NACCHO Aboriginal & Torres Strait Islander Health News: Get hair this Movember!

The image in the feature tile is a a Twitter post from Kambu Aboriginal and Torres Strait Islander Corporation for Health promoting their Movember event held at their Ipswich clinic, Queensland on 27 November 2020.

Get hairy this Movember!

Movember is the leading global charity changing the face of men’s health, focusing on mental health and suicide prevention, prostate cancer and testicular cancer. Since 2003, Movember has funded more than 1,250 men’s health projects around the world. Movember has set the goal of reducing the number of men dying prematurely by 25 and halve the number of deaths from prostate and testicular cancer by 2030.

For more information visit the Movember website here. This website includes examples of projects funded by Movember such as (1) Aboriginal and Torres Strait Islander Men’s research, a 12 month research grant to conduct research into common mental disorders among Koori Men, and to identify, test and investigate whether treatment for common mental disorders results in an improvement in general health and wellbeing of Koori Men; and (2) Mibbinbah, otherwise known as ‘Men’s Spaces’, an organisation, program and concept that centres on the idea that men require safe spaces within their communities to discuss issues and share experiences. This conceptual basis is similar to that of the Men’s Sheds program.

NACCHO staff participants of the 2022 Movember challenge.

Calls for data after NT alcohol bans lifted

A lobby group has called on the NT to release more data illustrating the extent of the harm caused, since long-term alcohol bans were lifted across dozens of Indigenous communities in July this year. There is particular concern around the level of alcohol-related harm occurring in the Central Australian town of Alice Springs, which serves as a services hub for dozens of surrounding communities.

While the NT government said there had been “no substantial increases” in harm to the community since the Stronger Futures legislation ended, police and other frontline organisations have told a different story about the impact alcohol is having. In the the latest NT Police statistics, there was a 159% jump in assaults involving alcohol in Alice Springs in August 2022, compared to the same period last year.

But the extent of the harm cannot be fully captured without additional data being from the NT government, according to leading alcohol reform lobby group People’s Alcohol Action Coalition (PAAC). PAAC spokesperson John Boffa said the number of assaults causing serious harm — broken down by region — was a key data set held by the government.

To view the ABC News article Alcohol data dashboard still in the works after bans lifted, as assaults surge in Alice Springs in full click here.

Dr Boffa wants real-time data on alcohol harm to be made public. Photo: Tobias Hunt, ABC News.

Lowitja Institute Major Grant Round webinar

Lowitja Institute’s Aboriginal and Torres Strait Islander Major Grant Round 2022-23 is now open for applications.

The purpose of the Major Grants is to support innovative and responsive community research led by Aboriginal and Torres Strait Islander community controlled organisations to improve the health and wellbeing of Aboriginal and Torres Strait Islander people. The aim is for research to influence policy and practice through the rapid translation of community priorities for improved outcomes for Aboriginal and Torres Strait Islander health and wellbeing. It will also support the capability and capacity building of Aboriginal and Torres Strait Islander organisations to do their own research, their way.

Applications are now open and close on Monday 21 November 2022. More information can be found on the Lowitja Institute website here.

Following success of the first Q&A webinar held on Friday 28 October 2022, and with the closing date for applications fast approaching, the Lowitja Institue Research and Knowledge Translation team will be hosting a second webinar to answer any questions community organisations may have with the application process.

The webinar will be hosted on Friday 4 November 2022 at 12.30pm AEDT. You can sign up for the webinar here.

Background image from Bond University website.

Campaign to bust end-of-life services myths

A new campaign placing the spotlight on palliative care services for Indigenous people has been launched by Australia’s health sector. Palliative Care Australia’s (PCA) Federal Government-funded More Than You Think campaign launched in September to prompt conversations and connect people to end-of-life care and support.

Palliative Care Australia chief executive Camilla Rowland said the campaign was challenging misconceptions about the service. “The campaign helps communities tap into the support that is currently available and builds awareness of some to the questions this stage of life can prompt, but our friends in the Aboriginal and Torres Strait Islander health sector tell us that much more needs to be done,” she said. “PCA has engaged with a group of Aboriginal health leaders to create the Palliative Care Yarning Circle to offer advice on existing programs and consider next steps. “It’s important to us that this work is led and shaped by the people it seeks to serve.”

Ms Rowland said cultural sensitivities needed to be understood for culturally appropriate care to be delivered. Complementing the More Than You Think campaign and PCA’s ongoing advocacy is the grassroots work of the Indigenous Program Experience in Palliative Approach (IPEPA), Caring@Home, and the Gwandalan Palliative Care Project.

To view the National Indigenous Times article Palliative Care Australia launches campaign to bust myths about end-of-life services in full click here. The video below is part of the animation series: Demystifying palliative care and dying for Aboriginal and Torres Strait Islander peoples available on the Palliative Care NSW website here.

Making all equal at front door of health system

Following the outcome of this year’s Federal Election, Health Minister Mark Butler convened the Strengthening Medicare Taskforce (SMT). At its first meeting, the SMT established five focus areas to guide its recommendations to the Australian Minister of Health and Aged Care. The fifth focus area is to provide “universal health care and access for all through health care that is inclusive and reduces disadvantage.”

Providing universal healthcare means every person needs to be equal at the front door of the health system. It is well established that “where you live, how much you earn, whether you have a disability, your access to services and many other factors can affect your health”. These issues are compounded by issues related to funding models, workforce capacity and workforce distribution.

Planning true universal health care requires recognition of the health issues facing our most marginalised members of society. The Australian Institute of Health and Welfare (AIHW) states that: Overall, Aboriginal and Torres Strait Islander people, people from areas of socioeconomic disadvantage, people in rural and remote locations, and people with disability experience more health disadvantages than other Australians. These disadvantages can include higher rates of illness and shorter life expectancy. Further, the AIHW reports that While many aspects of Indigenous health have improved, challenges still exist. Indigenous Australians have a shorter life expectancy than non-Indigenous Australians and are at least twice as likely to rate their health as fair or poor.

To view the article The Strengthening Medicare Taskforce: Making everyone equal at the front door of the health system in full click here.

Image source: STAT+.

Sector Jobs

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

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

Lung Cancer Awareness Month

Lung Cancer Awareness Month is observed annually in November and highlights the need for more research to be conducted while cultivating a better understanding of the disease. This is an important time of the year, that brings the community together to help provide awareness, and to inform and educate people on the signs and symptoms of the disease. It is the fifth most common cancer in Australia, with around 12,000 Australians diagnosed each year. In 2015, 11,788 new cases of lung cancer were diagnosed in Australia, this equates to nearly 9% of all cancers that were diagnosed that year. In 2016, 8410 deaths were caused by lung cancer in Australia.

According to the Australian Institute of Health and Welfare (AIHW) report Cancer in Australia 2021 lung cancer is the most commonly diagnosed cancer among Aboriginal and Torres Strait Islander people, and the leading cause of cancer-related mortality. If lung cancer is found at an earlier stage, there is more chance of a better outcome. It’s important to know the symptoms of lung cancer as although lung cancer occurs mostly in people aged 60 and over, it can affect people of any age. New and constantly evolving treatments such as immunotherapy are likely to continue to improve outcomes for people affected by lung cancer.

You can find more information about lung cancer on the Lung Foundation Australia website here.

Image source: MNA Group Limited website.

NACCHO Aboriginal & Torres Strait Islander Health News: QLD health service delivery needs overhaul

The image in the feature tile is of the entrance to Doomadgee’s hospital emergency department. The photo is from an NCA NewsWire article Teenager given ‘shut-up pill’ before death, 7 March 2022.

QLD health service delivery needs overhaul

Speaking earlier this week at the the inquest of three young Indigenous women from Doomadgee who died with rheumatic heart disease between 2019–2020, Queensland health chief operating officer David Rosengren told the Queensland coroner health service in the town was too complicated. Gidgee operates branches across Queensland’s north-west and works with Doomadgee Hospital and the State’s health service, which the inquest heard could confuse patients on where to go for help. Earlier this week former Gidgee Healing CEO Renee Blackman said she faced significant barriers during her time in Doomadgee.

The coroner heard those roadblocks included gaining ACCHO accreditation, recruiting, securing premises for operation and a fractured relationship with the local state hospital. Similar concerns had been echoed by witnesses during the week. The court heard difficulties obtaining medical notes between services complicated the treatment of one of the women at the centre of the inquest in the months leading up to her death.

Ms Blackman’s said Gidgee used a seperate platform for lodging patient records to the state hospital leading to constraints accessing information. The court heard a laptop was provided to the hospital for access to Gidgee’s notes when needed. But evidence presented to the coroner suggested there was a strained relationship between the two providers which may have affected collaboration. Ms Blackman said without a positive relationship people “will fall through the cracks”.

To view the National Indigenous Times article Ex-health boss backs inquest calls to overhaul fractured QLD Aboriginal health service delivery in full click here.

Former Gidgee Healing CEO Renee Blackman. Image source: National Indigenous Times.

NACCHO leads environmental health workshop

A team from NACCHO had an awesome time last week in Darwin for the 13th National Aboriginal and Torres Strait Islander Environmental Health Conference 2022 (NATSIEH). The team hosted an Aboriginal-led workshop to identify longstanding issues in Aboriginal and Torres Strait Islander environmental health and new solutions through Closing the Gap.

This marked the beginning of NACCHO’s consultation for a National Strategic Roadmap on an Aboriginal and Torres Strait Islander Community Controlled Environmental Health Workforce with the NACCHO team excited to continue working closely with experts of the Aboriginal and Torres Strait Islander Environmental Health sector.

For more information about the NATSIEH Conference 2022 click here.

NACCHO presentation at 13th NATSIEH Conference in Darwin, 5-8 September 2022.

ACCHOs consulted over RHD program

NACCHO held a meeting in Darwin last week with the first group of ACCHOs receiving funding through their new RHD program. This was a great opportunity to come together to discuss the program and hear from the participating ACCHOs and all the awesome work they are doing in community.

