The Partnership for Justice in Health (P4JH) is working to address racism in the health and justice sectors at individual, institutional and systemic levels, according to its co-chairs, Dr Janine Mohamed, CEO of the Lowitja Institute, and Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP).
Dr Janine Mohamed and Karl Briscoe, both health professionals who have built strong, dedicated careers in Aboriginal and Torres Strait Islander health, healthcare and health research, say what still comes as a shock to many of their non-Indigenous colleagues is that rather than health services being viewed as places of healing and safety, they are too often neither safe nor welcoming for Aboriginal and Torres Strait Islander people and for some they are dangerous and fatal.
“The complicity and failures of the health system and professions to care for us goes back to the early days of colonisation. We saw it in medical experimentation and the lock hospitals, the removal of children from their mothers’ arms by nurses and doctors, and in ongoing, systemic abuse and neglect. In recent years, two names speak loudly to how that experience of unsafe healthcare continues for our people.”
“Ms Dhu, a 22-year-old Yamatji woman who died in custody in WA in 2014 because of “deficient” medical care — with the Coroner finding that both police and hospital staff were influenced by their racial bias. And Naomi Williams, a 27-year-old Wiradjuri woman, who was 22 weeks’ pregnant with a son when she died of septicaemia at Tumut Hospital in NSW in January 2016. The coronial inquiry into Ms Williams’ death found she went to hospital 15 times in the months before she passed away without receiving a referral to an expert, and she should have received further examination on the night she passed away. Both she and Ms Dhu died from preventable causes within racially biased systems.”
To view the full Croakey Health Media article click here.
Dr Janine Mohamed. Image source: Concordia College website. Karl Briscoe. Image source: Croakey Health Media website.
Bendigo men supported by mob
Dedicated to supporting First Nations men in their local community, the Bendigo and District Aboriginal Co-operative (BDAC) provides a variety of services to men in their community, including a healing program which supports men who have used family violence. Beginning with funding from Family Safety Victoria in 2018, the program is titled Merrijig Mooroopook, meaning ‘healthy spirits’, a name gifted by Dja Dja Wurrung Elder Uncle Rick Nelson.
With a therapeutic based approach, the 16-week program acknowledges the effect of colonisation and trauma on Aboriginal men who use family violence. It is facilitated by Yorta Yorta man and social worker Jamaal Cross, and Uruguayan man and Men’s Program Coordinator in BDAC’s Family Safety Team Camilo Demarco. “Our programs are always out on Country, we work with Elders and culture is embedded into everything — we always do things around the fire,” Demarco told NIT. “Jamaal and I share as well; we make sure we take away that hierarchy. We’re just another man in that space sharing our own stuff … we move as far away from that classroom setting as we can because there is trauma from spaces like that.”
Both Cross and Demarco acknowledge the 16-week program is just one part of the healing process. “It’s longer than a regular course, and we acknowledge that this can be a life-long journey. You don’t finish the behaviour change course in 16 weeks and expect a man to be totally different … so it is ongoing,” said Demarco. “The last part of our program is for the men during ceremony with the group, and with an Elder present, to state what changes they want to make in their lives and that gives that accountability.
Large health inequalities between Aboriginal and non-Aboriginal Australians exist with Aboriginal Australians currently four times as likely as non-Aboriginal Australians to have type 2 diabetes (T2D), increasing their risk of lower limb amputation (LLA). There is a geographical variance in the incidence of LLA in Australia; the NT is overrepresented, with rates 2–3 times higher than that of the national average. Regional incidence rates are not currently known.
A study has been conducted reviewing the demographic details of those who have undergone LLA surgery in Central Australia and determining the region-specific age-adjusted incidence rate of LLA. Central Australia appears to have the highest incidence rate of LLA for any region in Australia, with Aboriginal Australians, particularly females and those undergoing renal dialysis, being disproportionately represented. Further studies should aim to determine targeted, culturally safe and successful methods of diabetic foot ulcer prevention, early detection and management with a view to reducing the high amputation rates for these cohorts.
To access the Incidence of lower limb amputation in Central Australia research article click here.
Image source: Disability Support Guide website.
Supporting Victorian Aboriginal communities
The Victorian Government has allocated funding for Aboriginal communities to deliver a range of Aboriginal-led initiatives and programs supporting local communities. Minister for Aboriginal Affairs Gabrielle Williams has announced that 30 Aboriginal organisations will share in $4.6 million through the COVID-19 Aboriginal Community Response and Recovery Fund to deliver 35 local initiatives.
The programs will support locally designed initiatives that provide emergency relief, outreach and brokerage for at-risk groups, cultural strengthening, and social and emotional wellbeing. Recipients include the Dhauward-Wurrung Elderly and Community Health Service who have received $85,000 to provide emergency relief to community members experiencing hardship following the coronavirus pandemic.
The Australian Medical Association (AMA) has welcomed the Federal Government announcement of extra funding for longer GP consultations to inform patients of benefits of vaccination against COVID-19 and assist them in making informed decisions. AMA President Dr Omar Khorshid said the announcement by the Minister for Health, Greg Hunt, would allow GPs to spend more time with patients to ensure that they were aware of all the benefits of a COVID-19 vaccination, and boost confidence in the vaccine.
Dr Khorshid said he had been raising the need for doctors to spend more time with patients with the Prime Minister and the Minister for Health for several months, and was pleased with the Government’s announcement of a new level B equivalent Medicare item that could be used in addition to the standard COVID-19 assessment items for patients who require longer consultations.
To view the AMA’s media release in full click here.
Image source: GP Synergy website.
Corporate Australia must walk the talk
The corporate sector is on notice after a wide-ranging review of Woolworths’ proposal to build a Dan Murphy’s alcohol store in Darwin, commissioned by the company, found it had failed to “adequately consider the issues of social value and legitimacy in the eyes of First Nation’s people”. Among its findings and recommendations, the report called on Woolworths to make sure that future liquor outlet proposals “explicitly consider the social and health impacts on at-risk groups and vulnerable communities” before progressing them. It is noteworthy that the report repeatedly mentions Aboriginal and Torres Strait Islander people as “vulnerable” when this is really a story about the strengths of Aboriginal and Torres Strait Islander organisations, leaders and communities in campaigning successfully against corporate power.
Olga Havnen, CEO of Danila Dilba Health Service in Darwin which had fought the store proposal for five years, said in a statement that the review’s implications went beyond Dan Murphy’s and Darwin. “This is a landmark decision that will have important implications for the liquor industry and corporate Australia, and government,” Havnen said, describing the report as “an excellent case study into the failures of corporate Australia to walk the talk of corporate social responsibility”.
To view the full article in Croakey Health Media click here.
Image source: Croakey.
Deinstitutionalised design for new ACCHO Building
Newman’s Puntukurnu Aboriginal Medical Service healthcare hub has been voted one of the best examples of public architecture in the State at the 2021 WA Architecture Awards this month. NSW-based company Kaunitz Yeung Architecture designed the Newman facility last year with a focus on community ownership and involving local Aboriginal people.
The PAMS healthcare hub was the first primary healthcare facility of any type to be constructed in Newman. Kaunitz Yeung Architecture director and co-founder David Kaunitz said he had called on experience from working with more than 30 Aboriginal communities in building culturally sensitive projects. “What’s most important is that projects like this are well used and well embraced by community,” Mr Kaunitz said.
“We’re dealing with quite traditional Aboriginal communities and it is quite foreboding to go to a health facility. We’re trying to deliver buildings that are deinstitutionalised and really make people feel comfortable going and receiving health care.” Mr Kaunitz said features such as the courtyard, landscaping, rammed earth and the art all play a role in achieving this. “The way the building is planned minimises the internal experience of clients. The waiting room is quite linear, full of glazing and the courtyard serves as a waiting area. The consultation rooms are not far from the waiting area.”
The Poche Centre for Indigenous Health, University of Sydney is hosting a Key Thinkers Forum – Racism in Health. The current models of practice are not working to effectively “Close the Gap”. Despite a growing willingness and need to consider new proposed models of practice, there remains a deep-seated resistance to identifying and addressing institutional and systemic racism and racist attitudes, including unconscious biases held by individuals. How can we get the ‘r’ word on every agenda?
The webinar will be facilitated by Professor Tom Calma AO with panel members including: Carmen Parter, Karen Mundine, Leilani Darwin and Raymond Lovett.
The webinar will be held from 1:00 PM – 3:30 PM AEST on Wednesday 7 July 2021. Register for this FREE event here.
Image source: Crikey.
International Day Against Drug Abuse and Illicit Trafficking
The International Day against Drug Abuse and Illicit Trafficking, or World Drug Day, is marked on 26 June every year, to strengthen action and cooperation in achieving the goal of a world free of drug abuse. This year’s theme is Share Facts On Drugs, Save Lives.
Each year, individuals, entire communities, and various organisations all over the world join in on this global observance, to raise awareness of the major problem that illicit drugs represent for society. Every year, the United Nations Office on Drugs and Crime (UNODC) issues the World Drug Report, full of key statistics and factual data obtained through official sources, a science-based approach and research. UNODC continues to provide facts and practical solutions to address the current world drug problem, and remains committed to attaining a vision of health for all based on science.
COVID-19 has brought unprecedented public awareness on health, protective measures for staying healthy, and most importantly, and on protecting each other. A growing sense of global community and solidarity continues to emerge, as does the need to ensure health care for all. World Drug Day is a day to share research findings, evidence-based data and life-saving facts, and to continue tapping into a shared spirit of solidarity. UNODC invites everyone to do their part, by taking a firm stance against misinformation and unreliable sources, while committing to sharing only the real science-backed data on drugs and save lives.
