma (NFP promoting capacity-building for vulnerable girls and young women living in underdeveloped communities in Timor-Leste)
Left-Right: Rob McPhee, CEO Danila Dilba Health Service, Dr Odete Maria Freitas Belo, Minister for Health, Timor-Leste, Pat Turner, NACCHO CEO and Lead Convenor of the Coalition of Peaks, Jenny Bedford, Executive Manager, Kimberley Aboriginal Health Services and Donnella Mills, NACCHO Chair

Left-Right: Rob McPhee, CEO Danila Dilba Health Service, Dr Odete Maria Freitas Belo, Minister for Health, Timor-Leste, Pat Turner, NACCHO CEO and Lead Convenor of the Coalition of Peaks, Jenny Bedford, Executive Manager, Kimberley Aboriginal Health Services and Donnella Mills, NACCHO Chair.

ACCHO worker makes inspirational women list

Goondir Health Services’ Medicare co-ordinator Ethel Hayden has been named as one of the 50 most inspirational women in the Western Downs region in celebration of International Women’s Day 2023. Ethel Hayden hopes to leave behind a legacy of helping others and having made a difference in her community. The Dalby woman has achieved so much in her life, which included beginning life-changing programs for young people.

Ms Hayden was responsible for rolling out some of the onsite health services for Goondir Health in 2014 when they moved into their Jimbour St location. She also developed a Youth Project with programs for Aboriginal and Torres Strait Islander children in the Western Downs region such as the Big Buddy Program, which aimed to empower Indigenous youth to achieve their full potential through mentorship and education.

She said she was most passionate about making a difference, and knows she has the experience to do so. A major achievement under Ms Hayden’s belt was being involved in the ‘Closing the Gap’ event that’s held each year, with the upcoming event being in Dalby next week.

To view The Courier Mail article Celebrating 50 of the most inspirational women in the Western Downs region for International Women’s Day in full click here. You can also access the Goondir Health Services’ website here to learn more about their clinics in Chincilla, Dalby, Oakey and St George, Queensland.

Ethel Hayden, Goondir Health Services, Dalby QLD

Ethel Hayden. Image source: The Courier Mail.

Prison healthcare should match community standards

On this International Women’s Day, let’s not forget women in prison. There are 3,088 women imprisoned in Australia on any given day, representing 7.5% of the prison population. Aboriginal and Torres Strait Islander women are over-represented in these numbers.

Annually Australia spends over $4b on prisons. Despite this, reproductive health care equivalent to that in the community is often not available where women are being detained. Reproductive health care must be delivered in appropriate ways to those who require it. Aboriginal and Torres Strait Islander people require culturally safe health care, free from racism. There must also be inclusive care for non-binary and transgender people.

Failing to provide access to sanitary pads and tampons is a form of degrading treatment, according to the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment. It can leave women and people who menstruate vulnerable to exploitation. For example, limited access to sanitary pads can lead to them being traded for favours.

In Australia, there have been instances of an Aboriginal woman giving birth alone in a locked prison cell while staff observed through the hatch. Another example featured attempts to remove a baby from their Aboriginal mother against medical advice due to insufficient capacity at the prison. And an Aboriginal woman was denied the right to bond with her newborn and breastfeed them.

To view The Conversation article Health care offered to women in prison should match community standards – and their rights in full click here.

torsos of ATSI women in prison, green clothes

Aboriginal and Torres Strait Islander women make up a third of all female prisoners in Australia. Image source: ABC News.

NACCHO provides quality use of medicines program for mob

NACCHO will now provide the NPS MedicineWise online learning modules and resources, which are available on the NACCHO website. Programs include:

  • Good Medicines Better Health – eLearning modules and consumer resources developed for Aboriginal and Torres Strait Islander Health Workers and Practitioners and their communities to improve quality use of medicines and medical tests. The online learning modules are available now.
  • Medicines Lists and Templates – Principles for producing best possible medicines lists for Aboriginal and Torres Strait Islander people.
  • Remote Area Aboriginal Health Services – Tools and resources to support the safe and effective provision of medicines in remote communities.

You can view the eLearning modules and resources here and here.

NACCHO looks forward to being able to provide sustained support in quality use of medicines programs for Aboriginal and Torres Strait Islander people based on ongoing funding from the Department of Health and Aged Care. We acknowledge some of these programs were developed by NPS MedicineWise prior to their closure and thank NPS staff for their work.

If you have any queries regarding these resources, you can contact the NACCHO Medicines team by email by clicking here.

ATSI woman & young girl & boy smiling; text: NACCHO logo, Good Medicine Better Health; Medicines Lists and Templates; Remote Area Aboriginal Health Services

Data shows gap closing too slowly

The gap between Aboriginal and Torres Strait Islander people and other Australians isn’t closing fast enough, Minister for Indigenous Australians Linda Burney admits. Productivity Commission data shows a number of key Closing the Gap targets are not on track and some are going backwards. Closing the Gap is a strategy that aims to achieve equality for Indigenous people by improving health, social, education and economic outcomes. “I know many people are frustrated by the lack of progress,” Ms Burney said.

Last month, in partnership with the Coalition of Peaks – which represents more than 80 Indigenous organisations – the federal government announced its implementation plan for Closing the Gap, which included more than $400m in extra funding. There are 19 socio-economic targets in the National Agreement on Closing the Gap. The Productivity Commission has released data on nine of those targets, which shows two are on track to meet their goals, but seven are not.

Ms Burney said the data showed “encouraging” increases in employment and land rights, but in other areas figures were going backwards. “It is particularly disappointing to see the target for healthy birth weights for babies has gone from being on track to not on track,” she said. “More of the same isn’t good enough. We need to do things differently by working in partnership with communities to get better results.”

To view The Canberra Times article Data shows Indigenous gap closing too slowly: Minister in full click here.

Minister Linda Burney carrying folders in Parliament

Minister Linda Burney says there is a lot of frustration surrounding the lack of progress. Photo: Mick Tsikas/AAP. Image source: The Canberra Times.

