NACCHO Aboriginal Health News: acceleration of efforts to reduce overincarceration

feature tile text 'Joint Council agrees to accelerate collective efforts to reduce overincarceration of Aboriginal and Torres Strait Islander people' & photo of an Aboriginal man's hands through prison bars

Acceleration of efforts to reduce overincarceration

The Joint Council on Closing the Gap met today and acknowledged the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody and agreed that joined up work between all governments in partnership with Aboriginal and Torres Strait Islander representatives is critical to reducing the rate at which Indigenous people are incarcerated, and thereby reduce deaths in custody. Given the urgency and enduring nature of this issue Joint Council agreed to the high priority of accelerating the critical work to establish a Policy Partnership on Justice with the aim of reducing youth and adult incarceration.

Patricia Turner AM, Lead Convener of the Coalition of Peaks said “It’s vital that governments, in partnership with Aboriginal and Torres Strait Islander representatives, are taking urgent and decisive steps to address the overincarceration of our peoples. For the first time, Aboriginal and Torres Strait Islander representatives will be at the table with Ministers, Attorneys’-General, government officials, corrections, policing, housing and health under a formal shared decision making arrangement.”

To view the Coalition of Peaks media release click here.

protest march with placard of Aboriginal flag overlaid with text 'most incarcerated people on earth'

Photo: Getty. Image source: BBC News website.

Aboriginal people still dying in custody

Aboriginal man David Dungay Jr died in a Sydney prison cell in 2015 after officers restrained him to stop him eating biscuits. During the struggle, he was pinned face-down by guards and jabbed with a sedative. Video later shown at his inquest captured his final moments: his laboured breathing and muffled screams under the pack of guards. “I can’t breathe,” he yelled repeatedly.

His case has parallels to that of African-American man George Floyd, whose death triggered global protests against racism and policing in the US. The Black Lives Matter movement also threw a spotlight on Australia’s own incarceration of indigenous people and their deaths in custody.

This week marks 30 years since a landmark inquiry into Aboriginal deaths in custody. The royal commission made hundreds of recommendations to address the crisis. But three decades on, the situation has worsened. Central to the problem is overrepresentation. Indigenous people are about 12 times more likely to be in custody than non-indigenous Australians.

That reality, a product of systemic problems and disadvantage faced by Aboriginal people, has prompted fresh anger over a lack of action. “The system is continuing to kill us and no one’s doing anything about it,” Paul Silva, the nephew of David Dungay Jr, said at a rally this week.

To view the BBC article in full click here.

2 young Aboriginal women BLM protestors, one with t-shirt Always Was Always Will Be holding up hands covered in red paint to indicate blood, other woman holding Aboriginal flag behind her with raised arms, t-shirt with text black' and Aboriginal flag broken into 4 horizontal rectangular segments

Photo: Getty: Image source: BBC News website.

Deaths in custody & intergenerational healing

The Healing Foundation CEO Fiona Cornforth spoke with Dan Bourchier, ABC Radio 666 Canberra ‘Afternoons’ yesterday about the 30-year anniversary of the Royal Commission into Aboriginal Deaths in Custody and intergenerational healing.

Fiona Cornforth said “it is an important time to do that reflecting. Though it’s something we carry every day, I think, as Aboriginal and Torres Strait Islander peoples. Unfortunately, we’re at a point now where we’ve lost hope in recommendations being fully implemented, despite all our voices being in these reports over time and people being generous and courageous to put forward their stories, time and time again. Where the solutions are in community, the solutions are given up as important by those with lived experience. But the powers that be and the complex system, the incarceration system, and all the service providers, the big web just can’t seem to get these recommendations out of the too hard basket.”

You can view a transcript of the interview here.

Aboriginal adult hand with small Aboriginal child's hand holding one of the fingers

Image source: Parks Australia website.

NDIS independent assessments on hold

The Morrison government has decided to delay introducing mandatory independent assessments (IAs) for the National Disability Insurance Scheme (NDIS), in a move strongly welcomed by disability groups.

New NDIS Minister Linda Reynolds said earlier this week that she would not be making any decisions around in IAs legislation until an IA trial was finished and the government could examine the feedback. While people currently need to get reports from multiple health providers of their choosing to assess their NDIS eligibility, the new mandatory assessments will be conducted by NDIS-appointed healthcare professionals using standardised tools.

The decision to introduce IAs has been met with overwhelming opposition from disability advocates, who say the process does not adequately capture the complexity of a person’s support needs and will lead to unfair outcomes for people with disability. Reynolds acknowledged the “significant feedback” IAs have already received, and said she would be consulting across the country with as many stakeholders as she could. Disability groups – who feared people would disengage from the scheme entirely because of their unwillingness to engage with IAs – strongly welcomed the minister’s comments.

To view the Pro Bono Australia article in full click here.

rear view of seat and wheel of a wheelchai

Image source: Pro Bono Australia News website.

The more that have the vaccine, the safer we’ll be

NACCHO CEO and lead convenor of the Coalition of Peaks, Pat Turner and NACCHO Deputy CEO, Dr Dawn Casey received their first AstraZeneca vaccines at Winnunga Nimmityjah Aboriginal Health and Community Services last week. “The more people have the vaccinations, the safer we will be,” said Pat. “We’ve managed to keep our community free of any deaths from COVID-19 to date and we want to continue that outstanding record.”

Contact your local Aboriginal Community Controlled Health Organisation or GP to find out when you can receive your vaccine and to ask any questions you may have. To view the  Pat Turner’s video click here.

photo of Pat Turner receiving vaccine, text 'NACCHO CEO & Lead Convenor of the Coalition of Peaks PAT TURNER'

Review of kidney transplant wait-listing

Research has confirmed poor access to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians from the NT. The study found causes of delays to wait-listing included: failure to attend appointments due to competing priorities and communication barriers, access and navigating complex pathways to specialist services, transport, co-morbidities requiring multiple tests and multiple specialty services, and pressures on dialysis and hospital bed capacity.

The study concluded that barriers to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians are complex and can be addressed by redesigning healthcare provision, including increasing the Aboriginal and Torres Strait Islander workforce to provide education and patient navigation of the healthcare system and improve communication, streamlining investigations and coordinating specialist services.

To view the full research paper here.

health professional in green gown, green rubber gloves holding white box with red text ' HUMAN ORGAN FOR TRANSPLANT' against surgical theatre background

Image source: Renal and Urology News.

Lessons from subsidised spectacles scheme

A study has been undertaken to determine what lessons can be learned from the Victorian Aboriginal Spectacles Subsidy Scheme (VASSS). The VASSS, which started in July 2010 and has operated continually since, aims to improve access to visual aids and eye care for Aboriginal and Torres Strait Islander Victorians.

An estimated 10,853 VASSS cofunded visual aids were delivered over the first 6 years of the scheme. During that time the mean annual number of comprehensive eye examinations provided within services using VASSS grew 4.6-fold faster compared with the 4 years preceding the VASSS. VASSS achievements were attained through collaborations, flexibility, trust and communication between organisations, all facilitated by funding resulting from evidence-based advocacy.

Access to visual aids and eye examinations by Aboriginal Victorians has improved during the operation of the VASSS, with associated direct and indirect benefits to Aboriginal health, productivity and quality of life. The success of the VASSS may be replicable in other jurisdictions and provides lessons that may be applicable in other fields.

To view the full research paper click here.

Aboriginal man wearing eye test equipment spectacles

Image source: Optometry Australia website.

NACCHO Aboriginal Health News: 30 years on, deaths in custody a national shame

feature tile text '30 years on from Royal Commission report Aboriginal deaths in custody a national shame' transparent Aboriginal flay overlaying Aboriginal hands holding jail bars

30 years on, deaths in custody a national shame

Today marks the 30th anniversary of the of the Report of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC) and numerous stakeholder organisations have released statements condemning the continued failure of governments to implement all of the report’s recommendations.

The Partnership for Justice in Health (P4JH) said it stands in solidarity with the grieving families and communities of loved ones who have died in custody due to a failure of governments to effectively implement the clear and comprehensive recommendations outlined in the RCIADIC report. The P4JH said all levels of government must reflect on the loss and grief that could have been prevented had they acted on the recommendations as a matter of priority in 1991 and in the years since. “We are sending our strength to those families and friends whose grief and trauma is compounded by that continued failure of Australian governments to act with resolve and commitment,” said the P4JH co-chairs Dr Janine Mohamed, CEO of the Lowitja Institute and Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP). To view P4JH’s media release click here.P4JH logo

Indigenous Allied Health Australia (IAHA) released a statement acknowledging the deep loss and grief of families and friends whose loved ones have passed away while in custody, both before and since the RCIADIC report. IAHA said ‘we are at our best when we go beyond empathy and act to reduce the causes of that grief and loss. We must do that now.’ IAHA called for the full implementation of the RCIADIC report’s recommendations. To view the IAHA’s media release click here.IAHA logoThe Australian Indigenous Doctors’ Association (AIDA) said that ‘Aboriginal deaths in custody continue to occur to this day – and the over-representation of our people in custody – is a national travesty. This is an abject failure of Australian governments. Aboriginal and Torres Strait Islander people suffer unacceptably high levels of physical illness, mental illness and suicide. There is ample evidence that grief, stress and trauma make us sick and incidents such as ongoing deaths and over-representation – further add to the burden of health and disadvantage. Racism and unconscious bias – institutional, systemic and individual – is an unacceptable fact of life for Aboriginal and Torres Strait Islander people. Culturally safe services can support service providers to confront and understand cultural difference and deliver effective and safe services to our people.’ AIDA called on all governments to accept, and to address racism and unconscious biases that are embedded in police, prison, legal and health systems. To view AIDA’s media release click here.AIDA logoThe National Native Title Council (NNTC) similarly said that three decades on from the RCIADIC report the rate of Indigenous incarceration and deaths in custody continues to be one of our country’s greatest shames. The NNTC referred to research from The Guardian that found Indigenous peoples who died in custody were “more likely to not have been charged with any crime” and were “three times more likely to not receive all required medical care, when compared to non-Indigenous people”. The Royal Commission made 339 recommendations, of which more than one hundred have not been implemented. To view the NNTC’s media release click here.National Native Title Council logo

Change the Record says it is a national shame that in the three decades since the RCIADIC report, state, territory and Commonwealth governments have failed to implement the majority of the report’s recommendations – and as a result ‘our people are still dying at horrendous rates.’ To view the Change the Record’s media release click here.Change the Record logo

Human Rights Watch agreed that the Australian government’s continued failure to address Indigenous deaths in custody tarnishes the country’s rights record and global standing. To view the Human Rights Watch article click here.

Oxfam Australia Chief Executive Lyn Morgain said: “Today is a historic and shameful day for our nation. Thirty years ago, the landmark report of the RCIADIC revealed the full extent of the danger that our justice system presents to First Peoples, and laid out the path we needed to take to make things right. Thirty years on, and things are much worse – with incarceration rates of Aboriginal and Torres Strait Islander people more than doubling in relative terms. Our leaders have been missing in action on this issue. They have failed to implement many of the report’s 334 recommendations, and they have failed to show care and compassion for First Peoples by changing an unfair and unjust system.” To view Oxfam Australia’s media release click here.OXFAM Australia logo

Thirty years ago Robert Tickner AO, the Aboriginal Affairs Minister in the Hawke government, presented the RCIADIC report to the national Parliament. Now as the Chair of the Justice Reform Initiative he said “It is to our great shame that 30 years later, we have progressed so little. We cannot wait another 30 years for real change.” The report made 339 recommendations, including that imprisonment should only occur as a last resort. This recommendation was adopted by all Australian Governments including by every State and Territory Government from all political persuasions. This support was given on the back of incontestable evidence that jailing was failing Aboriginal people. To view the media release click here. Justice Reform Initiative logo

Cairns ACCHO gives students a strong start

Commencing on 22 April, six students in Year 11 from Bentley Park College and Trinity Bay State High School, will start a school-based traineeship at Wuchopperen Health Service (Wuchopperen) to kickstart their health career with 100% Indigenous owned and operated Group Training Organisation, Australian Training Works Group (ATW), leading the recruitment drive.

The Aboriginal and Torres Strait Islander Traineeship Program, ‘Strong Start’, will give Indigenous youth a head start, achieving a nationally recognised qualification and on the job training while completing year 11 and 12. “By allowing students to gain work skills while completing school, they’re able to work towards a goal, whether that be higher education or transition to work,” says Rachael Ham, Deputy CEO at Wuchopperen. To view the media release in full click here.

photo L–R: Tony Marten (owner & Managing Director at ATW), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen) standing in front of Wuchopperen banner

L–R: Tony Marten (owner & Managing Director at Australian Training Works), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen).

Health sector’s role in deaths in custody

As Australia marks the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC)  the health sector has been urged to reflect on whether it is part of the problem or offering solutions. Associate Professor Megan Williams, Wiradjuri justice health researcher and educator, has identified multiple areas where the sector has failed to address the health needs of prisoners.

Professor Williams says ‘justice is essential for health, for all people in Australia. How we disregard the Royal Commission recommendations is as sick as how we treat First Peoples. $40 million, three years of testimony and evidence about 99 Aboriginal deaths in custody in the 1991 final report and 339 recommendations. But what about deaths since? More than 474. Barely a family have not been affected by Aboriginal deaths in custody, police brutality, poverty or racism. It’s time to make a list of all the government frameworks that overlook, minimise, forget, ignore, exclude, tokenistically mention or silence Aboriginal and Torres Strait Islander people in prison, and all people in prison.’

To view the full Croakey article click here.

End Black Deaths In Dustody rally in Naarm Melbourne to mark 30th anniversary of the Roayl Commission into Aboriginal Deaths in Custody - crowd carrying photos, signs, placards

End Black Deaths In Custody rally in Naarm Melbourne to mark 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody. Photo by Marie McInerney. Image source: Croakey.

Raising criminal responsibility age urged

National Children’s Commissioner, Anne Hollonds and Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO have urged all Australian governments to raise the age of criminal responsibility as a matter of priority. A report commissioned by a meeting of Attorneys-General in July last year recommended that all jurisdictions raise the age and ensure younger teenagers are not held in detention. Recent reports have suggested that Australian Attorneys-General are considering raising the age from 10 to 12. The UN Committee on the Rights of the Child recommends raising the age of criminal responsibility to 14-years-old as a minimum. As we mark 30 years since the Royal Commission into Aboriginal Deaths in Custody handed down its report, it’s important to acknowledge that Indigenous children account for 58% of young people being held on remand and 48% of young people in sentenced detention.

