The Australian Medical Association (AMA) today welcomed the release of updated guidelines on the use of personal protective equipment (PPE) to protect health care workers against aerosol transmission of COVID-19.
The Infection Control Expert Group (ICEG) developed the guidelines in collaboration with the National COVID-19 Clinical Evidence Taskforce Infection Prevention and Control Panel and the Commonwealth Minister for Health in September last year after the AMA expressed its concerns over the lack of protection for health care workers from the risks of aerosol transmission of COVID-19.
AMA President Dr Omar Khorshid said the updated guidelines did much to address the concerns of the medical profession and they were much more explicit on the need for health care workers to be provided with N95/P2 masks when managing patients with confirmed or suspected COVID-19 to protect them against the risks of aerosol transmission.
“Too many health care workers in Australia have been placed at risk of COVID-19 because of the lack of adequate PPE and these new guidelines could not have come soon enough, particularly as Australia still remains at significant risk of outbreaks,” said Dr Khorshid
The updated ICEG guidelines follow the release by the Australian Commission on Safety and Quality in Health Care of an update to its Preventing and Controlling .Infections Standard, which were reviewed in response to the COVID-19 pandemic.
More than 900 people have been tested for COVID-19 in Moree within 12 hours, with Hunter New England Health (HNEH) thanking people for their response. The numbers through the expanded hospital and drive through clinics in Moree is a credit to both the community and the medical staff, HNE LHD Chief Executive Mr Michael DiRienzo said.
It comes after residents were told to hold-off on attending the pop-up COVID-19 testing site on Thursday, due to the high number of vehicles at the Moree Gateway. However Mr Di Lorenzo assured the community that Moree District Hospital and Laverty Moree “have swabbing supplies and are not turning people away”.
“I want to sincerely thank the Moree community for quickly getting behind our call to get tested,” he said.
“High rates of testing are so important because this will help us to detect any cases in the community as early as possible. Please remain vigilant for COVID-19 symptoms and get tested for even the mildest of symptoms.”
You can read the full story in Tenterfield Star here.
Moree District Health Service. Image credit: Tenterfield Star.
Experiences and impacts of racism on GP training
Dr Talila Milroy jumped at the chance to undertake the Australian Indigenous Doctors’ Association (AIDA) Academic Post in 2020. The Western Australian GP was always interested in developing and furthering general practice research, and the post allowed a structured framework to delve into the data.
Now, having undertaken a year as the 2020 AIDA Academic Post holder, Dr Milroy is continuing her part-time research role and furthering her study into the experiences and impacts of racism on general practice training.
“You develop so many skills, not only in research but in teaching as well,” she told newsGP.
‘It’s also the networking; you gain communication skills because you’re teaching medical students, and you get more of a grasp of how to design research and ask questions that are clinically relevant, useful and translatable.’
The AIDA post was first earmarked by the Department of Health as part of the Federal Government’s Closing the Gap strategy. The post is an identified training term open to Aboriginal and Torres Strait Islander GPs in training to undertake teaching and research that aims to improve the health and life outcomes of Aboriginal and Torres Strait Islander peoples.
Read more about Dr Milroy’s experience in newsGPhere.
Applications are now open for the 2022 intake of the RACGP Australian General Practice Training Academic Post with entries closing on 5 July. Find out more here.
Dr Talila Milroy, 2020 AIDA Academic Post holder. Image credit: GP News, RACGP.
Improve the health and wellbeing of LGBTQA+ mob
Walkern Katatdjin is looking for people who are committed to improving the health and wellbeing of young Aboriginal and Torres Strait Islander LGBTQA+ mob to join the Walkern Katatdjin Governance Committee.
The Walkern Katatdjin (Rainbow Knowledge) project aims to improve the support available to our young mob through research. The Governance Committee will oversee the Walkern Katatdjin project design, procedures, data management, and translation of findings to ensure meaningful impacts from the project.
Find out more about the role of the Governance Committee and the Walkern Katatdjin project here.
Decision Making and Symptom Control in Kidney Failure
Health Professional Webinar Kidney Health Australia
Presented by Prof Robyn Langham, Nephrologist
Tuesday 22 June, 7.30pm (AEST)
Register here(registration is essential)
For more information contact us via email.
Improved quality aged care
‘Improving outcomes for Aboriginal and Torres Strait Islander peoples in aged care’
This webinar will outline how the aged care reforms will improve access to and quality of aged care delivered to Aboriginal and Torres Strait Islander peoples including in remote communities.
The Hon Greg Hunt, Minister for Health and Aged Care
Senator the Hon Richard Colbeck,Minister for Senior Australians and Aged Care Services
Michael Lye, Deputy Secretary, Ageing and Aged Care Group
Helen Grinbergs, First Assistant Secretary, Service Delivery Division
Eliza Strapp, First Assistant Secretary, Market and Workforce Division
Aged care workers and providers who deliver services to Aboriginal and Torres Strait Islander people are encouraged to participate in the webinar.
The webinar will outline how the aged care reforms will help to:
involve Aboriginal and Torres Strait Islander people in designing their services and care
ensure services and care are available to Aboriginal and Torres Strait Islander people no matter where they live
enhance the Aboriginal and Torres Strait Islander aged care workforce.
You will have the opportunity to say how we can best work with Aboriginal and Torres Strait Islander peoples, families, carers and communities, health services, aged care providers and the workforce to make positive changes.
Date and time: 3.00pm to 4.30pm (AEST), Monday, July 19 2021.
Presenter Applications Open for Inaugural 2021 Indigenous Wellbeing Conference
Statistics show Aboriginal and Torres Strait Islander people have significantly higher mental health needs than other Australians and experience psychological distress at around 3x the rate of the non-Indigenous population. We see similar numbers across the seas, with Māori and Pasifika populations carrying the highest burden of suicide with higher incidences.
It is time to speak up, be heard and celebrate projects, programs and research contributing to the mission of closing the gap for Aboriginal, Torres Strait Islander and Māori peoples.
The Australian & New Zealand Mental Health Association has announced a final call for applicants wishing to share their insight on Indigenous mental health and wellbeing for the inaugural Indigenous Wellbeing Conference. This event is taking place from 7-8 October at Cairns Pullman International.
The conference theme ‘Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap’ will be bringing attention to four core areas:
Social, Political and Cultural Determinants
Community Care, Cultural Revitalisation & Healing
Culturally Responsive Care & Community Control
Together we will help to empower Indigenous communities to develop their own solutions to living long healthy lives; strengthen culture; and reconnect with spirit.
Applications close: Friday 18 June 2021.
Submit your presentation brief here.
Dr Dawn Casey, Deputy CEO NACCHO and Co-Chair Aboriginal and Torres Strait Islander Advisory Group on COVID-19 spoke on NITV-The Point on Tuesday 8 June about the latest rollout of the COVID-19 vaccine, its take up and hesitancy, and the Victorian lockdown.
“There are just over 65,000 Aboriginal and Torres Strait Islander people who have been vaccinated with their first dose so far. There was hesitancy when the announcements around the issues that AstraZeneca was not suitable for under 50s, but the numbers have started to pick up.”
“There has been no blood clots for Aboriginal and Torres Strait Islander people recorded.”
Aboriginal and Torres Strait Islander peoples are now eligible to receive the vaccines, including those aged 16 and over. Speak to your healthcare worker to find out more.
You can view the interview below or by clicking here.
or information on the vaccines, visit the Australian Government Department of Health website.
The AMA has today called for a tax on sugary drinks as a key plank of its plan to tackle chronic disease and make Australiathe healthiest country in the world.
In his address to the National Press Club in Canberra yesterday, AMA President Dr Omar Khorshid said that Australia lags behind comparable nations in health outcomes and disease prevention, and it was ‘time for action’ to reduce consumption of sugar-filled drinks.
“More than 2.4 billion litres of sugary drinks are consumed every year in Australia. That’s enough to fill 960 Olympic sized swimming pools,” Dr Khorshid said.
“Diabetes, obesity and poor vascular health are huge contributors to the burden on our health system. The tax could save lives, and save millions of dollars in healthcare costs,” he said.
The tax proposed in the AMA’s report released yesterday would raise the retail price of the average supermarket sugary drink by 20%. This would be an important first step towards tackling obesity and raise revenue to take further steps.
The AMA’s call for a tax on sugary drinks is part of its new blueprint for a robust, sustainable health system – beyond the pandemic – with high quality, patient-centred care at its heart. The Vision for Australia’s Health, also launched yesterday, calls for reform around five policy pillars – general practice, public hospitals, private health, equity and innovation.
View The Vision for Australia’s Health plane here.
View the A tax on sugar-sweetened beverages: Modelled impacts on sugar consumption and government revenue report here.
AMA – Vision for Australia’s Health report – 5 pillars.
Restoration to guide health reforms
The Aotearoa New Zealand Government has announced sweeping reforms for the nation’s health system.
They have been welcomed by the Royal Australasian College of Physicians (RACP) ‘as a health system structure seeking to live its commitments’ to the Treaty of Waitangi and refusing any longer to ‘tolerate the health inequities experienced by our Māori and Pasifika whanau’.
Dr Sandra Hotu, Chair of the RACP Māori Health Committee, and Dr George Laking, RACP Aotearoa New Zealand President, outline the changes and their implications for improving health and health systems, for both Australia and Aotearoa New Zealand.
