NACCHO Aboriginal & Torres Strait Islander Health News: Sod turned on Elders’ independent living project

feature tile; Leonie & 'Big Al' Harris with BADAC CEO Karen Heap at turning of the sod for supported residential village

The image in the feature tile is of Leonie and Alan ‘Big Al’ Harris with BADAC CEO Karen Heap (middle). Image source: the article Supported residential village for First Nations elders in Bakery Hill set for completion late 2023 published in The Courier on 31 March 2023. Photo: Adam Trafford.

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

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

Sod turned on Elders’ independent living project

Aboriginal Elders in Ballarat will soon have access to a culturally specific independent living village, thanks to support from the Andrews Labor Government. On Friday last week Minister for Regional Development Harriet Shing met with representatives of the Ballarat and District Aboriginal Co-operative (BADAC) to turn the first sod on the Elders’ Independent Living Community, backed by a $2.6m investment from the Labor Government’s Regional Infrastructure Fund.

Located near Ballarat’s city centre, the village will help older Aboriginal people share their culture and lead their communities. The project includes 8 self-contained units, a central hall for community meals, treatment rooms for medical personnel and a vegetable garden. It will enable Elders to live independently while receiving care. Ballarat-based D.R.A.R. Constructions will build the village, creating 160 jobs during construction and four ongoing roles at BADAC once complete. Cultural themes and spaces are being designed in consultation with Elders.

There are more than 700 Aboriginal people aged 45 and over across five local government areas in western Victoria – including Ballarat, Moorabool, Hepburn, Golden Plains and Pyrenees – who may need support as they get older.

To view The National Tribune article Supporting Aboriginal Elders in Ballarat in full click here.

BDAC CEO Karen Heap

CEO of the Ballarat and District Aboriginal Co-operative, Karen Heap says she does not want to put residents in a place where it feels like an institution again. Photo: Christopher Testa, ABC Ballarat.

Podcast aims to raise health literacy

A new podcast called Coffee on Country launched last week aims to raise health literacy among the local indigenous community. There will be an initial six episodes, many featuring notable Indigenous and non-Indigenous health professionals and community members discussing topical health concerns and general health awareness.

It’s the brainchild of the First Nations Health Team at Hunter New England Central Coast Primary Health Network and Community Engagement Officer, Josh Fuller, says the podcast will provide a better understanding of First Nations health in a holistic approach. “The gap is only getting wider, so it’s time we start to increase health literacy,” he said. “The podcast gives us a platform to reach our communities across the Central Coast, Hunter and New England areas especially our mob from rural or remote areas who we wouldn’t cross paths with every day.

“The podcast provides us with a platform to yarn about the health programs available, interview guests, have a laugh and to educate people on our health care system. We want our communities to understand who the Primary Health Network is, what we do, and how they can access services to be proactive about their health care. Voice is a powerful tool that can reach far and wide and my co-host Robbie and I are feeling very grateful to have this platform to be able share these conversations and people’s stories.”

To view the Community Coast News article Podcast raising awareness about Indigenous health in full click here.

Josh Fuller & Robbie Watson recording Coffee on Country podcast

Josh Fuller and Robbie Watson recording the Coffee on Country podcase. Image source: Coast Community News.

New model to deliver mental health, AOD support

Western Victoria Primary Health Network (WVPHN) has appointed a team of highly experienced health care agencies to deliver improved mental health and alcohol and other drugs (AOD) services in the Geelong Otway region. Neami National, Wathaurong Aboriginal Co-operative, Drummond Street Services and Windana Drug and Alcohol Recovery have been chosen to run the new Regional Care Partnerships mental health and AOD (alcohol and other drugs) program that will start from 1 July 2023. More than $3.5m in funding has been allocated each year for three years towards the program.

Wathaurong Aboriginal Co-operative chief executive officer Simon Flagg said the co-operative prided itself on offering a holistic service to the community. “The importance of having integrated care through physical health, mental health and AOD support services for Aboriginal and Torres Strait Islander people, and those services being delivered by trusted people in culturally safe environments, is so important.”

The introduction of the new service model for mental health and AOD support follows a lengthy consultation process involving people with lived experience, their families and carers, and the health professionals who are responsible for delivering care. WVPHN will transition to the new model over the next three months.

To view the Bellarine Times article New model to deliver mental health, AOD support in full click here.

Wathaurong Aboriginal Co-operative CEO Simon Flagg

Wathaurong Aboriginal Co-operative (WAC) CEO Simon Flagg. Image source: WAC website.

Australia has lost a giant – Yunupingyu

Minister for Indigenous Australians, Linda Burney, says Australia has lost a giant. Yunupingu, a Yolngu man of the Gumatj clan, has passed away. A pioneer of the Aboriginal land rights movement, including the landmark Gove Land Rights case and the Yirrkala Bark Petitions, in 1978 Yunupingu was named Australian of the Year. Yunupingu served as the Chair of the Northern Land Council for 23 years.

He worked with more than 10 PMs of Australia on the struggle for Indigenous recognition, and lived through the many disappointments. Yunupingu hosted PM Albanese at Garma last year when the government committed to holding a referendum on constitutional recognition through a Voice to Parliament.

To view the The Hon Linda Burney MP – Minister for Indigenous Australians, Senator Malarndirri McCarthy – Assistant Minister for Indigenous Australians, Assistant Minister for Indigenous Health and Marion Scrymgour MP – Member for Lingiari joint media release Yunupingu in full click here.

A related article ‘A giant of the nation’: Indigenous leader Yunupingu dies, aged 74 published today in The Sydney Morning Herald, available here, described Yunupingu as “one of the most prominent and influential Indigenous leaders of the past century” – he advanced Aboriginal rights, particularly land rights, under successive governments, was outspoken about education and housing availability for Yolngu peoples, and more recently focused on the constitutional recognition of Aboriginal and Torres Strait Islander peoples. His passing brought immediate tributes from national leaders, who praised his passion and dedication to his people.

Yunupingu, pictured in 2019 with toddler on knee in ceremonial body paint, surrounded by young male child & youth in ceremonial body paint

Yunupingu, pictured in 2019, has died at the age of 74. Photo: Peter Eve, Yothu Yindi Foundation. Image source: The Sydney Morning Herald.

Victoria’s suicide rate “deeply concerning”

Content warning: This article contains reference to suicide. Please refer to the services at the bottom of this article for support.

The rate of suicides of Aboriginal and Torres Strait Islander people in Victoria makes for “sobering” reading, says the CEO of Mallee District Aboriginal Services (MDAS). A recent report by the Coroners Court of Victoria revealed that, despite a slight decline in 2022, the number of suicides among Aboriginal and Torres Strait Islander people in Victoria continued to be high. The report found between 2018 and 2022, the rate of deaths by suicide for Aboriginal and Torres Strait Islander people was 27.4 per 100,000, compared to a rate of 10.6 per 100,000 for non-Indigenous people. Aboriginal and Torres Strait Islander suicides happened more frequently in regional areas (52.8%) than metropolitan areas (47.2%). For non-Indigenous people, 65.7% of suicides happened in metropolitan Melbourne.

MDAS cCEO Darlene Thomas said the report highlighted the ongoing divide between metropolitan and regional areas, particularly in relation to Aboriginal people. She said it was “deeply concerning” that three years on from the Royal Commission into Victoria’s Mental Health System, and 14 years on from the launch of Closing the Gap, we were still seeing Aboriginal people disproportionately represented in suicide rates. She said this showed a need for increased funding for wrap-around support services with a focus on early intervention and prevention.

Reflecting on what she believed must be done to address the issue, Ms Thomas said that while there had been notable investment in mental health awareness activities, it should be matched with targeted funding for regional services. “We know the need is there, we see it every day and these latest statistics paint the picture – if you live in a regional area, and you’re struggling with mental health issues, you’re less likely to get a good outcome,” Ms Thomas said. “This should not be the case. Geography should not dictate health outcomes any more than cultural background should.”

To view the Sunraysia Daily article Indigenous suicide concern in full click here.

MDAS CEO Darlene Thomas

MDAS CEO Darlene Thomas. Image source: Sunraysia Daily.

If this article brought up anything for you or someone you love, please reach out to, call or visit the online resources listed below for support:

13YARN – 13 92 76, 13yarn.org.au

Lifeline – 13 11 14, lifeline.org.au

Beyond Blue – 1300 224 636, beyondblue.org.au/forums

MensLine – 1300 789 978

Kids Helpline – 1800 551 800

Suicide Call Back Service – 1300 659 467

Still battling to rebuild months after record floods

Communities in WA’s northernmost region are still battling to rebuild, months after record flooding and widespread damage. Although ringing in the New Year amid torrential rains and the threat of cyclones isn’t unusual for those living in the state’s far north, this year saw strange weather activity that caused a local river to smash previous flood records.

The damage to transport infrastructure effectively cut Fitzroy Crossing off from the rest of the state, and caused massive food shortages at supermarkets across the Kimberley, with supplies unable to be trucked in from Perth or the NT. Now, nearly three months on from the “one in 100 year flood event,” as it was often referred to by WA’s Emergency Services Minister Stephen Dawson, the clean-up and recovery effort is still under way.

Wheatbelt Development Commission chief executive Rob Cossart was appointed state recovery co-ordinator in late January. He said his focus for the region has been social recovery, but also economic recovery. “A big focus of the role has been meeting with the community … working across the community with state government, the commonwealth, not for profits, and the Aboriginal corporations to co-ordinate flood recovery,” said Mr Cossart. “The role is about ensuring the delivery of that recovery is meeting the needs of the community, and making sure our recovery initiatives are on track.”

To view the news.com.au article Kimberley Floods: Three months since “one in 100 year” disaster in full click here.

young Aboriginal girl & boy with Foundation for Indigenous Sustainable Health donated critical non-food items

Fitzroy flood affected community members with donated critical non-food items, organised by the Foundation for Indigenous Sustainable Health (FISH) team. Photo: FISH. Image source: news.com.au.

Sector Jobs

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

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

World Autism Awareness Day 2023

April 2, World Autism Awareness Day, has been an officially sanctioned United Nations General Assembly Day of Observance since 2008, with this year’s theme being “Transforming the narrative: Contributions at home, at work, in the arts and in policymaking”.

