NACCHO Aboriginal Health News: Grants to support mental health of new parents

Feature tile - Mon 7.6.21 - Grants to support mental health of new parents

Grants to support mental health of new parents

The Morrison government is providing $16.6 million in grants to support the mental health and wellbeing of expectant and new parents through nine new projects.

It is estimated that up to 10% of women experience depression while pregnant, and one in seven women in the year after birth. Men can also experience perinatal mental illness, with approximately one in 10 expectant and new fathers experiencing depression, anxiety or other forms of emotional distress in the perinatal period.

Some of the grants under the mental health initiative include:

  • $2.59 million for the University of Newcastle to deliver the SMS4dads digital prevention and early intervention service for fathers, including Aboriginal and Torres Strait Islander fathers, living in rural and remote regions.
  • $750,000 for Possums for Mothers and Babies to deliver training and professional peer support for health professionals and new parents in rural communities.
  • $250,000 for the Murdoch University Ngangk Yira Research Centre for Aboriginal Health and Social Equity to produce health practitioner training materials and develop a mobile phone-based app version of the Baby Coming You Ready assessment and screening program for Aboriginal women.

You can read the full story and find out more about the other grants here.

Man pushing pram through park. Image source AAP.

Image source: AAP.

Yolngu Elders kick off COVID-19 vaccinations across Arnhem Land

Miwatj Health are gearing up for a COVID-19 vaccination blitz across the remote northern region of Arnhem Land.

Terry Yumbulul, Miwatj Health Aboriginal Corporation’s Chief Culture Advisor and Head of Regionalisation, and CEO Eddie Mulholland, had their Pfizer vaccine in Gove last week.

They were joined by 10 Board Members of Miwatj Health Aboriginal Corporation and other local leaders who received their vaccine in an effort to encourage others in the community.

ABC Radio Darwin’s Jo Laverty spoke with Terry Yumbulul about his experience and whether other Yolngu people would follow suit.

You can listen to the ABC Radio Darwin On Breakfast broadcast with Jolene Laverty here.

Yolngu Elder receives vaccine at Miwatj Health Aboriginal Corporation.

Yolngu Elder receives vaccine at Miwatj Health Aboriginal Corporation. Image source: ABC News.

Healing the past project seeking participants

Becoming a parent is exciting but it can be hard. Particularly for parents who have experienced difficulties in their own childhood, which can have long lasting effects on physical, social and emotional wellbeing. This can make the transition to parenthood difficult, causing distress and challenges to creating a nurturing environment for a new baby. On the flip side, growing research shows that becoming a parent offers a unique life-time opportunity to heal from this childhood hurt.  

‘Healing the past by nurturing the future’ (video) is a community-based participatory research project which is working with Aboriginal and Torres Strait Islander (Aboriginal) parents to develop awareness and support strategies that could be offered during the perinatal period to support Aboriginal parents experiencing complex trauma.  

The team are looking for participants for this important research project who are:  

  • Aboriginal or Torres Strait Islander people  
  • living in the NT, SA or Victoria, and  
  • are pregnant, have a partner who is pregnant or have a child (under 5 years in SA; or any age in NT or Vic).  

To learn more about the project, please contact Cindy from the research team on 0492 850 298, or email hpnf@latrobe.edu.au, or visit the website here.

Healing the Past - Image 1

Healing the Past – Illustration.

Cultural connectedness can reduce suicide rates

An article published in the Medical Journal of Australia ‘Suicide rates for young Aboriginal and Torres Strait Islander people: the influence of community level cultural connectedness’ examines associations between community cultural connectedness indicators and suicide mortality rates for young Aboriginal and Torres Strait Islander people.

This retrospective mortality study looks at suicide deaths of people aged 10‒19 years recorded by the Queensland Suicide Register between 2001‒2015.

The age‐specific suicide rate was 21.1 deaths per 100,000 persons/year for First Nations young people and 5.0 deaths per 100,000 persons/year for non‐Indigenous young people. The rate for Aboriginal and Torres Strait Islander young people was higher in areas with low levels of cultural social capital (greater participation of community members in cultural events, ceremonies, organisations, and community activities) than in areas classified as having high levels, and also in communities with high levels of reported discrimination. Associations with proportions of Indigenous language speakers and area level socio‐economic resource levels were not statistically significant.

The study found that suicide mortality rates for Aboriginal and Torres Strait Islander young people in Queensland were influenced by community level culturally specific risk and protective factors. The findings suggest that strategies for increasing community cultural connectedness at the community level and reducing institutional and personal discrimination could reduce suicide rates.

You can read the full article here.

Aboriginal youth sitting, resting his head in his hand

Image source: ABC News.

NDIS personalised budgets

The National Disability Insurance Agency (NDIS) has released new papers on Personalised Budgets to give more information on the way they propose to build participant budgets in the future.

In 2020 they released a paper on proposed changes to the planning policy for Personalised Budgets and plan flexibility, and encouraged participants, families, carers and the wider sector to respond. The feedback was that people want fairer decisions. People also wanted the NDIS to be more transparent about how they worked out the funds in participants’ plans.

The Personalised Budgets papers give you more information on how the NDIS are developing the new budget model and how they propose budgets will be built.

There are three versions of the Personalised Budgets paper available for increased accessibility. They include:

  1. Personalised Budgets – technical information paper
  2. Personalised Budgets – information paper for participants, their families and carers
  3. Easy Read Guide – A new way to work out how much funding you receive in your NDIS plan

You can read more about the Personalised Budget paper on the NDIS website here.

NDIS - Personalised Budgets

Health Check 2020

‘Partnership Agreement on Closing the Gap – Health Check 2020’

In 2018, the Council of Australian Governments (COAG) committed to a genuine, formal partnership with Aboriginal and Torres Strait Islander representatives to develop the Closing the Gap strategy for the next decade. Governments acknowledged the need for a respectful, collaborative approach with Aboriginal and Torres Strait Islander organisations and communities to achieve productive and sustainable outcomes.

To give effect to that commitment, the Partnership Agreement on Closing the Gap 2019-2029 (Partnership Agreement) was negotiated and agreed to by the Coalition of Peaks and the Council of Australian Governments (COAG) in March 2019. The Partnership Agreement provides an historic opportunity for Aboriginal and Torres Strait Islander perspectives to be heard and incorporated into policy and program dimensions across all levels of government. The Partnership Parties committed to an annual Health Check of the Partnership Agreement and agreed to the development and subsequent annual review of a Partnership Risk Register. The objective of the Health Check is to review the state of the Partnership Agreement against success indicators agreed by the Parties. This report gives an account of the first Health Check and includes a draft Risk Register.