Organisations that attended included:

  • Kimberley Aboriginal Medical Services (KAMS)
  • Sunrise Health Service Aboriginal Corporation
  • Mala’la Health Service Aboriginal Corporation
  • Miwatj Health Aboriginal Corporation
  • Nirrumbuk Aboriginal Corporation

as well the Aboriginal Medical Services Alliance NT (AMSANT) and Gurriny Yealamucka (Good Healing) Health Services Aboriginal Corporation who  as joined the meeting online.

ACCHO representatives who met with NACCHO staff in Darwin to discuss their participation in an RHD program.

Homelessness linked to vulnerability clustering

Poverty and discrimination are key issues tipping Indigenous Australians into homelessness, but a lack of funding, affordable housing and crisis accommodation remain bigger problems, a new report has found. Research by the University of SAhas revealed the homelessness rate for Aboriginal Australians is 10 times that of other people.

It found that dispossession of land, racism, profound economic disadvantage and cultural oppression continue to shape the lived experience of many Indigenous communities. And it identified poor literacy, education, criminal histories, domestic violence and lack of sustained tenancies as leading to a “revolving door” of homelessness among Aboriginal people in cities.

“Homelessness among Indigenous people arises from a clustering of vulnerabilities that easily spiral out of control,” the authors said in the report, commissioned by the Australian Housing and Urban Institute.

To view the Inverell Times article Funding call for Aboriginal housing in full click here.

Poverty and discrimination are key issues tipping Indigenous Australians into homelessness. Photo: Dan Peled, AAP . Image source: The Inverell Times.

Better drug treatment needed in Far West NSW

During a visit to Broken Hill on 14 September 2022, the President of the Law Society of NSW Joanne van der Plaat said the remote area needs an alternative approach to making its community safer. She told ABC local radio “I was keen to get out here and particularly to some of the other regions that are further away from Sydney to just see what is going on and to really listen to some of the practitioners … to see what they’re facing in terms of their daily practice.”

Data from the NSW Bureau of Crime Statistics and Research shows rates across multiple offence categories in Broken Hill sit at two and three times the state average. “With illicit-drug offences in Broken Hill in the year to March 2022 at about double the state average, and bail breaches at almost three times the average NSW rate, it’s clear that current approaches are not working,” van der Plaat said.

President of the Far West Law Society Eric Craney said establishing health and culturally safe treatment services for drug and alcohol use in Broken Hill would be a major step in helping to reduce the over-representation of Indigenous people in the criminal justice system. “Additionally, the Government should extend the Dubbo Aboriginal Bail Pilot across regional areas including Broken Hill, to reduce the incidents of technical bail breaches that cause no safety risk to the community, but that can result in unnecessary incarceration of vulnerable defendants,” Mr Craney said.

To view the NSW Law Society Journal online article Calls for better drug treatment and rehabilitation in NSW’s far west in full click here.

Image source: Australian Journal of General Practice.

Dementia cases could be prevented

More than half of Indigenous dementia cases in far north Queensland could be prevented after scientists identified a series of risk factors linked to the condition. The James Cook University study found 11 risk factors contribute to up to 52% of dementia cases in its sample population. “Dementia is an emerging health issue among Torres Strait Islander and Aboriginal peoples in Far North Queensland,” lead researcher Fintan Thompson said.

“We thought it likely that historically recent exposure to modifiable risk factors was contributing, and that a large proportion of dementia could potentially be reduced or delayed.” Analysing health data from more than 370 First Nations people in the Torres Strait and Northern Peninsula, the research team identified risk factors that could be modified. “The most important dementia risk factors are already public health priorities in this population. Risk factors such as hypertension, diabetes, obesity, and smoking were important contributors, which is somewhat similar to other populations,” the report said.

The study suggests rates of dementia could decline if these risk factors were reduced at a population level. The study also shows dementia risks in the Torres Strait region may be comparatively less certain. “Risks, such as social isolation and heavy alcohol consumption, contributed less to dementia in the Torres Strait region, which is great news,” Mr Thompson said.

To view the Pilbara News article Scope to lessen Indigenous dementia: study in full click here.

A study has found more than half of dementia cases in the Torres Strait region could be avoidable. Photo: Tracey Nearmy, AAP. Image source: Perth Now.

 

Youth held in police watch houses to sue

Three young people are taking on the Queensland government with a legal case claiming their human rights were breached when they were locked up in police watch houses. An anti-discrimination and human rights legal challenge is currently before the Queensland Civil and Administrative Tribunal (QCAT).

The police cells are meant for some of the state’s worst criminals, including adults accused of murder or sexual abuse. Katie Acheson, the outgoing CEO of the Youth Advocacy Centre, believes the case will shine a light on the practice which she believes should end. “It should be a wake-up to the Queensland government and the Queensland population,” she said. “I think many of us don’t realise that there are children right now in an adult watch house. “They’re scared and alone and they’re children and we have a responsibility to take care of them and not be further traumatising them.”

One organisation is trying to keep kids out of custody. Five nights a week the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane outreach team, lead by Pita Taimani, head to areas where at-risk young people like to hang out. They check on their safety and offer them a lift home before there’s any trouble. “We see that there’s a need to support young people that are in the CBD, where they’re not in the eyes of the police, not getting into the watch house,” Pita Taimani said. Mr Taimani’s team also offers crucial support to young people, like access to health care and vocational education.

To view the ABC News article Young people taking legal action against Queensland government after being held in watch houses in full click here.

Pita Taimani’s outreach team is focused on keeping at-risk youth out of police custody. Photo: Michael Atkin, ABC News.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Pleas for governments to ‘listen’

Image in feature tile is from The Guardian article NT intervention a ‘debacle’ and second attempt should be made, commission told, 22 June 2017. Photo: David McLain, Getty Images, Aurora Creative.

Please for governments to ‘listen’

The intervention rolled into the NT like an unseasonal storm. That’s how some Territorians who lived through the policy – formally named the emergency response – remember its arrival, 15 years ago. John Daly, a remote community resident from Nauiyu, was the Northern Land Council’s chairman at the time, says “I think it was done in a way that was so hurtful. When you look at the intervention, it was based on a report – this wasn’t the response [the authors] wanted from their report. Ten years after allegations of abuse and violence in the Indigenous community of Mutitjulu sparked the NT intervention, locals say very little has been achieved.

“Why basically ride in there and take away the rights of every traditional owner and Aboriginal person?” In north-east Arnhem Land, Djambarrpuyngu clan cultural leader Lapulung Dhamarrandji remembers residents from Milingimbi fleeing to neighbouring homelands and communities out of fear. “To us, it was like there wasn’t any blue skies around us, it was covered with thick grey clouds – when the intervention came, it was like that,” he said. “The fear inside us all, I mean we are parents just like you people you know.”

To view the ABC News article Residents who lived through the NT intervention plead for governments to ‘listen’, 15 years on in full click here.

Miriam Rose Ungunmerr Baumann said there was a failure to listen deeply and hear residents’ solutions. Photo: Felicity James, ABC News.

PAMS Healthcare Hub built for the desert

Through a series of projects in the arid environment of WA predominantly built for Aboriginal communities, Kaunitz and Yeung Architecture has proposed a different approach to working with the beautiful, yet harsh, desert environment. Designing with, not for, remote Aboriginal communities, Kaunitz and Yeung are changing the narrative of remote regional architecture – creating a new vernacular for Australian desert architecture.

While one of their most recent projects, the award winning Puntukurnu Aboriginal Medical Service (PAMS) Healthcare Hub, may be the most prominent of Kaunitz and Yeung’s work, some of their earlier Western Desert projects were fundamental in breaking the architectural tradition already present in Australia’s desert areas. The work of Kaunitz and Yeung has been iterative. Starting with the Wanarn Health Clinic in 2015 which, in David Kaunitz’s words, “smashed the mould of verandah buildings” then the Punmu and Parnngurr clinics in 2018, each project has learned from the previous and the design has evolved.

To view The Property Tribune article Creating architecture for the Australian desert in full click here.

The new PAMS building has been constructed around an internal courtyard which provide shad in summer and shelter from the harsh sun. Image source: The Property Tribune.

Pharmacy trial puts patients in danger

A small Aboriginal community in Far North Queensland, the town has in effect been selected as one of the sites for a radical and potentially dangerous experiment in patient care. That experiment is the Queensland Government’s plan to allow pharmacists to diagnose, prescribe and dispense up to 150 different S4 drugs across 23 medical conditions.

Dr King, a Yued/Whadjuk Noongar man, explains why he fears the worst. I first learnt that Yarrabah would be a site for the North Queensland pharmacy trial back in March. I found out because a journalist sent me those secret, confidential documents that had originally been leaked to Australian Doctor earlier this year. I did not find out because the community was consulted about what was coming— the local council, the ED next door to us, both knew nothing. I was confused, and I was angry.

The government says this trial will allow pharmacists to compensate for GP workforce shortages in North Queensland. If Yarrabah is on the list, then that is nonsense. We have seven FTE GPs, and even in the most difficult parts of the pandemic, we haven’t had shortages. To slap us with this trial with no consultation about what is happening is ludicrous and offensive. It also shows a deep level of ignorance at the highest level of Queensland Health for what actually goes on within communities from a primary health perspective and the vulnerabilities of our patients.

To view the Australian Doctor article Pharmacy prescribing trial: ‘The lives of my patients are in real danger’ in full click here.

Dr Jason King, Gurriny Yealamucka Health Service, Yarrabah, QLD. Image source: Australian Doctor.

Use the NDIS? We want your story

Do you or your family use the NDIS??

We’d like to film your story?!

People from all locations welcome.

Your time will be paid $$.

Please contact Chris Lee by email here or by phoning 02 6246 9352.

