NACCHO Aboriginal Health News: New funding for the Aboriginal and Torres Strait Islander community-controlled sector to close the gap

 

New funding for the Aboriginal and Torres Strait Islander community-controlled sector to close the gap

NACCHO welcomes a joint funding pool being established by Australian governments to strengthen the Aboriginal and Torres Strait Islander community-controlled sector to deliver vital services to communities and help deliver on the commitments of Priority Reform Two under the new National Agreement on Closing the Gap.

The Commonwealth Government has announced an initial contribution of $46.5 million over four years, with the Victorian Government adding an additional $3.3 million.

This funding comes on the heels of the unveiling of the new National Agreement on Closing the Gap which was signed last week.

Lead Convener of the Coalition of Peaks, Pat Turner AM, said that the Coalition of Peaks welcomes the leadership of Ken Wyatt, the Commonwealth’s Indigenous Australians Minister, in establishing the fund.

“The Coalition of Peaks fought hard to put Aboriginal and Torres Strait Islander community-controlled organisations at the centre of the new National Agreement on Closing the Gap. They deliver better services for our people, get better outcomes, protect our cultures and employ more First Nations people in their home communities,” Ms Turner said.

“This new funding for the initial delivery of Priority Reform Two will help strengthen and build the Aboriginal and Torres Strait Islander community-controlled sector to deliver additional services to First Nations people, including in new areas like housing and early childhood.” Ms Turner said.

“The joint funding pool complements the commitments in the National Agreement on Priority Reform Two which will also bring additional funding to community-controlled organisations over time and provide more jobs for First Nations people.”  Ms Turner said.

To read the full media release click here.

To view the full new National Agreement on Closing the Gap click here.

 

Culturally safe cancer care guide released

Cancer Australia recently released A guide to implementing the Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer (the Guide), a companion guide to the Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer (OCP).

The Guide is designed to support health services and clinicians in the planning and delivery of culturally safe and responsive cancer care. Using the OCP as the foundation for best practice, the Guide contains priorities for consideration at a system level, practical strategies to help health services plan for improvement and guidance for health professionals to consider in relation to their own practice.

Click here to view the Guide.

 

ATAGI Secretariat EOI request

The Australian Technical Advisory Group on Immunisation (ATAGI) Secretariat recently published a request for Expressions of Interest (EOI) to fill a vacant role on the ATAGI, to provide expertise with respect to the delivery of health services to and for Aboriginal and Torres Strait Islander people, commencing 31 August 2020.

The EOI deadline for this Aboriginal and Torres Strait Islander Representative member role on the ATAGI has been extended – EOIs must now be received by midnight 12 pm 6 August 2020.

EOIs can be submitted to ATAGI.Secretariat@health.gov.au

For more information on the role click here.

Syringe drawing from a vial

Source credit: AMA Website.

NACCHO Aboriginal and Torres Strait Islander Health News Alert No 3054 : Transcript of launch the historic #Closingthegap #NationalAgreement Prime Minister @ScottMorrisonMP , Minister @KenWyattMP and Pat Turner convener, leader, chair of the @coalition_peaks

 I’m joined today by the Minister for Indigenous Australians Ken Wyatt and the convener, leader, chair of the Coalition of Indigenous Peak Groups, Pat Turner.

And I want to come to the important reason that we’re gathered together today, to speak about the finalisation of the Closing the Gap Agreements that have been historically reached between the group of Coalition Peaks, the Commonwealth and the states and territories.

This is a very significant day, and I know one that both Ken and Pat have been working together on now for some time and I’m so pleased that we’ve come to this day. I think it’s going to have a very meaningful impact on how we progress to ensure that young Indigenous boys and girls can grow up in this country with the same expectations as non-Indigenous boys and girls in this country. That’s what we want to see. That’s what it’s all about.

That, as Australians right across the country, we can have the same hopes, the same aspirations, the same goals, ultimately. It’s not an easy road and there’s still a long road ahead of us to achieve that. But what we’re announcing today, I think, will make a very meaningful impact on achieving that journey together.”

Prime Minister Scott Morrison 30 July 2020

Download full transcript including questions and answers

Launch CTG NPA Prime Minister 30 July Transcript

Read download NACCHO Press Release and links to all documents 

So, with that let me turn, with your agreement, to the important reason that we’ve gathered today, as serious as the pandemic is. The issue of achieving those aspirations for Indigenous and non-Indigenous Australians together are of great significance to our country, not just now but into the future. It is a national aspiration, a national goal, a national task.

The process that we began around about two years ago, when we came together, began with listening as to why we were being unsuccessful in closing the gap. Any good process starts with listening and that’s what we did as a Government. We listened carefully.

And there were many discussions and there were many very unprecedented discussions, including here, in this very Cabinet room, as I sat early this year in January together with Indigenous leaders from peak groups, with Ken, and that was quite an extraordinary discussion. And it charged us up to keep going with the work that was being done to form the Agreement which we’ve reached today.

As we have been dealing with the pandemic, there have been two phrases, two concepts, that have come up in almost all the briefings that I’ve had. They talk about lines of effort and they talk about unity of effort. And as I was reflecting on this Agreement last night, I believe that’s what this does. It sets out very clear lines of effort, which has been important. But, more importantly, it sets out the process of having a unity of effort. And when we do those two things together, that’s where we make progress.

Whether it’s attacking a pandemic or attacking the very serious issues of Indigenous disadvantage for Aboriginal and Torres Strait Islanders in this country. And the other thing we did as we listened and we identified these things, and we looked at how we had not been making the progress all of us wanted on closing the gap, we reflected on the fact that Closing the Gap and the initiative taken by Kevin Rudd was an entirely worthy initiative and an initiative deserving of credit. But, innocently, there were elements of how that was done which was misguided.

That’s not a criticism, that is a learning. A learning of these many years that have passed since then, as we’ve sought to live up to those worthy aspirations at that time. And one of the mistakes that have been made is, as we’ve looked at this as a Federal Government, we’ve decided what the gap is. We didn’t look at the gap through the eyes of Indigenous Australians.

We told Indigenous Australians what the gap was that we were going to close and somehow thought they should be thankful for that. That was wrong-headed. That wasn’t the way to do it.

We needed to understand what the gap was, looking through the lens and the eyes of Aboriginal and Torres Strait Islander people. They needed to tell us what the gap was that needed to be closed and that’s what this task has been about. It has also been about understanding that this is not the task or role or responsibility of any one organisation, level of government, or nation of peoples across the country. This is the task of us all. And for that to be successful, we need a partnership between all of these groups. Understanding what these lines of effort are to achieve this unity of effort.

And so we set about achieving a partnership and setting out these 16, as I understand, particular areas of activity. Underpinned by four key things we’re seeking to do to make them possible. And the first of those is partnership – a partnership of states and territories who have significant roles to play in achieving the outcomes that are set out here in this Agreement.