Together with an ethic of restoration, Australia and Aotearoa New Zealand must look to a practice of partnership informed by the stories and experiences of our First Nations. Partnership must be tangible. It must be expressly lived as a solution space lead by Indigenous voices, rather than a problem space. Partnership is informing the refresh of Closing the Gap 2019–2029, as described in the partnership agreement between the Community Controlled Peak Organisations and the National Federation Reform Council.
As Alex Brown and Eddie Mulholland wrote on Croakey in 2020, the agreement for power-sharing represents a “critical moment for genuine engagement between Australian governments and Aboriginal Community Controlled Health Organisations (ACCHOs)”.
The vision of the ACCHOs – ‘Aboriginal and Torres Strait Islander people enjoy quality of life through whole-of-community self-determination and individual spiritual, cultural, physical, social and emotional well-being’ resonates with the intent of the Māori Health Authority. This is because the rationale for each is so closely aligned: racism in healthcare as well as the need for culturally safe services to address health inequity.
You can read the article at Croakey Health Media here.
Aboriginal kids washing their hands. Image credit The Conversation.
Better health literacy for better equity
New survey findings show a significant number of consumers need to be supported to feel more in control of their health care. The report, commissioned from the Consumers Health Forum (CHF) by NPS MedicineWise, defines and measures health literacy in Australia. It also identifies gaps which are preventing people from accessing the best possible health care.
“Health literacy is core to us delivering more equitable health outcomes,” said Leanne Wells, CEO of CHF.
The survey of more than 1,500 respondents found that approximately one in five consumers:
Rarely or never felt comfortable asking their doctor, pharmacist or nurse when they needed more information.
Rarely or never felt comfortable asking the health professional to explain anything they didn’t understand.
Found the information a health professional gave them always or often confusing.
“We need to increase consumers’ capacity to manage and feel in control of their health care, including around medicines. It’s really important that we strive to improve medicines literacy because we know people at higher risk of medication-related harm are people with multiple conditions, people who are taking lots of medications and people with English as a second language,” said Ms Wells.
You can view the New survey results shine a light on health literacy in Australia media release here.
You can read the Consumer Health Literacy Segmentation and Activation Research Project report here.
Artwork competition: ear and hearing health
Calling all Aboriginal and Torres Strait Islander artists aged 13 years or older!
NACCHO invites you to design an artwork about how important ear and hearing health is within Aboriginal and Torres Strait Islander communities.
The winning artwork will receive a $500 voucher prizeand will be used across Australia for NACCHOs National Ear and Hearing health program.
The winning artwork will be used on merchandise, stationary and promotional materials to celebrate current Aboriginal and Torres Strait Islander achievements, across Australia.
Click here to submit your artwork and for conditions of entry.
All entries must be submitted by: 21 July 2021.
NDIS Ready grant round closing soon
Attention all Aboriginal Community Controlled Organisations!
NDIS Ready Indigenous Business Support Funding (IBSF) ACCO round grant applications are CLOSING SOON!
Grants are available to help up to 100 eligible ACCHOs and ACCOs address the basic establishment costs, and business and technical challenges in registered and delivering services under the NDIS and to equip themselves to operate more effectively long-term under the NDIS model.
Information on the grant and how to apply can be found on the IBSF website.
Indigenous populations around the world are more likely to be infected by or die of COVID-19. In countries like Canada and Brazil and in the US, Indigenous people are dying at disparate rates to the general population. However there is one notable exception: Indigenous Australians (Aboriginal and Torres Strait Islanders). Despite having a life expectancy around 8 years less than non-Indigenous populations and overall worse health outcomes, Indigenous Australians were six times less likely to contract COVID-19. Zero deaths and just 148 cases of coronavirus were reported for 800,000 Indigenous people across the country.
How did they achieve such a remarkable result? In contrast to previous Aboriginal and Torres Strait Islanders health policies and interventions, the Australian government worked collaboratively with Indigenous communities. They provided flexible grant funding in March 2020 to 110 remote communities, allowing local Indigenous controlled health agencies to run a culturally aware response. As the scale of the pandemic became apparent, the government funding increased with $6.9 million invested in the NACCHO and $123 million available over two financial years for targeted measures to support Indigenous businesses and communities to increase their responses to COVID-19.
Tharawal Aboriginal Corporation team. Image source: AH&MRC website. Feature image: Tyreece, 8, and Trevor, 7, on the outskirts of Wilcannia. Image source: newmatilda.com.
Why mental health education is important
Kym Marsden, a Kamilaroi woman and accredited mental health social worker with 19 years’ experience in mental health and community services believes Schools and other places of participation for our young people like sporting clubs, cadets and other social outlets need to portray mental health as equally important as physical health.
“Kofi Annan is a role model of mine who understood education is the key to realising positive change across our future generations, evidenced by his beliefs that now are eternalised as a quote: ‘Knowledge is power, information is liberating, education is the premise of progress in every society and in every family!'”
Mental health awareness is important in our communities. Awareness creates change, but it is a task that we all have to sign up for.
To read the full article in the National Indigenous Timesclick here.
Artist: Roma Winmar 2015. Image source: NATSILMH website.
National Indigenous Postvention Service
Thirrili Ltd delivers the National Indigenous Postvention Service across Australia and has taken a national leadership role in the provision of suicide postvention support and assistance to Aboriginal and Torres Strait Islander individuals, families and communities. Thirrili employs a dedicated team of professionals to provide support across all states and territories in Australia.
You can view Thirrili’s most recent newsletter here.
GP maternity care involvement improves outcomes
Releasing the AMA Position Statement on General Practitioners in Maternity Care, AMA President Dr Omar Khorshid said all people thinking about starting a family or having another baby should consult with their GP, involving GPs in maternity care leads to better outcomes for mothers and babies.”
The AMA position statement outlines how to ensure GPs are involved in maternity care and are able to provide continuity of care to mothers and babies from pre-conception and through all the important milestones in the mother and baby’s lives. Dr Khorshid said having a usual GP or general practice leads to better health outcomes.
“We know that best-practice maternity care is provided by a multi-disciplinary team of health professionals led by an obstetrician or GP-obstetrician in partnership with a patient’s usual GP, and includes midwives, nurses, physicians, allied health professionals and Aboriginal health workers,” he said.
To view the AMA’s media release click here and to view the AMA Position Statement on GPs in Maternity Careclick here.
Image source: Sydney Morning Herald.
Culturally responsive health care for older people
The final professional development webinar in a series of three focusing on older Australians, presented by Mental Health Professional Network in partnership with all 31 Primary Health Networks (PHNs) will be held from 7:15–8.30 PM (AEST)Wednesday 19 May 2021.
This webinar will discuss the relationship between culturally diverse social and emotional wellbeing beliefs and aging related issues, and examine how this interplay impacts treatment and support sought by older people. Through a facilitated discussion, panellists will provide practical tips and strategies to engage in recovery oriented, culturally responsive conversations with older people. They will provide a deeper understanding of the role different disciplines, faith based groups and community services play in providing care for older people and as a result improve referral pathways.
Aboriginal Elder Mildred Numamurdirdi. Image source: Goulburn Post.
Preventing deaths in custody research
Research from the University of Sydney and current coronial inquests highlight the immediate attention needed into Aboriginal health services for those incarcerated, in order to prevent deaths in custody. Over 30 years ago, the Royal Commission into Aboriginal Deaths in Custody (RCIADIC) made over 200 directives recommending that Aboriginal health services be funded to provide leadership and care for those in prison equivalent to what is available to the general community. However, the current coronial inquests into the preventable deaths in custody of Bailey Mackander and Wayne Fella Morrison and the seven deaths of Aboriginal people in custody in recent weeks highlight an overwhelmingly strained system.
To view The University of Sydney’s media release click here.
Image source: ABC News.
Free webinars for doctors in training
Northern Queensland Regional Training Hubs (NQRTH) will be running a series of free webinars for doctors in training across Australia supporting the Queensland RMO and Registrars campaign during May and June this year.
The webinars will discuss the 2022 Queensland RMO Campaign application process and specialty training options available for doctors in training in northern Queensland. Attendees will have the opportunity to hear the latest news and recruitment information provided by the Queensland Health RMO Recruitment team and learn about how the campaign works, who can apply, recruitment rounds and positions. There will be a panel of directors of training and doctors currently working in northern Queensland hospitals and health services, providing information about the region’s unmatched medical training opportunities.
Please see below the information about the 6-part webinar series:
The webinars are open to all doctors in training in Australia.
International Nurses Day (IND) is celebrated around the world every year on 12 May, the anniversary of Florence Nightingale’s birth.
The theme for the 2021 resource is Nurses: A Voice to Lead – A vision for future healthcare. In 2021, we seek to show how nursing will look into the future as well how the profession will transform the next stage of healthcare.
The International Council of Nurses commemorates this important day each year with the production and distribution of International Nurses’ Day (IND) resources and evidence. For more information about IND and to access a range of resources click here.
As Australia finds its way out of the COVID-19 pandemic, the lessons learned about our health systems must not be lost. The Australian Government must use next week’s Federal Budget to commit to measures that ensure our health systems are resilient and effective now and beyond COVID-19. “We know areas of our health system are failing Australians, and we cannot continue the business as usual approach to funding,” AMA President, Dr Omar Khorshid, said today.
“There continues to be unmet need for health services in the community, and the ongoing need for further investment in our health care system to ensure services are accessible and affordable for patients is only going to increase.” The AMA has identified key areas that need immediate funding commitments in the upcoming Budget – permanent telehealth; public hospitals; aged care; general practice; private health insurance; and Indigenous health. Dr Khorshid continued, “The COVID-19 pandemic revealed how crucial our front line health workers and health services are, and how vital it is for them to be properly resourced and supported.”