Urgent need for more mental health services

More than two in five Australians experience a mental health issue in their lifetime. In 2020–21 more than 3.4 million Australians sought help from a health care professional for their mental health. These sobering statistics are from the Australian Bureau of Statistics (ABS) National Study of Mental Health and Wellbeing, with in-depth data from more than 5,500 people aged 16 to 85 years old. The study found that during the height of the COVID-19 pandemic, 21.4% of Australians had experienced a mental health disorder in the previous 12 months, with anxiety the most common disorder. Almost half (47.1%) of those who had a mental health disorder in 2020–21 sought support, an increase since the last study in 2007.

Across their entire lifetime around one in six (16.7%) Australians reported having had suicidal thoughts or behaviour, with females (18.7%) having a higher rate than males (14.5%). 38% of Australians were close to someone who has attempted or died by suicide, a tragedy which impacts family, friends and communities.

You can read the media release Major Mental Health Study Released issued by Minister for Health and Aged Care, Mark Butler MP and the Assistant Minister for Rural and Regional Health, Emma McBride MP in full here.

Other organisations also issued media releases in response to the ABC data:

Image source: High Street Medical Clinic.

Change starting for VIC LGBTQI community

From growing up with his ‘foot in two camps’ – queer and Indigenous, to being the voice of the LGBTQI community in Victoria, Victorian Commissioner for LGBTIQ+ Communities Todd Fernando says it’s been an exciting journey. Todd Fernando is the first out queer, Indigenous person to be appointed a commissioner in Australia. For this descendant of Kalarie people from the Wiradjuri nation, growing up with his “foot in two camps” was not an easy task.

“Being a young Wiradjuri person, we were fighting for the recognition of our culture. I had to put my queerness on the back burner and, and really not allow it to overshadow what we were trying to do within the Wiradjuri space,” Fernando said. Fernando grew up in the regional rural town of Condobolin, located on the Lachlan River in central-western NSW. “I was very fortunate to grow up on country and to learn about my culture in a variety of ways with my family. One of the things that I did miss out on was connecting to my culture through my queerness.”

To view the Star Observer article We’re starting to see change, says Todd Fernando Victorian Commissioner for LGBT communities in full click here.

Todd Fernando, Victorian Commissioner for LGBTIQ+ Communities at the opening of the Victorian Pride Centre in July 2021. Photo: Gabriel Jia. Image source: Star Observer.

Better anti-racism training needed

Monash researchers have found medical practitioners are promoting ill health through racist practices with Aboriginal health consumers. Monash academic Petah Atkinson published the findings from her PhD research Aboriginal Health Consumers Experiences of an Aboriginal Health Curriculum Framework in The Australian Indigenous HealthBulletin Journal with co-authors Professor Karen Adams and Professor Marilyn Baird.

The study found unwanted care included three racism themes: 1) The practitioner perpetuating and being unresponsive to racism; 2) Assimilation; and 3) An inability to consider the impacts of settler colonialism. Desired care included four anti-racist themes: 1) Responsiveness to racism and settler colonialism; 2) Advocating within the settler colonial health system; 3) Engaging with the diversity of Aboriginal ways of knowing, being and doing; 4) Lifelong learning and reflection.

In settler colonised countries, medical education is situated in colonist informed health systems. This form of colonisation is characterised by overt racism and contributes to the significant health inequities experienced by Indigenous peoples. Curriculum in these countries includes content relating to Indigenous peoples but doesn’t recognise Aboriginal knowledge as valuable nor consider the Indigenous health consumer’s nuanced lived experience of the delivery of medical care.

To view the Monash University article Better anti-racism training needed for medical practitioners in full click here.

Image source: INSIGHT Into Diversity.

Broaden your horizons with AGPT program

General practice is the perfect career choice for any doctor who enjoys diagnosing and treating a wide range of conditions and building long term relationships with their patients. With GPs at the frontline of primary healthcare during this recent pandemic, there are more opportunities than ever for a rewarding career in general practice – particularly those who choose to train in rural and remote Australia.

The Australian General Practice Training (AGPT) Program

Expressions of interest are open for the 2023 Australian General Practice Training (AG{T) Program (AGPT). The AGPT trains medical registrars in general practice. Registrars who achieve their fellowship through the program can work as GPs anywhere in Australia. Explore our pathway to Fellowship for a visual representation of the suggested steps for your journey.

By expressing interest, the Royal Australian College of General Practitioners (RACGP) will support you will valuable information through the application process.

You can express your interest by visiting the RACGP website here.

New process for job advertising

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

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

16th National Rural Health Conference

In the lead up to the recent Federal election, the crisis in rural health received considerable media attention. It is well understood that the lack of sufficient health professionals and limited access to healthcare, result in lower life expectancy and higher levels of disease and injury in rural, regional and remote communities compared to metropolitan populations.

“If we are going to make significant inroads into improving access to affordable, high-quality healthcare, we need to bring together the whole rural health sector to learn from others about effective, innovative and tailored, place-based solutions for our rural communities,” said Dr. Gabrielle O’Kane, CEO of the National Rural Health Alliance (the Alliance). To this end, the Alliance will host the 16th National Rural Health Conference from 2-4 August 2022 in Brisbane, Queensland.

To read the National Rural Health Alliance media release 16th National Rural Health Conference from 2–4 August 2022 ‘Bridging social distance; rural health innovating and collaborating’ in full click here.

NACCHO Aboriginal & Torres Strait Islander Health News: Standing on the Shoulders of Greatness

Image in feature tile is of Pat Turner AM, delivering the Dr Charles Perkins Memorial Oration for 2020, Great Hall, University of Sydney. Image source: ABC Speaking Out website.

Standing on the Shoulders of Greatness

Yesterday the CEO of the NACCHO and Lead Convener of the Coalition of Peaks, Pat Turner AM issued the following media release to mark the start of NAIDOC Week 2022:

Standing on the Shoulders of Greatness

NAIDOC Week 2022: Get Up! Stand Up! Show Up!

CEO of the National Aboriginal Community Controlled Health Organisation and Lead Convener of the Coalition of Peaks, Pat Turner AM says NAIDOC Week 2022 calls upon us to Get up, Stand up and Show up, which can be tough! But as Aboriginal and Torres Strait Islander people, we know how important it is.

‘We know that to achieve the changes necessary to improve the health, wellbeing, and economic prosperity of our people, we have to make this choice every day.

‘On the days that are especially tough, I remember that we stand on the shoulders of exceptional humans who have changed Australia for the better! Like my Uncle, Dr Charlie Perkins, Oodgeroo Noonuccal, Eddie Mabo, Gladys Elphick, Albert Natmajira, Faith Bandler, Vincent Lingiari, all our mothers, fathers, grandmothers and grandfathers who’s presence and strength are endless, and to our ancestors who maintained and handed down a rich culture that makes us who we are today. That makes us strong.

NAIDOC Week 2022 with quote from NACCHO CEO and Lead Convener of Coalition of the Peaks, Pat Turner AM

‘I am the daughter of an Arrente man and a Gurdanji woman and I grew up in Alice Springs. Being Aboriginal and of the First Peoples of this Country is my story, the story of who I am.

‘And this is just one of the multitudes of worthwhile reasons that help me to Get Up, Stand Up, and Show Up, every day.

Pat further added, ‘Over time, and through our continual storytelling, Aboriginal and Torres Strait Islander peoples have reclaimed some of our Country back through native title and land rights, and as momentum builds towards a national Treaty as part of the Uluru Statement from the Heart, the significance of our stories continues.

‘As the first CEO of NITV and working in the Aboriginal space for a long time, it is exciting to see the explosion of young people on social media, advocating for social justice, celebrating, and reconnecting with their identities and languages.

‘The stories I grew up with were told under big gum trees, out on porches, sometimes laying in swags and looking up to the stars. I would listen as my mother and father told the stories of my family and about our Country, and from others, I heard the stories of the fight for the civil rights of Aboriginal people.

‘Both these stories helped to shape who I am today. They gave me my sense of what it means to be an Aboriginal person and instilled a fire in me to imagine and work towards a better future for our peoples.’

You can view Pat Turner’s media release Standing on the Shoulders of Greatness in full on the NACCHO website here.

Interrogating intentions for First Nations health

In the PM’s 2020 Closing the Gap statement to Parliament, he reported “despite the best of intentions; investments in new programs; and bi‐partisan goodwill, Closing the Gap has never really been a partnership with Indigenous people”. The “best of intentions” for Closing the Gap has been widely questioned in academic literature, and mainstream media, including highlighting the lack of Aboriginal and Torres Strait Islander peoples involvement in decision‐making processes and acknowledgement of Aboriginal Community Controlled Health Services as exemplars of best practice in providing holistic health care to Aboriginal and Torres Strait Islander people.

In 2021, with a reformed agenda for Closing the Gap now established with Aboriginal and Torres Strait Islander people represented by their community‐controlled peak organisations, the Coalition of Peaks — an Aboriginal‐led research team — felt it timely to interrogate the intentions for Aboriginal and Torres Strait Islander health through a critical review of research outputs since Closing the Gap was established in 2008.

To read the MJA article Interrogating the intentions for Aboriginal and Torres Strait Islander health: a narrative review of research outputs since the introduction of Closing the Gap in full click here.

Image source: Oxfam Australia.

CATSINaM demonstrates governance excellence

Wiradjuri academic Juanita Sherwood was working at The Block in Redfern in inner Sydney in the late 1980s when she first saw the need to decolonise research to improve health outcomes for Aboriginal and Torres Strait Islander peoples. Professor Sherwood is a founding member of the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives(CATSINaM), a member of its Elders Circle and a Board director. She said CATSINaM’s model of Indigenous governance today was “a beacon of light in how to do business in Indigenous health” compared to a generation ago when she started work as a nurse. “Our governance model reflects on what is important in our culture, our lore, how we pay respect to Elders, and how we promote primary healthcare as critical care for our community,” she said.

Board President Marni Tuala, a Bundjalung registered midwife, said CATSINaM’s model of Indigenous governance could be seen in multiple layers of the organisation where the distribution of power often seen in Western systems was replaced by the reciprocal distribution of knowledge that reinforces “our Aboriginal ways of knowing, being and doing”. “What we’re doing at CATSINaM is demonstrating the model of excellence in Indigenous governance,” she said.