To view the Australian Human Rights Commission media release in full click here.

spray painted image of an Aboriginal child on a brick wall overlaid with white chalk lines representing jail bars

Image: Chris Devers, Flickr. Image source: newmatilda.com.

Mega prison raises fears for prisoner health

Governments often hail the economic benefits that new or expanded prisons bring to regional communities. But what are their health and social impacts? These issues are investigated as part of Croakey’s new Rural Health Justice series. In the feature article launching the series, journalist Linda Doherty explores how Australia’s newest mega jail, the Clarence Correctional Centre (CCC), near Grafton, NSW is affecting the health and wellbeing of prisoners, their families and the local community.

Around 60% of the 155 women prisoners in CCC have dependent children and one-third are Aboriginal women, according to SHINE for Kids which advocates for the human rights of children with a parent in prison, transports children to jail visits, runs evidence-based parenting, cultural and education courses in 27 jails in NSW, Queensland, Victoria, ACT and WA, and funds tutors for primary school children.

Like many of the 339 recommendations of the 1991 Royal Commission into Aboriginal Deaths in Custody that have been ignored by governments, recommendation 168 resonates for the parents in the new CCC facility. It says: “…where possible, an Aboriginal prisoner should be placed in an institution as close as possible to the place of residence of his or her family.”

To view the full article in Croakey click here.

photo of Storytime book called 'Tracks my Country' created by parents in prison for their children

One of the Storytime books created by parents in prison for their children. Image source: SHINE for Kids.

Increasing vaccine take-up in remote NT

In East Arnhem Land, the Miwatj Health Aboriginal Corporation said only 129 of about 5,600 eligible people had received the AstraZeneca vaccine since the rollout began in the region at the start of April. Chief executive Eddie Mulholland told the ABC he expected that number to be higher, but people were now becoming even more reluctant because people are hearing reports of rare blood clotting among recipients of the AstraZeneca vaccine.

The NT’s peak Aboriginal health service is working on a plan to improve the take-up of COVID-19 vaccines after reports of growing reluctance in remote areas. A spokeswoman for the Aboriginal Medical Services Alliance NT said details will be released early next week.

To view the article in full click here.

photo of 9 Aboriginal adults, one holding a baby around table at Miwatj Health indicating they have had a COVID-19 vaccine

All adults in remote communities are eligible for vaccination under phase 1b of the rollout. Photo supplied by: Miwatj Health Aboriginal Corporation. Image source: ABC News website.

COVID-19 radio ads in language

The Australian Government Department of Health has produced a collection of translations of the radio ad, ‘Living the new normal’, in Aboriginal and Torres Strait Islander languages. To access the collection click here.DoH banner text 'Keep Our Mob Safe' Coronavirus (COVID-19) Help Stop the Spread and Stay Healthy' against Aboriginal dot art painting in black, gold, pink, light blue, tan

Health system needs to learn from patient experience

The health system in Australia would benefit significantly by paying more attention to the lessons learned from patient experience, the Consumers Health Forum (CHF) says. This is a key message from the latest edition of the Health Voices ejournal which covers the recent Shifting Gears Australasian summit conference of the CHF.

“The value of learning from experience was given fresh power at the inaugural Australasian summit last month,” the CEO of CHF, Leanne Wells, said. “As the conference heard more than once, health consumers, particularly those with chronic conditions are more likely to have deeper knowledge of their overall care than any one health professional dealing with a single aspect of their care. There is much to learn, including from such community-centred programs as the National Aboriginal Community Controlled Health Organisation success in countering COVID-19.”

To view the Consumes Health Forum of Australia media release click here.

5 stacked wooden blocks, top two & bottom two with black arrows to left, middle with red arrow to the right

Image source: Australian College of Nursing.

NACCHO Aboriginal Health News: St Vincent’s Hospital transforms delivery of care

feature tile text 'St Vincent's Hospital transforms delivery of care for Aboriginal & Torres Strait Islander people'; image of a empty gurney being pulled through hospital emergency foyer

St Vincent’s Hospital transforms delivery of care

In the latest episode of the Australian Healthcare and Hospital’s Association (AHHA) podcast, The Health Advocate, AHHA Strategic Programs Director, Dr Chris Bourke, speaks with St Vincent’s Health Network Sydney, Emergency Department Director, Dr Paul Preisz and Aboriginal Health Manager, Scott Daley, to discuss how St Vincent’s Health Network Sydney has improved health outcomes for Aboriginal and Torres Strait Islander patients. While the hospital’s staff knew there was a problem in the Emergency Department with the delivery of care and the outcomes, for Aboriginal and Torres Strait Islander patients, NSW Health data highlighting the unacceptable treatment rates for Aboriginal and Torres Strait Islander patients was the final straw. This promoted a mandate from executives to improve results.

‘St Vincent’s work in improving health outcomes for Aboriginal and Torres Strait Islander patients is a great example of how organisations can transform the delivery of care and offers many lessons for other organisations wanting to follow a similar path,’ said Dr Bourke.

You can view the AHHA press release here and listen to the podcast here.

St Vincent's Hospital Sydney Aboriginal Health Manager Scott Daley sitting at hospital bed of 49-year-old Aboriginal male patient

Aboriginal Health Manager Scott Daley with a patient in St Vincent’s Hospital Emergency Department. Image source: ABC News website.

Wirraka Maya leads way in better patient management

An Aboriginal community health service in WA has produced record results in the use of technology to ensure better connected care for local patients. Senior Medical Officer at Wirraka Maya Health Service in Port Hedland, WA, Dr Yolande Knight said: “We rely on My Health Record to keep us updated on patient pathology, imaging, medication, dispensing and history records. “We find it helpful because a lot of our patients are transient, moving from one region to another, so it can be difficult to get their comprehensive files.  We can see what other doctors have requested and performed, overcoming the delays waiting for records requested from other practices and providers.” Australian Digital Health Agency Consumer Advocate, Aboriginal and Torres Strait Islander Champion and Co-Chair of the Agency’s Reconciliation Working Group and national Medicines Safety Program, Steve Renouf, congratulated Wirraka Maya for its commitment to digital health.

To view the media release click here.logo 'Wirraka Maya Health Service Aboriginal Corporation' circle fish, goanna, blue ochre

Building a more robust medicine supply

The Therapeutic Goods Administration (TGA) is seeking feedback on proposals to help ensure ongoing, reliable supply of important medicines.

Medicine shortages have been of particular concern during the COVID-19 pandemic and the TGA have been reviewing ways in which they can better assist affected Australian patients and their healthcare providers. Specifically, the TGA is seeking feedback on possible reforms that would:

  • prioritise the evaluation and registration process for certain important generic prescription medicines, to reduce the risk of shortages
  • encourage registration of more generic versions of medicines known to be affected by shortages, to mitigate the impact of those shortages
  • support a more reliable supply of overseas-registered medicines imported into Australia as substitutes when the Australian medicine is in longstanding or repeated shortage.

The TGA’s Consultation paper – Building a more robust medicine supply gives further details about proposed mechanisms to prevent and mitigate medicine shortages. For further details about the public consultation and to access the online survey click here.

The consultation will close on Monday 17 May 2021.

multiple coloured pills in a pile on grey glass surface & plastic pill bottle on side with yellow tablets spilling out

Image source: Newsbook website.

Resources for First Peoples with Disability

A range of new accessible, culturally appropriate resources for Aboriginal and Torres Strait Islander people with disability have been released by the peak body First Peoples Disability Network (FPDN).

“Our community urgently needs information about the vaccine, so we have created a poster with culturally relevant information and artwork to let people know about what is happening and why,” said Damian Griffis, CEO of FPDN.

“During the pandemic, Aboriginal and Torres Strait Islander people with disability found it hard to get the right information about what was happening, and it looks like those lessons haven’t been learnt when it comes to the vaccine roll out.”

To view FPDN’s media release click here and to download FPDN’s resources click here.text 'Get the COVID Jab and help keep our mob safe First Peoples Disability Network Australia' drawing of syringe, 9 virsus cells & one large circles with Aboriginal art in orange with meeting symbols

Gaps in Aboriginal aged care project

Little is known about how older Aboriginal adults access and engage with aged care services. A project has been initiated by the Port Augusta Community to address gaps in Aboriginal aged care and research is being conducted for the broader Aboriginal Eyre Peninsula Communities in partnership with the Adelaide Rural Clinical School Aboriginal research unit.

The lead researcher Kym Thomas, from Port Augusta, is an Aboriginal person, providing and ensuring that spirit and integrity are at the forefront of all community and stakeholder engagement and activities. Communities involved in the research include Port Augusta, Port Lincoln, Ceduna and Whyalla. Kym has been supported in his work by Associate Professor Pascale Dettwiller and Emma Richards.

To read the full article click here.

photo of Associate Professor Pascale Dettwiller & Kym Thomas standing either side of Yadu Health Aboriginal Corporation banner

Associate Professor Pascale Dettwiller & Kym Thomas. Image source: Partyline website.

Disadvantaged neighbourhoods can shape adolescent brains

Growing up in a poor or disadvantaged neighbourhood can affect the way adolescents’ brains function, according to new research. It can alter the communication between brain regions involved in planning, goal-setting and self-reflection. These brain changes can have consequences for cognitive function and wellbeing. But the good news is that positive home and school environments can mitigate some of these negative effects.

A “disadvantaged neighbourhood” is one in which people generally have lower levels of income, employment, and education. Growing up in these conditions can cause stress for children, and is associated with cognitive problems and mental health issues in young people.

It is not yet known exactly how this link between neighbourhood disadvantage and poor mental outcomes works, but it is thought that social disadvantage alters the way young people’s brains develop.

To view the story in full click here.

vector of brain wrapped in yellow tape with text 'UNDER CONSTRUCTION'

Image source: Momentous Institute website.

Better cardiac care measures report

The fifth national report on the 21 Better Cardiac Care measures for Aboriginal and Torres Strait Islander people, with updated data available for 15 measures. The level of access for cardiac-related health services is improving for Indigenous Australians. While the mortality rate from cardiac conditions is falling among the Indigenous population, it is still higher than among non-Indigenous Australians. The incidence of acute rheumatic fever among Indigenous Australians continues to be much higher than in non-Indigenous Australians.

To view the report click here.

 Indigenous Pride Heart Studs Flag: Aboriginal Torres Strait Island One of each Flag

Image source: Haus of Dizzy website.

Mental health challenges & disability

The prevalence of mental health issues is higher in people with a disability than in the general population. This means that often, a person who has both a physical, intellectual or neurological disability is also dealing with mental health challenges.  There can be complexities in distinguishing mental health issues from intellectual or neurological disability and this can lead to mental health challenges not being recognised or identified.  Participants will explore concepts of recovery, trauma and strength- based approaches to working with people with complex needs. They will use a recovery and biopsychosocial approach to meet their client’s needs.

Kimberley Aboriginal Medical Services (KAMS) are promoting a training course being delivered by the WA Association for Mental Health. For more details click here.

young Aboriginal man sitting on a headland looking out to sea

Image source: SBS News website.

Vaccinations being in regional SA AHS

Indigenous health workers in Mount Gambier have been among the first in SA to receive the AstraZeneca vaccine in Phase 1b of the national roll-out. 10 staff at Pangula Mannamurna Aboriginal Corporation were selected to receive the vaccine on Monday this week.

Outreach worker Catherine Bulner was the first of the group to roll up her sleeve and get the jab. She said she felt privileged to be the first South East Indigenous community member to get vaccinated. “I’m pretty fortunate to have it done in an Aboriginal community-controlled health service. “I think it’s really good that we can instil confidence in our community to get it done to protect not only ourselves, but our family and our community.”

Ms Bulner encouraged others to do the same to allow life to return to normal. “It’s unknown, but there’s plenty of information out there that can tell you all about it, if you need to make an informed decision before,” she said. “It’s not mandatory, but arm yourself with the information I did and you will be really confident to get it.” Transport worker Peter Brennan was also vaccinated and said it would provide him with a lot more confidence when conducting his work duties.

To view the full article click here.

Indigenous transport worker Peter Brennan receiving COVID-19 vaccine

Indigenous transport worker Peter Brenna. Image source: ABC News website.

Keeping the momentum on eye health equity

The Aboriginal and Torres Strait Islander eye health sector entered 2020 with high hopes. The equity gap was still evident in measures of access to services and outcomes, but there was a continued positive trajectory towards the gap for vision being closed, with a strong sector driving change through collaborations on regional and state levels. 2020 was a target year for the elimination of trachoma, as well as to achieve equity and close the gap for vision.

The COVID-19 pandemic impacted the work of the sector in a number of ways. Many communities closed or reduced non-urgent visiting services, suspensions to elective surgery and reductions in permitted surgical loads and lockdowns in different parts of Australia to stop outbreaks, while necessary, meant that the already-existing waitlists for eye care became longer. The stronger impact on public hospitals, for example through lower caps on elective surgeries compared with private, has a disproportionate impact on population groups with the stronger reliance on the public system.

The impact on the sector’s work also includes the interruption to the positive momentum of change. Across Australia, regional and state-level groups of stakeholders involved with the provision of eye care services to Aboriginal and Torres Strait Islander Peoples have been driving improvements in pathways and outcomes. The community-controlled sector has been key in leading this change.

To view the full article click here.

person dressed as Milp the trachoma goanna at AFL game in Alice Springs surrounded by Aboriginal children

Milpa the trachoma goanna supporting ‘Clean Faces, Strong Eyes’ health promotion messaging at an AFL game in Alice Springs NT. Image source: Partyline.

WA – Broome – University of WA

Research Fellow x 1 FT (Fixed Term) – Broome

The University of WA are seeking a skilled health researcher to conduct statistical analysis of real world health services data from current and future projects. This position will be based in the Kimberley where Rural Clinical School of WA (RCSWA) sites conduct collaborative research with health services into improving Aboriginal health and building research capacity. Under limited directions from Principal Research Fellow, Associate Professor Julia Marley and in close collaboration with the Kimberley Medical Services, you will provide impetus and capacity to research initiatives in the Kimberley region of WA.

Aboriginal and Torres Strait Islander researchers are encouraged to apply.

To view the job advertisement, including the Position Description click here position descriptions and to apply click here. Applications close Monday 16 April 2021.Uni of WA & Rural Clinical School of WA logos

World Health Day 2021 – Building a fairer, healthier world

April 7 of each year marks the celebration of World Health Day. From its inception at the First Health Assembly in 1948 and since taking effect in 1950, the celebration has aimed to create awareness of a specific health theme to highlight a priority area of concern for the World Health Organization.