Dr Simon Quilty has specialist skills in a range of fields so he can treat patients with complex conditions. Photo: Stephanie Zillman. Image source ABC News.
Your Health 2030 project
What would need to happen for all Australians to enjoy good health by 2030?
A team of public health experts across the country have put together a project answering this question, in collaboration with VicHealth, and they have published the results in a supplement in the Medical Journal of Australia.
Ray Lovett, Aboriginal epidemiologist at ANU and director of the Mayi Kuwayu Study of Aboriginal and Torres Strait Islander Wellbeing spoke with Hilary Harper on ABC Radio National Life Matters about how culture is key in the health and wellbeing of Aboriginal and Torres Strait Islander people.
The Australian Government Department of Health has released a COVID-19 vaccination – Fact sheet – Side effects of COVID-19 vaccines (Aboriginal and Torres Strait Islander peoples). This easy-to-read fact sheet outlines the side effects of COVID-19 vaccines and what to do if you feel them.
Globally, an estimated 23 million miscarriages occur every year. Despite the personal toll involved, many miscarriages are managed in relative isolation. Private grief and misconceptions can lead to women and their partners feeling at fault or managing alone.
Similarly, in the health-care system and broader society, the continuing conviction that miscarriages are unavoidable and the requirement, enshrined in many national guidelines, that women must have recurrent miscarriages before they are eligible for investigation or intervention has created a pervasive attitude of acceptance of miscarriage, urging women to “just try again”.
For too long miscarriage has been minimised and often dismissed. The lack of medical progress should be shocking. Instead, there is a pervasive acceptance. Not all miscarriages could be avoided, but the insidious implication that miscarriage, like other women’s reproductive health issues, including menstrual pain and menopause, should be managed with minimal medical intervention is ideological, not evidence based. Miscarriage should be a major focus for the medical research community, for service providers, and for policy makers. The era of telling women to “just try again” is over.
The early closure of the Voluntary Dental Graduate Year Program and the Oral Health Therapy Graduate Year Program by the Australian Government adversely impacted NSW Aboriginal Community Controlled Health Organisations (ACCHOs). This led to the co-design of a small-scale oral health therapy graduate year program for ACCHOs known as the Dalang Project. This project has enabled oral health therapists to engage with local Aboriginal communities and implement culturally competent, practical and evidence-based oral health promotion activities.
For an overview of the Dalang Project and its evaluation click here.
Image source: The Conversation.
New 715 Health Check resources
A range of community resources, including flyers, posters, animation, podcasts, social tiles, video stories, templates and more have been developed to support organisation promoting 715 Health Checks.
Amnesty International Australia and Balunu Healing Foundation have called on the NT government to give kids a chance at breaking the cycle of disadvantage and crime by diverting them into culturally appropriate programs that address the underlying intergenerational trauma which too often leads to crime, instead of condemning them to the quicksand of the youth justice system.
Amendments to the youth justice act due to be debated this week in Parliament will prevent kids from accessing Indigenous-led diversion programs which are highly effective in addressing recidivism. The NT’s own statistics show that more than 70% of children who complete a diversion program do not reoffend within 12 months of completion.
To view Amnesty International Australia’s media release in full click here.
Children in the Don Dale juvenile detention centre in Darwin. Photo: Helen Davidson. Image source: The Guardian.
World Hand Hygiene Day 2021
ThemSAVE LIVES: Clean Your Hands global campaign was launched in 2009 and is celebrated annually on 5 May (World Hand Hygiene Day). The campaign aims to maintain global promotion, visibility and sustainability of hand hygiene in health care and to ‘bring people together’ in support of hand hygiene improvement around the world.
For World Hand Hygiene Day 2021, WHO calls on health care workers and facilities to achieve effective hand hygiene action at the point of care. The point of care refers to the place where three elements come together: the patient, the health care worker, and care or treatment involving contact with the patient or their surroundings.
The Fred Hollows Foundation, ANTaR National, the Royal Australian and New Zealand College of Ophthalmologists (RANZCO), the Diversity Council Australia (DCA) and Australia’s first Aboriginal ophthalmologist Associate Professor Kris Rallah-Bakerare are together calling for the government to commit to a referendum on a constitutionally enshrined First Nations Voice to Parliament (the Voice) once the model for the Voice has been settled. The call comes after The Foundation, ANTaR, RANZCO and DCA made submissions to the Australian Government’s Indigenous Voice co-design process.
The Fred Hollows Foundation CEO Ian Wishart said “Fred Hollows believed ‘inequity diminishes us all’ and this couldn’t be more glaring than when it comes to Aboriginal and Torres Strait Islander Peoples. More than 50 years after being granted the right to vote, Australia’s First Nations still do not have a constitutionally enshrined Voice to Parliament which would give them a say in laws and policies that affect them. A Voice to Parliament designed by Aboriginal and Torres Strait Islander Peoples is a vital step towards social justice reform. A constitutionally enshrined Voice would ensure First Nations Peoples will always be able to provide frank and fearless advice to the government.”
Image source: UNSW Sydney Newsroom. The image in the feature tile is from the SBS NITV News website.
Prevention key to health crisis
The AMA has made a submission in response to the Department of Health’s draft National Preventive Health Strategy, welcoming many parts of the draft strategy while also calling for strengthening specific measures targeting social determinants of health. The National Preventive Health Strategy, due to be finalised mid-year, forms part of the third pillar for mental health and preventive health as outlined in Australia’s Long Term National Health Plan.
Currently only 1.7% of the health budget is invested in preventive health. The AMA supports the draft Strategy’s proposal to increase that to 5% of health funding by 2030. “The AMA welcomes the draft Strategy as a leading example of collaborative, evidence-based policy work and is pleased to be involved in genuine engagement with the Government during its development,” AMA President Dr Omar Khorshid said.
“We know a person’s health is shaped by social, economic, cultural and environmental conditions in which they live. Prevention is key. Investing just 1.7% of the health budget in preventive measures is woefully inadequate and far below the example set by similar countries in the OECD. The AMA’s submission calls on the Government to implement a tax on sugar-sweetened beverages and a volumetric tax on alcohol to source revenue for increased funding, rather than taking from other areas of the already-stretched health budget.”
It was “very, very scary” being pregnant at 16 years old for Mackapilly Sebasio. The Torres Strait Islander Erubian woman felt she would be judged if she went to her local hospital. “It’s really hard to ask for help or get that support you need, when you’re with a [non-Indigenous] different organisation,” Mackapilly says. “You feel you’re being judged, or you’re not speaking proper. But when you’re around other Indigenous mothers and people that understand how you feel, it just makes you feel a lot better.”
It was thanks to the Birthing in Our Community program, which provides Indigenous-led birthing programs and support services for women who are pregnant with an Aboriginal or Torres Strait Islander baby, that “changed everything” for Mackapilly.
Mackapilly Sebasio with her three children, Seini, Melanie-Ann and Sunni. Image source: ABC News website.
Childhood immunisation rates break records
Australian parents continue to show their confidence in vaccinations, with record rates of childhood immunisations in the first quarter of 2021. For the fourth consecutive quarter, the coverage rate for five year olds has increased to a historic 95.22%. This surpasses the national aspiration of 95%, and gives Australia the herd immunity needed to stop the spread of vaccine-preventable diseases.
It is also well above the estimated World Health Organization international average immunisation coverage rate of 86% for five year olds, making Australia a world leading vaccination nation. The highest coverage ratecontinues to be Aboriginal and Torres Strait Islander children at five years of age – an impressive 97.26%. The vaccination rate for two year old Aboriginal and Torres Strait Islander children increased to 91.73%t, while for one year olds it was 93.7%.
Queensland Health’s Chief Nurse and Midwifery Officer, Adjunct Professor Shelley Nowlan, has taken on a new role as Deputy National Rural (NRH) Health Commissioner, which will see her play a key role in the Federal Government’s agenda to increase access to rural health services and address rural workforce shortages.
Federal Rural Health Minister, Mark Coulton, and NRH Commissioner Professor Ruth Stewart welcomed the engagement of Professor Nowlan, as a second NRH commissioner. “By engaging two Deputy Commissioners to provide expert advice on allied health, nursing, and Indigenous health disciplines and making the National Rural Health Commissioner a permanent office, we are ensuring rural challenges receive the attention and the expertise they deserve.
The Select Committee on the effectiveness of the Australian Government’s Northern Australia agenda, Final Report, tabled 28 April 2021 has recommended:
investment in an Aboriginal and Torres Strait Islander health workforce to continue development strategies, including in innovative community roles and in leadership positions.
continued expansion of Aboriginal Community Controlled Health Service models of community governance.
Ms Marion Scrymgour, CEO, Northern Land Council, emphasised that development in Northern Australia ‘cannot be successful unless it properly acknowledges Aboriginal rights and interests, engages fully with Aboriginal people as partners rather than just another stakeholder’. Ms Scrymgour stated that Aboriginal people must be placed ‘at the centre of the policy framework in regional and remote areas’.
To view the final report of the Select Committee on the effectiveness of the Australian Government’s Northern Australia agenda click here.
Image source: Austrade.
Is it really the end for Dan Murphy’s?
After a five-year saga involving court challenges and political twists, the Woolworths has abandoned its plan to set up its first Dan Murphy’s store in Darwin. Woolworths is now in the process of a demerger with Endeavour Drinks Group, the company that oversees the Dan Murphy’s portfolio.