This Health Check has found that the Partnership Agreement has been successful in achieving the coming together of the Coalition of Peaks and Governments in partnership to support the Parties’ decision to negotiate a new National Agreement.

You can view the full report here.

Partnership Health Check to inform the Partnership Agreement on Closing the Gap.

Partnership Health Check to inform the Partnership Agreement on Closing the Gap.

Digital mental health resources

In honour of National Reconciliation Week, the eMHPrac E-Mental Health in Practice website has decided to explore the Digital Mental Health Resources developed with Aboriginal and Torres Strait Islander Australians in mind. These resources include culturally relevant and evidence-based information, advice, stories, support, and counselling.

There are a range of digital mental health resources available to support individuals, families, friends, and communities including:

  • WellMob
  • Beyond Blue
  • MindSpot Clinic
  • Stay Strong
  • iBobbly
  • Deadly Tots App
  • headspace Yarn Safe
  • eheadspace
  • HitNet Community Hub
  • iTalk Studios
  • Kurdiji
  • Positive Choices
  • Proppa Deadly
  • Yarning SafeNStrong

For more information on these resources, you can:

  • download a digital brochure here;
  • order a hardcopy brochure here; or
  • visit the website here.

emhprac Brochure - Digital Mental Health Resources for Aboriginal and Torres Strait Islanders.

NACCHO Aboriginal Health News: Vaccine rollout commences next week

feature tile - get ready vaccine rollout commences next week, image of gloved hand administering vaccine

Vaccine rollout commences next week

Australia’s COVID-19 Vaccination Program will commence from next week. People in priority groups who are most at risk and who need protection the most – will receive a vaccine first. The rollout will begin with the Pfizer/BioNTech vaccine, and following the approval by the Therapeutic Goods Administration (TGA) earlier this week, will include the AstraZeneca/Oxford vaccine from early March. The initial priority groups include aged care and disability care residents and workers, frontline healthcare workers, and quarantine and border workers. Minister for Health and Aged Care, Greg Hunt reaffirmed that Australia’s vaccine strategy is strong and on schedule, saying “Australia will begin rolling out the COVID-19 Vaccination program from next week.”

To view Minister Hunt’s media release in full click here.

9 vials of COVID-19 vaccine with syringe on a mirrored surface

Image source: Human Resources Director.

Facebook blocks Indigenous health groups

Indigenous health and media groups fear Facebook’s shutdown of community pages could have a dangerous impact on regional communities during the rollout of COVID-19 vaccines. Crucial sources of information have been lost as small media outlets, community noticeboards and health services have been caught up in Facebooks’ sweeping shutdown of Australian news. Facebook has blocked the feeds of Australian news companies on its site and is preventing users from sharing Australian news content. The tech giant is pushing back against the federal government’s plans to make it and Google pay for publishing Australian news content — a world-leading initiative the companies have fiercely resisted.

But the effect of Facebook’s ploy has extended well beyond major media companies. Several Aboriginal community-controlled health services have had their posts blocked, including organisations such as the Aboriginal Medical Services Alliance NT (AMSANT), Central Australian Aboriginal Congress (CAAC) and Danila Dilba Health Service. CAAC, a community-controlled primary health care provider, vented its frustration on Twitter at the timing of Facebook’s move, given the impending COVID-19 vaccine rollout to Indigenous communities, “A primary vehicle for health promotion, disabled at a crucial time,” it tweeted.

To view the full ABC News story click here.

screen shot of Central Australian Aboriginal Congress Facebook page

CAAC is a community-controlled health organisation for people living in Central Australia. Image source: ABC News website.

Removing information sources is corporate bullying

Tech giant Facebook’s decision to remove official sources of information, including Federal and State Government health pages, is irresponsible corporate bullying during a global pandemic, AMA President Dr Omar Khorshid said yesterday. Dr Khorshid outlined his concern over Facebook’s actions, “The world is battling the COVID-19 crisis, and Australia is days away from beginning the biggest mass vaccination program in our nation’s history. Yet, to save itself from having to pay a few million dollars to Australian news organisations for the work their journalists do, Facebook has decided to punish all Australians by removing their access to news on its platform. This irresponsible action – taken with no notice – has clearly had unintended consequences, with some health department pages taken down, but not others; with people unable to access the Bureau of Meteorology’s page on a day of bushfire and flood warnings. Facebook play a huge part in the lives of ordinary Australians and the company must take its responsibilities seriously.”

“It is truly ironic that Facebook has allowed health misinformation to be spread via its platform throughout this pandemic, yet today much of this misinformation remains on Facebook while official information sources are blocked. The AMA calls on Facebook to restore public access to official information, and to stop putting the health of Australians at risk in order to bully the Australian Government.”

To view the AMA’s media release click here.

hand holding piece of ripped carboard with text 'BULLYING' in capitals

Image source: Corporate Bully Facebook page.

Be vaccine ready – link digital government services

The Morrison Government is encouraging Australians to get ready for their COVID-19 vaccination by linking their digital government services, particularly their myGov and Medicare accounts. The call to link digital services follows the announcement that the Australian Immunisation Register (AIR) will be the record for all vaccinations for Australians and that record will form the basis of the vaccination certificate that all Australians will be able to use, including visa holders. The AIR has undergone significant upgrades in preparation for COVID-19 vaccine rollout. Almost 5.5 million immunisation history statements were securely accessed by individuals between October 2019 and August 2020. Your immunisation history statement will record your COVID-19 vaccinations.

To view the media release in full click here.

thumb clicking mobile phone screen with myGov app showing

Image source: The Grenfell Record.

COVID-19 symptoms – get tested

Dr Kelvin Kong has produced a new COVID-19 video clip for the Australian Government Department of Health. He reminds everyone that anytime you feel unwell, even with mild symptoms, get tested immediately for COVID-19 and stay home until you get a negative test result. It is the best way to protect yourself and your community. To access the NSW Government Keep Our Mob Safe webpage click here.

image from COVID-19 DoH video featuring Associate Professor Kelvin Kong in scrubs talking about getting tested if you have COVID-19 system, even if you have previously been tested

Image source: Department of Health Facebook page.

