NACCHO Aboriginal Health News: We need to work together across the community on vaccine rollout: ACOSS

We need to work together across the community on vaccine rollout: ACOSS

ACOSS welcomes the support of business groups on the vaccine roll out and is looking forward to engaging with the vaccine taskforce on the community sector’s crucial role, along with other key stakeholders, such as the union movement.

Australian Council of Social Service CEO Dr Cassandra Goldie said: “Government needs to go beyond working with the business community on the vaccine roll out and there is support from the community sector, unions and business leaders to all work together. Community services are on the ground helping people to understand how they can access vaccines. We need to see community sector leaders also empowered and resourced to communicate clear messages to the people their services support, especially people facing poverty and disadvantage.

“Communities across the country need to be hearing about the vaccination roll-out from local leaders who they trust, for example, from First Nations leaders and culturally diverse leaders,” Dr Goldie said.

CEO of the National Aboriginal Community Controlled Health Organisation, Pat Turner, said: “When First Nations leaders get vaccinated it really helps to encourage the rest of the community and I’ve seen great examples of that. First Nations leaders are absolutely vital to the success of our vaccine roll out, with Aboriginal and Torres Strait Islander people more susceptible to the virus. First Nations health leaders have done an exceptional job keeping our people safe from the virus, particularly in remote areas, and their experience and relationships are also crucial on the vaccine front.”

To read the full media release by ACOSS click here.

AIHA partners with Northern Rivers ACCHOs

A new Indigenous Allied Health Australia Ltd (IAHA) National Aboriginal and Torres Strait Islander Health Academy in Lismore is aiming to support education and increase career opportunities in the health and social assistance sectors, thanks to a new partnership between IAHA, the Northern NSW Local Health District (NNSWLHD) and local Aboriginal Medical Services.

IAHA National Academy will give Aboriginal and Torres Strait Islander students in Year 11 and 12 in the Northern Rivers region the opportunity to complete a school based traineeship undertaking a nationally recognised Certificate III in Allied Health Assistance (HLT33015) qualification through TAFE NSW.

The partnership will build on existing relationships and also strengthen local health workforce development strategies, including paid employment for school-based trainees, mentoring, leadership development and career planning. Pathway options for students range from gaining employment in the health field, to continuing study with partner organisations, including Bulgarr Ngaru Medical Aboriginal Corporation, Rekindling the Spirit Aboriginal Medical Service, Bullinah Aboriginal Medical Service, Northern NSW Local Health District, TAFE NSW and Southern Cross University.

Donna Murray, IAHA Chief Executive Officer, said: “The IAHA national academy program has been developed with community and is Aboriginal-led, providing a culturally safe and responsive holistic approach to education, training and employment at the local level. To date, many of the graduates are first in family to complete year 12, and graduates have transitioned successfully into further education, and employment across the health and related sectors.”

Kirsty Glanville, NNSWLHD Associate Director Aboriginal Health said the Academy in Northern Rivers is unique to others around the country, being the first to have direct engagement with the Aboriginal Community Controlled sector. “This partnership highlights the very important role Aboriginal Medical Services provide in our communities in improving the health outcomes for Aboriginal communities and empowering people to take an active role in their health journey,” Ms Glanville said.

To view the full AIHA article click here.Indigenous Allied Health Australian IAHA logo

A related news article describes the near doubly of the proportion of Western Sydney Local Health District (WSLHD) staff who identify as Aboriginal and Torres Strait Islander in the past two years as the district takes steps to remove historical barriers and create new opportunities. WSLHD is currently working on a partnership with IAHA in providing Year 11 and Year 12 Aboriginal and Torres Strait Islander students the opportunity to complete a nationally recognised Certificate III in Allied Health Assistance qualification through TAFE NSW.

To view the full article in The Pulse click here.

Cleaners Codie Fuller, porter Darrin Smith and cleaner Jade Hookey - general services team at Westmead Hospital i

Cleaners Codie Fuller, porter Darrin Smith and cleaner Jade Hookey were among 15 new Aboriginal staff to join the general services team at Westmead Hospital in March this year. Image source: The PULSE.

Mainstream health model ignores connection to Country

Associate Professor Luke Burchill from the University of Melbourne has written an article called Healing Country in which he says the theme for NAIDOC 2021: Health Country! comes at an important time when Aboriginal and Torres Strait Islander people are calling for greater protection of their lands, waters and sacred sites, “In the past year alone, we have observed repeated failures to protect sites that are sacred to our communities; the destruction of 46,000-year-old caves at Juukan Gorge in WA, the removal of the Kuyan ancient eel rock formation at Lake Bolac and the felling of sacred Djab Wurrung trees in Western Victoria.”

“This devastation is not only physical. For Aboriginal people, the impact is emotional, cultural and spiritual – directly affecting mental health, family and community wellbeing. Country is the place from which we come and to which we will return. Country sustains us culturally, physically, linguistically, spiritually and emotionally. As custodians of the land, it is our duty to protect Country. With climate change our Country is hurting and so are we.”

Having worked in Australia’s mainstream health care system, Professor Burchill said he can say that connection to Country is not included when assessing someone’s health and wellbeing. The mainstream model is one of risk factors, lifestyle choices and genetic factors that underpin a condition or health outcome. The problem here is that when drawn entirely from a Western perspective this point of view fails to capture Indigenous dimensions of wellbeing including the importance of connectedness to family, community and Country for social, emotional and spiritual wellbeing. For these connections to be strong, we need to live our lives free of racism.

To read Professor Burchill’s article in full click here.

The Juukan Gorge rock shelters in WA. Picture: AAP/Supplied by PKKP and PKKP Aboriginal Corporation.

Yarning Up After Stroke wins funding

A program designed to empower Aboriginal and Torres Strait Islander people living with stroke to take control of their stroke recovery has won Federal Government funding of almost $500,000. This program arises from the Yarning Up After Stroke collaborative project co-led by Tamworth Aboriginal communities, Professor Chris Levi and Dr Heidi Janssen of Hunter New England Local Health District (NSW) and University of Newcastle. Dr Janssen was initially given a funding kick start by the Stroke Foundation, and this proof-of-concept work has now secured a significant grant through the Medical Research Future Fund (MRFF).

The funding commitment to Yarning Up After Stroke is timely as NAIDOC Week gets underway. This year’s NAIDOC Week theme is Heal Country! and aims to raise awareness and promote greater understanding of the need to protect the traditional lands, waters, sacred sites and cultural heritage of First Nations communities.

The Yarning up After Stroke team’s approach uses ‘yarning’, which is a culturally respectful, conversational way to learn, listen, share and receive information. In Aboriginal culture Yarning Circles are safe spaces in which everyone can have a say. Stroke Foundation Chief Executive Sharon McGowan said she is immensely pleased to see Yarning Up After Stroke secure the additional funding grant, “Introducing stroke recovery support services which use tools already embraced by Indigenous cultures, offers a more relatable way forward and are therefore likely to be more successful.”

To view the Stroke Foundation’s media release click here.

stroke survivor Bill Toomey in wheelchair with Carol Toomey crouching down behind him with her left arm across his chest

Coral and Bill Toomey, a stroke survivor. Photo: Gareth Gardner. Image source: The Northern Daily Leader.

AMA welcomes COVID-19 national roadmap

The Australian Medical Association (AMA) welcomes the leadership shown by National Cabinet in the release of the national roadmap allowing Australia to open up in a safe and sustainable way. AMA President, Dr Omar Khorshid said it was important that any plan be based on science, and this plan is to be based on modelling of a Delta outbreak on a vaccinated community.

“The AMA has repeatedly called for consistency in responses across the nation – including in our May Communique Prepare Australia before opening up to the world and National Cabinet’s plan will move us towards that goal,” he said. “We need a clear vision, as a community, on how to live in a world where COVID will continue to exist. This plan, with four stages, recognises the important fact that our road out of this crisis is vaccination. Of that there is no doubt.”

To view the AMA’s media release click here.

PM Scott Morrison at lecturn with Roadmap to COVIDSafe Australia on screen in background

Image source: Daily Mail Australia website.

MedicineWise app

NAIDOC Week celebrates the history, culture and achievements of Aboriginal and Torres Strait Islander peoples. NAIDOC is celebrated not only in Indigenous communities, but by Australians from all walks of life. This year’s NAIDOC Week theme is Heal Country! – calling for stronger measures to recognise, protect, and maintain all aspects of Aboriginal and Torres Strait Islander culture and heritage.

This week is a great opportunity to participate in a range of activities and to support your local Aboriginal and Torres Strait Islander community.

Did you know? You can receive information specific to the health and wellbeing of Aboriginal and Torres Strait Islander community members by following these steps in your MedicineWise app:

  1. Tap on your profile.
  2. Go to ‘Personal Details’ module.
  3. Scroll down to switch on the Aboriginal and Torres Strait Islander toggle(s) most appropriate to you

For further information visit the NPS MedicineWise website here.

Australia’s Chernobyl – Maralinga

For tens of thousands of years, the Aṉangu people lived on the warm, red earth of their country. The land provided them with food, water and shelter as they travelled around an area we now know as outback Far North SA.

But after colonisation, they were moved off their land: forcibly removed, sent into missions across the region and displaced by train lines linking Australia’s east and west that impacted their water supply. In 1984, the SA government handed much of the land back to its traditional owners. But by this point, parts of it were uninhabitable because of British nuclear testing.

The theme of NAIDOC Week 2021 is Heal Country! but much of the Aṉangu lands in and around Maralinga are beyond healing. Glen Wingfield, whose mother Eileen Wani Wingfield co-founded the Coober Pedy Women’s Council to campaign against a government proposal in the 1990s for a nuclear waste dump on their lands, said “A lot of the Aboriginal communities that live in and around that area, they just will not and do not go back near that country. I think that’s a word, healing, that we can’t use in the same sentence with that area.” There are parts of the area that will be uninhabitable for a quarter of a million years.

To view the full article click here.

photo of sign in desert landscape with text 'Former Maralinga Nuclear Test Stie. This land is part of the Maralinga Tjarutja Lands' etc.

Image source: Mamamia website.

BRAMS June newsletter

Broom Regional Aboriginal Medical Service have released the June 2021 edition of their newsletter. This edition includes articles on World No Tobacco Month, the Yawardani Jan-Ga program and the Social and Emotional Wellbeing Men’s and Women’s Groups.

To access the BRAMS Newsletter click here.banner BRAMS NEWSLETTER June 2021

Road accident survivor CTP experience study

A new partnership between Griffith University and the Motor Accident Insurance Commission (MAIC) will examine the experiences of Aboriginal and Torres Strait Islanders injured in road accidents and their interactions with the Compulsory Third Party (CTP) scheme.

The Hopkins Centre’s Dr Leda Barnett, assisted by Griffith University PhD candidate Andrew Gall, will lead the three year study, funded by a $460,000 MAIC grant and supported by partnerships with Griffith’s Indigenous Research Unit (IRU), Synapse and the Institute for Urban Indigenous Health (IUIH).

“Indigenous Australians living in Queensland are up to six times more likely to be involved in a motor vehicle accident than a non-Indigenous citizen, but also 1.4 times more likely to be seriously injured, and 2.9 times more likely to die in an accident,” Dr Barnett said. The research will examine the factors that influence Aboriginal and Torres Strait Islander people to engage with the CTP scheme following a motor vehicle accident, the nature of their experience and ways in which the scheme could better align with their requirements.”

To view the full Griffith News article click here.

4 Aboriginal young adults around outside table, blurred greenery in the background

Griffith researchers will consult with Aboriginal and Torres Strait Islander people in Queensland to better understand their experiences with the Compulsory Third Party scheme. Image source: Griffith News.

 

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via NACCHO’s communication platforms.

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

NACCHO Aboriginal Health News: First Nations people 16 years+ eligible for COVID-19 vaccine

Feature tile -Tue 8.6.21 - 16 years+ eligible for COVID vaccine

First Nations people 16 years+ eligible for COVID-19 vaccine

From today 8 June 2021, Aboriginal and Torres Strait Islander peoples who are 16 years and older are now eligible for a COVID-19 vaccine. This news was announced following the National Cabinet meeting last Friday by the Aboriginal and Torres Strait Islander Advisory Group on COVID-19 (Taskforce) co-chaired by NACCHO and the Australian Government Department of Health.

Also included in today’s expanded eligibility are all NDIS participants aged 16 and up, as well as NDIS carers.

The AstraZeneca vaccine is preferred for adults aged 50 years and over. The Pfizer vaccine has been approved for adults 16 years and older. Vaccines are available through Aboriginal Community Controlled Health Organisations (ACCHOs), Commonwealth vaccine clinics, general practices, state and territory health services and clinics.

The extended approved storage period of the unopened thawed Pfizer vaccine vials at 2–8°C of up to one month enables much greater flexibility in the distribution of the vaccine and will have a significant positive impact on the roll out of the vaccine across Australia, including to Aboriginal and Torres Strait Islander people and remote communities.

The Taskforce has convened a working group to provide advice on supporting ACCHOs to deliver Pfizer and other future vaccines as they become available to the program.

The Commonwealth Government will work closely with the ACCHO sector to ensure all ACCHOs currently participating in the COVID-19 vaccination program will have the option to administer Pfizer vaccine.

To book your COVID-19 vaccination, contact your health clinic or find a vaccination site near you through the Clinic Finder.

You can read the announcement here.

Health worker Keinan Keighran receiving the Pfizer jab at Katherine's Wurli-Wurlinjang Health Service.

Health worker Keinan Keighran receiving the COVID-19 vaccine at Katherine’s Wurli-Wurlinjang Health Service. Image source: ABC News.

New model for rural and remote health care

The National Rural Health Alliance (NRHA) is proposing a new model of care for rural and remote Australia primary health care.