Over the past 50 years this has brought to light important health issues such as mental health, maternal and child care, and climate change. The celebration is marked by activities which extend beyond the day itself and serves as an opportunity to focus worldwide attention on these important aspects of global health.

To celebrate World Health Day the Australian Global Health Alliance is hosting a special online event where a line-up or expert guest speakers will share their reflections on this year’s theme ‘Building a fairer, healthier world’.

For more information about the event from12:00–1:00 PM AEST Wednesday 7 April 2021 and to register click here.

banner text 'World Health Day April 7, pink wooden wall with stethoscope around plasticine world in blue & green

NACCHO Aboriginal Health News: communities can rely on trusted ACCHOs

ATSI communities can relay on trusted ACCHOs for vaccine info, vial & syringe

Communities can rely on trusted ACCHOs

The first batch of potentially life-saving COVID-19 vaccine has arrived at Kimberley Aboriginal Medical Services in northern WA. “We knew our only way out of this was a vaccine – to be here 12 months later is a remarkable feat,” medical director Lorraine Anderson told AAP. Last Friday a thousand doses of the AstraZeneca vaccine were delivered to the Broome clinic by a courier, and health workers are due to begin delivering the jabs on Monday.

To view Donna Ah Chee’s media release click here.

CAAC AHP Lynnette O'Bree receiving the COVID-19 vaccine

Registered Aboriginal Health Practitioner Lynnette O’Bree receiving the COVID-19 vaccine. Image source: CAAC.

You can also view a short video about Aboriginal health services in the Top End campaigning to encourage Indigenous Territorians to get vaccinated against COVID-19 here.

local Darwin Elder; Tina Murphy, community leader; Thomas Mayor and Danila Dilba Chair; Carol Stanislaus

Local Darwin Elder; Tina Murphy, community leader; Thomas Mayor and Danila Dilba Chair; Carol Stanislaus were among the first to receive the COVID-19 vaccine at Danila Dilba.

Cultural shawls encourage breast screening

Artwork by Echuca’s Alkina Johnson-Edwards has been chosen for the upcoming Beautiful Shawl Project at Njernda Aboriginal Corporation. The project is a partnership between the Victorian Aboriginal Community Controlled Health Organisation and Breast Screen Victoria to address barriers facing indigenous women getting a breast screen.

It sees a local artist’s work printed onto shawls to be worn by women during their appointment in one of Breast Screen Victoria’s mobile vans. Ms Johnson-Edwards called her artwork Winyarr Malka, meaning “Woman Shield”, with the design representing the strength and support given to women affected by breast cancer. Njernda community engagement officer Kristie Hearn said the whole experience was designed to create a safe atmosphere for women.

To view the full article click here.

artwork by Alkina Johnson-Edwards for breast screening shawls; purple, pink, dark orange which line drawing of outline of 3 women, 2 with both breasts, the middle figure with one breast

The artwork designed by Alkina Johnson-Edwards will be printed on 100 shawls to make indigenous women feel more comfortable during breast screens. Image source: Riverine Herald.

ACCHOs well-equipped to deliver vaccine

According to NACCHO medical advisor, Dr Jason Agostino the “Aboriginal health sector is extremely [well] equipped in delivering large-scale immunisation programs and has been working hard to support communities during the pandemic.” To view The Guardian article Aboriginal health sector overcoming major challenges to deliver first Covid vaccine jabs with Dr Agostino’s comments click here.

4 photos, elderly Aboriginal woman screwing up face as gets vaccine, smiling middle-aged Aboriginal mad, health worker holding vaccine vial, rear view of health professional with gloves drawing vaccine from vial

Mallee District Aboriginal Service was one of the first ACCHOs to start vaccinating their community. Image source: Guardian Australia.

Vaccine benefits far outweigh unfounded clot links

The Australian Technical Advisory Group on Immunisation (ATAGI) has commented on decisions in Europe to suspend the use of the AstraZeneca vaccine due to reports of a potential link with thrombotic (clotting) events. Based on evidence to date, the ATAGI do not see any reason to pause use of the AstraZeneca vaccine in Australia.

Thrombotic events occur commonly in the absence of vaccination and rates of thrombotic events are not higher in vaccine recipients than the expected background rate. No cases of coagulation disorders have been identified following COVID vaccination in Australia. Clotting disorders are designated as ‘adverse events of special interest’ that are closely monitored.

To view the ATAGI statement in full click here.

image of AstraZeneca vaccine vial & text 17,0000,000 people vaccinated, 27 cases of blood clotting' against purple red & blue speckled background

Image source: ABC News website.

Have your say on pain treatment & opioid use

NACCHO is working on a project to create some support materials for pain management and the use of opioid medicines, including for Aboriginal and Torres Strait Islander people.

We are looking for Aboriginal and Torres Strait Islander people consumers and health professionals to take part in group discussion to understand the important issues so that the materials we make can be useful.

If you are a health consumer and experience pain and use opioids or are interested in pain management as a practitioner in your ACCHO we invite you to contribute to this project.

We will provide financial compensation for your participation.

To apply or learn more please contact Fran Vaughan at NACCHO by phone 02 6248 0644 or email medicines@naccho.org.au.

drawing of jail bars made of pills being gripped by hands

Image source: Practical Pain Management website.

Remote Jobs Plan for the NT

Aboriginal Peak Organisations NT (APONT) is calling on Aboriginal Affairs Minister Ken Wyatt and Minister for Families and Social Services Anne Ruston to get behind APONT’s Remote Jobs Plan for the NT. APONT Governing Group member, John Paterson said, “We have heard many comments from around the country today about the Commonwealth’s failed program to create 1,000 Jobs for remote Aboriginal people. The Canberra package has delivered just 99 jobs in the NT since 2019 yet we have the widest employment gap in Australia. Just 37% of Aboriginal people of working age have a job compared with more than 80% of non-Aboriginal Territorians. We must do so much better than 99 jobs.”

Mr Paterson added, “To make remote employment work, governments must face the fact that jobs out bush are rare and many are held by non-Aboriginal people. Resources in Aboriginal controlled organisations are also scarce. We have created an NT Jobs Plan that will create 5,000 jobs with a focus on training and employment of young people. Funding will be required for 5 years with an option to extend, so Aboriginal Controlled Organisations can create real jobs, reduce poverty, get people off CDP and provide some long term security for those positions.

To view APONT’s NT job creation proposal click here and to view the APONT media release click here.

5 Aboriginal workers in high-vis building fence in Laramba community NT

Fence construction, Laramba, NT. Image source: Central Desert Regional Council.

Family violence support still lacking

Five years after the Royal Commission into Family Violence, rates of violence against Indigenous women continue to increase and organisations promised consistent funding say they still have to plead for money to develop programs. Antoinette Braybrook, the chief executive of Aboriginal and Torres Strait Island family violence prevention and legal service Djirra, said Aboriginal children were still being taken away from families because “mothers are not supported to escape the violence”. Leaders working in specialised family violence services say a lack of long-term funding and not enough focus on prevention has failed to bring “everyone into the tent” and remove the barriers women face when trying to receive culturally sensitive support.

Indigenous adults are 32 times as likely to be hospitalised for family violence as non-Indigenous adults, and are more likely to be murdered by a family member, according to the Australian Institute of Health and Welfare. Productivity Commission research also shows the rate of Aboriginal children taken into out-of-home care is also increasing, with family violence shown to be the main driver of child removals.

To view The Age article in full click here.

portrait shot of Djirra chief executive Antoinette Braybrook

Djirra chief executive Antoinette Braybrook; Image source: The Age.

NACCHO Aboriginal Health News: First Australians urged to get vaccinated

feature tile text 'First Australians urged to protect themselves, family & community by getting vaccinated' - image of COVID-19 vaccine vials

First Australians urged to get vaccinated

This week marks the second phase of the national COVID-19 vaccine rollout which is targeting over six million higher-risk Australians. NACCHO CEO, Pat Turner say last week on ABC The Drum that “While the focus remains on those at highest risk – people over 55 or with chronic medical conditions – ACCHOs can also vaccinate family members and household members of those at high risk. A remote vaccine working group is considering a whole of community strategy – including all non-Indigenous and Aboriginal and Torres Strait Islander adults in the community.”

Minister for Indigenous Australians, the Hon Ken Wyatt AM, MP, Shadow Minister for Indigenous Australians, Linda Burney MP and Professor Tom Calma AO made time this morning to attend Winnunga Nimmityjah Aboriginal Health and Community Service to receive their first dose of the COVID-19 vaccine.

Minister Wyatt said “We have done a remarkable job so far in the fight against the COVID-19 virus, we cannot now become complacent. Vaccines are an important tool in our strategy and I urge all Aboriginal and Torres Strait Islander people to come forward and get vaccinated when they are able to. It will help protect themselves, their family and their community.”

To view the Minister Ken Wyatt’s media release click here and to read a transcript of Linda Burney’s doorstop interview click here.

Ken Wyatt, Linda Burney & Tom Calma in waiting room at WNAHS ACT to receive vaccine 24.3.21

Ken Wyatt, Linda Burney and Tom Calma were among Indigenous leaders to receive their first vaccine dose in Canberra this morning at Winnunga Nimmityjah Aboriginal Health Service.

ACCHO’s first vaccine day incredibly successful

The first words from the first Aboriginal elder in Campbelltown to get his COVID-19 vaccine on Monday this week were those of love and gratitude for his people and those who kept them safe during the pandemic. “I love you, I love the work you do, and the people you serve,” elder Uncle Ivan Wellington told Darryl Wright, the chief executive of the Tharawal Aboriginal Corporation and the staff of its Aboriginal Medical Service (AMS) after he got the jab.

During the pandemic, the first priority at Tharawal was protecting elders. Tharawal health workers visited homes to deliver flu shots and do health checks, telephoned frequently and arranged for deliveries of food and vegetables. “If we lose our elders, we lose our entire library [of knowledge],” said Leonie Murdoch, 62, who was also vaccinated on Monday.

Dr Heather McKenzie, who is coordinating the vaccine roll-out at Tharawal, was excited about getting her injection because it would protect the community she serves. To prepare people before today’s injections Dr McKenzie had run a Q and A session about what to expect. Despite that, some were nervous, including Uncle Ivan who had heard about the rare blood clots experienced by some people. But Ms Murdoch reassured him, “They can treat that [blood clots], but they can’t treat COVID.”

When the medical service texted the community offering the first round of vaccinations on Monday, it was inundated. Every appointment was taken within 10 minutes, Mr Wright said. Dr Tim Senior, a doctor with Tharawal’s AMS, said nearly all the service’s 5,000 patients would qualify to be vaccinated during this phase because of problems with chronic disease and other health issues. “It would be a struggle to find people who aren’t eligible under 1B,” he said.

To view the full article in The Sydney Morning Herald click here.

Tharawal elder Uncle Ivan Wellington receives his first AstraZeneca vaccine from Tharawal Aboriginal Corporation GP Heather MacKenzie

Tharawal elder Uncle Ivan Wellington receives his first AstraZeneca vaccine from Tharawal Aboriginal Corporation GP Heather MacKenzie. Photograph: Tharawal Aboriginal Corporation. Image source: The Guardian.

The Guardian also reported on the second phase of Australia’s vaccine rollout. It said Aboriginal community health services across Australia have overcome major challenges including floods and wild weather to deliver their first Covid-19 vaccines to Aboriginal elders. “Our elders are our leaders and during the pandemic they continue to show us the way forward by proudly getting vaccinated first,” Dr Heather Mackenzie, from Tharawal Aboriginal Corporation, said.

Aboriginal and Torres Strait Islander peoples have the highest rate of immunisation among the Australian population, according to NACCHO medical advisor, Dr Jason Agostino, who said “The Aboriginal health sector is extremely equipped in delivering large-scale immunisation programs and has been working hard to support communities during the pandemic.”

To view The Guardian’s article Aboriginal health sector overcoming major challenges to deliver first Covid vaccine jabs click here.

photo of Cecil Phillips, 63, receiving AstaZeneca vaccine by registered nurse, Sam Parimalanathan at AMS Redfern

‘I didn’t even feel it,’ says Cecil Phillips, 62, receiving his AstraZeneca vaccination by registered nurse, Sam Parimalanathan, at the Aboriginal Medical Service in Redfern. Photograph: Isabella Moore. Image source: The Guardian.

Community-based COVID-19 responses among best

The Consumers Health Forum (CHF) has welcomed the start of the 1b phase of the COVID vaccination rollout to older people and other vulnerable groups, urging the importance of the need for community patience and two-way communication between health authorities and consumers. The success of Australia’s response so far in keeping the spread of COVID to relatively low levels should not make us complacent about the priority of prompt vaccination of all Australians in the interests of our health and of the economy.

It is vital that people get the facts about the vaccine and the rollout from authoritative and readily accessible sources, including government websites and their GPs who, from this week, will be scaling up vaccination availability. The CHF CEO, Leanne Wells, said “A convincing example of just how effective community-based responses can be, has been the success in countering pandemic infections achieved by the member groups of NACCHO. The 107 NACCHO groups achieved among the best results in preventing COVID compared to similar entities anywhere in the world and that was because of the strong community engagement and leadership.”

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

Aboriginal flag with COVID-19 virus cell shooting across image with flames coming from it

Image source: The Medical Journal of Australia.

COVID-19 information for Victoria’s mob

The Victorian Government has developed a very useful COVID-19 information for Aboriginal and Torres Strait Islander communities webpage.

The site says there are a couple of reasons why, for Aboriginal and Torres Strait Islander people, the risk of COVID-19 transmission is higher and it can cause more severe symptoms. Aboriginal and Torres Strait Islander people over the age of 50 years, or who have a pre-existing health condition, such as diabetes, asthma, heart and lung conditions, or immune problems, are at higher risk of developing a severe illness associated with COVID-19. Younger Aboriginal and Torres Strait Islander people can also get COVID-19 and infect family, friends and elders. As a lot of mob often live under the same roof, it’s also harder to practise physical distancing and isolation, which increases the risk of spreading the disease within the community.

The webpage says that in order to slow the spread of COVID-19 in Victoria, we must all do our part. We know it’s tough, but together we can keep our families, mob and ourselves safe, strong and well. Aboriginal and Torres Strait Islander community sector partners are working closely with government to coordinate response plans and ensure communities have the necessary information, resources and support they need.

close up photo of face of Victorian Senator Lidia Thorpe wearing cap with the word 'Deadly' & black face mask, blurred image of crowd in the background

Victorian Senator Lidia Thorpe. Image source: BBC News.

