24 August 2023

The image in the feature tile is from NACCHO’s Strong Born Campaign.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Funding to address FASD in Central Australia

The federal government has announced that $18.4 million of the $250 million plan for A Better, Safer Future for Central Australia will go towards helping children with neurodevelopment issues. Central Australian Aboriginal Congress chief executive, Donna Ah-Chee said the funding would help identify children with Fetal Alcohol Spectrum Disorder (FASD), ADHA and autism.

“Congress has known for a long time that if we get the start of life right, we can change a child’s entire life story.

“We started this critical work in 2018 and now, with these much-needed additional resources, we can make sure that many more Aboriginal children and young people across central Australia can get the assessment and help they need to get on to a more healthy development pathway,” Ms Ah-Chee said.

The funding will see additional staff recruited for the Child and Youth Assessment and Treatment Services (CYATS) program, including two clinical neuropsychologists, an occupational therapist, speech pathologists, a clinical case co-ordinator and an Aboriginal family support worker.

NT Labor Senator Malarndirri McCarthy said expanding the assessment services will mean hundreds of children will be able to receive a FASD diagnosis and early intervention, “FASD is often referred to as an invisible disability but as far as many families and communities are concerned, it’s a very visible part of life with a profound impact on children and their families.”

Read the full National Indigenous Times article here and see NACCHO’s Strong Born FASD Campaign here.

NACCHO Strong Born Campaign social media tile.

Goondir Health Services and UQ improving oral health

The University of Queensland’s Dental Clinic in Dalby has been operating for a decade. The student-led clinic is a partnership with Goondir Health Services and sees more than 800 rural patients attend each year. Wulli Wulli man, Gavin Saltner said having access to the clinic was important, with cost and travel time a barrier for some Western Downs residents accessing dental treatment.

“It’s made a lot of a difference to me.

“Knowing that I could come along to these clinics and get a check-up… they can fit you in wherever they can,” he said.

The clinic’s treatment room sits within Goondir Health Service’s building, allowing for easy referrals to other services. The ACCHOs executive, Shubham Weling said it provides cross influence between other areas of healthcare and the model of care is and should continue to be replicated across the country.

“We’re opening a clinic in Chinchilla as well and we want to advocate for this model out there,” Mr Weling said.

Read the full ABC News article here.

UQ Dental Clinic. Image source: ABC News.

New GP clinic to South Hedland

South Hedland in Western Australia will once again have a GP clinic with Indigenous-owned provider Marlu Health opening a practice to fill the void left by the closure of Sonic Healthcare. 

The practice will offer a variety of medical services including:

  • GP Services;
  • Occupational health, Pre-Employment Medicals, Fitness for Work and Injury Management Services;
  • Psychology and Mental Health Services through Hedland’s only psychologist Caroline Rodgers;
  • Employee Assistance Programs; and
  • Pathology collection services supported by Australian Clinical Labs, with saliva testing to replace urine testing for drug and alcohol screening.

Director of Medical and Health Services, Dr Lincoln Luk, said Marlu Health had a commitment to traditional owner values and giving back to the community.

“We are looking forward to providing a range of services to the Hedland community, and it was important for us to establish our clinic in South Hedland. We have not previously been a GP provider and were not looking to do so, but we saw the need in Hedland and felt that it was our civic responsibility to help,” Dr Luk said.

You can read the article on the Town of Port Headland website here

Sonic Health Plus.

“We cannot continue to have spaces that are void of Aboriginal and Torres Strait Islander people’s leadership, voices, ideas, and solutions”

Co-chairs of the National Close the Gap Campaign, Karl Briscoe and June Oscar said if we as a nation are committed to Aboriginal and Torres Strait Islander health equity and equality, and to closing the gap, then we must also be committed to “listening to and hearing the leadership and advice that Aboriginal and Torres Strait Islander peoples share with us.”

If successful, the Voice, through constitutional recognition, will allow Aboriginal and Torres Strait Islander elected representatives to make representations to the Executive and to Parliament. Mr Briscoe and Ms Oscar wrote, “key to this structural reform is that it provides Aboriginal and Torres Strait Islander peoples with a constitutionally enshrined voice, a permanent seat at the table, and a genuine opportunity to provide advice on matters that directly affect our lives.”

“We cannot keep doing more of the same. Large-scale structural reform is necessary if we ever hope to close the gap.

“We cannot continue to have spaces that are void of Aboriginal and Torres Strait Islander people’s leadership, voices, ideas, and solutions. To do so will only entrench inequality further,” they said.

Read the full article here.

Image source: Close the Gap Campaign Instagram.

Lessons in heat resilience

When you arrive in Tennant Creek, 1000km south of Darwin, what hits you first is the absence of smells. Usually, the air is permeated with the cooking of kangaroo but now it is barely there.

In the last heatwave, dead kangaroos were found at the bottom of watering holes previously thought to have never dried up. Some locals believed kangaroos could never fall victim to thirst, that they would always find a place to drink. It wasn’t true.

Warumungu Elder Norman Frank Jupurrurla doesn’t need to consult records. He says his experience with the area over his lifetime tells him one thing for certain: it’s getting hotter. The decline of kangaroo populations, and the resulting impact on human food sources, is just one sign.

Dr Simon Quilty, of the National Centre for Epidemiology and Population Health at the Australian National University, is direct when describing the impact climate change is having on the area: “It is an ecological disaster.”