While Woolworths says it won’t pursue a large-scale liquor outlet at the same location, it’s CEO Brad Banducci, says there’s no guarantee its subsidiary won’t propose an alternative Darwin site, if and when it becomes an independent entity, “As to whether there’s a future Dan Murphy’s in Darwin, that would be up to the Endeavour Group.”
Helen Fejo-Firth was fiercely opposed to the Dan Murphy’s proposal. Photo: Emilia Terszon. Image source: ABC News website.
Lung Health Awareness Month
Since 1990, Lung Foundation Australia (LFA) has beenpromoting lung health and early diagnosis, advocating for policy change and research investment, raising awareness about the symptoms and prevalence of lung disease and championing equitable access to treatment and care.
May is Lung Health Awareness Month. With 1 in 3 Australians affected by lung disease, LFA is asking the community to start taking their lung health seriously and know the early signs and symptoms. Early diagnosis is critical and the LFA wants you to encourage your community to take two minutes to complete its new Lung Health Checklist.
AMA is urging all Australians to get their seasonal flu vaccination now, with general practices across the country having recently received stock ahead of the upcoming flu season. “Winter is coming, and influenza remains a very serious illness, particularly for the vulnerable members of our community,” AMA President Dr Omar Khorshid said.
“Thousands of Australians are admitted to hospitals with influenza complications each year. Last year we saw record flu vaccinations, which was fantastic. We need to do the same again this year. The message is simple: get your flu vaccine now.
“There were significant social distancing measures in place last year that not only helped keep COVID-19 at bay, they also meant that cases of influenza were down significantly from previous years. Influenza has not gone away and with life now largely returning to normal, we mustn’t become complacent.”
Image source: Australian Government Department of Health.
WA Young Person of the Year, AHCWA employee
A Nollamara resident’s dedication to strengthen young people’s connections to Aboriginal culture has been recognised. Whadjuk Noongar man Derek Nannup, 23, was named WA’s Young Person of the Year at the 2021 WA Youth Awards last week.
Mr Nannup is working in sexual health education at the Aboriginal Health Council of WA and is on the Mirrabooka Police District Youth Advisory Group and the Youth Educating Peers Reference Group. He also worked as a support worker for children in care at Wungening Aboriginal Corporation and was the Indigenous Cultural Program Coordinator at Wesley College.
Mr Nannup also established the Boorloo Indigenous Youth Yarning Circles, a space for young people to practice traditional healing, discuss culture and community issues. The Nollamara resident said the award was not just about him but a recognition for his people and the Noongar community. “I’m really honoured to have been acknowledged as WA Young Person of the Year … that means a lot,” he said. “A lot of the mob have said ‘you’ve got leadership quality’ but all I’m really doing is listening to my Elders, doing and practicing my responsibility and obligations as a Whadjuk Noongar. It shows how far we’ve come together, we’re still a long way to go but hopeful.”
To read the full article in the Stirling Times click here.
Derek Nannup, 23, WA’s Young Person of the Year. Image source: Stirling Times.
Healthy ageing study for older Aboriginal people
Are you an NSW-based service that works with older Aboriginal people?
Would your service like to be part of research that shows how important community programs are for older Aboriginal people?
The Ironbark Project is a healthy ageing study for older Aboriginal people (45 years+). NSW-based services that work with groups of older Aboriginal people are invited to be part of this study involving Aboriginal-led community programs that improve social and emotional wellbeing, strength, mobility and independence, and prevent falls. Funding and training are provided to run the weekly community program with Elders.
Join an online information session 11 AM – 12 PM Monday 26 April 2021 to find out how you can be involved in the Ironbark Project.
Minister for Indigenous Essential Services Chansey Paech said a $28 million Territory Labor Government investment will help to shore up water security in Aboriginal communities across the NT. Tailored projects in ten remote communities will improve water quality and supply infrastructure, prioritising areas of critical need. The funding, $7 million per year for four years, will support initiatives to manage immediate problems and a long-term plan to tackle complex water supply issues. These include new bores, network upgrades, improved water disinfection systems, and the installation of meters to monitor and reduce water usage. The identified projects, tailored to address community-specific issues, will begin in Laramba, Engawala, Yuendumu, Epenarra, Imanpa, Atitjere, Warruwi and Numbulwar in the first year of the program; with works in Angurugu and Beswick to follow.
Priority Reform One of the National Agreement on Closing the Gap is about building and strengthening structures to ensure the full involvement of Aboriginal and Torres Strait Islander people with governments on Closing the Gap at every level.
We want to see new formal partnerships established across the country at state and territory and regional levels between Aboriginal and Torres Strait Islander representatives and governments on closing the gap which reflect elements consistent with the Partnership Agreement.
Where there are existing partnerships, we want them strengthened to ensure that representatives of Aboriginal and Torres Strait Islander people are chosen by those communities and are properly supported to share decision making about closing the gap in their locations.
You can view a new video animation for Priority Reform One here.
Mental health care – like hunting for unicorns
Numerous inquiries have analysed the barriers of cost and access to receiving mental health care, but these problems persist. This is particularly the case for people who experience the ‘missing middle’ – their case is too complex for a GP but not severe enough for hospital admission. One reader told Guardian Australia: ‘Finding a good psychologist or psychiatrist who bulk-bills and has appointments available is like hunting for unicorns while blindfolded.’
To view The Guardian article ‘Like hunting for unicorns’: Australians on the search for adequate, affordable mental healthcareclick here.
Image source: VentureBeat website.
SA – Adelaide – Flinders University
PhD scholarship x 1 (3 years) – Adelaide
Flinders University is seeking an outstanding candidate for a PhD scholarship for an Australian Research Council Project entitled: Contemporary lessons from a history of Aboriginal, women’s and generalist community health services in Australia 1970-2020. This exciting project is a partnership between Flinders University, the University of Sydney, La Trobe University, the National Aboriginal Community Controlled Health Organisation (NACCHO), The Sydney Local Health District, Paul Laris and Associates and Tony McBride and Associates.
Any area of study relevant to the project will be considered, including one with a focus on the emergence of Aboriginal Community-Controlled health organisations as part of the broader community health movement. Aboriginal and Torres Strait Islander candidates are strongly encouraged to apply for this aspect of the project.
For further details about the position, including how to apply click here.
107 ACCHOs have signed up to deliver COVID-19 vaccines: Pat Turner on ABC The Drum
Pat Turner AM, CEO NACCHO and Lead Convenor of the Coalition of Peaks was on the panel of speakers for the ABC The Drum last evening and spoke on a couple of topics including the First Nation’s success with COVID-19 and the vaccines rollout, COVID-19’s northern exposure to PNG outbreak, the Federal Government launching a multimillion-dollar advertising campaign in Canberra today encouraging people to move to regional Australia and the Closing the Gap update amongst others.
The Deputy PM is promoting a migration to regional Australia – but are the towns prepared to handle more people? What happens if not?
Pat said, “Experience from other First Nations in US and Canada shows high vaccine uptake occurs when the rollout is led by First Nations peoples and there is community control. Due to our success in controlling the outbreak we’re in a position which allows our services to have a flexible approach to the vaccine rollout.
“Just as Aboriginal and Torres Strait Islander communities were on the front foot with controlling COVID-19, we are on the front foot with the vaccine. We have advocated to ensure our communities are among the first to be offered the vaccine. We know the devastation COVID-19 can cause due to the high number of people with chronic conditions like diabetes and the potential rapid spread in crowded housing.
“We have 107 ACCHOs who will participate in the COVID-19 vaccine rollout from 1b in late March. This includes many rural and remote ACCHOs, ensuring all Aboriginal and Torres Strait Islander peoples have access to the vaccine if they choose to, regardless of location.
“We need flexibility in the way the vaccine is delivered in communities, especially in remote and very remote setting. NACCHO has been working with the Australian Government to ensure that, where appropriate, this flexibility exists. While the focus remains on those at highest risk – people over 55 or with chronic medical conditions – ACCHOs can also vaccinate family members and household members of those at high risk. A remote vaccine working group is considering a whole of community strategy – including all non-Indigenous and Aboriginal and Torres Strait Islander adults in the community.
“ACCHOs are highly experienced at vaccine roll-out. Five year old Aboriginal and Torres Strait Islander children have the highest coverage of vaccine uptake in the country and in 2020, almost 80% of people over 65 had the Fluvax.
“We have ensured there is targeted monitoring of safety of the vaccine among Aboriginal and Torres Strait Islander people through the AusVaxSafety program.
“The Australian Government has announced over $14 million in funding to support the roll-out of the vaccine in ACCHO. However, services are yet to receive this funding.
“We know that the best information comes from locally developed communication materials from the ACCHO sector. This was key to the success of the COVID-19 response.
“The communication materials developed by the Government are a good source of factual and up to date information, but we need to support our services to adapt these to local communities needs.
“NACCHO has worked closely with the Government, including the TGA (Therapeutic Goods Administration) to ensure that restrictions on medicine advertising do not stop our sector from doing what they do best – developing and distributing effective health promotion and engagement campaigns for their communities.”
Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination. Photo: Erin Parke. Image source: ABC News website.
National Close the Gap Day 2021
“It will be two years since the historic Partnership Agreement on Closing the Gap came into effect and we are seeing a radical change across the country.
“The new formal partnership agreements between governments and Aboriginal and Torres Strait Islander community-controlled representatives are being strengthened or set up in every state and territory to share decision making on Closing the Gap.