The National Aboriginal Community Controlled Health Organisation (NACCHO) celebrates Aboriginal and Torres Strait Islander male health and wellbeing. It upholds traditional values of respect for the law, Elders, culture and traditions, responsibility as leaders and men, holders of lore, providers, warriors, and protectors of families. Aboriginal and Torres Strait islander people can be more susceptible to poor mental health and suicide due to discrimination, economic and social disadvantage, and the ongoing trauma or impact of past events and policies. Connecting to land, culture, spirituality, family, and community can help support strong mental health and wellbeing for Aboriginal and Torres Strait Islander people.
NACCHO Chair Donnella Mills said, “The commitment of our Aboriginal Community Controlled Health Organisations (ACCHOs) is to support Aboriginal and Torres Strait Islander males to live longer, healthier lives by providing a wide range of preventative and early intervention men’s programs that address critical social and emotional issues that our men face. “The overall aim is to reduce the rate of hospitalisations, which is almost three times higher than for other Australian men and to reduce the number of Aboriginal men in prison who are imprisoned at 11
times the rate of the general male population. I would urge our Aboriginal and Torres Strait Islander men to focus on their overall health especially after the COVID-19 outbreak and stay up to date with a comprehensive annual 715 health check at their nearest ACCHO. Annual health checks are crucial in picking up little things before they become worse, give peace of mind, best of all, they are free.”
To view the NACCHO media release in full click here.
Feature tile image: Darren Braun. an Aboriginal Health Worker trainee at Danila Dilba in Palmerston, Darwin. Photo: Emilia Terzon. Image source: ABC News.
CAAC Ingkintja Male Health Service
Ingkintja: Wurra apa artwuka pmara is an Aboriginal Male Health Service at the Central Australian Aboriginal Congress (CAAC) that has provided cultural activities and social and emotional wellbeing services for male health for many years. The ACCHO delivers a full suite of medical care complemented by social support services with emphasis on preventative health with annual 715 health check, servicing over 1,000 men every year. The Ingkintja ‘Men’s Shed’ male-only facilities (showers and laundry facilities) and gym enable males, both young and old, to come together and access fitness, comradery and practical life skills. A psychologist and Aboriginal care management worker are available through Ingkintja, allowing therapeutic care on counselling, violence interventions, cultural and social support to men.
Ingkintja also delivers the Jaila Wanti prison to work program, which provides support to Aboriginal prisoners 90 days prior to release and post release to reintegrate back into community through the coordination of health, wellbeing and social support services. Male prison transitional care coordinators work with clients and facilitate linkages with employment and training providers. The team establish trust and respect and assist in reconnecting the men with family and culture, to reintegrate them into the community. Through the program, Ingkintja deliver regular visits to Aboriginal prisoners in the Alice Springs Correctional facility, conducting sessions with Aboriginal prisoners on their holistic health and wellbeing including health promotions with a focus on staying off the smokes and alcohol. Corrections staff have provided encouraging feedback on the positive impact that these visits have on the Aboriginal prisoners, noting changed attitudes and behaviours as the men reflect on the impact of their actions and ask for the next Ingkintja session.
For further information about Ingkintja: Wurra apqa artwuka pmaraclick here.
Image source: CAAC website.
Connecting for Men’s Health
Marginalised groups such as Aboriginal and Torres Strait Islander men have a health status far worse that the average non-Indigenous male.
Men’s Health Week is an opportunity to make a positive difference in the lives of men and boys. The week has a direct focus on the health impacts of men’s and boys’ environments. It serves to ask two questions:
What factors in men’s and boy’s environments contribute to the status of male health as indicated in the table above?
How can we turn that around and create positive environments in men’s and boy’s lives?
For more information about Men’s Health Week 14–20 June 2021click here.
You can access NACCHO’s media statement regarding Men’s Health Week here.
Camping on Country Program
Camping on Country is an award winning program developed by Ernie Dingo and Indigenous elders and staff. It is a remote men’s movement designed to create powerful advocacy around closing the gap on remote men’s health. Camping on Country’s network of men is growing as they camp on country and link men’s groups around remote Australia.
Each month Camping on Country visits a remote community and run men’s health and culture camps which include local Leadership and Lore men for that country. At the camps they provide a space for local leaders to discuss what health issues they face in their community, what programs are working or not working and work with the men to articulate their ideas for health programs targeted at their own men.
Camping on Country run a second bigger camp where the men from neighbouring language groups all come together to showcase their culture and wellbeing programs. The men learn from each other and show pride in their culture and programs. Local health stakeholders and community organisations are engaged and activated and the men are assisted in identifying and applying for a specific health program grant developed by them for local men in their community.
Camping on Country partners with health service providers to ensure its camps are safe, healthy and inspiring. Men get access to on-country culturally safe health checks, counselling and mental health first aid. They employ local men to assist with the camps and collect and collate camp data to track the program’s impact and progress.
You can access an information sheet on the Camping on Country project here and Camping on Country website here.
Image source: Camping on Country our health – our way website.
Medication harm reduction research
The Pharmaceutical Society of Australia (PSA) has welcomed the Federal Government’s announcement of $11.7 million in funding for research into medicines safety and quality use of medicines. The announcement is the first round of grants to be delivered under the Medical Research Future Fund (MRFF), agreed with the Federal Government and PSA last year as part of the Health Minister’s commitment to progress Medicine Safety as a National Health Priority Area. Grants will enable recipients to target medication-related harm and the safe use of medicines in the community. PSA National President, Associate Professor Chris Freeman, applauded the announcement and said research undertaken through this grant funding is an important step to improving the health of Australians through medicine safety.
The Walkern Katatdjin project is looking for people who are committed to improving the health and wellbeing of young Aboriginal and Torres Strait Islander LGBTQA+ mob to join the Walkern Katatdjin Governance Committee. The Walkern Katatdjin (Rainbow Knowledge) project aims to improve the support available to our young mob through research. The Governance Committee will oversee the Walkern Katatdjin project design, procedures, data management, and translation of findings to ensure meaningful impacts from the project.
You can find more information about the Walkern Katatdjin project here and to learn about the role of the Walkern Katatdjin Governance Committee and how to apply to be join here.
Fresh direction offers hope for Indigenous health
New approaches and partnerships will place an Aboriginal-led research centre in a position to lead significant progress in improving Indigenous health in communities across the Northern Territory and South Australia.
In celebrating its 10th Anniversary, Flinders University’s Poche SA+NT centre has unveiled a new high-profile 10-member Advisory Board and plans to form alliances with community organisations across the nation’s central corridor to amplify the impact of health initiatives.
It’s a bold new direction for the Aboriginal-led centre, announced at an event to celebrate the Anniversary in Darwin. “Poche SA+NT is designed to drive local action and to promote national collaborations across a number of university partners, enabling us to work together on issues of priority that are identified by Aboriginal and Torres Strait Islander leaders,” Flinders University Vice-Chancellor Professor Colin Stirling told the Darwin event.
Statistics show Aboriginal and Torres Strait Islander people have significantly higher mental health needs than other Australians and experience psychological distress at around 3x the rate of the non-Indigenous population. We see similar numbers across the seas, with Māori and Pasifika populations carrying the highest burden of suicide with higher incidences.
It is time to speak up, be heard and celebrate projects, programs and research contributing to the mission of closing the gap for Aboriginal, Torres Strait Islander and Maori peoples.
The Australian & NZ Mental Health Association has announced a final call for applicantswishing to share their insight on Indigenous mental health and wellbeing for the inaugural Indigenous Wellbeing Conference. This event is taking place from 7–8 October 2021 at Cairns Pullman International.
The conference theme ‘Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap’ will be bringing attention to four core areas:
Social, Political and Cultural Determinants
Community Care, Cultural Revitalisation & Healing
Culturally Responsive Care & Community Control
Together we will help to empower Indigenous communities to develop their own solutions to living long healthy lives; strengthen culture; and reconnect with spirit.
Submit your presentation brief here. DUE DATE: FRIDAY 18 JUNE 2021.
World Elder Abuse Awareness Day
World Elder Abuse Awareness Day (WEAAD) is commemorated each year on 15 June to highlight one of the worst manifestations of ageism and inequality in our society, elder abuse. Elder abuse is any act which causes harm to an older person and is carried out by someone they know and trust such as a family member or friend. The abuse may be physical, social, financial, psychological or sexual and can include mistreatment and neglect.
WEAAD was officially recognised by the United Nations General Assembly in December 2011, following a request by the International Network for the Prevention of Elder Abuse (INPEA), who first established the commemoration in June 2006. In many parts of the world elder abuse occurs with little recognition or response. It is a global social issue which affects the health, wellbeing, independence and human rights of millions of older people around the world, and an issue which deserves the attention of all in the community.
According to WHO, prevalence rates or estimates exist only in selected developed countries – ranging from 1 to 10%. Although the extent of elder mistreatment is unknown, its social and moral significance is obvious.
The Morrison government is providing $16.6 million in grants to support the mental health and wellbeing of expectant and new parents through nine new projects.
It is estimated that up to 10% of women experience depression while pregnant, and one in seven women in the year after birth. Men can also experience perinatal mental illness, with approximately one in 10 expectant and new fathers experiencing depression, anxiety or other forms of emotional distress in the perinatal period.
Some of the grants under the mental health initiative include:
$2.59 million for the University of Newcastle to deliver the SMS4dads digital prevention and early intervention service for fathers, including Aboriginal and Torres Strait Islander fathers, living in rural and remote regions.
$750,000 for Possums for Mothers and Babies to deliver training and professional peer support for health professionals and new parents in rural communities.
$250,000 for the Murdoch University Ngangk Yira Research Centre for Aboriginal Health and Social Equity to produce health practitioner training materials and develop a mobile phone-based app version of the Baby Coming You Ready assessment and screening program for Aboriginal women.
You can read the full story and find out more about the other grants here.
Image source: AAP.
Yolngu Elders kick off COVID-19 vaccinations across Arnhem Land
Miwatj Health are gearing up for a COVID-19 vaccination blitz across the remote northern region of Arnhem Land.