He is the lead author of a new article in The Lancet, analysing heat-mortality rates in the NT. The study, which involved Associate Professor Aparna Lal, of the ANU, and Jupurrurla, also found that despite high rates of chronic illness, socioeconomic and housing inequity, and far less access to air-conditioned spaces, Aboriginal people living in the NT were no more likely to die from the heat than the local non-Indigenous population.

Quilty says this discrepancy appears to be cultural. He says it is “a story of how Aboriginal culture and knowledge of environment has enabled extraordinary resilience to extreme weather”.

You can read the article online in The Saturday Paper here

Expression of interest AMC Member Council

The Australian Medical Council (AMC) is seeking expressions of interest for the position of a Member of Council who is an Aboriginal and/or Torres Strait Islander person with experience in Aboriginal and Torres Strait Islander health issues.

Members need to commit to at least three full days per year to prepare for and attend the General Meeting (May/June) and Annual General Meeting (November). Members have the opportunity to collaborate with Council Members drawn from the medical profession, medical and health standards bodies, medical education and training, health consumers and community members.

To nominate for the position, complete and return the Expression of Interest Form along with your CV by Monday 2 October 2023.

Image source: AMC website.

Sector Jobs

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

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

17 July 2023

teenagers playing AFL in red soil at base of hills in Kaltukatjara; text 'Central Australian Aboriginal Congress assumes operations of Kaltukatjara health care centre'

The image in the feature tile is from an article Central Australian Aboriginal Congress takes over Kaltukatjara Health Centre published in The Chronicle yesterday, Sunday 16 July 2023.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Congress assumes Kaltukatjara health centre operations

Yesterday the NT Chief Minister and Minister for Health Natasha Fyles and Member of Gwoja, Chansey Paech announced Kaltukatjara Health Centre would transition to Aboriginal community control. In a media release they said “the Territory Labor Government knows that health care provided in community is the best type of health care. Central Australian Aboriginal Congress (Congress) has this month assumed operations of the health care centre in Kaltukatjara (Docker River).

Congress already provides care at nearby Mutitjulu, an Aboriginal community adjacent to Uluru, as well as other communities in the region. Earlier this year, Congress assumed operations for the health centres in Imanpa and Yulara. One of the most experienced services in the country in Aboriginal health, Congress is the largest ACCHO in the NT, a national leader in primary health care and a strong advocate for the health of Aboriginal people. The transfer of service delivery of the Kaltukatjara Health Centre joins other remote services provided by Congress in Central Australia including Amoonguna, Ntaria (and Wallace Rockhole), Ltyentye Apurte (Santa Teresa), Utju (Areyonga), Mutitjulu, Imanpa and Yulara. Evidence shows that increasing community involvement in the planning and delivery of local health services brings additional health benefits to local residents.

Ms Fyles said “Local Decision Making is the Territory Labor Government’s commitment to provide opportunities to transfer government service delivery to Aboriginal people. The movement towards increased Aboriginal control of health services in the NT is motivated by two main factors — a commitment to Indigenous rights and international evidence showing better health outcomes when there is community participation in health care delivery. Congress and NT Health have worked in partnership to transition operations to Aboriginal community control in Kaltukatjara in line with community needs and local decision making. NT Health will continue to provide support in the community, including visiting specialist services such as paediatrics and BreastScreen NT.”

You can read the media release Kaltukatjara Health Centre transitions to Aboriginal community control in full click here.

exterior of CAAC building

Photo: Blake Sharp-Wiggins. Image source: ABC News.

Governments still failing public on COVID control

Health sector leaders are calling for governments to take more action to reduce the ongoing impacts of the COVID-19 pandemic, especially for people who are at greater risk of severe outcomes from the virus. Many people are still dying and being hospitalised from COVID in Australia, and many more are being impacted by long COVID. Inequities in the burden of COVID are clearly evident, with some groups disproportionately at risk of dying from the illness.

A recurring theme is the disproportionate impact upon at-risk groups, including the aged, people with disabilities and medical vulnerabilities. This applies not only to their increased risks from infection but also to the wider impacts upon their lives. People with disability or who are immunocompromised “have been left behind and their needs have been rendered fairly invisible in recent times, including their right to access safe spaces where they can be part of society”, Professor Deborah Lupton, from the Centre for Social Research and Health at University of NSW said.

Similar concerns have also raised by Dr Rebecca Ryan and Dr Louisa Walsh, Research Fellows at the Centre for Health Communication and Participation at La Trobe University. “…one group that has been particularly affected [by COVID-19] but remains largely invisible in public health communications are people who are medically vulnerable (including the chronically ill, immunocompromised and elderly).”

To read the Croakey Health Media article How governments are (still) failing the public on COVID control in full click here.

COVID-19 virus cell with text 'COVID-19'

Photo: Marin Sanchez, via unsplash. Image source: Croakey Health Media.

AH&MRC appoints new CEO

Aboriginal Health and Medical Research Council (AH&MRC), NSW’s peak First Nations health body representing the state’s 49 ACCHOs that provide comprehensive, holistic, and culturally safe primary health care to First Nations communities across NSW has appointed a new CEO, Associate Professor Boe Rambaldini. Boe, a First Nations Elder of the Bundjalung Nation on the north coast of NSW, has significant experience in the Indigenous health sector, as the director of the Poche Centre for Indigenous Health at the University of Sydney from 2017 to 2022 as well as an Associate Professor at Macquarie University and the co-lead at the Djurali Aboriginal and Torres Strait Islander Research and Education Centre.