To view the Croakey Media Health article Demonstrating excellence in Indigenous governance: Congress of Aboriginal and Torres Strait Islander Nurses and Midwives in full click here.

CATSINaM member Kamilaroi-Wiradjuri nurse and artist Kisani Upward painted this portrait of CATSINaM founder Dr Sally Goold – the first Aboriginal nurse at the first ACCHO in Redfern – for the 2022 Archibald Prize. Photo courtesy of Kisani Upward. Image source: Croakey Health Media.

Adolescent health strategy a glaring gap

The current lack of a national strategy for Indigenous adolescent health in Australia is a glaring gap. While there has been work to establish a policy framework for Australia’s young people, there is no national strategy for Indigenous adolescent health. As a result, investments to date have been limited, reactive and fragmented. Efforts have been siloed around health issues including sexually transmitted infections, social and emotional wellbeing, youth suicide, rheumatic heart disease, and risk behaviours including substance misuse. However, these foci are inadequate given the persistent high rates of potentially avoidable mortality; unintentional injury (a key driver of adolescent mortality) is a notable gap.

Additional policy gaps relate to the health needs of Indigenous 10–14‐year‐olds, including the excess burden of sexually transmitted infection, injury, substance use, and poor mental health (including self‐harm and suicide). Young adolescents typically cannot access youth services independently and have needs beyond those currently provided for in paediatric services. Further, many existing efforts focus on diseases and risks amenable through the health system, too narrow a focus to address needs largely driven by complex social and structural determinants.

More than one‐third of Indigenous adolescents report high rates of psychological distress, a symptom of systemic racism and discrimination, intergenerational trauma, and associated socio‐economic deprivation. While responsive health services play a critical role, broader investments in health promotion and prevention are also required.

To view the MJA article The need for a roadmap to guide actions for Aboriginal and Torres Strait Islander adolescent health: youth governance as an essential foundation in full click here.

Photo: Getty Images. Image source: BBC.

No telehealth puts vulnerable at risk

The Australian Medical Association (AMA) says the Federal Government has failed an early test of its pandemic response by refusing to extend COVID-19 telehealth services despite the ongoing challenges to our health system. AMA President Dr Omar Khorshid said the refusal of the Government to extend Medicare-funded COVID-19 telehealth services from 1 July would limit vulnerable patients’ telephone access to doctors. “This decision means telephone access to doctors will be significantly limited and this will hit vulnerable patients hardest, including those who do not have access to high bandwidth internet and those who can’t operate the necessary IT systems,” he said.

“This means that older patients, those with chronic health conditions including cancers and those who
are immune suppressed will have less access to care from tomorrow and may be put at increased risk of
contracting COVID if they now have to attend their doctors appointment face to face. “Each day thousands of Australians are required to self-isolate because of a COVID-19 infection and as
a close contact. Many of these people will not be able to continue to access medical care when they
need it.”

To view the AMA media release Government failure on telehealth services puts vulnerable patients at risk in full click here.

Image source: The West Australian.

Growing First Nations population a proud moment

Co-founder of The Demographics Group based in Melbourne and columnist with The New Daily has written an article about Australia’s growing Aboriginal and Torres Strait Islander population, “Earlier [last] week, I was able to get a glimpse of the census data. The joys of writing a column include getting embargoed press releases the day before the official data launch. One figure, more than anything else, jumped out at me. Australia’s Indigenous population has increased sharply to 813,000 (3.2% of the population).”

“This 25% increase over 2016 data is huge. Obviously, this increase cannot, by definition, be due to migration, nor was it the result of an outrageously high birth rate. On the contrary, more people identified themselves as Aboriginal on the census form. Social progress still seems painfully slow for the relevant cohort, but zooming out, looking at longitudinal data, allows us to be much more optimistic about societal trends. We have collectively created an environment where more people are confident enough to proclaim their legacy loud and clear.”

To read The New Daily article The Stats Guy: Increase in Indigenous population a proud moment for Australia in full click here.

Photo: Wayne Quilliam, Oxfam Australia. Image source: AHRC.

Hope for Health program changing lives 

An Indigenous-led program in Arnhem Land is combating chronic illness and promoting healthy living using a combination of traditional and Western knowledge. The Hope for Health program has seen profound results among participants including weight loss; better control over diabetes; a reduction of medication use; and half of participants quitting smoking.

Co-founder of the framework Time Trudgen says the program could benefit communities across Australia to close the gap in health education and safeguard future generations.

You can listen to the SBS story Indigenous-led health program changing lives in Galiwin’ku here.

Hope for Health team recruiting for health retreat. Photo: Aneeta Bhole. Image source: SBS News.

New process for job advertising

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: With right investment change possible

Image in feature tile is from ABC News 20 October 2021.

With right investment change possible

Experts say Australian census data linking income level and health outcomes is unsurprising and focus is now on how to change it. The median age in Queenscliffe, a small, wealthy seaside region in Victoria, is 62 – almost three times higher than in Cherbourg, the Aboriginal community in south-east Queensland, where the median age is just 23.

Cherbourg was Australia’s most disadvantaged local government area the last time the Australian Bureau of Statistics calculated it in 2016. Queenscliffe was one of the most advantaged, and holds the honour of being the first local government area in Australia to reach the national COVID-19 vaccination target.

Dr Jason Agostino, the NACCHO’s medical adviser, said while a young median age is an indicator of the lower life expectancy of Aboriginal and Torres Strait Islander people, it’s also a source of hope. With so many young people, and the right investment in them, “things can change quickly”, he said. “That’s what I’ve heard elders at Yarrabah say as well – there’s an opportunity for change,” he said. Agostino works in an ACCHO in Yarrabah, in far north Queensland.

The above is an extract from an article ‘Wealth determines health’: young median age in Indigenous areas reflects lower life expectancy appearing in The Guardian today. The below video looks at life in Utopia, Australia’s poorest and most remote community.

Wading through complex medical system

When Jodie Jackson saw people living with illness in her community nervous to travel off Country to seek the medical attention they needed, she quickly put her hand up to be a travel companion and break down confusion between her mob and doctors. Ms Jackson kickstarted the Perth outreach program at Mawarnkarra Aboriginal Health Service in WA’s Pilbara region six years ago, jumping on endless planes between the city and the remote community since.

“I put it forward (and asked) if you had someone down in Perth that could help you, and you knew that person, would you come to Perth for your appointments.” The answer was yes. Initially a social emotional wellbeing worker, and later obtaining her certificate IV in mental health, Ms Jackson travels with patients to sit in on consultations, break down complex medial jargon, help map out treatment plans and intervene when required, all while lending a loving hand.

To view the National Indigenous Times article To help Indigenous patients, Jodie Jackson sits by their side to wade through complex medical system in full click here.

Jodie Jackson. Image source: National Indigenous Times.

Art centres role in elder health

As part of NAIDOC Week celebrations, SBS will feature the film ‘Art Centres Keep our Elders Connected – sharing the essential role of art centres in supporting older people — to keep culture, Country, language, and kin strong for their communities. The film explores the significant role Aboriginal and Torres Strait Islander community-controlled art centres play in nurturing the health and wellbeing of older people and people living with dementia in remote communities across Australia.

“This film is an invitation to listen to Elders, artists, and staff from three Aboriginal community-controlled art centres as they share their stories. It celebrates the vital role of Elders who are the backbone of these art centres,” NARI Research Fellow, Paulene Mackell, said.

To read the Inside Ageing article NARI film to premiere on SBS during NAIDOC Week in full click here.

Program to give kids best start in life

Edith Cowan University (ECU) has been awarded a $3 million National Health and Medical Research Centre (NHMRC) Clinical Trials and Cohort Studies 2021 grant which aims to give Aboriginal children the best possible start to life. Over five years, the research team involved in the project will implement the Care for Child Development (CCD) program, which the World Health Organization and UNICEF have used to positive effect internationally.

CCD trains health providers to offer appropriate advice to caregivers on play, responsive stimulation, mother-child interaction, and maternal depression, starting from the first month of their child’s life. These interactions add 30 minutes to a routine infant health check, but could provide lifelong benefits for Aboriginal children.

“Almost one in three Aboriginal children start school in WA with at least two developmental vulnerabilities,” explained ECU Director of Aboriginal Research Associate Professor Dan McAullay. “The long-term effects of having poor early child development means children don’t live up to their potential. That then influences their educational attainments, and their social and emotional wellbeing going into adulthood.”

To view the The Sector article ECU gets $3m grant to support Aboriginal children to reach their full potential in full click here.

Image source: RACGP

Self-collect cervical screening option

From today, women who need to get a cervical screening test will be able to choose to self-collect a sample themselves. The self-collect option is a game changer in cervical screening – and Australia is one of the first countries in the world to offer it as a choice for all screening participants.

For many women and people with a cervix, particularly those who have experienced sexual violence or abuse, having a regular ‘pap smear’ from a GP can be extremely traumatic, and many women instead opt not to get this test done, which exposes them to a higher risk of developing cervical cancer.

Being able to do the test yourself is also expected to increase the rates of cervical cancer screening for women from culturally and linguistically diverse backgrounds, who may have experienced cultural barriers and taboos around traditional ‘pap smears’.

To view the Assistant Minister for Health and Aged Care’s media release ‘Pap smears’ can be replaced by do-it-yourself cervical cancer tests in full click here.

Image source: MJA InSight.

National inpatient care research

The Society of Hospital Pharmacists of Australia (SHPA) is marking National NAIDOC Week 2022 by highlighting newly published national research into care for Aboriginal and Torres Strait Islander inpatients, as the organisation works to embed training on culturally safe care across all members’ annual education.

The article, which leads the June 2022 issue of the Journal of Pharmacy Practice and Research (JPPR) released last week found a significant gap between the provision of hospital pharmacy services for Aboriginal and Torres Strait Islander inpatients and processes to measure outcomes.