Tailored vaccine information for Mob

Aboriginal and Torres Strait Islander adults have been identified as a priority group for the COVID-19 vaccination roll-out program. This is because of the higher risk of getting and developing serious illness from COVID-19 due to a number of factors. This may include a higher rate of chronic health conditions and in some cases crowded-living conditions, which increases the risk of spreading the infection.

COVID-19 can cause serious health issues. Getting a vaccine is a safe and effective way of protecting yourself from getting really sick from COVID-19. Encourage your family, Elders and community to get vaccinated so that they are protected from serious illness from COVID-19.

The COVID-19 vaccine is voluntary, available to everyone in Australia and free.

For more information you can access the Australian Government’s Department of Health’s Information for Aboriginal and Torres Strait Islander peoples about COVID-19 vaccines webpage here.Department of Health's Stay Informed About COVID-19 Vaccines poster with Aboriginal green blue orange Aboriginal dot painting air border

Free on-line training to keep staff COVID-19 safe

COVID-19 has brought new challenges in the way we work, particularly for people who care for others day-to-day. You want to stay on top of current and relevant information to keep care recipients, staff and visitors safe. That’s why the Australian Government Department of Health has created online COVID-19 infection control training.

This program is free to everyone and especially recommended for people working in the healthcare sectors. People like Rachael Phillips, Manager of Birrelee Multifunctional Aboriginal Children’s Service – a long day care centre in Tamworth, NSW – have already seen results. Biralee’s staff are feeling more confident and able to carry out the centre’s policies to keep everyone safe. For them the reliable nature of the training made it essential. The short length and being able to do it online on a phone made it easy. And the interesting information made it stick.

For further information about the training click here.banner 'COVID-19 infection control training' Australian Government Department of Health, blue green image of COVID-19 cell

Food insecurity post-pandemic

Wide-ranging systemic and structural changes are needed to ensure food and economic security for Aboriginal and Torres Strait Islander people, according to University of Queensland academics, Professor Bronwyn Fredericks and Dr Abraham Bradfield. Socioeconomic factors and the affordability of fresh food significantly impact what Indigenous peoples consume and what they are able to access. Dr Megan Ferguson and her colleagues conducted a study comparing the price of food baskets in urban supermarkets in Darwin and Adelaide and remote stores in the NT and SA, finding that products from remote locations cost an average of 60% more. In addition to this, Indigenous peoples earn an average weekly income of $250 less than non-Indigenous Australians. This means that in remote Australia – where employment opportunities are scarce and reliance on welfare a necessity – people must stretch their income just to feed themselves and their family. Purchasing cheaper and often unhealthy processed foods is one way to achieve this.

In the wake of the pandemic, we find ourselves in a situation where Indigenous health – which is often compromised by pre-existing (and preventable) health conditions – is placed at greater risk because the underlying issues informing food insecurity and wider socioeconomic disparities haven’t been addressed. Pat Turner, CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO), observes this in relation to Outback Stores, a government-owned company servicing 39 food and general stores across remote NT, WA and SA. In an interview for the ABC, Turner spoke of the government’s delayed and reactive response to food security that in some cases contributed to food shortages during the early days of the pandemic: “Given the fact that we have had Outback Stores for a long time and so on, I’m just really disappointed that the pre-planning wasn’t done to ensure ready access to healthy and affordable food. Our people need access to fresh produce and they need, now more than ever, healthy food to keep their immunity system up.”

To view the full Croakey article click here.

 Professor Bronwyn Fredericks & Dr Abraham Bradfield in an office holding a copy of the publication containing their food insecurity essay

Professor Bronwyn Fredericks & Dr Abraham Bradfield. Image source: Griffith Review.

Battle for the Kimberley

The Kimberley is set to be hotly contested at the upcoming March election, with a record number of Aboriginal candidates in the running for the 2.5 million square kilometre seat. The seat has been held by an Aboriginal person since 1980, when Ernie Bridge took the seat from Liberal incumbent Keith Ridge and became the State’s first Aboriginal member of Parliament.

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

map of seat of Kimberley, portrait photos of Divina D'Anna, Millie Hills & Naomi Pigram

Clockwise: map of the seat of Kimberley, WA, Divina D’Anna (Labor), Naomi Pigram (Greens) & Millie Hills (Nationals). Image source: National Indigenous Times website.

1,000+ with cognitive disability detained each year

“Is the justice system being used as a de facto disability service, one that proceeds by punitive rather than therapeutic measures?” That was one of the questions posed by Senior Counsel Assisting Dr Kerri Mellifont at the opening day of two weeks of hearings by the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability into the experiences of people with cognitive disability in the criminal justice system.

The focus has been broadly welcomed, however the First Peoples Disability Network (FPDN) has said that the over-representation of First Nations People with cognitive disability in the criminal justice system – acknowledged by Commission Chair Ronald Sackville in his opening remarks – warrants its own dedicated First Nations hearing. Aboriginal and Torres Strait Islander people with disability are 14 times more likely to be imprisoned with one third reporting a disability, 50%  reporting a history of psychosocial disability, and 25–30% of prisoners having an intellectual disability, said FPDN CEO Damian Griffis in a statement.

To view the full Croakey article click here.

Aboriginal person's hands gripping bars of jail cell

Image source: newmatilda.com.

No shame is asking for an STI test

The Australian Government Department of Health is promoting NACCHO’s work to support and educate communities on practising safe and consensual sex via its website. To view the webpage in full click here.

close up image of pair of white hands & Aboriginal hands holding across a desk

Image source: Australian Government Department of Health.

Cashless debit card a paternalistic response

Amnesty International Australia Indigenous Rights Lead, Nolan Hunter said: “The cashless debit card was always just another paternalistic response to addressing issues that affect Indigenous people in this country. Approaches that have failed to make significant inroads into addressing intractable issues like poverty and discrimination. The report into the trial, conducted at great expense, found that people involved in the trial of the CDC felt discriminated against and shamed for receiving welfare payments. Shaming people doesn’t improve anyone’s situation, but condemns them to the same discriminatory treatment they’ve experienced for generations.”

To view Amnesty International Australia’s media statement in full click here.

3 Aboriginal woman & two Aboriginal children holding No Cashless Debit Card placards

The cashless debit card trial in Ceduna in 2016 was met with some community resistance. Image source: The Sydney Morning Herald.