Ambassador for First Nations People appointed

The federal government has appointed Mr Justin Mohamed as Australia’s inaugural Ambassador for First Nations People. Mr Mohamed will lead the Office of First Nations Engagement in the Department of Foreign Affairs and Trade. Minister for Indigenous Australians Linda Burney, Foreign Minister Penny Wong and Special Envoy Senator Pat Dodson announced the appointment in a joint statement on Tuesday.

The government said the Office of First Nations Engagement and the foreign affairs and trade department will work in partnership with Aboriginal and Torres Strait Islander people “to progress Indigenous rights globally, and help grow First Nations trade and investment”. The joint statement said that “elevating the perspectives of First Nations people – this land’s first diplomats – enables deeper engagement with many of our closest partners including the Pacific family”. The new position marks the first time Australia will have dedicated Indigenous representation in international engagement.

Mr Mohamed said he felt honoured to be appointed is” looking forward to sitting down and listening to Aboriginal and Torres Strait Islander people across the country, as we develop foreign policies that have First Nations People’s knowledges, voice and connection to country front and centre,” he said.

To view the National Indigenous Times article Australian government appoints the first official Ambassador for First Nations People in full click here.

Incoming Ambassador Justin Mohamed and Minister Linda Burney

Incoming Ambassador Justin Mohamed and Minister Linda Burney. Photo source: National Indigenous Times.

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.

Mar 2 2023

NACCHO Aboriginal & Torres Strait Islander Health News: PHC investment needed for people living in poverty

 

elderly ATSI woman sitting head in hands, black dog, One Mile Dam community camp near Darwin

The image in the feature tile is on an Aboriginal woman at One Mile Dam, an Aboriginal community camp close to Darwin, where Indigenous people live in extreme poverty. Photo: Jonny Weeks, The Guardian.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

PHC investment needed to help people living in poverty 

The Royal Australian College of General Practitioners (RACGP) has called on government to help GPs get on with the job of caring for people experiencing poverty. It comes following the RACGP’s submission to the Senate Community Affair’s inquiry into the extent and nature of poverty in Australia. RACGP President Dr Nicole Higgins said that the solutions to poverty must include general practice care. “A key part of tackling poverty is improving the health of people living in poverty,” she said.

“If people are experiencing poor health, it makes it harder to work, and to care for themselves and their family. There are concrete steps government can take to help patients experiencing poverty get the right kind of care when they need it. Longer consultations with a GP are crucial for many people experiencing poverty when you consider that these patients are more likely to present with poorly managed chronic conditions and increased rates of mental health issues. GPs also spend lots of time helping out with complex paperwork for agencies including Centrelink, the NDIS and state housing, just to name a few.”

“The solution is boosting investment in general practice care. That way, we can put primary care on a more sustainable, long-term financial footing and ensure that no patients anywhere are left behind. If patients living in poverty can access care from their GP when they need it, they are far less likely to end up in a hospital bed with a condition that could – and should – have been managed in general practice. Even aside from the consequences of enabling people to work, care for their families and live their lives to the fullest extent possible, it just makes sense economically. To take one example, every dollar invested in primary health care in a remote Indigenous community results in savings in hospital care from $4 to $12.

To view the RACGP media release RACGP: Help GPs and practice teams care for people experiencing poverty in full click here.
outside view of Utju Clinic (Areyonga), Central Australia, NT

Utju (Areyonga) Clinic, Central Australia, NT. Image source: Flinders University website.

New my health app is live

As of today the my health app is live and available to download. my health is a secure and convenient way for Australians to view key health information that a consumer or healthcare provider has uploaded to an individual’s My Health Record. You can:

  • visit the Digital Health website here to learn more, and
  • download the app from the Apple App Store here and the Google Play Store here or search “my health gov” in your relevant store.

Please spread the word!

To help with the launch of the my health app, the Australian Digital Health Agency has created a range of promotional collateral that can be used on your channels. Refer to their Communications Overview for Partners here which contains key messages and an overview of how you can use these assets.

If a consumer or healthcare provider needs assistance, they can call the Help line on 1800 723 471 (available 24 hours, 7 days a week).

Shining a light on an invisible disability

Indigenous health experts are eager to shine a light on an “invisible disability” impacting Aboriginal and Torres Strait Islander people. The new campaign Strong Born aims to raise awareness of Foetal Alcohol Spectrum Disorder (FASD) and the dangers of drinking while pregnant or breastfeeding. The program, being run by NACCHO, builds on the research done for the Lililwan (little ones in Kimberley Kriol) Project, led by the Aboriginal community of Fitzroy Crossing in WA, in partnership with Sydney University and George Institute for Global Health.

Chief executive of the Marninwarntikura Women’s Resource Centre Emily Carter, a Gooniyandi and Kija woman who was part of the Lililwan Project, said from the beginning of the study in 2010, community had been at the centre. “For a long, long time there, this was seen as an Aboriginal problem,” she said. “But it was Aboriginal people, Aboriginal women as strong women, that brought it out to the wider consciousness of Australian society. “It was because of our grandmothers at that time were saying to us that their grandchildren’s behaviours were so different to their children growing up and they didn’t know why.”

Malarndirri McCarthy, the assistant minister for Indigenous health, said foetal alcohol spectrum disorder was not confined to any one community. “FASD is often referred to as the invisible disability but as far as many families and communities are concerned, it’s a very visible part of daily life,” she said. “It is a disorder that crosses socio-economic, racial and educational boundaries.”

To view the Perth Now article No blame and no shame: Focus on foetal alcohol syndrome in full click here.

Strong Born poster Aboriginal family with baby girl, grandmother, text 'pregnancy and grog don't mix, Our mob, strong babies, strong futures, NACCHO logo

Strong Born poster. Image source: NACCHO website.