This year, Autism Spectrum Australia (Aspect) asked the Autistic community what they would like people to know if they find out that a person is Autistic. The most important message is that no two Autistic people are the same and that autism may not be what you think it is. It’s not a one-size-fits all approach and there is so much misunderstanding out in the public. You can access the Autism Spectrum Australia website here to find out more about autism and what changes you can make to help support and celebrate Autistic people and get a better understanding of why awareness is not enough!

According to the Macquarie University We Look After Our Own Mob research, very little is known about how autism is understood and supported in culturally and linguistically diverse communities, including First Nations People. As a result, there are very few culturally-sensitive resources and teaching materials available. You can also view an article on the launch of the first major report into autism in Aboriginal and Torres Strait Islander communities, conducted by researchers at Macquarie University here.

Positive Partnerships, is a national project funded by the Australian Government Department of Education, Skills and Employment through the Helping Children with Autism package, has created a vast array of dedicated Aboriginal and Torres Strait Islander resources to create opportunities for a more inclusive culture where Autistic students belong and thrive. The resources, which include books, videos, podcasts, storyboards and talking points, have been developed with the support, guidance and input of Aboriginal and Torres Strait Islander families, schools and communities across the country, and can help guide Aboriginal and Torres Strait Islander family’s conversations about how children and students learn and behave.

Below is a short video from Autism Queensland featuring a young boy called Ned created to help Aboriginal and Torres Strait Islander families understand and recognise the early signs of Autism.

NACCHO Aboriginal & Torres Strait Islander Health News: Telehealth review shows we could do better

feature tile - Dr assessing cut Aboriginal hand on computer screen; text 'telehealth a game changer for many First Nations people but review shows we could do better'

The image in the feature tile is from an article Telehealth a game changer: closing the gap in remote Aboriginal communities published in The Medical Journal of Australia on 31 March 2019.

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

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

Telehealth review shows we could do better

Telehealth has been a game changer for many First Nations people globally, including in Australia. It has allowed First Nations people to access health care close to home – whether that’s screening for health issues, diagnosing illness or monitoring existing conditions. It has done this while minimising exposure to COVID. Telehealth uses information and communication technology to deliver health care at a distance. In Australia, this is mainly via phone and video consultations. Telehealth can be delivered by any health-care provider including doctors, nurses, and allied health or ancillary health providers. Telehealth is not a complete replacement for in-person care. But it can be used instead of some face-to-face appointments.

ACCHOs have traditionally provided primary (initial) health care and some specialist care for First Nations people in Australia. Telehealth allows them to provide a greater range of specialist services. So, this allows First Nations people access to care close to home, with optional support from an Indigenous health worker.

A recent review of telehealth for First Nations people – in Australia, Canada, NZ and the US – shows we could do better. Unreliable internet access, services designed without meaningful First Nations’ input, and concerns about establishing rapport with health workers were some of the concerns.

To view The National Tribune article Telehealth has much to offer First Nations people. But technical glitches and a lack of rapport can get in the way in full click here.

stethoscope on wooden surface wrapped around mobile phone with vector stethoscope on its screen

Image source: The University of Queensland Australia, UQ News webpage.

NT-specific solution to health staff shortages

Finding solutions to the dire challenges facing the health workforce in rural and remote areas to better support Territorians, particularly First Nations people, is the focus of the Better Health Futures Symposium being held in Alice Springs today. The Symposium will bring together the diverse perspectives and experience of influential leaders, rural and remote health experts, educators and researchers to address health challenges spanning the NT.

For instance high staff turnover, high job vacancy rates and low staff retention resulting in critical staff shortages. Plus a decline in Aboriginal health practitioners and international medical graduates, clinic closures, clients not visiting a GP and lacking care plans for chronic conditions. The Symposium is presented by Charles Darwin University (CDU) in partnership with Menzies School of Health Research, Central Australian Aboriginal Congress (CAAC), Aboriginal Medical Services Alliance Northern Territory (AMSANT) and NT Health.

AMSANT Acting Chief Executive Officer Dr Donna Ah Chee said the Symposium will help address major health issues, such as the life expectancy of First Nations people in the NT. “While the life expectancy gap in the Northern Territory is still unacceptable there has been substantial improvement over the past two decades, with a nine-year improvement in life expectancy for men and almost five years for women,” Dr Ah Chee said. “Our sector has been critical in leading these gains. However the progress we have made will stall if we do not urgently address the workforce crisis we are now facing. Many of our services are facing severe shortages of health professionals, leading to reduced services and temporary clinic closures.”

To view the CDU article Health workforce lift for NT in Alice Springs in full click here.

3 ATSI participants (2 young females, 1 male) at 2023 Better Futures Symposium, Alice Springs

The 2023 Better Health Futures Symposium in Alice Springs aims to build a robust rural and remote health workforce in, and for, the NT. Image source: CDU Australia News webpage.

Emerging leaders hope to make communities better

Emerging Indigenous leaders from across the Big Rivers region are among a group of 24 participants of the 2023 First Circles Leadership Program. The program aims to build leadership skills and bring new voices from remote communities to the Territory conversation on matters affecting Aboriginal Territorians.

This year, education, health services, infrastructure, housing and telecommunications will be among the topics discussed at the regional workshops, which take place in Darwin, Katherine, Nhulunbuy and Alice Springs until November. The year-long series of intensive workshops culminate in the group addressing all Ministers in the Northern Territory Government Cabinet, presenting ideas on policies, projects and initiatives that could positively impact their communities.

Minister for Aboriginal Affairs, Selena Uibo, a First Circles graduate herself, said he had learned firsthand how important this program was in “fostering the next generation of Aboriginal leaders. The program gave me an invaluable opportunity to hone my leadership skills and to work with Government at a grassroots level,” she said. “I look forward to supporting new voices to join the conversation about how to improve lives in remote communities.”

To view the Katherine Times article Emerging leaders hope to ‘make communities better for everyone’ click here.

2023 First Circles Leadership Program participant Leon Kinthari from Wadeye

Leon Kinthari from Wadeye said he joined the 2023 First Circles Leadership Program in a bid to build his skills. Image source: Katherine Times.

World-first framework for remote nursing

The National Rural Health Alliance (the Alliance) congratulates the Government, the National Rural Health Commissioner and all the professional bodies that have worked together to release the National Rural and Remote Nursing Generalist Framework 2023–2027. This Framework supports registered nurses to work to their full ability in rural and remote healthcare settings.

“We see this as a step in the right direction in building a multidisciplinary model of care in rural and remote settings,” said Alliance Chief Executive Susanne Tegen. “We would like to congratulate and we appreciate the work of Minister Emma McBride and Assistant Minister Ged Kearney in working with grassroots nurses, medical and allied health professionals – including dentists, paramedics and pharmacists – to bring sustainable solutions to the healthcare inequities seen in rural Australia,” said Ms Tegen.

The Alliance advocates for the Primary care Rural Integrated Multidisciplinary Health Services (PRIM-HS) model, which is an evidence-based and community-led policy and funding solution to support primary care where markets are failing or communities are without medical and healthcare services. It aims to overcome the professional, financial and social barriers to working rurally. The Framework aligns with the Alliance’s advocacy efforts to bring this multidisciplinary model of care to rural communities and we seek government funding and support to promote PRIM-HS nationwide.

You can view the NRHA media release More support for nurses under world-first framework for rural and remote nursing in full click here.

Fewer kids in detention but more support needed

The number of young people coming into contact with the criminal justice system has fallen in the past five years. However, Aboriginal and Torres Strait Islander children continue to be over-represented under youth justice supervision in every state and territory, according to data released by the Australian Institute of Health and Welfare (AIHW).

Indigenous people aged 10-17 are about 24 times more likely to be in detention than other young people. On an average day in 2021-22, almost two-thirds (60%) of people aged 10-17 in detention were Indigenous compared with almost one-third (32%) of adults in prison, the report found. Palawa elder and Amnesty International Australia Indigenous advisor Rodney Dillon said the underlying causes of poverty and inequality needed to be addressed.

Arrernte/Luritja woman Catherine Liddle is the CEO of SNAICC – National Voice for our Children, the peak body that represents Indigenous children in out-of-home care. Ms Liddle said research has consistently shown Indigenous children were more likely than other Australian children to be in out-of-home care, which is a major contributing factor to coming into contact with the criminal justice system. “What we need to do is be putting the dollars into early intervention and looking at ways that we strengthen families so that children don’t hit child protection systems, but rather have the supports that they and their families need,” she said.

To view The Islander article Fewer kids in detention but more support needed click here.

children's hands on bars - one set of hands are Aboriginal

Image source: Law Society of NSW Journal Online.

GRAMS launch competition for No Tobacco Day

As World No Tobacco Day approaches, the Geraldton Regional Aboriginal Medical Service (GRAMS) has thought of a unique approach to tackle smoking in the community with a recipe competition and free cookbook. GRAMS has launched the recipe competition to coincide with this year’s World No Tobacco Day theme of We Want Food Not Tobacco, and are seeking the community’s best recipe entries.

The competition began on Tuesday 7 March and will end on Friday 21 April, with a Tackling Indigenous Smoking Cookbook to be released on Wednesday 31 May during World No Tobacco Day. GRAMS is asking the community to ditch the smokes and get their recipes into the competition, with weekly prizes for the winning recipe. Recipes include family favourites, healthy snacks, sauces and traditional food.

Tackling Indigenous Smoking acting co-ordinator Brent Walker said anyone could submit a recipe and he hoped to see a variety of healthy, traditional food from the local area such as bush fruits, herbs and spices. Mr Walker said GRAMS took up the idea to raise awareness that cigarettes were not that important and to send a message to give up smoking. “It’s making parents and adults aware that providing food for their kids is more important than buying smokes, they’re getting expensive and kids are going to school hungry,” he said.

To view The West Australian article Geraldton Regional Aboriginal Medical Service launch recipe competition for World No Tobacco Day in full click here.

GRAMS employees Brent Walker, Levi Thorne and Neau Simpson

GRAMS employees Brent Walker, Levi Thorne and Neau Simpson. Photo: Tamati Smith, Regional Hub. Image source: The West Australian.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Better online experiences for young mob

Aboriginal mum & 2 daughters looking at iPhone; text 'ATSI youth MORE LIKELY to be exposed to harmful online content'

The image in the feature tile is of Wyonna Palmer (Telegraph Station, Alice Springs) looking at her phone as her 6-year-old daughter, Lakayla, and her sister, Anna Maria, look on.  Photo: Matt Rogers/The World. Image source: Petchary’s Blog, 28 December 2020.