Updated health check templates survey

The Commonwealth Department of Health has endorsed recently updated Aboriginal and Torres Strait Islander health check templates developed in a partnership between NACCHO and the RACGP.

The NACCHO-RACGP Partnership Project Team is keen to hear your feedback on the templates by:

  • participating in this 10 minute survey open until 1 April 2021
  • expressing interest to be one of 10 primary healthcare teams testing the templates between 12 April and 11 June 2021 by contacting the Team at aboriginalhealth@racgp.org.au

Your feedback will support the team to understand what it takes to get these health check templates into practice and what other innovations can support quality health checks and primary healthcare for Aboriginal and Torres Strait Islander people.

Aboriginal Health Worker smiling at Aboriginal man lying on examination bed in a clinic

Image source: NT PHN & Rural Workforce Agency NT webpage.

Remote PHC Manuals update

The Remote Primary Health Care Manuals review process in underway. Monthly updates will be available to health services and other organisations to provide updates on the review process.

What’s new: new Acute Assessment Protocols are being developed to guide practitioners to assess emergencies and guide differential diagnoses.

Coming up next: Expert Advisory Groups have been working to update protocols.

This flyer provides further information about the RPHCM project, including what you need to do to become a reviewer or provide feedback on the new manuals.Remote Primary Health Care Manaulas (RPHCM) logo - Aboriginal painting, path, footprints, blue green pink purple petal flower and horseshoe shapes x 5

Aboriginal-led ways to foster mental health

A report Balit Durn Durn – strong brain, mind, intellect and sense of self: report to the Royal Commission into Victoria’s Mental Health System was developed by the Victorian Aboriginal Community Controlled Health Organisation (VAACHO) to support the final report for the Royal Commission into Victoria’s (Vic) Mental Health System. The report outlines five Aboriginal-led ways to build strength, resilience, connectedness and identity in Aboriginal and Torres Strait Islander people and communities to create essential pathways for fostering positive mental health and wellbeing.

The report aims to provide an overview of Aboriginal communities’ experience with the current mental health system and offers innovative solutions that have the potential to dramatically transform the Victorian mental health system to better meet the needs of Aboriginal communities.

To view the report click here.cover of VACCHO Balit Durn Durn Storng brain, mind, intellect & sense of self Report to the Royal Commission into Victoria's Mental Health System report

What ‘healing’ means

The Healing Foundation has been working with Aboriginal and Torres Strait Islanders in Queensland to co-design and develop the state’s first healing strategy. The Dreaming big process identified community issues and themes by the number of times keywords were mentioned in surveys and yarning circles.

The report outlines what over 400 Aboriginal and Torres Strait Islander people from 80 different cultural groups in over 50 locations in Queensland, said when asked what healing means and what happy and strong feels like. The aim being to help transcend the divide between deficit-based solutions and strength-based outcomes.

To view the report Dreaming big – voices we heard: informing the Queensland Aboriginal and Torres Strait Islander Healing strategy click here.cover of Healing Foundation Dreaming big Voices we hear informaing the Qld A&TSI Healing Strategy October 2020

Healthier smiles in Loddon Mallee

Minister for Health Martin Foley says the Andrews Labor Government is ensuring Aboriginal children in the Loddon Mallee region have strong and healthy teeth. “The $360,000 Loddon Mallee Fluoride Varnish program will help protect 600 Aboriginal children in schools, Aboriginal-specific early years services and Aboriginal childcare organisations at heightened risk of tooth decay. Fluoride varnish applications reduce tooth decay in young children by 37% by providing a protective covering. The varnish also prevents an existing tooth decay from progressing further. The preventive oral health program provides including twice-yearly fluoride varnish applications, oral health promotion and free tooth packs to Aboriginal children across the Loddon Mallee region. The expanded program builds on a successful pilot in 2018/20, which reached 200 Aboriginal children aged up to 18 across the region.”

To view the Victoria State Government media release click here and to view a related article Bendigo and District Aboriginal Cooperative to deliver Fluoride Varnish program click here.

close up photo of gloved dentist's hands inspecting teeth of an open mouth

Image source: Bendigo Advertiser.

Proposed NT youth justice changes flawed

Australia’s only national First Nations-led justice coalition has warned that the NT Gunner Government’s proposed youth justice reforms will see the number of Aboriginal children behind bars skyrocket. The reforms are highly punitive and will disproportionately drive Aboriginal kids into police and prison cells. Change the Record has highlighted that the proposed law changes fly in the face of the Royal Commission recommendations to invest in supporting children outside of the criminal justice system and move away from the ‘tough on crime’ policies that have been proven to fail. Change the Record, Co-Chair Cheryl Axleby said “If the NT Government goes ahead with these youth justice reforms it will take the Northern Territory back to the dark days before the Royal Commission when Don Dale was full of Aboriginal children being subjected to the most  horrendous abuse.”

The NT Council of Social Service and Amnesty International Australia have also expressed concerns about the proposed changes to the NT’s youth justice system. “This is a callous, racist legislative crackdown in search of a problem,” Amnesty International Australia Indigenous Rights Advocate, Rodney Dillon, said. “Chief Minister Gunner has picked up the Royal Commission report and thrown it in the bin. Let’s be clear: no one wants youth crime. But cracking down on Indigenous kids – because all the kids in the NT justice system are Indigenous – who have complex needs, by throwing them in jail fixes nothing. What it does is condemn young kids to the quicksand of the youth justice system, and it entrenches recidivism, which is what all the politicians say they want to address,” Dillon said.

You can view the Change the Record media release here, the NTCOSS media release here and the Amnesty International Australia media release here.

painting of 7 Aboriginal youth with text 'free our future'

Image source: Change the Record website.

NSW – Sydney – The University of Sydney

Research Assistant (Identified) x 1 FT (Fixed Term) – Sydney

The Centre for Kidney Research are seeking a Research Assistant (Identified) to work on a project alongside a team of researchers and educators. This project aims to develop clinical practice guidelines on the management of chronic kidney disease in Aboriginal and Torres Strait Islander people in the management of kidney stones.

You will join the project at an interesting stage and will be responsible for actively contributing to research activities for the project including, building relationships and engaging with Aboriginal people and communities to ensure that the clinical guidelines are incorporating community needs and promoting awareness of the guidelines to improve the management and prevention of kidney disease.

To view position description and to apply click here. Applications close midnight Monday 5 April 2021.

vector image of kidneys, one sliced showing kidney stones

Image source: Kettering Health Network.

Purple Day

Purple Day (Friday 26 March 2021) is a global initiative dedicated to raising epilepsy awareness. Purple Day was founded in 2008, by nine-year-old Cassidy Megan of Nova Scotia, Canada. Motivated by her own struggles with epilepsy, Cassidy started Purple Day to get people talking about the condition and to let those impacted by seizures know that they are not alone. She named the day, Purple Day after the internationally recognised colour for epilepsy, lavender.

Purple Day has grown into a well-known and supported national awareness day with thousands of people across Australia gathering within their community, education and corporate sectors to raise much needed awareness and funds for those affected by epilepsy. You can access epilepsy information for Indigenous communities here.World epilepsy day. Purple ribbon on bright dark violet background. Epilepsy solidarity symbol. Vector illustration

NACCHO Aboriginal Health News: second phase of COVID-19 vaccine rollout starts

feature tile text 'Second phase of COVID-19 vaccine rollout starts with 33 ACCHOs first to administer the jab', image of COVID-19 vaccine vial & syringe destroying a virus cell - image from The Conversation

Second phase of COVID-19 vaccine rollout starts

While Liverpool became a COVID-19 hotspot during the pandemic, not one case was recorded at the Gandangara clinic. Medical adviser to NACCHO, Jason Agostino, said Indigenous leadership was critical in this achievement. “All the ACCHOs across the country have just been really incredible in getting messages out to their communities about how to stay safe in the initial part of the pandemic and in those spots where there have been outbreaks, places in Melbourne, in Brisbane, have just been exceptional in supporting their communities and keeping them safe,” he said. “So it’s been a whole bunch of things all put together but at the heart of it is leadership by Aboriginal and Torres Strait Islander people.”

The second phase of the nation’s COVID-19 vaccine roll-out started today with 33 ACCHOs being the first to administer the jab, including the Gandangara Local Aboriginal Land Council’s health service in Liverpool, in Sydney’s south-west.

But questions remain within the community about the vaccine. “A lot of them are saying yes, a lot of them are just not sure,” said Dunghutti elder and Gandangara Local Aboriginal Land Council board member Aunty Gail Smith. Aunty Gail, who’s worked in the health industry for almost 40 years, said despite the community’s low case numbers the pandemic had had a huge impact. “It was a big strain because they couldn’t go out or meet their families, a lot of us come from country areas we couldn’t go there as well,” she said.  “I think it’s been tough across the board for everybody… but now we’re slowly getting back to it. I encourage everyone if they could, it’s up to them, [but] if its gonna help our community and our people, why not, because we’re survivors and we want to survive for our next generations as well.”

To view the ABC news article in full click here.

Dunghutti Elder & Gandangara Local ALC board member Aunty Gail Smith

Dunghutti Elder and Gandangara Local Aboriginal Land Council board member Aunty Gail Smith. Image source: ABC News website.

Kimberley Aboriginal Health Research Alliance launched

Kimberley-based Aboriginal community-controlled and government health services, research institutes and universities have united to form the Kimberley Aboriginal Health Research Alliance (KAHRA) with the objective of improving and promoting the health and wellbeing of Aboriginal people in the Kimberley through the development and application of practical health research. This collaboration combines the power of research to drive evidence-based change, the commitment of regional health services, and the vast cultural knowledge and strength of communities.

The development of collaborative projects utilising the strengths of the Alliance will seek to drive change to health outcomes, policy and services within the Kimberley and ultimately improve health outcomes of Kimberley Aboriginal community members. KAHRA has already seen unprecedented collaboration across health services in the region, with a collective voice advocating for better use of data to inform health service delivery in the region. Work has begun on a project to enable health services and researchers to see the full picture of disease burden in the region.

To view the KAHRA media release click here.banner text 'KAHRA - Kimberley Aboriginal Health Research' yellow black & red dots

Vicki O'Donnell - KAMS CEO speaking at the launch of KAHRA

KAMS CEO Vicki O’Donnell speaking at the launch of KAHRA.

Rhetoric and action gap needs to close

As communities across Australia mark National Close the Gap Day, leaders of the Uniting Aboriginal and Islander Christian Congress (UAICC), the Uniting Church and UnitingCare Australia have come together to call for enduring reforms to support self-determination and tangible outcomes for First Peoples. According to  Pastor Mark Kickett, UAICC Interim Chair, “after 13 years of Closing the Gap, it is time to turn rhetoric into real action that genuinely empowers First Peoples and delivers lasting benefits.

Pastor Kickett continued, “the new National Agreement on Closing the Gap has the potential to be a gamechanger. But we are yet to see the structural change and funding commitments needed to achieve real reform, and pressure needs to be kept on governments to maintain their commitments and to apply the principles of reform that they signed off in 2020. Real change requires more than words and minor policy tinkering. It requires closing the gap between rhetoric and action. And it requires enduring structural and constitutional reform to empower First Peoples to take leadership in their affairs, in true partnership with government. The response of our communities to COVID-19 demonstrated the benefits of community-led action and the enduring resilience, creativity, and decisiveness of First Peoples leaders and governance.”

Uniting Church in Australia President Dr Deidre Palmer said the Uniting Church lamented with First Peoples the ongoing health inequality, lack of self-determination, experiences of racism, high incarceration rates and the tragic prevalence of preventable deaths in custody. Dr Palmer said investing in solutions led by First Peoples was key to Closing the Gap.

To view the joint media release here.

4 Mutitjulu elders at Uluru, all with checked shirts & Akubra hats, one in a wheelchair

Mutitjulu elders at Uluru. Photo by Jimmy Widders Hunt. Image source: BBC News.

Aged care fails remote communities 

For the last five years, Mary Dadbalag, aged in her 90s and confined to a wheelchair, has been living in a tent on a verandah in the NT remote community of Jibena. For the last three years, her granddaughter Jacqueline Phillips has been knocking on every government service provider’s door she can think of asking for help to get her grandmother a bedroom built with a toilet attached. She said her grandmother is living in the tent at the edge of what she described as a “chicken house” because she can’t get to the nearest toilet 20 metres away over grass in her wheelchair, but she can shuffle to the edge of the verandah.

“It’s upsetting, not healthy and not hygienic. Like, her tent is just right next to where she does her toilets. She’s a great, great, great-grandmother, one of the last elders of our region and she’s just not being respected.” Ms Phillips is worried her grandmother may continue to fall through the cracks. “There needs to be better aged care services, especially for the people on the homelands,” she said. “We really need the federal government to listen to the very remote communities and provide that service, it’s human rights.”

To view the full article click here.

Elder Mary Dadbalag sleeping on ground outside tent on the veranda of a makeshift home

Mary Dadbalag has been living in a tent on the veranda of a makeshift home. Image source: ABC News.

High youth detention FASD rates acknowledged

Danila Dilba Health Service has welcomed the release of the Senate’s report on effective approaches to prevention, diagnosis, and support for Fetal Alcohol Spectrum Disorder (FASD) (17 March 2021). Danila Dilba provides comprehensive primary health services within the Darwin/Palmerston region, including to many children and families impacted by FASD or other neurodevelopmental impairments. The release of the Senate’s report the day before National Close The Gap Day provides a timely reminder of the tangible ways the government can fulfil its commitment to address the health gap between First Nations and non-Indigenous Australians.

The report highlights the need to incorporate FASD prevention, assessment, and management into a comprehensive primary health care model. In particular, the Senate Committee recognises the importance of Aboriginal Community Controlled Health Organisations (ACCHOs) like Danila Dilba in delivering culturally appropriate, holistic care to families affected by FASD.

Danila Dilba’s Head of Clinical Governance, Dr Andrew Webster, gave evidence to the inquiry about the lack of culturally appropriate assessment, therapeutic interventions, and support for children with FASD and their families, “ACCHOs can provide a ‘one-stop shop’ within a trusted service rather than families having to go through the process of diagnosis and therapy with multiple providers. Sadly, due to the barriers to assessment, many children suffering from FASD or other impairments do not get a diagnosis, and so are unable to receive the supports that they need. It is these children that we then unfortunately see coming to the attention of the child protection and justice systems.”

To view Danila Dilba’s media release in full click here.

Aboriginal youth at skate park with hands over his face & policeman in the background

Image source: The Conversation.