NACCHO Chair addresses First Nations Conference

The aim of the Australia and NZ School of Government (ANZSOG) is to build public service capability in First Nations Public Administration, and ensuring public services are culturally competent. Public servants working in all areas of public administration must change their thinking and upskill, in order to engage successfully with First Nations peoples for improved outcomes. Part of this work is ANZSOC’s regular First Nations public administration conferences which bring together public servants, academics and not-for-profit community leaders to engage with First Nations speakers and listen to their views. These events deepen public sector understanding of the value of First Nations knowledges and cultures, and their importance to public policy

This year’s ANZSOG conference First Peoples to All Peoples: partnerships, devolution, transformation and sharing is being held in Brisbane from 1–3 March. The conference will examine First Nations policy through the lenses of Australia’s National Agreement on Closing the Gap commitments, particularly the four Priority Reforms, as well as the NZ Public Service Act 2020, which now clearly sets out the responsibility of the public service, particularly its leadership, in supporting the Crown’s relationship with Māori under the Treaty of Waitangi.

The title of Day two: session one held earlier this morning was Building the Community-Controlled Sector. At the opening plenary session NACCHO Chair Donnella Mills was one of three speakers addressing the question How do governments devolve responsibility for service delivery to First Peoples?

For more information about the conference, including details of the key speakers you can visit ANZSOG’s webpage 2023 First Nations Public Administration Conference: First Peoples to All Peoples – Partnerships, devolution, transformation and sharing webpage here.

tile for 2023 First Nations Public Administration Conference First Peoples to All Peoples: Partnerships, devolution, transformation and sharing - Brisbane Convention & Exhibition Centre 1-3 March; portrait of Donnella Mills, NACCHO Chair

Promotion tile for 2023 First Nations Public Administration Conference, ANZSOC website and NACCHO Chair Donnella Mills – image source: Wuchopperen Health Service website.

Pat Anderson – NT women’s leadership award winner

Pat Anderson AO, chair of Batchelor Institute, was announced yesterday as the 2023 NT Award recipient of the Australian Awards for Excellence in Women’s Leadership. The prestigious award celebrates “exceptional Australian women who encourage change and make important contributions to advancing equity across all facets of our society”.

Ms Anderson, a proud Alyawarre woman known nationally and internationally as a powerful advocate for the health of Aboriginal and Torres Strait Islander people, will accept her award at the online Australian Women’s Leadership Symposium on 1 September. “It’s an honour to receive this award, I’d like to thank everyone who nominated me. I’d also like to thank everyone who has supported my work at The Lowitja Institute and Batchelor Institute over the years – and more recently with The Uluru Dialogues. There are so many women out there from different backgrounds doing incredible work, it’s hard not to feel energised and hopeful about the future,” she said.

The Award organisers said Ms Anderson’s work in advocacy for Indigenous rights and health “has had profound impacts on Australia and will continue to do so in years to come”. Women & Leadership Australia chief executive Karen Taylor noted that Ms Anderson has received numerous accolades “for her inspiring work as a human rights advocate”. “Ms Anderson is a role model, not only for Alyawarre women but for women across the nation, as she tirelessly campaigns for improved health, educational, and protection outcomes for First Nations people. We hope to shed light on her integral work in building a better future for First Nations as an advisor to the government on the path to a referendum on the Indigenous Voice to Parliament,” she said.

To view the National Indigenous Times article Pat Anderson AO honoured with Excellence in Women’s Leadership award in full click here.

Pat Anderson AO standing at a podium

Pat Anderson AO. Image source: UNSW Sydney Centre for Ideas webpage.

Life-course approach to Aboriginal ageing

While we know that our population is ageing rapidly on a national and global scale, Australian Aboriginal and Torres Strait Islander populations are in fact ageing at a faster rate than our non-Indigenous population. Aboriginal Australians also record high mid-life rates of multiple chronic diseases including heart disease and stroke, lung disease and type 2 diabetes. Type 2 diabetes, for example, is more than twice as common in the Indigenous population than the non-Indigenous population. There remains a life expectancy gap of approximately ten years between the Aboriginal population and the non-Indigenous population.

Research conducted by Neuroscience Research Australia (NeuRA) is centred on partnering with communities to improve the health and wellbeing of Aboriginal Australians and find better ways to support their cognitive health as they age. An important part of this work involves finding better ways for Aboriginal communities to gain access to the health services they need as well as suggesting positive changes to services dedicated to improving Aboriginal health, especially in older populations.

Researchers at NeuRA have found that dementia prevalence is three to four times higher in Aboriginal people compared to estimates for the general Australian population. This disparity in dementia rates is consistent across remote, regional and urban communities. By liaising with Aboriginal communities and representatives, we have identified that there is great interest amongst Aboriginal people to understand the scope of age-related diseases like dementia in their communities.

For more information visit NeuRA webpage Aboriginal Ageing here.

Aboriginal female Elder & Aboriginal male Elder

Image source: NeuRA webpage Sharing the Wisdom of our Elders.

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.

Dec 16 2022

NACCHO Aboriginal & Torres Strait Islander Health News: Over $120m for Indigenous health infrastructure

The image in the feature tile is from the Build Australia website.

Over $120m for Indigenous health infrastructure

The Australian Government is funding 52 new health infrastructure projects across the country – building and renovating clinics, improving staff housing and building the capacity of the Aboriginal and Torres Strait Islander community-controlled health sector. As Co-Chairs of Joint Council on Closing the Gap, the Minister for Indigenous Australians, Linda Burney and the Lead Convener of the Coalition of the Peaks (CoPs), Pat Turner, will jointly announce, at the Joint Council meeting in Sydney today, more than $120m for major capital works at community‑controlled organisations.

The projects will improve First Nations health services, as well as provide the facilities clinical staff need to deliver culturally-safe and appropriate care.  In a clear commitment to Closing the Gap Priority Reform One to support formal partnerships and shared decision-making, applications were jointly assessed and approved by the sector’s peak body, NACCHO and the Australian Government, through the Department of Health and Aged Care. A further $20m from this grant round will be committed in early 2023 and a second grant round will also be run in 2023 to see even more projects provide the services people need, closer to where they live.

The more than $120m is in addition to the $164.3m for 17 vital Indigenous health infrastructure projects across the country announced in the October budget to invest in health clinics in areas of large and growing First Nations populations. This represents a significant investment of more than $284.3m for Aboriginal health services.

