NACCHO Aboriginal & Torres Strait Islander Health News: Reflecting on moments mob stood up

The image is the feature tile is of an Invasion Day rally in Sydney on 26 January 2018. Image source: Illawarra Mercury.

Reflecting on moments mob stood up

Alexis Moran has written an article for NITV reflecting on this year’s NAIDOC theme — Get Up, Stand Up, Show Up — reflection on some significant moments where Aboriginal and Torres Strait Islander people have shifted history by fighting for their community. Ms Moran says “Aboriginal and Torres Strait Islander people always stand up. It’s nothing new to our communities. Since colonisation, Indigenous people have fought against oppression. And that continues every day — whether it be on January 26, to march against deaths in custody and other wrongdoing, or just to speak up for what we believe in and what’s right. It’s because of this activism — getting up, standing up and showing up — that history can and has been changed.”

Ms Moran goes on to discuss specifically the frontier wars; land rights: Mabo and Wik vs. Queensland; deaths in custody; sports; establishing essential First Nations services; the Aboriginal Tent Embassy and the Koori Mail during the NSW floods.

To read the SBS NITV article 7 historical moments where mob Got up, Stood up and Showed up click here. You can also watch LaVerne Bellear, CEO AMSC Redfern in the video below as she explains the story behind the Aboriginal Medical Service (AMS) established in 1971, Australia’s first ACCHO.

Register for CTG scripts BEFORE 1 July

As of 1 July 2022, Aboriginal and Torres Strait Islander people must be registered correctly with Services Australia Health Professional Online Services (HPOS) to continue to claim benefits for their medicine scripts, through the Closing the Gap (CTG) Pharmacy Benefits Scheme (PBS) program.

Unfortunately, not all patients who previously received CTG prescriptions were transferred to the new database, resulting in some people paying more for their medicines.

Check with your local doctor or health service today, to help register you as soon as possible to avoid paying full price for medicines from 1 July.

Dr Dawn Casey, Deputy CEO NACCHO said, “We welcome the reforms to the CTG PBS database but are concerned not all eligible patients have been correctly registered. Potentially thousands of patients may have to pay more for medicines on 1st of July, so please check your registration with your pharmacy and doctor now.”

For further information about the CTG PBS program click here.

The Department of Health reminder letter regarding the CTG PBS program can be found here.

You can download a poster here to put up at your service as well as images for Facebook/Twitter here and Instagram here.

We urge you to please do share this across all your networks.

NACCHO Medicines Team

Intergenerational toll of nuclear tests

Three generations of First Nations survivors of historic nuclear tests have told the United Nations (UN) that Australia must do more to address the devastating impact the tests have had on their families. The International Campaign to Abolish Nuclear Weapons (ICAN) invited survivors to address a conference in Vienna, more than 60 years after nuclear bombs were detonated in the SA outback.

Yankunytjatjara woman Karina Lester, Kokatha elder Sue Coleman-Haseldine and her granddaughter, Mia Haseldine, shared their experiences via video link from Port Augusta. The women told the conference how the tests conducted by the British government at Maralinga and Emu Field in the 1950s had affected the health of successive generations of Aboriginal families from the region. They called on the Australian government to sign the UNTreaty on the Prohibition of Nuclear Weapons, which came into force in January last year.

To read the ABC News article Nuclear test survivors’ plea for Australia to sign treaty, as they speak at UN meeting in full click here.

Submissions to the UN from Port Augusta were part of the first meeting of the Treaty on the Prohibition of Nuclear Weapons. Photo: Bethanie Alderson, ABC North & West SA.

AMA calls for telehealth extension

The AMA today called on the federal government to extend patient access to Medicare funded COVID-19 telehealth services beyond June 30 2022 Under a decision taken by the former Government, from 1 July access to both GP and non-GP specialist telehealth services will be cut back, particularly telephone consultations.

AMA President Dr Omar Khorshid said patients cannot afford to lose access to COVID-19 telehealth as it will make access to medical care more difficult, particularly for vulnerable populations and those who might not have the access or skills to use other IT platforms. “Broad access to Medicare funded telehealth services has been a key part of our pandemic response by reducing patients’ exposure to the virus and helping people in self-isolation to access critical medical care,” Dr Khorshid said. Dr Khorshid said governments needed to be responsive to the ongoing situation and adapt as circumstances change.

To view the AMA’s media release AMA calls for telehealth funding extension as COVID-19 pandemic continues in full click here. You can watch an Australian College of Rural and Remote Medicine (ACRRM) video of a telehealth consultation below.

Minds need decluttering too

Accredited mental health social worker Kym Marsden’s article Decluttering isn’t just a house job, our minds need it too was recently published in the National Indigenous Times. Ms Marsden asks readers to “Picture a cluttered area in your home, now think about how all that clutter makes you feel as it grows, you start tripping over things and are unable to locate things you need. She admits to initially trying to ignore it, which is a short term solution, but as the clutter remains, or continues to grow so does the ability to ignore it.

Ms Marsden says the same applies when our minds are overloaded resulting in persistent overwhelming thoughts, regrets, worries or concerns. While we will all respond differently when our cluttered minds have reached capacity, for Ms Marsden it is disturbed sleep, feeling anxious and being unable to concentrate as she is fixated on certain thoughts and worries that are like a whirlwind in head head that won’t shut off, particularly at night.

To read the article in full, including strategies to help declutter your mind, click here.

Image source: iStock by Getty Images.

Preventing falls at any age

Falls are common. Each year 2 in 3 people aged over 65 will fall. Around 1 in 10 falls lead to serious injury. The most common serious injuries are fractures and brain injuries. Falls can also result in a loss of confidence, which can lead to restriction of activity and a lower quality of life. Many older people never regain their pre-fall level of function and might even struggle to keep living by themselves.

The consequences of falls cost Australia a staggering $4.3 billion every year. The good news is 20–30% of fall among older Australians can be prevented.

To view The Conversation article I’m getting older, how can I prevent falls? in full click here.

According to recently published Australian Institute of Health and Welfare (AIHW) data falls are one of the leading causes of hospitalisations for older Aboriginal people In 2019–20, among Aboriginal and Torres Strait Islander people there were 7,000 hospitalisations and 45 deaths due to unintentional fall with rates of fall hospitalisations being highest among people aged 65 and over. During that period Indigenous Australians were 1.4 times as likely as non-Indigenous Australians to be hospitalised due to a fall injury. For the majority of causes, the most remote areas had the highest rates and the least remote areas had the lowest rates.

It has been proven that once someone has suffered a fall, they are at a higher risk of another injury. A free, culturally safe, falls prevention program, IRONBARK, run by South West Aboriginal Medical Service (SWAMS) and Curtin University has seen great success. Y ou can read more about the IRONBARK program here.

Image source: Health Times.

Noongar version of Baby Ways book

An award winning early years literacy program has been expanded to include the Noongar language, with the launch of the first dual language Baby Ways book. Maawit Mart/Baby Ways will be given to Aboriginal families living on Noongar land and aims to help narrow the gap between literacy rates for Aboriginal and non-Aboriginal children.

The Baby Ways book is an engaging and fun-to-read book that features WA babies sitting, bathing, reading and playing. It is included in the Better Beginnings pack that is presented to all new families in WA at birth as part of a wider program that encourages parents to read to their children.

To view The National Tribune article Noongar version of Better Beginnings Baby Ways book launched in full click here.

Image source: Better Beginnings Indigenous Program State Library of WA webpage.

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.

World Continence Week

World Continence Week (WCW) is a health campaign run by the World Federation For Incontinence and Pelvic Problems (WFIPP) to raise awareness of incontinence related issues. This year it takes place from the Monday 20 to Sunday 26 June and during the week the WFIPP highlights the impact urinary incontinence can have on our life and encourages those living with it to seek help so they no longer have to suffer in silence.

For more information about WCW click here.

You can also access a range of resources developed specifically for Aboriginal and Torres Strait Islander people, by the Continence Foundation of Australia, here.

 

NACCHO Aboriginal & Torres Strait Islander Health News: Time to end First Nations “economic apartheid”

Image in feature tile is of shack outside of Tennant Creek. Image source: ABC News.

Time to end First Nations “economic apartheid”

Experts from The Australian National University (ANU) have raised alarm bells about the “economic apartheid” facing Aboriginal and Torres Strait Islander peoples and are calling for an urgent, nation-wide strategic approach to ensure their economic self-determination. This is the key theme of a landmark series of events to be held this week and led by the ANU First Nations Portfolio.

A first for Australia, the forum and symposium will chart the path to First Nations Australians’ economic development, wealth creation and a self-determined economy. Professor Peter Yu AM, Vice-President First Nations at ANU, said Australia remains the only Commonwealth country to have never signed a treaty with its Indigenous people.

To view the ANU’s media release Time to end First Nations “economic apartheid” in full click here.

A town camp outside Alice Springs, NT. Photo: Children’s Ground. Image source: The Guardian.

Children protection system under fire

Every year, Australia’s child safety departments remove thousands of children from their parents on the grounds they are not safe at home and need urgent protection. In doing so, the government becomes their guardian, taking responsibility for their lives. Far from being safe, some of these children are then preyed upon by the very people the government has vetted to look after them.

Indigenous children are 10 times more likely to be removed from their families. Departmental policy dictates that they are then placed with Indigenous carers to maintain contact with their culture, but that doesn’t always happen. Instead, Aboriginal children can languish in care hours from their land while some workers dismiss signs of sexual abuse in First Nations children as “cultural” behaviour.

Lisa Wellington from Aboriginal women’s health and welfare organisation Waminda said the child protection system had been failing Indigenous families since it had been set up. “In order for change to happen, the department needs to engage with the Indigenous community and listen to the families and walk alongside them,” she said.

To view the ABC article Bad Parent in full click here.

Image source: Aboriginal Family Legal Services website.

Health reform issues for new government 

Is Australia on the verge of a long-awaited and sorely needed move towards cooperative federalism to drive health reform? Encouraging noises to this effect have emerged from the first National Cabinet meeting (Friday 16 June) since the Federal election.

The NSW Premier said there had been “a real focus of working with the States and Territories in relation to substantive health reform going forward” something that had “been in the too-hard basket for too long.” The Queensland Premier said it had been “a refreshing change to be able to discuss health. Previously, we have tried to get this on the agenda. We’ve got a PM who listens and understands that health is a big issue and it is a national issue that’s affecting everybody across our nation”.