His current work at Macquarie University has strengthened his relationships and desire to improve the health of Aboriginal people across NSW, as has his work as chief investigator on several health-related grants, including ARDAC (Antecedents of Renal Disease in Aboriginal Children and young adults study) at Flinders University and improving care pathways in First Nations children.

AH&MRC board chair Professor Phil Naden expressed gratitude at Boe’s appointment after a rigorous recruitment process, “We look forward to working closely with Boe to further improve Aboriginal Health outcomes for our people across NSW. Professor Rambaldini brings to the role a deep understanding of the complex issues surrounding Aboriginal health, with a strong focus on cultural governance, outcomes and research design.”

To view the National Indigenous Times article NSW AH&MRC appoints prolific Indigenous health leader Boe Rambaldini as new CEO in full click here.

new AH&MRC CEO Assoc Prof Boe Rambaldini

New Aboriginal Health & Medical Research Council of NSW CEO Boe Rambaldini. Photo: Poche Centre for Indigenous Health Facebook. Image source: National Indigenous Times.

$42m to ease regional QLD’s maternity crisis

Queensland’s beleaguered regional maternity centres will receive a $42m injection, with plans to boost the obstetric workforce key to easing the maternity crisis. Up to 20 GPs and rural generalists will be supported in completing advanced diplomas in obstetrics after the state government partnered with the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) off the back of the Ministerial Roundtable held last month. It is one of five new initiatives that has the backing of the Australian Medical Association Queensland (AMAQ).

As part of the cash injection Queensland Health will introduce “digital passports” to help clinicians easily move between hospitals for work which will assist in filling workforce gaps The government is also reviewing Queensland Health’s locum policies to maximise incentive options. And there will be more funding to train doctors, nurses and midwives on best practice, woman-centred care and collaboration. First Nations midwifery models of care services will be boosted across Hospital and Health Services and ACCHOs. Queensland’s Health Minister Shannon Fentiman said, “boosting our First Nations midwifery models of care will be invaluable.”

AMAQ president Dr Maria Boulton has praised the Minister for listening to what was needed, “We welcome the support announced today by the Minister and the news our recommendations have been adopted. The Ministerial Maternity Roundtable and five new initiatives are the direct outcomes of our advocacy over the past year to ensure families in these communities have access to fundamental healthcare services and the health workforce is best supported to deliver those services”.”

The above was taken from an article How $42m will help ease maternity crisis by Jackie Sinnerton published in the Cairns Post earlier today.

Maternity & Gynaecology visiting hours sign Gladstone Hospital

Gladstone Hospital. Photo: Tobi Loftus, ABC Capricornia. Image source: ABC News.

Health Worker builds on work of past generations

Murri and Gomeroi woman Amy Rose Creighton says she is “very lucky” to be named after her two grandmothers. “I carry their strength, as well as their names, so I regard myself as honoured to carry both their names and with that comes responsibility and strength,” Mrs Creighton said.  Throughout her childhood, Mrs Creighton grew up surrounded by her culture, as her parents were active members of the Aboriginal Progressive Association. “They were strong for our people, always fought for Indigenous rights, and I grew up hearing about our strengths, not the negative,” she said.

Mrs Creighton’s parents were founding members of the Tamworth Aboriginal Medical Service, Birralee MACS, the Aboriginal Education Consultative Group, while her mum sat on the Tamworth hospital Aboriginal Advisory Board in the ’80s, working with their community to provide spaces and services as needed. Mrs Creighton’s journey would eventually take her to Newcastle, where she completed her Higher School Certificate at an Aboriginal girls’ college, and from there, she applied for her first job at the Awabakal Aboriginal Corporation.

Mrs Creighton has compiled a long list of accolades throughout her career, she has always made sure to emphasise that many Indigenous families and elders have made similar contributions to their communities. What makes her proudest is knowing the next generation is continuing the good fight.”

To view The Northern Daily Leader article Tamworth’s Amy Creighton evokes the strength of her community through her work in full click here.

Health worker and academic Amy Creighton

Health worker and academic Amy Creighton continues to build the work of generations who came before her. Photo: Gareth Gardner. Image source: The Northern Daily Leader.

Mobile childcare helps prevent poor health

A not-for-profit, mobile childcare service is attempting to help solve poor health and dental outcomes in rural multicultural communities. Gnowangerup Family Support Association’s pop-up services, based in the town 350 kms SE of Perth, are sent to neighbouring towns including Borden, Ongerup, Newdegate and Nyabing. The area is a big farming community where many Aboriginal people and migrants call home. The association’s unique mobile, occasional childcare centres not only help parents and carers in isolated areas get back to work, but also try to improve the health of children in the area.

A 2022 impact report showed concerns around dental-related hospitalisations of babies and toddlers in the Great Southern region. That area included Katanning, Gnowangerup, Kojonup, Broomehill, and Tambellup. The report found that young children in the Great Southern were hospitalised at a rate almost double that of the WA state average. Dental problems were found to be “one of the highest causes” of hospitalisation in kids under eight years of age in the area. The report found that health promotion, early identification, and early treatment could help solve the problem.

Gnowangerup Family Support Association director Denise Franco said there were no other childcare centres across the shire and the not-for-profit was helping many families. Ms Franco also said the centre had helped bring free dental van check-ups to its students. This helped make sure any issues in gums and teeth were detected early.