You can read the SHPA media release New research and NAIDOC Week sharpen focus on strength, resilience and respect in Hospital Pharmacy in full here.

Image source; scimex website.

Mixed bag for kids in CTG data

The latest data on Closing the Gap outcomes shows a mixed result in terms of reaching targets for children and young people. Data released today by the Productivity Commission shows two of three targets are on track, but the number of children starting formal schooling years assessed as being developmentally on track has declined alarmingly.

SNAICC CEO Catherine Liddle said it was heartening to see more children enrolled in early years education at a rate exceeding their non-Indigenous peers. The Productivity Commission data shows that in 2021, 96.7% of Aboriginal and Torres Strait Islander children were enrolled in preschool programs for the year before school.

To read the SNAICC media release Mixed bag for children in latest Closing the Gap data in full click here.

Image source: Good Start Early Learning website.

New process for job advertising

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Thurs 30.6.22

Image is feature tile is of health staff working long hours to test residents in Bidyadanga. Photo: KAMS. Image source: ABC News 28 February 2022.

KAMS’ quick response to COVID-19

At last week’s Communicable Diseases and Immunisation Conference, Dr Lorraine Anderson shared some valuable insights from the Kimberley Aboriginal Medical Service’s (KAMS) response to COVID-19.

Medical director at KAMS, Anderson showcased their quick response to the pandemic, urging all conference delegates to consider the Aboriginal Community Controlled Health Organisation (ACCHO) model of care to “help bring all people on board in the health space”.

In her presentation, Anderson said that communication, leadership, governance and the prioritisation of Aboriginal cultural and spiritual ways, self-determination and empowerment were critical.

To view the Croakey Health Media article Aboriginal leadership key to successful management of COVID-19 in the Kimberley region in full, including Anderson’s full presentation, as delivered at the conference on 21 June 2022 click here.

Vaughan Matsumoto, Senior Aboriginal Practitioner at the Beagle Bay clinic receives a coronavirus vaccine. Photo: KAMS, AAP. Image source: The Conversation.

Leading the way to improve RHD outcomes

Aboriginal and Torres Strait Islander children, between 5 and 15 years of age are 55 times more likely to die from rheumatic heart disease (RHD) than other Australian children. The broader Aboriginal and Torres Strait Islander population are 15 times more likely to be diagnosed with RHD than other Australians. The prevalence of acute rheumatic fever (ARF) is also significant. This was released in a report by the Australian Institute of Health and Welfare (AIHW) in April 2022.  

To address these alarming issues, NACCHO will develop a new service delivery model for the national Rheumatic Fever Strategy (RFS), for the prevention, treatment, and management of RHD and ARF. This model will be co-designed with the Aboriginal Community Controlled Health sector. 

A Joint Advisory Committee (JAC) will oversee the strategy and be co-chaired by NACCHO and the Australian Government Department of Health. The JAC has been established to create a nationally cohesive approach to ARF and RHD, with a focus on improving care pathways and RHD data and includes representatives from: 

  • State and Territory Government Health representatives – NT, QLD, SA, and WA 
  • NACCHO Affiliates – NT, QLD, SA, and WA 
  • Heart Foundation 
  • Australian Medical Association
  • Members of the NACCHO RHD Expert Working Group.

A NACCHO RHD Expert Working Group has also been established and comprises representatives from the ACCHO sector.   

The JAC will meet bi-monthly during the establishment phase of the program. A meeting communique will be publicly available and provided to relevant stakeholders.  

Click here to read the JAC February 2022 communique.  

If you would like to be kept informed about progress in this space, you can contact the NACCHO RHD team using this email link.

Dr Josh Francis, Shannon Brown and Trey Brown in Maningrida. Photo: Mike Hill, Take Heart Program. Image source: NRHA Partyline on-line magazine.

Decolonising healthcare – a call to action

In her final story from the 21st International Conference on Emergency Medicine, Dr Amy Coopes has written about the call to decolonise healthcare, and for health workers to challenge “inequity and injustice in their work”. Dr Coopes explains that structural inequities and injustices as a legacy of colonisation can only be dismantled by acknowledging that a script of subjugation continues to be played out in healthcare settings, perpetuating a cycle of prejudice and ill health for oppressed peoples.

Disrupting this narrative is urgent work for all healthcare professionals, and begins with reflexive action, interrogating the motivations, power imbalances and potential for oppression, violence and injustice in our practices and approaches in health. These were the central messages of a compelling call to action for emergency doctors at a recent global summit held in Melbourne centred on the themes of equity, sustainability and innovation.

To view the Croakey Health Media article Decolonising healthcare: a call for equity in action in full click here.

REFOCUS makes profound difference

This year’s NAIDOC Week theme is Get Up! Stand Up! Show Up! and it calls on the community to rally for systemic change and continue to support and secure institutional, structural, collaborative and co-operative reforms.

On a local level, one organisation working day in, day out to make a difference is REFOCUS. The charity is making a profound difference in the wellbeing of Indigenous youth and their families across the region. REFOCUS has been delivering wellbeing support services to the Sunshine Coast, Moreton Bay and Gympie regions since 2010.

The charity stands for ‘Redirecting and Empowering Families through Culturally Unique Services’ and provides a range of programs to support children to reach their full potential. REFOCUS CEO Darcy Cavanagh first began working in the youth and child protection sector in 1998 and knows firsthand the need for this type of support in the local community. “My interest in this line of work comes from my brief experience of being placed in the foster care system with my two brothers and the life that followed being returned home,” he says.

Launching REFOCUS with six staff, and now with a team more than 60, the charity supports thousands of individuals through a variety of programs across its catchment area, with a specific focus on children under 18. Programs include family wellbeing services, family participation programs, NDIS support services, foster and kinship care as well as Aboriginal medical service Gunyah of Wellness.

To view the My Weekly article It’s time to come together in full click here and to access the REFOCUS website click here.

Calls for VIC Treaty Authority

Last week, Co-chairs of the First People’s Assembly of Victoria called on Victorian parliamentarians to pass legislation enabling the establishment of the Treaty Authority in Victoria. In what Bangerang and Wiradjuri Elder Aunty Geraldine Atkinson described as an “umpire” independent from government, a Treaty Authority would “support Treaty-making in Victoria between the First Peoples of Victoria and the state government.”

Marcus Stewart, a proud Nira illim bulluk man of the Taungurung Nation, said “the Treaty Authority agreement is decolonisation in action”. Although an agreement has been signed between the First People’s Assembly and the Victorian Government, legislation is required to facilitate the operation of Authority. The Treaty Authority bill passed the Victorian Parliament’s lower house last week.

To view the Croakey Health Media article Lore, law and cultural authority at the heart of Victorian Treaty Authority in full click here.

Image source: Croakey Health Media.

Census lacks detail about people’s lives

The census counted 812,728 Aboriginal and Torres Strait Islander people on census night, making up 3.2% of the total people counted. That’s up from 649,171 in the 2016 census, an increase of over 25%. Many have estimated the population prior to the arrival of the British was between 750,000 and 1 million. So the exciting news is in only 234 years we are nearing pre-colonial numbers.

Whenever there is an increase in the numbers of Aboriginal and Torres Strait Islanders, there is always speculation as to why. Of course the politics of identity is always at play. There will be the usual commentary that targets the way people look in those old arguments that refer to skin colour as the measure of who counts as Aboriginal and the idea that lighter skin signifies less Indigenous or no Indigenous identity at all.

These worn out tropes never take into consideration that colonial policies and practices such as those that led to the Stolen Generations directly targeted people with mixed heritage. These targeted people suffered unimaginable violence in the nation’s mission to breed the colour out of us.

But unfortunately, given the lack of information in the census about Aboriginal and Torres Strait Islander peoples’ lives, we can’t be sure if overall health among Indigenous people is improving and why lifespans seem to be improving. And the census has failed to investigate other ways Indigenous people may choose to identify, and how we live as families.

To view the SBS NITV article OPINION: First Nations population has increased, but census lacks details about Indigenous lives in full click here.

Three generation Aboriginal family. Image source: CHF Journal Health Voices – June 2022 edition.

Preparation for work in communities

Charles Sturt University paramedicine students and First Nations mental health students recently participated in training scenarios as part of their preparation for work in communities throughout Australia.

Associate Head of School – Paramedicine Dr Sonja Maria in the Charles Sturt School of Nursing, Paramedicine and Healthcare Sciences in Bathurst said the scenarios were designed to give both groups of students insights into the possible needs of First Nations patients and how the paramedics in particular operate when on-call. Dr Maria said the interdisciplinary training day was created with the assistance of Dr Jola Stewart-Bugg, the Discipline Leader for First Nations at Charles Sturt.

To read the Charles Sturt University article ‘Together we are stronger’; health students strive for better First Nations patient outcomes in full click here.

Charles Sturt University (CSU) paramedicine students and First Nations mental health students in training. Image source: CSU website.

New process for job advertising

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: First Nations population continues to grow

Image in feature tile is of Census remote team member using tablet. Image source: ABS image library.

First Nations population continues to grow

The 2021 Census provides an updated snapshot of Aboriginal and Torres Strait Islander peoples, the Australian Bureau of Statistics (ABS) said today. The Census found that 812,728 people (3.2% of the population) identified as Aboriginal and Torres Strait Islander, an increase of over 25% (25.2%) since 2016. Of the Aboriginal and Torres Strait Islander people counted, 91.4% identified as Aboriginal, 4.2% identified as Torres Strait Islander, and 4.4% identified as both Aboriginal and Torres Strait Islander.

The Census also revealed growing numbers of older Aboriginal and Torres Strait Islander peoples, with over 47,000 (47,677) aged 65 years and over in 2021, up from 31,000 in 2016 and 21,000 in 2011. The median age for Aboriginal and Torres Strait Islander people increased slightly to 24 years in 2021, up from 23 years in 2016 and 21 years in 2011.