Australians living in rural and remote areas have shorter lives, higher levels of disease and injury and poorer access to and use of health services compared to people living in metropolitan areas. Governments have pursued a range of strategies to address these poorer health outcomes over many years. However, trend data reveal that these interventions are having limited success.

There are a range of drivers for the poor health outcomes for rural and remote Australians:

  • difficulty in attracting and retaining health professionals to rural areas
  • lack of access to services due to distance, lack of transport, income, health literacy and attitudinal barriers
  • social determinants of health issues including low socio-economic status, lower education outcomes, higher levels of disability and chronic disease and older population.

What are the barriers to attracting and retaining a rural health workforce?

  • Professional – career limitations, networking opportunities, clinical experiences, supervision, professional isolation and lack of support from peers, work life balance issues
  • Financial – practice financial viability, need to work across multiple settings, multiple sources of funding both government and private, administrative burden, business acumen requirements
  • Social – family and friendship networks, social isolation, cultural and recreational limitations, partner’s concerns including careers and children’s education

Models of care which work for metropolitan areas do not work in rural Australia. NRHA is proposing a locally-based model of health delivery aimed at addressing the key barriers to attracting a rural workforce.

You can read more about the NRHA proposal here.

The case for better health care - infographic by NRHA

Image source: NRHA.

Barriers in obtaining birth certification

In Australia, the birth certificate is of fundamental importance as the document that unlocks all the rights and privileges of citizenship. While the national rate of birth registration and certification is very strong, this is not the case for a number of Aboriginal and Torres Strait Islander communities. In Queensland for example, births are under-registered and under-certified at a rate of 15–8% compared to non-Indigenous births at 1.8%. WA’s statistics are similar, with almost one in five Indigenous children under 16 years of age having unregistered and uncertified births.

Birth under-registration and under-certification are generally most prevalent in disadvantaged and minority groups, such as Indigenous Australians, children in out-of-home care, and children from culturally and linguistically diverse backgrounds. It is also more likely in births occurring in rural hospitals; where the mother smoked or had an alcohol-related diagnosis during pregnancy; and where the mother’s own birth was unregistered, and she had no private health insurance.

To reduce the rates of birth under-registration and under-certification, especially within minority and marginalised communities, the government must improve awareness and education surrounding the important purposes formal birth registration serves. It must also work to increase its accessibility, and broaden exemptions, such that birthplace, skin colour and parent circumstances cease to be barriers individuals cannot overcome.

You can read the full story in Lawyers Weekly here.

Map of Australia with pins on locations.

Map of Australia with pins on locations. Image credit: Layers Weekly.

ORCHID Study: diagnostic criteria for GDM

Following a large international study on Hyperglycaemia and Adverse Pregnancy Outcome (HAPO) diagnostic criteria for gestational diabetes mellitus (GDM) were changed in WA in 2015. The ORCHID Study (Optimisation of Rural Clinical and Haematological Indicators of Diabetes in pregnancy) was designed to help simplify screening for GDM in rural and remote WA. Their first paper showed that it can be difficult to do this test. Their second paper showed that two-thirds of women with GDM who do the test are missed due to blood glucose sample instability. The third paper showed that this glucose instability means that they miss identifying women at risk for large babies.

Now that the issue with glucose stability has been sorted, this paper looks at the utility of glycated haemoglobin (HbA1c) in early pregnancy for identifying women at high risk for large babies. The study found that:

  • Almost three-quarters (71.4%) of Aboriginal women with early HbA1c ≥5.6% went on to have a positive OGTT. These women may have had prediabetes going into pregnancy.
  • There were clear differences between Aboriginal and non-Aboriginal women: 16.3% v 5.2% had elevated HbA1c (pre-pregnancy prediabetes) whereas 12.4% v 29.6% developed GDM during pregnancy. This suggests fewer non-Aboriginal women had prediabetes going into pregnancy compared to Aboriginal women.
  • The risk of having a large baby was twice as high in women with an early HbA1c ≥5.6% compared to women with an early HbA1c <5.6% and without GDM (21.4% v 10.5%). This suggests that women with prediabetes in early pregnancy have high-risk for a large baby.

For more information on this study you can download the following documents:

  • Download Prediabetes and pregnancy: Using early pregnancy HbA1c to find Aboriginal women with high-risk of diabetes in pregnancy (GDM) and having babies that grow too big.
  • Download Prediabetes and pregnancy: Early pregnancy glycated haemoglobin identifies Australian Aboriginal women with high-risk of gestational diabetes mellitus and adverse perinatal outcomes.
  • Download Prediabetes and pregnancy: Early pregnancy HbA1c identifies Australian Aboriginal women with high-risk of gestational diabetes mellitus and adverse perinatal outcomes.
  • Download Supplementary tables.

The plain language report and links to the papers are available on the KAMS research website here. For further assistance with your enquiries please contact ORCHID Study coordinator, Emma Jamieson.

Aboriginal pregnant woman.

Image source: knowpahology.com.au.

Indigenous policy codesign: risks and opportunities

In a discussion paper by the Centre for Aboriginal Economic Policy Research, Australian National University (ANU), Canberra, the mainstream literature on co-design and collaborative governance is surveyed and considered, as a means of identifying the essential characteristics of effective co-design policy and program processes.

In recent years, the requirement for First Nations participation through co-design has emerged as a key prerequisite of policy legitimacy in the Indigenous policy domain. In this discussion paper, the mainstream literature on co-design and collaborative governance is surveyed and considered, as a means of identifying the essential characteristics of effective co-design policy and program processes. The literature survey identifies two strands: one that asserts the merits and opportunities inherent in policy and program co-design, and a second that highlights the risks and challenges.

Two nationally significant current and ongoing Indigenous policy development processes that have been described as co-design processes are then analysed and assessed. The paper concludes that co-design involves more than consultation, and ideally requires shared decision-making. Further, in relation to policy co-design processes, the literature and cases studies suggest the core design features that are required to ensure the processes contribute to creating public value and maintaining trust in democratic public policy institutions.

You can read the paper here and for more information about the Centre for Aboriginal Economic Policy Research at ANU, visit their website.

ANU image

ANU image from report cover.

Remote Health: Going the extra mile

The National Rural Health Alliance (NRHA) has an upcoming webinar on Remote Health: Going the extra mile.

Remote Australia features some of the most stunning landscapes in the world. However, delivering health services in this environment brings with it unique and challenging circumstances. With a small and geographically dispersed population base, ensuring remote Australia has access to high quality healthcare, requires an innovative and flexible approach.  This webinar explores the challenges and opportunities in delivering health services to these unique communities, including the experience of working remotely, the critical role of aeromedical support, and how to enhance the medical workforce training experience through remote placements. Get a better understanding of the remote health delivery experience – register for this webinar today.

Date: Thursday 17 June 2021
Time: 12:30 – 1:30 pm (AEST)
Cost: $45.00 (complimentary for NRHA Board, Council and Friends members)

Click here for more information and to register for the webinar.

NRHA Webinar - Remote Health: Going the extra mile.

NRHA Webinar – Remote Health: Going the extra mile.

NACCHO Aboriginal Health News: Mabo Day

Feature tile - Thu 3.6.21 - Mabo Day.

Mabo Day

Today, 3 June is Mabo Day.

Eddie ‘Koiki’ Mabo was a Torres Strait Islander who believed Australian laws on land ownership were wrong and fought to change them. He was born in 1936 on Mer, which is also known as Murray Island, in the Torres Strait.

In 1982 a legal land ownership case was lodged with the High Court of Australia by a group of Meriam from the Eastern Torres Strait Islands, led by Eddie Mabo.

The Mabo decision was a legal case that ran for 10 years. On 3 June 1992, the High Court of Australia decided that ‘terra nullius’ should not have been applied to Australia.

Sadly, Eddie Mabo passed away in January 1992, just five months before the High Court made its decision.

The Mabo decision was a turning point for the recognition of Aboriginal and Torres Strait Islander peoples’ rights because it acknowledged their unique connection with the land.

It also led to the Australian Parliament passing the Native Title Act in 1993.

For more information about Mabo Day visit the National Museum of Australia website here.

Eddie Mabo NACCHO graphic. Original photo by: Jim McEwan

Eddie Mabo NACCHO graphic. Original photo by: Jim McEwan.

 

Mandatory reporting of influenza vaccinations

The National Immunisation Program (NIP) wants to remind all Aboriginal Community Controlled Health Services about the importance of checking expiration dates of vaccines, disposing of out of date stock and reporting accurate data to the Australian Immunisation Register (AIR).

It is mandatory under the Australian Immunisation Register Act 2015 for all vaccination providers to report all influenza vaccinations administered on or after 1 March 2021 to the AIR.

A recent incident reported by a General Practice, where some 2020 influenza stock was found among 2021
influenza stock, prompted the Australian Government Department of Health (the Department) to investigate a range of circumstances that may have led to this, including checking data reported to AIR.

This investigation concluded that there was no 2020 stock in state and territory vaccine warehouses, however there were a high number of vaccines, with 2020 influenza batch numbers, reported to the AIR as being administered this influenza season (2021).

We ask that you remind all staff to double check expiration dates of vaccines prior to administration, dispose of out of date stock appropriately and that you encourage all staff at your practice to double check the information being reported to the AIR is correct prior to submitting it to AIR.

A letter with a copy of the above information can be downloaded here.

Please download a fact sheet outlining the mandatory reporting obligations for vaccination providers, and helpful tips for reporting to the AIR here.

 

Women living remotely must travel for birth

Heavily pregnant women living in remote and regional areas across Australia are being forced to pack their bags and head to hospital to wait for the birth of their babies, far away from family, culture, community, and connection.

Women’s health experts say this experience is traumatic for expectant parents and expensive for governments, but that the answer is simple: open more culturally safe birthing centres outside of big cities.

Women who live outside of the four major birthing hubs in the NT (Darwin, Alice Springs, Katherine and Nhulunbuy) need to travel to the nearest hospital at 38 weeks to wait for their baby to be born. For most of these women, English is not their first language, and some don’t speak English at all. Most women travel alone and although they are offered a translator in hospital, one is not always available.

Charles Darwin University professor of midwifery Sue Kildea labelled Northern Territory Health’s remote birthing policy as “outrageous”.

“Why do they send women by themselves? We don’t even let them take their kids with them,” she said.

“It’s the one thing that we should be so ashamed of.”

Experts are calling for more regional birthing hubs to fill the gap.

Read full story by ABC News here.

Judy Mununggrruitj lives in Galiwin'ku, a remote community in East Arnhem Land.(ABC News: Emma Vincent).

Judy Mununggrruitj lives in Galiwin’ku, a remote community in East Arnhem Land.(ABC News: Emma Vincent).

 

Expanding birth centres to remote NT 5+ years away

Northern Territory Health Minister Natasha Fyles says the government is looking at returning birthing facilities to remote and regional locations, and hopes to do so within the next decade.

“It’s a huge step to take forward, but I think it’s an important step,” she said.

Ms Fyles said investing in birthing on country services was a “priority” and NT Health was working toward developing a Territory-specific birthing on country model.

But not everyone’s convinced returning birthing to remote locations is the way forward.

Worimi woman Marilyn Clarke is the chair of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists’ Aboriginal and Torres Strait Islander Women’s Health Committee.

She said returning low-risk birth to remote communities could “be a bit tricky”, because if there was an unexpected complication, mother and baby were far away from emergency care.

Dr Clarke also said staffing remote hubs would be challenging and the NT had long-running issues recruiting and retaining health workers.

Instead, she said governments should invest in strong, Indigenous-led pre- and post-natal care in remote and regional locations.

You can read more about this story on ABC News here.

Remote NT. Image source: Croakey Health Media.

Remote NT. Image source: Croakey Health Media.

 

Remote ENT service delivery model

The Rural and Remote Health journal has done a rapid literature review aimed to inform the development of a new sustainable, evidence-based service delivery model for ear, nose and throat (ENT) services across Cape York, Australia. This work seeks to investigate the research question ‘What are the characteristics of successful outreach services which can be applied to remote living Indigenous children?’

A comprehensive search of three major electronic databases (PubMed, CINAHL and MEDLINE) and two websites (HealthInfo Net and Google Scholar) was conducted for peer-reviewed and grey literature, to elicit characteristics of ENT and hearing services in rural and remote Australia, Canada, New Zealand and the USA. The search strategy was divided into four sections: outreach services for rural and remote communities; services for Indigenous children and families; telehealth service provision; and remote ear and hearing health service models. A narrative synthesis was used to summarise the key features of the identified service characteristics.

In total, 71 studies met the inclusion criteria and were included in the review, which identified a number of success and sustainability traits, including employment of a dedicated ear and hearing educator; outreach nursing and audiology services; and telehealth access to ENT services. Ideally, outreach organisations should partner with local services that employ local Indigenous health workers to provide ongoing ear health services in community between outreach visits.

The evidence suggests that sound and sustainable ENT outreach models build on existing services; are tailored to local needs; promote cross-agency collaboration; use telehealth; and promote ongoing education of the local workforce.

View the full article here.

On Duty: Kelvin Kong treats a patient in Broome in 2015. Picture: Simone De Peak.

On Duty: Kelvin Kong treats a patient in Broome in 2015. Picture: Simone De Peak.

 

Soft drink ads hit ‘vulnerable’

What keeps consumers hooked on high sugar soft drink? Advertising, of course. But why are some consumers more adept at ignoring these cues than others?

A new study from Flinders University, has found participants with an automatic bias towards soft drinks – or difficulty resisting sweet drinks compared to non-sweetened control beverages (e.g., water) – are more responsive to the advertisements than those without these tendencies.

The Australian study compared the ability of 127 university-age students (18-25 year olds) to withstand or succumb to the urge to reach for a soft drink when viewing television advertisements.

Not only can regular soft drink consumption lead to weight gain and tooth decay, with a typical 375ml can of soft drink contain about 10 teaspoons of sugar, but so can these ’empty’ calories reduce intake of calcium, fibre and other nutrients in a healthy diet.