International Day for the Elimination of Racial Discrimination

Yesterday the ACT Council of Social Service (ACTCOSS) celebrated the International Day for the Elimination of Racial Discrimination and called upon Canberrans to reflect on their personal responsibility in combatting racism. “This year’s theme is ‘Youth standing up against Racism’, and it is an opportunity to reflect on the power that young people have in shifting narratives and creating change, both online and in person,” said ACTCOSS CEO Dr Emma Campbell. “Over the past year, the Black Lives Matter movement has brought racism to the forefront of global conversation. In Australia it drew attention to the overrepresentation of Aboriginal and Torres Strait Islander peoples in our justice system, and reignited conversations about racism and implicit bias more broadly.”

To view the ACTCOSS media release in full click here.banner text 'Internationald Day for the Elimination of Racial Discrimination March 21' vector image of handprint finger colours yellow, red, blue, aqua, black & brown palm with white heart

Diabetes management in Aboriginal communities webinar

The first webcast session of a four-part series of interprofessional webinars focusing on Diabetes management in an Aboriginal community will be held from 12:30–1:30 PM this Thursday 25 March 2021.

The webcast, Prevention and Control of Type-2 Diabetes in Aboriginal Communities: Changing Dietary, Activity and Lifestyle Patterns will explore evidence-based approaches and practical strategies for nutrition, exercise, lifestyle and behaviour changes to support the prevention and management of diabetes in Aboriginal people. Barriers and solutions to improving engagement with Aboriginal communities will also be discussed.

Diabetes is a complex condition that can impact people in different ways. It has a significant impact on Aboriginal and Torres Strait Islander peoples. This webcast provides an overview of the prevalence of diabetes in the Aboriginal population, discusses risk factors for early diabetes detection and focuses on the key lifestyle behaviours for the prevention and management of diabetes. Key nutritional considerations relating to the use of whole foods, fibre, carbohydrates and how to shop on a budget will be discussed. Further to this, stress management, importance of sleep, exercise, flexibility and ways to reduce sedentary behaviour will be covered. The presenters will also discuss their local Aboriginal community group programs, including culturally safe practices.

For more information you can download an event flyer here and register here.

Aboriginal person's hands - diabetes blood test

Image source: The Medical Journal of Australia.

NACCHO Aboriginal Health News: 107 ACCHOs have signed up to deliver COVID-19 vaccines – Pat Turner

107 ACCHOs have signed up to deliver COVID-19 vaccines: Pat Turner on ABC The Drum

Pat Turner AM, CEO NACCHO and Lead Convenor of the Coalition of Peaks was on the panel of speakers for the ABC The Drum last evening and spoke on a couple of topics including the First Nation’s success with COVID-19 and the vaccines rollout, COVID-19’s northern exposure to PNG outbreak, the Federal Government launching a multimillion-dollar advertising campaign in Canberra today encouraging people to move to regional Australia and the Closing the Gap update amongst others.

COVID-19 vaccine rollout

Pat said, “Experience from other First Nations in US and Canada shows high vaccine uptake occurs when the rollout is led by First Nations peoples and there is community control. Due to our success in controlling the outbreak we’re in a position which allows our services to have a flexible approach to the vaccine rollout.

“Just as Aboriginal and Torres Strait Islander communities were on the front foot with controlling COVID-19, we are on the front foot with the vaccine. We have advocated to ensure our communities are among the first to be offered the vaccine. We know the devastation COVID-19 can cause due to the high number of people with chronic conditions like diabetes and the potential rapid spread in crowded housing.

“We have 107 ACCHOs who will participate in the COVID-19 vaccine rollout from 1b in late March. This includes many rural and remote ACCHOs, ensuring all Aboriginal and Torres Strait Islander peoples have access to the vaccine if they choose to, regardless of location.

“We need flexibility in the way the vaccine is delivered in communities, especially in remote and very remote setting. NACCHO has been working with the Australian Government to ensure that, where appropriate, this flexibility exists. While the focus remains on those at highest risk – people over 55 or with chronic medical conditions – ACCHOs can also vaccinate family members and household members of those at high risk. A remote vaccine working group is considering a whole of community strategy – including all non-Indigenous and Aboriginal and Torres Strait Islander adults in the community.

“ACCHOs are highly experienced at vaccine roll-out. Five year old Aboriginal and Torres Strait Islander children have the highest coverage of vaccine uptake in the country and in 2020, almost 80% of people over 65 had the Fluvax.

“We have ensured there is targeted monitoring of safety of the vaccine among Aboriginal and Torres Strait Islander people through the AusVaxSafety program.

“The Australian Government has announced over $14 million in funding to support the roll-out of the vaccine in ACCHO. However, services are yet to receive this funding.

“We know that the best information comes from locally developed communication materials from the ACCHO sector. This was key to the success of the COVID-19 response.

“The communication materials developed by the Government are a good source of factual and up to date information, but we need to support our services to adapt these to local communities needs.

“NACCHO has worked closely with the Government, including the TGA (Therapeutic Goods Administration) to ensure that restrictions on medicine advertising do not stop our sector from doing what they do best – developing and distributing effective health promotion and engagement campaigns for their communities.”

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination.

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination. Photo: Erin Parke. Image source: ABC News website.

National Close the Gap Day 2021

“It will be two years since the historic Partnership Agreement on Closing the Gap came into effect and we are seeing a radical change across the country.

“The new formal partnership agreements between governments and Aboriginal and Torres Strait Islander community-controlled representatives are being strengthened or set up in every state and territory to share decision making on Closing the Gap.

“The Priority Reforms in the National Agreement need to be embedded into the way governments work – in their policy development, program and funding guidelines and decision making. Our purpose together is to share decisions on how to improve the life outcomes of Aboriginal and Torres Strait Islander people.”

To watch the full episode of ABC The Drum click here.

General Practices join the Phase 1B COVID-19 vaccine rollout

More than 1,000 general practices will join the COVID-19 vaccination program from next week further strengthening the Commonwealths capacity, and ensuring an efficient and equitable distribution of vaccines across the country.

Services will come online from 22 March and progressively increase in number to more than 4,000 by the end of April – as part of Phase 1B of Australia’s COVID-19 vaccine program.
This staged scale up will align with the supply of the locally produced AstraZeneca vaccine, and as more vaccine becomes available more services will come online.

Over 100 Aboriginal Health Services and 130 Commonwealth operated GP-led Respiratory Clinics, who have been instrumental partners in the COVID-19 response to date will also be progressively added as additional vaccine providers.

This rollout for Phase 1B complements the significant vaccination program underway to protect our most vulnerable citizens in Phase 1A, with approximately 200,000 vaccinated by the end of Tuesday.

Australians eligible for Phase 1B will be able to find a vaccination provider through the new national vaccination information and location service, at the Department of Health website.

This will enable people to locate their nearest general practice providing General Practice Respiratory Clinic vaccinations and link through to their online booking system or phone number to make the appointment.

To read the full media release by the Hon Greg Hunt MP Minister for Health and Aged Care click here.

ATAGI statement in response to European decisions about the Astra Zeneca vaccine

Australia’s regulatory body for vaccines Australian Technical Advisory Group on Immunisation (ATAGI) issued a statement to not suspend Astra Zeneca vaccine yesterday.

The benefits far outweigh any unfounded links.

Read the ATAGI statement here.

gloved hand administering vaccine to upper arm

Image: SBS website.

Could we mix and match different COVID-19 vaccines?

The COVID vaccine rollout is now underway in Australia and around the world. It’s incredible we’ve been able to develop and produce safe and effective vaccines so quickly — but the current crop of vaccines might not protect us forever. Fortunately, researchers are already developing and testing booster shots. So what are booster shots, and when might we need them?

The first time you give someone a dose of vaccine against a particular infection, it’s called a prime. You’re getting your immune response ready to roll.

Each time you give another dose against that same infection, it’s called a boost. You’re building on immunity you already have from the first dose.

To read the full article in the Conversation click here.

Facebook-based social marketing to reduce smoking in Australia’s First Nations communities

Interesting research paper released in the Australian Indigenous HealthBulletin: Facebook-based social marketing to reduce smoking in Australia’s First Nations communities: an analysis of reach, shares, and likes. By Hefler M, Kerrigan V, Grunseit A, Freeman B, Kite J, Thomas DP (2020).

To view the journal articles click here.

Therapeutic Goods adverse events following immunisation

This instrument specifies certain therapeutic goods information relating to adverse events following immunisation that may be released to specified bodies and persons for the purpose of ensuring meaningful and effective participation in meetings on vaccine safety to support the safety, quality and safe use of vaccines in Australia.

To view the information click here.

medical tray of COVID-19 vaccine syringes

Image source: Surf Coast Times.

National Anti-Racism Framework plan launched

Australia’s Race Discrimination Commissioner Chin Tan has launched a plan to establish a National Anti-Racism Framework and has called on the Federal Government to support and implement it. Commissioner Tan released a concept paper detailing key components that need to be included in the Framework and will soon commence a series of roundtables with peak anti-racism organisations to progress the plan.

The plan was launched ahead of the International Day for the Elimination of Racial Discrimination, also known in Australia as Harmony Day, which occurs this Sunday. Commissioner Tan said: “Racism is an economic, social and national security threat to Australia, and we need to treat it as such. Too many Australians are regularly the targets of racism. “It is time we dealt with the scourge of racism in the same way we deal with the scourge of domestic violence, or the scourge of child abuse. On those issues we have longstanding national frameworks, signed onto by all governments with three-year action plans.

To read the media release by the Australian Human Rights Commission and the Concept Paper for a National Anti-Racism Framework click here.

Close the Gap Campaign Report 2021: Policy Brief

Since 2010, the Close the Gap Campaign Steering Committee has developed an annual report on action that needs to be taken to achieve health equality for Aboriginal and Torres Strait Islander peoples.

We often repeat our recommendations, and we remain steadfast and persistent in the expectation that Aboriginal and Torres Strait Islander ways of knowing, being and doing will be respected and understood. The time for governments to deliver has long passed.

The Leadership and Legacy Through Crises: Keeping our Mob safe report presents solutions and showcases the leadership of Aboriginal and Torres Strait Islander peoples, communities, youth and organisations throughout critical health crises in 2020.

The report features strengths-based examples in addressing the most complex of challenges. These include climate change, the COVID-19 pandemic, and the increasing need for social and emotional wellbeing services in Aboriginal and Torres Strait Islander communities as a result of these events, and pre-existing effects of colonisation and inter-generational trauma.

Read the Close the Gap policy brief here.

Effective approaches to prevention, diagnosis and support for Fetal Alcohol Spectrum Disorder

Fetal Alcohol Spectrum Disorder (FASD) is an entirely preventable permanent disability. FASD includes a range of physical and neurological impairments, occurring due to brain damage caused by exposing a fetus to alcohol during pregnancy. As a spectrum disorder, FASD manifests in a range of ways, and conditions can range from very mild to severe.

Senate Community Affairs References Committee report on effective approaches to prevention, diagnosis and support for Fetal Alcohol Spectrum Disorder. Tabled 17 March 2021.

The committee received a wealth of information and evidence throughout the inquiry and thanks all those who participated, especially those with lived experience who had the courage to share their experiences and knowledge with the committee. As a result, the committee has made 32 recommendations, which aim at significantly improving the prevention, diagnosis, and management of FASD.

Effective approaches to prevention and diagnosis of FASD, strategies for optimising life outcomes for people with FASD and supporting carers, and the prevalence and management of FASD, including in vulnerable populations, in the education system, and in the criminal justice system.

To read the full report released by the Senate Community Affairs References Committee, click here.

Aboriginal woman holding pregnant belly with hand on top and hand below

Image source: UNSW Sydney National Drug & Alcohol Research Centre.

Hearing loss and treating middle-ear infections in Aboriginal and Torres Strait Islander children

Identifying hearing loss and treating middle-ear infections in Indigenous children in their first four years would change lives forever, says Australia’s first Indigenous surgeon, Dr Kelvin Kong.

Describing himself as a proud Worimi man, Dr Kong said early intervention – such as checking children’s ears at every opportunity – would contribute to closing the gap in education, employment and health between Aboriginal and Torres Strait Islander people and other Australians.

Read the full article here.

Australia’s first Indigenous surgeon, Dr Kelvin Kong

COVID-19 crisis in PNG amid vaccine rollout concerns in Australia

Australia has announced emergency COVID-19 support for Papua New Guinea (PNG) in response to fears of a “looming catastrophe” that could devastate the nation and its healthcare system and that also threatens communities in the Torres Strait and Far North Queensland.

Amid dire warnings from PNG and Australian health experts, Prime Minister Scott Morrison announced today that Australia would urgently supply 8,000 AstraZeneca COVID-19 vaccines from Australia’s stock to start vaccinating PNG’s essential health workforce.

Torres Strait Regional Council Mayor Philemon Mosby told ABC radio today that it could be “catastrophic” for local communities if the emergency wasn’t handled properly; however, others are hopeful the crisis can be averted, including National Aboriginal Community Controlled Health Organisation (NACCHO) CEO Pat Turner.

“Our people are very much aware in the Torres Strait about the dangers of COVID and they’ll be taking every precaution,” Turner told ABC TV’s The Drum, saying she had “every confidence that Queensland Health will be able to manage this and control the movement of people, with the cooperation of the Torres Strait Island leadership”.

Read the full story released in Croakey here.

safe effective free vaccines Department of Health banner orange tick in white circle, blue background, circles with vector image of different people's heads, text ' safe effective free

Image source: Australian Government Department of Health.

Do you work with or employ Aboriginal and Torres Strait Islander Health Workers or Practitioners?

Diabetes is a significant health issue facing Indigenous Australians.  The delivery of culturally safe health services, including by appropriately skilled Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners, is vital to efforts to reduce the present and future burden of diabetes.

Marathon Health are currently looking at diabetes-specific educational opportunities for Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners.  We want to know where they get the information they need to enable them to provide diabetes care.

Your participation in this brief survey is entirely voluntary and your time is greatly appreciated.  The results will be used to inform current availability of diabetes-related education and to identify opportunities in this area.

Please click the link to the survey to get started here.

 

Community-led action – the key to Close the Gap – AHHA 

The 2021 Close the Gap Campaign report, released today, highlights the importance of strength- based, community-led approaches to improving health outcomes for Aboriginal and Torres Strait Islander peoples.

‘While Aboriginal and Torres Strait Islander peoples continue to show resilience in the face of poorer health outcomes, the effectiveness of strength-based, community-led action could not be clearer,’ says Australian Healthcare and Hospitals Association spokesperson, Dr Chris Bourke.