Lead Convenor of the CoPs and NACCHO CEO, Pat Turner said “The Government’s support for Aboriginal Community Controlled Health Services reflects their vital role in the health of Aboriginal and Torres Strait Islander people. NACCHO has advocated for a long time for increased funding for infrastructure for the health sector and this funding supports and recognises the critical role that ACCHS play in the Australian primary health care architecture. I am pleased to see that this funding is being delivered consistent with the Priority Reforms in the National Agreement, where programs and services are developed in partnership with our people and funding is delivered through our community-controlled organisations.”

The above has been extracted from the media release Joint Council on Closing the Gap more than $120 million for Indigenous health infrastructure. To view the media release in full click here.

Walgett Aboriginal Medical Service will receive almost $5m to construct a purpose build AMS building in Brewarrina. Image source: Barnson.

End of year message from Chair and CEO

NACCHO Chair Donnella Mills and NACCHO CEO have released the following end-of year message:

The last three years have been dominated by the pandemic and natural disasters and despite the challenges, our sector’s efforts and outcomes have been phenomenal.

Our 145 members deliver more than 3.1 million episodes of care to our mob each year. This equates to an incredible amount of time, hard work, energy and dedication which has translated into a stronger, savvier self-determined ACCHO sector. Every person working in our ACCHOs deserve congratulations.

A big thank you also to all on the NACCHO Board, whose dedication, important and unique perspectives guide the vision and strategy of our sector.

The NACCHO staff have also done a remarkable job advocating for community-developed solutions, structural reform, developing national level programs, and importantly, securing ongoing funding for our sector.

To all our partners and colleagues, thank you for your ongoing support and perseverance.

Now, it is time to take a well-deserved break.

The new year will be about rejuvenation, an invitation to harness our strengths and continue to develop and grow as individuals and as a collective working towards, Aboriginal health in Aboriginal hands.

On behalf of the NACCHO Board and our team, we would like to thank you all and wish you and your family a safe and enjoyable festive season.

You can access the above letter here. and view the NACCHO Chair and CEO’s 2022 end-of-year message in the below video:

Aboriginal doctor keen to improve Pilbara healthcare

A trailblazing young Aboriginal doctor from the Pilbara, who won WA’s Young Australian of the Year 2020, has welcomed a global search for ground-breaking solutions to deliver quality healthcare in the Pilbara. Launched by Medical Research Minister Stephen Dawson yesterday, “The Challenge” offers a $5m prize for the development of a technology solution, based on research, to improve health outcomes for people living in the Pilbara, a region that spans more than 500,000sqkm.

Pilbara scholar Yarlalu Thomas joined Mr Dawson at the launch to share the challenges he faced growing up, which led him to a career in health. As WA’s Young Australian of the Year in 2020, he was considering a career in the AFL, but instead turned his attention to studying medicine. Mr Thomas is focusing his medical studies on Pilbara faces to better understand 3D facial variation for quicker and non-invasive diagnosis of children with rare and genetic diseases.

He is also working on translating medical terms into Indigenous languages internationally and hopes to one day work in the Pilbara. Mr Thomas said that barriers to healthcare access for Aboriginal people could include lack of transport, hospital settings, language and other communication barriers, inflexible treatment options and lack of centralised patient records. “This is a particular problem for doctors trying to provide care for Aboriginal patients who regularly travel far and wide,” he said.

To view The Kimberley Echo article Trailblazing young Aboriginal doctor Yarlalu Thomas welcomes search to improve Pilbara healthcare in full click here.

Trailblazing Pilbara-raised Aboriginal medical student Yarlalu Thomas. Image source: The Kimberley Echo.

New scholarships honour two incredible women

The University of Melbourne has announced two exciting scholarship opportunities for Indigenous students, honouring two incredible women:

Aunty Angela Clarke (Graduate Certificate) – applications close Tuesday 31 January 2023

Aunty Angela Clarke worked as the Koori Hospital Liaison Officer at the Royal Children’s Hospital and later was the Deputy Director of the VicHealth Koori Health Research Unit (Onemda). Her contribution to Aboriginal health was transformative, pioneering new models of community participation in research and embedding culturally responsive clinical practice for Indigenous patients.

Aunty Joan Vickery (Masters) – applications close Tuesday 31 January 2023

Aunty Joan Vickery’s impressive leadership and advocacy over many decades improved Indigenous health outcomes and delivery of services across Victoria. Helping to establish the Ngwala Willumbong Co-operative in 1975 – which continues to deliver outreach services to Aboriginal people affected by substance abuse – she later worked to improve understanding of diabetes among Indigenous families as the first Aboriginal Liaison Officer at St Vincent’s Hospital through rolling out a series of programs and support networks.

These scholarships aim to continue the legacy of these incredible women in nurturing the next generation of public health leaders.

For more information about the:

  • Angela Clarke Scholarship click here
  • Aunty Joan Vickery Scholarship click here

You can also access The University of Melbourne website’s webpage Scholarships, Bursaries and Prizes here.

The University of Melbourne current Indigenous graduate students. Image source: The University of Melbourne website.

AMA Indigenous medical scholarship applications open

Applications are open to enrolled Indigenous medical students to apply for the next year’s AMA Indigenous Medical Scholarships.

Applications are now open for the AMA’s 2023 Indigenous Medical Scholarship program, with applicants having until Tuesday 31 January to submit their application.

The scholarship, made possible by the generosity of members, helps an Indigenous medical student who has completed their first year with $10,000 per year for the remainder of their medical degree.

For more information on how to apply visit the AMA website’s AMA Indigenous Medical Scholarship webpage here.

To view the Mirage article AMA Indigenous medical scholarship applications open in full click here.

Season’s Greetings from NACCHO

NACCHO extends Season’s Greetings to you and your family for a very happy and safe summer.

NACCHO office closure over Dec / Jan

NACCHO will be closed from COB Friday 16 December 2022, reopening in the New Year on Tuesday 3 January 2023.

This is the last NACCHO newsletter for 2022. Publication of the newsletter will resume in the New Year. We will let you know closer to the date when the first edition for 2023 will hit your in-box!

Christmas decorations by artists of Warlukurlangu, Yuendumu. Image source: Koskela 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.