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

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

Better online experiences for young mob

Minister for Communications Michelle Rowland said the Albanese Government is supporting better online experiences for First Nations people as new research shows that more young Aboriginal and Torres Strait Islander people are turning to technology for cultural expression and engagement. Findings released earlier this week by the eSafety Commissioner reveal First Nations youth are collectively using the internet in greater than average numbers to explore the world, make new friends, connect with people from different backgrounds, and discuss social or political issues.

eSafety’s research, Cool, Beautiful, Strange and Scary: the online experiences of Aboriginal and Torres Strait Islander children and their parents and care givers, available here, shows that First Nations youth are almost twice as likely as young Australians overall to post original video or music online, and more than twice as likely to post their own story or blog.

The Hon Linda Burney MP – Minister for Indigenous Australians said “Technology can be a great tool to build connection, support identity and boost civic engagement. “But today’s research from the eSafety Commissioner is a reminder it also carries risks, with young Indigenous Australians more likely to be exposed to harmful content or hate speech attacks. “As with so many other areas where disadvantage undermines health and wellbeing, more work is needed to ensure equal protections and access to the good things the internet can provide. This is especially so as we begin the referendum process to enshrine an Aboriginal and Torres Strait Islander Voice to the Australian Constitution.”

To view the joint media release (The Hon Michelle Rowland MP – Minister for Communications, The Hon Linda Burney MP – Minister for Indigenous Australians and Julie Inman Grant – eSafety Commissioner) Culture, connection and creativity: better online experiences for First Nations people in full click here.

cover of report Cool, beautiful, strange & scary: the online experiences of ATSI children, their parents & caregivers - Aussie Kids Online, March 2023, Aust Govt eSafety Commissioner

Senate backs inquiry into ADHD care

Senator Jordon Steele-John, Australian Greens spokesperson on Disability Services, Health and Mental Health, says the Australian Senate has formally backed a proposal from Australian Greens Senator Jordon Steele-John to hold a Senate inquiry into attention deficit hyperactivity disorder (ADHD) assessment and support services in Australia.

Senator Jordon Steele-John proposed the inquiry in the hope of addressing common barriers to adequate ADHD assessment and care, as well as establishing possible policy interventions to improve accessibility and outcomes in this space. Around a million Australians are directly impacted by ADHD, a widely misunderstood neurodevelopmental disability that can cause significant impairment and dysfunction in people’s lives.

To view Senator Jordon Steele-John’s media release Senate Backs Greens Proposal for Senate Inquiry into ADHD Care in full click here.

youth ATSI girl & boy both with their hands behind their heads

Image from the Sparkles playgroup – Fact Sheet webpage. Intereach website.

Culturally safe resources for kids with disability

There’s a movement afoot to provide more culturally safe resources to Aboriginal children with disability. Called the I Am, Movement it came from one mother’s quest to better support her son in his diagnosis and focuses on grassroots conversations and Indigenous experiences to create a more supportive and appropriate environment for these children.

Founder Tanika Davis found there was a lack of culturally appropriate information when her son Slade began his autism diagnosis journey. “We had a lot of information about what autism was, but essentially not much [was] culturally safe or appropriate,” she explained.

But because of her background in Indigenous health promotion, she knew what she was looking for and what others would need. “And one of the first things that we ever did as a family after his diagnosis was basically [say] how can we support our son better and maintain his culture throughout this journey?” Davis knew there was a gap that needed to be filled, and in 2019 she started the I Am, Movement.

To view the Pro Bono Australia article Moving towards cultural safety for Aboriginal children with disability in full click here.

Tanika Davis speaking with microphone to audience with HEYWIRE Trail Blazer banner in the background; The I Am, Movement flashcards for letters & numbers

Ms Davis’s background in Aboriginal health promotion helped her develop The I Am, Movement. Photo: Mark Graham, ABC Heywire. Examples of The I Am, Movement flashcards.

Eye health data shows decrease in trachoma

Annual eye health data for Aboriginal and Torres Strait Islander people shows a decrease in active trachoma in children and an increase in the number of Indigenous Australians having eye checks. The Australian Institute for Health and Welfare (AIHW) has released its sixth annual report to update the eye health measures for Aboriginal and Torres Strait Islander people. The report said the overall prevalence of active trachoma among children aged 5–9 in at-risk communities fell from 15% in 2009 to 3.3% in 2021.

Trachoma is a highly infectious disease of the eye and repeated infections can result in scarring, in-turned eyelashes (trichiasis), and blindness. In 2021, the overall treatment coverage of active trachoma cases in at-risk communities was 71%—that is, 1,666 community members identified as having trachoma received treatment. This included children with active trachoma, along with their household contacts and other community members.

Between 2010–11 and 2020–21, the proportion of Indigenous Australians who had an eye health check as part of a health assessment increased from 11% to 29%, based on age-standardised rates.

To view the mivision article Indigenous Eye Health Data in full click here.

NT Health nurse Imogen McLean flips the eyelids of kids to see if there are any traces of trachoma

NT Health nurse Imogen McLean flips the eyelids of kids to see if there are any traces of trachoma. Photo: Stephanie Boltje, ABC News.

Sistergirl helps others find their voice

Ever since she was a kid, Jo’s known she was “different from the others”. You can’t tie a neat bow around the nuances of her life — it’s just “me being me”, she explains. “I just love being myself, you know?” Jo is a sistergirl — a term used by some Aboriginal and Torres Strait Islander people to describe gender-diverse people that have a female spirit. At its most simple “it’s another way of saying a trans woman”, she says. While she found strength in the support of those around her, her journey “wasn’t always easy”.

Through her own experiences, Jo is now determined to become an “outspoken advocate for Indigenous queers” in her community. “Because I see none of them that have voices,” she says. “I want to be there and talk up for them and help them build their confidence and courage so they can be able to talk.”

Dr Farrell, a queer-identified Wodi Wodi descendant from Jerrinja Aboriginal community on the South Coast of NSW, says that means LGBTQIA+ Indigenous people continue to be discriminated against “in places that stand to close the gap for Indigenous people”, and their needs aren’t taken into account when formulating health and other policies. It renders trans communities, queer communities broadly, as invisible in those services and in resources.”

To view the ABC News article Jo always knew she was a sistergirl. She wants to help others find their voice in full click here.

Sistagirl Jo looking at mirror surrounded by light bulbs

Jo wants to be an advocate for the Indigenous LGBTQIA+ community. Image source: ABC News.

Tahnee helps mob achieve better health

TAFE Queensland’s Toowoomba Indigenous Student of the Year, Tahnee Hooper, has been recognised for her outstanding achievements during her studies and in her role within a Aboriginal and Torres Strait Islander health organisation, as she guides clients towards a healthier tomorrow.

The Diploma of Aboriginal and/or Torres Strait Islander Primary Health (HLT50113) graduate received the special award in front of her family and friends, and more than 600 students celebrating the completion of their studies, at a recent TAFE Queensland Darling Downs and South West Graduation Ceremony for the graduating class of 2022.

Putting into practice the advanced community health skills and knowledge she gained during her course, complemented by her existing experience in the health sector, Tahnee is leading the delivery of holistic, whole-of-life care programs for Aboriginal and Torres Strait Islander people in Toowoomba and the wider Darling Downs region. “I want to make a difference in people’s lives and to help our mob and communities achieve better health outcomes,” Tahnee explained.

To view the TAFE Queensland article Tahnee is empowering people to achieve better health outcomes in full click here.

Tahnee Hooper in graduate robes holding wooden goanna plaque for winning TAFE QLD Toowoomba Indigenous Student of the Year award; text 'Congradulations - tafe - make great'

Tahnee Hooper. Image source: TAFE Queensland website.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: First Nations to guide health regulation process

feature tile

The image in the feature tile is from an RACGP Twitter post on 27 March 2020 about racism being unacceptable and harmful, for patients, staff members in practices, health services and doctors in training.

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

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

First Nations to guide health regulation process

First Nations representatives will be central to regulatory decisions about medical practitioners, nurses and midwives where Aboriginal and Torres Strait Islander Peoples are involved under a new process being rolled out. Details about a new culturally safe process being implemented to consider such matters are being released as part of the Australian Health Practitioner Regulation Agency (Ahpra) and the National Board’s commitment to eliminating racism from healthcare.

A minimum of two Aboriginal and Torres Strait Islander representatives, plus practitioners from each of the relevant profession and community members, will together make decisions about matters concerning culturally safe health care and racism in line with the legislation governing health practitioners in Australia. The Indigenous experts will make decisions with other Board representatives about any notification involving Aboriginal andTorres Strait Islander Peoples. In the most serious matters, this will include the decisions about whether to refer a practitioner to an independent Tribunal.

A proud descendent of the Darumbal and Juru clans of the Birra Gubba Nation with South Sea Islander heritage, Associate Professor Carmen Parter, is an Ahpra Board member. As co-Founder and Director at the Learning Centre for Systemic Change and Research and the inaugural Co-chair of the Indigenous Working Group of the World Federation of Public Health Association, A/Prof Parter said elevating Indigenous involvement in the consideration of matters concerning race was “real and significant action. Racism is the biggest public health issue that Australia faces today and no-one wants to talk about it or do anything about it.”

To view the National Indigenous Times article Indigenous representatives to guide vital health regulation process in full click here.

Associate Professor Carmen Parter

Associate Professor Carmen Parter. Image source: National Indigenous Times.

ACCHO now home to life-changing equipment

The North Coast Aboriginal Corporation for Community Health (NCACCH) Gympie clinic is now home to a life-changing digital retina scanning (DRS) device. The machine, donated by St John Ambulance on Monday 20 March, will provide preventative treatment against glaucoma. Diabetes occurs in Aboriginal and Torres Strait Islander people nearly five times more than non-Indigenous Australians, and diabetic retinopathy can increase the risk of an individual developing glaucoma.