The Victorian Premier said: “…on behalf of every nurse, every ambo, every doctor, every patient in Victorian public hospitals I want to thank the Prime Minister. Politics was put aside at this meeting and we’ve put patients first and that is the most important thing. Now, the test for all of us will be to work hard in the weeks and months to come, to come up with practical ways in which we can make the system work as a true system.”

Associate Professor Lesley Russell will monitor the efforts of the Albanese Government to deliver on their election commitments in health, healthcare, Indigenous health and climate change (and in fact any issue that improves the health status and reduces the health disparities of Australians).

To view the Croakey Health Media article The Health Wrap: as National Cabinet sets a course for health reform, here are some key issues to address in full click here.

Image source: Choose Your Own Health Career website.

Call for action against racism, racial violence 

A Brisbane author brought her defiant call to action against racism and racial violence to Cherbourg last week, welcoming South Burnett community members to the Ration Shed Museum for a workshop on her 2021 book ‘Another Day in the Colony’. ‘Another Day in the Colony’ has attracted praise from fellow academics as well as members of the public, who commend the author on her uncompromising truth-telling and exposure of Australia’s intolerance.

“While I work as an academic, the book was written just for anyone to read – I wanted to write for mob and wanted my kids to be able to read it, regardless of whether they got a degree or not,” Dr Watego explained. “The thing that’s really hit me is mob getting back to me and saying ‘you wrote what I feel! You gave a language to what I already knew but didn’t know how to express.’

“Mob have been really moved by it, and that’s what I wanted to do – I wanted to speak to the souls of blackfellas. That’s the beautiful part: not the reprints, but the imprint it’s had on the community.”

To view the Burnett Today South, Central & North article Cherbourg Celebrates book tour in full click here.

Dr Chelsea Watego and her book Another Day in the Colony.

Top 3 men’s health questions

In celebration of Men’s Health Week (13-19 June 2022), Dr Lucas de Toca from the Australian Government Department of health has spoken on how family history and lifestyle impact our health and provides tips to help maintain a healthy lifestyle. The three top questions answered by Dr de Toca are:

  • What is Men’s Health Week?
  • How can men build healthier outcomes and reduce the risk of chronic disease?
  • How can men better engage with Australia’s health services?

To view the Department of Health’s Top 3 Qs article click here.

Health conference abstracts FINAL CALL

A final call for abstracts for the upcoming Ngar-wu Wanyarra Aboriginal & Torres Strait Islander Health Conference is being put out. The closing date is just one week away – COB Monday 27 June 2022.

For further event information click here and to register to present click here.

Adam Goodes (virtually attending) and Sue-Anne Hunter will be keynote speakers at The 7th Annual Ngar-wu Wanyarra Aboriginal & Torres Strait Islander Health Conference.

Mob left out of low unemployment figures

The National Employment Services Association says First Nations people and other disadvantaged Australians are being left out of record low unemployment figures. Last week the Australian Bureau of Statistics (ABS) data reported unemployment remained at a record low 3.9% in May.

The real numbers were much higher. The employment rate among Indigenous Australians is considerably lower than it is for the rest of the population. Many First Nations people have historically been excluded from statistical analysis such as employment figures. Historically Aboriginal Torres Strait Islander peoples unemployment rates have sat fairly consistently at three times that of their non Indigenous counterparts.

Discrimination is a factor in the employment of Aboriginal and Torres Strait Islander people. That is ever so slowly changing so that disparity you know is trending in the right way, but not rapidly. To view the National Indigenous Times article Industry peak body calls out Indigenous exclusion in latest unemployment rates in full click here.

Image source: Monash University Lens website.

New process for job advertising

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

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

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.

NACCHO Aboriginal & Torres Strait Islander Health News: racism in perinatal health services

Image in feature tile is of Stacey Foster-Rampant with her baby boy, Tyler, at a Malabar Community Midwifery Link Service clinic. Photo: Louise Kennerley. Image source: The Sydney Morning Herald.

Racism in perinatal health services

After nine months, imagine giving birth to a beautiful, healthy baby. As tired as you are, you adapt to your new sleep-deprived routine, feeding your newborn at any time of the day and night as needed. But then child protection services arrive with the police, and a court order, to take your baby from your arms and place them in the care of a stranger. Sadly, this is the case for too many First Nations women in Australia.

Issues relating to the removal of First Nations infants from their families by contemporary child protection systems can be traced to perinatal health services. Tracey Stephens, a Kurnai woman and registered midwife, sees racism towards Aboriginal and Torres Strait Islander women across mainstream healthcare settings on a regular basis. “Stereotypically in mainstream midwifery there’s this strong sense that all Aboriginal women are going to smoke cannabis and drink alcohol and are drug addicts. However, this isn’t the case.” she says. “Far too much of my time is spent trying to educate others and address unconscious bias and racism amongst the healthcare workforce.

To read the article Separated at birth: Racism and unconscious bias in perinatal health services by Research Fellow, Health and Social Care Unit, Monash University in full click here.

Image source: Monash University Lens webpage.

SA to start Voice to Parliament journey

South Australian Attorney-General Kyam Maher wants to begin talks on a state version of the First Nations Voice to Parliament ahead of a launch of the body next year. It would provide advice to Parliament about decisions affecting the lives of First Nations people. Mr Maher — SA’s first Aboriginal Attorney General and Aboriginal Affairs Minister — said South Australian Labor made a commitment to adopt the Statement from Uluru after the 2019 federal election.

He said he believed the state should not have to wait for the federal government to act. “At its core, it’s about Aboriginal people having more a say in decisions that affect their own lives,” Mr Maher said. “I find that pretty hard to argue against.”

To view the ABC News story Consultation to start on SA Indigenous Voice to Parliament ahead of 2023 launch in full click here.

Kyam Maher is the only Indigenous person elected to parliament in South Australia at a state or federal level. Photo: Ethan Rix, ABC News.

First Nations more likely to die in childbirth

While Australia is one of the safest places in the world to give birth, First Nations women are three times more likely to die in childbirth than other Australian women and First Nations infants are almost twice as likely to die in the first month of life with preterm birth the biggest cause of mortality.

The causes of these gaps in life expectancy are complex and stem from colonisation, including:

  • racism and lack of cultural safety in hospitals and from healthcare providers
  • pregnant First Nations women avoiding antenatal care for fear of child protection services taking their children. This is a legacy of the “stolen generations” with continuing high rates of child removals
  • closures of regional and remote birthing services requiring more First Nations women to leave home and travel long distances to give birth, often alone. Some women opt to give birth without a midwife, which can have significant issues for mother and baby.

Ensuring First Nations children are born healthy and strong is the second Closing the Gap target – a critical foundation for “everyone enjoying long and healthy lives”. A much needed step to guarantee this is to increase First Nations health workers, particularly midwives and nurses.

To view The Conversation article First Nations mothers are more likely to die during childbirth. More First Nations midwives could close this gap in full click here.

Geraldine at the Gudang Dalba Hostel, Darwin NT. Image source: ABC News.

Mental health restraint concerns

Patients in Victoria’s mental health hospitals are being restrained at higher rates and for longer than the national average, a new report has found. Aboriginal and Torres Strait Islander people are being secluded and restrained at higher rates, which the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) said is concerning.

“Many Aboriginal people have complex trauma,” a spokesman for VACCHO said. “We are concerned with this data and would like to know more on the reasons that drive this over-representation. A model of care that is focused on healing, social and emotional wellbeing and cultural safety is what works for Aboriginal people.”

To view the 7 News article Restraint concerns in Vic Mental health in full click here.

Image source: The University of Melbourne Pursuit webpage.

Approaches for non-Aboriginal health professionals

SA’s outstanding young leaders were recently celebrated through the 40 Under 40 Awards. Annabelle Wilson, Associate Professor of Implementation Science at Flinders University, SA was included in the list. 38-year-old Professor Wilson is a dietician and PhD with a clear focus on Indigenous health. “Through my research and leadership, I have disrupted and challenged current thinking about how non-Aboriginal health professionals work in Aboriginal and Torres Strait Islander health, specifically in nutrition and dietetics,” Annabelle says.

“My research has impacted health professional practice by identifying and translating approaches that non-Aboriginal health professionals can use when working in Aboriginal and Torres Strait Islander health, including reflexivity and awareness of one’s own attitudes and biases.” Annabelle’s work led her to develop models of practice, which were adopted in mentoring and training courses for health professionals. “In the next few years I plan to continue and extend the work I have been doing. In particular, I have applied for funding to lead transformation in nutrition and dietetics related to Aboriginal and Torres Strait Islander health.”

To view the InDaily and CityMag article SA’s top young business leaders click here.

Associate Professor Annabelle Wilson. Image source: citymag.indaily.com.au.

Indigenous Health Division is recruiting

Do you want to make a real contribution to improving Aboriginal and Torres Strait Islander health outcomes? Do you have a unique set of skills and experiences to contribute to this challenging undertaking? The Indigenous Health Division of the Department of Health has multiple roles for you across both the APS5 and APS6 levels.

The Department of Health is seeking experienced and committed people to develop relationships, policies and programs that improve the health outcomes of Aboriginal and Torres Strait Islander people. You will help to shape the development and implementation of the Australian Government’s healthcare commitments to Aboriginal and Torres Strait Islander communities.

Applications close on Monday 27 June 2022. Further detail on the roles is available on the APSJobs and the Department of Health’s website or by using this link.

Remote PHC Manuals project June update

The Remote Primary Health Care Manuals (RPHCM) are currently being reviewed and updated. Monthly updates are being provided to keep health services and other organisations up-to-date as RPHCM moves through the review process. It is now almost two years into the manuals updating project and activities are continuing to meet planned timelines (despite some COVID impacts that have tightened deadlines for reviews).

All protocols will be finalised for publication on Thursday 20 June 2022. After this date, there will be no further changes to the manuals as they move into the final editing and publication stage. The new editions are planned for release (online and hardcopy) in November 2022. The project team will meet with key stakeholders shortly to discuss major changes and prepare health services to use the new editions.

You can view the RPHCM Project Update June 2022 flyer 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.

Take Heart: Deadly Heart screening

A virtual screening of the Take Heart: Deadly Heart – A Journey to an RHD Free Future followed by a Q&A panel session will take place from 11:00 AM–12:00 PM AEST on Wednesday 29 June 2022.