Dec 15 2022

NACCHO Aboriginal & Torres Strait Islander Health News: National Indigenous Legal and Health Justice Conference

The image in the feature tile is of NACCO CEO Pat Turner speaking at the National Indigenous Legal and Health Justice Conference 2022 held in Hobart from 4–6 December 2022.

National Indigenous Legal and Health Justice Conference

The Tasmanian Aboriginal Centre (TAC) hosted the National Indigenous Legal & Health Justice Conference from 4-6 December 2022 with Pat Turner and Donnella Mills among other expert speakers from across the nation inspiring, encouraging and motivating delegates on some of the big challenges facing us today.

Discussions ranged from conversations around Voice, Treaty and Truth, to how we keep our children out of care and connected to community, culture and country, cultural competency pathways, native title versus land rights, and the future of Aboriginal Legal Aid.

You can find out more about the conference on the Tasmanian Aboriginal Centre website here and photos here.

NACCHO CEO Pat Turner with other participants of the National Indigenous Legal and Health Justice Conference.

Encouraging deadly choices for community

Proud Gooreng Gooreng woman Kimberley Appo is using her passion for her culture and heritage to help close the gap by promoting kindy as a deadly choice for Aboriginal and Torres Strait Islander children. Coming from a large, close-knit family, Kimberley’s passion for educating and caring for children started from a young age. “My father is one of five children, my mother is one of eight, I’m the youngest of nine and I have 21 nieces and nephews — not to mention countless cousins,” Kimberley said.

But, like many students Kimberley didn’t always excel in the traditional schooling system, and despite her obvious passion for the industry she was initially reluctant about returning to study. “I guess schools have such an unrealistic curriculum that’s just one-size-fits-all, rather than having a curriculum that’s for individual children. And when you finish school, if you didn’t do as well as you should have, there seems like there’s nothing else for you,” she said.

But after dipping her toe in by enrolling in the Certificate III in Early Childhood Education and Care , Kimberley quickly discovered that studying at TAFE Queensland was very different to being at school. “You’re not going in just to get a piece of paper, you’re going in and you’re learning and you’re finding your passions through TAFE,” she said.

To view the TAFE Queensland article Encouraging deadly choices for her community in full click here.

Kimberley Appo. Image source: TAFE Queensland website.

Why we must keep fighting for Medicare

Dr Tim Senior has written an article for The Medical Republic called Why we mustn’t stop fighting for Medicare. Dr Senior says many practices can walk away from bulk billing, but there are communities where people simply can’t afford to pay, “When patient rebates alone are inadequate to fund the staff resources and infrastructure to provide high-quality care, and there’s the added regulatory and compliance burden and the threat of the PSR, who can blame us for opting out?”

Dr Senior continued “Most services in the Aboriginal and Torres Strait Islander health sector, in which I work, are ACCHOs, meaning that they are owned and run by the local Aboriginal community along co-operative lines. Just about all services are bulk billed. The reason for this is that they are there to provide medical services for a community where the vast majority of people can’t afford to pay. Median household income for Aboriginal and Torres Strait Islander adults is $553, while for non-Indigenous Australians it’s $915.”

“Closing the Gap” has been a government policy imperative for over a decade, aiming to improve a range of health and social indicators. Health, of course, depends on good primary care, including general practice, to provide cradle-to-grave care. Even though Medicare is available to all Australians, on the latest figures available, Medicare spending on general practice for Aboriginal and Torres Strait Islander people was $180 per person, compared to $243 per person for non-Indigenous people. This is 0.74 times as much, despite there being twice the need.”

“Where people have more complex needs – for example, due to the mix of multi-morbidity, mental health needs and social circumstances common in the Aboriginal and Torres Strait Islander health sector – then longer consultations are needed. The longer the consultation, the more suppressed is the funding we get through Medicare. Clearly, as we all know, Medicare rebates alone are not enough to fund the primary care required. While there is top-up funding to ACCHOs, to try to compensate for the longer consultations and more health professionals seen at each visit, this is capped and comes with significant reporting requirements. There is a lot of encouragement made to Aboriginal Medical Services to increase Medicare billing to fund services.”

To view The Medical Republic article Why we mustn’t stop fighting for Medicare in full click here.

Graduate’s chance pathway to medicine

A University of Queensland graduate can partly thank school holiday boredom for setting her on a career path in medicine. The newly conferred Dr Ella Ceolin was encouraged by a high school teacher to attend UQ’s Indigenous outreach program, InspireU when she was in Year 11. “It was in the school holidays which I wasn’t too keen on, but I had nothing much else to do and went on a bit of a whim,” Dr Ceolin said. “It was a huge eye-opener and I actually came away from that deciding that I wanted to be a doctor.” The proud Djabuguy/Wulgurukaba woman, who also has Italian and Malaysian heritage, this week graduated from UQ as a Doctor of Medicine.

“I’d always thought I’d follow my mum, auntie and sister into teaching because that’s what I saw, and what I knew,” Dr Ceolin said. “Before I started medicine I didn’t know any Indigenous doctors, that visibility just wasn’t there for me. But it can make a huge difference. When my nephew was younger, he said ‘If you’re going to be a doctor, does that mean that I could be too?’”

Dr Ceolin has since served on the board of the Australian Indigenous Doctors Association, which supports Aboriginal and Torres Strait Islander doctors and medical students. “It’s about advocating for more of a presence in the health workforce and contributing to equitable health outcomes,” she said.

To view the First Nations Telegraph article Indigenous graduate’s chance pathway to medicine in full click here.

Dr Ella Ceolin. Image source: First Nations Telegraph.

Is it ever ok to ask that?

Is it ever OK to ask Racsomeone how Aboriginal they are? University of Sydney students and staff have participated in a video to answer anonymously submitted questions and confront myths and stereotypes about Aboriginal and Torres Strait Islander people. You can find out more about the Aboriginal and Torres Strait Islander community on the Sydney University campus here and enrol in the Cultural Competence MOOC: Aboriginal Sydney here.

Tanika supported by Yapug pathway program

Never underestimate what’s possible. That’s what the past three years have taught Tanika Ridgeway, a Proud Worimi woman from Port Stephens, who is graduating as part of the University of Newcastle’s Yapug program. Yapug is a pathway program designed to help Aboriginal and Torres Strait Islander people gain skills for entry into undergraduate degrees at the University of Newcastle. When students embark on a Yapug pathway program, they also benefit from a range of support services offered by the Wollotuka Institute.