NCACCH Gympie practice manager Katrina Johnston said this diagnostic tool is especially important, as it will aid in Closing the Gap in life expectancy. “We know that diabetes is probably one of the major chronic conditions that affect our Aboriginal and Torres Strait Islander patients,” Ms Johnston said. “If we can get on top of it early and be more proactive than reactive, it makes our lives a lot better.”

Ms Johnston also said the newest addition could potentially be added to the annual health check the clinic provides. “It’s not just about our diabetic patients, every Indigenous person is at risk,” she said.

To view the Gympie Today article NCACCH receives ‘life-saving’ equipment in full click here.

new DRS with St John Ambulance & NCACCH (Qld) staff

The new DRS with members of St John Ambulance and NCACCH staff. Image source: Gympie Today.

Mob urged to get vaccinated against measles

NT Health is issuing a warning about measles ahead of the upcoming Easter holidays following a rise in cases overseas and interstate. Measles outbreaks are occurring in the USA and Europe, while the virus remains common in countries across Asia, Africa and in the Middle East. Cases of measles have recently been diagnosed in returned overseas travellers in other Australian states and territories, as well as in NZ.

The most recent cases of measles in the NT were in 2019, when 31 were recorded. Vaccination is the best protection against measles and help to prevent outbreaks from occurring. Two doses of measles, mumps and rubella (MMR) vaccine are required for immunity against measles and are given to children in Australia at 12 and 18 months of age.

To view the NT Government media release Public health alert: Territorians urged to get vaccinated against measles ahead of Easter holidays in full click here.

While this media release is for the NT the advice is applicable across Australia for anyone born after 1966 without two documented doses. Measles is highly infectious and while most don’t become seriously unwell, because of potentially large numbers of cases, there are likely to be some with more serious complications.

close up photo of vaccination being administered into arm

Photo: Beawiharta: Reuters – file photo) Image source: ABC News.

The Voice is Aunty Eunice’s ‘little ray of hope’

Ngarrindjeri elder Aunty Eunice Aston knows how important is is to have your voice heard, as she remembers living through the harsh government policies forced upon Indigenous people. Born in 1959 in Point McLeay Mission, now known as Raukkan, she was exiled from her birthplace as an infant, unable to legally return until she was about 15-years-old. At the time, Aboriginal people who received exemption certificates were promised access to the benefits of Australian citizenship that they were otherwise denied. This included access to education, health services, housing and employment, but to apply for and hold an exemption, individuals were required to relinquish their language, identity and ties to kin.

In her time growing up, she experienced all of what Australia had to offer Indigenous people at the time, which consisted of racism and forced assimilation. Under protection and assimilation policies, Aboriginal and Torres Strait Islander people were treated harshly, which has had an intergenerational effect that continues to this day.

Aunty Eunice says the effect has stunted the growth of Indigenous people which she hopes a Voice to parliament can start to rectify. “Sometimes I get really bewildered by the state that we‘re in and then I see a little ray of hope with the Voice … that’s a ray of hope for me,” she said.

This story featured in the Gold Coast Bulletin article The Voice is ‘my little ray of hope’, says Aunty Eunice Aston here.

Ngarridnjeri Elder, Aunty Eunice Aston at Murray Bridge, overlooking the Murray, with her son Gordon Rigney

Ngarridnjeri Elder, Aunty Eunice Aston at Murray Bridge, overlooking the Murray, with her son Gordon Rigney. Photo: Dean Martin. Image source: Gold Coast Bulletin.

Long fight for clean drinking water finally over

An Indigenous community that has fought for decades for basic utilities despite being just a five-minute drive from Alice Springs finally has access to clean drinking water. American company Source Global has installed its hydropanels in Irrkerlantye, with the innovative solar-powered technology capturing water vapour from the air, turning it into liquid and adding minerals to make it safe to drink.

Australian basketball legend Patty Mills has previously partnered with Source to bring drinking water to six other remote communities. Mills and Source founder Cody Friesen headlined an event in New York last week to spruik the technology during the first United Nations water conference held in almost half a century.

Children’s Ground chief Jane Vadiveloo agreed, saying it was “unacceptable that so many remote Indigenous communities in Australia still face significant challenges in accessing this essential resource”. Describing clean drinking water as a “basic human right”, she said: “There are real solutions that can work to solve these problems now.”

This story featured in the The Chronicle article Alice Springs community wins decades-long fight for access to clean drinking water here.

Irrkerlantye (White Gate) Traditional Owner Felicity Hayes standing with river in background

Irrkerlantye (White Gate) Traditional Owner Felicity Hayes teaches the younger generation at Trephina Gorge near Alice Springs. Photo: Riley Walter. IMage source: The Chronicle.

Seasonal respiratory and other challenges webinar

Benchmarque Group (TBG) is offering a FREE webinar Seasonal Respiratory & Other Challenges: Influenza, RSV & Meningococcal B. presented by TBG Trainer John Gullifer alongside a guest speaker from the Immunisation field.

Benchmarque Group’s first Webinar for 2023 focuses on the practical aspects of immunisation for our upcoming winter season, including a:

  1. brief review of the essentials of influenza vaccination
  2. an explanation of RSV, the clinical picture of the infant infected with RSV and treatments available to protect against infection
  3. when the long anticipated RSV vaccine coming

The webinar will be held from 7:00 PM – 8:00 PM AEST Monday 17 April 2023 – it will go for 1 hour with 45 mins of content and 15 minutes of Q&A. This webinar will not be recorded.

Make sure to put this date in your diary and register here to join the Seasonal Respiratory & Other Challenges: Influenza, RSV & Meningococcal B Webinar.

tile: woman with head on pillow blowing nose, text ' FREE Webinar'

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Australia’s first endometriosis clinics rolled out

feature tile doctor's hand pointing with pen to model of female reproductive organs; text: 'One of Australia's first-ever specialised endometriosis and pelvic pain clinics will operate from Queensland ACCHO'

The image in the feature tile is from the Health Central website’s Endometriosis 101 webpage published on 17 August 2022. Photo: Getty Images / Shidiovski.

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

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

Australia’s first-ever endometriosis clinics rolled out

Australia’s first-ever specialised endometriosis and pelvic pain clinics are being rolled out in metro and regional areas across the country. The 20 clinics, will offer expert and multidisciplinary services for women suffering from endometriosis and pelvic pain and operate out of existing general practitioner clinics and health centres.

Persistent pelvic pain affects one in five women or people assigned female at birth, with one in nine affected by endometriosis. Endometriosis is a disease of the uterus, which causes the shedding and production of uterine tissue outside of the uterus and can cause devastating effects on the female reproductive system, as well as chronic pain and scar tissue. On average, an endometriosis diagnosis can take up to seven years. Assistant Minister for Health and Aged Care Ged Kearney said the new centres will hopefully help shorten diagnosis times by gathering expertise under one roof, fostering that knowledge to improve diagnosis and services, and having referral pathways in place.

One of the four Queensland clinics will operate from Moreton Aboriginal and Torres Strait Islander Community Health Service (Moreton ATSICHS), Morayfield. Moreton ATSICHS a member of the Institute for Urban Indigenous Health Ltd, one of NACCHO’s 145 members.

To view the ABC News article New pelvic pain and endometriosis clinics are opening across Australia. Where will they be? in full click here. The below video EndoZone: Understanding Pain In Endometriosis is from The University of Adelaide’s Endometriosis Adelaide Endometriosis Research Group webpage, available here.

Strategy to improve rural and remote workforce

The National Rural Health Alliance (NRHA) says it is pleased to be a founding member of the National Alliance for Regionalisation initiative to ‘Rebalance the Nation’ and has congratulated the Regional Australia Institute (RAI) for their historic strategy. The National Alliance for Regionalisation aims to better position the nation’s regions to reach their potential in economic, educational and social spheres, for a stronger Australia.

“Improving the health and medical workforce in rural, regional and remote Australia underpins all aspects of the aim to achieve a better balance and equity in healthcare access and deliver economic and social benefits to all Australians,” said NRHA Chief Executive Susanne Tegen.

In the Regional Australia Institute’s Regionalisation Ambition 2032 – A Framework to Rebalance the Nation document, available here, the authors stated “In developing the Framework and its targets, we also acknowledge the important work of the Joint Council in leading the nation’s actions to achieving the targets set out in the National Agreement on Closing the Gap. This Agreement seeks to accomplish equality in life outcomes for all Australians, centered on ‘Closing the Gap’ of inequality for Aboriginal and Torres Strait Islander people. At the forefront of the design of the Framework is the importance of not contradicting the targets set out in the National Agreement, but ensuring the Framework can support Closing the Gap.”

To view the NRHA media release National Rural Health Alliance pledges support for rebalancing the nation in full click here.

cover of Regional Australian Institute Regionalisation Ambition 2032 A Framework to Rebalance the Nation - Rebalance the Nation; 4 photos rural settings, vector image of lightbulb, house, education, people

Image source: Rebalance the Nation website.

Aboriginal scientist appointed to CSIRO board

Professor Alex Brown has been appointed to the CSIRO board of directors, becoming the first Indigenous scientist to serve on the national science agency’s board. A leader in Aboriginal health and public health services, Professor Brown commenced in the role on 16 March and will serve on a part-time basis for five years.

A member of the Yuin Nation, he is also Professor of Indigenous Genomics at the Telethon Kids Institute and was recently appointed as the director of the National Centre for Indigenous Genomics at the Australian National University. His research has centred on health inequalities experienced by Aboriginal and Torres Strait Islander Australians, particularly with chronic conditions like heart disease and diabetes.

Industry and Science minister Ed Husic announced the appointment during his address to the National Press Club saying Professor Brown’s had mentioned the influence his sister’s career had on his decision to embark on research in health. “Your sister, Professor Ngiare Brown was one of the first Indigenous medical graduates in Australia and is now the first female and first Indigenous Chancellor of James Cook University. Quite a family.” Mr Husic also thanked Professor Brown for “the path you are setting, for all the Indigenous and non-Indigenous researchers and scientists who will follow you”.

To view the InnovationAus.com article Indigenous scientist Alex Brown appointed to CSIRO board in full click here.

Professor Alex Brown, CSIRO board member

Professor Alex Brown has been appointed to the CSIRO board by the Albanese government. Photo: ANU. Image source: InnnovationAus.com.