To view the ABS media release 2021 Census finds Aboriginal and Torres Strait Islander older population continues to grow in full click here.

Apunipima Men’s Health Summit success

From Monday 13 to Friday 17 June, males from all over the Cape descended on Elim Beach Camp Ground near Hope Vale for a Men’s Health Summit hosted by Apunipima Cape York Health Council’s Social & Emotional Wellbeing (SEWB) team. The event focused squarely on men’s health, with four nights of camping giving the men an opportunity to relax and connect with other men from across the Cape in a remote location free of many of the distractions of regular daily life.

The Summit was attended by men from Mapoon, Napranum, Aurukun, Mossman Gorge and Wujal Wujal. The theme for this year’s Summit was ‘Growing Together as Fathers, Providers and Protectors,’ with guest speakers, discussions and activities centred around men’s business and how to be the best men they can be for their families and for their communities.

The program was structured to present different topics to the men daily to promote conversation throughout the day and into the night. Some of the key themes to come out of the week were, looking after yourself, providing a safe place for men in community, talking about and sharing your problems and being good male role models for both your own kids and others in community.

MC for the week was one of FNQ’s funniest comedians, Sean Choolburra who kept everyone laughing throughout the week. Also speaking throughout the summit was BBM Cairns’ National TalkBlack radio host Trevor Tim, former NRL players Davin Crompton and Brenton Bowen and others including academics, motivational speakers and health industry professionals.

“Men’s health is a topic that often doesn’t get discussed, or gets pushed down the priorities list. We want to change that and hopefully some of the discussions that we’ve had this week will be the foundation for further progress in the men’s health space back in community,” said Summit Project Officer and local Traditional Owner Kurtis Gibson.

To view the Apunipima media release “Growing Together as Fathers, Providers & Protectors” – Apunipima Men’s Health Summit in full click here.

Apunipima Men’s Health Summit team and speakers.

Save money on medicines, register for CTG scripts

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

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

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

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

For further information about the CTG PBS program click here.

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

Download this poster that you can put up at your services here and images for Facebook/Twitter here and Instagram here.

We urge you to share this information across all your networks.

Get2it bowel cancer campaign launched

The Cancer Council, leaders in cancer prevention and social marketing, has launched the Get2it campaign calling Aussies to screen their number 2s. The Get2it campaign is an integrated mass media drive in partnership with the Australian Government, encouraging all Australians aged 50-74 to Get2it and participate in the National Bowel Cancer Screening Program (NBCSP) when they receive their free test in the mail.

The Get2it campaign, which is funded by the Australian Government, has been informed by extensive research undertaken by Cancer Council’s Centre for Behavioural Research in Cancer (CBRC) which was designed to uncover why only four in ten (43.5%) Australians undertake the bowel screening test every two years. The mass media campaign includes a national media buy across TV, radio, digital and OOH, as well as PR.

In addition, the campaign will also target communities with increased risk of developing bowel cancer and increased barriers to participating in the National Bowel Cancer Screening Program. These include Aboriginal and Torres Strait Islander communitie, and health care professionals including GPs.

To view the Mumbrella article Cancer Council launches Get2it bowel cancer campaign calling Aussies to screen their number 2s in full click here.

Cherbourg rents frozen for 12 months

Renters in Queensland’s largest Indigenous shire have had their rates frozen for a year as the council helps locals cope with the rising cost of living. The Aboriginal Shire of Cherbourg, a three-hour drive from Brisbane, is also facing a mass influx of former residents returning home in search of affordable and culturally-appropriate housing.

It is contributing to the housing crisis, with 200 people on a waiting list for a home in the town of about 1,200, according to the Cherbourg Aboriginal Council. Elder and past mayor Arnold Murray said there was a growing trend of young people wishing to return to the Cherbourg community from other south-east Queensland regions, including Ipswich, Brisbane and Logan. “They want to come home. This is their home and it’s too expensive out there,” he said.

To view the ABC News article Cherbourg Aboriginal Council freezes rents for 12 months to combat cost of living pressures in full click here.

Former Cherbourg mayor Arnold Murray says many people want to return to the town. Photo: Jenae Jenkins, ABC Wide Bay.

Digital health helps youth with ear disease

Thanks to funding from the Western Australian Future Health Research and Innovation Fund, Ear Science Institute Australia, in collaboration with Curtin University, will address child and youth mental health in WA.bThe partnership will leverage existing digital health technologies to target Aboriginal young people with ear disease and hearing loss to support their mental health and wellbeing.

Lead investigator, Professor Christopher Lawrence, Dean of Indigenous Engagement, Faculty of Science and Engineering at Curtin University, and proud Nyungar (Whadjuk and Ballardong) person, developed the mobile app #thismymob in 2016 when he was based at the University of Technology Sydney. This social and emotional digital health platform allows local communities to discuss and share information relevant to their mob. It is a local resource for important health information and advice.

To view the Curtin University article Digital health technologies to help Aboriginal young people with ear disease in full click here. The below NITV video dates from the first release of the This My Mob app in July 2018,

Indigenous EMCR Award date extended

The Women’s Health Research and Translation Network Indigenous (WHRTN) offers one-off financial support to facilitate career advancement and development for women working in women’s health research and translation.

The 2022 Indigenous Early and Mid-Career Researcher (EMCR) Award is open to Aboriginal and Torres Strait Islander women in the early and mid-career stages of their careers in women’s health research. This Award aims to bolster the career development of women working across the breadth of women’s health research.

You can access further information and an application form here or on the WHRTN website here. You can also email Monash University directly using this email link.

EMCR Awards have been extended to Monday 18 July 2022.

AACAP – 25 years of supporting mob

This year the Australian Army is marking its 25th year of providing support to remote First Nations communities through the Army Aboriginal Community Assistance Programme (AACAP). AACAP is a joint initiative between Army and the National Indigenous Australians Agency (NIAA) which sees Army personnel deployed to a different remote community each year to work on projects that improve health, living and economic conditions specific to that community.

This year, AACAP will be hosted in Gapuwiyak and Baniyala in East Arnhem Land. Army personnel will live and work alongside the community for a five month period to deliver upgrades to infrastructure and services and provide health programs, vocational training and community-based engagement activities.

Among the community-requested projects, the Gapuwiyak community will benefit from a new culture and arts centre co-funded by the NT Government. Chief of Army, Lieutenant General Rick Burr, said Gapuwiyak and Baniyala will be the 48th and 49th communities to benefit from the program since it commenced in Bulla, NT, in 1997. AACAP capitalises on Army’s ability to deliver a range of services that would not normally be available in a single project.

To view the Australian Defence Magazine article AACAP begins 25th year in full click here.

Australian Army and community of Jigalong, WA welcome CO PNGDF Engineer Battalion and team to AACAP 2019. Image source: AACAP Twitter 26 July 2019.

New process for job advertising

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

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

NACCHO Aboriginal Health News: NACCHO CEO talks about COVID-19 vaccination rates

feature tile text 'NACCHO CEO talks about COVID-19 vaccination rates in ATSI communities' photo of back of Aboriginal man in outback receiving vaccine

NACCHO CEO talks about COVID-19 vaccination rates

NACCHO CEO Pat Turner AM spoke with journalist John Paul Jenke (Wuthathi from Cape York and from Murray Island in the Torres Strait) on NITV’s The Point last night about COVID-19 vaccination rates. Mr Jenke asked Pat Turner why we aren’t further along with the vaccinations in Aboriginal and Torres Strait Islander communities and whether this is a supply issue or vaccine hesitancy.

Pat Turner said the vaccination rates are worrying but 96 of NACCHOs [143] member services around Australia are now delivering the Pfizer vaccine and 16 ACCHO Commonwealth vaccination centres (formally the respiratory clinics ) have commenced delivering Pfizer and 13 ACCHOs are being supported by the RFDS. In total have 197,246 doses have been ordered by ACCHOs, 75,486 of Pfizer and 121,760 of AstraZeneca. Pat Turner emphasised that COVID-19 is a very dangerous virus and to avoid getting seriously ill and ending up in hospital and possibly dying you must get vaccinated.

You can watch the interview with Pat Turner at 19:43:40 here.

tile text 'NITV NACCHO CEO Lead Convener Coalition of Peaks Pat Turner AM COIVD-19 Vaccine rates National Agreement on Closing the Gap View Episode 15, Season 2021: The Point, NITV' & photo of Pat Turner smiling in very colourful shirt

Image in feature tile from The Conversation.

GP COVID-19 update for GPs TOMORROW

The latest in the Australian Government Department of Health webinar series of COVID-19 vaccine updates for GPs is tomorrow Thursday 12 August from 11:30am-12pm (AEST). Dr Lucas de Toca, First Assistant Secretary, COVID-19 Primary Care Response Department of Health and Dr Chris Harrison, General Practitioner, Canberra will join Professor Michael Kidd AM on the webinar this week.

At this webinar, you’ll be provided with the latest information on the vaccine rollout.  GPs and all health professionals are welcome.

When you’re ready to join the webinar, use this link.

Mental health fastest growing hospital admission

The Australian Medical Association (AMA) has warned that despite additional investment in the last Budget, chronic underfunding of existing frontline services and a lack of psychiatrists is besetting a mental health sector struggling to cope in the face of the COVID-19 pandemic. The AMA has told the House Select Committee on Mental Health and Suicide Prevention Australia’s mental health system is suffering from underfunding at all sector and government levels, and services are not coping with demand, even before the impact of COVID-19 is felt.

Calling for more investment into mental health care, AMA President Dr Omar Khorshid said that although extra funding in the last Budget was welcome, the providers of existing mental health services received no additional support despite overwhelming demand. The situation in public mental health is even more dire, landing more people with severe mental health conditions in already over-stretched hospital emergency departments.