This is not something the Commonwealth can even pretend to think it can do alone. It must be done together with the service delivery and policy arms of state and territory governments. But also with the delivery agencies of Indigenous organisations, which are on the ground, making a difference.

Secondly, it’s about building the capabilities of those on-the- ground, community-based organisations in Indigenous communities to deliver those services as best as they possibly can. It is about transforming mainstream government agencies and institutions and how they conceive these challenges and how they go about engaging and delivering their services and broader policies that impact on Indigenous Australians, whether they’re directed to them specifically or not.

And it’s about getting the right data, the right evidence, and the right reporting that creates the transparency to drive the actions we’re seeking to get progress from.

The data then, as it’s set out in each of these 16 areas, is incredibly well-presented in terms of what we need. It sets out the goal and those goals haven’t changed drastically.

But what it has done is identified the things that make that goal achievable and the signs you need to look for along the way to know you’re going to meet that goal and how we’re progressing against those key data points. And it gets granular. It says, “We’re not just going to look up here, we’re going to go down the community level, we’re going to go and break this up by different groupings to understand where the real challenges are and where our progress is doing well.”

As Ken has often said, this process has to acknowledge the gains to drive the confidence that other areas can see achievement. But it’s also about separating out where the accountabilities lie to get the action. And then there is the further data that is needed to drive the whole process and there are some serious weaknesses when it comes to the intelligence and information that we need to inform plans to eliminate Indigenous disadvantage in this country as much as we possibly can.

And so I find it a very practical document, Pat and Ken. I commend you on the work that it’s done. It’s realistic, it’s shared, it’s evidence-based and led, it’s transparent, it’s practical, it’s ambitious. And from this point, the real work starts. And the plans that are needed from the Federal Government, from the state governments, the plans that need to find their way into budgets.

But I tell you where we start – we start with what we have to do, and then we apply the resources to achieve that. This isn’t about buckets of money, this is about changing the way we do things and ensuring that we apply the resources most effectively to achieve that. And with that I’ll pass you on to Ken, and then to Pat.

THE HON. KEN WYATT MP, MINISTER FOR INDIGENOUS AUSTRALIANS:

 Prime Minister, thank you very much. I want to acknowledge the Ngunnawal and Ngambri people, on whose land we are today, their elders past and present.

The concept of Closing the Gap was an idea that arose from the Human Rights Commissioner of the day, Tom Calma. Tom put forward a series of propositions and the first signing of a Closing the Gap Agreement was done by a former Prime Minister, Kevin Rudd.

The intentions were honourable. The outcomes were never achieved in the way that we had aspired to reach in the way of improving the lives of Indigenous Australians. And this particular Agreement is historic.

Because it goes to the very thing that I said right at the beginning when I first came into this role – that we need to develop approaches to address the issues of inequality and inequity by having Indigenous Australians sitting and jointly designing, planning and developing a direction that is based on how we wrap around people, their life expectancy, their life expectations, and their aspirations from the community level through to the peak organisations.

It’s been an incredible privilege working with Pat and the 51 peak organisations.

When we first started, it was 21. And then it grew. But the more people that were involved, the greater the depth of discussion around what do these targets mean?

How will they change the lives of people? And how will we bring governments with us? And that was a critical part of the conversation, as to how do we then take it to the next stage? Because, primarily, it was the Prime Minister who tabled the Closing the Gap Report. There was no requirement for states and territories to do that.

This Agreement through the state and territory cabinet processes has endorsed a new approach. An approach that will involve Aboriginal people as partners in the design of the work of government agencies.

It will involve transforming the way in which government agencies at every level, including local government, work with Indigenous Australians. It also commits, through the cabinet process, ministers in all portfolios to work towards achieving closure in the targets and the gap that is associated with the targets.

But I think more importantly is the way in which the spirit of intent for the outcome we’ve achieved today in this Agreement was reached through the passion and commitment of so many people.

I want to acknowledge Pat’s leadership. If you work with Indigenous organisations, as she has done, she has certainly brought 51 significant leaders to the table, to agree on the targets that we have within the Agreement, including incarceration rates, including family safety and the safety of women, and expanding those targets to focus in key and critical areas.

But I also want to acknowledge every state and territory Aboriginal Affairs Minister, because their officials and the officers from the National Indigenous Agency and the officers who worked with Pat in the National Aboriginal Community Controlled Health Organisation worked paragraph by paragraph through the Agreement until all parties were satisfied. But the thing that is different this time is the enthusiasm of all to address these targets.

Prime Minister,I want to acknowledge you, because you’ve done something that no other Prime Minister has done,andthatistoputfaithintheIndigenouscommunitytodeveloptargetsforusalltoachieve.But for all of us to take responsibility for, and for all of us to be accountable for. And by all of us focusing on those three tranches,Iamextremelyoptimisticthatwewillseeclosuresinareastoagreaterextentthan what we’ve seen historically in the past.

And the amount of goodwill means that the reforms that we seek to achieve will now be done in a way that is very different. It means a person living in Ampilatwatja or living in Balgo WA, or in Arrente country will have avenues in which to influence government policy and direction, and to have a say on those things that impact on them through our peaks, and through the other structures that exist within states and territories.

So, I compliment all who are involved. And whilst I have been Minister, I’ve enjoyed the immense journey of the very meaty debates, but the way in which we have come together to produce a blueprint for improving the lives of our people across this nation, with flow-on effects for all Australians.

It is part of the Morrison Government’s commitment to having a change of direction that is going to make a difference on the ground with state and territory Premiers and Chief Ministers who, through National Cabinet, have signed up to this Agreement, along with the President of the Australian Local Government Association, so it means that local government equally will be involved in achieving the outcomes.

I’d now like to ask Pat to come forward and make her comments.

PAT TURNER AM:

Thank you very much, Minister, and thank you, Prime Minister. Today truly is an historic occasion. This is the first time a National Agreement designed to improve outcomes for Aboriginal and Torres Strait Islander people has been developed and negotiated between Australian governments, local government, and the Aboriginal and Torres Strait Islander representatives.

We have come a long way as partners since the partnership Agreement on Closing the Gap came into effect in March last year and I want to thank each government for the spirit in which they have approached the partnership.

I particularly want to thank you, Prime Minister, for your leadership in taking the first step in agreeing to establish a formal partnership between the Coalition of Peaks and governments on Closing the Gap.

The Prime Minister probably didn’t fully realise what he was committing to, and possibly no government did, but maybe that was a good thing at the time.

Today we now have a comprehensive set of commitments from governments that places Aboriginal and Torres Strait Islander community-controlled organisations at the centre of Closing the Gap. Aboriginal and Torres Strait Islander people know what is best for our communities, not governments, and this National Agreement means that decisions of Government on Closing the Gap need to be negotiated and agreed with us.