To view the ABC News article Mobile childcare in Gnowangerup shire on the front foot to solve poor health outcomes in full click here.

Denise Franco, Gnowangerup Family Support Association director

Denise Franco says the service helps children and parents. Photo: Briana Fiore, ABC Great Southern. Image source: ABC News.

Sector Jobs

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

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

12 July 2023

feature tile: image of 10+ hands forming circle in the sand; text 'ACCOs are LEADERS in place-based approaches to improving health and wellbeing'

The image in the feature tile is from an article Meeting in the middle: How governments and Indigenous communities can work together, differently published in The Mandarin on 23 May 2022.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Place-based approaches improving health and wellbeing

ACCOs are leaders when it comes to principles of place-based approaches to improving health and wellbeing and addressing complex challenges. ACCOs and ACCHOs emerged from the failure of mainstream services to address their communities’ needs. They have also been leaders in taking holistic and responsive approaches, with community engagement and control central to all they do.

According to an Aboriginal Health and Medical Research Council of NSW (AH&MRC) 2016 review, available here, ACCHOs “have always been at the heart of Aboriginal communities, grounded in local values and culture, and providing a place for engagement, activism, employment and safe haven, in addition to delivering high quality evidence-based health care.”

CEO of FamilyCare Inc, David Tennant, says that place-based approaches can transform communities. But, he says, echoing the warnings of ACCHOs over decades, if they are done to a place or community, rather than with them, place-based approaches can not only fail but cause significant harm.

To view the Croakey Health Media article Place-based interventions: reflections on what helps, and what doesn’t in full click here.

ATSI man having chest checked by health professional at Ummoona Tjukagka Health Service SA

Ummoona Tjukagka Health Service website.

Targeted funds needed to address oral health inequities

The Australian Medical Association  (AMA) is calling on Commonwealth, state and territory governments to collaborate and make targeted investments in programs that provide health care services based on need. AMA President Professor Steve Robson said achieving health equity required a broad focus beyond just treating disease and managing risk factors, “There are many social inequalities within Australia that give rise to serious health issues among disadvantaged communities. Poverty, discrimination and a worrying lack of appropriate health care all contribute to significant oral health inequities between First Nations peoples and non-Indigenous Australians.”

The AMA’s submission highlights the several oral health inequities Aboriginal and Torres Strait Islander peoples face, including higher rates of dental disease, which can lead to other health issues such as heart disease and strokes. Professor Robson said many Indigenous Australians relied on public oral health services, which were in short supply, “Government funding for these services is typically provided in short term arrangements, meaning the availability of oral health care is often very limited for Aboriginal and Torres Strait Islander peoples.”

Increasing Indigenous Australian participation in the dental practitioner workforce, improving oral health awareness and collecting comprehensive oral health data for Aboriginal and Torres Strait Islander peoples are among other recommendations emphasised in the submission. The AMA is also calling for service models to be developed and implemented in collaboration with Aboriginal and Torres Strait Islander communities, while ensuring investments reflect the varying cost of providing services in remote areas.

To view the AMA’s media release Targeted investments needed to address oral health inequities in full click here.

gloved hands holding X-ray of human teeth

Image source: AMA website.

First of its kind study explores mob’s experiences of cancer

A first of its kind study exploring cancer in Indigenous Australian communities has begun data collection. The Kulay Kalingka study led by the Australian National University (ANU) will gather information about First Nations’ experiences of cancer where no data currently exists – it will fill important gaps in understanding experiences of cancer – the fourth leading cause of burden of disease for Aboriginal and Torres Strait Islander people.

“The Kulay Kalingka cancer study arose from Aboriginal and Torres Strait Islander community needs, to better understand cancer attitudes, beliefs and experiences and from calls for the inclusion of First Nations patients, families and communities in cancer research,” Professor Ray Lovett from ANU said. Funded by the Australian Government, through Cancer Australia, it’s the first cancer study designed, governed and controlled by Aboriginal and Torres Strait Islander people. The study is being led by the Aboriginal and Torres Strait Islander research team at the ANU National Centre for Aboriginal and Torres Strait Islander Wellbeing Research.

While Australia’s cancer survival rates are among the best in the world, Aboriginal and Torres Strait Islander people experience higher incidence and cancer mortality rates, and lower participation rates in bowel, breast, and cervical cancer population screening programs. The collection of up to 3,000 stories told by Aboriginal and Torres Strait Islander peoples as part of this study will provide the evidence needed to inform the Government’s policies, programs and services to improve cancer outcomes.

To view the ANU article Data collection underway in First Nations-led cancer study in full click here.

Professor Ray Lovett in suit standing at base of staircase

Professor Ray Lovett. Photo: ANU. Image source: ANU Newsroom webpage.

$150m+ for healthcare in Far North QLD and Torres Strait

More than $150m will be invested into six new or updated primary healthcare centres on Badu, Boigu and Horn Islands, and in Laura, Lockhart River and Bamaga. The investment is part of the Queensland Government’s $943m Building Rural and Remote Health Program. Queensland Health Minister Shannon Fentiman and Member for Cook, Cynthia Lui announced the new investment ahead of their arrival into Thursday Island yesterday.

To help grow the workforce in the region an additional $1.1m will be invested into the First Nations workforce in the Torres and Cape through traineeships, scholarships and leadership programs. This includes $800,000 in scholarships for up to ten students who reside in the Torres Strait Islands to assist with the travel and living costs associated with studying tertiary health courses away from home.