SA pilot suicide prevention program

South Australia’s most vulnerable now have better access to support services thanks to a new pilot program to help survivors of attempted suicide. Minister for Health and Wellbeing, Stephen Wade, said the Way Back Support Service, a Beyondblue initiative delivered in collaboration between AnglicareSA and Central Adelaide Local Health Network (CALHN), provides one-on-one support to survivors after they leave hospital. “We are committed to tackling our suicide rate through offering appropriate services to those who need support and ensuring that people at increased risk of suicide don’t fall through the gaps, Minister Wade said. “Suicide is a complex issue, however we know raising awareness, breaking down stigma and encouraging help-seeking behaviours can save lives.”

To view the joint media release from the SA Minister for Health and Wellbeing and the SA Premier’s Advocate for Suicide Prevention and Community Resilience  click here.

photo of Ingrid Cumming's face with body paint, looking into the distance, blurred foliage in the background

Aboriginal campaigner and suicide survivor Ingrid Cumming. Photo credit: Amelia Searson. Image source: Western Independent Stories from Curtin University’s Journalism Program website page.

Aboriginal Ear Health webinar

The Academy of Child and Adolescent Health (ACAH) The Academy of Child and Adolescent Health promotes the health and wellbeing of every newborn, child and young person in order that they may meet their maximum potential.

As part of the ACAH 2021 webinar series Associate Professor Kelvin Kong will deliver via Zoom a FREE special WHO World Hearing Day presentation on Aboriginal ear health from 7:00–8:00 PM (AEDT) Wednesday 3 March 2021. To register click here.

Associate Professor Kong is an amazing Australian and part of Australian medical history as the first Aboriginal surgeon, other than the tens of thousands of years of Ngangkari healers. He is one of Australia’s leading ear health experts as part of the Centre of Research Excellence in Indigenous Children’s Healthy Ears and the Australian delegation to the WHO World Hearing Forum. Join his webinar to hear about his journey, his work and the current innovations in ear health in Australia.

health professional checking a small Aboriginal child's ear

Image source: the social photographer website.

NSW – Wyong – Yerin Aboriginal Health Services Limited

Family Time / Case Work Support Worker x 1 FT (identified) – Wyong

Yerin Eleanor Duncan Aboriginal Health Service Ltd. is an Aboriginal Community Controlled organisation, which aims is to deliver holistic, comprehensive and culturally responsive health care, integrated social, emotional and community programs to the Aboriginal community.

Yerin is seeking a suitably qualified Aboriginal or Torres Strait Islander individual to join their Ngaliya PSP team. In this role you will support child focused quality contact between a child, young person and their parent/family/kin who are in statutory Permanency Support Program Placements.

To view the position description and to apply click here. Applications close 5:00 PM Thursday 4 May 2021.Yerin Aboriginal Health Services Limited logo, 7 purple & yellow concentric circles surrounded by 14 flower-like petals with purple & yellow Aboriginal dots

Random Acts of Kindness Week – 14–20 February 2021

The Random Acts of Kindness Foundation is a small non-profit organisation that believes all people can connect through kindness and that kindness can be taught. Scientific evidence shows the positive effects of doing kind acts for others as well as receiving or even witnessing kindness. Even the smallest act of kindness can change a life. Seemingly insignificant moments where a stranger helps another stranger can impact the rest of someone’s life. When a person tunes into kindness happening around them, the day seems a little bit brighter. The week seems a little more manageable.

Aboriginal Adelaide Crows star Eddie Betts is spreading the word about kindness with his book My Kind. The book’s main purpose is to convey messages about diversity, equality, acceptance, anti-bullying, caring for the environment and, most of all, kindness. You can view Eddie’s website Eddies’ Lil’ Homies spreading kindness & culture here.

In 2021, the foundation in encouraging everyone to Explore the Good and Make Kindness the Norm. For more information about the Random Acts of Kindness Foundation click here.

Adelaide Crows star Eddie Betts reading his book My Kind to twin babies & two young boys

Adelaide Crows star Eddie Betts. Image source: The Advertiser.

older Aboriginal man looking directly at camera with Aboriginal male youth in background - image from Diabetes Australia website

NACCHO Aboriginal Health News: First Nations People should not pay price for Australia’s economic recovery

First Nations people should not pay price for economic recovery

The Edmund Rice Centre today expressed serious concern at the disregard for the needs of First Nations Peoples and Refugees in the 2020–21 Federal Budget. “It has been said that the Federal Budget is statement on the nation’s priorities. Clearly if that is the case, judging by this Budget, First Nations Peoples, refugees and people seeking asylum – some of the most vulnerable people to the pandemic – are very low priorities for this Government”, Phil Glendenning, Director of the Edmund Rice Centre and President of the Refugee Council of Australia said. Two months ago the Prime Minister signed a new Closing the Gap Agreement committing Federal and State Governments to a long-term program to finally reduce the huge disparities in life expectancy, health, incarceration, education and employment between First Nations peoples and other Australians. “Prime Minister Morrison’s signing of the new Closing the Gap Agreement just two months ago was a welcome step, but in last night’s Budget the Government provided no resources to make it happen”, Mr Glendenning said. 

To view the Edmund Rice Centre media release click here.

Victorian Aboriginal Community Controlled Health Organisation (VACCHO) CEO, Jill Gallagher agreed, saying a lack of Federal Government support towards Closing the Gap targets was a major omission in a Budget that would provide some hip pocket relief and new jobs for young people but delivered “nothing of substance” for Victorian Aboriginal and Torres Strait Islander communities.

Ms Gallagher said Treasurer Josh Frydenberg mentioned Aboriginal and Torres Strait Islanders just once in his speech. She described the lack of money for new Closing the Gap measures as “dispiriting”. “There are a number of targets which all levels of Government have committed too but where is the investment?”, she asked.

To view the article about the VACCHO comments click here.

Funding to improve health of First Nations families

A program that is already showing unprecedented success in improving the health and employment outcomes of First Nations families has been awarded $2.5 million in funding through the National Health and Medical Research Council. Led by the team at Charles Darwin University’s Molly Wardaguga Research Centre at the College of Nursing and Midwifery, the project is focused on providing the Best Start to Life for First Nations women, babies and families and has been awarded a Centres of Research Excellence (CRE) grant. Co-director of the Molly Wardaguga Research Centre Associate Professor Yvette Roe said the funding would allow the centre to expand and build on a current program that had resulted in a 50% reduction in preterm birth and 600% increase in First Nations employment.