But I have to say, the Prime Minister and Ken will know it hasn’t always been easy, and some of our negotiations have been very hard-fought.

For the Coalition of Peaks, the National Agreement is not just words. They represent actions that can make a real difference to the lives of our people, our families, and our communities. We have also had the voices of more than 4,000 Aboriginal and Torres Strait Islander people who participated in our engagements on what should be included in the new National Agreement, guiding us in our negotiations.

The Coalition of Peaks is confident that the National Agreement, if fully implemented, has the potential to establish a strong policy foundation to give effect to what our people have been saying for a long time is needed to make a difference.

The National Agreement may not include everything our people want or need to make lasting change to our lives, but this is a huge step forward. I also want to thank all the members of the Coalition of Peaks. This is the first time our community- controlled leadership have come together in this way to bring our collective experiences and expertise to the task of Closing the Gap, and it has been a real privilege to work with my colleagues in the Peaks.

It is important that we celebrate today’s achievements. We are marking a turning point in Indigenous Affairs and the relationship between governments and Aboriginal and Torres Strait Islander representatives and we have all played our parts.

But the real hard work starts tomorrow, as we begin the implementation of the National Agreement in full partnership between governments and Aboriginal and Torres Strait Islander communities, organisations and representatives. Thank you.

PRIME MINISTER: Thank you, Pat. Let’s take questions on this matter and then we can return to the pandemic issues afterwards.

JOURNALIST: We’ve heard many moving and passionate speeches by Prime Ministers and Ministers over the last 12 years about this subject and every year moving speeches by Prime Ministers and Ministers lamenting the fact that governments have fallen woefully short of meeting the targets. What commitment can you give that these new targets will actually be met?

PRIME MINISTER: Well, it has the full backing of our entire Government. I said when Ken was appointed as the first Minister for Indigenous Australians, as an Indigenous Australian, that every Minister in my Cabinet is a Minister for Indigenous Australians. Because that’s the change, that’s the shift that needs to have effect to actually make more progress. I think you’re right, Mark, there’s never been any lack of passion or commitment or dedication from this podium, no matter who stood behind it. Every Prime Minister that I know has shared this passion and this dedication but also the frustration that goes along with the lack of progress in this area.

What I think is different about this process is there has been some humble learnings that has led to its development and its execution. There has been a recognition that in sometimes we have been too ambitious without understanding the detail of what you actually have to do to get there. And what I particularly like about this Agreement is how, as I explained before, it gets very granular about how you get there, and how you know when you’re not getting there, and that’s very important. This evidence-led process which has an accountability to it, which I think is very important.

Now, I’d love to give you a guarantee, like every one of my predecessors would have and endeavoured, tried to, as I am today. But I am tempered by that bitter experience of my predecessors and my own. And so I take comfort in the fact that we’ve got a partnership now that we haven’t had before. It’s not because others didn’t want it. I think the partnership is the product of the learnings, the humble learnings that have been necessary. So, I do hope, Mark, that we can live up to this. We owe it to everybody Indigenous boy and girl in the country today, and every Indigenous person in the country today.

JOURNALIST: Prime Minister, and Minister Wyatt, there’s been some criticism of the fact that the domestic violence target is not being announced today and it’s going to continue to be worked on. Can you explain why, given what we know about the over-representation of First Nations women as victims of domestic violence, why that is still being worked on and is not being announced today?

PRIME MINISTER: Sure, I’m happy to, and I’ll let Ken and Pat speak to that because they’ve been directly involved in those decisions.

THE HON. KEN WYATT MP, MINISTER FOR INDIGENOUS AUSTRALIANS: In dealing with this issue we want zero tolerance of any domestic violence, of violence against women. I know that when the working group was going through this, the focus on just physical violence against women was seen as not sufficient. That hasn’t lowered our bar for absolute extinction of domestic violence against any woman, and this fits within the Fourth National Plan that our Government has in place as well. But our senior women have asked that we do more work on that and I respect the request that they have made, and we will come back with further work. But the target is still zero tolerance of domestic violence against our women.

PAT TURNER AM: Yes, thank you. So we do have some more work to do in our negotiations with all of the governments. It is a national priority and one that we take very seriously, and we hope to have that nutted out as we go through in the next few months and we start our work on the implementation plans to get some real nutty figures in there.

Let me say on the National Agreement, it’s very important that you read it in detail and you understand it because there are funding provisions that are already committed to in the National Agreement and they will come on board as we progress the important work now on the implementation plans and the important work that we have to do to make sure that we have the right people at the right table, at the right time, in the right place.

 

NACCHO Press Release @NACCHOChair Donnella Mills “ New #NationalAgreement on #ClosingtheGap marks historic shift to improve Aboriginal and Torres Strait Islander peoples’ life outcomes” @coalition_peaks

The National Agreement commits governments and the Coalition of Peaks to building strong Aboriginal and Torres Strait Islander community-controlled sectors and organisations to deliver Closing the Gap services and programs.

The first four sector strengthening plans will be developed for early childhood care and development, housing, health, and disability within 12 months.

We are pleased that governments are putting in funding to support Priority Reform Two. This funding will help build and strengthen the community-controlled sectors to deliver services and programs to our people.

NACCHO has been working on this new National Agreement on Closing the Gap, as a member of the Coalition of Peaks.

This agreement belongs to all of us!”

Donnella Mills NACCHO Chair

Read / Download the full NACCHO Press Release HERE

Today finally marks a new chapter in our efforts to close the gap – one built on mutual trust, shared responsibility, dignity and respect.

The gaps we are now seeking to close are the gaps that have now been defined by the representatives of Aboriginal and Torres Strait Islander peoples. This is as it should be. This creates a shared commitment and a shared responsibility.

This is the first time a National Agreement designed to improve the lives of Aboriginal and Torres Strait Islander people has been negotiated directly with Aboriginal and Torres Strait Islander representatives.

By focusing our efforts on these more specific, practical and shared objectives we can expect to make much greater progress.”

Scott Morrison Prime Minister

“The way all levels of government and Aboriginal and Torres Strait Islander representatives have come together to negotiate this National Agreement and collectively determine how we strive to close the gap demonstrates our commitment to working together through meaningful partnerships.

We know that the best out comes are achieved when Aboriginal and Torres Strait Islander Australians are equal partners with governments, and when they have a direct say in how we are going to be successful in driving the desired outcomes.”

Ken Wyatt  Minister for Indigenous Australians

“For the first time, First Nations people will share decision-making with governments on Closing the Gap. The National Agreement makes this a reality, not just for the Coalition of Peaks, but for all First Nations people that want to have a say on how things should be working in their communities,”

If the Priority Reforms are implemented in full by governments and through shared decision making with First Nations people, we should see changes over time to the lives and experiences of our people.”