Australian Bureau of Statistics (2015) research estimated 50-60% of adolescent and young people consume soft drink every day.

“The cognitive vulnerabilities exposed in our study is an important lesson to future possible regulation of television advertising or public health campaigns,” says co-author Amber Tuscharski.

“After all, their exposure to soft drink cues will continue as manufacturers and marketers advertise their products in multiple locations – from TV commercials to in-store, service stations, public transport and billboards.”

Read full article in Science Direct here.

Lead Researcher Flinders University Professor of Psychology Eva Kemps on fizzy drinks.

Lead Researcher Flinders University Professor of Psychology Eva Kemps on fizzy drinks.

 

Ways to support healthy foods in remote stores

Monash University invites you to join in their HEALTHY STORiES = GOOD FOOD inaugural event to share remote community stores and takeaway advances through film for improved health. This live online series features stories from remote communities and leaders on ways to support healthy foods in remote community stores.

HEALTHY STORiES = GOOD FOOD addresses the issue of food security and aims to foster critical discussion towards health-enabling stores. It is a celebration and sharing of initiatives, whilst acknowledging barriers and having a focus on a food secure future for Aboriginal and Torres Strait Islander remote communities.

Please share with other remote store owners, community leaders and members, government policy-makers, health workers, academics, and practitioners who have a passion for thriving and healthy community stores. 

You can download the event poster here.

The event themes and scheduled times are:

3 June (11:30am – 12:30pm AEDT) Webinar 1: Remote Stores: Healthy Takeaways I Employment opportunities
15 June (12:30 – 1:30pm AEDT) Webinar 2: Food supply, delivery, local food economies
16 June (12:30 – 1:30pm AEDT) Webinar 3: Food affordability and pricing for healthy food
17 June (12:30 – 1:30pm AEDT) Webinar 4: The 4P’s of marketing for healthy food in stores

Facilitator of the online series:
Ms Nicole Turner, Indigenous Allied Health Australia & NSW Rural Doctors Network

Please submit any questions to coordinator: stacey.holden@monash.edu

FREE registration here.

Food Dreaming by Jarrod Stain, Gamilaroi Artist

Food Dreaming by Jarrod Stain, Gamilaroi Artist.

 

BRAMS – May Newsletter

After a busy start to the year, Easter provided Broome Regional Aboriginal Medical Service’s (BRAMS) staff with the opportunity to take a break and refresh. BRAMS continues to offer the COVID-19 vaccine to the local community, and more than 150 patients have received the jab so far, with no side effects being reported. We strongly encourage all our patients to come into the clinic to discuss their vaccine, particularly if you have concerns or questions.

We are excited to announce yet another expansion of our disability services, through a supported mobile playgroup program for children aged 0-14.

We have also commenced the recruitment process for our Chronic Disease Program, and we look forward to updating you in our next newsletter on the newest members of the team.

Finally, look out for us on your TV screens – we recently filmed our first television advertisement, and can’t wait to see the final product. A big thank you to all staff and patients who took part in the filming.

Please view the latest edition of the BRAMS newsletter here.

BRAMS_newsletter_May_2021

BRAMS Newsletter – May 2021.

NACCHO Aboriginal Health News: Make Healing Happen

Feature tile - Wed 2.6.21 - Make Healing Happen

Make Healing Happen

The Healing Foundation’s Make Healing Happen report, released today, signals the urgent need for policy responses from all Australian governments to assist the healing process for a growing number of Stolen Generations survivors and descendants.

The Make Healing Happen report – released in conjunction with the Australian Institute of Health and Welfare (AIHW) report, Aboriginal and Torres Strait Islander Stolen Generations aged 50 and over: updated analyses for 2018-19, provides an in-depth insight into the experiences of Stolen Generations survivors and the extent and complexity of their contemporary needs today and as they grow older.

“The AIHW has estimated that the number of Stolen Generations survivors has more than doubled – from 17,150 in 2014-15 to 33,600 in 2018-19,” said The Healing Foundation CEO Fiona Cornforth.

“This dramatic increase points to an urgent need for policy responses from all Australian governments, especially in the areas of health, mental health, aged care, disability, welfare, and wellbeing.

“One of the more significant findings is that all Stolen Generations survivors will by next year be eligible for aged care.

Compared with the general non-Indigenous population aged 50 and over (on an age standardised basis), Stolen Generations survivors aged 50 and over are:

  • 3 times as likely to be living with a severe disability;
  • 7 times as likely to have poor mental health;
  • 6 times as likely to have kidney disease;
  • 1 times as likely to have diabetes; and
  • 7 times as likely to have heart, stroke, or vascular disease.

You can download the Make Healing Happen report here.

View The Healing Foundation’s media release Significant increase in Stolen Generations survivor numbers signals urgent need for government solutions in health, aged care, and other services here.

View the AIHW report Aboriginal and Torres Strait Islander Stolen Generations aged 50 and over: updated analyses for 2018–19 here.

View the AIHW media release Stolen Generations survivors face poorer health and wellbeing outcomes than other Indigenous Australians here.

Make Healing Happen - It's Time to Act: The Healing Foundation report

Make Healing Happen – It’s Time to Act: The Healing Foundation report.

ACCH model to lead Hepatitis response

Dr Dawn Casey, Deputy CEO NACCHO spoke at the 12th Australasian Viral Hepatitis Conference in Sydney yesterday, 1 June 2021 on Progress and future challenges for enhancing viral hepatitis care in Aboriginal and Torres Strait Islander people. “Aboriginal and Torres Strait Islander peoples have a higher burden of disease in comparison to the wider Australian population and viral Hepatitis is no exception.” “Aboriginal and Torres Strait Islander peoples represent approximately 3% of the total Australian population, yet we account for an estimated 10% of those living with chronic Hepatitis B and 20% of all Hepatitis C diagnoses,” she said.

These numbers highlight that more needs to be done to reach the national and international target of elimination of viral Hepatitis by 2030.

“In order to respond to viral Hepatitis, and other STI and BBV, in Aboriginal and Torres Strait Islander communities we must draw on the Aboriginal Community Controlled Health (ACCH) model of integrated primary health care,” said Casey pointing to the following factors that need to be addressed:

  • Sustained funding
  • Continued co-design and collaboration with key stakeholders
  • Improved data and surveillance
  • Innovative recall systems
  • Multiskilled workforce and increased workforce capacity
  • Community engagement and education
  • Continuous Quality Improvement
  • Access and effective integration of PoCT program for rapid results, immediate treatment, and timely contact tracing

“We need to develop strong partnerships and open relationships with state and territory governments, peak organisations and the Aboriginal and Torres Strait Islander community controlled health sector, working together to respond to the high rates for viral hepatitis in our communities.”

Dr Dawn Casey, Deputy CEO NACCHO speaking at the 12th Australasian Viral Hepatitis Conference in Sydney 1 June 2021.

Dr Dawn Casey, Deputy CEO NACCHO speaking at the 12th Australasian Viral Hepatitis Conference in Sydney on 1 June 2021.

Telehealth and hepatitis C study seeks participants

The Australian Research Centre in Sex, Health and Society at La Trobe University is conducting a Commonwealth-funded, interview-based study of people’s experiences using telehealth for hepatitis C treatment and care during COVID-19. The outcomes of this study will be to make recommendations to optimise the use of telehealth in hepatitis C care and treatment.

Dawn Casey’s keynote at the recent 12th Australasian Viral Hepatitis Conference, Progress and future challenges for enhancing viral hepatitis care in Aboriginal and Torres Strait Islander people highlighted that telehealth has provided ‘culturally safe healthcare’ across ACCHOs.

We are inviting GPs and other specialists providing hepatitis C treatment and care for an interview to identify experiences, advantages, and barriers of telehealth; as well as people who have received telehealth care (re-imbursed $50 for their time).

Participation involves an audio-recorded 40–60 minute interview with a trained university researcher. Interviews will be conducted over phone or Zoom.

Please contact Dr Frances Shaw to arrange an interview or receive recruitment flyers to advertise this study in your ACCHO.
Email: f.shaw@latrobe.edu.au – Mobile: 0431 483 918

Jigalong patient and carer being supported by Stephen Copeland, optometrists. Image credit: mivision.com.au

Jigalong patient and carer being supported by Stephen Copeland, optometrists. Image credit: mivision.com.au

Review of FASD among First Nations people

The Alcohol and Other Drugs Knowledge Centre has published a Review of Fetal Alcohol Spectrum Disorder (FASD) among Aboriginal and Torres Strait Islander peopleThe review states that FASD is a preventable, lifelong disability. FASD disproportionately affects Aboriginal and Torres Strait Islander people, however, there are limited prevalence statistics available in the mainstream Aboriginal and Torres Strait Islander population. Accompanying the review is a short video of key points from the review, a summary version of the review with infographics and a factsheet.

The review explores the role of Aboriginal and Torres Strait Islander women in preventing FASD and proposes that programs that work best for Aboriginal and Torres Strait Islander communities are those that are done with, for and by the communities and their leaders. Authors Sharynne Hamilton, Michael Doyle and Carol Bower, recommend that, where possible, federal and state governments should choose to invest in Aboriginal and Torres Strait Islander community organisations to develop their own evidence-based, fit-for-community FASD prevention, intervention, and management strategies. Men are largely absent in FASD interventions. Co-author Michael Doyle says, “There is a need to involve Aboriginal and Torres Strait Islander men in research to understand the role they can play in the prevention, treatment and management of FASD”.

HealthInfoNet Director, Professor Neil Drew says, “We were delighted to commission this important review and partner with the authors to provide a comprehensive and sensitive review of the evidence around FASD with clear recommendations for future action”.

You can view the media release by the Alcohol and Other Drugs Knowledge Centre here.

FASD among Aboriginal and Torres Strait Islander people - video.

FASD among Aboriginal and Torres Strait Islander people – video.

Grog in pregnancy videos

Katherine West Health Board (2021)
Grog in pregnancy videos – partners, women and men
Katherine, NT: Katherine West Health Board

In these videos, community members share information with one another about drinking alcohol and Fetal alcohol spectrum disorder (FASD).

The videos promote health messages such as:

  • have a check up at the clinic if you are planning to get pregnant
  • if mum drinks while pregnant the baby can be born with FASD
  • men can support women who are pregnant by not drinking
  • if you are breastfeeding you should not drink alcohol.

Australian Indigenous HealthInfoNet abstract

Grog in Pregnancy - Partners: video by Katherine West Health Board.

Grog in Pregnancy – Partners: video by Katherine West Health Board.

Outcomes of community-based FASD workshop

There is a lack of neurodevelopmental assessment services in rural and remote locations in Australia that consider fetal alcohol spectrum disorder as a possible outcome.

87 participants attended a workshop to support community-based professional development and co-design of a novel assessment approach. Qualitative data collection included video recording of the workshop, and small group discussions, for which a narrative analysis was utilised. Quantitative data collection included self-report questionnaires to understand current community practices and three key constructs: practitioner knowledge, attitudes, and intentions for future practice.

The study identified key learnings from workshop facilitators and participants. The findings call attention to the importance of a co-design approach, where collaboration is vital to support the appropriate adaption of evidence-based practice to suit the local context.

You can read the abstract here.

FASD graphic produced by the FASD Hub Australia, which distributes information about the disorder online.

This is a graphic produced by the FASD Hub Australia, which distributes information about the disorder online.

NDIS Ready grants now open!

Attention all Aboriginal Community Controlled Organisations! NDIS Ready Indigenous Business Support Funding (IBSF) ACCO grant round applications are NOW OPEN!  

IBSF offers funding to eligible ACCOs to help address: 

  • basic establishment costs, and/or 
  • business and technical challenges in registered and delivering services under the NDIS  

Grants of $20,000 are available for up to 100 ACCHOs and ACCOs.  

For information on the grant and how to apply can be found on the IBSF website. Applications close on Friday 11 June 2021. Please contact the NDIS Ready team at ndisready@naccho.org.au if you have any questions. 

NDIS Ready - Funding Round Open

NDIS Ready Indigenous Business Support Funding ACCO grant round applications are NOW OPEN.

Call for abstracts – now open!

Abstract submissions open for the 6th Ngar-wu Wanyarra Annual Aboriginal and Torres Strait Islander Health Conference, The University of Melbourne, Department of Rural Health.
Abstract submissions should address the conference theme ‘Aboriginal and Torres Strait Islander Health and Wellbeing’.
Abstract submissions close Wednesday 30 June 2021. If you are interested in presenting, please complete the registration here.
Abstract submissions for Ngar-wu Wanyarra Annual Aboriginal and Torres Strait Islander Health Conference are now open.

Abstract submissions for Ngar-wu Wanyarra Annual Aboriginal and Torres Strait Islander Health Conference are now open.

NACCHO Aboriginal Health News: Coalition of Peaks – 2021 National Reconciliation Week Statement

Coalition of Peaks – National Reconciliation Week 2021 Statement

Reconciliation requires action from all Australians! This year’s Reconciliation Week urges the reconciliation movement towards braver and more impactful action.

A reconciled nation is where Aboriginal and Torres Strait Islander peoples have full control over our own destinies; where we live freely and equally, unencumbered by trauma and poor life outcomes; and where there is true recognition of our rights as First Peoples of this land, and our cultures and languages are honoured, protected and flourish.

The historic Partnership and National Agreements on Closing the Gap provide a framework for all governments, policy makers, service delivery organisations and institutions, and all Australians, to take meaningful and impactful action towards reconciliation. They are centred on what Aboriginal and Torres Strait Islander peoples have been saying for decades is needed to achieve equality in life outcomes between our peoples and other Australians, whilst strengthening our right to self-determination and identity as First Nations peoples.