To read the full article click here.

Women and researchers during the Caring for Mum on Country project, Galiwinku, Northern Territory. (L-R)-Yvette Roe, Dhurruurawuy, wurrpa Maypilama, Sarah Ireland, Wagarr and Sue Kildea

Women and researchers during the Caring for Mum on Country project, Galiwinku, Northern Territory. (L-R)-Yvette Roe, Dhurruurawuy, wurrpa Maypilama, Sarah Ireland, Wagarr and Sue Kildea. Image source: Katherine Times.

Palawa man heads mainstream health peak body

The Australian Physiotherapy Association (APA) has announced the appointment of Palawa man Scott Willis as its 22nd national president, the first Indigenous president of a mainstream health peak body in Australia. Scott, who commences his two year term on 1 January 2021, said “Aboriginal and Torres Strait Islander peoples’ health remains a priority area for our profession. We’re going to ensure not only that we are a culturally safe, engaged profession by listening to, learning from and working with First Nations peoples, but we’re going to make physio a known, viable and aspirational professional choice for young Aboriginals coming through the education system. I want them to know they can and should aspire to strong and respected leadership roles in the community.”

To view the APA media release click here.

portrait photo of APA President Scott Willis

APA president-elect Scott Willis. Image source: Australian Physiotherapy Association.

Cashless Debit Card expansion opposed

The Aboriginal Peak Organisation of the Northern Territory (APO NT) have called on all members of parliament to strongly oppose the legislation that would make the Cashless Debit Card (CDC) permanent in the current trial sites and expand it to the NT and Cape York, despite there being no proof that compulsory income management works. APO NT spokesperson John Paterson said, “Support for the bill would directly contradict the recent National Agreement on Closing the Gap that was supported by all levels of government including the Commonwealth. It is not in keeping with the spirit of the agreement and its emphasis on Aboriginal and Torres Strait Islander self-determination.” Mr Paterson added, ”We did not ask for the card, yet 22,000 of us will be affected if the card is imposed on NT income recipients.”

To view the APO NT’s media release click here.

Aboriginal man under tree holding Cashless Debit Card to camera

Image source: Gove Online.

Restricting high-sugar food promotion helps diet

Restricting the promotion and merchandising of unhealthy foods and beverages leads to a reduction in their sales, presenting an opportunity to improve people’s diets, according to a randomised controlled trial of 20 stores in remote regions of Australia. Julie Brimblecombe, of Monash University, Australia, co-joint first author of the study, said: “Price promotions and marketing tactics, such as where products are placed on shelves, are frequently used to stimulate sales. Our novel study is the first to show that limiting these activities can also have an effect on sales, in particular, of unhealthy food and drinks. This strategy has important health implications and is an opportunity to improve diets and reduce associated non-communicable diseases. It also offers a way for supermarkets to position themselves as responsible retailers, which could potentially strengthen customers loyalty without damaging business performance.” 

To read the full article published in The Lancet click here.

hands of Aboriginal person pushing trolley or health foods in outback store

Image source: Adult Learning Australia website.

New research supports self-care

Federal Health Minister Greg Hunt is set to launch a new policy blueprint that calls for policy reform to improve population health and reduce health service demand through effective self-care. Released by the Mitchell Institute, the document notes a range of environmental, economic and social factors drive self-care capability. It says governments can play a major role in creating environments that either inhibit or enable self-care. The importance of self-care to good health has also been highlighted by COVID-19, according to the Mitchell Institute’s Professor of Health Policy, Rosemary Calder. “Now is the time for a systematic approach, led by a national agenda to enable shared responsibility between government organisations and health care professionals to tackle health inequity and support self-care for all Australians,” she says.

To view the full article click here.

man's hand holding baby's hand both cradled in woman's hand against blurred grass background

Image source: Emerging Minds, Australia website.

Funding for healthy ageing research

Professor Dawn Bessarab from the University of WA’s Centre for Aboriginal Medical and Dental Health and her team will lead the Centre for Research Excellence on the Good Spirit Good Life: Better health and wellbeing for older Aboriginal and Torres Strait Islander Australians. The first Centre for Research Excellence in Australia to explore Indigenous ageing, Professor Bessarab and her team were awarded $2.5 million in NHMRC funding. They will develop their research with and from the perspective of Aboriginal people, to better understand healthy ageing in older Aboriginal people and inform culturally secure and effective service provision.

To view the full article click here.

elderly Aboriginal woman in hospital bed looking up to nurse

Indigenous elder Mildred Numamurdirdi. Image source: The Guardian.

Cost of hygienic products linked to high disease rates

A Senate committee investigating the over-pricing of items in remote Aboriginal communities has heard from Melbourne University Indigenous Eye Health Institute’s senior engagement officer Karl Hampton, who said the price-gouging of items like soap and towels is a key factor to Indigenous youth holding “the heavy burden” of serious trachoma infections.

To view the full Global Citizen article click here.

supermarket shelves showing high cost of soap

Image source: The Guardian Australian edition.

Keeping our sector strong discussion

Indigenous Business Australia (IBA) is hosting a virtual forum from 12.00–1.00 pm (AEDT) Monday 12 October 2020 with the Minister for Indigenous Australians, The Hon Ken Wyatt, AM, MP, to discuss the changes made by Indigenous businesses adapting to survive and thrive in the current climate.

To find out more and register your attendance click here.

Spaces are limited for this opportunity so be sure to register today!

Learning from each other webinar series

The Sydney Institute for Psychoanalysis invites you to join them as they bring together First Nations’ thinkers with psychoanalysts and psychotherapists in a series of six webinars in the spirit of Two Way – working together and learning from each other.

All profits will go to CASSE’s Shields for Living, Tools for Life, a dual cultural and therapeutic program, based in the Alice Springs region for ‘at-risk’ youth, providing an alternative to detention and reducing the likelihood of offending or reoffending.

The Two-Way: Learning from each other webinar series will stream 8.00–9.30 pm AEST each Tuesday from 13 October to 17 November 2020.

Click here for the webinar program and registration.

Queenie McKenzie Dreaming Place - Gija country 1995

Queenie McKenzie, Dreaming Place – Gija Country, 1995.
Image source: Australian Psychoanalytical Society,

Range of health scholarships available

The following scholarship programs, aimed at increasing Aboriginal and Torres Strait lslander participation in the health workforce and improving access to culturally appropriate health services, are seeking applications.