“There are not enough psychiatrists in Australia and there is likely to be increased demand for their services generated by the pandemic. We urgently need an alternative to emergency departments treating people experiencing acute mental ill-health. We know that mental health admissions to hospitals are the fastest growing of any hospital admission, increasing at an average rate of 4.8% each year from 2013–14 and the five following years, so that’s a total growth of 26.4% over five years from 2013.

“People with mental health conditions are also staying longer in hospital – up to twice as long as people with heart conditions, for example, according to data from AIHW. “Australia also has a serious shortage of child and adolescent child psychiatrists and we need a serious commitment to grow this cohort of the mental health workforce to support early detection. We need to understand there is very high demand for mental health services in regional and rural areas and getting the workforce into these places requires urgent attention,” Dr Khorshid said.

To view the AMA’s media release in full click here.

Image source: Australia247 website.

First Nations census inclusion only 50 years ago

It’s been half a century since Aboriginal and Torres Strait Islander people were included in the national headcount. It’s more important than ever. The national census rolls around every five years, like just another item on life’s to-do list. But this year is special.

This year marks the 50th anniversary of the 1971 census, the first ever to count Aboriginal and Torres Strait Islander peoples. It followed the successful 1967 referendum to change Australia’s constitution, allowing First Nations people the right to be counted as citizens in their own country.

While many may see the quinquennial event as just another piece of government administration, a glorified headcount, it’s a significant moment. It’s a chance to get a clear picture of the country: where we come from, how old we are, what languages we speak, our health, and so much more. It’s why this anniversary is important: it gives us a snapshot of where we are as a community.

“The census is the largest time where our voices are heard as Aboriginal and Torres Strait Islander people,” says Haidee Allan, a Census Spokesperson for 2021. “The census tells us things like housing, education, who’s living at home, and those things are really important for the services that Aboriginal and Torres Strait Islanders need so vitally.”

To view the article in full click here.

Census Engagement Officers. Image source: NITV News.

Funding boost for FASD diagnosis and care

The diagnosis and treatment of children with Fetal Alcohol Spectrum Disorder (FASD) is set to be strengthened with the announcement of $3.68 million in funding from the Federal Government’s Drug and Alcohol Program awarded to Griffith University researchers.

Led by Professor Sharon Dawe and Associate Professor Dianne Shanley from Menzies Health Institute Queensland, the projects worth $1.88 million and $1.8 million respectively, will help further the development of diagnostic and family support across south-east Queensland and establish new diagnostic facilities in rural and remote Queensland with a focus on supporting First Peoples communities.

In collaboration with Associate Professor Doug Shelton (Queensland Health), Dr Andrew Wood (University of the Sunshine Coast) Dr Gerald Featherston (Kummara Association) and Associate Professor Paul Harnett (Griffith) Dr Dawe’s project will help establish a specialist neurodevelopmental clinic at Griffith’s Logan Campus. It will also assist ongoing collaboration with the Gold Coast Child Development Clinics, Kummara Association, Institute of Urban Indigenous Health, University of the Sunshine Coast and Coastal Developmental Paediatrics, Sunshine Coast.

“The expansion of these clinics allows us to provide services to younger children aged 3–7 and embed a pathway of care that support children at a key developmental phase,” Professor Dawe said. She said early diagnosis and support was essential for children with FASD, “Early to middle childhood is a time when children learn important foundational skills around managing their own behaviours, learning to plan activities and follow more complex instructions. These skills are essential for success in school and life.” “Children with a FASD need extra help in developing these skills and there is growing evidence that supporting children and their families at this critical time can help reduce some of the damage that has occurred due to prenatal alcohol exposure,’’ Associate Professor Shelton said.

“This grant will expand the capabilities of health professionals in primary care, by using our co-designed, culturally sensitive, tiered assessment process to identify and support children who are developmentally not-on-track. Our project involves true partnerships between community Elders, health practitioners and university researchers whereby multiple world views have been genuinely valued and integrated,’’ Dr Page said.

To view the full article click here.

Image source: Australian Government AIFS website.

Build ’em up podcast

The Build ’em up podcast series which aims to inspire communities to build the health, social and mental wellbeing of rural, regional and remote communities around Australia.

In the first episode of Build ’em up Elsie Seriat OAM, a Torres Strait Islander Elsie Seriat, an inspirational mum of two young boys, talks about her life and her involvement in Deadly Runners an Indigenous marathon project involving her participation in the New York Marathon. Elsie talks about why she took up running to self-manage her weight problems, the role models in her life and how important it is to inspire others in her community to make positive changes and not to be shame or ashamed.

You can listen to the Build ’em Up Elsie Seriat interview here and access the Build ’em Up website here.

TSI mum Elise Seriat holding two young sons - a baby & toddler

Torres Strait Islander Elsie Seriat. Image source: National Rural Health Alliance website.

Solving rural health workforce shortages

Three local government areas (LGAs) in north-western NSW have been selected to participate in a research project to address their long-standing health workforce shortages. Glen Innes, Gwydir Shire and Narrabri LGAs will work with a research team headed by Dr Cath Cosgrave to establish, fund and manage a Health Workforce Recruiter & Connector (HWRC) position.

“We have had a fantastic response from interested communities to establish the Health Workforce Recruiter and Connector (HWRC) positions,” said Dr Cosgrave. “The successful towns should be congratulated for their commitment to ensuring their residents have access to a range of health professionals needed to keep people healthy.” The purpose of the HWRC is to build networks to better identify and successfully attract health professionals (allied health, doctors and nurses) who are a ‘strong fit’ for the local community.

To view the media release click here.

Image source: University of Melbourne.

New process for job advertising

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

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.
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NACCHO Aboriginal Health News: Changes to chronic disease incentive program

Feature tile - Tue.10.8.21 - Changes to chronic disease incentive program

Changes to chronic disease incentive program

The Practice Incentives Program – Indigenous Health Incentive (PIP IHI) encourages general practices and Aboriginal Community Controlled Health Services to appropriately and effectively meet the health care needs of Aboriginal and Torres Strait Islander people with a chronic disease.

Chronic disease is responsible for 70% of the health gap between Aboriginal and Torres Strait Islander people and non-Indigenous Australians. The PIP IHI seeks to address this gap.

The Australian Government announced changes to the PIP IHI as part of the 2021–2022 Budget following a national consultation process. From 1 January 2023, the following will change:

  • Eligibility will be expanded to include children under the age of 15.
  • GP Mental Health Care Plans will be added as eligible items for the purposes of outcomes payments.
  • The requirement to deliver a certain number of services in a calendar year will be replaced with a 12-month rolling window, starting from the date the first eligible service is delivered. This will give practices more time to deliver the services required to achieve outcomes payments.
  • The program will start moving towards a back-ended payment structure. This means the majority of the payment will be provided after a threshold level of care has been provided. A transition period – where registration is gradually reduced, and the Tier 2 payment is gradually increased – will give practices time to adjust to this change.

You can read more about the PIP IHI on the Australian Government Department of Health website.
You can also download a fact sheet with information about the changes to the PIP IHI here.

Artwork from factsheet on Changes to the Practice Incentives Program – Indigenous Health Incentive.

Artwork from factsheet on Changes to the Practice Incentives Program – Indigenous Health Incentive. Feature image credit: Unsplash.

 

Yarrabah fighting to stay COVID-free

The Aboriginal community in Yarrabah, about an hour’s drive from Cairns has about 350 homes. With serious overcrowding, high rates of ill-health, low rates of vaccination and the fact five of the community’s seven GPs have been forced into isolation, it is clear why Jason King and the 110-strong team at Gurriny Yealamucka Health Service are desperate to keep COVID-19 from their side of the hill.

“It does leave us a little short-staffed, but we’ve got a great team around us,” said Dr King, director of clinical services. The community are responding really well and following all the directions for the lockdown,” he said.

“We’ve had a fantastic response, both testing and vaccination.”

On Monday, which was the first day the centre could start giving Pfizer doses to Aboriginal and Torres Strait Islander children aged 12 and above, parents began bringing in their teenagers, Dr King said. “We’ve had to restock our vaccines early with assistance from Queensland Health stocks, just to be able to provide [shots] ongoing until we receive our next shipment on Friday,” he said.

Read the story in the Brisbane Times here.

Yarrabah residents casting netting for prawns in far north Queensland. Credit: Rhett Wyman.

Yarrabah residents casting netting for prawns in far north Queensland. Credit: Rhett Wyman.

 

Vaccination data essential to protect communities

Aboriginal health organisations are calling on the federal government to release more detailed data on vaccination rates in Aboriginal communities, with concerns “big gaps” in coverage have emerged that need to be urgently addressed.

NACCHO said detailed data was essential to the successful rollout to vulnerable remote and suburban communities. NACCHO’s senior medical adviser, GP and epidemiologist Dr Jason Agostino, said it was “hard to understand” why detailed data about Indigenous vaccination rates was not publicly available, as it is Canada, the USA, or New Zealand which publishes weekly data on Maori vaccination rates.

“Priority reform number four of the closing the gap agreement is about data for health services planning, and at the moment I think I’m the only person in the Aboriginal community controlled health sector that has access to really detailed data,” Agostino said. “Unless we’re paying attention to those small levels of geography and those individual communities, we might find islands of poor vaccination coverage that leave those communities vulnerable.”

You can read the story in the Guardian here.

A man gets a COVID jab in Maningrida. Photograph: Mala'la Health Service Aboriginal Corporation.

A man gets a COVID jab in Maningrida. Photograph: Mala’la Health Service Aboriginal Corporation.

 

TGA approves fourth COVID-19 vaccine

On 9 August 2021, the Therapeutic Goods Administration (TGA) granted provisional approval to Moderna Australia Pty Ltd for its COVID-19 vaccine — Spikevax (elasomeran) — making it the fourth COVID-19 vaccine to receive regulatory approval in Australia.

This messenger RNA (mRNA) vaccine is provisionally approved and included in the Australian Register of Therapeutic Goods for active immunisation to prevent COVID-19 in individuals 18 years of age and older. It is recommended that the vaccine is given in two doses that are administered 28 days apart. The Moderna COVID-19 vaccine has shown strong efficacy preventing symptomatic COVID-19 and severe COVID-19 in clinical trials.