Ms Pat Turner AM, Lead convenor, Coalition of Peaks will be appearing on the ABCTV The Drum tonight 30 July at 6.00 PM 

To read download the full new National Agreement on Closing the Gap, 

Read all NACCHO Coalition of Peaks articles HERE

The National Aboriginal Community Controlled Health Organisation (NACCHO) which has a membership of 143 community-controlled health services in every jurisdiction of Australia has strongly welcomed the launch of the National Agreement on Closing the Gap.

The Agreement has now been signed by the Coalition of Aboriginal and Torres Strait Islander community-controlled peak organisations, all Australian Governments, and the Australian Local Government Association.

The National Agreement signals a turning point in the relationship between Aboriginal and Torres Strait Islander people and governments – one that is based on shared decision making on policies and programs that impact Aboriginal and Torres Strait Islander people’s lives.

The partnership that the Peaks sought was agreed to by Australian Governments and subsequently the Coalition of Peaks, including NACCHO, signed an historic National Partnership Agreement on Closing the Gap.

That provided a platform to develop a new National Agreement on Closing the Gap which replaces the former National Indigenous Reform Agreement, agreed to only by Australian Governments in 2008. The new Agreement breaks with the past because it was negotiated and agreed to by representatives of our people too.

We have also had the voices of the more than 4000 Aboriginal and Torres Strait Islander people who participated in our engagements on what should be included in the new National Agreement guiding us in our negotiations.

We needed to collectively show Aboriginal and Torres Strait Islander people that they have been heard.

NACCHO is pleased to see the National Agreement includes a new commitment to increase the amount of government funding for Aboriginal and Torres Strait Islander programs and services going through Aboriginal and Torres Strait Islander community-controlled organisations.

NACCHO Chair Donnella Mills said, “The National Agreement is such a momentous time for Aboriginal and Torres Strait Islander peoples. It is the first time a National Agreement designed to improve outcomes for Aboriginal and Torres Strait Islander people has been developed and negotiated between Australian governments, local government, and Aboriginal and Torres Strait Islander representatives.

This will be a game-changer as we will be at the table discussing the issues and policies that matter to us.

“The National Agreement is built on four priority reforms to address ongoing critical issues around the social determinants of health such as housing, environment, access to health services, education and others with justice being a new target in there.

“We have worked with Aboriginal and Torres Strait Islander communities for decades on matters that are important to our people and are best placed to represent areas like health, early childhood, education, land and legal services.

“Aboriginal and Torres Strait Islander Community Controlled Health Organisations deliver healthcare services that are holistic, comprehensive, and culturally competent and better for our people. They get better outcomes and they employ more Aboriginal and Torres Strait Islander people.

The new National Agreement is a commitment from all governments to fundamentally change the way they work with Aboriginal and Torres Strait Islander communities and organisations through four Priority Reforms that were overwhelmingly supported during the community engagements led by the Coalition of Peaks late last year.

The Priority Reforms commit governments to new partnerships with Aboriginal and Torres Strait Islander communities across the country; strengthen community-controlled organisations to deliver closing the gap services; address structural racism within government agencies and organisations; and improve sharing of data and information with Aboriginal and Torres Strait Islander organisations to support shared decision making.

Summary

  • The new National Agreement on Closing the Gap has today come into effect, upon signature by the First Ministers of all Australian Governments, the Lead convenor of the Coalition of Peaks, and the President of the Australian Local Government
  • The National Agreement demonstrates the Government’s commitment to work in genuinepartnership with Aboriginal and Torres Strait Islander people.
  • The new National Agreement on Closing the Gap is a marked shift in the Closing the Gap framework.
  • This historic Agreement is the culmination of a significant amount of work undertaken by the Joint Council on Closing the Gap and developed in genuine partnership between all Australian governments and the Coalition of Aboriginal and Torres Strait Islander Peak
  • It is the first time an Agreement designed to improve life outcomes for Aboriginal and Torres Strait Islander people has been developed with Aboriginal and Torres Strait Islander

 

  • The Agreement is centred on four priority reforms that will change how governments work with Indigenous Australians. These are
    • Strengthening and establishing formal partnerships and shared decision-making.
    • Building the Aboriginal and Torres Strait Islander community-controlled
    • Transforming government organisations so they work better for Aboriginal and Torres Strait Islander
    • Improving and sharing access to data and information to enable Aboriginal and Torres Strait Islander communities make informed
  • There are 16 national socio-economic targets that will track progress in improving life

  • All governments and the Coalition of Peaks are accountable under this Agreement for implementing the reforms and achieving the
  • There will be a significant increase in the level of reporting against the new targets to increase transparency and
  • There will be more independent reporting on progress than before, with the Productivity Commission delivering a report on progress every three years and an Indigenous-led review of change on the
  • Annual reports on actions taken by all parties will be published and, for governments, tabled in respective parliaments.
  • And the Joint Council will have an ongoing role in monitoring performance and implementation of all Parties’ actions under the jointly agreed National Agreement.
  • Each party will now develop implementation plans in the next 12 months that will set out what they will do to deliver on the priority reforms and achieve the

 

 

NACCHO Aboriginal and Torres Strait Islander Dental Health : #ClosingtheGap : Co-design with ACCHO’s enables much needed health-care services to be delivered in ways that strengthen communities, respect culture and build capacity.

“We’ve now moved through all phases of implementing our co-designed programs, and are focusing on maintaining them with the support of school staff and the local Aboriginal Community Controlled Health Service.

Our research shows engaging communities to design and deliver oral health services was associated with reduced tooth decay and increased healthy behaviours.

The following elements of co-design in our project could readily be incorporated into the design and delivery of health-care services for Aboriginal Australians:

  1. improved cultural safety— Aboriginal people feel safe and welcome
  2. co-design and shared ownership— local Aboriginal people shape the service model
  3. local employment— Aboriginal people work in the service and lead local delivery
  4. skills development— Aboriginal people complete qualifications that are nationally recognised
  5. long-term commitment— programs are designed and delivered with sustainable and reliable funding.

The gap in health outcomes between Aboriginal and non-Aboriginal Australians remains stubbornly wide.

Co-design enables much needed health-care services to be delivered in ways that strengthen communities, respect culture and build capacity.

Original published here 

Read over 40 Aboriginal Dental Health articles published by NACCHO over past 8 years

Aboriginal children in rural Australia have up to three times the rate of tooth decay compared to other Australian children.

Tooth decay can affect a person’s overall health and nutrition because it can affect how they chew and swallow. Tooth decay can also reduce self esteem because of its effect on appearance and breath. And importantly, poor oral health increases the risk of chronic disease such as heart disease.