Terry Yumbulul, Miwatj Health Aboriginal Corporation’s Chief Culture Advisor and Head of Regionalisation, and CEO Eddie Mulholland, had their Pfizer vaccine in Gove last week.
They were joined by 10 Board Members of Miwatj Health Aboriginal Corporation and other local leaders who received their vaccine in an effort to encourage others in the community.
ABC Radio Darwin’s Jo Laverty spoke with Terry Yumbulul about his experience and whether other Yolngu people would follow suit.
You can listen to the ABC Radio Darwin On Breakfast broadcast with Jolene Laverty here.
Yolngu Elder receives vaccine at Miwatj Health Aboriginal Corporation. Image source: ABC News.
Healing the past project seeking participants
Becoming a parent is exciting but it can be hard. Particularly for parents who have experienced difficulties in their own childhood, which can have long lasting effects on physical, social and emotional wellbeing. This can make the transition to parenthood difficult, causing distress and challenges to creating a nurturing environment for a new baby. On the flip side, growing research shows that becoming a parent offers a unique life-time opportunity to heal from this childhood hurt.
‘Healing the past by nurturing the future’(video)is a community-based participatory research project which is working with Aboriginal and Torres Strait Islander (Aboriginal) parents to develop awareness and support strategies that could be offered during the perinatal period to support Aboriginal parents experiencing complex trauma.
The team are looking for participants for this important research project who are:
Aboriginal or Torres Strait Islander people
living in the NT, SA or Victoria, and
are pregnant, have a partner who is pregnant or have a child (under 5 years in SA; or any age in NT or Vic).
An article published in the Medical Journal of Australia ‘Suicide rates for young Aboriginal and Torres Strait Islander people: the influence of community level cultural connectedness’ examines associations between community cultural connectedness indicators and suicide mortality rates for young Aboriginal and Torres Strait Islander people.
This retrospective mortality study looks at suicide deaths of people aged 10‒19 years recorded by the Queensland Suicide Register between 2001‒2015.
The age‐specific suicide rate was 21.1 deaths per 100,000 persons/year for First Nations young people and 5.0 deaths per 100,000 persons/year for non‐Indigenous young people. The rate for Aboriginal and Torres Strait Islander young people was higher in areas with low levels of cultural social capital (greater participation of community members in cultural events, ceremonies, organisations, and community activities) than in areas classified as having high levels, and also in communities with high levels of reported discrimination. Associations with proportions of Indigenous language speakers and area level socio‐economic resource levels were not statistically significant.
The study found that suicide mortality rates for Aboriginal and Torres Strait Islander young people in Queensland were influenced by community level culturally specific risk and protective factors. The findings suggest that strategies for increasing community cultural connectedness at the community level and reducing institutional and personal discrimination could reduce suicide rates.
The National Disability Insurance Agency (NDIS) has released new papers on Personalised Budgets to give more information on the way they propose to build participant budgets in the future.
In 2020 they released a paper on proposed changes to the planning policy for Personalised Budgets and plan flexibility, and encouraged participants, families, carers and the wider sector to respond. The feedback was that people want fairer decisions. People also wanted the NDIS to be more transparent about how they worked out the funds in participants’ plans.
The Personalised Budgets papers give you more information on how the NDIS are developing the new budget model and how they propose budgets will be built.
There are three versions of the Personalised Budgets paper available for increased accessibility. They include:
Personalised Budgets – technical information paper
Personalised Budgets – information paper for participants, their families and carers
Easy Read Guide – A new way to work out how much funding you receive in your NDIS plan
You can read more about the Personalised Budget paper on the NDIS website here.
Health Check 2020
‘Partnership Agreement on Closing the Gap – Health Check 2020’
In 2018, the Council of Australian Governments (COAG) committed to a genuine, formal partnership with Aboriginal and Torres Strait Islander representatives to develop the Closing the Gap strategy for the next decade. Governments acknowledged the need for a respectful, collaborative approach with Aboriginal and Torres Strait Islander organisations and communities to achieve productive and sustainable outcomes.
To give effect to that commitment, the Partnership Agreement on Closing the Gap 2019-2029 (Partnership Agreement) was negotiated and agreed to by the Coalition of Peaks and the Council of Australian Governments (COAG) in March 2019. The Partnership Agreement provides an historic opportunity for Aboriginal and Torres Strait Islander perspectives to be heard and incorporated into policy and program dimensions across all levels of government. The Partnership Parties committed to an annual Health Check of the Partnership Agreement and agreed to the development and subsequent annual review of a Partnership Risk Register. The objective of the Health Check is to review the state of the Partnership Agreement against success indicators agreed by the Parties. This report gives an account of the first Health Check and includes a draft Risk Register.
This Health Check has found that the Partnership Agreement has been successful in achieving the coming together of the Coalition of Peaks and Governments in partnership to support the Parties’ decision to negotiate a new National Agreement.
Partnership Health Check to inform the Partnership Agreement on Closing the Gap.
Digital mental health resources
In honour of National Reconciliation Week, the eMHPrac E-Mental Health in Practice website has decided to explore the Digital Mental Health Resources developed with Aboriginal and Torres Strait Islander Australians in mind. These resources include culturally relevant and evidence-based information, advice, stories, support, and counselling.
There are a range of digital mental health resources available to support individuals, families, friends, and communities including:
New research released by The Healing Foundation shows that the strong and necessary public health restrictions introduced to contain the COVID-19 pandemic in Australia since early 2020 retriggered trauma for some Stolen Generations survivors. The research data suggests an increased and heightened sense of vulnerability; significant disconnection from family, community, and country; and significant impacts on mental health and wellbeing among an already vulnerable cohort of people.
The Healing Foundation CEO Fiona Cornforth said the research results will assist governments and authorities in future pandemic planning to build on Australia’s world-leading public health efforts to ensure the most vulnerable in the community are protected. “The excellent work of the Aboriginal and Torres Strait Islander Advisory Group on COVID-19 – as part of national efforts guided by the National Cabinet – ensured that infection rates were very low in Aboriginal and Torres Strait Islander populations,” Ms Cornforth said.
To view The Healing Foundation’s media release click here,
Image source: Creative Spirits.
ACCHO program reduces recidivism
Tyrone Walter says the Ngudjoong Billa program has put him on a better path. He’s recently completed the 20-week program and said it has helped him get his white card and feel a greater connection to his Aboriginal culture. And now his eyes are set on joining the Army. During its demonstration phase, the program has helped 73 young Aboriginal people reintegrate and transition out of the juvenile justice system. All of those who completed the 20 week program did not re-offend during that time.
Started in 2017, and delivered in partnership between the South Coast Medical Service Aboriginal Corporation (SCMSAC) and the Department of Communities and Justice, the program provides a consistent support network for Aboriginal children exiting custody on the South Coast.
Jordan said Tyrone had gained a lot of confidence from the program which had helped him with his mental health. Jordan said Tyrone was lacking motivation at the start of the program because of his lifestyle choices with drugs and alcohol. But through a slow and intensive approach with a particular focus on strengthening Tyrone’s cultural identity and building his connections to family, community and country, Tyrone is now off drugs and has been for a while.
Tyrone Walter standing between his caseworker Jordan Farrell, and the Minister for Families, Communities and Disability Services Gareth Ward. Image source: South Coast Register.
Facts about COVID-19
In a short video Dr Mark Wenitong, a GP in Indigenous health for 25 years, reminds us to get information about COVID-19 vaccines from trusted sources. You can access the video including a transcript here.
Suicide prevention roadmap
Suicide is the most common cause of death in Australians aged 15–44 years – more common than deaths from motor vehicle accidents or skin cancer (Aleman & Denys 2014). Over 2,500 people die from suicide in Australia each year and more than 65,000 make an attempt.
The Final Advice of the National Suicide Prevention Adviser, announced today, paves the way for a clear roadmap for reform. In particular, the recommendation to establish a National Suicide Prevention Office has the potential to create a significant enhancement of suicide prevention and in turn, save lives. Suicide Prevention Australia, the national peak body for suicide prevention, is urging Governments across Australia to use the findings of the report to drive down suicide rates. Suicide Prevention Australia CEO, Nieves Murray, said, “the Final Report of the National Suicide Prevention Adviser has the potential to be a game changer for suicide prevention in Australia. Immediate uptake of the key recommendations is critical to enable real reform that will save lives.”
To view the Suicide Prevention Australia’s media release in full click here.
Image source: Australian Psychological Society website.
Child protection & adolescent self-harm
A history of child maltreatment is known to elevate the risk of self-harm in adolescence. However, until a recent studythis link had not been investigated for Aboriginal children who experience a greater burden of both. This study Patterns of child protection service involvement by Aboriginal children associated with a higher risk of self-harm in adolescence: A retrospective population cohort study using linked administrative data confirms a higher risk of self-harm in adolescence is associated with child maltreatment, especially in middle childhood and concludes that addressing the intergenerational trauma in Aboriginal families is crucial to preventing child maltreatment and informing reforms to child protection responses that can better identify and address the culturally-specific unmet needs of Aboriginal families.
Cultural training in health services survey ENDS SOON
The Australian Commission on Safety and Quality in Health Care (the Commission) has developed a short survey to gain an understanding of the type and level of cultural safety training currently being undertaken by health service organisations. The Commission is committed to ongoing and evolving culturally safe practices, which are developed in consultation with, and determined by, Aboriginal and Torres Strait Islander communities.
The NSQHS Standards define six actions that specifically meet the needs of Aboriginal and Torres Strait Islander peoples. One of the six actions states: “The health service organisation has strategies to improve the cultural awareness and cultural competency of the workforce to meet the needs of its Aboriginal and Torres Strait Islander patients.” The Commission is calling on feedback to assist in the development of resources to strengthen cultural safety training and support services in implementing this action.
Click here to complete the survey for your organisation. The survey is open until Friday, 23 April 2021, and takes up to 10 minutes to complete.