The National Agreement is built around four Priority Reforms that will support lasting change for our peoples. They are: building new partnerships between Aboriginal and Torres Strait Islander communities and organisations and governments to share in decisions that impact on our lives; strengthening the Aboriginal and Torres Strait Islander community-controlled organisations to deliver services and programs to our peoples; transforming government agencies, institutions and organisations to address systemic racism and make them more accountable to our peoples; and improving the sharing of data and information with Aboriginal and Torres Strait Islander organisations so we can make more informed decisions about our future.

The foundations have been set to improve the life outcomes of our peoples. Governments, policy makers, service delivery providers and organisations and all Australians need to transform the way they engage with Aboriginal and Torres Strait Islander peoples centred on the Priority Reforms.

This year’s Reconciliation Week is a chance to take action and do your part to implement the National Agreement on Closing the Gap and the Priority Reforms and contribute to a more reconciled nation!

The Coalition of Peaks challenge every Australian on this Reconciliation journey to action

  • Become familiar and learn about both the Partnership and National Agreements
  • Support their implementation and promote them in your own organisation or business
  • Encourage your community to become involved
  • Talk to governments on how to apply the commitments under the Agreements to communities and organisations across the country
  • Make sure our precious Aboriginal and Torres Strait Islander community-controlled media sector is involved in all communications about the Agreements.

For more info on the Coalition of Peaks and the National Agreement click here.

Mental Health and Suicide Prevention Committee to hear from Gayaa Dhuwi Australia

Today, the first day of National Reconciliation Week, the House Select Committee on Mental Health and Suicide Prevention will hear from Mr Tom Brideson, CEO of Gayaa Dhuwi – Proud Spirit – Australia the National Aboriginal and Torres Strait Islander social and emotional wellbeing, mental health and suicide prevention leadership body.

The theme for National Reconciliation Week 2021, #MoreThanAWord #ReconciliationTakesAction, is fitting as the Committee turns its focus to identifying impactful measures to support mental health reform, suicide prevention, and improved wellbeing.

Chair, Dr Fiona Martin MP, said ‘The Committee looks forward to hearing from Gayaa Dhuwi to develop a better understanding of issues around accessibility to culturally-appropriate mental health services for Aboriginal and Torres Strait Islander communities. The Committee is particularly interested in how the Aboriginal and Torres Strait Islander mental health workforce can be strengthened to meet urban, rural and regional demand.’
Read the media release here.

New COVID-19 vaccine info videos in multiple languages to share

Please find below the list of videos about COVID vaccines made with, and for, NT Aboriginal communities.

Please share with friends and family, your networks and your patients.

NEW: COVID vaccine video info in Warlpiri https://vimeo.com/546459199

Tiwi: COVID vaccine video https://vimeo.com/539397497

Kunwinjku:

VIDEO 1: COVID-19 vaccine Q and A in Kunwinjku: is the vaccine safe? https://vimeo.com/530210584

VIDEO 2: COVID-19 vaccine Q and A in Kunwinjku: will the vaccine make us sick? https://vimeo.com/530555394

VIDEO 3: COVID-19 vaccine Q and A in Kunwinjku: what will happen when I get the vaccine?https://vimeo.com/530227011

Ngangi’kurunggurr: COVID-19 vaccine message https://vimeo.com/530227483

Burarra: Covid-19 vaccine message https://vimeo.com/529881168

Murrinh-patha: Covid-19 vaccine info https://vimeo.com/529069067

Yolngu Matha:

VIDEO 1: Covid-19 vaccine info for Yolŋu: why do we need a vaccine? https://vimeo.com/528170651

VIDEO 2: Covid-19 vaccine info for Yolŋu: What is the vaccine? Is the vaccine safe? https://vimeo.com/528179594

VIDEO 3: Covid-19 vaccine info for Yolŋu: What happens when I get the vaccine? How will I feel after I get the vaccine? https://vimeo.com/528204566

VIDEO 4: Covid-19 vaccine info for Yolŋu: How does the vaccine affect people with chronic conditions? Do pregnant women and children get the vaccine?  https://vimeo.com/528212696

VIDEO 5: If you have questions about the COVID-19 vaccine, ask your AHP, nurse or doctor. Or call the COVID hotline on 1800 020 080 https://vimeo.com/528217170

English:

Charlie King gets jabbed: https://vimeo.com/531059554

COVID-19 vaccine Q and A with Charlie King and Dr Jane Davies https://vimeo.com/528131800

COVID-19 vaccine info from Aunty Bilawara Lee https://vimeo.com/528579786

COVID-19 vaccine info for renal patients. A message by Ingrid Clarke. https://vimeo.com/547294892

Still to come: Arrernte

Updated info: Vaccine storage, dose allocations, transfer of vaccine stock and more

ATAGI/THANZ statement
For your information, ATAGI released a joint statement on Sunday, 23 May with the Thrombosis and Haemostasis Society of Australia and New Zealand (THANZ) on Thrombosis with Thrombocytopenia Syndrome (TTS) and the use of COVID-19 Vaccine AstraZeneca.

The statement reaffirms that for people aged 50 years and over, the expert medical advice is that the benefit of receiving the vaccination outweighs the risk of this rare but serious side-effect.

This statement and a letter from the Chief Medical Officer (CMO) has been distributed to all primary care vaccination providers. We have also attached the talking points that practices have received to support their conversations with patients on the risks and benefits of the AstraZeneca vaccine.

Your assistance in ensuring all general practitioners know and understand the latest advice and in directing any concerns to the available resources is much appreciated.

The, Phase 1B peak comms and following documents provide updated information about vaccine storage period, dose allocations, transfer of vaccine stock, social media posts and tiles, checking patient medical history and updated resources.

These documents are intended to provide you with regular updates and information to assist you with talking points if any questions arise.

For additional talking points or information please contact covidvaccinecomms@health.gov.au

Applications open for Oxfam’s leadership program for First Nations women

Aboriginal and Torres Strait Islander women from across Australia can now apply to participate in a weeklong summit in Canberra to build their political engagement skills to make positive changes in their communities. Part of Oxfam Australia’s Straight Talk program – which is now in its 12th year – the national summit will run from 17-22 October.

The immersive program aims to empower Aboriginal and Torres Strait Islander women to learn more about, and participate in, the political system. Over 10 years, the program has empowered more than 850 First Nations women, by connecting them with Australia’s political system while building their capacity as changemakers. Oxfam’s Straight Talk Coordinator, Worrin Williams, said the program allows women to become comfortable engaging with the federal political system by giving them practical tools, and building connections and confidence.

For more information click here.

RACGP leads in reconciliation ‘we can all work towards’

The theme for the 2021 National Reconciliation Week calls for a reconciliation movement towards a ‘braver and more impactful action’.

Recognised each year as a time for all Australians to learn about shared histories, cultures, and achievements, it is an opportunity to explore how reconciliation can be achieved through this collaboration.

Chair of RACGP Aboriginal and Torres Strait Islander Health Professor Peter O’Mara told newsGP the college has helped to spearhead the reconciliation movement through its Innovate Reconciliation Action Plan (RAP) 2020–22.

‘The RACGP is a leader in the space of reconciliation, and with the direction of our RAP, it gives Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians a further voice to move forward in the right direction and know that it is the right thing,’ he said.

‘Reconciliation is more than a word – it is a powerful action that we can all work towards.’

To mark National Reconciliation Week, the National Aboriginal Community Controlled Health Organisation (NACCHO) is calling on all Australians, governments, and institutions to take continued action and commitment towards reconciliation, and to reflect and communicate about the ways reconciliation can be supported.

‘If we can work together as a nation to address the disparity across different areas, we can deliver on reconciliation outcomes and start closing the gap,’ NACCHO Chair Donnella Mills said.

‘Until Aboriginal and Torres Strait Islander peoples are fully engaged and have control over their health and wellbeing, any “refresh” will be marginal at best and certainly won’t close the gap.’

Read the full story in newsGP here. 

The RACGP has committed to improving the knowledge, skills and abilities required to deliver culturally responsive, inclusive health services.

130,000 Additional Vaccines for Victoria

The Australian Government is releasing an additional 130,000 vaccines to support Victoria to accelerate vaccinations in the state, including in the Whittlesea Local Government Area.

This support will be provided through an immediate release of 40,000 doses this week and an additional 15,000 doses each week for six weeks.

Further, from Monday, the Altona North Commonwealth Vaccination Clinic will commence vaccination with the Pfizer vaccine, this is in addition to the AstraZeneca vaccine they are currently administering.

Read the full media release from the Hon Greg Hunt MP, Minister for Health and Aged care here.

medical tray of COVID-19 vaccine syringes

Image source: Surf Coast Times.

Pandemic communications what we have learnt? 

It’s timely to check out the Croakey – independent, in-depth social journalism for health archive on #HealthCommunications, at a time when there is such an urgent need to improve communications around COVID-19 vaccination.

Read the detailed report and documents by public health experts in Croakey Health Media here.

Overview of Aboriginal and Torres Strait Islander health status 2020 now available

The most recent indicators of the health of Aboriginal and Torres Strait Islander people are documented in the Australian Indigenous Health InfoNet’s authoritative publication, the  Overview of Aboriginal and Torres Strait Islander health status 2020.

As part of the Health InfoNet’s commitment to knowledge exchange, other resources have been produced to access this information including a plain language infographic Summary version of the Overview’s key topics and  PowerPoint slides based on the Summary.

Australian Indigenous HealthInfoNet logo of goanna & Aboriginal dot painting

Caring for Spirit and the Sharing the Wisdom of Our Elders report launch Invite

The Aboriginal Health & Ageing Program at NeuRA would like to invite you to attend the launch of the Caring for Spirit online dementia education and training resources. Caring for Spirit has been co-designed with the Koori Growing Old Well Study, partners and wider networks, with funding support from the Department of Health Dementia and Aged Care Services Fund.

This launch will take place:
On: Wednesday, 16th June 2021
At: Campbelltown Catholic Club (in the Emily room)
20 – 22 Camden Rd,
Campbelltown NSW 2560
From: 10.00am – 2.00pm (Lunch provided)

Please find below the invite to the launch.

You can view the launch via this link.

NACCHO Aboriginal Health News: ACCHOs prepare for COVID-19 vaccine rollout

feature tile text 'ACCHOs prepare for imminent COVID-19 vaccine rollout' photo of COVID-19 vaccine vialst

ACCHOs prepare for COVID-19 vaccine rollout

This morning NACCHO CEO Pat Turner joined a panel on ABC Radio National Breakfast to discuss how preparations are ramping up in earnest for the rollout of the COVID-19 vaccine in Aboriginal and Torres Strait Islander communities. Many will get the jab as part of Phase 1B which begins on Monday 22 March 2021. At the coalface, health organisations are also busy tackling vaccine hesitancy and misinformation.

To listen to the episode click here.ABC RN banner text 'COVID-19 vaccines OurJobToProtectOurMOb NACCHO CEO Patricia Turner Fri 12 March 6–9am, photo of Pat Turner smiling

Yesterday afternoon NACCHO Deputy CEO Dr Dawn Casey also spoke on ABC radio about COVID-19. Along with human rights advocate and lawyer Teela Reid and public health expert Professor Fiona Stanley, Dr Casey spoke with Richard Glover on ABC Radio Sydney program Drive about the Aboriginal and Torres Strait Islander health sector’s successful response to the COVID-19 pandemic. Reference was made to how programs run by Indigenous people work, but programs imposed on communities don’t. Professor Fiona Stanley said there is lots of evidence to show better outcomes are achieved when Aboriginal people control programs, saying “when you give First Nations’ people this power it works every time”.

In terms of ensuring Aboriginal and Torres Strait Islander communities were kept safe from COVID-19, Professor Stanley said local services understand the context in which their people are living, they know who and where their Elders are and are immediately able to implement the best preventative strategies for them. Only 0.1 per 1,000 Aboriginal and Torres Strait Islander people in Australia have contracted COVID-19 compared to 1.1 per 1,000 for non-Indigenous Australians.

To listen to the interview click here.

portrait photos Dr Dawn Casey, Teela Reid, Professor Fiona Stanley

L-R: Dr Dawn Casey (NITV website), Teela Reid (National Indigenous Times), Professor Fiona Stanley (ABC News website).

Truth and justice commission announced

Victoria’s ‘truth-telling’ commission (launched earlier this week) has been owed for 233 years according to Victoria’s Deputy Premier, James Merlino who said “233 years of violence, dispossession and deprivation. 233 years of deliberate silence. We commit to telling the truth. We do so for the kids who never came home – and those who are still finding their way back. For those who were told they were not allowed to speak their own language, practice their own culture, know their own identity. For the families who lost loved ones in the massacres. For those who were made to feel like they didn’t belong to their own country. And for those who still feel this way. Today we commit to telling their truth.”

The Truth and Justice Commission is a shared commitment between the Victorian Government and the First Peoples’ Assembly of Victoria, the state’s first and only democratically-elected body for Aboriginal people. Named after the Wemba Wemba/Wamba Wamba word for ‘truth’, the Yoo-rrook Justice Commission will formally begin its work in the coming months. Held independently from Government, and afforded the full power of a Royal Commission, it will mark the beginning of a conversation long overdue, and a commitment to change.‌ It will compel us to confront what’s come before. To acknowledge that the pain in our past lives on in our present.

To view the First Peoples’ Assembly of Victoria and Victoria State Government joint statement click here and to view a related article in The Age click here.

Ms Atkinson, Ms Williams and Mr Merlino in Coranderrk

Ms Atkinson, Ms Williams and Mr Merlino in Coranderrk for the announcement of the commission. Image source: The Age.

Final Call: COVID-19 in aged care facilities survey

Professor Lyn Gilbert and Adjunct Professor Alan Lilly have been commissioned by the Department of Health to undertake a national review of COVID-19 outbreaks in Australian Residential Aged Care Facilities (RACFs). RACF managers (or equivalent) are invited to complete a short online survey about the facility’s preparation for and, if an outbreak occurred, management of a COVID-19 outbreak.