Yet tooth decay is both preventable and treatable.

Broadly speaking, improving oral health is critical to closing the gap in health outcomes between Aboriginal and Torres Strait Islander Australians and Australians overall. Tackling this gap requires customised, community-led solutions.

Our research demonstrates co-design — that is, engaging communities to design and deliver services for their own communities — is associated with significantly improved oral health among Aboriginal primary school children.

This approach may also hold the answer for closing the gap in other areas of health care.

Oral health among Aboriginal children

In the middle of last century, Aboriginal children actually had significantly better oral health than other Australian children. But today, Aboriginal children have roughly double the rate of tooth decay compared to other Australian children.

A range of factors have contributed to this recent problem, starting with colonisation — the effects of which have been compounded over time — and the shift to a highly processed Westernised diet.

Where interventions to prevent common oral diseases like tooth decay have become available to most Australian children in recent decades, Aboriginal children in rural Australia have historically had limited access to public dental services.

The disparity is compounded by the cost of basic supplies like toothpaste and toothbrushes, which may be unattainable for some families, and poor availability of cool filtered drinking water in remote communities.

We sought to reduce consumption of sugary drinks by installing refrigerated and filtered water fountains in schools and communities. We also engaged teachers to encourage students to fill up their water bottles and drink from them throughout the school day.

As well as this, we sought to increase fluoride intake (a naturally occurring mineral that helps to prevent tooth decay) by establishing daily in-school tooth brushing programs, supplying toothbrushes and toothpaste for school and home, and applying fluoride varnish to the children’s teeth once each term.

We also provided treatment for existing tooth decay and gum disease.

In 2018, we looked at the oral health and oral hygiene behaviours of children from the participating schools. Our findings have recently been published and show the project is working well.

What we found

In just four years we found a reduction in tooth decay, plaque and gingivitis (gum disease).

The average number of teeth with tooth decay per child in 2018 was 4.13, compared to 5.31 in 2014. Notably, the proportion of children with no tooth decay increased from 12.5% in 2014 to 20.3% in 2018.

There was also a dramatic reduction in the proportion of children with severe gingivitis from 43% in 2014 to 3% in 2018.

We also saw an increase in positive oral hygiene behaviour including tooth brushing, consumption of drinking water and reduced consumption of sugar-sweetened beverages.

In 2014, 13% of children reported brushing their teeth on the morning they took the survey. This increased to 36% in 2018.

Collaborating with communities

Co-design means working alongside communities to establish the most effective ways to implement evidence-based strategies, and sustain these. It’s about sharing knowledge to enable long-term, positive change to complex problems.

In our project, the co-design process has been central to these outcomes:

  • local Aboriginal staff coordinate the programs and dental treatment services
  • clinical staff live and worklocally
  • we’ve established scholarships for localsto obtain qualifications as dental assistants, allied health assistants and oral health therapists
  • we’ve implemented daily in-school tooth brushing, regular fluoride varnish application and drinking water programs
  • the community decided on the location and installation of water fountains
  • we’ve set up highly cost-effectiveoral health services for the communities.

NACCHO Aboriginal and Torres Strait Islander Health News Alert : Community control ‘key to Indigenous advancement’, says our CEO Pat Turner

 

Pat Turner believes that when Indigenous organisations take over the job of improving the health and wellbeing of Aboriginal and Torres Strait Islander people, it will be the end of the grim practice of monitoring failure and calling it Closing the Gap.

“Self-determination has been a policy of the commonwealth since 1971 but we have never been given agency to exercise it to the fullest ­extent,” Ms Turner said.

“(That is) because there’s been so much government neglect of programs and the way they’ve implemented programs, and their lack of accountability for the poor outcomes that leaves us in the desperate situation we’re in today.”

From the Australian front page and page 4 interview with Paige Taylor

Ms Turner, who began working life as a switchboard operator, taught Australian studies at Georgetown University in the US and later established indigenous television channel NITV, has emerged as a prominent Aboriginal voice.

Working with Indigenous Australians Minister Ken Wyatt, Ms Turner has steered a radical re­design of the Closing the Gap scheme established by the Rudd government in 2008.

It has culminated in a draft agreement with states and terri­tories — as well as the Local Government Association of Australia — to bolster community-­controlled indigenous organisations across Australia so they are capable of doing the work that is currently done by government agencies and non-government organisations dominated by non-Aboriginal people.

The draft agreement, which sets ambitious targets to reduce indigenous disadvantage, is due to go to national cabinet this month.

Ms Turner understands what a strong network of community-controlled indigenous organisations can do. She represents 143 of them as chief executive of the National Aboriginal Community Controlled Health Organisation.

The community-controlled indigenous health sector is established and in touch with grassroots people all over the country. It led the advocacy that safeguarded remote Aboriginal communities when the corona­virus pandemic hit Australia but Ms Turner acknowledges there is no real equivalent in education, early childhood or other spheres, including the disability sector.

Changing that is key to the success of the new Closing the Gap agreement, Ms Turner said.

In 2019, after 11 annual reports, just two of seven Closing the Gap targets set in 2008 — early childhood education and Year 12 attainment — had been achieved. Targets were not met on school attendance, child mortality, employment, life expectancy and literacy and numeracy.

“We were most grateful that Kevin Rudd took the initiative to set up the Closing the Gap … that money he invested in it was over $4bn,” she said.

“What we weren’t happy with was the fixation on targets.

“They don’t drive change … and while you’ve got to have them, they’re not the things that make the difference.”

Ms Turner said indigenous people would be the difference. “The reforms are equal decision-making between governments and Aboriginal people at every level — local, regional, state, and national,” she said.

“So when they’re talking about measures that impact on us, at the moment what you’ve got in this arrangement are those sitting in ivory towers, the capital cities, and they come up with a policy or implementation plan based on what the government’s commitments of the day are and go out to Aboriginal people and say ‘We’ve got this new program and if you meet these guidelines, you’ll be eligible for funding’.”

Ms Turner said under the new agreement, communities would determine what was needed and they would be supported by governments to achieve it.

The third of five children raised in Alice Springs, Ms Turner has clear views about what gives a child a good start in life. She does not have children and helps raise a great nephew with her sister in a home they share in Canberra.

“I think it starts from pre-birth. It’s about the responsibilities of raising children for both young men and young women and having children at the right time in their lives, rather than unexpected pregnancies,” she said. “Too many young people are having too many kids too early. It just puts massive pressure on the whole extended family.”

Ms Turner’s world view was shaped in part by her father’s accidental death in 1963, when she was 10. Her mother went to work in three jobs as a dishwasher.

She was also influenced by the advocacy of her uncle Charles Perkins, the civil rights activist.

“What I understood very early was Aboriginal people endured a lot of ­racism in daily lives — including me — and that wasn’t right.”