The Stop it at the Start campaign encourages adults to positively influence the attitudes and behaviours of young people aged 10–17 by role modelling positive behaviour, calling out disrespect and starting conversations about respect. It aims to unite the community around positive actions everyone can take to break the cycle of disrespect, and ultimately, violence against women.
Community influencers and campaign supporters Kristy Masella, Andy Saunders, Renee Thomson, and Sean Choolburra share a common message—even the simplest, smallest actions can make a big difference for young people, and for our community.
To access a range of Stop it at the Start resources released earlier this week click here. Please note, in this document the link for the Sean Choolburra & his daughter Tyra – Tips on how to speak up when you see disrespect video does not work, this link does.
To view the Australian government’s Unmute yourself – speaking up to end violence against women media release in full click here. and to access an editorial from Darumbal woman Kristy Masella, campaign supporter for the Stop it at the Start campaign click here.
Sexual wellbeing – what we do well
A recent research project, Fostering the sexual wellbeing of Aboriginal young people by building on social, cultural and personal strengths and resources has looked at how urban Aboriginal young people foster sexual health and wellbeing for themselves and others. The project purposely sought to adopt a strengths-based approach by identifying the resources and capacities of Aboriginal young people to minimise harm and promote health.
More specifically, the project aimed to explore the community resources that Aboriginal young people access to help them make positive sexual choices, inform their understandings of sexual health and relationships, manage their sexual wellbeing, and engage with health promotion and health care services. The research will provide health services and policymakers with insightful new knowledge to better support young urban Aboriginal people and their communities.
For further information on the project click here.
Image source: The Sydney Morning Herald.
Healing Foundation CEO – National Press Club
The Healing Foundation CEO Fiona Cornforth will be addressing the National Press Club in Canberra on Wednesday 2 June 2021. Fiona will be releasing The Healing Foundation’s “Make Healing Happen: It’s time to act” report. The report sets out a plan with recommendations to achieve real and lasting healing for Stolen Generations Survivors and to promote intergenerational healing. The address will be televised live on ABC TV.
Every year, 15 million babies are born premature worldwide. More than one million of these babies die, and many more facing serious, lifelong health challenges. Worldwide, one in 10 babies are born too early – more than 27,000 each year in Australia alone. The National average rate of preterm birth in Australia has remained relatively constant over the last 10 years (between 8.1 and 8.7%), however, for many Aboriginal babies, the news is far worse.
In an address to the National Rural Press Club, National Rural Health Commissioner Dr Ruth Stewart will explain that in 2018, 8.4 per cent of births in major cities were premature compared with 13.5 per cent in rural, remote and very remote Australia. “Those averaged figures hide pockets of greater complexity. In East Arnhem Land communities, 22 per cent of babies are born prematurely,” she will say. But she will argue it is an “urban myth” that the quality of rural maternity care and services is to blame. Rather, she will point to an ongoing decline in available services, clinics and skilled operators.
One solution she will present is the model of care developed through the Midwifery Group Practice on Thursday Island. That program has halved premature birth rates across the Torres Strait and Australia’s northern peninsula since 2015. Crucially, all women have access to continuity of care, or the same midwife throughout the pregnancy, and those midwives are supported by Indigenous health practitioners and rural generalists (GPs with a broad range of skills such as obstetrics).
November 17 is World Prematurity Day, a globally celebrated awareness day to increase awareness of preterm births as well as the deaths and disabilities due to prematurity and the simple, proven, cost-effective measures that could prevent them.
For further information about preterm birth in Aboriginal babies click here and to view the ABC Rural article mentioning the Midwifery Group Practice on Thursday Island click here.
Image source: Australian Preterm Birth Prevention Alliance Twitter.
Narrative therapy helps decolonise social work
Social worker, educator and proud Durrumbal/Kullilli and Yidinji woman, Tileah Drahm-Butler, has found a narrative therapy approach resonates with Aboriginal practitioners and clients alike. For many Aboriginal people, the words ‘social work’ trigger the legacy of child removal and everything that comes with that. Social work is a colonised discipline that has had a problematic relationship with Aboriginal communities. Tileah was introduced to the practice of narrative therapy while working on ‘Drop the rock’ – a jobs and training program in Aboriginal communities that supported mental health service delivery and went on to complete a Masters in Narrative Therapy and Community Work.
Tileah explains that for Aboriginal and Torres Strait Islander people, problems have come about from colonisation. So with clients, it is important to re-author – to move away from a medicalised, pathologised discourse to a story that tells of survival and resistance. Narrative therapy helps people to tell their strong stories and identify the skills and knowledge that they already have that can help them make the problem smaller. Tileah said ‘the problem is the problem’, is narrative therapy’s catchphrase. The person, the family, the community aren’t the problem.
To view the full article published by the University of Melbourne click here.
Tileah Drahm-Butler. Image source: The Mandarin Talks.
Joint Council on CTG to meet
The Joint Council on Closing the Gap will meet this afternoon (17 November 2020) to discuss the implementation of the National Agreement on Closing the Gap. It will be the first time the Joint Council has met since the historic National Agreement on Closing the Gap came into effect on 27 July 2020.
The Joint Council will discuss the collective responsibilities for the implementation of the National Agreement on Closing the Gap; funding priorities for the joint funding pool committed by governments to support strengthening community-controlled sectors (Priority Reform Two); a revised Family Violence target and a new Access to Information target which reflect a commitment in the National Agreement to develop these two targets within three months of the Agreement coming into effect; and the first annual Partnership Health Check of the Partnership Agreement on Closing the Gap. The Health Check reflects the commitment of all parties to put in place actions and formal checks over the life of the 10-year Partnership Agreement to make sure that the shared decision-making arrangements strengthen over time.
To view the Coalition of Peaks media alert click here.
Minister for Indigenous Australians Ken Wyatt and Co-Chair of the Joint Council on Closing the Gap Pat Turner. Image source: SBS News.
Facebook can help improve health literacy
Health literacy, which generally refers to the abilities, relationships and external environments required to promote health, is an influential determinant of health that impacts individuals, families and communities, and a key to reducing health inequities. New research is showing how Facebook can be a useful source of information – particularly when used in conjunction with other methods – to develop broader understandings of health literacy among young Aboriginal males in the NT, and to spark different conversations, policies and health promotion programs.
The project, Health literacy among young Aboriginal and Torres Strait Islander males, led by the Menzies School of Health Research emerged from an understanding that Aboriginal and Torres Strait Islander males face multiple health and social inequities, spanning health, education and justice settings. Unfortunately, these health and social inequities start early in life and persist across different stages of their life-course. They are particularly pronounced for young Aboriginal and Torres Strait Islander boys and men.
The project found its participants were very open about sharing information about their health and wellbeing on social media — including the benefits of being on country and the importance of family and friends — and how this influenced their own health-related decision making.
To view the full article published in croakeyclick here.
Young Aboriginal men, Galiwinku, Elcho Island, NT, 2008. Image source: Tofu Photography.
Clothing the Gap supports Spark Health
Making a fashion statement while raising awareness of Indigenous culture and heritage is the ethos behind Gunditjmara woman Laura Thompson’s iconic and highly-respected label Clothing The Gap. The brand raises awareness about Indigenous issues including Black Lives Matter, Free the Flag and Change the Date movements and its profits support one of Laura Thompson’s other businesses, Spark Health. Spark Health is a health promotion and communication business who design, develop and deliver prevention and health promotion resources, programs and services.
For view the full article and to access a link to an interview with Laura Thompson click here.
Laura Thompson delivering a Spark Health program. Image source: The Standard.
LGBTIQ mental health crisis
The Australian Federation of AIDS Organisations (AFAO) has called on the Commonwealth Government to develop a mental health and suicide prevention blueprint to tackle the crisis of unmet need within the LGBTIQ community and public investment in LGBTIQ health organisations. La Trobe University research found 57.2% of more than 6,000 surveyed lesbian, gay, bisexual, transgender, intersex and queer people were experiencing high or very high levels of psychological distress, while 41.9% reported thoughts about suicide over the past 12 months.
“Mental health in the LGBTIQ community is in crisis, and the La Trobe research makes it clear action and investment in LGBTIQ mental health and suicide prevention is sorely needed,” Darryl O’Donnell, CEO of AFAO, said. “Existing approaches aren’t working and LGBTIQ communities are paying the price.”
To view AFAO’s media release click here and the La Trobe University media release click here. To access the La Trobe University’s Private Lives 3 The Health and Wellbeing of LGBTIQ People in Australia report click here.
The Tiwi Islands Sistagirls at Mardi Gras. Image source: Balck Rainbow website.
Most kids in out-of-home care with kin
A new report by the Australian Institute of Health and Welfare (AIHW) has found the majority of Aboriginal and Torres Strait Islander children in out-of-home care were living with relatives, kin or Indigenous caregivers in 2018–19. The report, The Aboriginal and Torres Strait Islander Child Placement Principle Indicators (ATSICPP) 2018–19: measuring progress, brings together the latest state and territory data on five ATSICPP indicators that measure and track the application of the placement and connection elements of the framework.
‘The ATSICPP is a framework designed to promote policy and practice that will reduce the over-representation of Aboriginal and Torres Strait Islander children in the child protection system,’ said AIHW spokesperson Louise York. As at June 2019, nearly two-thirds (63% or about 11,300 out of 18,000) of Indigenous children in out-of-home care were living with Indigenous or non-Indigenous relatives or kin or other Indigenous caregivers.
Victorians are being urged to get tested for sexually transmissible infections (STIs), with new figures showing a concerning drop in STI notifications and testing during the coronavirus pandemic. New data from the Melbourne Sexual Health Centre shows a 68% drop in people without symptoms seeking STI testing this year. There are many types of STIs and most are curable with the right treatment, however, if left untreated, STIs can cause long-term damage, including infertility.
This week is STI Testing Week (16–20 November) – and as Victoria moves towards COVID Normal it’s the perfect time for everyone to consider their sexual health, have a conversation about STIs and get the important health checks they might have put off during the pandemic. To view the full article click here.