Provisional approval of this vaccine in Australia is subject to certain strict conditions, such as the requirement for Moderna Australia Pty Ltd to continue providing information to the TGA on longer-term efficacy and safety from ongoing clinical trials and post-market assessment.

Read the full media statement here.

The Moderna vaccine is an mRNA vaccine. Image credit: Cameron Schwartz via ABC News.

The Moderna vaccine is an mRNA vaccine. Image credit: Cameron Schwartz via ABC News.

 

Complete your Census tonight

The Census will count each person and household in Australia TONIGHT Tuesday, 10 August 2021.

Adrian Dodson-Shaw a proud Yawuru, Arrernte and Kaytetye man and Assistant Director at the Australian Bureau of Statistics, Centre for Aboriginal and Torres Strait Islander Statistics is encouraging everyone to participate.

“We need our mob to be counted in the Census to ensure that we’re heard. Census data is used to help create a better future for our younger generations,” Adrian said.

“Census data is used to help plan services for our families and communities. Make sure you include everyone in your home on Census night. This includes Elders, babies and visitors.

In remote areas, the Census is conducted between July and August. This allows time for remote teams to cover large areas and visit households to help people complete.

View the Australian Bureau of Statistics‘ media release here.
Visit the Census website here.

Census

 

Are zero-alcohol beverages harmless?

Zero-alcohol beverages are becoming increasingly popular in Australia with major brands now stocked on supermarket shelves. Consumption of zero-alcohol products increased by 2.9% in 2020 and is expected to increase by 31% by 2024.

A new paper in the Drug and Alcohol Review by Menzies School of Health Research (Menzies) and The George Institute for Global Health (George Institute) raises questions about if these beverages are giving Australia’s young people a taste for alcohol.

Menzies and George Institute researcher and lead author Mia Miller said that zero-alcohol beverages are often packaged identically to alcoholic beverages and can be indistinguishable in taste. Miller says that further research is needed to assess whether the ease of availability of zero-alcohol beverages may lead to a gateway effect, where children who consume them would be more likely to consume alcoholic beverages underage.

You can read the media release by Menzies here.
View the Zero-alcohol beverages: Harm-minimisation tool or gateway drink? commentary here.

Image credit: Hindustan Times.

Image credit: Hindustan Times.

 

Health impacts from climate change

Torres Strait Islander peoples intend to live on their traditional country long-term. Living on the northernmost islands of Queensland allows these “saltwater people” to maintain their cultural responsibilities, identity and kinship connections. Caring for country and keeping these connections can also bring health benefits. However, climate change increases the risks of negative health impacts.

“If our connection to these lands disappears, our Indigenous culture disappears”

An emergency call for increased attention to climate change and health impacts on Torres Strait Islander peoples was made in 2019 by 22 medical professionals working in the Queensland government’s Torres and Cape Health and Hospital Service region. They stated that climate change is a health emergency.

“We are concerned about the immediate effects of heat stress and extreme weather events as well as the long-term effects. Vulnerable populations are disproportionately affected by climate change and unabated climate change will only steepen this social health gradient.”

You can read the article in The Conversation here.
Below is a video outlining the issue called Our Islands, Our Home | Torres Strait Climate Justice Case.

 

New process for job advertising

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

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


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NACCHO Aboriginal Health News: Children aged 12–15 to get Pfizer vaccine

Feature tile - Tue.3.8.21 - Children aged 12–15 to get Pfizer vaccine

Children aged 12–15 to get Pfizer vaccine

In a statement from the Australian Technical Advisory Group on Immunisation (ATAGI), it is now recommended that the following groups of children among those aged 12–15 years be prioritised for vaccination using the Pfizer vaccine:

  • children with specified medical conditions that increase their risk of severe COVID-19
  • Aboriginal and Torres Strait Islander children aged 12–15 years
  • all children aged 12–15 years in remote communities, as part of broader community outreach vaccination programs that provide vaccines for all ages (≥12 years).

ATAGI will make recommendations to Government for use in all other children in the 12–15 years age group within the coming months, following review of emerging information.

You can read more about this statement on the Australian Government Department of Health website here.

Teenage Aboriginal girl with mask being administered vaccination by health professional.

Teenage Aboriginal girl with mask being administered vaccination by health professional. Feature tile image credit: SNAICC.

 

Nursing shortage due to border restrictions

At least 18 remote communities across the NT are experiencing a shortage of nursing services due to COVID-19 international and interstate border restrictions.

The “movement” of nurses into remote areas has “been limited over time”, according to John Wakerman from the Menzies School of Health Research.

Chief executive of Purple House Sarah Brown said prior to the pandemic, and throughout the changing lockdowns, she planned to have nurses travel to remote communities in the NT from interstate, but that plan had been delayed.

She said the priority to deliver COVID-19 vaccinations and testing, as well as aged care services across Australia, had put the “whole system under enormous pressure”, but she remained optimistic about attracting more nurses to Central Australia.

“If we could actually have a bit of a plan to move some of these visa applications along and find a safe way to get some nurses in the country that would take a lot of pressure off the whole system,” she said.

“If we can do it for pop stars and tennis champions maybe there’s a way we could do it for some nurses too.”

You can read the story in the ABC News here.

COVID-19 interstate and international border restrictions have impacted upon nurses coming to work in remote communities. Image credit: ABC News.

COVID-19 interstate and international border restrictions have impacted upon nurses coming to work in remote communities. Image credit: ABC News.

 

Census data supporting mums and bubs program

The Institute of Urban Indigenous Health uses Census data to inform expansion of its successful Birthing in our Communities program, which is delivering outstanding results for mums and bubs in South East Queensland.

The program also hosts a community day every Friday. It’s a chance for mums, their family, and their community support network to come together to celebrate the family unit and learn from visiting specialists like dieticians and psychologists.

Queensland mum Mackapilly said it’s been a great opportunity to learn and be part of a community of mums and bubs.

“I am so grateful for playgroup and community days. It was been useful to connect with other mums and share advice. We feel like we are at home, like we are a family,” Mackapilly said.

Mackapilly would love to see this program expand to other areas and communities to help more Aboriginal and Torres Strait Islander mums and bubs.

“Now that I know Census data has helped to create and expand the Birthing in our Communities program, I’ll be telling other mums to make sure they fill out the Census because I can see how it can help show what community services are needed,” said Mackapilly.

Other important dates on the calendar provide opportunities for mums and families to come together. The Birthing in our Communities program is getting ready to host a COVID-safe celebration and playgroup for National Aboriginal and Torres Strait Islander Children’s Day on 4 August.

You can read the media release here.

For more information call 1800 512 441 or visit the Australian Bureau of Statistics Census website with information for Aboriginal and Torres Strait Islander communities here.

Census data supporting Aboriginal and Torres Strait Islander mums and bubs program to expand across South East Queensland.

 

Chronic disease mapped across Australia

The Australian Institute of Health and Welfare (AIHW) has released new geographical data, showing where Australia’s most common chronic diseases are more prevalent.

Cardiovascular disease, diabetes and chronic kidney disease are together responsible for the country’s highest ‘burden of disease’ – the years of healthy life lost to a disease. They account for 14%, 2.2% and 1.4% of the burden of disease, respectively.

While common, these diseases are not evenly distributed. For instance, 6.2% of Australian adults report having heart, stroke and vascular disease, but for Northern Territorians the rate is only 1.8%. Conversely, 7.4% of adults in the NT have type 2 diabetes, compared to 5.9% of the national adult population.

Areas with greater socioeconomic disadvantage have higher rates of disease when age is taken into account.

Regional and remote areas, and places with high proportions of Indigenous Australians, also had worse health profiles when adjusted for age.

The AIHW has released this data in a series of dashboards on their website, where you can examine your own state or suburb’s health profile.

Type 2 diabetes prevalence in Australia. Credit: AIHW 2021.

Type 2 diabetes prevalence in Australia. Credit: AIHW 2021.

 

Program to increase number of surgeons

The Royal Australasian College of Surgeons (RACS) is proud to launch its Indigenous Surgical Pathway Program Australia to try and increase the number of Aboriginal and Torres Strait Islander surgeons in the medical workforce.

The program aims to reduce the professional health workforce inequity faced by Aboriginal and Torres Strait Islander people in Australia.

While there are over 83,000 doctors registered to practice in Australia, fewer than 400 are Indigenous. This is despite over 760,000 people in Australia identifying as Aboriginal or Torres Strait Islander.

“In Australia and NZ we have a severe shortage of Indigenous surgeons and we need to do everything we can to change this disproportionate under-representation,” said Dr Sally Langley, RACS President.

“The College is committed to addressing this health discrepancy and the program will support this by encouraging and actively recruiting medical students and recent graduates into surgery.”

You can read the media release by RACS here.

Aboriginal surgeon Dr Kelvin Kong. Image credit: The Australian.

Aboriginal surgeon Dr Kelvin Kong. Image credit: The Australian.

 

Community Liaison Officers to improve SEWB

In February 2021, the WA Government announced a further $17.6 million commitment to establish a three year Social and Emotional Wellbeing Model of Service pilot at five Aboriginal Community Controlled Health Service (ACCHS) sites.

The Model is part of their commitment to address and reduce Aboriginal suicide rates through the establishment of the newly created Aboriginal Community Liaison Officer (CLO) positions across the State.

Based at Aboriginal Community Controlled Organisations, the CLOs will work with their respective communities and support the implementation of the region-specific Aboriginal suicide prevention plans.

The region-specific plans form part of the implementation of the Western Australian Suicide Prevention Framework 2021-2025 and include culturally informed social and emotional wellbeing initiatives designed by and for Aboriginal people.

You can read the media statement by the Government of Western Australia here.

Aboriginal women embracing each other.

Aboriginal women embracing each other. Image credit: Independent Australia.

 

New process for job advertising

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

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