Ms Turner rose through the ranks of the public service, including at the Department of Health and Centrelink, and was the only indigenous person to work as chief executive of the Aboriginal and Torres Strait Islander Commission. “I never had one qualified audit report of my organisation; not one,” she said.

It is her view that the commonwealth’s reshaped work-for-the-dole scheme, called CDP, is a lost cause. “It needs to be abolished and what Aboriginal people really need is a job guarantee. Award wages and proper jobs,” she said.

It is a case argued in The Weekend Australian on Saturday by Noel Pearson, who described Australian economist Bill Mitchell’s longstanding call for government to fund real jobs, at the minimum wage, to all unemployed Australians as “one of the most imaginative and compelling answers” to the question of how to build a stronger, fairer and more resilient nation.

Ms Turner is adamant the new Closing the Gap agreement can play a role. “If you invest, as a government, in an Aboriginal community-controlled organisation to do the service delivery, instead of all these bureaucrats sitting around in jobs, those jobs could be undertaken by Aboriginal and Torres Strait Islander people, which means families at the local level have a decent job,” she said.

“We will have a sustainable workforce, and can offer scholarships and apprenticeships … so that we expand the opportunities and career choices for our young­er generations.”

Part 2

As a receptionist in the Native Welfare department in the early 1970s, it was Pat Turner’s job to let her bosses know when somebody was at the front desk for them.

One day a very young Ms Turner told her boss a gentleman was here to see him, and her boss replied: “Is he black or white?”

It made her blood boil so she challenged him about what difference it made. He agreed to see the visitor. “I had great pleasure in taking him in. Of course, he was an Aboriginal bloke, but I wasn’t gonna tell him that,” she said.

By 1975, Ms Turner was a trained welfare officer back in her hometown of Alice Springs, reading Paulo Freire’s Pedagogy of the Oppressed. She also took kids to play sport. She also taught them their rights and obligations.

“There were too many of our kids at risk with the criminal justice system,” she said.

After speaking to parents and the local headmaster, she took indigenous kids to the Alice Springs Magistrates Court in a borrowed bus.

“Ninety five per cent of the people going to court every day were Aboriginal and most of the cases were for public drunkenness,” she said.

Afterwards, the police prosecutor and Ms Turner would ask the children for their observations.

Sometimes the children had questions about why an accused went to jail or what they did wrong.

“I would say, ‘Well, what would you do if you were pulled up by the police?’ and some kids said, you know, like, ‘run’,” Ms Turner said. “And so we’d explain to them how to handle that situation. It was about increasing their awareness, how to deal respectfully with the police and not get into further trouble.”

Ms Turner said the children she knew then each finished school and got jobs in indigenous organisations.

This made her proud of them and the families who supported them.

She lamented that excessive gambling, alcohol and drug abuse had left too many children “to their own devices” in Alice Springs these days.

“I think it’s gone a bit backwards in terms of the opportunities for children,” she said.

Paige Taylor

 

NACCHO Aboriginal and Torres Strait Islander Health News Alert : Joint Council recommends historic National Agreement on Closing the Gap to National Cabinet, the Australian Local Government Association and the Coalition of Peaks for signing

The Joint Council met this afternoon by teleconference to discuss the final details of the draft National Agreement on Closing the Gap. The Joint Council acknowledged the work between Australian governments, the Australian Local Government Association and the Coalition of Peaks to negotiate the historic agreement.

This is the first National Agreement of its kind that will be signed by Australian governments and Aboriginal and Torres Strait Islander people, represented by the Coalition of Peaks. It has been developed in genuine partnership between all parties.

“We are making history,” said Pat Turner AM, Lead Convener of the Coalition of Peaks; CEO of NACCHO and Co-Chair of the Joint Council. “I’m proud to say that we are in the home stretch of bringing this historic National Agreement to light.”

“A real game changer for this next phase of Closing the Gap is that the expertise and experiences of Aboriginal and Torres Strait Islander people on what works and what is needed is at the centre,” Ms Turner said.

The draft National Agreement is informed by a comprehensive engagement process, led by the Coalition of Peaks, in late 2019 with Aboriginal and Torres Strait Islander people across the country on what should be included.

“The draft National Agreement does not include everything that Aboriginal and Torres Strait Islander people want, but I know that we have pushed governments in their commitments because the Coalition of Peaks have been at the table. There is a significant difference from what governments alone were prepared to commit to in December 2018 and where we are now. That change has come about because of the work of the Coalition of Peaks.”

The draft National Agreement sets a strategy to close the gap that is strongly based on, and underpinned by, Aboriginal and Torres Strait Islander peoples’ priorities. It is built around four new Priority Reforms about transforming the way governments work with and for Aboriginal and Torres Strait Islander people in order to improve outcomes. The Priority Reforms were overwhelmingly supported during the engagements.

The Priority Reforms are:

1. 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.

2. Building the formal Aboriginal and Torres Strait Islander community-controlled services sector to deliver Closing the Gap services and programs in agreed focus areas.

3. Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap, improve accountability and respond to the needs of Aboriginal and Torres Strait Islander people.

4. Ensuring Aboriginal and Torres Strait Islander people have access to, and the capability to use, relevant data and information to monitor the implementation of the Priority Reforms, the Closing the Gap targets and drive local priorities.

The draft National Agreement includes commitments to tangible actions from all governments to change the way they work with Aboriginal and Torres Strait Islanders and give effect to the four Priority Reforms. All four Priority Reforms will have a target to measure government action in these areas.

The draft National Agreement also establishes 16 national socio-economic targets in areas including education, employment, health and wellbeing, justice, safety, housing, land and waters, and Aboriginal and Torres Strait Islander languages. The targets will help to monitor progress in improving the lives of Aboriginal and Torres Strait Islander people.

“The Coalition of Peaks have always said that targets alone do not drive change. We have seen this from the past 10 years. It is the full implementation of the Priority Reforms that will make the difference to our peoples’ lives. This is where we need to focus governments to focus and this is exactly what the new National Agreement will do,” Ms Turner said.

“The Joint Council considered the ambition of the closing the gap targets in the draft National Agreement and agreed that parity of outcomes between Aboriginal and Torres Strait Islander people and other Australians is the only acceptable outcome.”

“Expected parity dates are not fixed dates. If governments implement the Priority Reforms in full and invest in the outcome areas of health, education, employment and housing, parity will be achieved earlier,” Ms Turner said.

The National Agreement includes new engagement and accountability mechanisms that mean jurisdictions will work in partnership with Aboriginal and Torres Strait Islander people to implement the Agreement. All parties to the National Agreement are fully committed to the outcomes of the Agreement.

“This new National Agreement has the opportunity to make a real difference in the lives of our people and has the potential to establish a strong policy foundation to finally give effect to what our people have been saying is needed, for a long time, to close the gaps,” Ms Turner said.