A guest speaker for the Q&A panel session is a senior Noongar woman, Vicki Wade, who has over 40 years of experience in healthcare. Vicki is a co-producer of Take Heart: Deadly Heart. She has guided the production process in a culturally appropriate way and employed a series of yarning circles throughout the pre-production phase. Vicki is well respected for the work she has done to close the gap. She sits on the National Close the Gap steering committee and is a previous board member of the Congress of Aboriginal Nurses and Midwives.

The screening is an opportunity to see the work that is being done across Australia, in regional and remote communities, to eliminate Rheumatic Heart Disease. Attendance is free but registration is essential. To register click here.

NACCHO Aboriginal & Torres Strait Islander Health News: Closing First Nations life expectancy gap

Image in feature if of Helicopter Joey Tjungurrayi Waruwiyi – Canning Stock Route Project website.

Closing First Nations life expectancy gap

Closing the gap in life expectancy for Aboriginal and Torres Strait Islander peoples will be the focus of an Australian first health alliance. The Research Alliance for Urban Goori Health will unite a research organisation, health service and primary health care provider to improve health for Aboriginal and Torres Strait Islander peoples.

The partnership between UQ’s Poche Centre for Indigenous Health, the Institute for Urban Indigenous Health (IUIH) and Metro North Health, has identified cancer care, rehabilitation programs and innovative models of care, such as hospital in the home, as priority areas.

Poche Centre Director Professor James Ward said the Alliance’s work would be transformational, helping to accelerate Australia’s progress towards closing the gap in life expectancy. “Some of the issues we’re looking to explore is where the health system works well for Aboriginal and Torres Strait Islander patients, and where it needs to be improved,” Professor Ward said. “As a Pitjantjatjara and Nukunu man, I know how important it is to ensure our peoples’ voices are at the center of service design and delivery, to ensure equal access across the healthcare system.”

To view the University of Queensland article Australian-first health alliance aims to close life expectancy gap for Aboriginal and Torres Strait Islander people published on the New Medical Life Sciences website click here.

Image source: SNAICC website.

Pain Scales don’t work for mob

Presenting at the Australian Rheumatology Association Annual Scientific Meeting last week, Dr Manasi Murthy Mittinty said it was critical to address cultural differences into the diagnosis and management of pain. “Conventional pain scales have only been tested for Caucasian populations and do not capture the significant influence of spirituality and chronic harm,” said Dr Mittinty, clinician and pain scientist from the Royal North Shore Hospital, Sydney.

Dr Mittinty’s research on conceptualisation of pain by Aboriginal and Torres Strait Islander peoples revealed that it is embedded in a psycho-socio-spiritual context that is core to perceptions of health and wellbeing in Indigenous Australian communities. The research revealed that some experiences of pain by Indigenous people are unique. These perceptions of pain incorporate factors such as spiritual connection with pain, grief and loss, history of trauma and injury, fear of addiction to pain medication and exposure to pain from early childhood.

To view the Oncology Republic article Why pain scales won’t work for Indigenous Australians in full click here.

Image source: Gidgee Healing website.

Food insecurity not only a remote issue

A new study has found Aboriginal families in urban and regional NSW regularly experience food insecurity and has identified five key contributing factors that need to be addressed. The research – led by Aboriginal Doctoral researcher Simone Sherriff and senior researcher Sumithra Muthayya from the Sax Institute – is based on collaborative work with two Aboriginal Medical Services (AMSs): Tharawal Aboriginal Corporation in Campbelltown in outer Sydney and Riverina Medical and Dental Aboriginal Corporation in Wagga Wagga in regional NSW. Extensive interviews were conducted with local Aboriginal people and AMS staff from the two communities, along with stakeholders from local food relief and government agencies, food suppliers and schools.

Aboriginal people felt strongly that food insecurity was a huge issue facing many Aboriginal families in the two communities, despite not being in remote areas. When data obtained from both sites were analysed, the authors identified five key drivers of food insecurity unique to Aboriginal communities in non-remote areas.

To read the Sax Institute media release Aboriginal families strongly impacted by food insecurity, study
finds in full click here. The research paper Murradambirra Dhangaang (make food secure): Aboriginal community and stakeholder perspectives on food insecurity in urban and regional Australia is available here.

Let’s Yarn About Sleep program

Young Indigenous people in Mt Isa will be taught about the mental health benefits of a good night’s sleep as part of a nation-leading program developed by The University of Queensland. Australia’s first ever Indigenous sleep coaches, Karen Chong and Jamie Dunne from Mt Isa, will work with 120 local youth on sleep education, sleep health coaching and narrative therapy as part of UQ’s Let’s Yarn About Sleep program (LYAS).

Launched last year by the Institute for Social Science Reseach, Senior Research Fellow Dr Yagoot Fatima said the program was an Australian first that promotes sleep health in Aboriginal and Torres Strait Islander communities by integrating traditional knowledge with Western sleep science. “The LYAS program provides holistic, inclusive and responsive solutions to improve Aboriginal and Torres Strait Islander adolescents’ understanding of sleep and empowers them to embrace sleep health,” Dr Fatima said.

To view The University of Queensland UQ News article Dreamtime: Australia’s first Indigenous youth sleep program forges ahead in full click here.

Community members have created an artwork, “Lets Yarn about Sleep”. The artwork is a powerful representation of how the research team, community Elders, youth workers, and service providers work together to connect young people with their culture and improve their sleep and SEWB. Image source: The University of Queensland website.

Good Medicine Better Health online modules

The Good Medicine Better Health IGMBH) team at NPS MedicineWise have developed a series of seven education courses for Aboriginal and Torres Strait Islander Health Workers and Practitioners. The free online learning modules are designed to improve quality use of medicines (QUM) in Aboriginal communities, with each module featuring a member of a family as they learn more about their medicines.

In the video below, proud Ankamuthi and Erub woman and Advanced Aboriginal and Torres Strait Islander Health Worker, Judith Parnham, talks about the importance of QUM education and introduces the modules which cover a range of medical conditions: asthma, chronic pain, hypertension, type 2 diabetes, respiratory tract infections, and anxiety and depression, with more to come in 2022. All modules are self-paced, free to enrol in and earn CPD points.

To find out more you can access the GMBH program webpage here.

Prevocational standards committee EOIs sought

The Australian Medical Council (AMC) is currently seeking expressions of interest for a member of its Prevocational Standards Accreditation Committee who is an international medical graduate (IMG) and who has been granted general registration following completion of an AMC-accredited workplace based assessment (WBA) program. As the AMC is planning to undertake a review of the WBA processes (along with other assessment pathways for IMGs) they are hoping to receive expressions of interest from IMGs with experience working in an Aboriginal Medical Service, to share their insights on this, as well as the other areas of responsibility of this Committee.

You can find information regarding the position and how to apply on the AMC website: here. Expressions of interest should be submitted to using this email link by Friday 24 June 2022.

For more information, please contact Brooke Pearson, Manager, Prevocational Standards and Accreditation, using the above email link or by phoning 02 6270 9732.

Act now on Ice Inquiry recommendations

The Law Society of NSW is calling on the NSW Government to act without further delay on the recommendations of the Ice Inquiry to implement a health focused approach to battling the scourge of drug abuse. President of the Law Society of NSW Joanne van der Plaat says that it has taken far too long for the Government to act on the recommendations of the Ice Inquiry, and now is the time to make a decision and start implementing programs that will tackle the drug problem in earnest.

“The Law Society agrees with the experts called to give evidence during the Special Commission of Inquiry into the Drug Ice that the current prohibitionist approach is not working. We agree with law enforcement authorities who have said we can’t arrest our way out of drug problems,” Ms van der Plaat said.

To view The Law Society of NSW media release No MERIT in further delay of bold drug law reform and rehab 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.

National Aboriginal and Torres Strait Islander Children’s Day

The National Aboriginal and Torres Strait Islander Children’s Day will be held on Thursday 4 August 2022 with this year’s theme “My Dreaming, My Future.”

Children’s Day is an opportunity to celebrate our children and their connection to culture, family and community. Each year the Secretariat of National Aboriginal and Islander Child Care (SNAICC) promotes the event to engage children and communities across the country.

People are encouraged get involved with the day by hosting their own event. You can register your event on the SNAICC website here.

NACCHO Aboriginal & Torres Strait Islander Health News: iSISTAQUIT helps pregnant young mums quit

iSISTAQUIT helps pregnant young mums quit

This World No Tobacco Day (31 May 2022), Southern Cross University’s iSISTAQUIT project is launching a compilation of campaign video clips to raise awareness about the importance of culturally appropriate care in assisting young Aboriginal and Torres Strait Islander pregnant women to quit smoking. Tobacco smoking represents the most important preventable risk factor for chronic disease in Aboriginal and Torres Strait Islander People. About 44% of Aboriginal and Torres Strait Islander women smoke during pregnancy compared to 12% of their general population counterparts.

The initial six videos to be launched on the YouTube Channel iSISTAQUIT TV will showcase the importance of culturally appropriate care and communication in supporting women to quit smoking. Research has found education and advice on their own are insufficient, and women are needing practical help and support with quitting. iSISTAQUIT has also developed a training package to help equip health professionals to have culturally appropriate conversations with their patients. Currently there are 26 sites nationally that have undertaken the training.

You can view Donnella Mills, NACCHO Chairperson and Chair of Wuchopperen Health Service and the first Aboriginal person to win a Olympic Gold Medal, Nova Peris OAM have both released videos talking about the launch of the iSISTERQUIT films. Both mention how pleased they are that ACCHOs and Aboriginal and Torres Strait Islander community women were consulted during the early stages of the development of the iSISTERQUIT films. You can view Ms Mills’ video here and Ms Peris’ video here. You can also access the iSISTERQUIT website here.

Yarrabah community engaged in new wellbeing centre

A new health and wellbeing centre in the Aboriginal community of Yarrabah demonstrates the value of projects that engage the local community not only in building design but in ongoing economic opportunities. When People Oriented Design (POD), with Coburn Architecture, won the bid to design the new Gurriny Yealamucka Health and Wellbeing Centre (GYHWC) at Yarrabah, on the lands of the Gunggandji and Yidinji peoples, the question for co-director Shaneen Fantin was not how to meet what the contract required, but, “How far can we build on what the contract was asking us to do?”