The data will be collected and analysed by the University of Sydney. Survey responses will remain anonymous and no individual RACF will be identifiable. The feedback and analysis will be an invaluable contribution to the report and recommendations to the Department of Health.

The survey will be closing on 5:00 PM Wednesday 17 March 2021.

If you haven’t completed the survey, please do take the time to share your thoughts and experiences with the review. It only takes 10-15 minutes. and can be accessed by clicking on this link.

Your input is critical to continuous improvement in the management of potential COVID-19 outbreaks in residential care.

elderly Aboriginal man and Aboriginal woman wearing paper party hats sitting at table looking at a mobile phone screen

Image source: Inner Sydney Voice website.

National Preventive Health Strategy coming soon

You have until 19 April 2021 to make submissions on the draft National Preventive Health Strategy. The final document is expected to be launched mid-year.

Croakey journalist Melissa Sweet has written an overview of some of the key issues, including concerns that without proper funding and implementation commitments, the strategy will be “another worthy document which does not advance the health of Australians one iota”. Below is an excerpt from Melissa’s overview:

“OMG. The Federal Health Department has released a publication that finally utters the words so many have been waiting SO long to hear. The draft National Preventive Health Strategy cites a contributor saying that “climate change is likely to be the biggest challenge to health, wellbeing and economic prosperity”. The document goes on to note that human health is dependent on planetary health, and that environmental issues, such as extreme weather events and significant changes in climate systems, have had, and will continue to have, an impact on the health and wellbeing of all Australians.

“This is particularly true for Aboriginal and Torres Strait Islander peoples, who have close cultural, spiritual and social connections to the land. In order to prepare for future challenges and address the health of the planet, the impacts of climate change on physical and mental health need to be understood, especially through a health equity lens,” it says. But don’t get too excited. These words don’t come until page 40 and although climate change is mentioned a number of times throughout the document, the draft strategy does not convey a strong sense of urgency about the climate crisis and how it will undermine all other efforts in health prevention without urgent action.

To view overview in full click here and for further information about the National Preventive Health Strategy and how to make a submission click here.

banner with text National Preventive Health Strategy' vector images of city, wind farm, clouds, park, city, road

Image source: Australian Government Department of Health.

Indigenous kids are losing sleep

New analysis has found that Indigenous Australian children suffer from sleep problems at higher rates than non-Indigenous children. Aboriginal children reported insomnia, severe daytime sleepiness and breathing difficulties while sleeping, researchers say. “Poor sleep can lead to health problems and lower levels of academic achievement,” according to Senior Research Fellow, James Cook University Yaqoot Fatima. “Indigenous children suffer from at higher rates of obesity, diabetes and respiratory problems than non-Indigenous children.” School attendance rates among Indigenous children are 10 per cent lower than non-Indigenous children, she said. “Understanding sleep health is very important,” Dr Fatima said.

To view the article 7 News article in full click here and to view a related article in The Conversation click here.

Aboriginal toddler sleeping with head on carer's shoulder

Image source: CRAICCHS website.

Media invalidates Indigenous experience of racism

Gunditjamara Elder Charmaine Clark has commented on the response by national mainstream media to a report tabled last week by the Victorian anti-vilification protections inquiry. She said “the media completely missed the point and instead we saw sensational headlines of Nazi Swastika banned or Nazi flags banned.” In the course of the Inquiry, Charmaine gave her personal testimony, representing the Victorian Indigenous community. Supported by organisations such as the Victorian Aboriginal Legal Service and Victorian Legal Aid Charmaine’s case mirrored other experiences of racial abuse and indifference that many Indigenous people experience throughout their lifetime.

Charmain said “One of the most persistent aspects of today’s discourse regarding racism in Australia, Charmaine said, is the very denial of its existence. Out of all the most sustained political campaigns operating in Australia, the political project of controlling and diminishing Indigenous human rights and dignity is by far the longest. It has cost us much, in lives and loss of access to country, high incarceration rates and alarming mental health and health statistics.”

“Our media choose to personify racists as those Nazi’s or Proud Boys, with the effect that all other forms of racial vilification are at best of lower importance and at worst – invalidated in the eyes of the public consuming this media. It highlights the systemic nature of how perceptions of racism are controlled, perceived and presented to the general public. This narrow definition of ‘racist’ paints a picture to the public and reduces the impact of our calls for action to address racism we uniquely experience.”

To view the full IndienousX article click here.

Charmaine Clark

Charmaine Clark. Image source: IndigenousX website.

Institutional racism factor in health gap

A new report from the Poche Centre for Indigenous Health has found institutional racism leads to a silencing of Indigenous knowledges, perspectives and cultural practices which are crucial to closing the gap in health for Aboriginal and Torres Strait Islander peoples. Published in Public Health Research and Practice, a peer-reviewed journal of the Sax Institute, the report was authored by several Indigenous leaders and noted the reluctance in health care structures to address systemic and institutional racism against Aboriginal and Torres Strait Islander peoples.

Lead author Dr Carmen Parter is a proud descendent of the Darumbal and Juru clans of the Birra Gubba Nation of Queensland. She also has South Sea Islander heritage and is a Senior Research Fellow at the University of Queensland’s Poche Centre for Indigenous Health. “Our paper gives voice to Indigenous communities who have consistently said that racism is a critical issue in the provision of health care, as is the incorporation of culture into the design of health care services,” said Dr Parter. “When an Aboriginal or Torres Strait Islander person accesses a health care service, there is always a level of mistrust and fear. A lot of people forget that our health system was one of the many institutions involved in the Stolen Generations that took children from their families and communities — which still happens today. Those stories resonate through our communities.” Dr Parter highlights the importance for health care providers in discussing and addressing racism.

To view the Indigenous National Times article in full click here and to view the related SaxInstitute media release Indigenous leaders call for an end to racism in the health system click here.

Dr Carmen Parter Mayi Kuwayu The National Study of Aboriginal & Torres Strait Islander Wellbeing

Image source: Mayi Kuwayu The National Study of Aboriginal & Torres Strait Islander Wellbeing website.

Race conversations program developer recognised

Bundjalung and Kullilli woman Melissa Browning has been recognised at the national HESTA Impact Awards for her contribution to improving health equity for Aboriginal and Torres Strait Islander peoples. The awards are a national celebration of health and community services professionals working to protect the future of the planet and its people.

Browning was a joint winner of the Individual Distinction Award for her work developing and implementing the Courageous Conversations About Race (CCAR) program at the Fold Coast Hospital and Health Service (GCHHS). Having a career in health spanning just short of two decades, Browning is one of the only Aboriginal women at GCHHS who sits in a senior role. She is the current Coordinator for Aboriginal and Torres Strait Islander Health and has held that position for over a decade. Working in the health sector as long as she has, Browning has faced her fair share of adversity.

“I have often been called challenging. I like to reframe that and step away from the angry Blak woman trope,” she said. “I’m not angry, I’m passionate. I do get framed as the challenging Blak woman because I do want to make that change, make that difference for my people.  Aboriginal women are constantly taking the brunt for our community, there are so many inspiring women that have gone before me that have inspired me to keep going in doing what I do. The reason I am doing this is for my people, for the future generations — that is what holds me.”

Browning’s CCAR program originates from the Us but she has worked to contextualise it to an Australian audience. The program aims to talk about racism in a safe space. “Talking about race and racism is always very hard, but I think … to move forward we can’t not have those conversations,” she said.

To view the full article in the National Indigenous Times click here.

Melissa Browning holding HESTA Impact Award

Melissa Browning. Image source: National Indigenous Times.

Tooth decay rates fall

A trial of a children’s dental health program in a remote Queensland Indigenous community showed the value of simple health interventions in promoting overall health in Indigenous communities, researchers said. Dental health is a serious problem for some Indigenous communities, with Indigenous children in rural Australia recording up to three times the rate of tooth decay compared with other Australian children. Associate Professor Ratilal Lalloo from the University of Queensland School of Dentistry led the study to find out what effect a simple intervention could have.

“We wanted to test an intervention to reduce that burden – the idea was to take what we considered the main preventative strategies against tooth decay and see what effect that had on ongoing dental health,” he said. “Primary health care workers such as community nurses and Aboriginal health workers can be trained to do these treatments, making them even more cost-effective.” Dr Lalloo said researchers hoped the findings would lead to evidence-based policies and practices in preventing tooth decay in remote Aboriginal and Torres Strait Islander communities across Australia.

To view the article in the Brisbane Times click here and to view a more detailed article about the research in UQ News click here.

Aboriginal girl holding blue toothbrush to her mouth

Image source: The Conversation.

Shifting Gears Summit

What would our health systems look like if consumers were in the driving seat – if consumer experiences and leadership were enabled to seamlessly transform health and social care to better serve their needs? In Australia we do have successful models that have arisen from genuine consumer co-design, such as the Aboriginal Community Controlled Health Services.

A summit hosted by the Consumer’s Health Forum of Australia next week (17–19 March) starts off by asking speakers and participants why such reform is needed, and goes on to showcase success, and provide inspiration for future efforts. This is a virtual event with an international cast of speakers and participants.

It’s not too late to register for the Summit (and/or one of the two pre-summit masterclasses).

To join the event, register here, banner text 'CHF Summit 2021 Shifting Gears 18–19 March 2021', orange and purple for cogs with vector medical images

COVID-19 vaccine rollout in Qld Q&A

Health Consumers Qld is hosting a panel of Aboriginal and Torres Strait Islander health leaders, including Ms Haylene Grogan, Dr Mark Wenitong, Associate Professor James Ward and Associate Professor Margie Danchin to answer questions from the community about the COVID-19 vaccine rollout.

Aboriginal and Torres Strait Islander health consumers from across Queensland are invited to attend another Q&A session.

The Q&A session will take place from 9:30–11:00 AM on Monday 29 March 2021 by Zoom videoconference and “watch parties”. We hope that groups of people may come together to join the on-line session so those without internet access and those who would prefer to be in a group, can come together for a “watch party” .

To register click here.banner text 'COVID-19 vaccine rollout in Queensland Your Questions Answered for Aboriginal Torres Strait Islander People Session 2 - Health Consumers Queensland, Queensland Government'

NACCHO Aboriginal Health News: power of male role models confirmed

feature tile text 'power of male role models for Aboriginal children' silhouette of 3 Aboriginal men against sunset

Power of male role models

Almost 10 years ago, the Fathering Project was founded with the aim of delivering resources, programs and events to inspire and equip fathers and father-figures to engage with the children in their lives in a positive manner. Now through a collaboration between a number of researchers, the Fathering Project has asked Noongar men to explain what quop maaman (good men) looks like to them. The outcome was a workshop and video series that will introduce the program to boys and young men on Country with a focus on key Noongar concept and themes.

Professor Collard, a Whadjuk Nyungar Elder and the lead researcher behind the Aboriginal father’s program, said one of the key points in the discussion was that the fathering role model looked different to the Noongar men’s counterparts. He said while the western world may focus on the biological father being one of the primary caregivers, it wasn’t necessarily the same sentiment in the Noongar men’s discussions. The Fathering Project CEO Kati Gapaillard said “the research is profound, showing that increased father involvement in the lives of children creates many positive outcomes.”

To view the full article in the National Indigenous Times click here.

Aboriginal man with arms around three young children, two boys & a girl

Image source: Mallee District Aboriginal Services website.

Vaccines welcome, still need COVID-safe practices

Expert health and medical science leaders welcome the COVID-19 vaccine roll-out, but caution that the vaccines alone are not enough. The COVID-19 vaccination roll-out is a major development for Australia. It will enable people to take action that will help to protect themselves, their families and the wider community from a disease that has killed millions of people and impacted everyone, says the country’s expert body in the health and medical sciences. The Australian Academy of Health and Medical Sciences (AAHMS) is an independent body comprising more than 400 senior researchers and health leaders. It has been active in monitoring and guiding the nation’s pandemic response.

To view the AAHMS media release click here.

Also, you can access a community engagement kit (developed by the Australian Government Department of Health in collaboration with NACCHO) with information on what the Government is doing to deliver COVID-19 vaccines by clicking here and resources about keeping our mob safe here.

image of 3 DoH Aboriginal specific stay covid-19 safe brochures, the first with text 'keep the germs away, keep hands clean' & line drawing of hands being washed

Image source: Australian Government Department of Health website.

Standalone family court system abolished

The passing of legislation earlier this week to merge the Family Court with the Federal Circuit Court will place survivors of domestic and family violence at greater risk according to more than 155 stakeholders in Australia’s family law system who have signed an open letter to the Attorney-General opposing the merge.

The Law Council of Australia, Women’s Legal Services Australia, Community Legal Centres Australia and the National Aboriginal and Torres Strait Islander Legal Services (NATSILS) are among the stakeholders who have consistently opposed the Government’s bill to abolish the specialist, stand-alone Family Court out of concern it will harm, not help, Australian families and children.

NATSILS Co-Chair Priscilla Atkins voiced her concerns for First Nations people, saying the merger means the loss of the standalone, specialist, superior Family Court and this will disproportionately impact the most vulnerable including Aboriginal and Torres Strait Islander children.

To view the National Indigenous Times article click here.

lettering on marble outside Family Court of Australia

Image source: Crikey website.

ACTCOSS supports systemic racism investigation

The ACT Council of Social Service (ACTCOSS) has welcomed the appointment of Ms Christine Nixon as chair of the new Oversight Committee to develop a blueprint for change for the Alexander Maconochie Centre (AMC) however said that without an inquiry into systemic racism in Canberra’s prison the injustice experienced by Aboriginal and Torres Strait Islander detainees engaged with the justice system would not be resolved.

ACTCOSS CEO, Dr Emma Campbell said: “We are pleased to see that this new Oversight Committee will soon start work to help improve culture and oversee the implementation of recommendations from inquiries and reports, “This oversight group will need to move promptly and comprehensively to rebuild trust. That must include close engagement with the community services sector, particularly Aboriginal community controlled organisations.”