Newly developed flu vaccination resources for mob

In Australia, seasonal influenza is the most common vaccine-preventable disease contributing to hospitalisation, aside from COVID-19. Aboriginal and Torres Strait Islander people are more likely to experience severe influenza disease that could be prevented with vaccination. Since 2019 influenza vaccine has been provided under NIP to all Aboriginal and Torres Strait Islander people over 6 months of age, however the uptake has been sub-optimal.

Health providers have an important role in strongly recommending and opportunistically offering influenza vaccination to all Aboriginal and Torres Strait Islander people over 6 months of age, however earlier research indicated that some providers may miss opportunities to offer influenza vaccination at any appointment, and to strongly recommend influenza vaccination to all Aboriginal and Torres Strait Islander people over 6 months of age. To help address this gap the National Centre for Immunisation Research and Surveillance (NCIRS) have a range of newly developed resources available on the NCIRS website, including:

Resource for Aboriginal and Torres Strait Islander communities to support decision making around influenza vaccination.

The webpage Influenza vaccination information for Aboriginal and Torres Strait Islander people, available here, is for Aboriginal and Torres Strait Islander communities. This page is suitable to share as a resource with the community (and a conversation starter between providers and families) and includes the printable Flu Vaccine Information Sheet, available here.

Resources for immunisation providers to support vaccination conversations with Aboriginal and Torres Strait Islander people (with focus on influenza vaccination).

The webpage Supporting conversations about vaccinations with Aboriginal and Torres Strait Islander people, available here is for immunisation providers (GPs, nurses, pharmacists) providing influenza vaccination to Aboriginal and Torres Strait Islander families. The purpose of the provider webpage is to explain the importance of influenza vaccination for Aboriginal and Torres Strait Islander people of all ages; highlight providers’ role in supporting and strongly recommending influenza vaccination to families; and support providers in having culturally appropriate vaccination conversations with Aboriginal and Torres Strait Islander families. While the focus is on influenza vaccination, the conversation principles can be applied to other vaccinations.

The provider webpage includes:

  • a downloadable summary table of resources, available here, of publicly available communication resources designed in recent years to support influenza and COVID-19 vaccinations among Aboriginal and Torres Strait Islander people
  • a conversation guide for providers Talking about flu vaccination with Aboriginal and Torres Strait Islander families, available here here to help providers to have culturally appropriate and supportive vaccination conversations with Aboriginal and Torres Strait Islander families. The resource gives an example of an actual influenza vaccination conversation, informed by Sharing Knowledge About Immunisation conversation principles.
photo of ATSI man, woman & 2 kids hugging; text 'Supporting conversations about vaccinations with ATSI people'

Image source: National Centre for Immunisation Research and Surveillance (NCIRS) website.

Counting the toll of COVID

Experts recently called on Australian governments to re-set COVID policy, warning that unmitigated transmission of the virus in the community has a substantial impact on priority populations including the elderly and immunocompromised. In addition, concerns were raised about the impact on health services, particularly for Aboriginal health services in the NT, Long COVID prevalence and an increase in overall mortality.

The World Health Organization also recently urged governments to remain vigilant and strengthen systems for surveillance, clinical care, testing, sequencing, infection prevention and control, treatments and vaccinations. Meanwhile, the latest analysis of excess deaths by Australia’s Actuaries Institute’s COVID-19 Mortality Working Group suggests the high toll of COVID-19 is set to continue.

In 2022, mortality was 12% higher than our pre-pandemic expectations; that is, there were around 20,000 more deaths than expected across Australia. Around half of these were caused by COVID-19, and another 15% had COVID-19 as a contributing factor. COVID-19 was the third most prevalent cause of death in 2022, after heart disease and dementia and above stroke and lung cancer. Research has shown that there is an increased risk of death from certain conditions after a COVID-19 infection. These include heart disease, stroke, diabetes and dementia, most of which saw significantly higher than expected mortality in 2022, even after excluding deaths where COVID-19 was listed as a contributory factor.

COVID-19 shows no sign of going away or becoming less serious. It is a new major cause of illness and death in the Australian population, which reduced life expectancy in Australia by around one year of life in 2022.

To view the Croakey Health Media article Counting the toll of COVID in full click here.

COVID-19 virus cell close up

As political interest in COVID has diminished, excess deaths have increased. Photo: Fusion Medical Animation on Unsplash. Image source: Croakey Health Media.

Sector Jobs

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

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

Dietitians Week 2023 

Today is the fourth day of Dietitians Week 2023 and as part of raising awareness of the role and value of dietitians, today we are sharing a another case study published on the Indigenous Allied Health Australia website.

Amelia Mckenzie, is a proud Adnyamathanha and Arabana woman, from Port Augusta, SA, currently based in Adelaide, studying Nutrition and Dietetics at Flinders University. Amelia said she decided to pursue Dietetics, firstly, because she is a foodie, enjoys cooking and eating a wide variety of foods, and is incredibly passionate about health. Amelia has witnessed the impact that diet can have on health, especially in Aboriginal communities, which made her determined to enter this field so she can provide best, culturally safe care to mob. Amelia  wants to work in community settings to promote healthy lifestyles and prevent diet-related chronic diseases like Type 2 Diabetes or heart disease.

Amelia believes dietitians have a crucial role in health, providing individuals and communities with specialised diet support that can; reduce or manage chronic disease; encourage the enjoyment of food, and its connection to culture, family and personal preference or values; be suited to socioeconomic status and day-to-day importance’s; support other areas of health, like promoting exercise and physical and mental wellbeing. All Aboriginal and Torres Strait Islander communities, Amelia said, should have adequate access to dietetics services, education, and related resources, to support good health.

To view the IAHA’s article Celebrating 2023 Dietitians Week with IAHA Member Amelia Mckenzie in full click here.

tile of Amelia Mckenzie Dietetics 20-26 March Dietitians Week 2023; IAHA logo; quote "I have witnessed the impact that diet can have on health, especially in Aboriginal communities, which made me determined to enter this field so I can provide best, culturally safe care to mob."

NACCHO Aboriginal & Torres Strait Islander Health News: Birthing service reduces preterm births by 38%

feature tile text Birthing in Our Community services reduces preterm birth rates for ATSI babies by 38%

The image in the feature tile is from an article Indigenous-led birthing program gains international recognition published in the National Indigenous Times on 1 April 2021.

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

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

Birthing service reduces preterm births by 38%

A birthing service established by three SE Queensland health organisations has reduced preterm birth rates for Aboriginal and Torres Strait Islander babies by 38% and demonstrated significant cost savings to the health system. Results published in the Lancet Regional Health – Western Pacific this week highlighted improved outcomes for women having a baby through the Birthing in Our Community (BiOC) service. The reduction in preterm birth rates meant that women accessing the program required fewer costly interventions, procedures and neonatal admissions, resulting in savings of $4,810 per mother/baby pair. Additionally, the BiOC service reduced two thirds of women’s out of pocket costs by bringing the service closer to home.

The cost-effectiveness study concluded that replication of the BiOC service across Australia has the potential to reduce the number of Aboriginal and Torres Strait Islander babies born preterm by 965 each year, thereby potentially saving the Australian health system $86,994,021 per annum. The BiOC service and model of care was established in 2013 by the Institute for Urban Indigenous Health (IUIH), the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane and Mater Health in Brisbane in response to a need for women who are pregnant with an Aboriginal and Torres Strait Islander baby to access culturally and clinically safe care throughout their pregnancy and at birth.

Ms Renee Blackman, ATSICHS Brisbane CEO, said that “the success of the BiOC service shows what can be achieved when partners work together with a shared vision and a commitment to Aboriginal-led models of care”.

You can view the medianet. article Improved birthing outcomes for Aboriginal and Torres Strait Islander families generates savings to the health system in full here and the The Lancet Regional Health Western Pacific research paper (The Lancet Regional Health Western Pacific article Birthing on country service compared to standard care for First Nations Australians: a cost-effectiveness analysis from a health system perspective) in full click here.

IUIH tile Birthing In Our Community, ATSI mum and baby

Image source: Birthing in Our Community North Facebook page.

Disproportionate impact of diabetes on mob

Diabetes WA is calling for greater recognition of the disproportionate impact of diabetes on Aboriginal Communities in WA. Aboriginal West Australians are at far greater risk of diabetes and diabetes-related complications than any other community in the State. Aboriginal West Australians are nearly 40 times more likely to have major lower limb amputation. Aboriginal people living in remote areas have 20 times the incidence of end-stage renal disease compared with the national average. Cataract and diabetic retinopathy continues to be the leading causes of vision loss in Aboriginal people in WA. The diabetes gap is also generational.  Type 2 diabetes in children, once rare, is on the rise.

Gestational diabetes, also more common in Aboriginal Communities, is the fastest growing type of diabetes in WA, with many women remaining undiagnosed while diabetes silently impacts their unborn baby. In some remote communities, 60–70% of people over the age of 65 have type 2 diabetes. Too many older Aboriginal people are living with preventable disabilities as a result of diabetes and its silent damage.

Project Lead for Diabetes WA, Natalie Jetta, is an experienced Aboriginal Health Professional. She says training Aboriginal Health Professionals will make diabetes education more accessible and more culturally safe for Aboriginal West Australians. “We know that Aboriginal Health Professionals are best placed to talk to people within their own Community, because they already have the respect, trust, knowledge and connection they need to nurture their clients,” Natalie says. “We have now trained 20 Aboriginal Health Professionals employed by the Aboriginal Community Controlled Health sector to deliver the Diabetes Education Self Yarning (DESY) program. This will improve the cultural security of this diabetes education program and enable it to be delivered on Country across WA.”

To view the News Medical Life Sciences article Diabetes WA calls for greater recognition of diabetes impact on Aboriginal Communities in full click here.

6 Aboriginal female graduates of the Diabetes WA Diabetes education program - Diabetes Education Self Yarning (DESY)

Graduates of the Diabetes WA Diabetes education program – Diabetes Education Self Yarning (DESY). Image source: News Medical Life Sciences.

Jury is in on vaping – time for action

The jury is in on the harms of vaping, with a new study published in the Medical Journal of Australia today providing the most comprehensive review yet on the health impacts of e-cigarettes. Australian Medical Association (AMA) President Professor Steve Robson said the findings of the study leave zero room for confusion about the dangers of e-cigarettes and vaping. “It’s time for stronger, strictly enforced regulations so we can avoid another public health crisis like tobacco,” Professor Robson said.