About the Joint Council

The Partnership Agreement on Closing the Gap establishes a Joint Ministerial and Coalition of Peaks Council on Closing the Gap (Joint Council) with members from the Coalition of Peaks, a Minister from each state and territory government and the Commonwealth government, and a representative from the Australian Local Government Association.

Its role is to support national leadership, coordination and cooperation on Closing the Gap and provide advice to First Ministers, the President of Local of Government Association, and the Coalition of Peaks.

The Joint Council communique is at: http://coalitionofpeaks.org.au/joint-council-communique-july-2020/

About the Coalition of Peaks The Coalition of Peaks is a representative body of around fifty Aboriginal and Torres Strait Islander community controlled peak organisations and members. The Coalition of Peaks came together on their own as an act of self-determination to be formal partners with Australian governments on Closing the Gap.

Members are either national, state or territory wide Aboriginal and Torres Strait Islander community controlled peak bodies including certain independent statutory authorities. Their governing boards are elected by Aboriginal and Torres Strait Islander communities and / or organisations.

For more information on the Coalition of Peaks and to sign up for our mailing list, go to: www.coalitionofpeaks.org.au

 Third Meeting of the Joint Council on Closing the Gap

3 July 2020, Communiqué

The Joint Council acknowledged the Traditional Owners and Custodians of the many lands, waters and rivers that members joined from, and paid their respects to Elders past and present. The previous meeting was on 23 August 2019 in Adelaide.

National Agreement on Closing the Gap

The Joint Council acknowledged the work between Australian governments, the Australian Local Government Association and the Coalition of Peaks to negotiate the draft National Agreement on Closing the Gap which was considered in detail today.

The Joint Council is proud to recommend the National Agreement on Closing the Gap to First Ministers, the President of the Australia Local Government Association and the Coalition of the Peaks for agreement and signature.

This is an historic National Agreement. It was developed in genuine partnership between the Commonwealth, the Coalition of Peaks, State and Territory governments and the Australian Local Government Association. It is the first time a National Agreement designed to improve outcomes for Aboriginal and Torres Strait Islander people has been developed and negotiated with Aboriginal and Torres Strait Islander people.

The National Agreement is based on, and underpinned by, Aboriginal and Torres Strait Islander peoples’ priorities. It is built around four new Priority Reforms that will change the way governments work with Aboriginal and Torres Strait Islander people.

All governments have committed to tangible actions to change the way they work with Aboriginal and Torres Strait Islander and give effect to the four Priority Reforms. All four Priority Reforms will have a target to measure government action in these areas.

The Priority Reforms are:

  1. 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
  2. Building the formal Aboriginal and Torres Strait Islander community-controlled services sector to deliver closing the gap services and programs in agreed focus areas
  3. Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap, improve accountability and respond to the needs of Aboriginal and Torres Strait Islander people
  4. Ensuring Aboriginal and Torres Strait Islander people have access to, and the capability to use, locally relevant data and information to monitor the implementation of the Priority Reforms, the closing the gap targets and drive local priorities.

The draft National Agreement also establishes 16 national socio-economic targets in areas including education, employment, health and wellbeing, justice, safety, housing, land and waters, and languages. These build upon the draft targets of 2018. The targets will help to monitor progress in improving the lives of Aboriginal and Torres Strait Islander people.

It is our collective ambition to reach parity between Aboriginal and Torres Strait Islander people and other Australians. The ambition of the targets take all governments beyond a business as usual approach and will require an increased effort by all parties. Expected parity dates are not fixed dates. With the full implementation of the Priority Reforms and a significant joint focus on the outcome areas, parity will be achieved earlier.

The National Agreement includes new engagement and accountability mechanisms that mean jurisdictions will work in partnership with Aboriginal and Torres Strait Islander people to implement the Agreement. All parties to the National Agreement are fully committed to the outcomes of the Agreement and share ownership of those outcomes.

Engagement report

Joint Council welcomed the recently released ‘Report on engagements with Aboriginal and Torres Strait Islander people to inform a new National Agreement on Closing the Gap’, published by the Coalition of Peaks on 24 June 2020. The report provides a comprehensive analysis of the outcomes of the historic engagements which took place between September and December 2019.

To support the full involvement and ownership of Aboriginal and Torres Strait Islander people in closing the gap, the new National Agreement on Closing the Gap is based on what Aboriginal and Torres Strait Islander people have said is needed to improve outcomes. The Joint Council has reviewed the report on the engagements and is satisfied that the key outcomes are included in the National Agreement on Closing the Gap.

Members attending

Member Representing
The Hon Ken Wyatt MP (Co-chair) Commonwealth
Pat Turner AM (Co-chair) Coalition of Peaks
Muriel Bamblett AO Coalition of Peaks
Jamie Lowe Coalition of Peaks
Cindy Berwick Coalition of Peaks
Jill Gallagher Coalition of Peaks
Donella Mills Coalition of Peaks
Vicki O’Donnell Coalition of Peaks
David Warrener Coalition of Peaks
Katrina Fanning PSM Coalition of Peaks
John Paterson Coalition of Peaks
Ruth Miller Coalition of Peaks
Gabrielle Upton MP New South Wales
Gabrielle Williams MP Victoria
The Hon Craig Crawford MP Queensland
The Hon Ben Wyatt MLA Western Australia
The Hon Steven Marshall MP South Australia
The Hon Roger Jaensch MP Tasmania
Rachel Stephen-Smith MLA Australian Capital Territory
The Hon Selena Uibo MLA Northern Territory
Mayor David O’Loughlin Australian Local Government Association

 

NACCHO Aboriginal and Torres Strait Islander Health News Alert : The Joint Council to consider draft National Agreement on Closing the Gap

The Joint Council will consider the draft National Agreement on Closing the Gap today when it meets by teleconference this afternoon. This is the third meeting of the Joint Council.

The draft National Agreement has been negotiated between the Coalition of Aboriginal and Torres Strait Islander Peak Organisations (Coalition of Peaks), all Australian governments and the Australian Local Government Association.

The Lead Convener of the Coalition of Peaks, Ms Pat Turner AM, and Commonwealth Minister for Indigenous Australians, the Hon Ken Wyatt MP, met this morning as Co-Chairs of the Joint Council ahead of the meeting.

The draft National Agreement has been built around what Aboriginal and Torres Strait Islander people say is needed to help close the gap. These insights were gathered during community engagements led by the Coalition of Peaks late last year.

“The Coalition of Peaks are expecting that the Joint Council will be focused on getting the best National Agreement possible, one that will have the greatest impact for Aboriginal and Torres Strait Islander people,” said Pat Turner AM, Lead Convener of the Coalition of Peaks; CEO of NACCHO and Co-Chair of the Joint Council.