To view the ACTCOSS media release in full click here.

Alexander Moconochie Centre external view building, 3 flag poles & prohibited entry sign

Photo by Karleen Minney. Image source: The Canberra Times.

First Nations’ GP numbers keep growing

The past three years have seen a 55% increase in Aboriginal and Torres Strait Islander students pursuing a career in medicine. In 2020, there were a total of 404 Aboriginal and Torres Strait Islander students – 121 of whom were first year students – enrolled across Australia’s medical schools. That represents 2.7% of all domestic students, and is a substantial increase from 265 in 2014, according to findings from the 2020 General Practice: Health of the Nation report.

Dr Olivia O’Donoghue, RACGP Aboriginal and Torres Strait Islander Health Censor, believes it is the groundwork laid at a secondary education level to build awareness and encouragement that has helped lead to the increase, ‘There is a greater engagement of universities with high schools to recruit into health-related degrees and improvements in entry pathways to ensure university readiness for Aboriginal and Torres Strait Islander students – one of the barriers for [this population] undertaking any university degree.’

To view the full RACGP newsGP article click here.

Aboriginal medical student with stethoscope against young Aboriginal woman's chest

James Cook University General Practice Training. Image source: RACGP newsGP.

More pressure on Woolies over NT grog shop

Aboriginal and Torres Strait Islander and non-Indigenous community and health leaders have called on Reconciliation Australia to revoke its endorsement of Woolworths’ Reconciliation Action Plan, as it did with Rio Tinto’s in the wake of the mining giant’s destruction of Juukan Gorge.

The signatories include many leading Indigenous health experts, including National Aboriginal Community Controlled Health Organisation (NACCHO) CEO Pat Turner, Indigenous Allied Health Australia (IAHA) CEO Donna Murray, Lowitja Institute chair Pat Anderson, Aboriginal Medical Service Alliance of the NT (AMSANT) CEO John Paterson, Danila Dilba CEO Olga Havnen, and former 60 Minutes journalist Jeff McMullen.

They say Woolworths should, like Rio Tinto, be held accountable for its relentless fight to build what will be one of Australia’s largest alcohol stores near three dry Aboriginal communities in Darwin, despite strong opposition from Aboriginal and Torres Strait Islander community and health organisations, “and in the full knowledge that this store will increase alcohol harm”.

To view the full article in Croaky click here.

silhouette of a spirits bottle over a list of the signatories to Reconciliation Australia to ct ties with Woolworths over Darwin bottle shop proposal

Signatories to the letter to Reconciliation Australia. Image source: Croakey.

Loneliness epidemic goes on unnoticed

A report on loneliness, an issue which clouds the lives of many Australians and exposes them to increased risk of depression and other illness, has called for a national plan of action to address the often unrecognised condition. 15% of Australians were considered to be experiencing high levels of loneliness, according to a 2019 survey, yet there remain significant gaps in knowledge and community awareness of the extent and impact, the report finds. That survey finding is reported in the Loneliness Thought Leadership Roundtable Report produced by an expert roundtable established by the Consumers Health Forum in partnership with the Medibank Better Health Foundation. This report builds on the Ending Loneliness Together in Australia White Paper published in late 2020 by the Ending Loneliness Together coalition.

To view the Consumers Health Forum of Australia’s media release in full click here.

young Aboriginal man sitting against wall with head down, arms folded, blue hoodie & jeans

Image source: myDr.com.au.

Youth representatives sought for HealthInfoNet Board 

The Australian Indigenous HealthInfoNet which undertakes knowledge exchange research activities to summarise, synthesise and analyse the available research and other information and make it available to the health sector workforce in ways that are timely, accessible and relevant, is seeking expressions of interest from young Aboriginal and Torres Strait Islander people (aged 18–25 years) to join its national Advisory Board. The Advisory Board provides strategic advice and guidance to the HealthInfoNet‘s Director to ensure that it continues to provide support to the Aboriginal and Torres Strait Islander health sector workforce.

Youth representatives will provide important feedback from a young person’s perspective to guide the strategic and operational activities of the HealthInfoNet. The youth representatives will join the Advisory Board of senior Aboriginal and Torres Strait Islander health experts and other health experts from throughout Australia.

For further information click here. BE QUICK as applications close Friday 26 February.Australian Indigenous HealthInfoNet logo of goanna & Aboriginal dot painting

Settler colonials face family histories

There is a quiet movement among settler colonials in Australia to critically examine their family histories as a way of re-examining the impact of centuries of dispossession of Indigenous peoples and enabling a shift from celebratory tropes of benign settlement to deep considerations of legitimacy. The myth of great white men and women, bravely opening new worlds and taming the wilderness, including the “savage” Indigenes, is now being challenged by a search for the truth.

Working alongside Aboriginal people, documenting their stories of dispossession and survival, Australian writer and academic, David Denborough,  was challenged by Jane Lester, a Yangkunytjatjara/Antikirinya woman, to find his ancestors. Now, 20 years later, he has written a book about how the relationships between his ancestors and Aboriginal people were marked by colonisation, racism and often inhumane treatment.

Denborough is determined to tell the truth as part of his healing journey and his close relationship with Aboriginal people. He has realised  “there is no sense in moral superiority towards my ancestry because colonial violence in this country has not ended; no place for hopelessness because First Nations resistance has never wavered; and, no time for paralysing shame because invitations to partnerships are still being offered by Aboriginal people … and [there is] so much to be done.”

To view the full article click here.

Tom and Jane Teniswood holding 'Private Forest Reserve' sign on a tree trunk

Tom and Jane Teniswood have returned half of their 220-acre property in Tasmania to the local Aboriginal community. Image source: The Conversation.

Doctor shortage in rural & regional areas

In a recent interview The Hon Mark Coulton MP, Minister for Regional Health, Regional Communications and Local Government was asked about RACGP figures suggesting a decline in doctors electing for GP training and choosing specialties instead and whether more incentives need to be in place to fill more GP training roles. Minister Coulton said “what we’ve seen here in the bush is a symptom of a larger problem. And that is as we speak this year, there’s 30% vacancy in funded training places for GPs across Australia. We need to lift the value of general practice as a discipline.

We’re also training generalists, which is proving to be very popular with students coming through. So, doctors that have that broader range of skills, a GP with an emergency skill, obstetric skill, that would be of use when you’re working more remotely by yourself. And so, we’re looking at a whole range of issues going right back to the training through the students, working with the colleges, right through workforce issues and incentives, putting more students from country areas into training.”

To view the full transcript of the interview click here.

overlapped image of health professional torso with stethoscope holding hand of person against red dusty grasslands

Image source: National Rural Health Alliance Partyline website.

Teal Ribbon Day – raising ovarian cancer awareness

Aboriginal and Torres Strait Islander women have a different pattern of gynaecological cancer incidence and mortality compared to non-Indigenous women. Aboriginal and Torres Strait Islander women are 2.5 times more likely to be diagnosed with, and 3.8 times more likely to die from cervical cancer, and are also 1.8 times more likely to be diagnosed with, and 2.2 times more likely to die from endometrial cancer. Cancer Australia have produced a handbook for Health Workers and Health Practitioners to help provide information and support to Aboriginal and Torres Strait Islander women with gynaecological cancers which can be accessed here.

Annually on the last Wednesday in February, Ovarian Cancer Australia hold Teal Ribbon Day. This is a day to support Australians affected by ovarian cancer, honour those  lost and raise awareness of this deadly disease to change the story for future generations. To access the Ovarian Cancer Australia website click here.

photo of teal ribbon for Teal Ribbon Day

Image source: Ovarian Cancer Australia website.

NSW – Batemans Bay, Bega & Narooma – Katungul Aboriginal Corporation Regional Health & Community Services

Practice Nurses x 1 PT – Batemans Bay

Casual Practice Nurses x 1 or more – Batemans Bay, Bega & Narooma

Katungul is a not for profit organisation providing culturally attuned, integrated health and community services on the Far South Coast of NSW. Katungul provides a broad range of services including: Primary Health Care; Child and Maternal Health; Oral Health; Mental Health; Emotional Health; Alcohol and Drug Services; NDIS and Integrated Team Care (ITC).

The Practice Nurse is responsible for ensuring that high quality health care services are provided to Katungul clients attending the clinic and associated outreach venues. This role includes oversight of all clinical operations based at the branch including risk management, planning, reporting, and management of a multidisciplinary team.

To view position description and to apply click here. Applications close 5:00 PM Tuesday 9 March 2021.Katungul ACCHO logo black duck flying across curved Aboriginal brown yellow black art, inside ochre circle with golden yellow fill, silhouette of man, woman, girl & boy at bottom of the circle, text 'Health Care for Aboriginal & Torres Strait Islander Communities

NACCHO Aboriginal Health News: Moving from Safe to Brave Reconciliation report

feature tile text 'Moving from Safe to Brave - 2021 State of Reconciliation in Australia Report' Aboriginal flag & Australian flag blurred by person walking at right hand side of Aboriginal flag & left hand side of Australian flag

Moving from Safe to Brave Reconciliation report

In 2016 The first State of Reconciliation in Australia Report was produced by Reconciliation Australia in 2016 to mark 25 years of a formal reconciliation process in Australia, through both the Council for Aboriginal Reconciliation and Reconciliation Australia. The 2021 report is the second such report and reflects on where we have come from, where we are today, where we need to get to, and how we can get there.

While we recognise the decades of dedication to the reconciliation process, Australians needs to move from ‘safe’ to ‘brave’ in order to realise the promise of reconciliation, a new report says. The 2021 State of Reconciliation in Australia Report assesses the current status of reconciliation and outlines some practical actions that need to be taken if we are to continue to progress the reconciliation process. Reconciliation Australia, CEO Karen Mundine says the report shows the reconciliation movement is at a tipping point. “While we see greater support for reconciliation from the Australian people than ever before, we must be more determined than ever if we are to achieve the goals of the movement — a just, equitable, and reconciled Australia. There is a far greater awareness of the complexity and magnitude of First Nations cultures and knowledges, and many more Australians now understand and acknowledge the impacts that British colonialism and the modern Australian state have had on First Nations families and communities. Reconciliation must be more than raising awareness and knowledge. The skills and knowledge gained must now motivate us to braver action. Actions must involve truth-telling, and actively addressing issues of inequality, systemic racism and instances where the rights of Aboriginal and Torres Strait Islander peoples are ignored, denied or reduced.

The State of Reconciliation report’s focus of moving from safe to brave is supported by the year’s theme, “More than a word. Reconciliation takes Action” which urges the reconciliation movement towards braver and more impactful action.

To view Reconciliation Australia’s media release in regarding the launch of the report click here, to access a summary report click here and to view the full report click here.
cover of the Reconciliation Australia 2021 State of Reconciliation in Australia Report - Moving From Safe to Brave text against dark red band, top & bottom of cover yellow, pale orange white Aboriginal painting

Plan to slash eyesight-saving surgery wait lists

Extended waiting lists for routine yet potentially eyesight-saving cataract surgery could be slashed under a plan proposed by the eye health and vision care sector in a submission to the 2021–22 Federal Budget. The Vison 2020 Australia submission calls for expanded delivery of public cataract surgery, along with the development and roll out of innovative and sustainable service models and national protocols to support enhanced access to cataract surgery for Aboriginal and Torres Strait Islander people. The submission also proposes improving access to local eye care for Aboriginal and Torres Strait Islander people by rolling out local case management and supporting community designed and led eye care models.

The full submission can be accessed here and Vision 2020’s media release regarding the submission is available here.

close up of doctor's gloved hands conducting eye surgery

Image source: The Medical Journal of Australia.

Health services needed for iSISTAQUIT project

iSISTAQUIT training aims to train health providers in culturally appropriate smoking cessation techniques through self-paced online modules and a range of other resources. The main aim is to make health providers confident in delivering smoking cessation interventions to pregnant Aboriginal and Torres Strait Islander women. To achieve this the iSISTAQUIT team is currently actively looking to recruit Aboriginal and mainstream health services in their iSISTAQUIT project. You are invited to consider participating in the iSISTAQUIT project, with an informational webinar on Thursday 11 February at 11:00 am to help you get started.

For further information about the ISISTAQUIT project and webinar click here.

torso of sitting Aboriginal woman in grey sweet pants & white t-shirt breaking a cigarette in half

Image source: The Queensland Times.

Exemption policy impacts across generations

A new book titled Black, White and Exempt: Aboriginal and Torres Strait Islander lives under exemption presents the untold story of Aboriginal exemption; a policy imposed by state governments on Aboriginal people during the twentieth century. Exemption certificates promised Aboriginal people access to the benefits of Australian citizenship that Aboriginal status denied them, including access to education, health services, housing and employment. In exchange, exempted individuals were required to relinquish their language, identity and ties to kin.

Australian Institute of Aboriginal and Torres Strait Island Studies CEO, Craig Ritchie said “the traumatic and complex impacts of this policy [including mental illness] across generations is little understood.”

To view the article in full click here.

photo of Aboriginal woman Daisy Smith with her daughter Valma, circa 1950

Daisy Smith with her daughter Valma, circa 1950. Image source: La Trobe University website.

WA ACCO consortium leads homelessness project

There is an over representation of Aboriginal people among those experiencing homelessness. The WA McGowan Government has awarded $6.8 million 5-year contract to Noongar Mia Mia Pty Ltd who will lead an ACCO partnership with Wungening Aboriginal Corporation and Ngalla Maya Aboriginal Corporation to provide culturally appropriate assertive outreach, case management and after-hours support for individuals and families sleeping rough across the Perth metropolitan area. The new service will link people who are sleeping rough with appropriate wraparound support services, including accommodation, employment, health, mental health, financial management, and social support. ACCOs have been recognised as having the cultural authority to deliver effective services within Aboriginal communities.

To view the Government of WA media statement click here.