“The Priority Reforms in the National Agreement need to be embedded into the way governments work – in their policy development, program and funding guidelines and decision making. Our purpose together is to share decisions on how to improve the life outcomes of Aboriginal and Torres Strait Islander people.”
General Practices join the Phase 1B COVID-19 vaccine rollout
More than 1,000 general practices will join the COVID-19 vaccination program from next week further strengthening the Commonwealths capacity, and ensuring an efficient and equitable distribution of vaccines across the country.
Services will come online from 22 March and progressively increase in number to more than 4,000 by the end of April – as part of Phase 1B of Australia’s COVID-19 vaccine program.
This staged scale up will align with the supply of the locally produced AstraZeneca vaccine, and as more vaccine becomes available more services will come online.
Over 100 Aboriginal Health Services and 130 Commonwealth operated GP-led Respiratory Clinics, who have been instrumental partners in the COVID-19 response to date will also be progressively added as additional vaccine providers.
This rollout for Phase 1B complements the significant vaccination program underway to protect our most vulnerable citizens in Phase 1A, with approximately 200,000 vaccinated by the end of Tuesday.
Australians eligible for Phase 1B will be able to find a vaccination provider through the new national vaccination information and location service, at the Department of Health website.
This will enable people to locate their nearest general practice providing General Practice Respiratory Clinic vaccinations and link through to their online booking system or phone number to make the appointment.
To read the full media release by the Hon Greg Hunt MP Minister for Health and Aged Care click here.
ATAGI statement in response to European decisions about the Astra Zeneca vaccine
Australia’s regulatory body for vaccines Australian Technical Advisory Group on Immunisation (ATAGI) issued a statement to not suspend Astra Zeneca vaccine yesterday.
Could we mix and match different COVID-19 vaccines?
The COVID vaccine rollout is now underway in Australia and around the world. It’s incredible we’ve been able to develop and produce safe and effective vaccines so quickly — but the current crop of vaccines might not protect us forever. Fortunately, researchers are already developing and testing booster shots. So what are booster shots, and when might we need them?
The first time you give someone a dose of vaccine against a particular infection, it’s called a prime. You’re getting your immune response ready to roll.
Each time you give another dose against that same infection, it’s called a boost. You’re building on immunity you already have from the first dose.
To read the full article in the Conversation click here.
Facebook-based social marketing to reduce smoking in Australia’s First Nations communities
Interesting research paper released in the Australian Indigenous HealthBulletin: Facebook-based social marketing to reduce smoking in Australia’s First Nations communities: an analysis of reach, shares, and likes. By Hefler M, Kerrigan V, Grunseit A, Freeman B, Kite J, Thomas DP (2020).
Therapeutic Goods adverse events following immunisation
This instrument specifies certain therapeutic goods information relating to adverse events following immunisation that may be released to specified bodies and persons for the purpose of ensuring meaningful and effective participation in meetings on vaccine safety to support the safety, quality and safe use of vaccines in Australia.
Australia’s Race Discrimination Commissioner Chin Tan has launched a plan to establish a National Anti-Racism Framework and has called on the Federal Government to support and implement it. Commissioner Tan released a concept paper detailing key components that need to be included in the Framework and will soon commence a series of roundtables with peak anti-racism organisations to progress the plan.
The plan was launched ahead of the International Day for the Elimination of Racial Discrimination, also known in Australia as Harmony Day, which occurs this Sunday. Commissioner Tan said: “Racism is an economic, social and national security threat to Australia, and we need to treat it as such. Too many Australians are regularly the targets of racism. “It is time we dealt with the scourge of racism in the same way we deal with the scourge of domestic violence, or the scourge of child abuse. On those issues we have longstanding national frameworks, signed onto by all governments with three-year action plans.
To read the media release by the Australian Human Rights Commission and the Concept Paper for a National Anti-Racism Framework clickhere.
Close the Gap Campaign Report 2021: Policy Brief
Since 2010, the Close the Gap Campaign Steering Committee has developed an annual report on action that needs to be taken to achieve health equality for Aboriginal and Torres Strait Islander peoples.
We often repeat our recommendations, and we remain steadfast and persistent in the expectation that Aboriginal and Torres Strait Islander ways of knowing, being and doing will be respected and understood. The time for governments to deliver has long passed.
The Leadership and Legacy Through Crises: Keeping our Mob safe report presents solutions and showcases the leadership of Aboriginal and Torres Strait Islander peoples, communities, youth and organisations throughout critical health crises in 2020.
The report features strengths-based examples in addressing the most complex of challenges. These include climate change, the COVID-19 pandemic, and the increasing need for social and emotional wellbeing services in Aboriginal and Torres Strait Islander communities as a result of these events, and pre-existing effects of colonisation and inter-generational trauma.
Effective approaches to prevention, diagnosis and support for Fetal Alcohol Spectrum Disorder
Fetal Alcohol Spectrum Disorder (FASD) is an entirely preventable permanent disability. FASD includes a range of physical and neurological impairments, occurring due to brain damage caused by exposing a fetus to alcohol during pregnancy. As a spectrum disorder, FASD manifests in a range of ways, and conditions can range from very mild to severe.
Senate Community Affairs References Committee report on effective approaches to prevention, diagnosis and support for Fetal Alcohol Spectrum Disorder. Tabled 17 March 2021.
The committee received a wealth of information and evidence throughout the inquiry and thanks all those who participated, especially those with lived experience who had the courage to share their experiences and knowledge with the committee. As a result, the committee has made 32 recommendations, which aim at significantly improving the prevention, diagnosis, and management of FASD.
Effective approaches to prevention and diagnosis of FASD, strategies for optimising life outcomes for people with FASD and supporting carers, and the prevalence and management of FASD, including in vulnerable populations, in the education system, and in the criminal justice system.
To read the full report released by the Senate Community Affairs References Committee, click here.
Image source: UNSW Sydney National Drug & Alcohol Research Centre.
Hearing loss and treating middle-ear infections in Aboriginal and Torres Strait Islander children
Identifying hearing loss and treating middle-ear infections in Indigenous children in their first four years would change lives forever, says Australia’s first Indigenous surgeon, Dr Kelvin Kong.
Describing himself as a proud Worimi man, Dr Kong said early intervention – such as checking children’s ears at every opportunity – would contribute to closing the gap in education, employment and health between Aboriginal and Torres Strait Islander people and other Australians.
Australia’s first Indigenous surgeon, Dr Kelvin Kong
COVID-19 crisis in PNG amid vaccine rollout concerns in Australia
Australia has announced emergency COVID-19 support for Papua New Guinea (PNG) in response to fears of a “looming catastrophe” that could devastate the nation and its healthcare system and that also threatens communities in the Torres Strait and Far North Queensland.
Amid dire warnings from PNG and Australian health experts, Prime Minister Scott Morrison announced today that Australia would urgently supply 8,000 AstraZeneca COVID-19 vaccines from Australia’s stock to start vaccinating PNG’s essential health workforce.
Torres Strait Regional Council Mayor Philemon Mosbytold ABC radio today that it could be “catastrophic” for local communities if the emergency wasn’t handled properly; however, others are hopeful the crisis can be averted, including National Aboriginal Community Controlled Health Organisation (NACCHO) CEO Pat Turner.
“Our people are very much aware in the Torres Strait about the dangers of COVID and they’ll be taking every precaution,” Turner told ABC TV’s The Drum, saying she had “every confidence that Queensland Health will be able to manage this and control the movement of people, with the cooperation of the Torres Strait Island leadership”.
Image source: Australian Government Department of Health.
Do you work with or employ Aboriginal and Torres Strait Islander Health Workers or Practitioners?
Diabetes is a significant health issue facing Indigenous Australians. The delivery of culturally safe health services, including by appropriately skilled Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners, is vital to efforts to reduce the present and future burden of diabetes.
Marathon Health are currently looking at diabetes-specific educational opportunities for Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners. We want to know where they get the information they need to enable them to provide diabetes care.
Your participation in this brief survey is entirely voluntary and your time is greatly appreciated. The results will be used to inform current availability of diabetes-related education and to identify opportunities in this area.
Please click the link to the survey to get started here.
Community-led action – the key to Close the Gap – AHHA
The 2021 Close the Gap Campaign report, released today, highlights the importance of strength- based, community-led approaches to improving health outcomes for Aboriginal and Torres Strait Islander peoples.
‘While Aboriginal and Torres Strait Islander peoples continue to show resilience in the face of poorer health outcomes, the effectiveness of strength-based, community-led action could not be clearer,’ says Australian Healthcare and Hospitals Association spokesperson, Dr Chris Bourke.
‘The case studies in this year’s report showcase the leadership of Aboriginal and Torres Strait Islander peoples, communities and organisations throughout some of the biggest challenges of 2020, from bushfires to pandemics.
‘Community Controlled Organisations and Health Services successfully kept Aboriginal and Torres Strait Islander communities safe during the COVID-19 pandemic and the rate of COVID-19 cases in Aboriginal and Torres Strait Islander peoples was six times lower than the rest of the population. These community-led organisations will have a significant role to play in rolling out the COVID vaccine this year.
‘In July 2020, the new National Agreement on Closing the Gap, signed by all Australian governments and the Coalition of Peaks, signified a new way forward with Aboriginal and Torres Strait Islander people in control at the decision-making table for the first time.
‘The recommendations in this year’s report call for structural reform, self-determination and ongoing investment in Aboriginal and Torres Strait Islander community-led initiatives.