An additional $300,000 will be invested into the Deadly Start program, to provide 15 new traineeships to First Nations health students in the Torres and Cape Region.  Minister Fentiman said “We know that more Aboriginal and Torres Strait Islander people working in our hospitals directly helps us improve health outcomes for First Nations people. To improve health outcomes for Aboriginal and Torres Strait Islander peoples we need more First Nations doctors, specialists, nurses, carers and allied health professionals.”

To view the Queensland Government media statement Health boost for the Torres Strait, Cape York and Northern Peninsula in full click here.

aerial photo of Thursday Island township

Photo: Brendan Mounter, Far North. Image source: ABC News.

Funding boost for SA community initiatives

The SA government has announced a more than $1m investment to support vulnerable members of SA’s Aboriginal communities. The funding package has allocations to programs offering rehabilitation, counselling and advocacy for members. The package includes a $100,000 allocation to the SA Stolen Generations Aboriginal Corporation (SASGAC) to strengthen advocacy and support for Stolen Generations survivors.

Aboriginal population data from 2018 provided by the Australian Institute of Health and Welfare (AIHW) and the Healing Foundation reported there are 2,100 Stolen Generation survivors in SA, and Stolen Generations survivors and their descendants account for 46% of the state’s Aboriginal population. “The report also identifies that Stolen Generations and their descendants experience higher levels of disadvantage across all social and economic indicators than the Aboriginal population as a whole,” SASGAC chair Dr Jennie Caruso said. “It is well known that the best people to find the solutions to problems are those who are experiencing or have experienced the issues.

The funding allocation also contributes $140,000 to the SA ACCO Network to co-design a new support service for female Aboriginal victims of crime, and $945,000 for the Department for Correctional Services to design, develop and deliver cultural programs for Aboriginal people in prison and under community supervision to support rehabilitation.

To view the National Indigenous Times article Funding boost for South Australian Aboriginal community initiatives in full click here.

SA Stolen Generations Aboriginal Corporation chair Dr Jennis Caruso

SA Stolen Generations Aboriginal Corporation chair Dr Jennis Caruso. Image source: National Indigenous Times.

Sector Jobs

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

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

Key Date – National Diabetes Week – 9–15 July 2023

Aboriginal and Torres Strait Islander people are almost four times more likely than non-Indigenous Australians to have diabetes or pre-diabetes. Each day during National Diabetes Week 2023 NACCHO is sharing information relating to diabetes as it impacts Aboriginal and Torres Strait Islander people.

Diabetes Australia’s Aboriginal and Torres Strait Islander Unit lobby state and federal governments to provide culturally appropriate services, support and education programs that align with the National Diabetes Strategy. They work closely with communities, health sectors and government agencies to ensure this support is community-centred.

3 July 2023

Aunty Dr Naomi Mayers OAM; text 'Aboriginal and Torres Strait Islander health leader, Dr Naomi Mayers receives 2023 National NAIDOC Lifetime Achievement Award'

The image in the feature tile is of Dr Naomi Myers OAM from a National Indigenous Times article Dr Naomi Mayers honoured as 2023 NAIDOC award finalists announced published on 6 June 2023.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Dr Naomi Mayers receives 2023 NAIDOC award

This year’s National NAIDOC Week Award Winners were announced at the 2023 National NAIDOC Awards ceremony, held in Meanjin (Brisbane) on Saturday. The 10 award recipients were selected from almost 200 nominations from across the nation. This year’s award recipients included Aunty Dr Naomi Mayers OAM, who was acknowledged with a Lifetime Achievement Award after dedicating her life to the advancement of Indigenous health.

Aunty Dr Naomi Mayers OAM, is a proud Yorta Yorta and Wiradjuri woman, born in 1941 on Erambie Mission, just outside of Cowra in country NSW. Aunty Dr Naomi has developed and led some of the most enduring and fundamentally profound reforms in Aboriginal and Torres Strait health, both in terms of community-controlled services and the broader Australian health system.

Aunty Dr Naomi was one of the founders and a pioneering force in establishing the Aboriginal Medical Service Redfern (AMS) in 1971. The AMS Redfern was the first Aboriginal medical service and has since become a service model for community controlled health services that underpins the principles of self-determination. The service provides culturally appropriate healthcare to Indigenous people and has been instrumental in improving health outcomes for Aboriginal communities throughout Australia.

Aunty Dr Naomi dedicated 45 years to the Redfern AMS and service to the community. She started out as an Administrator, and in 2012 went on to become the Chief Executive Officer (CEO) before her retirement in 2017. Throughout her career at the AMS, Aunty Dr Naomi guided the transformation of the AMS from a small shop-front into a national network of services.

Aunty Dr Naomi is a founding member of the Aboriginal Health and Medical Research Council of NSW, the National Aboriginal and Islander Health Organisation (NAIHO) (now NACCHO), was founding president of the Federation for Aboriginal Women and a member of the first ATSIC Regional Council for Metropolitan Sydney.

To read the National Indigenous Times article Blak excellence celebrated as Meanjin hosts 2023 National NAIDOC Awards in full click here. You can also read more about Dr Naomi Meyers on the NAIDOC Week website here.

Dr Naomi Mayers as a young ATSI health advocate

Aunty Dr Naomi Mayers OAM at the beginning of her career. Image source: National Museum Australia.