Two homeless Aboriginal men in front of a makeshift tent in Perth

Two men in front of a tent in Perth. Photograph: Jesse Noakes. Image source: The Guardian.

Darwin Dan Murphy’s fight continues

Medical leaders are pushing ahead in their fight against plans to build a Dan Murphy’s near three Indigenous communities as they call for an urgent meeting with Woolworths’ bosses. Construction on the alcohol megastore in Darwin’s airport precinct is due to start in May after the NT Government gave it the green light in December last year. Aboriginal Medical Services Alliance Northern Territory (AMSANT) are demanding a meeting with the Woolworths’ board and chairman.

AMSANT CEO John Paterson says the health service deals with alcohol-related incidents every week, and he fears it will worsen if the store goes ahead, “Spanning from violence, deaths, car accidents, you name it, it’s happening as a result of large consumption of alcohol here in Darwin and surrounding suburbs. Our position is quite clear, we do not want the build of a super liquor outlet store in Darwin…full stop.”

To view the Hot100FM news item click here.

Dan Murphy's mega store internal image

Image source: Hot100FM website.

Cherbourg positive parenting program

Cherbourg parents and care-givers have been invited to take part in a free “positive parenting” program which aims to build on the strengths and resilience of the community. For the past two years Darling Downs Health, via Cherbourg Health Service, has been working with CRAICCHS and the University of Queensland to roll out Indigenous Positive Parenting Programs (Triple P) in the community. The programs are known collectively as “D’arin Djanum”, which means “strong together” in Wakka Wakka.

Clinical psychologist Arvind Ponnapalli, co-ordinator of the project, said it aimed to provide positive support for parents and families. “The D’arin Djanum project rests on the proven fact that ‘strong together’ families can create a strong foundation for children, support their growth and development, guide them through challenges of life, and teach positive cultural values,” Mr Ponnapalli said. “According to a recent independent report by the Murdoch Children’s Research Institute, Triple P is one of only two programs given a ‘very high’ evidence rating in an international review of 26 parenting interventions designed to prevent or reduce the negative impact of adverse childhood experiences.”

To view the full southburnett.com.au article click here.

Clinical Psychologist Arvind Ponnapalli, Cherbourg Qld, in CRAICCHS logo business shirt standing against Aboriginal art

Clinical Psychologist Arvind Ponnapalli, Cherbourg, Queensland. Image source: southburneett.com.au.

Halfway housing for people leaving prison

The Foundation for Indigenous Sustainable Health (an Australian non-for-profit) is set to build a social, justice, training and agricultural enterprise, incorporating halfway housing for Indigenous people leaving prison at Myalup, 90 minutes south of Perth. Designs are out for public comment regarding the proposed $15 million development Myalup Karla Waanginy – meaning ‘meeting place for different people to come together and yarn around the fire’.

FISH and a team of Aboriginal advisers considered all states for the prototype, but chose WA in part because of its standout Indigenous incarceration rate. The site will house 45 residents at a time, each staying six months, but will also support people after they move on into the community. The program will last 18 months with 180 participants at a time. The wellbeing building will operate like a small campus where participants and staff will work and do counselling, art therapy, education, training and medical checks.

To view the full article in WAtoday click here.

artist's impression of WA Myalup Karla Waanginy

Artist’s impression of Myalup Karla Waanginy complex. Image source: WAtoday website.

Bathurst educator wins Dreamtime Award

Kerrie Kennedy, Senior Educator from Goodstart Early Learning Bathurst is the proud winner of the Awabakal Excellence in Education Award at the Dreamtime Awards. In its fourth year the National Dreamtime Awards has grown to be the biggest and best celebration in the country recognising Indigenous excellence in the categories of Sport, Arts, Education, Health and Community.

Kerrie was nominated for her excellence in education in early childhood. Kerrie said winning the award was a huge honour and paid tribute to her own parents for their commitment to her education, “My mum and dad always told us how important our education was and instilled in us the importance of education for all children. I have helped to establish a Bush Kindy Program in Bathurst, making connections within the local Aboriginal Community, and connecting back to Country. I believe the most important learning and development in anyone’s life happens in high quality early learning centres like ours.”

To view the article in full click here.

three girls with teacher on mat in Goodstart Early Learning Bathurst, Aboriginal flags & images in background

Goodstart Early Learning Bathurst. Image source: Toddle website.

COVID-19 Advisory Group communique

The Australian Government’s Aboriginal and Torres Strait Islander Advisory Group on COVID-19 (the Taskforce) have released a new communique, advising vaccination will be free and a staged rollout is expected to start in February 2021 for people at high risk of infection such as frontline healthcare workers, with vaccination of other population groups to follow.

The Taskforce noted the overarching Australian Government approach to prioritisation has been guided by medical and technical experts. The Australian Technical Advisory Group on Immunisation (ATAGI) acknowledged that Aboriginal and Torres Strait Islander people have an increased risk of getting and developing serious illness from COVID-19 due to multiple factors, including having a high rate of chronic health conditions and a greater chance of living in communities where crowded living conditions exist.

To access the communique click here.

3D painting of creased Aboriginal flag with covid-19 cell image in flames superimposed

Image source: The Medical Journal of Australia.

Sport linked to better academic performance

Greater sports participation among Aboriginal and Torres Strait Islander children is linked with better academic performance, according to new research from the University of SA. Conducted in partnership with the University of Sydney and the University of Technology Sydney, the world-first study found that Aboriginal and Torres Strait Islander children who played organised sports every year over four years, had numeracy skills which were advanced by seven months, compared to children who did less sport.

The study used data from four successive waves of Australian’s Longitudinal Study of Indigenous Children, following 303 students (with a baseline age of 5–6 years old) to assess cumulative sports participation against academic performance in standardised NAPLAN and PAT outcomes. Sports participation has been linked with better cognitive function and memory in many child populations, but this is the first study to confirm the beneficial association between ongoing involvement in sport and academic performance among Aboriginal and Torres Strait Islander children.

Lead researcher, Dr Dot Dumuid, says the study highlights the importance of sports as a strategy to help close the gap* for Australia’s First Nations peoples.

To view the University of SA’s media release click here.

group of Aboriginal boys on red dust landscape - Yuendumu footballer Messiah Brown (centre) is sheperded by Jerome Dickson as Ezekial Egan (stripy shirt) and Riley White try to tackle him

Yuendumu footballer Messiah Brown (centre) is shepherded by Jerome Dickson as Ezekial Egan (stripy shirt) and Riley White try to tackle him. Photograph: Steve Strike. Image source: The Australian.

Suicide data release to aid prevention

Victoria’s Coroners Court will release annual statistics on Indigenous suicide rates to help prevention organisations better target programs to reduce the numbers. A new report has found that suicide rates among Aboriginal and Torres Strait Islander Victorians are double that among the non-Indigenous population. State Coroner Judge John Cain says the ongoing discrepancy in Indigenous suicide frequencies is worrying.

The Coroners Court established a Koori Engagement Unit two years ago to help tackle the disparity. Unit manager Troy Williamson said the release of a new full-year data in a report to be released each January came in response to requests for more data from Indigenous-led suicide prevention sector and the community. “In 2020, Victoria had one of the country’s highest suicide rates among Aboriginal and Torres Strait Islander people,” he said. “Our communities have requested more public data to put agency back in their hands and guide culturally safe response to Aboriginal health and wellbeing.”

To view The Young Witness article in full click here.

blue sign outside Coroners Court of Victoria, text Coroners Court of Victoria, state government emblem & the word courtrooms

The Coroners Court set up a Koori Engagement Unit to tackle the frequency of Indigenous suicide. Image source: The Young Witness News website.

Indigenous Governance award nominations open 

Dr Joe Tighe from the Australian Human Rights Commission has commented that unless you have the patience of the Dalai Lama (who had the option of going into exile) – work in Aboriginal and Torres Strait Islander health equity can feel like a very slow, frustrating and painful burn for many advocates. This is one reason why Joe thinks it is so important to recognise and acknowledge successes, the little or big wins, at every opportunity.

When Dr Tighe said that when governments allowed us to dance, these wins sometimes meant a well-deserved night out for an awards ceremony. Acknowledgment of the wins provides a breather and helps to restore some energy. It also reminds governments (again) – that Indigenous health in Indigenous hands is the most effective approach.

Joe encourages you to take the time to nominate the many warriors and success stories for Reconciliation Australia’s Indigenous Governance Awards. It’s a fantastic opportunity for Indigenous organisations to have their governance recognised.

For further information about the Indigenous Governance Awards 2021 and the process for nominations click here.banner text 'Indigenous Governance Awards 2021' right hand side red, yellow, grey Aboriginal irregular dot images - 7 in total

Current tests fail to identify LGA babies

Following a large international study on Hyperglycaemia and Adverse Pregnancy Outcome (HAPO), diagnostic criteria for gestational diabetes mellitus (GDM) were changed in WA in 2015. The ORCHID Study (Optimisation of Rural Clinical and Haematological Indicators of Diabetes in pregnancy) is a collaboration between the Rural Clinical School of WA (RCSWA), Kimberley Aboriginal Medical Services and WA Country Health Services. It was designed to help simplify screening for GDM in rural and remote WA. The study’s first paper showed it can be difficult to get everyone to do this test, while the second paper showed two-thirds of women with GDM who do the test are missed due to blood glucose sample instability. A further component of the study (funded by Diabetes Research WA) is still collecting data for the revalidation of glycated haemoglobin (HbA1c) and glycated albumin as an alternative to OGTT for GDM screening at 24–28 weeks gestation.

To view a plain language summary of the research click here.

sleeping Aboriginal baby in orche coloured blanket in bowl with Aboriginal dot painting & Aboriginal colour headband all sitting in dry grass landscape

Image source: Daily Mail Pics Twitter.

2021 State of Telehealth Summit mental health academy COViU Australia's largest online telehealth conference for mental and allied health professionals banner

2021 State of Telehealth Summit

The use of telehealth consultations in mental health has rapidly expanded in recent months. While this accelerating trend has been ignited by the global COVID-19 pandemic, studies suggest that the shift from in-person care to virtual delivery is here for good. As a mental/allied health professional, how prepared are you to effectively deliver telehealth and take advantage of the latest technologies and opportunities in this field of practice?

To help you answer these questions, Mental Health Academy (Australia’s largest CPD provider for mental health professionals) and COVIU (Australia’s leading telehealth platform) have partnered to deliver the largest ever telehealth-focused online conference, the 2021 State of Telehealth Summit.

Join Australia’s largest online telehealth conference for mental and allied health professionals. It’s entirely free. This ground-breaking event brings together 21 subject-matter experts and 10 hours of learning – all accessible from the comfort of your home. As a participant, you’ll be able to join live webinars, watch session recordings (on-demand, 24/7), and much more.

To register click here.

Digital Health Week 2021 Pushing the Boundaries of Health Care banner, grey, two overlapping white triangles, white text, yellow font '2021' & 'of'

Digital Health Week 2021 from 8–11 February 2021 will be hosted by the University of Sydney and the University of Melbourne. The 2021 Theme is Pushing the Boundaries of Health Care. Check out the fully-online conference program and speakers here and explore the ePoster gallery here –  showcasing the work of digital health researchers from across the world. Have your say and vote for the 2021 ‘People’s Choice’ ePoster. Two optional digital health and data workshops are on offer, each running for three half-days – Data Science for Clinical Applications and Design of Clinical Decision Support Systems (CDSS).

To register for the conference click here.

NACCHO Aboriginal Health News: progressing the Australia Day debate

feature tile, Aboriginal & national flag hanging horizontally, words: Stolen Generations history needed to progress the Australia Day debate

Progressing the Australia Day debate

The Healing Foundation CEO, Fiona Petersen, spoke with Virginia Trioli on ABC Radio Melbourne ‘Mornings’ today about the importance of Stolen Generations history being taught as part of the Australian school curriculum. Fiona said the Healing Foundation encourages school communities to engage with survivors in their local area to learn about not just what happened when they were removed and the follow-on effects of that, but also how they and their families have been overcoming what happened. Fiona agreed that if Stolen Generations history is taught more broadly in schools it is likely to better inform the ongoing conversation about Australia Day.

To view the full transcript of the interview click here.

Aboriginal people with large banner National Day of Mourning 26 January

Image source: Teach Indigenous Knowledge.

COVID-19 patient identification and racism

The Australian Indigenous Doctors’ Association (AIDA) is the peak body representing Aboriginal and Torres Strait Islander medical students and doctors in Australia. During the COVID-19 pandemic, AIDA members witnessed incidents of racism related to patient identification. Patient identification is imperative to providing culturally safe health care to Aboriginal and Torres Strait Islander patients. In one instance, a patient who identified as Aboriginal was denied testing for COVID-19. The justification for this denial was that priority testing would only be offered to “real Aborigines”. Incidents like these highlight the need to improve the cultural safety of all healthcare workers and that increasing community education about why asking all patients whether they identify as being of Aboriginal and Torres Strait Islander origin is vital.

AIDA advocates for best practice in patient identification to support the development of policies and services related to the health of Aboriginal and Torres Strait Islander people. Culturally safe practice begins with sensitively, correctly, and regularly asking the identification question at the admission of care. Addressing under-identification includes asking all patients the identity question and recording responses accurately as one of several best practice principles.

To view AIDA’s position paper on patient identification click here.

desktop resource used as a prompt to 'asking the question' "are you of Aboriginal or Torres Strait Islander origin?"

Desktop resource to prompt ‘asking the question’. Image source: The University of Melbourne.

Measuring self-reported racism in healthcare

Racism is a fundamental cause of ill health and health inequities globally. Aboriginal and Torres Strait Islander stakeholders have identified as a high priority, research on the experiences of discrimination, overall and specifically within healthcare. Regardless of the measure used, there is consistent evidence of high exposure to discrimination in this population. High quality measurement of experiences of discrimination is therefore essential to underpin action to improve health and reduce inequities.