‘This year’s report solidifies the importance of the power of Aboriginal and Torres Strait Islander peoples, communities and organisations, to deliver culturally safe care and localised solutions,’ says Dr Bourke.
AHHA is a member of the Close the Gap campaign, an Indigenous-led movement calling for action on health equity for Aboriginal and Torres Strait Islander people.
The Close the Gap Campaign report is available online.
Close the Gap campaign poster by Adam Hill. Image source: ResearchGate.
First Nations women left behind in cervical cancer elimination
Australia is tracking to become one of the first countries to eliminate cervical cancer, but Aboriginal and Torres Strait Islander women will miss out unless we act urgently to change this, according to a new study from The Australian National University (ANU) and Cancer Council New South Wales (CCNSW). Lead researchers, Associate Professor Lisa Whop (ANU) and Dr Megan Smith (CCNSW) and colleagues are calling for inequities to be addressed.
HPV (human papillomavirus) is a common sexually transmitted infection and is responsible for almost all cases of cervical cancer and 90 per cent of anal cancers and genital warts. To reach elimination, the World Health Organization (WHO) has released a strategy with three targets to be met by every country by 2030.
Read the full media release by Australian National University here.
Image source: MedPage Today website.
Closing the Gap vital to ensure health equity – AMA
The disparities between the health status of Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians continue to fall by the wayside and closing the gap is vital to
ensure health equity in this country, AMA President Dr Omar Khorshid said today.
On National Close the Gap Day, the AMA encourages all Australians to take meaningful action in support of achieving health equity for Aboriginal and Torres Strait Islander peoples
The AMA has actively called on the Government to address health inequities experienced by Aboriginal and Torres Strait Islander people, that stem from the social and cultural
determinants of health.
“Closing the life expectancy gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous people is everyone’s business: it is a national issue in which every individual,
organisation and group in Australia can play a role,” Dr Khorshid said.
“Every person’s health is shaped by the social, economic, cultural, and environmental conditions in which they live.
“Addressing the social and cultural determinants of health is vital if we want to see vast improvements in the health and well-being of Aboriginal and Torres Strait Islander people.
“This is a national priority.
The Healing Foundation CEO, Fiona Petersen, spoke with Virginia Trioli on ABC Radio Melbourne ‘Mornings’ today about the importance of Stolen Generations history being taught as part of the Australian school curriculum. Fiona said the Healing Foundation encourages school communities to engage with survivors in their local area to learn about not just what happened when they were removed and the follow-on effects of that, but also how they and their families have been overcoming what happened. Fiona agreed that if Stolen Generations history is taught more broadly in schools it is likely to better inform the ongoing conversation about Australia Day.
To view the full transcript of the interview click here.
Image source: Teach Indigenous Knowledge.
COVID-19 patient identification and racism
The Australian Indigenous Doctors’ Association (AIDA) is the peak body representing Aboriginal and Torres Strait Islander medical students and doctors in Australia. During the COVID-19 pandemic, AIDA members witnessed incidents of racism related to patient identification. Patient identification is imperative to providing culturally safe health care to Aboriginal and Torres Strait Islander patients. In one instance, a patient who identified as Aboriginal was denied testing for COVID-19. The justification for this denial was that priority testing would only be offered to “real Aborigines”. Incidents like these highlight the need to improve the cultural safety of all healthcare workers and that increasing community education about why asking all patients whether they identify as being of Aboriginal and Torres Strait Islander origin is vital.
AIDA advocates for best practice in patient identification to support the development of policies and services related to the health of Aboriginal and Torres Strait Islander people. Culturally safe practice begins with sensitively, correctly, and regularly asking the identification question at the admission of care. Addressing under-identification includes asking all patients the identity question and recording responses accurately as one of several best practice principles.
To view AIDA’s position paper on patient identification click here.
Desktop resource to prompt ‘asking the question’. Image source: The University of Melbourne.
Measuring self-reported racism in healthcare
Racism is a fundamental cause of ill health and health inequities globally. Aboriginal and Torres Strait Islander stakeholders have identified as a high priority, research on the experiences of discrimination, overall and specifically within healthcare. Regardless of the measure used, there is consistent evidence of high exposure to discrimination in this population. High quality measurement of experiences of discrimination is therefore essential to underpin action to improve health and reduce inequities.
A recent article in the International Journal for Equity in Health,Developing and validating measures of self-reported everyday and healthcare discrimination for Aboriginal and Torres Strait Islander adults looks at instruments to capture Aboriginal and Torres Strait Islander peoples’ experiences of interpersonal discrimination. The instruments can be used to enable valid measurement of discrimination’s prevalence, in order to identify priority targets for action, quantify discrimination’s contribution to health and health inequities, monitor trends, and evaluate interventions.
Image source: The Royal Melbourne Hospital website.
Confronting Australia’s collective racism
In health, ‘bravery’ is something that is typically used about patients. Children (and sometimes adults) are asked to be ‘brave’ when they receive a vaccination. People are often called brave for sharing stories of mental illness to destigmatise it. Sometimes, just seeing a health professional is brave, if the issue is very personal or potentially embarrassing.
However, bravery has now been used about health professionals and policymakers in the 2021 State of Reconciliation in Australia Report: Moving from Safe to Brave. This is the second report (the first being in 2016) outlining where Australia is at with reconciliation between Aboriginal and Torres Strait Islander people and other Australians. The report is based on interviews with leaders of national Aboriginal and Torres Strait Islander organisations, leaders of relevant non-Indigenous organisations, corporate leaders and Reconciliation Action Plan (RAP) partners.
Australia slammed for age of criminal responsibility
Australia was slammed over its treatment and acknowledgment of First Nations people at the United Nations last week. More than 30 nations – including Canada, France, Germany, Italy, Poland and Mexico – called on Australia to raise the age of criminal responsibility from 10 to 14, in line with the recommendations from the United Nations Committee on the Rights of the Child.
Nolan Hunter, Amnesty International Australia Indigenous Rights Lead, told NITV News that policies around Australia’s age of criminal responsibility were “outdated” and a “legacy of Colonialism”. “What’s more worrying is to allow it to continue and the acceptance of this where kids as young as 10 years old are being thrown in jail,” he said. “The culture of the community in Australia and more so the government is the attitude that there isn’t a problem or to recognise this as a serious issue.”
Photo by Chris Devers. Image source: New Matilda website.
Mobilising a COVID-19 vaccine workforce
The Australian Government is preparing for the COVID-19 vaccine rollout by securing an additional vaccine workforce and working to deliver essential training to everyone who will administer the vaccinations. “Australia’s vaccine roll out will be carried out through hospitals, general practices, state and Commonwealth vaccination clinics, Aboriginal Community Controlled Health Organisations and pharmacies. This additional vaccination workforce will help support and supplement existing services and assist in outreach in areas such as aged care and remote and Indigenous communities working with existing providers. Through the Australian Government’s plan, a panel of four providers have been appointed, who will be called upon to provide a vaccine workforce to supplement the existing immunisation workforce for specific populations. The providers are Aspen Medical, Healthcare Australia, International SOS, and Sonic Clinical Services.”
To view the media release in full click here, and to read a related article in the Western Advocateclick here.
Image source: startsat60. website.
Biggest mass vaccination program begins
Today’s provisional approval of the Pfizer vaccine is an important step in Australia’s battle to protect Australians from COVID-19, according to AMA President Dr Omar Khorshid. “Australia has been fortunate that we are not in the emergency situations of other nations, and the Therapeutic Goods Administration (TGA) has been able to go through its normal clearance processes for this vaccine,” Dr Khorshid said. “Now the hard work of rolling out Australia’s biggest mass vaccination program begins, it will be an enormous task to get the vaccine delivered to as many Australians as possible, as quickly as possible.”
Image source: European Pharmaceutical Review website.
GPs united on vaccine rollout
Australian GPs stand united to work with the Government on rolling out COVID-19 vaccines across the community and the nation. The Australian Medical Association (AMA) and the Royal Australian College of General Practitioners (RACGP) have worked collaboratively with Health Minister Greg Hunt over the past weeks to ensure the vaccine rollout is delivered with patient safety as the first priority.
In a joint media release AMA President Dr Omar Khorshid and RACGP President Dr Karen Price said “This is an important moment for the Australian community. We have gone from no coronavirus vaccine a year ago to several vaccines, with the first expected to be rolled out next month. GPs are ready to help vaccinate and protect the community from COVID-19 as soon as vaccines are fully approved for use in Australia, and available for delivery. Vaccinations are also an important opportunity to discuss other health concerns with GPs. This is particularly important at a time when many people have deferred health care due to the pandemic.”
To view the joint AMA and RACGP media release click here.
Image source: AMA website.
General practices sought for rollout
The Australian Government is seeking expressions of interestfrom all accredited general practices to take part in the planned delivery of the COVID-19 vaccine. “General practices will play a key role in the Australian Government’s rollout of COVID-19 vaccines, in what will be one of the greatest logistical exercises, public health or otherwise, in Australian history. Providing access to safe and effective COVID-19 vaccines for everyone in Australia is a key priority for our Government. General practices will help deliver the vaccine initially to priority groups, starting with people over 70, adults with underlying medical conditions and Aboriginal and Torres Strait Islander people in phase 1. Three more phases will follow until the whole country has been offered the vaccine.”
To view Minister Greg Hunt’s media release click here.
Image source: Australian GP Alliance website.