52 mob who are changing the world

National NAIDOC Week celebrations are held across Australia in the first week of July to celebrate and recognise: “the history, culture and achievements of Aboriginal and Torres Strait Islander peoples.” In 1956 major Aboriginal organisations, and state and federal governments, all supported the formation of the “National Aborigines Day Observance Committee” (NADOC) and the second Sunday in July became a day of remembrance for Aboriginal people and their heritage. In 1991 with a growing awareness of the distinct cultural histories of Aboriginal and Torres Strait Islander peoples, NADOC was expanded to NAIDOC to recognise Torres Strait Islander people and culture.

Cosmos, a quarterly science magazine, was supported by the Australian Council of Learned Academies (ACOLA)  and Australia’s five Learned Academies to create a list of 52 leading Aboriginal and Torres Strait Islander people who are changing the world. It is neither exhaustive, nor are they listed in any particular order.

Ryan Winn, CEO of ACOLA said: “I am sure readers will recognise many names on the list, but there is a larger number of Aboriginal and Torres Strait Islander researchers we should all know about. These amazing researchers range from early and mid-career through to later career researchers, and cover a broad range of research disciplines. We thank them all, as well as the many other Aboriginal and Torres Strait Islander researchers, scientists and knowledge holders, for their valuable and continuing contributions to advancing knowledge in Australia. Their work builds upon the tens of thousands of years of knowledge created by Aboriginal and Torres Strait Islander people on their lands.”

To read the Cosmos article 52 Aboriginal and Torres Strait Islander people changing the world in full click here.

tile text 'for our Elders 50+ Indigenous people changing the world'

Image credit: Marc Blazewicz. Image source: Cosmos.

Uncle Clarke Scott on work with Cancer Council

Uncle Clarke Scott, a Wiradjuri man with close connections to community across the Central West and Riverina regions of NS, has spoken about his experiences working with Cancer Council NSW in creating and developing culturally safe and responsible services and information for Aboriginal and Torres Strait Islander people. Uncle Clarke Scott is a member of Cancer Council NSW’s Aboriginal Advisory Committee and has a wealth of experience working in Aboriginal community health.

Uncle Clarke has a strong understanding of what is needed to improve health outcomes for Aboriginal and Torres Strait Islander communities across NSW, “I think it’s mainly about the word being out among the community. So, with the Advisory Committee having the connection to community to be able to pass on the information from Cancer Council with their pamphlets and all that type of thing,” he says.

In communities, Uncle Clarke explains how the employment of specific Aboriginal staff is vital for culturally safe advice and support, “I think it’s so good that we’re able to help the Aboriginal community with understanding cancer. It’s really important that Aboriginal health workers can provide that cultural advice to the non-Aboriginal staff and cultural support to our community members.”

To view the Cancer Council NSW article NAIDOC Week 2023: For Our Elders in full click here.

17% of WA kids live with food insecurity

Demand for food relief across WA has substantially increased over the past four years and children in regional areas are among those most in need, a report has found. The Hungry For Change report, tabled in parliament last month, found that 17% 0f children and young people in the state live with food insecurity. The full extent of the problem may not be known because families and children hide the fact they have insufficient food, according to the report.

It detailed a recent cost-of-living study, which found over half of the participating households in the Kimberley region did not have enough money to purchase 12 days’ worth of food. These same families could not afford 24/7 electricity, which impacted directly on their ability to store, cook and prepare meals.

Foodbank WA chief executive Kate O’Hara said the government’s willingness to closely investigate the issue was a positive sign. “It’s a sensational approach, just seeing the government get informed about the truth in community to give them the clarity and vision on what could be achieved,” she said.  The “tyranny of distance” was something Ms O’Hara said many from outside of the region struggle to comprehend. “The distance factor means that cold chain, which is vital for quality food to get into the remote areas of state … the cold chain infrastructure is predominantly around the major retail food outlets,” she said.

To view the ABC News article Food insecurity report highlights plight of children in Kimberley and Pilbara in full click here.

2 young ATSI girls in Broome with containers of food from Feed the Little Children charity

Every weekend Feed the Little Children delivers about 700 hot dinners to children in Broome. Photo: Erin Parke, ABC Kimberley. Image source: ABC News.

Senate calls for public dentistry

An interim report into the state of Australia’s dental health has been tabled in the Senate, renewing calls for the inclusion of dental care in Medicare. The Select Committee into the Provision and Access to Dental Services interim report has shown widespread support from experts and the community for broadening Medicare to include more dental and oral health care subsidies.

Oral and dental health in Australia have improved over the past 25–30 years, especially with the addition of fluroide to drinking water. However, the Australian Government dental health statistics indicate there are still significant problems. Poor oral health costs Australia’s health care system significantly.

There are an estimated 750,000 GP consultations each year for dental problems, which costs taxpayers up to $30mp er year. Dental and oral health problems also affect the hospital system, with Australian Institute of Health and Welfare (AIHW) estimating that, in 2020–21, there were about 83,000 hospitalisations for preventable dental conditions. Dental disease and oral health problems disproportionately affect those on low incomes, Aboriginal and Torres Strait Islanders peoples, people in rural and remote areas, prisoners, disabled people, and those with specialised health care needs.

To view the InSight article Medicare with teeth: Senate call for public dentistry in full click here.

youth in dental chair, dentist & dental assistant

Image source: Goolburri Dental Service. Goolburri Aboriginal Health Advancement Co, Ltd. website.