The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) says the COVID-19 pandemic has forced Australia’s top experts in HIV and sexual health to drastically rethink our national response. Over 700 HIV and sexual health experts will gather (virtually due to the COVID-19) this week (16–20 November) for the joint Australasian HIV & AIDS and Sexual Health Conferences, run by the ASHM. To view ASHM’s media release click here.
Image source: Medicine Direct.
HMRI proud of health related initiatives
Hunter Medical Research Institute (HMRI) has been helping researchers to undertake research that translates to better treatments and better access to health services for Aboriginal and Torres Strait Islander Australians, including:
MRFF grant for Indigenous kid’s ear health
Associate Professor Kelvin Kong received a 5-year Medical Research Future Fund (MRFF) grant to explore a telehealth ear, nose and throat (ENT) model, based in metropolitan, rural and regional Aboriginal community controlled health services, enabling improvement in Aboriginal children’s access to specialist ENT care and a reduction in the waiting time for treatment during the vital years of early childhood ear and hearing health.
Partners and Paternal Aboriginal Smokers’ project
Research Associate with the University of Newcastle and HMRI affiliated researcher, Dr Parivash Eftekhari, is running a first-of-its kind program to empower Aboriginal and Torres Strait Islander fathers to quit smoking when their partner is pregnant, or if they have young children at home. The Partners and Paternal Aboriginal Smokers’ (PAPAS) project is key in improving children’s health by supporting fathers to have smoke-free homes.
To access further information about these research projects and to download the Indigenous Healthy: Eliminating the Gap seminar held earlier this year click here.
Professor Kelvin Kong. Image source: HMRI website.
Mt Isa Hospital opens new Indigenous family rooms
North West Hospital and Health Service has unveiled its newly built family rooms at the Mount Isa Hospital. The family rooms, situation near the hospital’s Emergency Department are a culturally appropriate space where Indigenous patients and their families can meet, rest or engage with specialist hospital staff. Christine Mann, Executive Manager of Aboriginal and Torres Strait Islander Health said the facility was a spacious place close to the hospital for use by families, “We have a lot of sorry business around here and regrettably we are outgrowing the hospital, so this place is spacious enough to accommodate families. This is a place where they can come and have a cup of tea and have family meetings.”
To view full article in The North West Starclick here.
Image source: The North West Star.
General Practice: Health of the Nation report
The Royal Australian College of General Practitioners (RACGP) has released its General Practice: Health of the Nation report, an annual health check-up on general practice in Australia. Chair of RACGP Aboriginal and Torres Strait Islander Health, Professor Peter O’Mara, said the report contains many positive signs for Aboriginal and Torres Strait Islander health.
“It is important not to just dwell on the problems confronting healthcare for Aboriginal and Torres Strait Islander people,” he said. “On the workforce, education and training front there is very good news. In 2018, there were 74 Aboriginal and Torres Strait Islander GPs registered and employed – an increase from 50 in 2015. In 2020, there are 404 Aboriginal and Torres Strait Islander medical students – this has increased from 265 in 2014. This year 121 Aboriginal and Torres Strait Islander students started studying medicine, which is a 55% increase over the past three years. Nearly 11,000 members have joined the RACGP’s National Faculty of Aboriginal and Torres Strait Islander Health, which to me shows real interest and engagement.”
Associate Professor Peter O’Mara. Image source: RACGP Twitter.
Prison language program linked to better health
A new Aboriginal Languages in Custody program has been launched at Boronia Pre-release Centre for Women where up to 30 Aboriginal and non-Aboriginal prisoners will be taught Noongar, the official language of the Indigenous people of the south-west of WA. The program will be created and delivered by the Perth-based Noongar Boodjar Language Cultural Aboriginal Corporation and rolled out to Hakea Prison, Bunbury Regional Prison and the rest of the state’s jails in four stages from late 2020 to the first quarter of 2021.
WA Corrective Services Minister Francis Logan said “There is an intrinsic link between language and culture so this new program aims to help Aboriginal prisoners reconnect with their own people, practices and beliefs. Research shows that teaching Aboriginal languages leads to positive personal and community development outcomes, including good health and wellbeing, self-respect, empowerment, cultural identity, self-satisfaction and belonging.”
To view the related Government of WA media release click here.
Image source: ABC News.
Dispelling outdated HIV myths webinar
In the lead up to World AIDS Day on 1 December 2020 Positive Women Victoria will host a ground breaking webinar. A panel of women living with HIV, including Yorta Yorta woman Michelle Tobin, will be joined by a leading Australian infectious diseases physician, to share stories and knowledge about how this fact has transformed their lives and discuss issues around motherhood, sex, and relationships. The webinar will introduce audiences to more than 20 years of scientific evidence confirming that when antiretroviral treatment is used, and levels of HIV cannot be detected in blood, HIV is not transmitted during sexual contact or to a baby during pregnancy and childbirth. There is also growing evidence that supports mothers with HIV with an undetectable viral load and with healthcare support can also breastfeed their baby.
For more information about the webinar on Thursday 7.00 pm – 8.30 pm (AEDT) 26 November 2020 and to register for the webinar click here.
Fully subsidised online antibiotic resistance program
An exciting opportunity exists for 12 Aboriginal and Torres Strait Islander health care professionals to enrol in the inaugural Hot North Antimicrobial Academy 2021. The Antimicrobial Academy is a fully subsidised 9-month online program for Aboriginal or Torres Strait Islander health care workers (pharmacists, doctors, nurses or Aboriginal Health Practitioners) to build on their understanding and expertise in antibiotic resistance and to support further leadership of antibiotic use in our communities.
The National Mental Health Commission is inviting you to participate in a guided online consultation to inform the content and recommendations of the Vision 2030 Roadmap.
This online consultation forms part of the Commission’s stakeholder engagement approach to ensure that the Vision 2030 Roadmap incorporates as wide a range of experience as possible when developing evidence-based responses to mental health and psychosocial wellbeing.
Through special interest meetings and external expertise, the Commission has identified a number of priority areas for inclusion in the Roadmap. The online consultation asks you to consider the impact of Vision 2030 on you and identify your needs in its implementation.
More information on Vision 2030, including video recordings of the ‘Introducing Vision 2030 Blueprint and Roadmap’ webinars is available at the Commission’s website. The Vision 2030 Roadmap guided online consultation can be accessed here.
Now is your chance to get involved. This consultation opportunity is open to all until Friday 4 December 2020.
“We are so proud of the work done by our members and affiliates in preventing the spread of COVID-19, but we cannot lose sight of the need to reduce our viral hepatitis rates.
We are concerned about the harm caused to our communities from the spread of Hepatitis B and C and I encourage our people to get vaccinated and continue ongoing treatments.
Keep in touch with your local Aboriginal Community Controlled Health Organisations.”
NACCHO Chair Donnella Mills
The National Aboriginal Community Controlled Health Organisation (NACCHO) is spreading the message to all Australians that while the rates of hepatitis in Australia are declining, the Aboriginal and Torres Strait Islander peoples are being left behind.
“Great work has been done in improving immunisation rates against Hepatitis B and on treatment for Hepatitis C, yet the prevalence of viral hepatitis and subsequent liver damage remains high amongst Aboriginal and Torres Strait Islander people.
What is particularly concerning are rates of viral hepatitis in remote and very remote communities are five times higher compared to metropolitan areas.
In the COVID-19 environment, we want to urge everyone to continue their regular health care. This involves getting childhood immunisations and for those on treatment for Hepatitis, don’t change or stop treatments unless advised to do so by your treating doctor.”
NACCHO Medical Adviser, Dr Jason Agostino
“At Apunipima we provide screenings for Hepatitis in our clinics and work closely with prison screening programs to help control the disease being transmitted within communities when prisoners are released.
Hepatitis in our Aboriginal and Torres Strait Islander communities is a preventable disease, but with both short-term and potentially chronic implications, Hepatitis has a significant impact on our mob’s health.
We need to work together to ensure we practice prevention in our communities, but also that we get tested, detect the disease early and have access to best practice treatment and management.”
The Aboriginal Community Controlled Health Organisation (ACCHO), Apunipima Cape York Health Council’s Public Health Medical Officer, Dr Mark Wenitong
” In recognition of the inequitable burden of hepatitis C amongst Aboriginal and Torres Strait Islander people, EC Australia has developed an Aboriginal and Torres Strait Islander Peoples Strategy (The Strategy) that will inform and guide the activities of EC Australia.
The Strategy will cut across the four key components of EC Australia: health promotion, workforce development and health services delivery, implementation research and evaluation and surveillance.
This will ensure a holistic and comprehensive approach to accessible and culturally appropriate hepatitis C care for Aboriginal and Torres Strait Islander communities.”
Troy Combo EC Australia as the Program Manager for the Aboriginal and Torres Strait Islander Health Plan see Part 1 below
” Leading organisations unite to discuss COVID-19 impact on hepatitis C elimination in Australia on World Hepatitis Day
Australia’s leading drug and infectious disease organisations will join forces to call for a re-engagement in elimination of hepatitis C in an online event on World Hepatitis Day, Tuesday, 28 July 2020. “
See Part 2 Below for link todays event
Part 1 EC Australia, Partnering to Eliminate Hepatitis C
Firstly, I would like to introduce myself, Troy Combo, I have a joint appointment with the Burnet Institute and am employed and based at University of Queensland, School of Public Health and have recently been appointed as the Aboriginal Program Manager for EC Australia.
I have worked in the Aboriginal Community Controlled Health sector since completing my Diploma in Aboriginal Health at Redfern AMS in 1994. I have held positions with local AMS’s, State Affiliates (AH&MRC & QAIHC) and I have also worked for NACCHO (2013-2014). More recently I was employed at Bulgarr Ngaru Medical Aboriginal Corporation (2015-2020).