“Vaping is not harmless, it is not safe, it is not part of tobacco control. It has become a scourge in our schools, with parents and educators reporting that it has got out of hand. And we are seeing adults and children alike suffering as a result of vaping.” Risks identified in the review include addiction, poisoning, especially in small children, seizures and loss of consciousness caused by nicotine overdose, headache, cough, throat irritation, and burns and injuries, largely caused by exploding batteries.

Another major risk identified by the study was that young non-smokers who use e-cigarettes are around three times as likely to go on to smoke regular cigarettes, compared to young people who did not use e-cigarettes. “Vaping products are a gateway to smoking for young people and there are significant risks from vaping that warrant much stronger regulation. For example, we know many products marketed as not containing nicotine have been found to contain nicotine and products have also been found to contain prohibited chemicals that can cause serious harm, like vitamin E acetate and diacetyl, which can cause serious damage to the lungs.”

To view the AMA’s media release Jury is in on vaping and associated harms – time for action in full click here.

cloud of vape smoke obscuring most of man's face

Image source: ABC News.

RACGP says international medical graduates needed

As Australia’s health system faces a crisis, amid a growing shortage of GPs and mounting pressure on both primary and secondary care services, the RACGP is calling on the Federal Government to support international medical graduates (IMGs). College President Dr Nicole Higgins said the workforce shortage is a significant part of the crisis, and that it is widespread, from general practice to pharmacy and nursing.

She said IMGs could help to address the issue in the short-term, and that many are eager to work in Australia, but are being held back and becoming disillusioned by red tape and a lack of support. “Rural and remote communities are particularly affected,” Dr Higgins said. “But there is a simple solution to boost the number of GPs in the short-term: we can and should be doing much more to attract IMGs to Australia, and to support and retain them as valuable community members. This includes cutting red tape and making the application process easier for doctors who want to work in areas of need.”

To view the RACGP newsGP article IMGs a ‘simple solution’ to boost GP numbers: RACGP in full click here.

RACGP President Dr Nicole Higgins

RACGP President Dr Nicole Higgins says barriers to overseas doctors wanting to work in Australia make no sense amid crisis. Photo: Jono Searle/AAP Photos. Image source: Bunbury Mail.

Sector Jobs

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

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

International Day for the Elimination of Racial Discrimination

Minister for Immigration, Citizenship and Multicultural Affairs, Andrew Giles, says every year in March, Australians come together to mark Harmony Week, culminating in the observance of the United Nations International Day for the Elimination of Racial Discrimination on the 21 March. Australia is one of the world’s most successful multicultural nations. We are home to the world’s oldest continuous cultures as well as migrants from nearly 200 countries.

This week schools, workplaces and community groups will reflect on this diversity by participating in events across the country and nearly 7000 people from more than 120 countries will become new citizens. Multiculturalism is integral to our national identity- but we cannot take it for granted. This International Day for the Elimination of Racial Discrimination marks 75 years since the adoption of the Universal Declaration of Human Rights and focuses on the urgent need to combat racism and racial discrimination.

To view Minister Giles’ media release Harmony Week and International Day for the Elimination of Racial Discrimination in full click here. You can find more information about International Day for the Elimination of Racial Discrimination on the United Nations website here.

tile text International Day for the Elimination of Racial Discrimination March 21

Image source: Ontario Nurses’ Association website 14 March 2023.

World Down Syndrome Day

Today, Tuesday 21 March 2023, is World Down Syndrome Day. World Down Syndrome Day aims to celebrate the progress that has been made over the last 50 years and, in particular, over the last 10 years. Progress is often made in small steps, sometimes pausing to review our journey, but always aware of how far we have come and the difference that our small steps make to the day-to-day life of people living with disability.

As part of the worldwide celebrations, World Down Syndrome Day lights up buildings of significance. This is referred to as ‘Light up a Landmark’. Buildings that have been lit up previously, include: Palais des Nation – UN Geneva; The Empire State Building – NY; Eiffel Tower – Paris; Tower 42 – London and Belfast City Hall – Ireland. Once the buildings are lit up, images are taken and shared on Social Media to build awareness and engagement throughout the world. This year the iconic Canberra Grammar School Quad will be the first in Australia to take part in this international event!

Dietitians Week 20–26 March 2023

Today is Day 2 of Dietitians Week 2023. When it comes to managing health through food and nutrition, a dietitian should be your first port of call. Ongoing and specialised education ensures dietitians are the reliable choice for life-changing food and nutrition support. Because we all have our own unique goals, challenges and lifestyles, Accredited Practising Dietitians understand that our health is not a one-size fits all approach. They are trained to offer personalised health advice that is fine-tuned to a person’s specific needs.  Dietitians Australia has an Indigenous nutrition role statement, available here, which listed the knowledge and skills of an APD working in the area of Indigenous nutrition.

NACCHO Aboriginal & Torres Strait Islander Health News: 2023 CTG report calls for greater and faster change

feature tile, image of Australian and Aboriginal flags flying; text '2023 Close the Gap Campaign Report highlights essential role of ATSI-led decision-making and self-determination

The image in the feature tile is a photo taken by Lukas Coch/AAP published in The Guardian on 8 October 2020.

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

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

2023 CTG report calls for greater and faster change

This years 2023 Close the Gap (CTG) Campaign Report was launched earlier today at the Aboriginal Health and Medical Research Council (AH&MRC) in Little Bay Sydney. The theme this year is, ‘Strong Culture, Strong Youth: Our Legacy Our Future’ which highlights the essential role of Aboriginal and Torres Strait Islander-led decision-making and self-determination in shaping a vision of health and wellbeing built upon a strong cultural foundation.

You can download the report here and watch a video of the launch using this link. You can also watch a short ABC News video Close the Gap report calls for greater and faster change here.

A bit of history. . .

The CTG Campaign is an independent, Indigenous-led campaign that calls on political leaders from all levels of government to take action on health and life expectancy equity for Aboriginal and Torres Strait Islander communities. It is separate to Closing the Gap, which is an Australian Government strategy.

The CTG Campaign, launched in 2006 to address the unacceptable gap in life expectancy and other health indicators between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians, helped influence the establishment of the Joint Council on Closing the Gap, and the formation of the National Agreement on Closing the Gap in July 2020.

The Campaign is made up of 52 Aboriginal and Torres Strait Islander and non-Indigenous health, NGO and human rights organisations. More than 200,000 Australians have signed a pledge supporting the Campaign.

cover of the Close the Gap Campaign Report 2023; 9 photos of ATSI people/children; text 'Strong Culture, Strong Youth: Our Legacy, Our Future

Early Years Strategy must focus on equity and justice

Experts in child and family health are developing submissions for the Federal Government’s new Early Years Strategy, which it says will “shape its vision for the future of Australia’s children and their families”. Among a number of groups who have shared their concerns and priorities the Australian College of Nursing (ACN) is concerned the early focus of the strategy “does not demonstrate a health equity lens”. We note the verdict on that is mixed. The ACN points to the Discussion Paper’s aim that a national Strategy “will seek to ensure that all children, wherever they live, enjoy the same opportunities to learn, develop and thrive.”

The ACN says “this is not a health equity lens. Instead, it assumes all children, irrespective of class, culture and context, require the same opportunities. This ignores some of the children who need this most, like those children that have different abilities or grow up in specific cultural contexts like First Nations children.”

Maybe the Federal Government should also be turning a sharp eye on all the policies, programs and, of course, politics that are currently causing major harm to young people in Australia, particularly Aboriginal and Torres Strait Islander children, and/or threaten to further entrench inequity.

To view the Croakey Health Media article As governments entrench disadvantage, will Australia’s Early Years Strategy focus on equity and justice? in full click here.tile purple, lime green, pink, orange; text Australian Government The Early Years Strategy in white font & Australian Coat of Arms

First podcast for mob with disabilities

Having to learn how to walk and talk again after an incident left him in an induced coma, Bernard Namok, a proud St Paul, Badu, and Erub Torres Strait Islander man, is now advocating for Indigenous people living with disabilities in the Far North. Mr Namok is teaming up with the First Peoples Disability Network (FPDN) to help empower Aboriginal and Torres Strait Islanders with a focus on giving a voice to the voiceless. Today, on National Closing the Gap Day, Mr Namok and the FPDN launched a first-ever podcast dedicated to Aboriginal and Torres Strait Islander people living with disabilities.

Mr Namok said one of the barriers facing people with disabilities from Indigenous communities is simply knowing what help is out there and how to access it. “Creating the podcast was about finding a way to get information to people who may be living in remote areas in places like Thursday Island where I grew up, as well as telling their stories,” he said

The Australian Bureau of Statistics has found that almost a quarter (24%) of Aboriginal and Torres Strait Islander people in Australia living in households lived with a disability with 8.8% living with a profound or severe limitation.

The above story featured in the Herald Sun article First podcast for First Nations people with disabilities launches published earlier today.

Bernard Namok, TSI disability advocate

Bernard has been working in disability advocacy in Cairns after previously working in radio broadcasting in the NT.

Culture + Kinship program has positive outcomes

Yesterday the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) launched the groundbreaking Culture + Kinship program evaluation report in the lead up to today’s National Close the Gap Day. VACCHO noted that last year’s Closing The Gap report data and the Coroners Court of Victoria suicide Report in February this year provided “unmistakable evidence” that the devastating gaps in health and wellbeing outcomes between Aboriginal and Torres Strait Islander people and non-Indigenous Victorians continue to blight health equality in Victoria.

VACCHO said its Culture + Kinship Report demonstrates that by focusing on the cultural determinants of health, “there are constructive approaches that can be taken to close the gaps in health and wellbeing disadvantage”. The report notes that through the Culture + Kinship program, Aboriginal and Torres Strait Islander communities have been able to re-connect with Community, Culture and Country.

VACCHO said “The Culture + Kinship program was uniquely Community driven with a flexible funding model that empowered Communities to lead the way with their own solutions in the form of self-determined, locally led programs.” VACCHO also said a social return on investment analysis showed the program “produced significant value for its stakeholders, with Community Members benefiting especially through reconnecting with Community, Culture and Country, and in doing so, experiencing a range of positive health and wellbeing outcomes”.