After nine years working in pathology at the John Hunter Hospital, Tanika was interested in becoming a primary school teacher. She was encouraged by her mentors to try medicine, something she didn’t think was a possibility for her. “Hannah Pipe, the Indigenous Advancement Officer at Wollotuka told me that I should consider medicine. I grew up in a housing commission in Raymond Terrace. I didn’t do science in my senior years of high school, and my ATAR was 32. So, I am not your typical medical student – but here I am.”

“I didn’t go to university straight from school and didn’t realise how much my life experiences would help me in my current studies. I’m currently working as a Research Assistant with Dr Michelle Kennedy in Indigenous Health Research, and I’m just so happy that I took the step to find out what was possible for me. Having people like Michelle and Hannah believe in me and support me throughout my university journey has meant that I have had the confidence to pursue new opportunities I would never have considered if not for them.”

To view the University of Newcastle article Ready to make a difference: University of Newcastle 2022 graduates in full click here.

Tanika Ridgeway. Image source: University of Newcastle 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.

Oct 19 2022

NACCHO Aboriginal and Torres Strait Islander Health News: Day 1 NACCHO Members’ Conference 2022

The Core Services and Outcomes Framework artwork in the feature tile was created by Kamilaroi artist, Ethan French. The diagram is a visual representation of the Core Services and Outcomes Framework foundations for community-controlled primary health care. At the centre of the diagram is a meeting place which represents members of the community being the heart of this document. Each ring and section of the diagram represents each component of the Core Services and Outcomes Framework, with culture surrounding the whole diagram and foundations, which is a representation showing that culture is involved in all aspects of the Core Services and Outcomes Framework.

Day 1 NACCHO Members’ Conference 2022

On Day 1 of the NACCHO Members’ Conference 2002 NACCHO’s Deputy CEO, Dr Dawn Casey launched a new resource for the sector, the Core Services and Outcomes Framework. Dr Casey explained that in 2019, the NACCHO Board decided it was time for the sector as a whole to communicate their ways of working by producing a Core Services Framework. This proved to be a challenge when attempted by the Department of Health and Aged Care within the National Aboriginal and Torres Strait Islander Health Plan that commenced in 2013.

When the NACCHO Board instructed NACCHO to address the vacuum NACCHO enlisted expertise from within the sector and obtained extensive feedback from key allies and partner organisations. In its final endorsed form, the Framework shows how the sector integrates community priorities and health care needs in a unique model, combining population health and clinical approaches. The Framework shows how culture wraps around the way community-controlled primary care is directed and the service delivery models used on the ground.

The Core Services and Outcomes Framework is already being used to calculate how to fund the sector to respond to the population it serves, its burden of disease, disadvantage and location.

The Core Services and Outcomes Framework can be accessed via the following:

 

Artwork: Core Services and Outcomes Framework Model

The Core Services and Outcomes Framework artwork was created by Kamilaroi artist, Ethan French.

The diagram is a visual representation of the Core Services and Outcomes Framework foundations for community-controlled primary health care. At the centre of the diagram is a meeting place which represents members of the community being the heart of this document. Each ring and section of the diagram represents each component of the Core Services and Outcomes Framework, with culture surrounding the whole diagram and foundations, which is a representation showing that culture is involved in all aspects of the Core Services and Outcomes Framework.

A new Board with big agenda ahead

Hon Mark Butler, Minister for Health – representing the Prime Minister – opened the NACCHO Members’ Conference yesterday in Canberra.

Over 500 delegates from Aboriginal Community Controlled Health Organisations (ACCHOs) are coming together over three days in Canberra. It is the first major gathering for the sector since the pandemic.

They re-elected Donnella Mills as Chairperson of NACCHO. Ms Mills, a Torres Strait Islander woman, is also the Chair of Wuchopperen Health Service in Cairns and works as a Senior Associate at King & Wood Mallesons, an international law firm. She said, ‘I was honoured to be elected for a second term by our deadly ACCHOs across the country for another term.’ She, along with her Broome-based Deputy, Chris Bin Kali, will lead a Board of 16 directors in addressing a big agenda in front of them.

‘We have a challenging agenda ahead. I took the opportunity to say to Minister Butler that, while we understand that the new Government has a thankless task ahead of itself in repairing the Budget and guiding the country through a period of fiscal restraint, we still need to ensure that the health funding gap for First Nations communities does not widen. Our health funding cannot slip further behind.’

‘So, our challenge – when the Budget well is dry – is threefold. First, we must maximise what funding we do have to best effect. Second, we must get a fairer share of existing mainstream funding. Third, we need to implement structural reform in line with the priority reforms of the new National Agreement on Closing the Gap’.

NACCHO commissioned Equity Economics earlier this year to estimate the health funding gap. They found in their report that the gap is a staggering $4.4b per year. That is, over $5,000 per year for every Aboriginal and Torres Strait Islander person in Australia. Ms Mills said, ‘We have the data. The gap is real. Yet dangerous myths prevail that Aboriginal programs are over-funded.’

The next two days will be spent at the NACCHO conference by delegates from most of the major Aboriginal and Torres Strait Islander communities in Australia. They will hear presentations from experts in the Pilbara, the west coast of SA, and Ballina NSW (on the impact of the floods). There will also be presentations from the Kimberley, the Northern Territory and Yarrabah on efforts against acute rheumatic fever as well as by experts and leaders ranging from Pat Anderson, Fran Baum, Mary Belfrage, Alex Brown, Kelvin Kong, Tamara Mackean, Seth Westhead, and many more. The event is being MC-ed by Dan Bourchier.

To read NACCHO’s media release A new NACCHO board with a big agenda ahead in full click here.

Donnella Mills at the 2022 NACCHO Members’ Conference yesterday.