Following the Joint Council’s consideration, the draft National Agreement is expected to be referred to the National Cabinet, the President of the Local Government Association and the Coalition of Peaks for approval before the end of July.

A communique from the Joint Council will be released once the meeting concludes this afternoon.

About the Joint Council

The Partnership Agreement on Closing the Gap establishes a Joint Ministerial and Coalition of Peaks Council on Closing the Gap (Joint Council) with members from the Coalition of Peaks, a Minister from each state and territory government and the Commonwealth government, and a representative from the Australian Local Government Association.

Its role is to support national leadership, coordination and cooperation on Closing the Gap and provide advice to First Ministers, the President of Local of Government Association, and the Coalition of Peaks.

About the Coalition of Peaks The Coalition of Peaks is a representative body of around fifty Aboriginal and Torres Strait Islander community controlled peak organisations and members. The Coalition of Peaks came together on their own as an act of self-determination to be formal partners with Australian governments on Closing the Gap.

Members are either national, state or territory wide Aboriginal and Torres Strait Islander community controlled peak bodies including certain independent statutory authorities. Their governing boards are elected by Aboriginal and Torres Strait Islander communities and / or organisations.

For more information on the Coalition of Peaks and to sign up for our mailing list, go to: www.coalitionofpeaks.org.au

NACCHO Aboriginal Health Research Alerts : Download @AIHW Report Indigenous primary health care results : Our ACCHO’s play a critical role in helping to improve the health of our mob

 ” Comprehensive and culturally appropriate primary health care services play a key role in improving the health and wellbeing of Indigenous Australians through prevention, early intervention, health education, and the timely identification and management of physical and psychological issues. “

Download the 77 Page AIHW Report HERE

Indigenous-primary-health-care-results-from-the-OSR-and-nKPI-collections

Primary health care organisations play a critical role in helping to improve the health of Indigenous Australians.

In 2018–19:

To this end, the Australian Government provides funding through the IAHP to organisations delivering Indigenous-specific primary health care services (referred to hereafter as organisations).

These organisations, designed to be accessible to Aboriginal and Torres Strait Islander clients, are administered and run by:

  • Aboriginal community-controlled health organisations (ACCHOs)
  • state/territory/local health services
  • non-government organisations (NGOs), such as women’s health services (a small proportion of services).

They vary in size, location, governance structure, length of time in operation, workforce composition, sources of funding, the services they offer, the ways in which they operate (for example, stand-alone or part of a consortium), and the needs of their clients.

What they all share in common is a holistic approach to meeting the needs of their Indigenous clients, which often involves addressing a complex mix of health conditions.

Each organisation provides contextual information about their organisation to the OSR once each financial year (covering the period July–June). The OSR includes all activities of the funded organisations, regardless of the percentage of those activities funded by IAHP.

This chapter presents a profile of organisations delivering Indigenous-specific primary health care services, including staffing levels, client numbers, client contacts, episodes of care and services provided. It excludes data from organisations that received funding only for maternal and child health services.

Trends over time are presented where possible, noting that the organisations providing data can vary over time which may limit comparability for some purposes (see Technical notes and Glossary for more information). Also, in 2018–19, the OSR collection underwent significant change and was scaled back to include only ‘core’ items. Plans are underway to reintroduce key items in a staged approach over the next few years.

The following boxes show key results for organisations providing Indigenous-specific primary health care in 2018–19.

Clicking HERE will go to more information on the selected topic.

NACCHO Aboriginal Health News Alert : 2018-19 National Aboriginal and Torres Strait Islander Health Survey : Download detailed state and territory tables and facts sheets

The ABS is pleased to advise that detailed state and territory tables and facts sheets using data from the 2018-19 National Aboriginal and Torres Strait Islander Health Survey are now available on the ABS website.

Aboriginal and Torres Strait Islander people from all states and territories living in both non-remote and remote areas participated in the survey, providing information on their health and well-being.

Download Summary results for states and territories (fact sheets)

summary results for states and territories_fact sheets

Summary results for states and territories (pictorial)

summary results for states and territories_pictorial

There are eight data cubes accompanying this release (for each state and territory), containing information about Aboriginal and Torres Strait Islander peoples’ self-assessed health, use of health services, health conditions, lifestyle risk factors, physical measurements and dietary indicators.

Complimenting the data and available for download are summary results for all states and territories, packaged separately as a detailed and pictorial fact sheet.

Also released today are regional modelled estimates, providing information by Indigenous Region and Primary Health Network.

An Appendix also accompanies the modelled regional data.

Health

  • More than four in 10 (46%) people had at least one chronic condition that posed a significant health problem in 2018–19, up from 40% in 2012–13.
  • The proportion of people with asthma in remote areas (9%) was around half the proportion for people living in non-remote areas (17%).
  • More than one in 10 people aged two years and over reported having anxiety (17%) or depression (13%).
  • More than four in 10 (45%) people aged 15 years and over rated their own health as excellent or very good in 2018–19, up from 39% in 2012–13.

Risk factors

  • The proportion of people aged 15 years and over who smoked every day decreased from 41% in 2012–13 to 37% in 2018–19.
  • The proportion of children aged 2–14 years who were overweight or obese increased from 30% in 2012–13 to 37% in 2018–19.
  • The proportion of people aged 15 years and over who had consumed the recommended number of serves of fruit per day declined for those living in remote areas from 49% in 2012–13 to 42% in 2018–19.
  • Sugar sweetened drinks were usually consumed every day by around one-quarter (24%) of people aged 15 years and over.

Use of health services

  • More than half (57%) of children aged 2–17 years had seen a dentist or dental professional in the last 12 months.
  • The proportion of people who did not see a GP when needed in the last 12 months was higher for those living in non-remote areas (14%) than remote areas (8%).

More data from the Survey will be published over the course of the year.

NACCHO Resent with corrected link : Download the @coalition_peaks landmark report on community engagements shaping new National Agreement on Closing the Gap

“This community engagement report highlights the conviction of the Coalition of Peaks that, if Australia is to truly Close the Gap in life outcomes between Aboriginal and Torres Strait Islander people and other Australians, there needs to be a new way of working established between us and governments.

Engagement processes with Aboriginal and Torres Strait Islander people like this one rarely take place in Australia. I am proud to say the engagements led by the Coalition of Peaks in partnership with Australian governments, implemented this ground-breaking and historic approach,”

Pat Turner AM, Lead Convener of the Coalition of Peaks, CEO of NACCHO and Co-Chair of the Joint Council. Watch Pat Turner on the ABC TV The Drum 6.00 pm 24 June

We apologise for the change of link : Here is corrected

The engagement report can be accessed here: https://coalitionofpeaks.org.au/wp-content/uploads/2020/06/Engagement-report_FINAL.pdf