The practice identified opportunities to maximize Indigenous economic benefits at multiple levels, exceeding the requirements for Indigenous employment, training, suppliers and engagement – and all within a tight contractual timeframe. The health centre was delivered without excessive cost blowouts and ahead of its scheduled delivery by the Indigenous-owned company H. C. Building and Construction. This was no small feat, particularly with the impact of COVID affecting building supply chains, construction programs and labour continuity.

According to Suzanne Andrew, chief executive of Gurriny Yealamucka Community Control Health Services, “Local input is not just about designing the building, it’s also about ensuring financial return to the community.” At Yarrabah, “there was a good vibe in the community around this building” because the community was aware that it was being undertaken by an Indigenous company – “giving jobs to mob.” H. C. gave back to the community by buying from local shops and sponsoring the local football team. The project also included a significant budget for local artwork.

To view the ArchitectureAU article Indigenizing practice: Maximizing economic benefits in full click here.

Gurriny means “good healing water” in the language of the Gunggandji peoples, and the design references water in the building siting, layout, finishes, external art screen and garden. Photo: Scott Burrows. Image source: ArchitectureAU website.

Deadly Choices exemplar of tobacco control

Marking World No Tobacco Day 2022, Australia’s National Coordinator of the Tackling Indigenous Smoking (TIS) Program, Professor Tom Calma AO has officially recognised Deadly Choices as a recipient of a World Health Organisation (WHO) award. Representatives of the Institute for Urban Indigenous Health’s (IUIH) Deadly Choices preventative health arm were on hand to accept the honour, which acknowledges efforts in promoting the dangers of smoking among Indigenous communities.

Professor Calma said “I would like to congratulate Deadly Choices for their WHO award which has recognised the program as the exemplar of how people should be going about tobacco control. Deadly Choices has won the global award for helping Mob from right across Australia give up smoking. The core work of Deadly Choices focuses on ensuring smoke-free homes and cars through health and education programs like the ‘Deadly Places – Smoke Free Spaces’ initiative in schools and community events, which align perfectly with this year’s World No Tobacco Day theme of ‘protecting the environment’. Ten years ago, smoking rates among Mob were 51%, now they’re down to 39%, but we can’t just focus on smoking cessation, we also need to focus on population health; to give people the right information to make good, healthy choices; to make Deadly Choices.”

World No Tobacco Day is an extremely important day to raise awareness in the community around smoking, to start a conversation and recognise the support that is needed among communities to give up tobacco use. “It’s an outstanding outcome to have our health education and promotional programs acknowledged globally, which reinforces the capacity of Deadly Choices to help close the gap in health and life expectancy outcomes among Aboriginal and Torres Strait communities from right across the country,” confirmed IUIH CEO Adrian Carson

You can view the IUIH media alert released yesterday here and access further details of the World No Tobacco Day 2021 award winners on the WHO website here.

Image source: IUIH South East QLD Twitter.

Elcho Island Elders celebrate new dialysis nurse

After the plane lands on Elcho Island’s tiny airstrip, Malawa Dhamarrandji’s mood visibly shifts to a sense of calm. The Yolngu Elder insists on walking down the plane’s isle without assistance. It has been years between visits home for Mr Dhamarrandji, who relies on nurse-assisted dialysis in Darwin to stay alive. “Here in my home town, I reckon it’s paradise,” he said. “There’s all the family, it’s all family – all my grandsons, granddaughters, everyone.”

Mr Dhamarrandji and his late brother spent decades advocating for nurse-assisted renal chairs at their island home,the large Arnhem Land community of Galiwin’ku. Now, a renal unit that has been sitting unused in the community for years has been staffed by a nurse from Indigenous-owned health service Purple House. The organisation recently chartered a plane for its Darwin-based patients who wanted to host a ceremony celebrating the unit’s opening. “For the future, children and adults, be careful what you’re eating,” Mr Dhamarrandji said at the ceremony. “Prevent the sickness, prevent the kidney sickness.”

To view the ABC News article Elcho Island Elders celebrate new dialysis nurse and treatment, bringing them home to families in full click here.

Dianne Biritjalawuy Gondarra is among the group that has been pushing for nurse-assisted dialysis. Photo: Felicity James, ABC News.

New ACT suicide prevention service

A new program to help reduce suicide, and the impacts of suicide, within the ACT’s Aboriginal and Torres Strait Islander community will be delivered by a lead Aboriginal community-controlled organisation service provider, Thirrili Limited. The program, which was an ACT Greens 2020 election commitment, will be delivered in partnership with the local postvention Way Back Support Service at Woden Community Service. Minister for Mental Health Emma Davidson said that Thirrili has been appointed as the service delivery provider through a community-led commissioning process to ensure culturally appropriate support is provided through this service.

To read the ACT Government media release New ACT Aboriginal and Torres Strait Islander suicide prevention, intervention, postvention and aftercare program click here.

The ACT Government has committed $1.28 million to the new Aboriginal and Torres Straight Islander Integrated Suicide Prevention, Intervention, Postvention and Aftercare Service over its first two years. Image source: Canberra Weekly.

Avoiding pre-term baby heartache

Starting life on an even field remains a challenge for Australian First Nations babies. The rate of stillborn and neonatal deaths for Australian First Nations babies is vastly disproportionate to that of non-First Nations babies. Not surprisingly, one of the leading causes of perinatal mortality for Australian First Nations babies is spontaneous preterm birth. Nationally, approximately 14% of babies born to First Nations mothers are preterm, compared with 8% of babies of non-First Nations mothers. The odds of preterm birth are increased when First Nations mothers have limited antenatal care and pre-existing medical conditions such as hypertension or diabetes.

The key to improving outcomes is by providing the best possible pregnancy care and this should not begin following a positive pregnancy test. Providing good health care to women in the preconception period is a vital step in making a difference to better pregnancy outcomes. It offers an important opportunity to address a multitude of factors that can affect the health of generations.

To read the National Indigenous Times article Healthcare key to avoiding pain of pre-term baby heartbreak for First Nations parents in full click here.

Image source: National Indigenous Times website.

Charity improves period product access

The Wurrumiyanga Women’s Centre on Bathurst Island in the NT has received a delivery of about 1,000 free period products to help women and girls in the community manage their periods. In remote Indigenous communities like this one, the cost of period products can be a massive barrier for many girls and women in managing their period. It’s not uncommon for packs of pads to retail for $15 or more. This delivery of period products is the 100th pallet of products distributed to remote Indigenous communities across Australia as part of the charity Share the Dignity’s Indigenous Menstrual Health program, in partnership with Libra.

Bathurst Island is part of the Tiwi Islands, located off the coast of the NT mainland. The delivery to the Wurrumiyanga community (Nguiui) coincided with World Menstrual Hygiene Day. Evita Puruntatameri, the Activities Supervisor at Wurrumiyanga Women’s Centre, said the exorbitant cost of pads and tampons is a challenge for many women and girls in the community. “Period products are incredibly expensive here on Tiwi so having support from Share the Dignity allows the women in our community to access products for free and in private,” Evita Puruntatameri said. “It makes such a massive difference to our health by not having to worry about the cost.”

To view the Women’s Agenda article This charity is working to give women better access to period products in remote Indigenous communities in full click here.

Cara Munn, Evita Puruntatameri, Sophia Tipuanantunirri (on ute), and Louise Kelantumama. Image source: Women’s Agenda website.

Significant inequities in paediatric health

Sydney Children’s Hospitals Network (SCHN) say they want to ensure they provide services that are culturally responsive and inclusive for all of the patients we see. “It’s important to work in partnership with Aboriginal families and communities to foster strong reciprocal relationships that are responsive to the individual needs of Aboriginal people and their communities,” says SCHN Aboriginal Health Outcomes and Equity Manager Natasha Larter. “Significant health inequities still exist in paediatric health care. A recent analysis of SCHN data revealed that Aboriginal children and young people accessing our hospitals and services are twice as likely to die while in our care, present to our ED in higher triage categories. In addition, they are more likely to require admission to ICU than non-Indigenous children and young people.

“Aboriginality is a significant factor in poorer health outcomes, however it is important to understand the multiple factors behind the severity on presentation, and redirect the focus to work with Aboriginal patients, families, communities and organisations to change this. For example, we know that Aboriginal children and young people arrive sicker and often later, perhaps because of historical factors that make them fearful of going to health services.

By working closely with Aboriginal patients, families, communities and organisations, we better understand their social and cultural needs, and be sensitive to their concerns upon presentation to our services. We can provide appropriate support, a respectful service that instils trust in our clinicians and enable timely treatment that contributes to reducing Aboriginal mortality, unplanned representation and need for admission. Reconciliation plays an important part in a positive return in health and wellbeing outcomes across the life course for Aboriginal children and young people.”

To view the SCHN article National Reconciliation Week in full click here.

Image source: WA.gov.au website.

New process for job advertising

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: National Agreement on CTG vital to making change

Image in the feature tile is of Pat Turner AM with A Report on Engagements with Aboriginal and Torres Strait Islander People to Inform a New National Agreement on Closing the Gap in June 2020.

National Agreement on CTG vital to making change

Today, at the commencement of National Reconciliation Week Friday 27 May to June 2022, NACCHO CEO Pat Turner AM has issued the following media release :

National Agreement on Closing the Gap vital to making change

This National Reconciliation Week, Australians are challenged to be brave and make change. Members of the Coalition of Peaks have been doing change-making work in and for their communities for more than 50 years. The National Aboriginal Community Controlled Health Organisation (NACCHO) which has a membership of 144 community-controlled health services in every jurisdiction of Australia is one of the key members of the Coalition of Peaks and strongly supports the National Agreement on Closing the Gap.

It was a desire to continue driving change that led the Coalition of Peaks – now a representative body of over 70 Aboriginal and Torres Strait Islander community-controlled peak organisations– to enter a genuine, formal partnership with Australian governments to Close the Gap.

This historic partnership and associated National Agreement on Closing the Gap set out how governments and the Coalition of Peaks will change the way they work together, to improve the lives of Aboriginal and Torres Strait Islander people. It also provides a framework for governments, policy makers, service delivery organisations and institutions, and all Australians, to take meaningful action towards reconciliation.