Pandemic compounds hardship for PWD
Despite the refrain throughout the COVID-19 pandemic that ‘we are all in this together’, the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability (PWD) last week revealed the many hardships encountered by PWD over the past six months. In his closing remarks, Chair Ronald Sackville AO QC said the hearings had shed a “piercing light” on the impact of the pandemic and associated stringent measures to contain it on PWD.
He said the pandemic had exacted a “terrible”, and largely hidden, toll on people with a disability. We have heard people with disability experiencing the sudden loss of essential support services, an absence of clear and consistent information in accessible form essential to their health and wellbeing; an inability to access health care, personal protective equipment and even the basic necessities of life such as food and medication; we’ve heard of isolation from the community, from friends and family and from social networks; exposure to a heightened risk of domestic violence; stress and anxiety associated with exposure to the virus; inadequate measures for the protection of people with disability, and uncertainty about how to survive in the face of disruptions to care and essential services, sometimes leading to worsening mental health.”
In a Q&A, ear, nose and throat specialist Associate Professor Kelvin Kong, a Worimi man, based in Newcastle on the country of the Awabakal people, has reflected upon the upheaval and life-changing lessons of the past several months. “I am so thankful that we have not seen the devastation that we have seen in other First Nation populations across the world. COVID-19 is such a travesty to all of us. But it really highlights the inequities we have as health service providers. We are lucky geographically that we were able to shut down communities so quickly. The Aboriginal leadership across the nation needs far more praise in its ability to get the message across. Messages that communities could relate to and believe was, and continues to be, paramount in the response.”
Dr Kelvin Kong. Image source: University of Newcastle.
First Aboriginal dermatologist
Dana Slape is Australia’s first Aboriginal dermatologist. Her mission is mentoring students who may have never considered a career in medicine, as well as advocating for more Indigenous leadership throughout our healthcare system. “I think there has been a really longstanding narrative in Australia particularly in the healthcare space that Aboriginal and Torres Strait Islander people are just sick people, and people that are chronically unwell, that are chronically suffering, but the truth of it is that what we have is a system of unconscious and conscious bias that impacts how people are provided care and how they are able to access all of the things that keep us, as a community, well as individuals but also collectively. So when you have people like me and all of the other people that end up working in senior leadership, in hospitals, in clinics, in places where we access healthcare, it starts to tell a different story. You’re deconstructing those unconscious biases around people being always the patient, and never the care provider.”
“My hope is that Aboriginal and Torres Strait Islander specialist numbers increase, because the greater leadership we have that are Aboriginal and Torres Strait Islander people at all layers of the health system and tertiary education system, means that we are opening up doors for people so that those people can go on and be the leaders of the future and provide care to the next generation and that’s extremely important, and I’m thrilled to be a part of that.”
To listen to the ABC interview with Dana Slape click here.
Dr Dana Slape. Image source: The Sydney Morning Herald.
Smoking kills half of those 45+
A study has found smoking kills one in two older Aboriginal and Torres Strait Islander adults, and experts are calling for more funding to boost culturally appropriate smoking cessation services. The report from the Australian National University found smoking caused 37% of deaths at any age in Aboriginal and Torres Strait Islander adults, but that increased to about half of deaths in those aged over 45.
Dr Michelle Bovill, a Wiradjuri woman and an Aboriginal smoking health researcher at the University of Newcastle, found the results were “quite alarming”. “Aboriginal people do want to quit,” she said. “But then people still don’t really know what to do to quit, and we really don’t have enough funding being put into our Aboriginal community controlled health services to provide that support.”
To view the full article in The Sydney Morning Heraldclick here.
Image source: The Conversation.
Pharmacy students inform WRAP toolkit
Delivering effective healthcare requires healthcare professionals to reflect on their own cultural background and their patient’s cultural needs. Culture is a determinant of health and if not considered, negative health outcomes can result. This is of particular importance when working with Aboriginal communities and caring for Aboriginal people whose views have been excluded from healthcare models, funding, and policy. Non-indigenous healthcare professionals, such as pharmacy students, benefit from understanding Aboriginal peoples’ healthcare needs and models of holistic healthcare, as well as reflecting on their own cultures, assumptions, and experiences on placement.
A research article, Pharmacy students’ learnings and reflections to inform the development of the ‘Working Respectfully with Aboriginal Peoples’ (WRAP) Toolkit explores students’ views to inform the development of a Toolkit to support students’ learning prior to engaging in placements in Aboriginal communities. The study involved collaboration with students, Aboriginal community members, educators experienced in Indigenous health and allied health education.
For further details about the research article click here.
Dr Rallah-Baker has called for cultural competency to become standard good practice before health workers are registered. Image source: Michael Amendolia (Fred Hollows Foundation).
SNAICC appoints new CEO
SNAICC – National Voice for Our Children, the national peak body for Aboriginal and Torres Strait Islander children, has announced that Catherine Liddle has been appointed to the position of Chief Executive Officer. Catherine will commence the role on 8 February 2021. An Arrernte/Luritja woman from Central Australia, she comes to SNAICC with a strong background in senior leadership positions with First Nations organisations. “It is with great pleasure that we welcome Catherine to SNAICC,” says Muriel Bamblett, SNAICC Chair. “With her previous leadership roles, combined with her experience on the Coalition of Peaks, Catherine will ensure that SNAICC can continue to strengthen our partnerships with state and federal governments to make sure our children are at the forefront of policies.”
According to AMA President, Dr Omar Khorshid, Australia needs to reset it attitude to health expenditure, with a fundamental reassessment of the priority put on real increases to health spending. “The COVID-19 pandemic has challenged us to rethink many of our assumptions about the functioning of society. Absolutely fundamental to this is our understanding of what a health system that is fit for purpose looks like,” Dr Khorshid said. “The pandemic has shown the strains on so many parts of our health system, particularly aged care, mental health, and protections for our frontline healthcare workers, as well as the need to keep this deadly virus out of our Indigenous communities. There can be no avoiding it. A serious investment in health with a substantial real increase in spending is required.”
Each year 650,000 Australian children suffer from recurrent or chronic ear infections called otitis media (OM). OM can cause permanent hearing loss but is entirely preventable when treated early. Aboriginal children are disproportionately impacted by middle ear disease with OM affecting one in four children in Australia – but one in every two Aboriginal children. The current average wait time of two years for assessment is too long for children who are in crucial key stages of language, behavioural and educational development. Struggling to understand what is happening to them, many may face long-term social or mental health impacts.
Paediatric audiologist Dr Chris Brennan-Jones is committed to finding solutions for ear health – like changing assessment wait times from two years to 10 days. Dr Bennan-Jones is working with an ear health partnership in metro Perth called Djaalinj Waakinj – ‘Listening, Talking’ in Noongar language. In a program that is the first of its kind in Australia Djaalinj Waakinj fuses telehealth technology with support from local Aboriginal health workers to facilitate remote diagnosis of OM.
Dr Chris Brennan-Jones. Image source: Particle website.
Puggy Hunter Memorial Health scholarships
Aboriginal and Torres Strait Islander students studying, or intending to study, entry-level health courses could receive life changing financial assistance to follow their passion thanks to the Puggy Hunter Memorial Scholarship Scheme (PHMSS). The PHMSS is designed to encourage and assist undergraduate students in health-related disciplines to complete their studies and join the health workforce. The Australian Government established the Scheme as a tribute to the late Dr Arnold ‘Puggy’ Hunter’s outstanding contribution to Indigenous Australians’ health and his role and Chair of the NACCHO.
To read the full article about the PHMSS in the National Indigenous Timesclick here.
Applications for the PHMSS are now open and will close on Sunday 8 November 2020. For more information click here.
PHMSS recipient Ashleigh Ryan. Image source: Australian College of Nursing website.
NCCRED Clinical Research Scholarship Program
The National Centre for Clinical Research on Emerging Drugs (NCCRED) has developed a Clinical Research Scholarship Program to build the scope and capacity of clinical research on emerging drugs across the drug and alcohol sector. This is a national program open to clinicians at all levels, anywhere in Australia. NCCRED is opening TWO new competitive rounds which will give financial and research support allowing recipients to conduct a new research project. The rounds will have a focus on the following areas:
Practicing Aboriginal and Torres Strait Islander health professionals (clinicians, nurses, allied health workers) in the AOD sector.
nursing and allied health professionals preferably practicing alcohol and other drugs nurses and allied health professionals, though applications are open to all clinicians working within the AOD sector.
For more information about the NCCRED scholarship program click here.
Applications are now open and close on 6 November 2020.
Image source: ABC News website.
National COVID-19 Clinical Evidence Taskforce Communique
You can read the full National COVID-19 Clinical Evidence Taskforce Communique #25 here.
Image source: National COVID-19 Clinical Evidence Taskforce website.
COVID-19 transmission in educational settings
Since March 2020, the National Centre for Immunisation Research and Surveillance (NCIRS) has joined forces with the NSW Ministry of Health and NSW Department of Education to investigate COVID-19 cases in schools and early childhood education and care (ECEC) services.
You can view the webinar Learning together – Transmission of SARS-CoV-2 in NSW educational settings covering COVID-19 transmission in NSW educational settings, what the latest data show and how a multi-disciplinary approach has helped people learn together by clicking here.
Nawarddeken Academy school. Image source: The Conversation website.
Melbourne workers of concern to Tennant Creek health groups
Up to 10 gas pipeline workers from a coronavirus hotspot have begun quarantining in a Tennant Creek hotel under a Government-approved plan that Indigenous health groups are demanding be shared with them. The group from Melbourne has also been given permission to leave the hotel under an arrangement organised for maintenance work on Jemena’s Northern Gas Pipeline, which runs from Tennant Creek to Mt Isa. The vast majority of people arriving in the NT from coronavirus hotspots are ordered into a fortnight of supervised quarantine at designated facilities in Darwin or Alice Springs at a cost of $2,500.