Health Minister opens NACCHO Member’s Conference 2022

Yesterday, Minister for Health and Aged Care, the Hon. Mark Butler officially opened the NACCHO Members’ Conference 2022. Minister Butler’s opening remarks included:

National Convention Centre Canberra, 18 October 2022

  • Good afternoon. Thank you Donnella and Pat for welcoming me here today.
  • I would like to acknowledge we meet today on the land of the Ngunnawal and Ngambri people and pay my respects to the elders, past, present and to our emerging leaders.
  • It is a pleasure to be here on behalf of the Prime Minister who was regrettably unable to attend this event.
  • Many of those emerging First Nations leaders have attended your youth conference here over the past day. I hope they found this opportunity to be beneficial and formed new connections.
  • It is great to see our Aboriginal and Torres Strait Islander youth participating in these forums and interacting with each other and sharing their unique cultural learnings and understandings; bringing forward their culture and their identity to be part of a better and informed future.

Picture: Gary Ramage NACCHO Chair Donnella Mills with Minister for Health and Aged Care, the Hon. Mark Butler at the NACCHO Members’ Conference 2022.

Health Ministers’ Meeting

  • Just over a week ago, it was great to be able to reconvene what we call the Aboriginal and Torres Strait Islander roundtable for health – bringing together all the Health Ministers from States and Territories and the Commonwealth along with representatives from across the Aboriginal and Torres Strait Islander community-controlled and health sector leadership.
  • The Roundtable has been unable to meet recently, and it was a priority for this government to convene it as quickly as possible following our election.
  • The Roundtable was important for highlighting the challenges in workforce, in service delivery, in embedding culturally safe practices across the health system.
  • All health ministers have prioritised this work, including the Commonwealth through myself and Assistant Minister Malarndirri McCarthy.

Puggy Hunter

  • One way that the Commonwealth Government can lead in this work is to take real steps to implement the letter and the spirit of the Coalition of Peaks Priority Reforms.
  • Priority Reform 2 emphasises the role of the community-controlled health sector, and the role of governments in building and strengthening the sector.
  • This is a critical area for this government to build and grow. The work of ACCHOs around the country isn’t just a model for First Nations health, it’s a model for the whole health sector.
  • It’s why I have directed the Commonwealth Department of Health and Aged Care to audit all programs delivering services to First Nations communities that are not currently being delivered by First Nations organisations.
  • It’s why I announced last week that the Puggy Hunter Scholarship Scheme – our leading program encouraging entry-level Aboriginal and Torres Strait Islander health students to complete their studies and join the health workforce – needed to be handed over to First Nations control.
  • For me, there couldn’t be a more important first step in this process. Dr Arnold ‘Puggy’ Hunter was of course an incredible health leader and Chair of NACCHO.
  • Our ambition is to transition more programs to First Nations control over the course of this government.

You can download Minister Butler’s speech in full here.

Jun 17 2022

NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO Chair addresses FECCA conference

NACCHO Chair addresses FECCA conference

Earlier this morning NACCHO Chair Donnella Mills addressed The Federation of Ethnic Communities’ Councils of Australia (FECCA) 2022: Advancing Multicultural Australia conference. The event is Australia’s premier conference on multiculturalism, diversity and inclusion, and migration and hosts multicultural communities, policy makers, service providers, academics and many more over two days of presentations, speakers and topics.

Ms Mills said, “It is important that when we are talking about today’s systemic racism in the health system, we understand two fundamental points. The first is that Aboriginal and Torres Strait Islander peoples are foremost and always Aboriginal and Torres Strait Islander peoples. We have our own distinct identities, languages and beliefs about what contributes to health and wellness and what causes sickness. Australia’s health system, however, is built around the identities and beliefs of the white settler and their western model of health and wellness and causes of sickness. This immediately puts Aboriginal and Torres Strait Islander peoples on the back foot in accessing health care in Australia. For us to access mainstream health services, we are required to suspend our own beliefs and cultures and adopt or accept the western model of health.”

You can access Ms Mills’ speech in full here. For more information about the FECCA2022 conference click here.

ACCHO CEO awarded honorary doctorate

Aboriginal Medical Services Alliance NT (AMSANT) has issued a media release saying it is proud to acknowledge the awarding of an Honorary Doctor of Arts to its Chair and Central Australian Aboriginal Congress Congress (CAAC) CEO, Donna Ah Chee, by Charles Darwin University yesterday. The award took place at a ceremony in Mparntwe (Alice Springs) where she has lived and worked for the past 30 years.

AMSANT CEO, Dr John Paterson congratulated Ms Ah Chee on her well-deserved honour in recognition of her significant contribution to the health of First Nations peoples. “Donna has distinguished herself through the outstanding leadership she has provided to the Aboriginal community-controlled health services (ACCHS) sector, including many years as CEO of CAAC and as Chair and Director of AMSANT”, Dr Paterson said.

“Her leadership has also been recognised through many high-level appointments to boards and advisory bodies in Aboriginal health and related areas, including the NACCHO, the NT Aboriginal Health Forum and the NT Children and Families Tripartite Forum. “Donna has been a driving force in the development and expansion of the model of Aboriginal comprehensive primary health care delivered by our ACCHSs and broader reforms of the health system that together are required to achieve better health outcomes for our people. Her passion and significant contribution in the areas of early childhood development, education, health research and reducing alcohol harm have been widely recognised.”

To view AMSANT’s media release AMSANT Chair, Donna Ah Chee, awarded Honorary Doctorate in full click here.

Donna Ah Chee. Image source: Health Voices Journal of the Consumers Health Forum of Australia.

Remote houses are dangerous hot boxes

In remote Indigenous communities that are already very hot and socioeconomically disadvantaged, climate change is driving inequities even further. New research, published in the Medical Journal of Australia shows how higher temperatures in remote Indigenous communities in the NT will drive inequities in housing, energy and health.

Existing housing in remote areas is old and poorly constructed. In many remote Indigenous communities in the NT, you don’t need a building permit or even a qualified builder to build a house. Houses have missing doors, boarded-up windows, no air conditioners, are often un-insulated, have failed plumbing and have been poorly maintained over decades. These houses become dangerously hot as climate change bears down.

The researchers conclude the solution is Indigenous communities need a say; buildings need to be climate resilient; energy needs to be safeguarded and houses need to be maintained.