‘The case studies in this year’s report showcase the leadership of Aboriginal and Torres Strait Islander peoples, communities and organisations throughout some of the biggest challenges of 2020, from bushfires to pandemics.

‘Community Controlled Organisations and Health Services successfully kept Aboriginal and Torres Strait Islander communities safe during the COVID-19 pandemic and the rate of COVID-19 cases in Aboriginal and Torres Strait Islander peoples was six times lower than the rest of the population. These community-led organisations will have a significant role to play in rolling out the COVID vaccine this year.

‘In July 2020, the new National Agreement on Closing the Gap, signed by all Australian governments and the Coalition of Peaks, signified a new way forward with Aboriginal and Torres Strait Islander people in control at the decision-making table for the first time.

‘The recommendations in this year’s report call for structural reform, self-determination and ongoing investment in Aboriginal and Torres Strait Islander community-led initiatives.
‘This year’s report solidifies the importance of the power of Aboriginal and Torres Strait Islander peoples, communities and organisations, to deliver culturally safe care and localised solutions,’ says Dr Bourke.

AHHA is a member of the Close the Gap campaign, an Indigenous-led movement calling for action on health equity for Aboriginal and Torres Strait Islander people.
The Close the Gap Campaign report is available online.

Aboriginal painting by Adam Hill white hand reaching down to middle of page with words Close the Gap and black hand reaching up to the words

Close the Gap campaign poster by Adam Hill. Image source: ResearchGate.

First Nations women left behind in cervical cancer elimination

Australia is tracking to become one of the first countries to eliminate cervical cancer, but Aboriginal and Torres Strait Islander women will miss out unless we act urgently to change this, according to a new study from The Australian National University (ANU) and Cancer Council New South Wales (CCNSW). Lead researchers, Associate Professor Lisa Whop (ANU) and Dr Megan Smith (CCNSW) and colleagues are calling for inequities to be addressed.

HPV (human papillomavirus) is a common sexually transmitted infection and is responsible for almost all cases of cervical cancer and 90 per cent of anal cancers and genital warts. To reach elimination, the World Health Organization (WHO) has released a strategy with three targets to be met by every country by 2030.

Read the full media release by Australian National University here.

vector image of microscope over female reproductive organs

Image source: MedPage Today website.

Closing the Gap vital to ensure health equity – AMA

The disparities between the health status of Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians continue to fall by the wayside and closing the gap is vital to
ensure health equity in this country, AMA President Dr Omar Khorshid said today.

On National Close the Gap Day, the AMA encourages all Australians to take meaningful action in support of achieving health equity for Aboriginal and Torres Strait Islander peoples
by 2032.

The AMA has actively called on the Government to address health inequities experienced by Aboriginal and Torres Strait Islander people, that stem from the social and cultural
determinants of health.

“Closing the life expectancy gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous people is everyone’s business: it is a national issue in which every individual,
organisation and group in Australia can play a role,” Dr Khorshid said.

“Every person’s health is shaped by the social, economic, cultural, and environmental conditions in which they live.

“Addressing the social and cultural determinants of health is vital if we want to see vast improvements in the health and well-being of Aboriginal and Torres Strait Islander people.
“This is a national priority.

Read the AMA media release here.

Images: mivision The Opthalmic Journal website and AMA President Dr Omar Khorshid.

NACCHO Aboriginal Health News: First Nations COVID-19 vaccine implementation plan released

feature tile text 'Australian Government releasesCOVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander People', photo of purple gloved hands injecting person's arm

First Nations COVID-19 vaccine implementation plan released

The Australian Government has released its COVID-19 Vaccination Program – Aboriginal and Torres Strait Islander Peoples Implementation Plan. This Implementation Plan is for the COVID-19 vaccination program for all Aboriginal and Torres Strait Islander peoples over 18 years of age. This plan has been developed in consultation with the Aboriginal and Torres Strait Islander health sector, and with state and territory governments.

To view the plan click here.cover of Australian Government Department of Health COVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander Peoples

Sydney hospital goes from worst to best

It’s one of the busiest and most esteemed emergency rooms in the country, but for decades some of the most vulnerable have slipped through the cracks. Located in the heart of Sydney’s nightlife district, St Vincent’s Hospital has saved thousands of lives — but it was considered the worst in the state when it came to caring for certain patients. “A high number of Aboriginal people were coming in through our emergency department and were leaving us, not completing their treatment,” said Pauline Deweerd, director of Aboriginal health at the hospital.

Some months, as many as one in three patients left the hospital before receiving the vital care they needed. “It was because of past bad experiences, they didn’t like waiting, and they didn’t like the way we treated them,” Ms Deweerd said. It was a persistent, hard to address problem, even for a hospital that has a reputation for providing top-notch emergency medicine.

But in the middle of a global pandemic the hospital found a solution, and doctors are certain the rest of the country can learn from it. “It’s our attempt at closing the gap for our small part of the health world; we not only brought it to the level of the general population, we made it a little better,” Dr Preisz said.

To view the full ABC News article click here.

Aboriginal Health Manager Scott Daley in scrubs sitting on patient bed at St Vincent's Hospital

Aboriginal Health Manager Scott Daley, St Vincent’s Hospital, Sydney. Photo: Brendan Esposito. Image source: ABC News website.

Former PM urges women to get COVID-19 vaccine

Julia Gillard has had her coronavirus jab, urging everyone – and particularly women – to get vaccinated. The former PM joined Health Minister Greg Hunt and Department of Health secretary Brendan Murphy to be among the first to receive the AstraZeneca COVID-19 vaccination at a Melbourne clinic on Sunday 7 March 2021. “Me being here today is a visible representation that no matter what side of politics you barrack for, no matter whom you intend to vote for, there is a united message,” Ms Gillard told reporters. “Please get the vaccine. And particularly to Australian women, can I say, please get the vaccine.

She understands that people might feel a little bit anxious, but recommended they get their information from reliable sources, such as the Australian government or from their local health practitioner. “Whether it’s smallpox, measles, mumps, rubella, whooping cough, influenza, and now COVID-19, vaccinations can save lives and protect lives,” Mr Hunt said.

AstraZeneca and Pfizer doses from overseas are being given to frontline health and hotel quarantine workers, as well as aged and disability care residents and staff, as part of phase 1a. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here and to listen to a Julie Gillard urging Australians to get the COVID-19 vaccine click here.

portrait photo of ex-PM Julia Gillard

Former Australian Prime Minister Julia Gillard. Image source: SBS News website.

Umoona Tjutagku frontline staff receive COVID-19 vaccine

“South Australia’s economic and health response to the COVID-19 threat has been world-leading, and we are focused on working with our health experts to deliver a safe and quick roll out of the vaccines,” SA Premier Marshall said. “This is the biggest peacetime operation in our state’s history, and a big plank in our plan to keep South Australia safe and strong. “The roll out is happening right across the State, with our three key hubs in the north, south and centre of Adelaide all operational, and our regional hubs also progressing .”

Minister Wade said the rollout continues to expand into regional areas with 240 doses of the vaccine arriving at Coober Pedy Hospital today.

“Frontline staff of the Coober Pedy Health Service, Umoona Tjutagku Aboriginal Health Service and Umoona Aged Care as well as aged care residents will receive their COVID-19 vaccine over the next four days.  It is an excellent example of cooperation across all sectors of Health and Aged Care in the Eyre and Far North Local Health Network, SA Minister for Health and Wellbeing Stephen Wade said.

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

two Aboriginal health workers at Umoona Tjutagku Health Service AC checking medicine box

Image source: Umoona Tjutagku Health Service Aboriginal Corporation website.

Over 55s in next phase of COVID-19 vaccine rollout

More GPs and health clinics will be involved in the vaccine rollout every week from March 22, as the mass COVID-19 vaccination program enters its next phase. Federal Health Department secretary Brendan Murphy says phase 1b of the vaccine rollout will include adults based on their vulnerability to getting COVID-19. “[It] will involve the over 80s who are most at risk as a general group, then the over 70s, and those who are immunocompromised. We will have our Indigenous Australians over 55 as well as frontline emergency service and defence workers.”

The staged commencement of general practices will be complemented by GP-led respiratory clinics and Aboriginal community controlled health services. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here.

Aboriginal woman and man both 50+ years

Image source: AbSec – NSW Child, Family and Community Peak Aboriginal Corporation website.

Professor Langton talks about the COVID-19 vaccine 

Professor Marcia Langton AO has warned of the ongoing dangers of COVID-19, the effectiveness of available vaccines and the importance of getting vaccinated as soon as possible.

You can view the short video and transcript here.

snapshot of Professor Marica Langton AO The Uni of Melbourne video for DoH on COVID-19 importance, standing in park with trees in background

Professor Marcia Langton AO, The University of Melbourne.

Pain treatment and opioid use – have your say!

NACCHO is working on a project to create some support materials for pain management and the use of opioid medicines, including for Aboriginal and Torres Strait Islander people and is looking for Aboriginal and Torres Strait Islander people consumers and health professionals to take part in group discussion to understand the important issues so that the materials made can be useful.

If you are a health consumer and experience pain and use opioids or are interested in pain management as a practitioner in your ACCHO we invite you to contribute to this project. NACCHO will provide financial compensation for your participation.

To apply or learn more please contact Fran Vaughan at NACCHO medicines@naccho.org.au.

bottles of tablets & blister packs

Image source: NPS Medicinewise website.

System must be held accountable for deaths in custody

Responding to news that two Indigenous people died in custody in NSW in the past week, Amnesty International Australia Indigenous Rights Lead Nolan Hunter said: “We’re coming up to the 30 year anniversary of the Royal Commission into Aboriginal Deaths In Custody (RCIADIC) and it feels as though very little has changed. For example, recommendation 165 called for the screening and removal of hanging points that could be used for self-harm; now nearly 30 years later, we hear of an Indigenous woman who used such a hanging point to tragically take her own life. Here we have two tragic deaths in custody and the Corrective Services Commissioner Peter Severin claims the system can be accountable, while not making these tragedies public.”

To view Amnesty International’s media quote in full click here. and a related article in The Sydney Morning Herald here.

crosses in row on grass with Aboriginal flag painted on them & words Black Deaths In Custody Cross For Loss

Image source: ABC News website.

World Kidney Day

Kidney disease is a non-communicable disease (NCD) and currently affects around 850 million people worldwide. One in ten adults has chronic kidney disease (CKD). Being diagnosed with kidney disease can be a huge challenge, both for the patient and those people around them. Its diagnosis and management, particularly in advanced stages of kidney disease, impacts severely upon their lives by reducing their, and that of family and friends, ability to participate in everyday activities like work, travel and socialising whilst causing numerous problematic side effects  – e.g. fatigue, pain, depression, cognitive impairment, gastrointestinal problems and sleep problems.

This year World Kidney Day continues to raise awareness of the increasing burden of kidney diseases worldwide and to strive for kidney health for everyone, everywhere. Specifically, the World Kidney Day Steering Committee has declared 2021 the year of “Living Well with Kidney Disease”. This has been done in order to both increase education and awareness about effective symptom management and patient empowerment, with the ultimate goal of encouraging life participation.

When compared to non-Indigenous Australians, Indigenous Australians

  • Are more than twice as likely to live with biomedical markers of chronic kidney disease – representing 1 in 5 Indigenous Australian adults
  • Experience an increased prevalence of significant medical co-morbidities
  • Have a median onset of ESKD around 30 years younger
  • Are almost 4 times as likely to die with CKD as a cause of death
  • Have incidence rates of renal replacement therapy (RRT) 8 – 9 times greater
  • Are less likely to receive dialysis in a home setting (either peritoneal or haemodialysis)
  • Are less likely to receive a kidney transplantation
  • Have worse outcomes from transplantation
  • Are more likely to live in very remote or remote areas which is associated with poorer health outcomes
  • Experience a greater psycho-social impact of their disease

For further information on World Kidney Day Thursday 11 March 2021 click here.

Aboriginal painting titled My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara Woman and kidney patient

My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara woman and kidney patient. Image source: World Kidney Day website.

2021 Indigenous Wellbeing Conference

The Australian & New Zealand Mental Health Association (ANZMHA) has announced details of its new conference, the 2021 Indigenous Wellbeing Conference to take place in Cairns from 7–8 October 2021.

Its theme will be “Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap” and will showcase a high calibre of keynote speakers and presenters, covering four vital topics: (1) Promoting Wellness, (2) Social, Emotional & Cultural Determinants, (3) Community Care & Social Recovery and (4) Service Care & Recovery.

With a vision to “shine light on the key challenges in Indigenous communities and address the past and present issues contributing to inequities in mental health treatment and care,” the conference is set to enlighten, educate, and share the hard truths amongst keynote speakers, presenters and attendees.

For more information about the conference and to register click here.

NACCHO Aboriginal Health News: First Nations women to celebrate on IWD 2021

Inspirational First Nations women celebrated on

First Nations women to celebrate on IWD 2021

The theme of International Women’s Day 2021 (Monday 8 March) ‘Choose to Challenge’, highlights the power of challenge in any environment, with an emphasis on calling out gender bias and equality. Celebrating all that is ‘girl power’, fierce females, and women who advocate for their people is what this day is all about. First Nations women are pioneers when it comes to advocating for equality — not just standing up against sexism and misogyny, but racism too.

To celebrate IWD 2021, journalist Jennetta Quinn-Bates made a list of First Nations women who are making waves in their chosen industries and professions, and definitely “Choose to Challenge” in their everyday lives and careers. Jennetta said they’re the ones we look to for inspiration to keep us going. The ones who’s pages we head to when there are important matters involving our communities, knowing they’ll be doing their best to use their voices. They’re the ones who aren’t afraid to speak up for the mob, to be proud, and to continue the journey our ancestors started.

To view the article in full click here.

L-R Senator Lidia Thorpe (Sydney Morning Herald), Fallon Gregory (Junkee), Taylah Gray (Canberra Times), Chloe Nunkeri-Lowana Quayle (Junkee).

L-R Senator Lidia Thorpe (Sydney Morning Herald), Fallon Gregory (Junkee), Taylah Gray (Canberra Times), Chloe Nunkeri-Lowana Quayle (Junkee).

Maningrida Health Centre now in Aboriginal hands

NT Minister for Health, Natasha Fyles, says Manayingkarirra Primary Health Centre in Maningrida has been handed over to Aboriginal control, as part of the Territory Labor Government’s commitment to local decision making. Mala’la Health Service Aboriginal Corporation are now overseeing the delivery of health care services for the community, and surrounding homelands in Central Arnhem Land. Maningrida is one of the Territory’s busiest remote health centres. It carries out 4,000 consultations per month for more than 2,700 residents.