Australia can be one of the first countries to achieve the World Health Organization’s target of eliminating hepatitis C as a public health threat by 2030.
In 2016 an estimated 188,951 Australians were living with the hepatitis C virus resulting in up to 630 deaths from liver cancer and liver failure each year. Aboriginal and Torres Strait Islander people experience a disproportionate burden of hepatitis C and account for 10% of all people living with the virus in Australia.
As a priority population in our own right, Aboriginal and Torres Strait Islander people are also overrepresented amongst people in custodial settings, people who currently inject drugs or previously injected drugs and people accessing drug treatment programs; all of which increases a person’s risk of contracting hepatitis C.
In 2017 notification rates for hepatitis C were 4.4 times higher than non-Indigenous Australians (168.1 per 100 000 vs 38.4 per 100 00) and the rates for newly acquired (evidence of acquisition in the prior 24 months) hepatitis C was 13.7 times that of non-Indigenous Australians (24.6 v 1.8 per 100 00 respectively).
In 2016, direct-acting antiviral (DAA) medication was made available on the Pharmaceutical Benefits Scheme (PBS) to most people living with hepatitis C, regardless of disease stage. DAAs have revolutionised hepatitis C care making elimination of hepatitis C possible; they are highly effective with efficacy rates over 95%, have minimal side effects, and require only 8-12 weeks of once-daily tablets. While initial uptake of DAAs was positive, by 2018 the number of people commencing treatment started to fall. If Australia is to achieve its elimination targets, it is crucial that testing remains high and that DAA treatments are provided to people with hepatitis C to cure people of hepatitis C and prevent further transmission.
Eliminate Hepatitis C Australia
Eliminate Hepatitis C Australia (EC Australia) is a nationwide, multidisciplinary project with the aim to achieve a coordinated response to eliminate hepatitis C as a public health threat by 2030. The project brings together researchers and implementation scientists, government, health services and community organisations, peak and other non-government organisations to increase hepatitis C testing and treatment in community clinics.
The specific goals of EC Australia are to:
Ensure that 15,000 Australians with chronic hepatitis C are treated and cured
Ensure that people identified with cirrhosis related to hepatitis C infection are treated and cured, and regularly reviewed to monitor for liver
Establish a national collaborative framework to facilitate a coordinated response to the elimination of hepatitis C as a public health threat from
In recognition of the inequitable burden of hepatitis C amongst Aboriginal and Torres Strait Islander people, EC Australia has developed an Aboriginal and Torres Strait Islander Peoples Strategy (The Strategy) that will inform and guide the activities of EC Australia. The Strategy will cut across the four key components of EC Australia: health promotion, workforce development and health services delivery, implementation research and evaluation and surveillance. This will ensure a holistic and comprehensive approach to accessible and culturally appropriate hepatitis C care for Aboriginal and Torres Strait Islander communities.
My experience working within the Aboriginal Community Controlled Health sector has shown how the model of care provided by these services is well suited to take up the challenge of the EC Australia goals. At EC Australia, we believe the “test and treat” model required to increase treatment uptake for Aboriginal and Torres Strait Islander people is an achievable goal at a local service delivery level.
We will be convening an Aboriginal and Torres Strait Islander Health Leadership Group in late 2020 that will provide expert advice and cultural governance for all EC activities as part of the Strategy. Our aim is to build strong networks and work closely with the viral hepatitis and the Aboriginal Community Control Health sectors. We seek to build on successful models of care and workforce development programs within these sectors, to expand and inform other areas.
Over the coming weeks we will be contacting organisations to participate in a mapping of current and/or past hepatitis C health promotion, workforce development and service delivery activities.
If your organisation would like to participate or learn more about the EC Australia Partnership and Aboriginal and Torres Islander Peoples Strategy you can contact Troy Combo at firstname.lastname@example.org or by phone on (07) 3346 4617.
Part 2 Leading organisations unite to discuss COVID-19 impact on hepatitis C elimination in Australia on World Hepatitis Day
Australia’s leading drug and infectious disease organisations will join forces to call for a re-engagement in elimination of hepatitis C in an online event on World Hepatitis Day, Tuesday, 28 July 2020.
Australia is on track to become one of the first countries to eliminate hepatitis C, which is part of the global goal from the World Health Organisation (WHO) to eliminate hepatitis C as a public health threat by 2030.
However, the COVID-19 pandemic and related social isolation has impacted drug use, drug and hepatitis C treatment services, and the health of people who use drugs. This puts an increased risk on new hepatitis transmission, access to treatment, and the elimination goals for 2030.
The Australian Injecting and Illicit Drug Users League (AIVL), Hepatitis Australia, the Australasian Professional Society on Alcohol & other Drugs (APSAD), the Kirby Institute and National Drug and Alcohol Research Centre (NDARC) at UNSW Sydney, have partnered to address what COVID-19 will mean for hepatitis C elimination in Australia.
CEO of Hepatitis Australia, Carrie Fowlie said, “Hepatitis C is a blood borne virus and people who inject drugs are a crucial priority population.”
“Not only is there a risk that the WHO 2030 elimination goal could be set back, but more immediate negative impacts could be experienced by people at risk of contracting hepatitis or seeking hepatitis treatment in Australia due to current and future social, health, and policy changes.”
CEO of AIVL, Melanie Walker said some of the new regulations and social requirements are impossible for people who use drugs to abide by.
“People who use drugs need to attend needle and syringe programs (NSPs) and be able to have ongoing access to the full range of harm reduction, pharmacotherapy and other drug and hepatitis treatments,” said Ms Walker.
“If people who use drugs cannot access these services, we could see an increase in sharing of injecting equipment, which could lead to increased cases of hepatitis C and compound the negative health outcomes already experienced by this group.”
In the newly released National Drug Strategy Household Survey 2019, illicit drug use was responsible for 75 percent of Australia’s acute hepatitis C burden of disease.
Professor Greg Dore, Head of Viral Hepatitis Clinical Research Program at the Kirby Institute, UNSW Sydney, said there had been encouraging recent data from the Australian Needle Syringe Program Survey on prevalence of active hepatitis C infection in people who inject drugs which had declined from 51 percent to 18 percent between 2015 and 2019.
“However, despite these declines in number of people with hepatitis C, continued declines in numbers being treated through 2019 and into 2020 compromises the achievement of WHO elimination goals,” said Professor Dore.
“More strategies are needed to raise awareness of the need for testing and availability of new hepatitis C treatments to eliminate hepatitis C by 2030.”
In a new NDARC study of 702 people who used drugs during COVID-19 restrictions and lockdown, it was found only 24 percent were able to avoid sharing drug injecting equipment.
Professor Michael Farrell, Director of NDARC, UNSW Sydney, said the research shows that people who use drugs want to limit their risk of contracting viral diseases like COVID-19 and hepatitis C, but this can be challenging due to a range of factors.
“We need to continue to find solutions that support people who use drugs to ensure hepatitis C elimination remains a priority.”
About the online event
Facilitated by health reporter Dr Norman Swan, this event brings together affected communities, doctors, scientists, health and community workers, researchers and the public to discuss the immense challenges COVID-19 brings to hepatitis C elimination and the health of people who use drugs, and to discuss strategies to ensure Australia stays on track to become one of the first countries in the world to eliminate hepatitis C.
Picture above : SMSF co-ordinator Graham Leadbeatter, Camping on Country ambassador and chairman of Bush TV Enterprises Ernie Dingo, and Strong Men Strong Families participants and support workers on their way to their camp in July 2019. Credit: Elise Van Aken/The Kimberley Echo
A television series featuring East Kimberley Indigenous men has won a national award for its contribution to men’s health.
Australian film and television personality Ernie Dingo’s television series Camping on Country was announced as the winner of the national Australian Men’s Health Forum Award for best men’s health program last week during men’s health week.
Last year a group of local Indigenous men from Kununurra Waringarri Aboriginal Corporation’s Strong Men, Strong Families program participated in the national Camping on Country program.
Elders, support workers, the Bush TV film crew and Mr Dingo accompanied the men on a camp to workshop strategies to improve outcomes for themselves and their people.
The men also created video messages which were sent to the Minister for Indigenous Australians Ken Wyatt, which Mr Dingo the Camping on Country ambassador and chairman of Bush TV Enterprises said he’d show the Federal Government where the funding was helping and identify the areas that need more support.
By the end of this year the crew will have travelled around Australia twice and completed some 15 camps with 300-plus men and 10 communities.
The camps involved hunting, cooking, yarning circles, health checks, cultural activities, counselling and walks to connect men with their country, culture and each other.
“We all know about the statistics in regards to Indigenous men’s health, we got some pretty numbers, better than some cricket scores.
We can close the gap about men’s health a lot better than a lot of the attempts that were made from Canberra.”
Ernie Dingo spoke at our NACCHO Ochre Day about their successful men’s health remote community program – Camping on Country, where culture is an integral part of health
Adaptation of these templates to local needs and priorities is encouraged, with reference to current Australian preventive health guidelines that are culturally and clinically suitable to Aboriginal and Torres Strait Islander needs.
These templates are not intended to promote a tick box approach to healthcare, but rather to prompt clinicians to consider patient priorities, opportunities for preventive healthcare and common health needs.
As the Partnership Project continues, we are exploring opportunities for integration of health check activities into clinical software.
We are also interested to hear about your experiences of providing health checks via telehealth.
” Comprehensive and culturally appropriate primary health care services play a key role in improving the health and wellbeing of Indigenous Australians through prevention, early intervention, health education, and the timely identification and management of physical and psychological issues. “
To this end, the Australian Government provides funding through the IAHP to organisations delivering Indigenous-specific primary health care services (referred to hereafter as organisations).
These organisations, designed to be accessible to Aboriginal and Torres Strait Islander clients, are administered and run by:
Aboriginal community-controlled health organisations (ACCHOs)
state/territory/local health services
non-government organisations (NGOs), such as women’s health services (a small proportion of services).