“A reconciled Australia is a country in which Aboriginal and Torres Strait Islander people have full control over our own destinies. A country where we live freely and equally, unencumbered by trauma and poor life outcomes, and where there is true recognition of our rights as First Peoples of this land, and our cultures and languages are honoured, protected and flourish”, said Lead Convener of the Coalition of Peaks and CEO of NACCHO, Ms Pat Turner AM.

“The National Agreement can make real changes in the lives of our people, but we won’t get there without Australians understanding it and the part they play in its implementation.

“The National Agreement’s outcomes are centred on what Aboriginal and Torres Strait Islander people have been saying for decades is needed to achieve equality in life outcomes between our people and other Australians, while strengthening our right to self-determination and identity as First Nations peoples.”

NACCHO Chair Donnella Mills said, “NACCHO has been working on this new National Agreement on Closing the Gap, as a member of the Coalition of Peaks. This agreement belongs to all of us!

“The National Agreement is built on four priority reforms to address ongoing critical issues around the social determinants of health such as housing, environment, access to health services, education, justice and others as the targets in there.

“We have worked with Aboriginal and Torres Strait Islander communities for decades on matters that are important to our people and are best placed to represent areas like health, early childhood, education, land and legal services.”

For those wanting to be brave and make change this National Reconciliation Week, the Coalition of Peaks is putting out the challenge to:

  • Become familiar with and learn about both the Partnership and National Agreements.
  • Support their implementation and promote them in your own organisation or business.
  • Encourage your community to become involved.
  • Talk to governments on how to apply the commitments under the Agreements to communities and organisations across the country.

You can view NACCHO’s media release National Agreement on Closing the Gap vital to making change here. You can also find out more about National Reconciliation Week on the Reconciliation Australia website here.

Completing unfinished business of reconciliation

For Ken Markwell, National Reconciliation Week from Friday 27 May to Friday 3 June 2022 is a time for Australians to learn about our shared history, culture and achievements – and to find ways we can contribute to achieving reconciliation. NRW is a time to reflect on how we as a country treat our Indigenous elders and the gaps and barriers that currently exist in Australia that prevent them from ageing well. It is widely accepted that how a society treats its elderly is a measure of its humanity. NRW provides an opportunity to consider our most vulnerable older Australians, our First Nations elders, and to measure our progress towards reconciliation by how well we care and look after them. This will be critical in the coming years when Stolen Generations survivors will be aged over 50 years and eligible for aged care support.”

This year’s theme “Be Brave. Make Change.” is a challenge to us all to be brave and complete the unfinished business of reconciliation so we can make change for all. There is no better place to address the unfinished business of reconciliation than to implement aged care reforms improving access to aged care for Aboriginal and Torres Strait Islander people. The aged care royal commission expressed concerns that Aboriginal and Torres Strait Islander people were not “accessing aged care at a rate commensurate with their level of need”.

The royal commission identified a range of factors for this, including social and economic disadvantage, a lack of culturally safe care, and the intergenerational impacts of colonisation and prolonged discrimination. Their findings also revealed that long-term health conditions affected 88 per cent of Aboriginal and Torres Strait Islander people over the age of 55 years and that Aboriginal and Torres Strait Islander people “should be receiving proportionately higher levels of aged and health care” than the rest of the population. Yet sadly, we find this is not happening.

To view the Australian Ageing Agenda article Completing the Unfinished business of reconciliation in full click here.

Ken Markwell is a Mununjhali man and executive general manager for indigenous services at Australian Unity. Image source: Australian Ageing Agenda.

‘They hug a blackie and move on’

Julie Tongs, CEO of Winnunga Nimmityjah Aboriginal Health and Community Services, has characterised Canberra’s Reconciliation Day as “tokenistic”, highlighting that more needs to be done to address the treatment of Aboriginal people in the ACT. Ms Tongs has asked “How many people actually turn up for Reconciliation Day? Most of them jump in their car and go down to the coast for the weekend.” Tongs argues that Reconciliation Day – to be celebrated on Monday 30 May this year – is meaningless without greater action to address the ongoing issues facing indigenous people in Canberra. “For me it’s about actions and until the government and the wider community take Aboriginal issues seriously I think that reconciliation is a long way off,” says Tongs.

Tongs, who has worked in Aboriginal Affairs for more than 30 years, says there’s more to addressing the plight of indigenous people in the ACT than merely on one day of the year. “A friend of mine, [the late] Dr ‘Puggy’ Hunter – who was chair of NACCHO used to say ‘They turn up, they hug a blackie and they move on’.” “If we are fair dinkum then people need to turn out and turn up every day not just Reconciliation Day.”

To view the CBR City News article ‘They turn up, they hug a blackie and more on’ click here.

Julie Tongs… “It’s tokenistic. How many people actually turn up for Reconciliation Day? Most of them jump in their car and go down to the coast for the weekend.” Photo: Belinda Strahorn. Image source: CBR City News.

Chance to put children front and centre

With the formation of the newly elected Government imminent as seats are finalised, advocacy body Secretariat of National Aboriginal and Islander Child Care (SNAICC) – National Voice for our Children has expressed its satisfaction at the prominent positioning of early years issues in the campaigning, calling on the new Government to continue to make early learning education and care (ECEC) a priority.

CEO Catherine Liddle said SNAICC is looking forward to working with the new Government to progress much needed policy reform to ensure Aboriginal and Torres Strait Islander children have their needs and voices heard. While describing the elevation of early learning by both major parties and independents as heartening, Ms Liddle said more needed to be done to consider the unique needs of Aboriginal and Torres Strait Islander families. “The current policies and systems just aren’t working for our families or our early leaning and support centres,” she explained.

To view The Sector article Formation of a new Government is a chance to put children front and centre: SNAICC in full click here.

Image source: The Indigenous Literacy Foundation.

Keynote for Dr Mickey Dewar oration

Pat Turner AM, CEO of NACCHO, will give the keynote address at National Archives of Australia’s biennial Dr Mickey Dewar oration. The oration will be held at NT Parliament House, Darwin from 5:30PM next Tuesday 31 May 2022, and streamed live from 6:00PM. National Archives’ Aboriginal and Torres Strait Islander Engagement Director Phyllis Williams said this year’s event, which is held during National Reconciliation Week, is an opportunity to learn about Indigenous matters and explore how each of us can contribute to reconciliation in Australia.

“The oration will bring together notable Indigenous figures Arrernte/Gurdanji woman Pat Turner and MC for the night Gurindji man Charlie King OAM. National Archives will also have key representatives attending the event, including new Director-General Simon Froude”, Ms Williams said. “The Dr Mickey Dewar oration is a not-to-be-missed event. This year’s discussion promises to be lively and engaging for anyone wishing to attend.”

Every second year, a speaker from the NTis invited to give an oration about the history, society or culture of the territory. Ms Turner was raised in Alice Springs and is at the forefront of community efforts to close the gap in health outcomes for Aboriginal and Torres Strait Islander people. Her talk will provide a fascinating insight into the challenges and achievements in relation to Indigenous issues. “I am delighted to be a part of such a prestigious and important event”, Ms Turner said. “With the impacts of the pandemic exposing critical issues in the healthcare system and Australia’s ongoing struggle to close the gap, now is the time to inspire change and action from all Australians.”

To view the National Archives of Australia media release Pat Turner AM to deliver keynote for 2022 Dr Mickey Dewar oration click here. You can book to attend this free event here.

The late Dr Mickey Dewar. Image source: Perth Now.

Asymptomatic STI testing research

Dr Simon Graham is an epidemiologist in the Department of Infectious Diseases at the Peter Doherty Institute for Infection and Immunity, University of Melbourne. He received the 2021 Sandra Eades Investigator Grant Award (Emerging Leadership) for his research which aims to increase opportunistic sexually transmitted infections (STI) testing to identify asymptomatic infections early so treatment is provided to prevent poor health outcomes.

Dr Graham said he had wanted to stay in the field of sexual health but gain specific academic skills via a Master of Applied Epidemiology at the ANU. Dr Graham said, “The bit I enjoy the most is the field work. Not surprising since one of the components of my master’s degree was investigating outbreaks. Whether its visiting Aboriginal Health Services to visiting prisons in regional Victoria, I have always felt the real work is out in the field connecting with others and listening to people who live in the local area about what they think could be a solution. My brain starts ticking at that point in how I can team up with that local community and test that idea or measure what that community just spoke about.

“I hope that my greatest contribution is to listen, connect, and deliver on what l promised. I aim to design things that communities can own and lead and most importantly keep after the project ends. For me the writing and statistics comes second to the ability to listen and connect. The COVID-19 pandemic has really highlighted this. Although l have won fellowships overseas, I have never planned for my work to have national or international relevance. I am focused on the relevance of the intervention for the communities I work with. Sometimes we are successful at highlighting that this intervention or program made a difference and then we can share it with other communities so they can succeed.”

To view the National Health and Medical Research Council (NHMRC) article Research excellence: Build grit and set out a plan in full click here.

Action needed to protect kids in detention

On Wednesday this week Amnesty International Australia issued a statement welcoming election pledges from the new Albanese Government on key human rights issues, and asking for swift action on 11 issues in the Government’s first 100 days, including raising the minimum age of criminal responsibility to at least 14 nationally, establishing a National Justice Reinvestment Unit, and implementing a process for real time national reporting of deaths in custody.

Another human rights issue for the incoming Government’s urgent attention is the 5-year delay in meeting out obligations under the United Nations Optional Protocol to the Convention Against Torture and other Cruel, Inhuman, or Degrading Treatment or Punishment (OPCAT), ratified by Australian in 2017. In an article published this week in Croakey Health Media Lindsay Pearce (University of Melbourne and Murdoch Children’s Research Institute), Andreea Lachsz (Victorian Aboriginal legal Service) and Tiffany Overall (Youthlaw) discuss why this delay is putting children and young people in Australian detention facilities at risk, and highlight the importance of consulting with ACCHOs on the implementation of our OPCAT obligations.

To view the Croakey Health Media article Australia must act now to protect children and young people in detention in full click here.

Image source: The Conversation.

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.

NACCHO Aboriginal & Torres Strait Islander Health News: Uluru Statement from the Heart explained

The image in the feature tile is from the From the Heart website.