To view the National Indigenous Times article Aboriginal-led Culture + Kinship program makes breakthroughs in health and wellbeing in full click here.

Budja Budja Yarning Circle

Budja Budja Yarning Circle

Scholarship helps Palm Is AHW realise dream

A young Indigenous woman awarded a scholarship to study nursing at Mater Private Hospital Townsville is realising a dream to follow in her family’s footsteps. “My grandma is a twin and she and her sister worked at Mater for many years as registered nurses,” said Tehanna Tanerau-Love, who works part-time as a health worker on Palm Island.

Ms Tanerau-Love, 20, a Yorta Yorta woman with Māori ties, said she had a number of great role models. “My other grandma is a CEO of an Aboriginal community-controlled health organisation and my sister is a social worker,” she said.

Ms Tanerau-Love said the Indigenous scholarship to study a Diploma of Nursing at Mater would help her connect with her community and provide the opportunity to give back to her mob. “My ultimate goal is to work in remote and rural Aboriginal communities to have a meaningful impact on people’s lives,” she said.

The above story featured yesterday in the Cairns Post article Palm Island health-worker Tehanna Tanerau-Love to become nurse at Mater Townsville.

Tehanna Tanerau-Love in hospital room

Young North Queensland woman Tehanna Tanerau-Love has been awarded an Indigenous scholarship to study a Diploma of Nursing at Mater Private Hospital Townsville. Image source: Cairns Post.

Pioneering Cape ear health program gaining traction

The Torres and Cape Hospital and Health Service Integrated Ear, Nose and Throat (ENT) program, launched as a pilot in 2021 to target hearing problems in Cape York and the Torres Strait, is seeing exponential growth, with the number of patients seen almost doubling within 12 months.

The team includes a GP with specialist ENT training, a senior ENT nurse, an Aboriginal and Torres Strait Islander Health Worker, an audiologist and a speech pathologist who travel to 13 remote communities across the region. They treat both children and adults, predominantly for hearing issues, but also with other ear, nose and throat conditions. The team saw more than 1,300 patients during 2022, well up from the 861 seen in 2021.

A further $1.6m of state government funding has been committed to the program over 18 months which will allow for additional staff to support the huge growth. Senior audiologist Kristen Tregenza said she believed the project’s success was due to the culturally-appropriate service they were providing, with patients now seeking them out instead of learning about them via referral. She said most of the hearing conditions being seen and treated were caused by treatable ear infections. “It is well documented that remoteness, lower socio-economic living and all the things that come with that – access to nutritious foods, housing conditions, exposure to passive cigarette smoke – significantly increase the number of ear infections, severity and recovery time,” she said. “It is all preventable.”

To view the Cape York Weekly article Pioneering program launched in Cape gaining traction in full click here.

Kowanyama’s Naveen Accoom getting his ears tested by Dr Stephen Johnston

Kowanyama’s Naveen Accoom getting his ears tested by Dr Stephen Johnston as part of the successful ENT program. Image source: Cape York Weekly.

Sector Jobs

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

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

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

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

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

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

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

Genuine engagement needed over consultation

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

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

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

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

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

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

$32m+ for First Nations health research projects

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

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

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

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

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

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

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

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

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

Program to help teens get a good night’s sleep

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

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

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

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

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

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

Conference to examine rural health challenges

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

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

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

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

portrait of Associate Professor Marlene Longbottom, University of Wollongong

Associate Professor Marlene Longbottom. Image source: LinkedIn.

Scholarship opportunities for First Nations nurses

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

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

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

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

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

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

Sector Jobs

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

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

National Close the Gap Day

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

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

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Mitigating the impacts of racism on health

feature tile hand holding Aboriginal flag; text 'substantial evidence racism contributes to physical and mental ill health and reduces access to health services

The image in the feature tile is from an NITV article Study finds racism leads to poor health published on 26 June 2021.

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

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

Mitigating the impacts of racism on health

Indigenous people’s health and health rights have been harmed and undermined by racism globally. There is substantial evidence that interpersonal and structural racism contributes to Indigenous people’s physical and mental ill health and reduces access to health services. In Australia, the racist violation of Indigenous human rights since colonisation has a profound impact on the social and emotional wellbeing of individuals, families and communities across generations.

This has resulted in an unacceptable health equity gap, which the 2007 Closing the Gap strategy sought to address. Recognition of the urgent need to address the health and wellbeing impacts of racism guided The Boatshed Racism Roundtable Declaration in 2009, which called on the PM and First Ministers of Australia to initiate constitutional, policy and practice reforms underpinned by the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) — particularly Article 3 (the right to self‐determination) and Article 42 (calling on United Nations signatories to implement the Declaration) — to ensure protection against racial discrimination.

Recent work through the Partnership for Justice in Health and the Lowitja Institute has potential to inform the evidence base, health policy, legislation and rights to strengthen Indigenous access to justice and health, particularly through the Aboriginal Community Controlled Health Services sector under the auspice of the Closing the Gap Partnership and Coalition of Peaks.

To view The Medical Journal of Australia research article Mitigating the impacts of racism on Indigenous wellbeing through human rights, legislative and health policy reform in full click here.

drawing of an ATSI child with 5 white hands pointing at child's face

Image source: ABC Everyday website. Image Credit: Molly Hunt.

Lifetime Achievement Award for Fran Vaughan MPS

The Pharmaceutical Society of Australia (PSA) SA/NT Branch has announced the winners of its Annual Excellence Awards. The SA/NT Lifetime Achievement Award was presented to Fran Vaughan MPS, for her work in improving the health of Aboriginal and Torres Strait Islander people, in particular those living in remote areas.

With a background in hospital and community pharmacy and Home Medicines Reviews, Fran has been able to transition these skills to onsite clinical pharmacist practice roles in remote Aboriginal and Torres Strait Islander communities of the NT and Queensland. She is a strong advocate of the value of embedding a pharmacist into Aboriginal Health Services. Pharmacists working within Aboriginal Health Services can provide patients with culturally safe access to information about their medicines, provide education and training to existing staff on appropriate use of medicines, and assist in managing medications at transitions of care, such as discharge from hospital.

In her role as pharmacist adviser for NACCHO, she helped to facilitate the IPAC project (Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management) which showed positive benefits of integrating pharmacists into 18 Aboriginal Community Controlled Health Services.  She is an experienced educator and has helped to prepare health professionals, including pharmacists, nurses and Aboriginal and Torres Strait Islander Practitioners (AHPs) and Workers (AHW) for remote and rural practice at the Centre for Remote Health, Flinders University. She has also played a key role in the development of the Remote Primary Health Care Manuals (RPHCM) which guide health care delivery in remote areas.

To view the medianet. news story SA/NT Lifetime Achievement Award presented to Fran Vaughan MPS in full click here.

Fran Vaughan MPS holding PSA SA/NT Pharmacist Awards 2023 - Lifetime Achievement Award

Fran Vaughan MPS was presented with the PSA SA/NT Pharmacist Awards 2023 – Lifetime Achievement Award. Image source: PSA Twitter post 4 March 2023.

RACGP and NACCHO aim for preventive healthcare

On Friday last week the Royal Australian College of General Practitioners (RACGP) and NACCHO convened an Aboriginal and Torres Strait Islander health roundtable. Held over two days and attended by people from across Australia with experience in primary healthcare for Aboriginal and Torres Strait Islander people, the roundtable provided attendees with a special forum to exchange ideas on how best to support health services nation-wide so that they are prevention-focused, culturally safe and responsive, equitable, and free from racism.

RACGP President Dr Nicole Higgins said “There is plenty of work to be done and not a moment to lose. As President this is right at the top of my priorities over the next two years, and I look forward to working closely with NACCHO on a range of endeavours that will make a real difference in healthcare for Aboriginal and Torres Strait Islander people. Our organisations are currently working in partnership to develop flagship resources that support effective, culturally safe, and responsive primary healthcare that is valued by Aboriginal and Torres Strait Islander people.”

Chair of the RACGP Aboriginal and Torres Strait Islander Health Faculty, Dr Karen Nicholls, said she was “optimistic that if we put our minds to it and listen carefully to health experts and Aboriginal and Torres Strait Islander patients we can improve primary healthcare outcomes. The focus will very much be on how to support genuine shared decision making and partnerships, and carefully considering how the cultural and social determinants of health impact primary healthcare for these patients.” The RACGP and NACCHO will publish the fourth edition of the National guide to preventive health assessment for Aboriginal and Torres Strait Islander people later this year – a flagship publication, spearheaded by NACCHO in October this year.

To view the medianet. article RACGP and NACCHO working together to achieve high-quality preventive healthcare in full click here.

cover of National guide to a preventive health assessment for ATSI people 3rd edition - RACGP & NACCHO

Keeping kids connected to siblings and culture

Victoria’s former Aboriginal children’s commissioner has called for increased allowances for kinship and foster carers in a bid to increase the pool of First Nations people looking after children in out-of-home care, and ensuring they remain connected to culture. Andrew Jackomos, who held the commissioner role for five years between 2013 to 2018 and was the first person to hold an Aboriginal children watchdog role, has also appealed for greater safeguards to ensure Indigenous siblings in the out-of-home care system remain in contact.

The Yorta Yorta and Gunditjmara man said it was a challenge to get enough Indigenous carers to step forward when a First Nations child was removed from their family and could not be placed with relatives. “When children cannot be placed with family they should be placed with people within our community,” he said.

Jackomos said increasing remuneration was one way to incentivise more First Nations people to become carers and ensure Indigenous children separated from their families could remain connected to their culture. “We need to make it attractive for people to step forward. And people are absolutely committed, but the problem is carers have become burnt out. There needs to be more after-care as well,” he said.

To read The Guardian article Calls to increase allowances for Indigenous carers to keep children connected with culture in full click here.

portrait of former Victorian Aboriginal children’s commissioner Andrew Jackomos

Former Victorian Aboriginal children’s commissioner Andrew Jackomos says it is vital that siblings remain in contact in the out-of-home care system and that separation should be the ‘absolute last resort’. Photo: Victorian government. Image source: The Guardian.