Indigenous Health Scholarships – Australian Rotary Health administer these scholarships on behalf of the Department of Health, providing a one off grant of $5,000 to assist students with their day to day expenses and provide mentoring support while they undertake a course in a wide range of health related professions. For further information click here.

Nursing Scholarships – the Australian College of Nursing are currently offering nursing scholarship opportunities for study in 2021 with undergraduate and postgraduate scholarships of up to $15,000 per year of full time study being available for eligible courses. Further information is available here. Applications close from 25 October 2020.

Puggy Hunter Memorial Scholarship Scheme – provides financial assistance to Aboriginal and Torres Strait Islander undergraduate students for entry level studies that lead or are a direct pathway to registration or practice as a health professional.  Further information is available here. Applications close on 8 November 2020 for studies in 2021.

portrait of Indigenous Health Scholarship 2020 recipient Marlee Paterson, UNSW, Doctor of Medicine.

Indigenous Health Scholarship 2020 recipient Marlee Paterson, UNSW, Doctor of Medicine. Image source: Australian Rotary Health website.

NSW – Taree – Biripi Aboriginal Corporation Medical Centre

Aboriginal Health Worker – Drug & Alcohol/Sexual Health – Identified x 2 (male and female)

Human Resources Officer x 1

Maintenance Officer x 1

Biripi Aboriginal Corporation Medical Centre (Biripi ACMC), a community controlled health service providing a wide range of culturally appropriate health and well-being services covering communities across the Mid-Northern NSW Region, is looking to fill a number of vacant positions.

To view the job descriptions for each position click on the name of the position above.

Applications for all positions close 5.00 pm Sunday 18 October 2020.Biripi Aboriginal Corporation Medical Centre logo silhouette of two black hand overlapping inside yellow circle inside border top half black, bottom half red with words Our Health In Our Hands

VIC – Shepparton – Rumbalara Aboriginal Co-operative Ltd.

PT Case Manager (Re-advertised)

FT Cradle to Kinder Worker

FT Family Preservation Worker 

Kinship Care Case Management

FT Practice Manager

Rumbalara Aboriginal Co-operative Ltd. has a number of vacancies within its Health & Wellbeing, Engagement & Family and Positive Ageing & Disability services areas.

Applications for the Case Manager position close 4.00 pm Tuesday 13 October 2020.

Applications for the Cradle to Kinder Worker, Family Preservation Worker and Kinship Care Case Manager positions close 4.00 pm Wednesday 14 October 2020.

Applications for the Practice Manager position close 4.00 pm Friday 23 October 2020.

NSW – Sydney – The George Institute for Global Health

FT Research Associate (project Manager)

The George Institute for Global Health has a very exciting opportunity for a Research Associate (project Manager) to join its ‘Safe Pathways’ team that will work in partnership with families to focus on developing a discharge planning and delivery model of care that will: address institutionalised racism; facilitate access to ongoing specialist burn care; and enhance communication, coordination and care integration between families, local primary health services and the burns service at Westmead. 

The George Institute’s Aboriginal and Torres Strait Islander Health Program cuts across content areas and is conducted within Aboriginal and Torres Strait Islander ways of knowing, being and doing, with a focus on social determinants of health, health systems and healthcare delivery, and maintains an Aboriginal and Torres Strait Islander paradigm of health and healing (physical, emotional, social, cultural and spiritual) and a commitment to making impact through translation that influences policy.

For further details about the position click here. Applications close on 30 October 2020 or sooner if a suitable candidate is found.The George Institute for Global Health banner, words and purple tick with dot in shape of flame

World Evidence-Based Healthcare Day

World Evidence-Based Healthcare Day is a global initiative that raises awareness of the need for better evidence to inform healthcare policy, practice and decision making in order to improve health outcomes globally. It is an opportunity to participate in a debate about global trends and challenges, but also to celebrate the impact of individuals and organisations worldwide, recognising the work of dedicated researchers, policymakers and health professionals in improving health outcomes. World Evidence-Based Health Day is on Tuesday 20 October 2020 and has the 2020 theme is ‘Evidence to Impact’. For further information click here.logo with words World Evidinece-Based Healthcare Day 2020 ebhc 20 October 2020 light blue & navy

White Ribbon Day

Together, we really can end men’s violence against women in our communities and in our workplaces. But it starts with us turning awareness into sustained, collaborative action and it needs to start now. This year White Ribbon Day is on Friday 20 November. White Ribbon Australia are asking you to hold an event – online or as a group (following local COVID-safe guidelines) – to bring your community together as a catalyst for ongoing action. Download a Community Action Kit here to access ideas and resources to bring your community together on White Ribbon Day, get involved on social media, and to kick-start a Community Action Group that will continue to create impact long after the event is over.White Ribbon Australia banner - black bacground words White Ribbon Australia & white ribbon icon

NACCHO Aboriginal Health News: Aboriginal health funding boosted, but infrastructure overlooked

external view of medical clinic in slightly run down state

Aboriginal health funding boosted, but infrastructure overlooked

NACCHO has welcomed the increase in funding for Aboriginal and Torres Strait Islander health in the Budget with the Chair of NACCHO, Donnella Mills, saying, “I am heartened by the additional investment in the Indigenous Australians Health Program with $33m for our hard-working services over the next three years. I am also pleased to hear of the regional-and-remote health funding that will assist many of our clinics and the communities they serve as well as assistance for training and workforce development. These are all very welcome.”

NACCHO Conference 2017
Photo: Geoff Bagnall

“While these measures are significant, NACCHO will continue to press the Government for targeted infrastructure investment in our clinics. If stimulus is the main objective of the Budget, we believe that there is no better way to do so than to invest in local communities. There was a valuable opportunity here to invest in our 550 local clinics across the country where our 410,000 clients reside. This was an opportunity missed.”

To view NACCHO’s media release on the Budget click here.

new Armajun Aborignal Health Service Inverell being built

Armajun Aboriginal Health Service, Inverell. Image source: Adam Marshall MP website.