Uluru Statement from the Heart explained

The Uluru Statement from the Heart is an invitation to the Australian people from First Nations Australians. It asks Australians to walk together to build a better future. In Anthony Albanese’s victory speech as Australia’s 31st Prime Minister, he vowed that Labor will commit ‘in full’ to the Uluru Statement and that he will hold a referendum during his first term. But what does this commitment really mean? As a proud Wiradjuri and Wailwan woman, lawyer and the University of Sydney’s inaugural First Nations Lawyer-in-Residence, Teela Reid examines the hard questions that cut to the legitimacy of our democracy. Why are we a nation that has not yet recognised the First People, and what can we do to take action?

Ahead of National Reconciliation Week and on the eve of the fifth anniversary of the Uluru Statement from the Heart, Teela Reid will discuss truth and reckoning in conversation with University of Sydney alumna Billi FitzSimons, Editor of The Daily Aus this evening, Wednesday 25 May from 6:00PM–7:00PM (in-person and live streamed).

To view the University of Sydney Media Alert in full click here. and to attend the event register here.

Teela Reid, proud Wiradjuri and Wailwan woman, lawyer and the University of Sydney’s inaugural First Nation’s Practitioner-in-Residence.

Child protection overrepresentation continues

Preceding Reconciliation Week, National Sorry Day is held on 26 May and acknowledges the history of the stolen generation. For Dr Mishel McMahon, Yorta Yorta woman and LaTrobe University Aboriginal Rural Health coordinator in Bendigo, National Sorry Day is a very personal occasion.

“Sorry Day is a National Day of Remembrance for all Australians to commemorate the loss of children stolen from families through years of government policies creating the stolen generations,” Dr McMahon said. “My great-grandfather and his sister were removed (from our family) when he was a baby and my auntie was maybe four or five. Even in my grandmother’s and my mother’s generation, there was the whole thing of not being able to talk about being Aboriginal. I’m probably the first generation that doesn’t experience backlash if I stand proud as Aboriginal.”

“Aboriginal and Torres Strait Islander children are eight times more overrepresented in child protection than non-Aboriginal children,” she said. “I know and totally understand there has been a lot of progress, but to some extent, the same reason why my great-grandfather was removed is still informing why Aboriginal children are over represented. There is a lack of understanding of Aboriginal childrearing and First Nation worldviews, and how that informs our family structures and the key principles for how we raise our children. There are many, many issues like trauma, neglect, lack of access to structures like housing and employment. But, definitely an ongoing effect is within the policies and the systems that inform child protection.”

To view the Bendigo Advertiser article Indigenous children continue to be overrepresented in child protection as Bendigo marks National Sorry Day in full click here.

La Trobe University Bendigo staff and students mark National Sorry Day in 2016 with a candlelit Sunset Ceremony, which they will again hold in 2022. Photo: Chris Pedler. Image source: Bendigo Advertiser.

Culturally appropriate housing possible

Culturally appropriate housing need not be more expensive, but some basic steps in the design process go a long way to ensuring residents’ satisfaction and comfort, argues Hannah Robertson from ArchitectureAU. Government dictates how housing is built in Indigenous communities. With incomes in these communities remaining low and private home ownership tenure on Aboriginal land being rare, this process is unlikely to change in the near future. “Indigenous community housing” refers to government-provided housing in Indigenous communities located on township leases on Aboriginal land.

In the last 50 years, governments have taken many approaches to Indigenous community housing, with both successes and failures. Typically, however, standard one-size-fits-all houses are rolled out in short-term programs with the argument that they are cost-effective and ensure fast delivery to address the chronic overcrowding issues faced in many Indigenous communities. While some current initiatives, such as the NT Government’s Room to Breathe program, aim to retrofit existing housing to be more inclusive and better meet the needs of residents, the benefits of designing-in a level of inclusivity, flexibility and longevity at the outset of construction to ensure better, more sustainable outcomes for residents continue to be overlooked.

To view the ArchitectureAU article Indigenizing practice: Inclusive Indigenous community housing in full click here.

The open-plan living and kitchen area in the standard government-issue house provided no separation of spaces to observe avoidance relationships. Photo: Hannah Robertson. Image source: ArchitectureAU.

Innovative approaches to health care

Four new innovative approaches to health care for testing, diagnosis and treatment of patients with a range of health conditions have been announced by the WA Minister for Medical Research Stephen Dawson. Mr Dawson said the program with Translation Fellowships was funded from the Future Health Research and Innovation Fund which supported health and medical research as well as innovation and commercialisation.

Mr Dawson said the program supported translational research in two streams: Aboriginal health and country and regional WA health, “It’s exciting to see the vision of these researchers and their passion to improve health care for Western Australians living in regional and remote areas of our vast State. A key feature of these projects is relationship-building within various Aboriginal communities to support healthy lifestyles.”

He said the four initiatives funded to Translation Fellowships had the potential to result in new approaches to health promotion and health care. The Minister said the three-year projects were to work on Aboriginal children skin infections, Aboriginal people life expectancy, Infectious diseases in the country and regions, and Aboriginal women with prediabetes in pregnancy.

To view the psnews.com.au article Health care tests just what the doctor ordered in full click here.

Image source: RACGP webiste.

Climate change – dramatic health threat

Climate change is having a range of impacts on health today that will become more severe unless urgent action is taken. Vulnerable populations will see their health increasingly undermined by both direct impacts, such as from extreme heat, and indirect ones, e.g. from reduced food and nutrition security. To produce science-based analysis and recommendations on a global scale, outstanding scientists from around the world – brought together by the world’s science academies under the umbrella of the InterAcademy Partnership (IAP) – have teamed up to collect and evaluate relevant evidence. The three-year project involving well over 80 experts from all world regions also examined a number of climate mitigation and adaptation actions that could bring significant improvements to health and health equity.

The new report Health in the climate emergency – a global perspective, launched by the IAP examines how the climate crisis is affecting health worldwide and calls for urgent action: “Billions of people are at risk, therefore we call for action against climate change to benefit health and also advance health equity”, says Robin Fears, IAP project coordinator and co-author of the IAP report.

The IAP report stresses that climate change affects the health of all people, but the burden is not distributed evenly or fairly. “We emphasise that health-related adaptation efforts must prioritise Indigenous Peoples, ageing populations, children, women and girls, those living in challenging socioeconomic settings, and geographically vulnerable populations.” Globally, groups that are socially, politically and geographically excluded are at the highest risk of health impacts from climate change, yet they are not adequately represented in the evidence base.

To view IAP press release Climate change threatens people’s health dramatically but solutions are within reach, say the world’s academies in a new report click here.

Part of an Aboriginal town camp on the outskirts of Alice Springs. A study of regional and remote Aboriginal housing has found it is unable to withstand climate change and will be unsuitable for future living. Photo: Helen Davidson. Image source: The Guardian.

Book your flu shot without delay

NSW residents are being urged to book in for their flu vaccine without delay, with winter just a week away and hospitals already seeing a surge in influenza cases. Health Minister Brad Hazzard said NSW hospitals are facing a triple threat with high numbers of COVID-19 cases, a surge in flu cases and staff furloughing due to illness. “NSW Health has been warning us for months of the likelihood of a horror flu season, so please, help yourselves and our health staff and get a flu shot,” Mr Hazzard said. “After two years of COVID, our hospitals do not need the added challenge of avoidable influenza, when flu shots are readily available at GPs and pharmacies. With almost no exposure to flu these past two years, it is imperative we all get a flu jab to protect ourselves and the community.”

You can view the NSW Minister for Health Brad Hazzard’s media release Stay Safe this Winter, Get Your Flu Shot Now in full here

In a related article Doctors Urge Flu Vax Now Queensland’s South Burnett residents have been encouraged to protect themselves against influenza as the cooler months start to set in. After two years of lower-than-average flu infections during the COVID pandemic, flu immunity in the community is now very low. So far this year there have been 39 laboratory confirmed cases of influenza in the Darling Downs Health region. Cherbourg Aboriginal Shire Council reported a number of flu cases in the community and is urging residents to stay home if unwell and for the elderly or vulnerable to wear masks in crowded places.

After two years of reduced flu infections due to COVID lockdowns, flu immunity levels in the community are low and Australia is bracing for a worse-than-normal flu season in 2022. Photo: Darling Downs Health. Image source: south.burnett.com.au.

Indigenous health research opportunity

Centre for Health Equity (Indigenous Health Equity Unit): Research Fellow/Senior Research Fellow, Level B or C, F/T, 4 years fixed-term

Are you an experienced researcher (with a PhD) and a background and understanding of public health and Aboriginal and Torres Strait Islander health, including evidence of translational activities. You will be able to utilise your exceptional communication and presentation skills to liaise with a wide range of stakeholders, including government, service providers, and communities.  The role will include responsibility for managing exciting and innovative programs of research, hence self-motivation, high-level organisation, and sound project management skills will be vital.

You can access further information about the position here and contact Professor Cath Chamberlain if you have any questions using this email link. Applications close:  Monday 30 May 2022.

Professor Catherine Chamberlain, Head of the Indigenous Health Equity Unit, University of Melbourne.

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.

iSISTAQUIT campaign launch

You are invited to iSISTAQUIT’s World No Tobacco Day launch of our compilation of iSISTAQUIT campaign films that will be available through their new iSISTAQUIT TV. The films showcase the importance of culturally appropriate care and how communication can make an important difference in supporting women to quit smoking.

iSISTAQUIT involves a model of care designed with culturally appropriate and national best practice training informed from previous studies. It provides vital training for health professionals and encouragement to communities and pregnant women to quit smoking. Having culturally thought out approaches with assisting women to quit smoking through a pathway of support, helps Indigenous women navigate health and wellbeing systems safely.

Tune in for the launch from 11:00AM – 12:00PM AEST on Tuesday 31 May 2022. To register for event here.

Image source: ISISTERQUIT website.

NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO-RACGP National Guide user review

NACCHO-RACGP National Guide user review

NACCHO and RACGP are keen to hear from members of primary healthcare teams to help create a fourth edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people that best meets your needs and supports effective preventive healthcare that is valued by Aboriginal and Torres Strait Islander patients and communities.

The National Guide is part of a suite of resources developed by NACCHO and the Royal Australian College of General Practitioners which aim to support health promoting and disease preventing activities that are valued by Aboriginal and Torres Strait Islander people.

By having your say in this 7-minute survey, you’ll be helping NACCHO and RACGP to understand how you are using the 3rd edition of the National Guide, what suggestions you have for future content, the format of the 4th edition and ideas that can support implementation. Your feedback will support development of the fourth edition of the National Guide due for publication in the second half of 2023.