Cancelled flights affect Cape York health services

Remote Far North Queensland Indigenous communities fear losing health and other essential services if airlines continue to cancel flights. According to the Kowanyama Aboriginal Shire Council, SkyTrans has cancelled 18 flights since the start of this year. Robbie Sands is the mayor of the western Cape York community and chair of the Torres Cape Indigenous Council Alliance (TCICA), which represents 15 remote local government authorities.

He says flight cancellations happen far too often and are causing significant disruption to the delivery of essential services in some of Queensland’s most disadvantaged communities. “Things like weekly medications sent up from Cairns, they can be delayed or don’t come in, which impacts on our peoples’ health,” Cr Sands said.

“We get a lot of allied health services come into our communities, and [cancellations] cause major disruptions if they can’t come in and see and treat our people.”

To view the ABC News article Flight cancellations to remote Cape York communities affecting health, essential services in full click here.

aerial view of Bamaga, North Qld

Bamaga has experienced frequent flight cancellations. Photo: Brendan Mounter, ABC Far North. Image source: ABC News.

Sector Jobs

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

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

26 June 2023

AHW checking ear of ATSI child (being held by mother); text: 'There is lot to CELEBRATE in Aboriginal and Torres Strait Islander health care'

The image in the feature tile is from the Clinical Services webpage of the Winnunga Nimmityjah Aboriginal Health and Community Services (WNAHCS) website.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Much to celebrate ahead of NAIDOC Week

Australia will mark NAIDOC Week from Sunday 2 July, a celebration of Aboriginal and Torres Strait Islander life, history and culture, which is the oldest living culture in the world. Although the roots of NAIDOC were present before the 1920s, when Aboriginal activist groups began protesting for their rights, today it is an important celebration of First Nations peoples. Indigenous researchers and leaders say there is a lot to celebrate in First Nations health care with Aboriginal community controlled health initiatives continuing to deliver successful outcomes around Australia as well as demanding Indigenous-led medical research and data.

Associate Professor of Indigenous Studies and Aboriginal Education at the University of Sydney and Co-Chair of the National NAIDOC Committee, Aunty (Dr) Lynette Riley AO said  NAIDOC is an important forum to highlight current issues for Indigenous peoples. A/Prof Riley said this year’s NAIDOC theme “For our Elders” acknowledges that “Elders are pivotal to everything that we do. They’re the people who hold our cultural knowledge. They help to support our communities against institutional racism and the impact of colonisation. Without them, we don’t have our culture.”

One such Elder was the late Olive Brown, an Aboriginal leader and health worker, who set up a temporary health service in Canberra to support people living and protesting at the Aboriginal Tent Embassy in 1988. In 2023, that service has become the Winnunga Nimmityjah Aboriginal Health and Community Services (WNAHCS), an Aboriginal community controlled primary health care service in Canberra, operated by the Indigenous community of the ACT. WNAHCS CEO, Julie Tongs OAM said “Australia is a racist country, and racism is one of the biggest factors impacting on my people on a daily basis. The importance of having Aboriginal community controlled health services is that we provide culturally appropriate care. Particularly our disadvantaged and vulnerable clients.”

To view the article Much to celebrate for Indigenous health ahead of NAIDOC Week published in Issue 23 of InSight today click here.

Julie Tongs, CEO of Winnunga Nimmityjah Aboriginal Health and Community Services

Julie Tongs, CEO of Winnunga Nimmityjah Aboriginal Health and Community Services. Photo: Kerrie Brewer. Image Source: Canberra Weekly.

Mulungu Health Clinic health services expanded

A huge step by Mareeba’s Mulungu Aboriginal Corporation Primary Health Care Service will allow hundreds of local First Nations people to address not only their dental needs but their general health, while alleviating pressures on the public system. A new dentistry service will be added to the Mareeba clinic following the immense success of the Atherton facility which was established last year.

Mulungu CEO Gail Wason said that after witnessing the high success rate in Atherton, it was time to provide the same service in Mareeba. State-of-the-art equipment has been sourced to enable dentists to perform all necessary procedures in-house. “We have had a clinic in Atherton that has been open for a year and a bit now, and at the same time, the health clinic opened up,” she said. “We have highly advanced equipment in the dental surgery that is unparalleled. It has always been deemed a necessity, not just by me but also by our doctors. They often express the wish to have a magic wand to ensure everyone receives proper dental care, as our people do not readily seek dental treatment until they end up in the hospital.”

To receive a dental checkup, patients must also undergo a full health check, with a focus on overall wellbeing. Ms Wason hopes the new addition to their Mareeba facility will contribute to a healthier and happier community, particularly encouraging the younger generation to prioritise their health. “It is crucial it is about Aboriginal and Torres Strait Islander people addressing their health needs. It aligns with the primary healthcare services we offer,” she said. “We want them to take advantage of the opportunities they have and the opportunities that will arise in the future.”

To view The Express article Boost for health services in full click here.

Mulungu Aboriginal Corporation Primary Health Care Service staff standing outside ACCHO building

Mulungu Aboriginal Corporation Primary Health Care Service (MACPHCS) staff. Image source: MACPHCS website.