Mental health support extended in NPY region

Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) and Smiling Mind have partnered to see crucial, prevention-focused mental health support extend even further into Australia’s Indigenous communities. Over the past two years, Smiling Mind has worked closely with NPYWC, translating its popular in-app mindfulness sessions into the region’s Indigenous languages, in order to support the communities’ youth with tools in their native language. To date, the programs have engaged more than 2,500 subscribers, and more than 5,000 meditations have been completed. Three remote schools in the central desert region have also benefited from mindfulness training, where educators were supported to foster positive mental health habits with their students and the wider school community. 

Envato Foundation, the philanthropic arm of leading technology business Envato, have donated $100,000 to give new life to the partnership, allowing for an extension to the tools and resources already created to infiltrate further across the NPY  region of Central Australia, a region spanning 28 remote communities in the tri state region of NT, SA and WA over an area covering 350,000 square kms.  

To view the full Mirage article click here.

Aboriginal woman on Country listening to podcast

Image source: NPYWC website.

Centre for Disease Control an urgent priority

‘The pandemic experience this year is a clear reason for the establishment of an Australian Centre for Disease Control,’ says Alison Verhoeven, Australian Healthcare and Hospitals Association (AHHA) Chief Executive. ‘The call for this has been long-standing, with a 2013 recommendation to the Government by the Standing Committee on Health and Ageing overlooked in favour of the development of a National Communicable Disease Framework. Such a Centre would position Australia well to demonstrate global leadership in communicable disease planning and response capabilities. ‘It would also support existing state and territory disease control measures through a cohesive approach to research, diagnosis, screening, reporting, case management, contract tracing, forecasting and trend monitoring.’

To read the AHHA media release click here.

scientist in laboratory with full PPE looking at a sample

Image source: The Conversation website.

Budget health response scale warranted

Federal AMA President Dr Omar Khorshid has commended the Federal Government’s $16 billion COVID-19 health response and further stimulus spending aimed at fending off a COVID-19 recession, saying ‘The health and economic impacts of COVID-19 warrant this scale of health response and stimulus spending directed toward restarting the economy. A safe, effective and widely available vaccine is not guaranteed for next year and if it doesn’t eventuate and a large outbreak occurs, economic recovery will be threatened, along with many Australian lives. Governments cannot drop the ball and must continue a broad range of strong policies to keep COVID-19 out of the community in order to ensure a sustained health and economic recovery.’

To view the AMA media release click here.

Aboriginal flat with stethoscope sitting on top

Image source: My South West Directory website.

Telehealth must be start of a health ‘revolution’

CEO of the Consumer Health Forum of Australia (CHF), Leanne Wells, says the use of telehealth during the pandemic shows transformative change is possible in healthcare. She went on to say ‘telehealth has been stimulated by the pandemic to trigger easier and safe access to doctors, we look forward to further developments after the six month extension to March 2021 expires and we hold great ambition for the scope of services that will be possible under the 10 Year Primary Health Care Plan currently in development.’

To view the CHF media release click here.

two Aboriginal men and health professional looking at monitor

Image source: The Fred Hollows Foundation website.

 

ACT – Canberra – National Aboriginal Community Controlled Health Organisation (NACCHO)

Social Media Communications Coordinator

As the Social Media Communications Coordinator within the NACCHO Communications team, you will manage and maintain NACCHO’s social media presence and the daily blog. You will report to the Director, Communications and seek direction and approval on content delivery. You will work cohesively with the NACCHO Communications teams towards the creation and the delivery of social media campaigns and driving key Aboriginal and Torres Strait Islander health sector news content across channels.

This position will be offered as a fixed contract on a full time or part time basis depending on the candidate. 

To view the full position description click here. Applications close 9.00am Friday 16 October 2020.

NSW – Narooma – Katungul Aboriginal Corporation Regional Health and Community Services

FT Systems Analyst

Katungul Aboriginal Corporation Regional Health and Community Services has a vacancy for a Systems Analyst. The focus of the role is to oversee the implementation, maintenance and upgrading of information technology systems to support the delivery of Katungul’s range of services and for related research, analysis and performance reporting functions. The Systems Analyst will be an integral member of a collaborative team that works closely with Katungul’s service areas to deliver the best outcomes for the community.

To view the position description click here. Applications close 5.00 pm Friday 16 October 2020.Katungul Log

 

NACCHO Aboriginal Health and #Budget2020 submission downloads : Both the @AMAPresident and @_PHAA_feature strong support for our #ACCHO’s and Aboriginal and Torres Strait Islander health

” The AMA is calling on the Federal Government to significantly increase recurrent spending on health to properly meet current and future demand for quality care and services in the Australian health system.

Releasing the AMA’s Pre-Budget submission for the 2020-21 Federal Budget, AMA President, Dr Tony Bartone, said today that the AMA wants the Government to lift spending from its current level of 9.3 per cent to a level in line with comparable countries.

From Page 17

Over recent years, there have been some modest health gains for Aboriginal and Torres Strait Islander people, notably, the reductions in rates of child mortality and smoking. Despite this progress, the life expectancy gap between Aboriginal and Torres Strait Islander people and other Australians is still significant.

Chronic diseases are a primary contributor to the life expectancy gap between Indigenous and non-Indigenous Australians, many of which, stem from the social determinants of health

– poverty; unhygienic, overcrowded living conditions; poor food security and access to safe drinking water; lack of transport; as well as an absence of health services.

To make any significant progress in improving health and life outcomes for Aboriginal and Torres Strait Islander people, these social determinants must be addressed. This should be done through culturally appropriate programs that are responsive to the needs of Aboriginal and Torres Strait Islander communities.

From AMA 2020-21 Budget submission : Read Indigenous health support Page 17 or in full Part 1 Below

Read full AMA Press Release

Download full AMA submission

AMA_Budget_Submission_2020_21

Major efforts have been undertaken in recent decades to improve Aboriginal and Torres Strait Islander people’s health. Life expectancy has increased notably, from levels well below those enjoyed by Australia’s non-Indigenous population.

There have been encouraging reductions in mortality rates from chronic diseases. Correspondingly, between 2012 and 2017 Aboriginal and Torres Strait Islander life expectancy at birth rose by over 2 years.

Nonetheless, it is vital that effort to maintain the increase in life expectancy is reinforced, as the gap in overall life expectancy between Aboriginal and Torres Strait Islander people and other Australians remains largely unchanged.

It is unacceptable that, according to the 2019 Closing the Gap report, “The target to close the gap in life expectancy by 2031 is not on track” (p122, emphasis added), and it is widely believed that the target cannot be achieved within the CTG timeframe.