If you have any questions about this survey or the NACCHO-RACGP Partnership Project, you can contact RACGP Aboriginal and Torres Strait Islander Health using this email.

This anonymous and confidential survey can be completed on your smart phone, tablet or computer and is open from Tuesday 24 May 2022 until midnight Monday 13 June 2022. To complete the survey click here.

Binjilaanii founder Midwife of the Year

Winners of the 2022 HESTA Australian Nursing & Midwifery Awards have been announced. Now in their 16th year, the national awards recognise Australia’s nurses, midwives, nurse educators, researchers and personal care workers for their contributions to improving health outcomes. Each of the winners received $10,000, courtesy of ME – the bank for you, for professional development or to improve services or processes in the workplace.

Melanie Briggs, Waminda South Coast Women’s Health & Welfare Aboriginal Corporation, Binjilaanii Maternity Services, Nowra, NSW was awarded Midwife of the Year in recognition of her tireless work to improve First Nations’ maternal and infant health. A descendant of the Dharawal and Gumbaynggirr peoples, Melanie is the Director and Founder of Binjilaanii, the first Aboriginal-led maternity model of care in Australia. She is also a Senior Midwife at Waminda South Coast Women’s Health and Welfare Aboriginal Corporation.

Briggs said she was honoured to hear she had been named Midwife of the Year. “Being recognised and being an Aboriginal midwife and caring for women on Country is a privilege and I feel incredibly proud,” she said. “My team should be here standing here with me. This award is in recognition of the amazing work our team and organisation do in the community to ensure that our First Nations mums and bubs receive the best start to life.”

Briggs is renowned for her strong advocacy, implementing the Waminda Birthing on Country Model. The model incorporates culture into maternity care to improve outcomes for First Nations women and babies. Her vision is to see Aboriginal women birthing on their homelands, practising traditional lore and continuing cultural connections to Country for their baby and their families. “Practising culture and working with First Nations mothers and supporting women on that journey during pregnancy is so important for us; it is empowering for our women as it brings incredible outcomes — seeing that is the most rewarding part of my job,” she said.

Briggs plans to use the $10,000 prize money to conduct further research and embed cultural practices into the Birthing on Country model of care.

To view the Hospital and Healthcare article HESTA nurses and midwives awards — winners announced in full click here.

Midwife Melanie Briggs holds newborn Talekai during a special cultural ceremony. Photo: Naomi Locke Photography. Image source: ABC News.

Culturally safe stroke screening needed

Professor Ben Freedman, Director of External Affairs at the Heart Research Institute and founder of AF-SCREEN International Collaboration is warning revision of guidelines to screen Aboriginal people for atrial fibrillation (AF), a leading cause of stroke, is needed to help prevent cardiovascular disease in this at-risk population.

Prof Freedman said research shows Indigenous Australians are experiencing catastrophic strokes at a much younger age than other Australians. AF occurs more commonly in Aboriginal and Torres Strait Islander people at an earlier age, and when AF is found earlier, the risk of stroke is much higher than for non-Aboriginal people.

“We’re look­ing at intro­duc­ing life-sav­ing screen­ing for Aus­tralians aged over 65 but that’s too late for half of Abo­rig­i­nal suf­fer­ers. We’re call­ing on cul­tur­al­ly-spe­cif­ic screen­ing guide­lines that will pro­tect this at-risk pop­u­la­tion from an ear­li­er age,” Prof Freed­man said.

Yesterday Professor Freedman is travelled to Armidale with a team led by Dr Kylie Gwynn to take part in a combined health screening program at the Armajun Aboriginal Health Service. Dr Gwynne and Professor Freedman and the team will be using a handheld ECG device which they successfully trialled in Aboriginal health services around Australia previously.

To view The National Tribune article Leading Australian heart expert to improve Indigenous health in full click here.

Rapid skin infection test for First Nations kids

A rapid test to detect antibiotic-resistant skin infections in Aboriginal children could be a step closer, thanks to support from the WA Government’s Future Health Research and Innovation Fund (FHRIF). Telethon Kids Institute and The University of WA researcher, Dr Tim Barnett, has been awarded a FHRIF Translation Fellowship to lead a research project to tackle the burden of skin disease in Aboriginal children. It will aim to develop a rapid point-of-care diagnostic test for antibiotic-resistant Strep A and Staph aureus bacteria, which would fast track accurate treatment.

Dr Barnett said untreated skin infections from both Strep A and Staph aureus bacteria cause significant health problems for young Aboriginal people. “Half of all Aboriginal children suffer from the burden of skin infection, which can lead to severe illness including blood infections and autoimmune diseases like Rheumatic Heart Disease,.” he said. “To combat this, we need to be able to identify resistant infections early for alternative antibiotics to be prescribed.”

84% of Aboriginal children are diagnosed with skin sores caused by Strep A and Staph aureus before their first birthday. Dr Barnett said antimicrobial resistance from regular antibiotic use was common in remote Aboriginal communities but can be well-managed if there is a fast diagnosis.

To view the University of WA article Funding for rapid test to detect antibiotic-resistant skin infections in Aboriginal children in full click here.

Dr Tim Barnett, Telethon Kids Institute and The University of Western Australia researcher. Image source: The University of WA website.

Labor’s First Nations health promises

An article Health promises we must hold Anthony Albanese published yesterday has looked at promises Albanese and his party made during the election campaign including a commitment to training “500 new First Nations health workers, increasing access to lifesaving dialysis treatment for those living with chronic kidney disease and expanding efforts to eradicate rheumatic heart disease in remote communities”. The funding promises include:

  • $52.9 million for a First Nations Health Worker Traineeship Program, following a co-design process with the National Aboriginal Community Controlled Health Organisation (NACCHO), Aboriginal Community Controlled Health Organisations (ACCHOs) and community-controlled registered training organisations. Traineeships will be rolled out over 4 years, with 100 new trainees starting in the first 2 years of the program, increasing to 150 in the later 2 years;
  • $45 million for better renal services in the city and bush, including $30 million for up to 30 four-chair dialysis units in urban and remote locations across the country, and $15 million for small scale water infrastructure projects that improve access to clean water critical for dialysis; and,
  • $13.5 million to help eradicate rheumatic heart disease, including $12 million to double current federal funding to combat rheumatic heart disease, and $1.5 million to fund portable echo-cardio machines and screening efforts.

To view the Insight article Health promises we must hold Anthony Albanese to click here.

Image source: The New Daily.

Pastor Willie Dumas on COVID-19 vax

In this video developed by the Australian Government Department of Health (DoH), Pastor Willie Dumas from Tweed Heads, NSW, says that the COVID-19 vaccines are here to bring hope and solutions to our lives and invites his mob to yarn with their local healthcare worker and get vaccinated today.

In the video Paster Dumas says “COVID-19 vaccinations bring security and safety. They’re a way to help our Mob and all of humanity. There’s a lot of misunderstanding about what COVID is, and what the vaccine is. Which leads to a lot of fear but the vaccines are here to bring hope and solutions to our lives. It’s only our prejudices that can stand in the way. So, yarn with your local healthcare worker – and get vaccinated.”

For further information visit the Australian Government DoH COVID-19 vaccination – Pastor Willie Dumas shares his COVID-19 message (Aboriginal and Torres Strait Islander people) webpage here.

Tackling Indigenous Smoking video resources

Apunipima Cape York Health Council, Cairns, Queensland, has developed a Tackling Indigenous Smoking (TIS) video resource package. The videos (including the one below), created by the Apunipima Cape York Health Council TIS Team feature community members from Napranum, Queensland discussing their quit smoking journeys:

You can access the Apunipma Cape York Health Council website here; their TIS webpage here; and their contact details here.

Cultural considerations in SEWB support

Emerging Minds has released a recording of its webinar Cultural considerations in the social and emotional wellbeing support provided to Aboriginal and Torres Strait Islander children and families. The webinar aims to increase health practitioners’ understanding of the significance of cultural identity when working with Aboriginal and Torres Strait Islander children and families, and has the following learning outcomes:

  • outline the importance of cultural identity for Aboriginal and Torres Strait Islander children
  • describe self-determination when working alongside Aboriginal and Torres Strait Islander families
  • identify strategies and resources that support the cultural needs of Aboriginal and Torres Strait Islander children and families at an individual, family, community and organisational level.

The webinar was facilitated by Dana Shen, Aboriginal Cultural Consultant, with an interdisciplinary panel of experts including  Adele Cox, SNAICC Sector Development Manager, and Tricia Nagel, Psychiatrist and Senior Researcher.

You can access the Emerging Minds website, including a link to the webinar 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.

Gayaa Dhuwi Australia virtual conference

Gayaa Dhuwi (Proud Spirit) Australia (GDPSA) are extremely excited to announce the first ever Gayaa Dhuwi (Proud Spirit) Australia Conference, which will be held over two days from Tuesday 7- Wednesday 8 June 2022. The theme for the 2022 Gayaa Dhuwi (Proud Spirit) Australia Conference is ‘Keeping Our Spirit Strong’.

The theme #KeepingOurSpiritStrong is an acknowledgment to the achievements of the organisation in building a national peak body for Aboriginal and Torres Strait Islander social and emotional wellbeing, mental health, and suicide prevention, as well as the achievements of the sector and their initiatives contributing to strengthening approaches and access to mental health care. It also draws on the challenges our communities have faced over the past three years with COVID-19 and natural disasters, and our resilience to keeping a strong spirit in times of isolation and worry.

The conference will be an entirely FREE to attend. Registrations will go live within the week, so make sure you save the dates in your calendars and set your reminders so you don’t miss out on this innovative and exciting virtual event! For further information on this event and how you and your organisation can get involved, please contact Ethan French using this email link.

NACCHO Aboriginal & Torres Strait Islander Health News: History is Calling Campaign

History is Calling Campaign

A new education campaign pushing for a First Nations voice to parliament is being rolled out by the creators of the Uluru Statement from the Heart. The History is Calling campaign will urge Australians to answer the Uluru Dialogue’s 2017 invitation to legally enshrine First Nations people in the constitution via a referendum as an urgent election issue. Uluru Statement leader Roy Ah-See said First Nations people had been “at the whim” of consecutive governments that had failed to protect their rights and it was “long overdue” for their voice to be constitutionally enshrined. “The data’s there, in terms of overrepresentation in the criminal justice system, health statistics, infant mortality rates; it’s appalling, we’ve gone backward,” he said.