A recent article in the International Journal for Equity in Health, Developing and validating measures of self-reported everyday and healthcare discrimination for Aboriginal and Torres Strait Islander adults looks at instruments to capture Aboriginal and Torres Strait Islander peoples’ experiences of interpersonal discrimination. The instruments can be used to enable valid measurement of discrimination’s prevalence, in order to identify priority targets for action, quantify discrimination’s contribution to health and health inequities, monitor trends, and evaluate interventions.

To view the paper in full click here.

Image source: The Royal Melbourne Hospital website.

Confronting Australia’s collective racism

In health, ‘bravery’ is something that is typically used about patients. Children (and sometimes adults) are asked to be ‘brave’ when they receive a vaccination. People are often called brave for sharing stories of mental illness to destigmatise it. Sometimes, just seeing a health professional is brave, if the issue is very personal or potentially embarrassing.

However, bravery has now been used about health professionals and policymakers in the 2021 State of Reconciliation in Australia Report: Moving from Safe to Brave. This is the second report (the first being in 2016) outlining where Australia is at with reconciliation between Aboriginal and Torres Strait Islander people and other Australians. The report is based on interviews with leaders of national Aboriginal and Torres Strait Islander organisations, leaders of relevant non-Indigenous organisations, corporate leaders and Reconciliation Action Plan (RAP) partners.

To view the Croakey article in full click here.

street march, lady with flag Aboriginal colours, words no room for racism inside yellow map of Aust, against black top and red lower half of flag, young Aboriginal girl with drum

Image source: The Conversation.

Australia slammed for age of criminal responsibility 

Australia was slammed over its treatment and acknowledgment of First Nations people at the United Nations last week. More than 30 nations – including Canada, France, Germany, Italy, Poland and Mexico – called on Australia to raise the age of criminal responsibility from 10 to 14, in line with the recommendations from the United Nations Committee on the Rights of the Child.

Nolan Hunter, Amnesty International Australia Indigenous Rights Lead, told NITV News that policies around Australia’s age of criminal responsibility were “outdated” and a “legacy of Colonialism”. “What’s more worrying is to allow it to continue and the acceptance of this where kids as young as 10 years old are being thrown in jail,” he said. “The culture of the community in Australia and more so the government is the attitude that there isn’t a problem or to recognise this as a serious issue.”

To view the article in full click here.

black & white spray paint image of Aboriginal child on brick wall with white bars across image representing imprisonment

Photo by Chris Devers. Image source: New Matilda website.

Mobilising a COVID-19 vaccine workforce

The Australian Government is preparing for the COVID-19 vaccine rollout by securing an additional vaccine workforce and working to deliver essential training to everyone who will administer the vaccinations. “Australia’s vaccine roll out will be carried out through hospitals, general practices, state and Commonwealth vaccination clinics, Aboriginal Community Controlled Health Organisations and pharmacies. This additional vaccination workforce will help support and supplement existing services and assist in outreach in areas such as aged care and remote and Indigenous communities working with existing providers. Through the Australian Government’s plan, a panel of four providers have been appointed, who will be called upon to provide a vaccine workforce to supplement the existing immunisation workforce for specific populations. The providers are Aspen Medical, Healthcare Australia, International SOS, and Sonic Clinical Services.”

To view the media release in full click here, and to read a related article in the Western Advocate click here.

gloved hand placing cotton wool bud on person's upper arm

Image source: startsat60. website.

Biggest mass vaccination program begins

vaccine Coronavirus production line

Image source: European Pharmaceutical Review website.

GPs united on vaccine rollout

Australian GPs stand united to work with the Government on rolling out COVID-19 vaccines across the community and the nation. The Australian Medical Association (AMA) and the Royal Australian College of General Practitioners (RACGP) have worked collaboratively with Health Minister Greg Hunt over the past weeks to ensure the vaccine rollout is delivered with patient safety as the first priority.

In a joint media release AMA President Dr Omar Khorshid and RACGP President Dr Karen Price said “This is an important moment for the Australian community. We have gone from no coronavirus vaccine a year ago to several vaccines, with the first expected to be rolled out next month. GPs are ready to help vaccinate and protect the community from COVID-19 as soon as vaccines are fully approved for use in Australia, and available for delivery. Vaccinations are also an important opportunity to discuss other health concerns with GPs. This is particularly important at a time when many people have deferred health care due to the pandemic.”

To view the joint AMA and RACGP media release click here.

vaccine lying on top of a mask on at bench

Image source: AMA website.

General practices sought for rollout

The Australian Government is seeking expressions of interest from all accredited general practices to take part in the planned delivery of the COVID-19 vaccine. “General practices will play a key role in the Australian Government’s rollout of COVID-19 vaccines, in what will be one of the greatest logistical exercises, public health or otherwise, in Australian history. Providing access to safe and effective COVID-19 vaccines for everyone in Australia is a key priority for our Government. General practices will help deliver the vaccine initially to priority groups, starting with people over 70, adults with underlying medical conditions and Aboriginal and Torres Strait Islander people in phase 1. Three more phases will follow until the whole country has been offered the vaccine.”

To view Minister Greg Hunt’s media release click here.

doctor's arm taking blood pressure of Aboriginal woman

Image source: Australian GP Alliance website.

Pandemic compounds hardship for PWD

Despite the refrain throughout the COVID-19 pandemic that ‘we are all in this together’, the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability (PWD) last week revealed the many hardships encountered by PWD over the past six months. In his closing remarks, Chair Ronald Sackville AO QC said the hearings had shed a “piercing light” on the impact of the pandemic and associated stringent measures to contain it on PWD.

He said the pandemic had exacted a “terrible”, and largely hidden, toll on people with a disability. We have heard people with disability experiencing the sudden loss of essential support services, an absence of clear and consistent information in accessible form essential to their health and wellbeing; an inability to access health care, personal protective equipment and even the basic necessities of life such as food and medication; we’ve heard of isolation from the community, from friends and family and from social networks; exposure to a heightened risk of domestic violence; stress and anxiety associated with exposure to the virus; inadequate measures for the protection of people with disability, and uncertainty about how to survive in the face of disruptions to care and essential services, sometimes leading to worsening mental health.”

To read the Croakey article in full click here.

wheelchair image overlaid on Aboriginal dot painting

Image source: AbSec website.

Kelvin Kong’s pandemic reflections

In a Q&A, ear, nose and throat specialist Associate Professor Kelvin Kong, a Worimi man, based in Newcastle on the country of the Awabakal people, has reflected upon the upheaval and life-changing lessons of the past several months. “I am so thankful that we have not seen the devastation that we have seen in other First Nation populations across the world. COVID-19 is such a travesty to all of us. But it really highlights the inequities we have as health service providers. We are lucky geographically that we were able to shut down communities so quickly. The Aboriginal leadership across the nation needs far more praise in its ability to get the message across. Messages that communities could relate to and believe was, and continues to be, paramount in the response.”

To read a transcript of the interview click here.

image of Associate Professor Kelvin Kong smiling at the camera in scrubs in operating theatre with two health professionals in the background

Dr Kelvin Kong. Image source: University of Newcastle.

First Aboriginal dermatologist

Dana Slape is Australia’s first Aboriginal dermatologist. Her mission is mentoring students who may have never considered a career in medicine, as well as advocating for more Indigenous leadership throughout our healthcare system. “I think there has been a really longstanding narrative in Australia particularly in the healthcare space that Aboriginal and Torres Strait Islander people are just sick people, and people that are chronically unwell, that are chronically suffering, but the truth of it is that what we have is a system of unconscious and conscious bias that impacts how people are provided care and how they are able to access all of the things that keep us, as a community, well as individuals but also collectively. So when you have people like me and all of the other people that end up working in senior leadership, in hospitals, in clinics, in places where we access healthcare, it starts to tell a different story. You’re deconstructing those unconscious biases around people being always the patient, and never the care provider.”

“My hope is that Aboriginal and Torres Strait Islander specialist numbers increase, because the greater leadership we have that are Aboriginal and Torres Strait Islander people at all layers of the health system and tertiary education system, means that we are opening up doors for people so that those people can go on and be the leaders of the future and provide care to the next generation and that’s extremely important, and I’m thrilled to be a part of that.”

To listen to the ABC interview with Dana Slape click here.

photo of Dana Slape against outback grassland setting

Dr Dana Slape. Image source: The Sydney Morning Herald.

Smoking kills half of those 45+

A study has found smoking kills one in two older Aboriginal and Torres Strait Islander adults, and experts are calling for more funding to boost culturally appropriate smoking cessation services. The report from the Australian National University found smoking caused 37% of deaths at any age in Aboriginal and Torres Strait Islander adults, but that increased to about half of deaths in those aged over 45.

Dr Michelle Bovill, a Wiradjuri woman and an Aboriginal smoking health researcher at the University of Newcastle, found the results were “quite alarming”. “Aboriginal people do want to quit,” she said. “But then people still don’t really know what to do to quit, and we really don’t have enough funding being put into our Aboriginal community controlled health services to provide that support.”

To view the full article in The Sydney Morning Herald click here.

elderly Aboriginal man smoking

Image source: The Conversation.

Pharmacy students inform WRAP toolkit

Delivering effective healthcare requires healthcare professionals to reflect on their own cultural background and their patient’s cultural needs. Culture is a determinant of health and if not considered, negative health outcomes can result. This is of particular importance when working with Aboriginal communities and caring for Aboriginal people whose views have been excluded from healthcare models, funding, and policy. Non-indigenous healthcare professionals, such as pharmacy students, benefit from understanding Aboriginal peoples’ healthcare needs and models of holistic healthcare, as well as reflecting on their own cultures, assumptions, and experiences on placement.

A research article, Pharmacy students’ learnings and reflections to inform the development of the ‘Working Respectfully with Aboriginal Peoples’ (WRAP) Toolkit  explores students’ views to inform the development of a Toolkit to support students’ learning prior to engaging in placements in Aboriginal communities. The study involved collaboration with students, Aboriginal community members, educators experienced in Indigenous health and allied health education.

For further details about the research article click here.

Dr Rallah-Baker checking elderly Aboriginal woman's eyes with torch

Dr Rallah-Baker has called for cultural competency to become standard good practice before health workers are registered. Image source: Michael Amendolia (Fred Hollows Foundation).

SNAICC appoints new CEO

SNAICC – National Voice for Our Children, the national peak body for Aboriginal and Torres Strait Islander children, has announced that Catherine Liddle has been appointed to the position of Chief Executive Officer. Catherine will commence the role on 8 February 2021. An Arrernte/Luritja woman from Central Australia, she comes to SNAICC with a strong background in senior leadership positions with First Nations organisations. “It is with great pleasure that we welcome Catherine to SNAICC,” says Muriel Bamblett, SNAICC Chair. “With her previous leadership roles, combined with her experience on the Coalition of Peaks, Catherine will ensure that SNAICC can continue to strengthen our partnerships with state and federal governments to make sure our children are at the forefront of policies.”

To view SNAICC’s media release click here.

Katherine Liddle standing in front of a tree in bushland holding a twig with leaves, smiling

Catherine Liddle. Image source: radioinfo website.

NACCHO Events Alert #NAIDOCWeek Always Was, Always Will Be: Two Star-studded virtual concerts to celebrate our mobs culture I. #VicNAIDOC2020Concert Archie Roach plus friends 2. @CAAMA Music Paul Ah Chee

“There’s no doubt this has been a tough year, with bushfires and coronavirus taking their toll on Aboriginal communities.”

“NAIDOC Week may be postponed, but we’re still taking the opportunity to maintain community connections and celebrate Aboriginal culture.”

“The event will be more than just good fun – it’s a chance to highlight the talented performers right across the country and provide a lifeline to the struggling arts industry.”

Victorian Minister for Aboriginal Affairs Gabrielle Williams announced a variety performance event will be live streamed on Saturday – what would have been the penultimate day of the landmark week-long celebration.

“This year’s NAIDOC theme – ‘Always Was, Always Will Be’, is particularly apt and relevant in this unprecedented time and the rescheduling is aimed at protecting our Elders and those in our communities with chronic health issues from the disastrous impacts of COVID-19.

We would like to recognise and acknowledge the work of our affiliates and our 143 Aboriginal Community Controlled Health Organisations (ACCHOs) have put in during this pandemic to protect our communities and ensure our culture will live on.”

(NACCHO) Chair Donnella Mills says postponing NAIDOC Week 2020 from July to November this year was a small price to pay for protecting our people and safeguarding our culture.

Read full press release

Join CAAMA Music July 10 for a very special set from Paul Ah Chee – Live from the CAAMA Studio. See Part 2 Below

Part 1

The Victorian Government is putting together a star-studded virtual concert to celebrate Aboriginal and Torres Strait Islander culture following the postponement of NAIDOC Week.

The Vic NAIDOC 2020 Concert: Always Was, Always Will Be

Will be held at Hamer Hall and while closed to the public, Victorians can live stream all the action from 6.30pm AEST on the Victoria Together website and other social platforms

Streaming on Saturday 11 July, 6.30pm
Running time: Approximately 2 hours

The concert will be hosted by comedians Shiralee Hood and Dion Williams and feature artists including Uncle Archie Roach, Troy Cassar-Daley, Allara, Lady Lash and Mau Power.

NAIDOC Week was scheduled to be held from 5 to 12 July this year, but for the first time in its 64-year history, has been postponed due to the coronavirus pandemic.

It is traditionally marked each July to honour and pay tribute to Aboriginal culture, history and achievement, with celebrations held across the country.

It is now expected to be scheduled in November.

The Government is investing $150,000 to hold the virtual concert, with support from the Victorian Aboriginal community and the arts sector, including Arts Centre Melbourne.

Part 2

Join CAAMA Music July 10 for a very special set from Paul Ah Chee – Live from the CAAMA Studio. From this gig you can expect to hear some of his new material from his upcoming solo proejct as well as some stripped back Amunda classics.

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