They vary in size, location, governance structure, length of time in operation, workforce composition, sources of funding, the services they offer, the ways in which they operate (for example, stand-alone or part of a consortium), and the needs of their clients.
What they all share in common is a holistic approach to meeting the needs of their Indigenous clients, which often involves addressing a complex mix of health conditions.
Each organisation provides contextual information about their organisation to the OSR once each financial year (covering the period July–June). The OSR includes all activities of the funded organisations, regardless of the percentage of those activities funded by IAHP.
This chapter presents a profile of organisations delivering Indigenous-specific primary health care services, including staffing levels, client numbers, client contacts, episodes of care and services provided. It excludes data from organisations that received funding only for maternal and child health services.
Trends over time are presented where possible, noting that the organisations providing data can vary over time which may limit comparability for some purposes (see Technical notes and Glossaryfor more information). Also, in 2018–19, the OSR collection underwent significant change and was scaled back to include only ‘core’ items. Plans are underway to reintroduce key items in a staged approach over the next few years.
The following boxes show key results for organisations providing Indigenous-specific primary health care in 2018–19.
1994 National Aboriginal Health Strategy: An Evaluation 1989
1999 The 1st National Indigenous Male Health Convention, held at Ross River Homestead
2000 NSW Aboriginal Male Health Plan
2002 Dr Mark Wenitong Indigenous Male Health Report for OATSIH
2002 National Framework for the Improvement of Aboriginal and Torres Strait Islander Male Health (2002) Dr Mick Adams
2003 National Strategic Framework for Aboriginal and Torres Strait Islander Health
2008 National Aboriginal Male Health Summit -Ross River NT 22 Key Recommendations
2009 Federal Governments response (12 Months later ) to 2008 Summit recommendations
2010 Review of Indigenous Male Health by HealthInfoNet
2010 National Male Health Policy Supporting Document -Social determinants
2013 National Aboriginal and Torres Strait Islander Health Plan 2013-2023
2013 – 2030 NACCHO BluePrint for Aboriginal Male Healthy Futures for generational change
2013 -2019 National NACCHO Ochre Day Summits
Please note these entries below are only a snap shot of the thousands of Aboriginal Health reports and strategies published over the past 30 years
1989 National Aboriginal Health Strategy (NAHS)
“Health to Aboriginal peoples is a matter of determining all aspects of their life, including control over their physical environment, of dignity, of community self-esteem, and of justice. It is not merely a matter of the provision of doctors, hospitals, medicines or the absence of disease and incapacity.”
The National Aboriginal Health Strategy (NAHS) was developed by the National Aboriginal Health Strategy Working Group in 1989 following extensive national consultations with Aboriginal and Torres Strait Islander individuals, organizations and communities and with governments.It was a landmark document providing agreed direction for Aboriginal and Torres Strait Islander health policy in Australia.
In July 2003, the National Aboriginal and Torres Strait Islander Health Council stated that the NAHS was ‘never fully implemented [but] remains the key document in Aboriginal and Torres Strait Islander health.
It is extensively used by health services and service providers and continues to guide policy makers and planners.’
Key priorities identified in the 1989 National Health Strategy included building community control of Aboriginal health services, increasing Aboriginal and Torres Strait Islander participation in the health workforce, reforming health system and increasing funding to Aboriginal and Torres Strait Islander health services.The strategy also supported increased community education, health promotion and prevention, improvement of the effectiveness and adequacy of essential services such as sewerage, water supply and communication, and building effective intersectoral collaboration.
It noted that Aboriginal and Torres Strait Islander communities must participate in research to ensure it is ethical and research findings must be monitored and reviewed to ensure implementation.
1994 National Aboriginal Health Strategy: An Evaluation 1989
1999 The 1st National Indigenous Male Health Convention, held at Ross River Homestead
Provided an opportunity for Indigenous males from around Australia to express their views and share their experiences of health. Delegates to the Convention explored strategies to improve the health and well-being of Indigenous males, their families and their communities.
1.Addressing men’s health through separate gender strategies to women’s health
Developing separate strategies for men’s health and women’s health can be highly effective in the short term. If a men’s health clinic is not at a main health centre but is housed a few blocks away, Aboriginal men are more at ease, are more likely to consult a male doctor for a specific problem, and are more likely to return for follow up. The concept of separate gender strategies also applies to health promotion.
2.Employing more men within the NSW health sector
There are fewer Aboriginal male health workers compared to Aboriginal female health workers. Aboriginal male health workers may draw Aboriginal men to primary health care facilities, because men feel more comfortable accessing services where they know they can talk to another man about men’s business. Increasing the number of Aboriginal male health workers within primary health care settings is therefore desirable
3. Making health services relevant for Aboriginal men, their lives and interests
The achievement of Aboriginal men in sport has been a source of great pride and many Aboriginal men are able to demonstrate community leadership through this success. Sports and fitness programs are an important part of Aboriginal community development in general. This is especially true for the health of young people, as sports and fitness programs are likely to contribute to their physical and emotional wellbeing. Physical fitness programs can form a focus for active life skills, as opposed to negative coping mechanisms such as alcohol and substance abuse and other destructive behaviours.
4. Providing incentives for Aboriginal men to be involved
Successful programs often provide some kind of incentive to Aboriginal men to encourage them to become involved. This might be access to the local golf course, or to the local gym; or it could be providing a meal to encourage a more informal atmosphere and sense of fellowship.
5. Developing services within the terms set down by local men
A program or service will have greater success if it aims to be relevant to the needs of local Aboriginal men. For example: in one area, Aboriginal men were embarrassed about seeing a female health worker in a sexual health clinic; so they worked together to establish a separate clinic in a location where they felt more comfortable. As a result attendance increased by 600 per cent.
6.Recognising men’s role in Aboriginal society and how that role influences their health
The role of men in Aboriginal society has changed tremendously in only a few generations. Aboriginal men have experienced a loss of their traditional role in both society and family. This results in despair, shame, and a sense of inadequacy. Some men feel that they cannot contribute to their communities any more. This can be influenced by programs and services that highlight a positive role for Aboriginal men in their communities and families.
7.Addressing the high costs of medication
Compared to non-Aboriginal men, Aboriginal men suffer a higher burden of ill health, and have a significantly lower income, so the cost of medication is an important issue. Aboriginal men need to be informed about any benefits they are eligible for, which can reduce the cost of medication.
8. Increasing the numbers of medical practitioners with an understanding of, and time to deal with, Aboriginal men’s needs
Local medical practitioners should be encouraged to work closely with local Aboriginal health workers, and to develop partnerships with them. In local areas is it essential to increasing the number of health practitioners who understand the needs of local men, and whom local men feel comfortable consulting.
9. Working in partnership
Partnerships are about working collaboratively in an environment based on respect, trust, and equality.
Aboriginal health workers across NSW need to be encouraged to provide the kinds of programs and services that most benefit Aboriginal men in their communities, through partnership between health service delivery and projects of community interest.
10. Developing an evidence base to improve services
Research is needed to develop an evidence base on which to improve service delivery for Aboriginal men.
Issues in need of further research include: how to integrate men’s health programs into existing Aboriginal primary health care services; how to increase the participation of Aboriginal and Torres Strait Islander men in the research process; how to better target research that aims to improve Aboriginal men’s health; how to improve access to health services for Aboriginal males in urban, rural and remote areas; and what strategies and programs provide the best health outcomes for Aboriginal men. There also needs to be greater encouragement to publish existing research.
2002 Dr Mark Wenitong Indigenous Male Health Report report for OATSIH
This report by Dr Mark Wenitong was commissioned by the Office for Aboriginal and Torres Strait Islander Health in response to the continuing need for accessible information around the needs and issues facing Aboriginal and Torres Strait Islander males
Approximately half of Australia’s Indigenous population is male. Knowledge of the status of their health, although not complete due to limitations on Indigenous identification, is an area of acute need.
A ‘gendered approach’ to health is not a new idea and it is becoming more apparent that gender is a key determinant of health in Australia.
The interaction between gender and health has been well recognised and has proved very useful with respect to women’s health. It may be possible to achieve better health access and outcomes for Indigenous males by considering this approach.
This report is an overview of Indigenous male health. It takes account of the:
historical, social and cultural background of Indigenous males and its relationship to health and behaviour;
fact that Indigenous males do not necessarily want a complete isolationist approach, and regard Indigenous women and family as a significant support and integral part of their health;
documented lack of Indigenous males in the health workforce at all levels.
2002 National Framework for the Improvement of Aboriginal and Torres Strait Islander Male Health (2002) Dr Mick Adams
2003 National Strategic Framework for Aboriginal and Torres Strait Islander Health
This National Strategic Framework is not a replacement of the 1989 NAHS.
It is a complementary document, which addresses contemporary approaches to primary health care and population health within the current policy environment and planning structures. It aims to guide government action over the next ten years through a coordinated, collaborative and multi-sectorial approach supported by Aboriginal and Torres Strait Islander health stakeholder organisations.
This National Strategic Framework was developed following consultation on the National Aboriginal and Torres Strait Islander Health Strategy: Draft for Discussion, February 2001, produced by the National Aboriginal and Torres Strait Islander Health Council (NATSIHC).
The Draft for Discussion was based on the 1989 NAHS and the report of its 1994 evaluation.
It took into account the recommendations of the 1991 Royal Commission into Aboriginal Deaths in Custody, the Bringing Them Home Report, submissions made to the House of Representatives Inquiry into Indigenous Health and its final report entitled Health is Life. It also considered existing state and territory, regional and local Aboriginal and Torres Strait Islander health policies, strategies and plans. All these have been fundamental to shaping this National Strategic Framework.
NATSIHC comprises members from the Commonwealth Government, the Australian Health Ministers’ Advisory Council representing State and Territory governments, NACCHO, ATSIC, the TSRA, the Australian Indigenous Doctors Association, the Congress of Aboriginal and Torres Strait Islander Nurses and individuals with specific expertise appointed by the Commonwealth Minister responsible for health. The chairperson of the National Health and Medical Research Council (NHMRC) also sits on NATSIHC as an ex officio member.