Indigenous health groups are concerned the alternative arrangement risks coronavirus spreading to Tennant Creek’s majority Indigenous population and that of nearby communities. Barb Shaw from Anyinginyi Health, the region’s major Indigenous health service, said she had requested to see the company’s COVID-19 management plan early last week but never heard back.
Anyinginyi Health CEO Barb Shaw. Image source: ABC News.
Keep Our Mob Safe from COVID-19
The latest update on COVID-19 for Aboriginal and Torres Strait Islander households, communities and organisations is available click here. Things can change quickly so it is important to stay up to date.
Image source: Australian Government Department of Health.
2021 seasonal influenza preparation required
During 2020 there was a significant demand for seasonal influenza vaccines in light of the evolving COVID-19 pandemic. It is anticipated that this demand is likely to continue and also be evident for future seasons. To this end, the Commonwealth Chief Medical Officer is encouraging key stakeholders to turn their minds to their preparations for next year’s season. To view the Commonwealth Chief Medical Officer’s letter to stakeholders click here.
Image source: 1011 Now News website.
PBS changes a win for palliative care
The Australian Medical Association (AMA) welcomes much needed improvements to the Pharmaceutical Benefits Scheme (PBS) listings for opioids, which will clarify their important role in alleviating suffering for palliative care patients. AMA President Dr Omar Khorshid said the Association supported important reforms to reduce the inappropriate use of opioids in Australia. Dr Khorshid said the original PBS changes implemented on 1 June 2020 caused significant confusion and concern from prescribers and their patients, unintentionally making prescriber access to opioids more difficult for palliative care patients with a legitimate clinical need. This was particularly difficult for non-cancer palliative care patients.
The AMA has been advocating to the Department of Health and the Therapeutic Goods Administration, providing feedback from AMA members on the 1 June 2020 changes. “The Pharmaceutical Benefits Advisory Committee (PBAC) has reflected this feedback in the 1 October 2020 PBS listing changes, so it’s pleasing that the vital advocacy work of the AMA has been heeded,” Dr Khorshid said. “Patients will be exempt from the 12-month pain management review by a second doctor or palliative care nurse practitioner if their clinical condition makes the review not possible. “This is an important change for palliative care patients who may be too unwell for this to occur.”
Social enterprise to tackle remote NT food inequities
An urgent food crisis is threatening remote Aboriginal communities across the country, with an estimated 1.2 million Australians unable to regularly access culturally appropriate, safe and nutritious food from a non-emergency source. Kere to Country, a new First Nations-led social enterprise, hopes they can make a difference, starting in Alice Springs/Mparntwe. Kere means ‘food from animals’ in Arrernte.
Three young Indigenous entrepreneurs—Jessica Wishart, 31, Jordan Wishart, 25, and Tommy Hicks, 24 (pictured below) —were inspired to do something about the crisis after visiting Alice Springs/Mparntwe. The trio saw Aboriginal communities couldn’t afford essential products that were necessary to keep their families healthy and safe. “It’s an urgent crisis—one that has been going on for a really long time, but it’s gotten worse since the pandemic,” CEO Jessica Wishart said.
The concept is simple: Kere to Country will provide remote communities with access to meat through bulk purchases or smaller packs. Aiming to eventually expand to all of central Australia, the team will distribute packs to Alice Springs/Mparntwe, both in and out of town, and the Tennant Creek region.
Kere to Country entrepreneurs Jessica Wishart, Jordan Wishart, Tommy Hicks. Image source: National Indigenous Times.
Palkyu descendent 2020 Australia Mental Health prize finalist
Professor Helen Milroy is one of seven finalists in the running for the 2020 Australia Mental Health prize. The Prize, now in its fifth year, recognises Australians who have made outstanding contributions to the promotion of mental health or the prevention and treatment of mental illness.
Professor Milroy is recognised as the first Indigenous Australian to become a medical doctor, completing medical studies and specialist training in child and adolescent psychiatry. She is passionate about combining Aboriginal and western knowledge systems to improve outcomes. Her work and research in the areas of holistic medicine, child mental health, recovery from trauma and grief, application of Indigenous knowledge, and cultural models of care have made a significant difference to the lives of children and young people, particularly those with a trauma background. Her efforts in developing and supporting the Aboriginal medical workforce and cultural safety in health and mental health through curriculum development, education and training, implementation and evaluation, has had a lasting impact on Aboriginal health and mental health across Australia.
To view the full article about the 2020 Australia Mental Health prize finalists click here.
Professor Helen Milroy. Image source: AusDoc website.
Breast cancer survivor fears many others won’t
Breast cancer is still the most commonly diagnosed cancer in Aboriginal and Torres Strait Islander women, but what’s more concerning is that not a lot of these women survive. It’s a hidden disease that shows no symptoms until it has developed into a lump some time down the track.
Aunty Joy was diagnosed with stage 4 breast cancer at the age of 48. She had a single mastectomy and says “I am a survivor and still a sufferer. Around the time of my diagnosis, there were no radiographers where I was. But if I had waited, who knows what the end result would’ve been? I went through the experience alone and it was traumatic, something that I don’t want to see other Aboriginal or Torres Strait Islander women go through. Every two weeks I would take myself to chemotherapy, the most grueling and horrible experience with side effects that were harrowing.”
Aunty Joy. Image source: MamaMia website.
To read the full article about Aunty Joy’s breast cancer journey click here.
ACT – Canberra
Social Media Communications Coordinator
NACCHO is seeking a Social Media Communication Coordinator to manage and maintain NACCHO’s social media presence and daily blog. The position requires working cohesively with the NACCHO Communications team towards the creation and delivery of social media campaigns and driving key Aboriginal and Torres Strait Islander health sector new content across channels. To view details of the position click here.
Applications close at 9.00 am Friday 16 October 2020.
AFL Indigenous All Stars coach Michael O’Loughlin with the “Aboriginal Health in Aboriginal Hands” app. Image source: Australian Government NIAA website.
The AMA has demanded revised guidelines on personal protective equipment (PPE) for healthcare workers, following revelations that more than 2,500 Victorian healthcare workers have contracted COVID-19. More than two-thirds of the second wave infections of healthcare workers in Victoria have been confirmed to have happened in the workplace.
The Royal Australasian College of Surgeons’ (RACS) has released an updated Indigenous Health position paper outlining its commitment to addressing health inequities of Indigenous communities in Australia and NZ.
Working effectively with Aboriginal and Torres Strait Islander people is important in maximising the effectiveness of health care interaction between Aboriginal and Torres Strait Islander patients and health professionals. BioMed Central (BMC) Health Services Research has published a paper outlining a framework to guide health professional practice in Aboriginal and Torres Strait Islander health.
Researchers and medical services in the Kimberley say they are “concerned but not surprised” at the findings of a new University of WA report A profile of suicide and self-harm in the Kimberley, outlining the still disproportionately high suicide and self-harm rates in the region compared to the rest of WA and Australia. The report recommends a thorough redesign of health services in the Kimberley and the need to ensure adequate resourcing to ensure better care is provided.
Indigenous LGBQTI+SB people deal with additional societal challenges, ones that can regularly intersect, contributing to the heightened development of depression, anxiety, alcohol and drug problems, and risk of suicide and suicidal behaviour. To coincide with World Suicide Prevention Day activities globally on Thursday 10 September 2020, Dameyon Bonson, an Indigenous gay male, recognised as an Indigenous suicide prevention subject matter expert, specifically in Indigenous LGBQTI+SB suicide, will be presenting an on-line introduction to Aboriginal and Torres Strait Islander LGBQTI+SB suicide prevention.
The Secretariat of National Aboriginal and Islander Child Care (SNAICC) has developed a number of resources to help Aboriginal and Torres Strait Islander people develop a better understanding of COVID-19 and help children, carers and families get through this difficult time.
For details of the SNAICC COVID-19 resources click here.
Image source: Health Times.
2020 smoking in pregnancy roudtable summary
An alarming 46% of Indigenous women smoke during pregnancy, 3.6 times the non-Indigenous rate. Serious effects from smoking in pregnancy include obstetric and per-natal complications, heart disease, obesity, diabetes, and behavioural and learning problems in children. Maternal tobacco smoking is the most important preventable risk factor for chronic lung disease in offspring. Babies born to smokers are twice as likely to have low birth weight compared to those born to non-smoking mothers, but if the mother quits smoking early in pregnancy the low birth weight risk decreases to non-smoking levels.
The Australian Government Department of Health convened a Smoking and Pregnancy Roundtable discussion in February 2020, chaired by Professor Tom Calma AO. The summary report of the roundtable presentations and discussions, including videos of the presentations, can be found here.
Image source: Coffs Coast Advocate.
Canberra – ACT
ACT Ministerial Advisory Council on Women – Council Member
The ACT Ministerial Advisory Council on Women (MACW) has opened up nominations for the next MACW term, 2021–22.
Members of the Council meet bi-monthly and raise and debate issues which matter most to women and girls in Canberra, as well as advocate for the advancement of women and the opportunities available to them, with the Council then providing strategic advice to the ACT Government as an independent voice.
The ACT MACW are hoping for a diverse range of women to be on the Council and would welcome applications from Aboriginal and Torres Strait Islander women.