Enduring disgrace of deaths in custody

There can be little doubt that the final report from the Royal Commission into Aboriginal Deaths in Custody, delivered in April 1991, was a watershed moment for our nation. Established in October 1987, the commission inquired into the circumstances surrounding the deaths over a 10-year period of 99 Aboriginal and Torres Strait Islander people while they were held in detention. It produced more than 5,000 pages of documents and a list of 339 recommendations.

The Albanese government’s reconciliation envoy, Senator Pat Dodson, has now demanded the government immediately act on the commission’s recommendations and is calling for a national Indigenous justice committee, a federal office to oversee state coronial inquests and ensure the provision of Indigenous-tailored health services in jails.

He says the responsibility is “absolutely” on the shoulders of the Albanese government, which has inherited the obligation to act on the work of the royal commission notwithstanding the abject failure of previous administrations, both Labor and Coalition, to end what can only be described as an enduring national disgrace.

To view The Sydney Morning Herald article Act now on enduring disgrace of Indigenous deaths in custody in full click here.

portrait shot Senator Pat Dodson

Senator Pat Dodson, the Albanese’s government envoy on reconciliation, has called for immediate action to prevent Indigenous deaths in custody. Photo: Rhett Wyman. Image source: The Sydney Morning Herald.

TB outbreak on the APY Lands

Health authorities are working to contain an outbreak of tuberculosis (TB) on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands. So far, the SA TB Service has diagnosed 10 cases linked to the outbreak. SA’s Chief Public Health Officer Nicola Spurrier and other health officials travelled to the APY Lands last week to try and contain the outbreak through contact tracing and treatment.

Professor Spurrier said she had met with community leaders and service providers, including schools. “Tuberculosis is not commonly seen in Australia but is treatable and preventable. It will need a sustained response over a prolonged period,” she said. “Strong relationships with community allowing co-design are essential. It’s important that all people in the community have the information they need to prevent the cluster from growing and to facilitate quick testing and treatment.”

To view the ABC News article Health authorities declare tuberculosis outbreak on the APY Lands after 10 cases diagnosed in full click here.

aerial shot of long straight road in APY Lands, SA

The APY Lands are in SA’s far north. Photo: Kent Gordon, Australian Story. Image source: ABC News.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Aboriginal-run renal facility celebrates 20 years

The image in the feature tile is of Angus Seela who travelled to Perth for life-saving treatment before dialysis was available in the Kimberley. Photo: Tallulah Bieundurry, ABC Kimberley. Image is from an ABC News article Australia’s first Indigenous-run renal facility celebrates 20th anniversary in Broome published today.

Indigenous-run renal facility celebrates 20 years

Australia’s first Indigenous-run facility dedicated to kidney health has hit a key milestone in WA’s far north. The 10-bed Kimberley Renal Services (KRS) unit was established in Broome in 2002, after Aboriginal medical leader Dr Arnold “Puggy” Hunter advocated for Indigenous people to receive treatment on country. Since then, the service has grown to include Kununurra, Fitzroy Crossing and Derby.

Kimberley woman Agnes Seela is the longest-running dialysis patient in Broome. She remembers a time when the life-saving treatment was thousands of kilometres away. “I was in Perth for a long time and it was really hard,” she said. “I didn’t get to come home for my dad’s funeral.” Ms Seela and her husband underwent dialysis together until he received a kidney transplant. She said treatment in the Kimberley had lifted her spirits. “I was really happy to start dialysis in Broome,” she said. “It makes it really easy to travel between Halls Creek, Ringer Soak and Broome.”

Rates of kidney disease in the Kimberley are among the highest in Australia, with the disease particularly prevalent in Aboriginal people. A leading cause for the disease is diabetes, with most people living with it experiencing some level of kidney decline. KRS Medical Director Lorraine Anderson said kidney issues were on the rise in the region.

To view the ABC News article Australia’s first Indigenous-run renal facility celebrates 20th anniversary in Broome in full click here.

Ms Anderson says the 10-bed Broome facility has saved lives. Photo: Tallulah Bieundurry, ABC Kimberley. Image source: ABC News.

KAMS shares James Memorial Award

Researchers from the Kimberley Aboriginal Medical Services (KAMS) and the Rural Clinical School of WA University of WA are thrilled to win the annual prestigious Ray James Memorial Award. This award is presented for the best article published in the Health Promotion Journal of Australia over the last year. The article was chosen by the Journal’s Research, Evaluation and Evidence Translation Committee and is presented for excellence and innovation in health promotion research.

The research explores 10 Aboriginal Australian men’s experiences during their partner’s antenatal period. The study found the participants valued supporting their partners through pregnancy, making positive changes to their own lifestyles, and having access to information on pregnancy. Participants described experiencing multiple stressors during the antenatal period that impacted on their social and emotional wellbeing. This study demonstrated that these Aboriginal men valued engagement with antenatal care services and highlighted strategies to improve Aboriginal paternal involvement with antenatal care services.

Erica Spry, Bardi and Kija woman and researcher discussed how the project grew from an existing project that was exploring maternal and child health in the Kimberley: “I was having a conversation with an Elder, talking about our other research and recruiting participants and this Elder said to me “it takes two to make a baby, you should be talking to the men too’. She was right, so little had been done exploring the role of our Aboriginal dad’s.”

To view The Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP) media release click here.

Emma Carlin (Research Fellow, RCSWA/ Senior Research Officer KAMS); Erica Spry (Research Fellow, RCSWA/ Research Officer KAMS); Zac Cox (Manager Social and Emotional Wellbeing, KAMS). Image source: CBPATSISP.

Why Keating’s Redfern Speech still matters

30 years after former Labor PM Paul Keating addressed a mostly Indigenous crowd in Sydney’s Redfern, his acknowledgement of genocide, Stolen Generations and ongoing oppression of Aboriginal and Torres Strait Islander peoples remains as relevant as ever. Delivered in Blak heartland in honour of the 1993 International Year Of Indigenous People, the speech saw Keating directly address the Indigenous community and take moral responsibility for the atrocities of colonisation for the first time.

The most resonant words were starkly honest. “It begins, I think, with that act of recognition. Recognition that it was we who did the dispossessing. We took the traditional lands and smashed the traditional way of life. We brought the diseases. The alcohol. We committed the murders. We took the children from their mothers,” Keating told the crowd, stunned to appreciative silence.

In a poll of the ‘Most Unforgettable Speech of all Time’, Keating’s address ranked third. It trailed only Martin Luther King Jr’s ‘I Have a Dream’ and the ‘Sermon on the Mount’ from the Bible. The vote illustrated the impact of Keating’s words not only at the time, but in the decades since. Delivered only 6 months after the historic Mabo decision by the High Court, which recognised Native Title and expunged the fallacy of terra nullius from the history books, the Redfern Speech came at a pivotal moment in the fight for First Nations sovereignty.

To read the NITV article Why Paul Keating’s Redfern Speech still matters in full click here.

Criminal age can save lives, inquiry told

A silly mistake at age 10 can have devastating and often permanent consequences for Aboriginal kids but raising the criminal age of responsibility could help save lives, experts say. When Bangerang and Wiradjuri elder Aunty Geraldine Atkinson was in year 6, her 10-year-old brother was taken into police custody on suspicion of minor theft.

He would later spend the next two decades in custody before his premature death at 36, a tragic story Ms Atkinson says is all too common in her community. “That’s the story of a child being removed at 10 years of age and then what their life trajectory is. This is what we want to stop,” Ms Atkinson told the Yoorrook Justice Commission as part of an inquiry into Victoria’s criminal justice and child protection systems on Tuesday.

She said raising the age of criminal responsibility in Victoria from 10 to 14 could also stop Aboriginal deaths in custody and lead to better overall community outcomes.

To read the Muswellbrook Chronicle article Criminal age can save lives, inquiry told in full click here.

More needs to be done to ensure Indigenous children aren’t locked up, Aunty Geraldine Atkinson says. Photo: Morgan Hancock/AAP. Image source: Muswellbrook Chronicle.

Taking the stress out of heatwaves

A pioneering new Heat Stress Scale and accompanying app will be trialed in Western Sydney this summer, designed to reduce the risk of serious health problems brought on by heatwaves. Minister for Emergency Services and Resilience Steph Cooke said the app is being developed by researchers at the University of Sydney through the $52m Disaster Risk Reduction Fund.

“Heatwaves are responsible for more deaths in NSW than any other severe weather event, with the impact greatest on children, the elderly, Indigenous communities and people with pre-existing health conditions,” Ms Cooke said. “The Heat Stress Scale is similar in concept to the UV index and gives users personalised, real-time information on their risk of heat-related health problems based on temperature, humidity, solar radiation and wind speed. This innovation will put a person’s individual risk of health problems in hot conditions in the palm of their hands, and could revolutionise the way we handle the heat.”

Professor Ollie Jay, who is leading the world-first project, said the Heat Stress Scale and app are being developed by a team of multidisciplinary researchers from the University of Sydney’s Heat and Health Research Incubator in collaboration with the Sydney Environment Institute. “This summer Western Sydney residents included in the trial will be able to create a personalised health profile in the app, providing information like age, medical conditions and regular medication,” Professor Jay said.

To view the NSW Minister for Emergency Services and Resilience’s media release Taking the stress out of heatwaves in full click here.

Indigenous leadership key to halt Nature’s destruction

At the UN Biodiversity Conference (COP15) being held in Montreal, Canada from 7–19 December almost 200 countries are reckoning with the world’s extraordinary loss of the variety of life. Climate change, mining, urban development and more are threatening Earth’s biodiversity to an extent never before witnessed in human history.

The conference will see countries negotiate a global 2030 plan, called the Global Biodiversity Framework, to set worldwide targets for a range of issues, from establishing national parks to habitat destruction. But so far, the draft text is lacking a fundamental element: adequate inclusion of language and perspectives from Indigenous peoples and local communities. Without Indigenous and local community leadership, any biodiversity targets will remain out of reach.

Despite comprising less than 5% of the global population, Indigenous peoples protect an estimated 80% of global biodiversity. Yet, the capacity of Indigenous peoples and local communities to continue to exercise this stewardship is being actively eroded across the world. Issues of power and inclusion in the current draft framework must therefore be resolved.

To view The National Tribune article Indigenous Leadership Key to Halting Nature’s Destruction in full click here and for more information about COP15 you can access the UN Biodiversity Conference (COP15) webpage  on the UN Environment Programme website here.

Sector Jobs

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