To view the NT Minister for Health’s media release in full click here.

sign outside Manayingkarirra Primary Health Care Centre, Maningrida

Manayingkarirra Primary Health Care Centre, Maningrida. Image source: West Arnhem Regional Council website.

To view a statement from Charlie Gunabarra, Chairperson of Mala’la Health Service Aboriginal Corporation regarding the importance of this transition to the Maningrida community click here.

Charlie Gunabarra Chairperson Mala'la Health Service Aboriginal Corporation

Charlie Gunabarra, Chairperson Mala’la Health Service Aboriginal Corporation. Image source: West Arnhem Regional Council website.

Vaccine rollout to support Aboriginal & Torres Strait Islander peoples

The Australian Technical Advisory Group on Immunisation (ATAGI) have said that as Aboriginal and Torres Strait Islander peoples have an increased risk of acquiring and developing serious outcomes from communicable diseases due to multiple factors it is critical that the COVID-19 vaccine program is designed and delivered in a manner which is accessible, inclusive and culturally safe. This includes ensuring communications are developed and targeted for Aboriginal and Torres Strait Islander communities and that information and services are delivered in appropriate languages and formats and within appropriate facilities and locations.

A comprehensive vaccine implementation plan (the Plan) has been developed in consultation with the Aboriginal and Torres Strait Islander health sector through the Aboriginal and Torres Strait Islander Advisory Group on COVID-19, and with state and territory governments. This Plan has been built on principles aligned with the Management Plan for Aboriginal and Torres Strait Islander Populations, including shared decision-making between Governments and Aboriginal and Torres Strait Islander peoples; community control and cultural safety across the whole-of-population system.

To view the Minister for Health and Aged Care, Greg Hunt’s media release click here.

arm being vaccinated with glove hands

Image source: UNSW Sydney Newsroom website.

Indigenous groups want bigger role in aged care

The final report from the Aged Care Royal Commission found one major area of concern is the plight of elderly Aboriginal and Torres Strait Islander people. Indigenous-run service providers say they’re hopeful the government will act on a key recommendation from the report, to give them a more prominent role in running aged care for First Nations people.

You can listen to the segment on the ABC The World Today featuring Features Jody Currie from The Aboriginal and Torres Strait Islander Community Health Service Brisbane and Jayne Lawrence from Charles Sturt University here.

health care professional laughing with elderly Aboriginal woman, standing, hands held raised

Image source: Industry Skills Advisory Council NT website.

Doctors combat vaccine hesitancy in Aboriginal communities

Indigenous Australians are extremely vulnerable to COVID-19 and doctors fear vaccine hesitancy could increase the risks. There are more than 14,000 kms between Mparntwe (Alice Springs) and the Navajo Nation in the United States desert, but the regions have much more in common than red sand. Indigenous peoples in North America share many cultural and family values with the First Peoples of Australia and suffer similarly poor health outcomes from colonisation, a connection that has brought the two groups together for generations.

Now, one of the places in the US hit hardest by COVID-19 is playing an important role in helping combat vaccine hesitancy amongst First Nations folks in remote Australia. “The [Northern Territory has] had no direct experience of the devastation this virus causes. We’ve only had images from elsewhere,” said Dr John Boffa, chief medical officer at the Central Australian Aboriginal Congress. Indigenous Australians are extremely vulnerable to COVID-19 due to the prevalence of underlying health issues such as diabetes, rheumatic heart disease and kidney disease ― a burden they’ve been forced to bear since colonisation. Crowded living conditions can also increase risks.

This time last year Indigenous people over 50 were advised to stay home “to the maximum extent practical” and rural communities were locked down completely. At the start of the pandemic, many Aboriginal Community Controlled Health Organisations (ACCHOs) didn’t have enough PPE and there were fears a COVID-19 outbreak would rob Aboriginal and Torres Strait Islander people not only of their lives, but of their elders, language and cultural practices too. The biggest challenge ahead, according to Boffa, is convincing First Nations people it’s safe and still important to get inoculated. His team is planning a Zoom call with Navajo leaders so that local elders and community members can hear about the Americans’ experience with the jab.

To view the article in full click here.

silhouette of Aboriginal woman walking towards Uluru as sun is setting

Image source: Huffpost website.

Suicide prevention inquiry invites submissions

The House of Representatives Select Committee on Mental Health and Suicide Prevention recently launched an inquiry. The committee will examine the findings of the Productivity Commission Inquiry Report into Mental Health, the Report of the National Suicide Prevention Officer, the Victorian Royal Commission, the National Mental Health Workforce Strategy and other recent strategic reviews of the current mental health system, taking into account the 2019 bushfires and COVID-19 pandemic and the capacity of the mental health workforce to respond to such events. The Committee will also consider other matters not addressed by these recent reviews.

The Committee would welcome your organisation’s views and invites you to make a submission addressing any or all of the Terms of Reference.

Further information about the inquiry is available here. For detailed information on preparing a submission, including information about parliamentary privilege and requests for confidentiality, click here.

Submissions should be submitted to the Committee by 24 March.

face covered with hands, black background, low light

Image source: UNSW Sydney Newsroom website.

NT Generational Change Impact Report released

Minister for Youth and Children, Lauren Moss, said the Generational Change Impact Report released today marks the halfway point of the NT Government’s multi-targeted reform program. Keeping Territory children and families safe, thriving and connected are the cornerstones of the Report, with data indicating that we are heading in the right direction. Highlights include decreases in the rate of children in care and child protection notifications, including: A 39% decrease in the rate of Aboriginal children substantiated for child abuse and neglect – going from 63.5 per 1,000 children substantiated in the NT in 2016–17 to 38.6 per 1,000 children in 2018–19. The proportion of Aboriginal children in out-of-home care in the NT continues to be well below the Australian rate. In 2018–19, 36.6 per 1,000 Aboriginal children in the NT were in out of home care compared to 54.2 per 1,000 Aboriginal children Australia wide.

To view the Minister Moss’ media release click here.

torso of Aboriginal youth sitting on pavement leaning against a wall

Image source: Katherine Times.

Health literacy and equity research findings

Croakey have published a special edition with the title ‘Equity and health literacy: Using emerging evidence to inform the development of the National Preventive Health Strategy’. The authors note that ‘health literacy’ has multiple definitions that encompass individual, population and environmental health literacy – with the underlying tenet being that it is critical for health and health equity, and is a social determinant of health.

The literature on equity and health literacy is relatively diffuse, often lost across multiple sectors and with limited systematic research that provides clear, actionable processes by which health literacy can drive health equity forward, they say. Hence, emerging evidence is often inaccessible to policymakers and poorly utilised by health practitioners in clinical settings. This special edition aims to address “the knowledge deficit around equity and health literacy”.

This special edition resulted from a partnership between the journal and the NT Primary Health Network, and five guest editors. It led to an “overwhelming” response and 21 papers accepted for publication. “To our knowledge, this special issue is the largest collection of articles dedicated to the topic of equity and health literacy, ever published in an Australasian peer‐reviewed academic journal,” the authors say. “We encourage Minister for Health, Expert Steering Committee, senior bureaucrats and policy staff to actively engage with the content of this special issue and purposively embed key findings into the National Preventive Health Strategy.”

To view Croakey’s special edition click here.

wooden platter of tomatoes

Image source: Croakey.

Fear for pets – barrier to leaving family violence

A woman’s decision to leave a violent and abusive relationship is a complex process. She first needs to consider the risks to her and her children. Paradoxically, taking that step towards safety is also the time of greatest danger of homicide, sexual assault and increased violence. Pets and service animals are also a part of the lives of many families. This means they are an important part of the decision-making process when women consider leaving a violent situation.

The pets may be a critical source of therapeutic support, but they may also be at risk of harm and used to exert control over people (“you leave and you won’t see those animals again”). Animals’ central role in family life means many victim-survivors of family violence are reluctant to leave because they fear their pets will be harmed. To combat this, a family violence motion has been presented in the Victorian parliament that seeks to recognise animal abuse as a form of family violence. If all elements were adopted, it would increase the safety of women and children.

To view the full article in The Conversation click here.

kelpie cross dog asleep on a step

Image source: Warlukurlangu Artists of Yuendumu website.

International Women’s Day 2021

Yesterday (8 March 2021) was International Women’s Day 2021. June Oscar AO, Aboriginal and Torres Strait Islander Social Justice Commissioner released a statement saying “Today, my team and I, at the Australian Human Rights Commission, are celebrating the power and potential of all our deadly Aboriginal and Torres Strait Islander women and girls across Australia. This year’s International Women’s Day theme is, ‘Women in Leadership: Achieving an equal future in a Covid-19 world’.”

“This theme makes me think about all our women and girls who carry the determination, knowledge and wisdom from an ancient lineage of matriarchs. Our ancestral mothers—who walked this land for millennia—have always shown remarkable leadership in nurturing and growing our societies into the oldest living civilizations on earth. Throughout this span of time our women and peoples have led through and beyond crisis. We know how to survive and thrive.”

“That legacy and all our women and girls’ diverse strengths, expertise and lived experiences are held within the Wiyi Yani U Thangani (Women’s Voices) Report and Community Guide, which can be accessed here. It is the first report to hear from our women and girls as a collective since 1986. Wiyi Yani U Thangani was brought into being because of your voices. It belongs to you, to all our First Nations women and girls.”

To view June Oscar’s statement in full click here.cover of the AHRC 2020 Yiyi Yani U Thangani Women's Voices Securing our Rights Securing our Future report, puple orange green blue pink Aboriginal dot painting

In another article, University of Queensland academic, Associate Professor Chelsea Watego looked at the absence of Indigenous voices on International Woman’s Day 2021. She said the cancellation of a number of invitations for her sit on panels showed how Indigenous woman is only ever a subset of the category of woman when convenient. To read this article in full click here.

Associate Professor Chelsea Watego standing in front of UQ buildings with grey t-shirt & words 'did you forget whose land you're on?'

University of Queensland academic, Associate Professor Chelsea Watego. Image source: The Sydney Morning Herald.

AHW first in Kimberley to receive COVID-19 vaccine

An Indigenous health worker has become the first resident of northern WA to receive a COVID-19 vaccination as the rollout extends across the state. Nyikina Nyul Nyul woman Emily Hunter has been working on the frontline during the pandemic as a senior nurse at Broome Hospital. After receiving the Pfizer jab, she said she hoped to the be first of many residents in the region to be vaccinated. “I’m quite proud to be the first person in the Kimberley,” she said. “Twelve months ago everyone was terrified about what was going to happen and no one knew anything about COVID-19. I hope others follow suit as well.” To view the ABC News article in full click here.

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination.

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination. Photo: Erin Parke. Image source: ABC News website.

SA – Adelaide – CRANAplus – improving remote health

Registered Psychologist/Senior Psychologist x 1 PT or FT – Adelaide

CRANAplus is the peak professional body for health professionals working in remote and isolated areas across Australia. They exist to ensure the delivery of safe, high quality primary healthcare to remote and isolated areas of Australia. CRANplus is an affordable, grassroots, not-for profit, membership based organisation that has provided nearly 40 years of education, support and professional services for the multi-disciplinary remote health workforce. CRANAplus is a values-based organisation, that genuinely embraces diversity, flexibility, and innovation in everything they do.

CRANAplus has a vacancy for a Registered Psychologist/Senior Psychologist (Mental Health & Wellbeing Service) who will be responsible for the development and delivery of high-quality psychological and wellbeing support services to health professionals and their families, across rural and remote communities in Australia.

To view the position description and to apply click here. Applications close Sunday 28 March 2021.CRANAplus improving remote health logo & image of 4-wheel drive in the outback at dusk

National Day of Women Living with HIV

Today (Tuesday 9 March), the National Network of Women Living with HIV (Femfatales), celebrate the 6th National Day of Women Living with HIV. This year’s theme ‘Taking Control of Our Health’, reminds all women, regardless of our HIV status, to focus on our own health and wellbeing. The day is being hosted by the National Association for People with HIV Australia (NAPWHA), Australia’s peak non-government organisation representing community-based groups of people living with HIV across Australia. To view the NAPWHA Femfatales media release click here.

During the recent and ongoing COVID-19 pandemic, many of us have neglected or postponed our sexual and reproductive health checks. Now is the time to resume our crucially important health tests, such as blood pressure, cholesterol, cervical screening tests, breast checks and sexual health screens including a HIV test, said Ms Katherine Leane, Chair of Femfatales. Information about some of the key issues for women living with HIV can be accessed on the National Association for People with HIV Australia (NAPWHA) website here.

You can view a special HIV is: Just a Part of Me video release featuring Jane Costello (CEO of Positive Life NSW), Natasha Io (Board Member of Positive Life NSW), and Michelle Tobin (Aboriginal woman of the Yorta Yorta Nation who is also a descendant of the Stolen Generation) here.

slide from HIV is: Just a part of me - Michelle Tobin Yorta Yorta woman sitting on a stool talking to the camera

Michelle Tobin, Aboriginal woman of the Yorta Yorta Nation and descendant of the Stolen Generation.

National Day of Women Living with HIV NAPWHA banner - pink background vector image female doctor and patient

Kidney Health Week – 15–21 March

With 1 in 3 Australians adults at risk of kidney disease, this Kidney Health Week, Kidney Health Australia is calling out to all Australians, particularly those living with diabetes and/or hypertension, to get a Kidney Health Check. Last September Kidney Health Australia launched its early detection campaign, #nofilter, featuring Shane and his family. Shane was diagnosed with kidney disease following detection of high blood pressure. The campaign showed the impact dialysis had on his and his family’s life. Tragically, Shane passed away from a heart attack in December 2020, at just 48 years old.

As a tribute to him, his wife Jodie and five daughters will be featuring in the campaign during Kidney Health Week to carry on the fight in Shane’s name and get the message out about early detection. While the campaign does carry a heartbreaking message about Shane’s battle with kidney disease, it also carries a message of hope – that if caught early enough, Progression of kidney disease can be slowed down or even stopped.

For more information about Kidney Health Week 2021, Monday 15 March to Sunday 21 March click here.Kidney Health Australia logo on dark blue poster, with pop out of light blue & text 'you can lose 90% of your kidney function before symptoms appear.' & outside the kidney-shaped light blue pop out the text 'Don't risk life with #nofilter - Kidney disease prevention start at kidney.org.au/kidneyrisktest'

Pilbara Aboriginal Health Alliance launch

The Pilbara Aboriginal Health Alliance (PAHA) is a partnership between the three Aboriginal Community Health Organisations (ACCHOs) based in the Pilbara region of WA, namely, Mawarnkarra Health Service; Wirraka Maya Health Service; and Puntukurnu Aboriginal Medical Service (Member ACCHOs). The priority for PAHA and its Member ACCHOs is to improve the health outcomes for Aboriginal and Torres Strait Islander people, families and communities, in the Pilbara region.