2008 National Aboriginal Male Health Summit –Ross River NT 22 Key Recommendations
“ We the Aboriginal males from Central Australia and our visitor brothers from around Australia gathered at Inteyerrkwe in July 2008 to develop strategies to ensure our future roles as grandfathers, fathers, uncles, nephews, brothers, grandsons, and sons in caring for our children in a safe family environment that will lead to a happier, longer life that reflects opportunities experienced by the wider community.
We acknowledge and say sorry for the hurt, pain and suffering caused by Aboriginal males to our wives, to our children, to our mothers, to our grandmothers, to our granddaughters, to our aunties, to our nieces and to our sisters.
We also acknowledge that we need the love and support of our Aboriginal women to help us move forward.”
In 2008 with the national focus on the NT intervention over 400 Aboriginal males from around to participate in a men’s Health Summit at the Ross River Camp
There was a need for Aboriginal men to get back control and understanding of their roles as fathers, uncles, brothers and sons in caring for children in a safe family environment that leads families and the community having a happier, healthier, longer life that reflects opportunities experienced by the wider community
There has been over a decade of work by Aboriginal men to establish male health in the policy debates, but as I will outline later I feel we now need to move beyond the policy struggle to implementing the vision.
Patrick Dodson has been quoted that: “There has been a process of undermining the role and status of Aboriginal men within our society since the early days of Australia’s colonisation and continuing in recent commentary around the Northern Territory Intervention”.
When you add to this the rapid changes in the role of males within that colonising society and the consequent dislocation of non-Aboriginal males and their struggle to define new self-images, it is no wonder that Aboriginal males may struggle to make sense of the contemporary world.
And if those critical views of us as Aboriginal males are expressed with no effort to understand our cultural values, or the pressures caused by the colonial relationships and contemporary social transformations, then we become alienated from this society.
This alienation is at the core of the struggle for male health and wellbeing, as it acts to debase men, stripping away their dignity and the meaning in their lives.
We therefore need to confront these social relationships that shape our health.
Out of the hundreds of ideas that have been discussed and developed over the last three days at Ross River, some of the key recommendations that have come out of this forum are as follows:
Establishment of community-based violence prevention programs, including programs specific to Aboriginal men.
Establishment of places of healing for Aboriginal men, including men’s shelters/’sheds’, short term ‘drying out’ places for men, and more resources for long-term rehabilitation of Aboriginal men with alcohol and other drug problems, preferably within their own community. Also ‘half-way’ houses to either give ‘time out’ or time to move slowly back into work/family/training, preferably to be run by Aboriginal men.
Tax-free status for three years for identified communities for Aboriginal and non-Aboriginal professionals to attract much-needed doctors, health workers, teachers and police. Also incentives to employ Aboriginal people in similar positions.
Building the capacity of Aboriginal men in literacy and numeracy to access locally-based jobs, and better support for establishing local Aboriginal-controlled businesses to tap into the minerals boom, agriculture, aquaculture or whatever business activity is relevant to their traditional country. Also the linking of education and training to locally-based employment.
‘Unfinished business’ – This Summit calls on the Federal Government and the Northern Territory Government to respond to its final report within three months (by the end of September, 2008).
See all 22 recommendations in this next section
2009 Federal Governments response (12 Months later ) to 2008 Summit recommendations
2013 National Aboriginal and Torres Strait Islander Health Plan 2013-2023
The National Aboriginal and Torres Strait Islander Health Plan 2013-2023 was developed to provide an overarching framework which builds links with other major Commonwealth health activities and identifies areas of focus to guide future investment and effort in relation to improving Aboriginal and Torres Strait Islander health.
On 30 May 2014 Senator the Hon Fiona Nash, Assistant Minister for Health, announced that an Implementation plan would be developed outlining the Commonwealth’s coordinated efforts to improve Aboriginal and Torres Strait Islander health outcomes.
2013 – 2030 NACCHO BluePrint for Aboriginal Male Healthy Futures for generational change
NACCHO has long recognised the importance of an Aboriginal male health policy and program to close the gap by 2030 on the alarming Aboriginal male mortality rates across Australia.
Aboriginal males have arguably the worst health outcomes of any population group in Australia.
To address the real social and emotional needs of males in our communities, NACCHO proposes a positive approach to Aboriginal male health and wellbeing
NACCHO, its affiliates and members are committed to building upon past innovations and we require targeted actions and investments to implement a wide range of Aboriginal male health and wellbeing programs and strategies.
We call on State, Territory and Federal governments to commit to a specific, substantial and sustainable funding allocation for the NACCHO Aboriginal Male Health 10 point Blueprint 2013-2030
This blueprint sets out how the Aboriginal Community Controlled Health Services sector will continue to improve our rates of access to health and wellbeing services by Aboriginal males through working closely within our communities, strengthening cultural safety and further building upon our current Aboriginal male health workforce and leadership.
We celebrate Aboriginal masculinities, and uphold our traditional values of respect for our laws, respect for elders, culture and traditions, responsibility as leaders and men, teachers of young males, holders of lore, providers, warriors and protectors of our families, women, old people, and children
The NACCHO 10-Point Blue print Plan is based on a robust body of work that includes the Close theGap Statement of Intent and the Close the Gap targets, the National Framework for the Improvement of Aboriginal and Torres Strait Islander Male Health (2002), NACCHO’s position paper on Aboriginal male health (2010) the 2013 National Aboriginal and Torres Strait Islander Health Plan (NATSIHP), and the NACCHO Healthy futures 10 point plan 2013-2030
These solutions have been developed in response to the deep-rooted social, political and economic conditions that effect Aboriginal males and the need to be addressed alongside the delivery of essential health care.
Our plan is based on evidence, targeted to need and capable of addressing the existing inequalities in Aboriginal male health services, with the aim of achieving equality of health status and life expectancy between Aboriginal males and non-Aboriginal males by 2030.
This blueprint celebrates our success so far and proposes the strategies that governments, NACCHO affiliates and member services must in partnership commit to and invest in to ensure major health gains are maintained into the future
NACCHO, our affiliates and members remain focused on creating a healthy future for generational change and the NACCHO Aboriginal Male Health 10 point Blueprint 2013-2030 will enable comprehensive and long-term action to achieve real outcomes.
To close the gap in life expectancy between Aboriginal males and non-Aboriginal within a generation we need achieve these 10 key goals
1. To call on government at all levels to invest a specific, substantial and sustainable funding allocation for the, NACCHO Aboriginal Male Health 10 point Blueprint plan 2013-2030 a comprehensive, long-term Aboriginal male Health plan of action that is based on evidence, targeted to need, and capable of addressing the existing inequities in Aboriginal male health
2. To assist delivering community-controlled ,comprehensive primary male health care, services that are culturally appropriate accessible, affordable, good quality, innovative to bridge the gap in health standards and to respect and promote the rights of Aboriginal males, in urban, rural and remote areas in order to achieve lasting improvements in Aboriginal male health and well-being
3. To ensure Aboriginal males have equal access to health services that are equal in standard to those enjoyed by other Australians, and ensure primary health care services and health infrastructure for Aboriginal males are capable of bridging the gap in health standards by 2030.
4. To prioritise specific funding to address mental health, social and emotional well-being and suicide prevention for Aboriginal males.
5. To ensure that we address Social determinants relating to identity culture, language and land, as well as violence, alcohol, employment and education.
6.To improve access to and the responsiveness of mainstream health services and programs to Aboriginal and Torres Strait Islander people’s health services are provided commensurate Accessibility within the Primary Health Care Centre may mean restructuring clinics to accommodate male specific areas, or off-site areas, and may include specific access (back door entrance) to improve attendance and cultural gender issues
7.To provide an adequate workforce to meet Aboriginal male health needs by increasing the recruitment, retention, effectiveness and training of male health practitioners working within Aboriginal settings and by building the capacity of the Aboriginal and Torres Strait Islander health workforce.
8 To identified and prioritised (as appropriate) in all health strategies developed for Aboriginal Community Controlled Health Services (ACCHSs) including that all relevant programs being progressed in these services will be expected to ensure Aboriginal male health is considered in the planning phase or as the program progresses. Specialised Aboriginal male health programs and targeted interventions should be developed to address male health intervention points across the life cycle continuum.
9. To build on the evidence base of what works in Aboriginal health, supporting it with research and data on relevant local and international experience and to ensure that the quality of data quality in all jurisdictions meets AIHW standards.
10. To measure, monitor, and report on our joint efforts in accordance with benchmarks and targets – to ensure that we are progressively reaching our shared aims.
NOTE : Throughout this document the word Male is used instead of Men. At the inaugural Aboriginal and Torres Strait Islander Male Health Gathering-Alice Springs 1999, all delegates present agreed that the word Male would be used instead of the word Men. With the intention being to encompass the Male existence from it’s beginnings in the womb until death.
Throughout this document the word Aboriginal is used instead of Aboriginal and Torres Strait Islander. This is in line with the National Aboriginal Community Controlled Health Organisation (NACCHO) being representative of Aboriginal People. This does not intend to exclude nor be disrespectful to our Brothers from the Torres Strait Islands.
2013 -2019 NACCHO Ochre Days :
First Ochre Day Canberra 2013 with present and past 2 NACCHO chairs
“The week-long #MensHealthWeek focus offers a “timely reminder” to all men to consider their health and wellbeing and the impact that their ill health or even the early loss of their lives could have on the people who love them. The statistics speak for themselves – we need to look after ourselves better .
That is why I am encouraging all men to take their health seriously, this week and every week of the year, and I have made men’s health a particular priority for Indigenous health.”
Federal Minister for Indigenous Health and Aged Care Ken Wyatt who was a keynote speaker at NACCHO Ochre Day in August