It is urgent that the underlying causes of the gap are addressed. This must involve deliberate, coordinated and long-term commitments, developed and delivered with and by Aboriginal and Torres Strait Islander people.

Finally, noting the vital need for Aboriginal and Torres Strait Islander people to lead health and other initiatives central to their own health, PHAA supports the funding of programs that are initiated and run by Aboriginal and Torres Strait Islander people such as the National Aboriginal Community Controlled Health Organisation (NACCHO). “

From PHHA 2020-21 Budget submission : Read Indigenous health support Page 16 or in full Part 2 Below

Download the full PHAA Submission

Commonwealth Budget 2020-21 – pre-Budget directions

Part 1

The 2020-21 Budget presents an opportunity for the Government to translate available knowledge into action, including identifying and filling service gaps, and directing Indigenous health funding according to need.

This is particularly important given that the burden of disease for the Aboriginal and Torres Strait Islander population is 2.3 times higher than for other Australians.

AMA POSITION

The AMA calls on the Government to:

  • allocate Indigenous health funding in the 2019-20 budget based on the much higher health needs of Indigenous communities, recognising that chronic disease is inextricably connected to the social determinants of health; and
  • implement the recommendations of the AMA’s recent Report Cards on Indigenous Health, in particular:

+ commit to achieving a minimum standard of 90 per cent population access to fluoridated water;

+ systematically identify, cost and fund unimplemented parts of the national Aboriginal and Torres Strait Islander Health Plan 2013-2023;

+ implement a coordinated national response to address chronic otitis media in Indigenous communities;

+ fund and implement a strategy to eradicate rheumatic heart disease from Australia; and

+ appropriately fund services that divert Aboriginal and Torres Strait Islander people from prison.

Part 2

Serious health care challenges remain for Aboriginal and Torres Strait Islander Australians. Rheumatic heart disease remains a massive concern.

Alarmingly, mortality from cancer is actually rising, and the ‘gap’ in cancer mortality compared with the general population is actually growing. Rates of suicide remain far too high.

The health conditions of young Indigenous Australians should be a key focus. Aboriginal and Torres Strait Islander Australians have a younger age profile than the general population, having a median age of 23 compared with 38 (as at the 2016 Census). Over 60% of Indigenous people are aged under 30.

There are a number of current programs working to prevent illness in very young Aboriginal and Torres Strait Islanders people between 5 and 8 years old.

However, there is a major lack of targeted attention to people from the adolescent years through to around age 25.

This broad age group is formative of many lifelong health problems. Illnesses related to consumption habits (smoking, alcohol, sugar-added products and junk food) resulting in diabetes, cardiovascular disease, rheumatic heart disease, oral health problems, as well as mental health problems often have their genesis in this neglected period of adolescence and young adulthood.

Specifically, the evidence of a link between hearing loss in childhood and subsequent incarceration of Aboriginal people is overwhelming.

A program that has demonstrated the success of an Aboriginal controlled and led model is the Tackling Indigenous Smoking program.

The initiative to reduce smoking rates in Aboriginal and Torres Strait Islander people has made valuable progress but more is required to close the gap in smoking rates between Aboriginal and non-Aboriginal Australians.

Major initiatives in illness prevention are required to improve the wellbeing of adolescent Aboriginal and Torres Strait Islander people by:

  • reducing the suicide rate
  • reducing use of alcohol and other drugs
  • reducing tobacco use, with targets including:
  • reducing age 15-17 smoking rates from 19% to 9%
  • increasing age 15-17 ‘never-smoked’ rates from 77% to 91%
  • increasing annual health check for people aged 15-24
  • reducing rates of juvenile incarceration, through programs such as justice reinvestment programs should aim to close the gap between Aboriginal and Torres Strait Islander People and the wider Australian population in all health metrics

Environmental factors also impact on health and wellbeing. Programs to improve environmental health help prevent eye and ear health problems which are more prevalent in Aboriginal and Torres Strait Islander communities.

Rheumatic heart disease, including acute rheumatic fever, is almost exclusively experienced within Australia by Aboriginal and Torres Strait Islander people and is also associated with poverty, poor and overcrowded living conditions and poor hygiene.

We note that the current National Aboriginal and Torres Strait Islander Health Plan, due to remain in effect until 2023, has not in fact been adequately funded to achieve its outputs.

One very obvious place for the Government to start in the coming Budget is to repair this defect. T

his would be consistent with the priorities, established by the COAG Joint Council on Closing the Gap co-chaired by the Pat Turner AM and the Hon Ken Wyatt MP, Minister for Indigenous Australians, to accelerate improvements in life outcomes of Aboriginal and Torres Strait Islander peoples by:

  • developing and strengthening structures to ensure the full involvement of Aboriginal and Torres Strait Islander peoples in shared decision making at the national, state and local or regional level and embedding their ownership, responsibility and expertise to close the gap
  • building the formal Aboriginal and Torres Strait Islander community-controlled services sector to deliver closing the gap services and programs in agreed priority areas
  • ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the

PHAA urges Government to adopt substantive and durable commitments aligned with the priorities identified by the National Health Leadership Forum (NHLF), the national representative body for Aboriginal and Torres Strait Islander peak organisations advocating for Indigenous health and wellbeing, which include:

  • “Promote self-determination across national institutions, through Constitutional reform and the recommendations that arose from the Uluru Statement from the Heart;
  • Close the gap in life expectancy and the disproportionate burden of disease that impacts Aboriginal and Torres Strait Islander people, through system-wide investment approach for the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan, with COAG Health Council;
  • Prioritises and escalates actions under the National Aboriginal and Torres Strait Islander Health Workforce Plan – to address the massive shortfall in this workforce across all professions and levels, and is essential to improve Aboriginal and Torres Strait Islander health and wellbeing; and
  • Acknowledge the adverse impact of racism on the health and wellbeing of Aboriginal and Torres Strait Islander people, and aspects of the health system that prevent people from accessing and receiving the health care they require – and to work with the NHLF and other Aboriginal and Torres Strait Islander health experts in embedding co-design and co-decision making processes to embed culturally safe and responsive health practices and ”

Finally, noting the vital need for Aboriginal and Torres Strait Islander people to lead health and other initiatives central to their own health, PHAA supports the funding of programs that are initiated and run by Aboriginal and Torres Strait Islander people such as the National Aboriginal Community Controlled Health Organisation (NACCHO).