“In 1967, I was six months old when … non-Aboriginal citizens of this country gave my mother citizenship. Now it’s time to give my kids a voice in this country and future generations and we can do that through a referendum. “We don’t want a green voice, we don’t want a red voice, we don’t want a blue voice: we want a black voice.” Ah-See said the Uluru Statement was “never for the politicians”, but was a gift to the Australian people, who were best placed to vote on constitutional recognition. “Consecutive governments haven’t had our best interests at heart and legislation isn’t going to cut it,” he said. “The momentum’s there, the mood has shifted. We’ve lost a lot of First Nations people that haven’t seen a voice realised. It’s time.”

To view the article Australians urged to back Indigenous voice to parliament in History is Calling campaign published today in The Guardian click here.

some of the women artists who created the artwork surrounding the Uluru Statement from the Heart sitting around the painting on ground near Uluru

Some of the artists who created the artwork surrounding the Uluru Statement from the Heart in-situ. Photo: Clive Scollay. Image source: Barani Sydney’s Aboriginal History website.

ACCHO staff present at Sax Forum workshop

The Sax Forum is an initiative through which the Sax Institute is helping to share knowledge across its membership and understand what we can do better together. Earlier this month nearly 200 people from the Institute’s member organisations, Aboriginal-controlled health services and NSW Health met online to discuss how best to work collaboratively with Aboriginal communities while conducting important health research.

Attendees heard insightful presentations from speakers who have been intimately involved in working with Aboriginal communities to produce impactful Aboriginal-led research., including Jamie Newman, a Wiradjuri man and CEO of the Orange Aboriginal Medical Service (AMS) who stressed how important research is in his sector. “We are very open to research and we understand why it is so critical for us,” he said. In order to secure funding, “we need to provide evidence that we have researched what we’re doing and properly evaluated what we’re doing. Evidence-based needs are what governments want to fund.” He said researchers should go out and meet people in the AMSs and start building partnerships and relationships, not just contacting them when they want a partner for a grant application. “We are more than happy to talk to universities, individual researchers. We’re open to everyone who can add something to our service, and if you can do that, the door will be open.”

Another speaker, Christine Corby OAM, CEO from Walgett AMS, spoke about the importance of conducting research that is respectful, builds relationships and contributes to local capacity. Any research program must reflect the needs and interests of the community, she said. Sandra Bailey, Senior Adviser in Aboriginal Health at the Sax Institute, joined the panel discussion after the presentations and provided some background to the partnership work that led to the creation of the Coalition for Research to Improve Aboriginal Health.

You can watch a video of the workshop in full below and access the relevant Sax Institute webpage here.

Mob 2.5 times more likely to visit ED

Westmead, Blacktown and Mount Druitt hospitals are the subject of a new $2.8 million research project that aims to improve the safety and quality of care in emergency departments. Macquarie University will lead this project addressing the needs of people with complex health conditions, who often spend longer than average there and have worse outcomes than the general population when they attend an emergency department — including greater likelihood of multiple return visits. This includes people who are older; have a disability; present with a mental health condition; are Aboriginal and Torres Strait Islander; and/or come from culturally and linguistically diverse (CALD) backgrounds

Macquarie University has been awarded $2,836,550 from the Medical Research Future Fund for this 5-year project led by Associate Professor Robyn Clay-Williams at the Australian Institute of Health Innovation. The  project will work to improve people’s experience while they are in the emergency department, reduce their length of stay and improve their care outcomes — including receiving a diagnosis or treatment plan, or being admitted to a hospital ward.

Associate Professor Robyn Clay-Williams, who will lead the project said “These communities have higher rates of presentation to emergency departments than other Australians and improving their care will reduce hospital waiting times for everyone.” Aboriginal and Torres Strait Islander peoples visit an emergency department 2.5 times more than other Australians and their rate of metal health presentations is more than four times higher. People with a disability visit emergency departments twice as often as people without disability. People over the age of 85 years have the highest rate of presentation to emergency departments.

To view the article $2.8 million to reduce emergency wait times in western Sydney hospitals published in The Pulse click here.

Image source: The Pulse website.

Our Kids Count birth registration campaign

The NSW Registry of Births, Deaths and Marriages (the Registry) is hitting the road to promote the registration of Indigenous births with the Our Kids Count campaign. NSW Registrar Amit Padhiar said Our Kids Count would visit the Central West and Orana region to provide on the ground support to help Aboriginal parents register their child’s birth. “Birth certificates are an essential pathway to enrol in school, open a bank account, join sporting clubs, enrol to vote and apply for a job, a driver licence or a passport,” Mr Padhiar said. “Ensuring kids have a birth certificate as soon as possible makes it easier for them and their families when growing up and navigating life.”

What you need to know about registering bub

  • It’s free
  • Hospitals do not register bub for you
  • Medicare and Centrelink do not register bub for you
  • It’s bub’s right to be registered within 8 weeks of birth

To view the media release in full click here.

Calls to improve lives of First Nations children

The peak national body for Indigenous children, the Secretariat of National Aboriginal and Islander Child Care (SNAICC), has called on the major parties contesting the upcoming Federal election to deliver policy to improve the lives of First Nations children. SNAICC – National Voice for our Children wants to see investment into prevention and early support services for families led by Aboriginal Community Controlled Organisations, and creation of a National Commissioner for Aboriginal and Torres Strait Islander Children.

SNAICC CEO Catherine Liddle said policy change was needed for the Federal Government to start to close the gap. “Under the national partnership all governments have agreed to work with the Coalition of Peaks to reduce over-representation in out of home care by 45% by 2031,” she said. Ms Liddle said by achieving these targets there would be a reduction in child removals from families and pressure on the justice system. “Our children will have a better start in life with access to quality, community-controlled early childhood education and services,” she said.

To view the National Indigenous Times article Peak Indigenous children’s body puts Federal election wish-list on the table in full click here.

SNAICC CEO Catherine Liddle. Image source: SNAICC website.

36,000 NSW mob impacted by floods

Thousands of NSW school students, including 16-year-old Wirajduri student Ethan Lyons, have participated in a march to raise awareness about the severity of climate disasters such as the recent floods across NSW and Queensland and call on the state government for more action on climate change. Mr Lyons, one of the organisers, pointed specifically to how Indigenous Australians are “disproportionately affected by the climate crisis”, and that more action was needed by the federal and state governments to move towards renewable energy by 2030. At the height of the floods, it is estimated that more than 36,500 Indigenous residents who live in the officially declared natural disaster zones in NSW had been directly, or indirectly, impacted by the natural disaster.

Cabbage Tree Island, where multi-generational Aboriginal families have lived for more than 100 years, was particularly hit hard during the relentless floods. Both state and federal governments have committed to disbursing $70 million to build new homes for more than 170 residents who were displaced. An extra $50 million will also go towards the repair and reconstruction of Aboriginal community infrastructure owned by Local Aboriginal Land Councils.

To view The Rural News article NSW students walk out for climate policies article in full click here.

cleaning up after floods

More than 180 residents live on Cabbage Tree Island, NSW in 23 homes. Photo: Rani Hayman, ABC News.

Women the victims of forced evictions

Julie Tongs, CEO Winnunga Nimmityjah (Strong Health) Aboriginal Health and Community Services was one of 14 to sign an open letter – addressed to ACT Housing Minister Yvette Berry and Minister for Homelessness and Housing Services Rebecca Vassarotti and signed by community organisations working with vulnerable Canberrans living in public housing – calling on the ACT government to end all forced relocations under the scheme, and instead revert to a voluntary, opt-in program of relocation.

87% of social housing tenants to be forced from their homes under the ACT’s government’s Growth and Renewal program are women living alone or with children. 61% have disabilities, chronic health conditions or are caring for dependents who do, and 17% of tenants facing evictions are single mums with children. The data – captured through a survey of the affected tenants conducted by Canberra Community Law also shows that 14% of tenants affected by the scheme are Aboriginal or Torres Strait Islander people. “It is this cross section of elderly tenants, women, people with disabilities and people with lived experience of mental illness that makes this group of tenants particularly vulnerable,” the letter reads.

To view the CBR City News article Revealed: Women the victims of Housing’s forced evictions in full click here.

Image source: Women’s Agenda.

Ahpra to recruit 7 permanent identified jobs

Ahpra is excited to be recruiting seven (7) permanent Identified positions who’ll play an important role in creating a culturally safe healthcare system free of racism for Aboriginal and Torres Strait Islander Peoples:

The positions will be supported by the Aboriginal and Torres Strait Islander Health Strategy Unit and are linked to implementing deliverables in the National Scheme’s Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020-2025.

Please apply for these exciting roles here and share with your Aboriginal and Torres Strait Islander networks who want to be a part of driving safer healthcare.

If you’d like any further information on the roles, a contact and their details have been provided on the job listing.

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.

Lung Health Awareness Month

Respiratory diseases are conditions that affect the airways, including the lungs and the passages that carry air from the mouth and nose to the lungs. Common conditions include asthma, chronic obstructive pulmonary disease (COPD) and pneumonia. Nearly one-third of Aboriginal and Torres Strait Islander people have a respiratory condition; with Asthma and COPD contributing to the highest burden of disease.

May is Lung Health Awareness Month and aims to raise awareness about the importance of lung health and the signs and symptoms of lung disease. Anyone, no matter your age or background, can get lung disease – it affects approximately 1 in 4 Australians and is the second leading cause of death in this country, with 45 Australians dying of lung disease and lung cancer every day.

Despite this, many people ignore the signs and symptoms of lung disease for far too long. Breathlessness – A cough lasting more than 3 weeks – Fatigue are just some of the signs many of us ignore or put down to aging and lack of fitness. Don’t miss the signs that something isn’t right. Taking action could save your life.

You can access the Lung Foundation Australia website here which includes:

  • a checklist of lung disease signs
  • an interactive Lung Health Checklist
  • lung health tips: commit to quit smoking; prevention is your best protection; protecting your lungs at work; lifestyle matters

You can access more information about respiratory health in Aboriginal and Torres Strait Islander people on the Australian Indigenous HealthInfoNet website here.

Willy Willy Lungs by proud Badimia, Noongar, Yamaji artist Nerolie Bynder. Image source: Telethon Kids Institute Many Health Lungs website.