To view The Conversation article How climate change is turning remote Indigenous houses into dangerous hot boxes in full click here.

Shoddy NT remote homes lethal

Indigenous Australians living in remote, shabby housing with unstable electricity connections in the NT’s extreme heat are enduring life-threatening conditions. A research paper published this month in the Medical Journal of Australia found that Indigenous Australians with chronic diseases who depend on cool storage and electrical equipment are vulnerable to dying earlier.

The study was conducted by the ANU in partnership with the Julalikari Council Aboriginal Corporation in the NT, where extreme heat stress has become a reality in the past few years. ANU researcher Simon Quilty says excessive heat, poor housing, energy insecurity and chronic disease have reached critical levels and a multi-sector response is needed to avert catastrophe. He says a constant electricity supply is often a luxury, rather than a right.

“Most houses in remote communities are old, poorly constructed and poorly maintained,” Dr Quilty said. He said tenants pay rent for houses with no doors, no windows and no insulation in the ceiling, falling well below national building codes. “All of the houses in these communities rely on pre-paid power cards and as a result there are extreme rates of electricity disconnection, making those with chronic disease particularly vulnerable,” Dr Quilty said.

To view the Kyabram Free Press article Shoddy homes lethal to Indigenous patients in full click here.

Unserviced shacks in Tennant Creek shelter some people on the public housing waiting list. Photo: Samantha Jonscher. ABC News.

Diabetes epidemic hits Central Australia

The latest health research has shown type two diabetes in remote Aboriginal communities has reached epidemic proportions, with children as young as four diagnosed. The rates of type 2 diabetes in remote communities are some of the highest in the world and getting worse, according to new research released by the Menzies School of Health Research.

Menzies researchers examined seven years of health data from 21,000 Aboriginal people across 51 remote communities in the NT. It found a staggering 40% of adults in Central Australia now have the condition, which can cause kidney disease, heart disease, strokes, impaired vision and amputations due to infections. 29% of the Aboriginal adult population in the rest of the Territory are also living with the condition. In 2020 it became the leading cause of death in communities, and those diagnosed with it are getting younger.

Shiree Mack and her family have lived with type two diabetes for years and many of her extended family are also battling the condition. With younger generations increasingly affected, she says the time for change is now. “The effects are huge and our little people are getting diagnosed at five and six,” she said. Ms Mack said any proposed solutions need to come from the community. “Let’s listen to the community let them tell us what will work. They know.”

To view the SBS NITV article Diabetes epidemic hits Central Australia in full click here.

The Mack and Ross families from Alice Springs are all living with type two diabetes as the number of cases in the Centre skyrocket. Image source: NITV.

Integrating kidney health into patient care

Chronic kidney disease (CKD) affects one in 10 Australian adults. For Aboriginal and Torres Strait Islander peoples, the prevalence is even higher, affecting nearly one in five adults. CKD contributes to 11% of all deaths and is associated with 37% of all cardiovascular deaths in Australia. However, the asymptomatic nature of CKD means it can be difficult to diagnose unless there is targeted screening for it. Timely management can slow or even prevent the deterioration in kidney function, and improve cardiovascular outcomes. GPs are in a prime position to detect and diagnose CKD early. This involves targeted screening and performing investigations that are mostly already part of regular clinical practice.

Dr Tim Senior, GP at Tharawal Aboriginal Corporation, clinical senior lecturer at the University of Western Sydney Medical School and CKD expert in general practice says that “Rather than seeing the kidneys as a single, separate, complex and difficult organ, it is straightforward to integrate them into the overall care of your patients along with other organ systems. You’ll find, for instance, that what’s needed to diagnose CKD is largely already what you’re doing for other conditions like cardiovascular disease and diabetes. So when you assess your patients for risk factors and test for cardiovascular disease and diabetes, you should also think of their kidneys.”

To view the NPS MedicineWise article CKD – Integrating kidney health into patient care in full click here.

Dr TIm Senior. Image source: RACGP newsGP.

Indigenous assistant minister sworn in

Indigenous Australians assistant minister Malarndirri McCarthy has vowed health outcomes for First Nations people will be placed at the forefront of the Albanese government’s bid to close the gap. The NT senator was sworn into the ministry by Governor-General David Hurley at Government House on yesterday.

Senator McCarthy said commitments taken to the election campaign focused on health policies, but also included improving access to education and job opportunities for people in regional and remote communities. A key focus would be closing the gap in life expectancy between Indigenous and non-Indigenous people, with better health outcomes being essential to improving the lives of First Nations people.

Senator McCarthy said she will be working closely with Indigenous Australians Minister Linda Burney – who was appointed to cabinet – on progressing a constitutionally enshrined voice to parliament in the government’s first term.

To read Yass Tribune article Indigenous assistant minister sworn in in full click here.

Malarndirri McCarthy with her partner Richard and their children following her swearing-in at Parliament House. Photo: AAP, Image source: SBS News.

Indigenous Eye Health Conference

Health leaders from Aboriginal and Torres Strait Islander communities, who recently attended a national eye health conference, called on non-Indigenous Australians to support efforts to establish an Indigenous led approach to closing the gap in eye health. The 2022 National Aboriginal and Torres Strait Islander Eye Health Conference (NATSIEHC22), co-hosted by Indigenous Eye Health (IEH) at the University of Melbourne and Aboriginal Medical Services Alliance Northern Territory (AMSANT), took place on Larrakia country in Darwin from 24–26 May 2022.

The conference theme, Our Vision in Our Hands, was reflected in a consistent call for “greater leadership and ownership of eye health by Aboriginal and Torres Strait Islander people, along with the shift in power that is necessary to produce the outcomes that we are all working towards”.

One of the conference co-chairs, Anne-Marie Banfield, who is the National Manager of Engagement and Awareness at Hearing Australia said that while First Nations peoples must play a key role in leading eye health initiatives that improve outcomes in their communities they cannot do this on their own – non-Indigenous people are needed as allies to “amplify the voice of Aboriginal and Torres Strait Islander people”.

To view the mivision The Ophthalmic Journal article Making Change: Indigenous Eye Health Conference in full click here.

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.