The Member ACCHOs met in June 2019 to discuss the re-establishment of a Pilbara Aboriginal Health representative body. It was agreed that PAHA would be established to advocate for and represent the Members ACCHOs. An interim Coordinator was appointed in February 2020 to undertake the actions required to set up PAHA; coordinate PAHA meetings; and carry out the directions of the PAHA Directors. The greatest concerns to PAHA are the life expectancy of Aboriginal and Torres Strait Islander families in the Pilbara; the chronic diseases impacting families; providing access to holistic health services; the impact of grief and loss on families; and increasing the level of health services and programs available to the Aboriginal and Torres Strait Islander community. The launch of PAHA will take place on Friday 19 Marchflyer for the PAHA launch with address, timing etc

 

NACCHO Aboriginal Health News: World Hearing Day events and resources support Indigenous ear health

World Hearing Day events and resources support Indigenous ear health

March 3, is World Hearing Day and Hearing Australia’s Hearing Assessment Program — Early Ears (HAPEE) program is holding a series of events throughout the week with its spokespeople, singer-songwriter Emma Donovan and Play School presenter and actor Luke Carroll.

The events aim to reach out to communities across the country to raise awareness of the importance of good hearing health for young Aboriginal and Torres Strait Islander Children starting school for the first time. To coincide with this HAPEE is also releasing a range of resources to support parents and carers and provide primary health and early childhood education workers with the tools for local engagement.

A highlight event will be a live webinar from 11am to 12pm on World Hearing Day for Koori maternity service workers, presented in conjunction with the Victorian Aboriginal Community Controlled Health Organisation (VACCHO), and featuring Emma Donovan. Topics to be presented include hearing and speech development in utero and beyond, why it’s important to look after ear/hearing health, the long-term impacts on learning, the main ear issues that impact ear and hearing health, and an overview of some tools that are available to help assess kid’s hearing.

“It’s never too early to get your bub’s hearing checked,” said Emma. “My daughter has had so much help and support for her hearing issues through the HAPEE program. I am proud to be a spokesperson and to help make a difference for other Aboriginal and Torres Strait Islander kids.”

View the full media release by Hearing Australia here.

HAPEE has developed a new community toolkit for organisations, primary health services and early child education workers to provide support, training, and resources to help share key messages and the benefits of the program to parents and carers in the Aboriginal and Torres Strait Islander community. Resources can be downloaded here.

New 2020 Otitis Media Guidelines available

To mark World Hearing Day (3 March 2021)the Centre for Research Excellence in Ear and Hearing Health of Aboriginal and Torres Strait Islander Children have launched the new 2020 Otitis Media Guidelines for Aboriginal and Torres Strait Islander Children (“2020 OM Guidelines”). You can view the OM Guidelines via the website and mobile app, which is free to download via the Apple App Store or Google Play. These guidelines provide interactive, engaging and culturally appropriate best practice up-to-date information on the prevention, diagnosis and management of otitis media.

Aboriginal and Torres Strait Islander children experience some of the highest rates of otitis media (OM) in the world. If left without appropriate care, OM can cause conductive and/or permanent hearing loss and is associated with language delay, speech problems, high vulnerability on entering school, social isolation, poor school attendance, and low education and employment opportunities. Hearing loss and otitis media rates among Aboriginal and Torres Strait Islander children are well above the level considered a ‘public health crisis’ by the World Health Organization (WHO).

The 2020 OM Guidelines mobile app and website have been designed to build on the Guidelines themselves and act as a multimedia tool for primary health care providers, with:

  • a step-by-step guide to assist with diagnosis
  • user-friendly algorithms to assist with clinical decision making based on diagnosis
  • audio recordings in top end Aboriginal languages to assist with communication
  • educational videos for health workers, families and children
  • otitis media otoscopy image gallery and quizz
  • condensed Otitis Media Guidelines with graded evidence and links to publications.

Support for Anti-Racism Framework

In a report published in February, the Senate inquiry on ‘issues facing diaspora communities’ recommended funding the development of a comprehensive national anti-racism framework and to consider resourcing the Race Discrimination Commissioner to reinvigorate the existing National Anti-Racism Strategy.

Race Discrimination Commissioner Chin Tan spoke to Nine newspapers about why funding both pieces of work is important.

To read the article in the Sydney Morning Herald click here.

back of man at football with flag in Aboriginal colours, yellow centre with map of Australia & text ' no room for racism'

Image source: The Guardian.

Improving COVID-19 vaccine rollout engagement with diverse communities

A UNSW Sydney-led research team has made recommendations about how to better engage with Culturally and Linguistically Diverse (CaLD) communities for the COVID-19 vaccine rollout. The researchers, led by Associate Professor Holly Seale of UNSW Medicine & Health, examined the challenges faced in communicating and engaging with people from CaLD communities, as well as strategies that are needed to enhance the rollout of the vaccine program for these communities.

The team conducted stakeholder interviews with key representatives from government and non-government organisations and released a summary of their findings. The research findings are being presented to state and federal committees to help inform the COVID-19 vaccination program going forward.

Read more about their research, published in The Conversation. A two-page summary of the research can be downloaded here.

gloved hands administering vaccine

Image source: ABC News website.

Key takeaways from the aged care royal commission’s report

The Royal Commission into Aged Care Quality and Safety’s final report into aged care has laid out an extensive plan to overhaul Australia’s aged-care system. Among the 148 recommendations, the report calls for a new system underpinned by a rights-based Act, funding based on need, and much stronger regulation and transparency.

Over two years, through more than 10,500 submissions and 600 witnesses, the two commissioners heard extensive evidence of a system in crisis. The top four takeaways from the landmark report include:

1. Australia needs a rights-based aged-care system: In its recommendations, the final report highlights Australia needs a new Aged Care Act to underpin reform. The new Act should set out the rights of older people, including their entitlement to care and support based on their needs and preferences.

2. The system needs stronger governance: Ineffective governance and weak regulation of aged care must end. The final report calls for much stronger governance, regulation of the quality of care, prudential regulation, and an independent mechanism to set prices.

3. We need to improve workforce conditions and capability: The final report makes numerous important recommendations to enhance the capability and work conditions of formal carers. It calls for better wages and a new national registration scheme for all personal care workers, who would be required to have a minimum Certificate III training.

4. A better system will cost more: The final report makes a series of complex recommendations about fees and funding, with the commissioners diverging in view as to the specific arrangements. But essentially, the proposed new funding model would provide universal funding for care services, such as nursing.

Read the full story reported in The Conversation here.

Aboriginal care worker with her arms on the shoulders of an elderly Aboriginal man in a wheelchair.

Image source: UnitingCare Queensland.

Australian Indigenous HealthBulletin releases new publications

The Australian Indigenous HealthBulletin has released a number of new publications:

  • Walking the talk: Evaluating the alignment between Australian governments’ stated principles for working in Aboriginal and Torres Strait Islander health contexts and health evaluation practice: Luke JN, Ferdinand AS, Paradies Y, Chamravi D, Kelaher M (2020). To view the abstract/article click here.
  • ‘Strong Men’: Aboriginal community development of a cardiovascular exercise and health education program: Biles B (2020). Unpublished Doctor of Philosophy thesis, Charles Sturt University: Bathurst, NSW View abstract: ‘Strong Men’: Aboriginal community development of a cardiovascular exercise and health education program. To view the thesis click here.
  • Aboriginal community controlled health organisations address health equity through action on the social determinants of health of Aboriginal and Torres Strait Islander peoples in Australia: Pearson O, Schwartzkopff K, Dawson A, Hagger C, Karagi A, Davy C, Brown A, Braunack-Mayer A (2020). To view the abstract/article click here.
  • Australian Healthcare and Hospitals Association (2020) Better healthcare in hospitals for Aboriginal and Torres Strait Islander people [webinar] Canberra: This webinar focused on better healthcare in hospitals for Aboriginal and Torres Strait Islander people during NAIDOC week. During this webinar, participants heard about the latest research from Australia and North America. To read the article click here.
  • Baseline liver function tests and full blood count indices and their association with progression of chronic kidney disease and renal outcomes in Aboriginal and Torres Strait Islander people: the eGFR follow-up study. To view the study click here.
  • Costing the scale-up of a national primary school-based fluoride varnish program for Aboriginal children using dental assistants in Australia: Skinner J, Dimitropoulos Y, Rambaldini B, Calma T, Raymond K, Ummer-Christian R, Orr N, Gwynne K (2020). To view the abstract/article click here.

Royal Commission into Victoria’s Mental Health System – Final Report 

A range of organisations, including Beyond Blue, Mental Health Australia, Suicide Prevention Australia and The Royal Australian and New Zealand College of Psychiatrists (RANZCP) have welcomed the release of The Royal Commission recognises the strength of people living with mental illness or psychological distress, families, carers and supporters, and members of the workforce who have contributed their personal stories and perspectives to this inquiry.

To view the RANZCP media release click here and to access the final report click here.

Inappropriate medical advertising exploits vulnerable people

Advertising that promotes unrealistic body images or depicts normal human conditions and experiences as pathological conditions requiring medical treatment can exploit vulnerable people and lead to mental ill-health, the AMA said today. Releasing the AMA Position Statement on Advertising and Public Endorsement, AMA President Dr Khorshid said doctors should ensure than any advertising they take part in, including via social media, assists informed patient choice and does not undermine it.

“Inappropriate advertising can lead people to use products or services indiscriminately or unnecessarily, potentially resulting in physical, psychological or financial harm,” Dr Khorshid said. “The AMA is troubled by medical advertising practices that promote unrealistic body images, particularly where these concerns relate to common features of the human lifecycle.”

Read the AMA media release here.

shopping trolley medical products, pills, needles, vials, thermometer etc.

Image source: BenefitsPRO.

COVID-19 vaccine recipients report positive experience

Healthy North Coast is working with residential aged care facilities (RACFs) and general practice clinics to help them plan for and deliver COVID-19 vaccines across the North and Mid North Coast region, as part of the Commonwealth’s national rollout. Almost 30,000 Australians have been vaccinated to date, according to Health Minister Greg Hunt, including 8,110 aged care and disability residents throughout 117 care facilities.

In a media release on Monday, Minister Hunt said that both the state and territory teams alongside the aged care in-reach teams are ramping up their operations, with more vaccines being distributed across the country in the next week. Last week, Healthcare Australia’s clinical workforce, who are contracted to deliver the RACF COVID-19 vaccine rollout, started delivering vaccinations in Northern NSW aged care.

To read the media release by Health North Coast and the Australian Government’s PHN Program click here.

two Aboriginal men in an aged-care facility art room, one in a wheelchair painting

Aboriginal painter Neville Niypula Mcarthur. Image source: ABC News website.

Hear! Hear! Look after your Ears!

As a senior audiologist with the Top End Health Service’s Hearing Services Outreach Program Salimon Joseph spends a lot of time visiting remote communities helping Aboriginal Territorians – and he loves it. “I get to see my patients in their comfort zone,” Mr Joseph said of his trips to communities, where he undertakes hearing assessments for all the children who has been referred to the program.

For Hearing Awareness Week (1-7 March 2021) and World Hearing Day (3 March 2021), Mr Joseph wants to pass on to Territorians everywhere to look after their ears and their hearing. Almost half (49%) of childhood hearing loss is preventable, as is over a third (37%) of adult hearing loss. During his remote trips, Mr Joseph and the outreach team share ear disease prevention tips with parents, including ensuring children get their ears checked regularly; wash their face and hands and blow their nose frequently; have a healthy diet with plenty of fruit and vegetables; keep vaccinations up to date; avoid smoking around kids and ask parents and carers to teach kids not to stick anything in their ears.

You can have a hearing loss if you often ask people to repeat themselves; turn up the volume of the radio or television; have difficulty following conversations in noisy places; have difficulty in understanding what is said over the phone; have a problem in hearing sounds like an alarm or a telephone ringing and are told by people that you speak loudly or experience tinnitus.

To read the media release by the Northern Territory Government click here.

Aboriginal flag illustration with yellow ear in the centre with a white hearing aid

Illustration: Eric Lobbecke. Image source: The Australian.

Specialised aged care needed for Stolen Generations survivors

The Healing Foundation has welcomed the recommendations of the Aged Care Royal Commission Final Report that recognise the specialised aged care needs of Aboriginal and Torres Strait Islander peoples, including urgent trauma-aware and healing-informed services and care.

The final report notes that ‘… trauma-informed approaches are particularly important to the care of [survivors] of the Stolen Generations. By 2023, all Stolen Generations survivors will be aged over 50 years and potentially eligible for aged care services. Their childhood experiences further compromise their ability to seek services and should dictate and inform how such services should be provided’. The recommendation for a new Aged Care Act acknowledges that ‘…Aboriginal and Torres Strait Islander people are entitled to receive support and care that is culturally safe and recognises the importance of their personal connection to community and country’.

To view the Healing Foundation’s media release click here.

Miranda Campbell-Roberts holding a photo of herself when she was six years old

Miranda Campbell-Roberts holding a photo of herself when she was six years old. Picture: Michael Marschall. Image source: The Stolen Generation blog.

QLD/ACT/NT – Brisbane, Canberra or Darwin – Aboriginal Hostels Limited

General Manager x 2 FT – Brisbane, Canberra or Darwin

Aboriginal Hostels Limited (AHL) provides a cost effective national network of safe, comfortable, culturally appropriate and affordable accommodation for Aboriginal and Torres Strait Islander people who need to live away from home to access services and economic opportunity. AHL is seeking to fill the following two Senior Executive Service Band 1 positions:

  • General Manager, Business Development & Employment – to lead innovative business transformation and cultural change
  • General Manager, Operations – to lead the AHL hostel service delivery

Both General Managers will be key members of the AHL Executive team, working closely with and supporting the CEO and the Board of Directors.

To view the GM Business Development & Employment position description click here, and to view the GM Operations position description click here.

Applications for both positions close Tuesday 6 April 2021.Aboriginal Hostels Limited logo, house with black roof, yellow circle that takes up half of the black roof & a third of the red body of the building, red body of the building had a semi-circle cut out for the door

Close the Gap Campaign Report Launch Via Webinar

Webinar/report launch on National Close the Gap Day (18 March 2021).

The invite and registration link will follow soon. Please join in the launch and share across your socials.