Kimberley leaders say CTG figures ‘unacceptable’

Indigenous leaders in WA’s Kimberley region say recent Closing the Gap data is “unacceptable” as they call for meaningful change to improve the lives of Aboriginal people. Recent data released by the Productivity Commission has revealed only four or 19 goals were on course to be met by 2031. Targets focus on reducing high incarceration and family violence rates, improving health and education outcomes, and increasing Aboriginal and Torres Strait Islander participation in the workforce.

Aboriginal Family Legal Services chief executive Corina Martin said the figures were disappointing. “The broad lack of progress against the Closing the Gap outcome areas speaks to the ongoing disadvantage experienced by Aboriginal people across Australia,” she said. “It is not acceptable that only four outcome areas are on track to be met by 2031.”

One target is to reduce the rate of family violence and abuse against Aboriginal and Torres Strait Island women and children by 50% by 2031. No new data has been recorded, but WA sat higher than the national average in 2018–19. Ms Martin said the data highlighted vulnerable groups. “We know that Aboriginal women and children continue to experience violence at disproportionate and unacceptable rates,” she said. “This illustrates an obvious demand for reform of how services are delivered to and for Aboriginal people. This cannot be the reality that we accept for our families and communities.”

To view the ABC News article Latest Closing the Gap figures are ‘unacceptable’, Kimberley Aboriginal leaders say in full click here.

aerial view of community in the Kimberley, WA

The Kimberley is home to more than 100 Aboriginal communities. Photo: Paul Bell, Feral Films. Image source: ABC News.

Alliance calls for ACCHO-like model of care

Last Friday (23 June 2023) Nyngan was host to the launch of the National Rural Health Alliance’s (the Alliance) Independent Report on health spending for rural Australians. The Report provides startling new evidence of rural health shortfall, with each person in rural NSW missing out on close to $850 a year of healthcare access totalling a hefty $6.5b a year. A sombre read by any standards, the report looks at all ages and geographical positionings, along with Indigenous, disability, aged and children subgroups and the affects the lack of cohesive health care is having on these communities.

“The report looks at health spending from a patient’s perspective, reflecting the alarming day-to-day realities for rural Australians unable to access equitable care,” said Alliance Chief Executive Susi Tegen, who spoke at the Nyngan launch. “Over 7m people, who make up nearly a third of Australia’s population, experience a greater burden from illness and early death, in part due to inadequate funding for their health care. This is despite the significant contribution they make to Australia’s economy,” she said.

The Alliance is calling for the funding of a place-based multidisciplinary model of primary health care – Primary care Rural Integrated Multidisciplinary Health Services (PRIM-HS) – that gives the flexibility to engage communities and address local needs in partnership, in a similar way to ACCHOs. “Communities need access to health care in their localities. To achieve this, we urge government to add to existing city-based and hybrid (city/rural) training, with a flipped model of exceptional rural medical and allied training, including nurse training. This would make training in cities the exception and enable students living rurally to train in their own communities.

Currently there is no ACCHO in Nygnan, the four closest ACCHOs are between 185–258 kms away in Coonamble, Wellington, Peak Hill and Bourke.

To view Western Plains App article Nyngan hosts National Rural Health Alliance in full click here.

aerial shot of Nyngan, NSW

Aerial view of Nyngan. Photo: Emily Taylor. Image source: R. M. Williams Outback magazine.

CHF comes out fighting on double dispensing

The Consumers Health Foundation (CHF) has taken the gloves off in the 60-day dispensing information wars with a new website designed to help GPs and their patients understand the policy. “There’s been a lot of misinformation circulating that is concerning consumers unnecessarily, but the bottom line is that 60-day scripts are good for the health of Australians, as well as their hip pocket,” said CEO Elizabeth Deveny.

“Increasing the ability for an estimated 11m consumers with chronic conditions to get a 60-day supply of their medicines, instead of a 30-day supply, effectively halves the cost of their medicines each time they visit the pharmacy. In addition to saving money, consumers will also save time and travel costs. This is especially important for consumers who live in rural and remote communities who often have to travel hundreds of kms to the nearest pharmacy. Having a greater supply of medication on hand should also lead to more people taking their medicines as prescribed and this has been proven to lead to better health outcomes. For all these reasons, what we are hearing loud and clear from Australian health consumers is that the move to 60-day scripts is a very welcome change.”

The new website includes an open letter from supporting groups – including the RACGP, Asthma Australia, NACCHO, the AMA and the Lung Foundation Australia – to parliamentarians. “The [60-day dispensing] measure will not contribute to medicine shortages,” the letter says.

To view The Medical Republic article CHF comes out fighting on double dispensing in full click here.

hands of chemist holding box of medicine in each hand

Image source: RACGP newsGP.

Community-led effort to understand homelessness

A community-led effort to establish a better understanding  of homelessness in Albany has moved on to the next phase after a successful first data-gathering session. More than 80 participants representing 130 people dealing with homelessness provided details about their experiences at an Albany Connection Point information gathering session last month. The session was hosted by Advance Housing, who have partnered with Albany Youth Support Association, Anglicare WA, Albany Community Foundation, Southern Aboriginal Corporation, Albany Community Legal Centre and Pivot Support Services on the project. Support has also being provided by the Office of Homelessness, Department of Communities, the City of Albany, WA Police and the Great Southern Aboriginal Health Service.

Advance Housing chief executive John Lysaught said the session was a success because it provided proof the problem was bigger than government data suggested. “Participating community organisations have always held that the problem is bigger than recognised by government for our region,” he said. “This single initial collaborative event has shown in 12 hours just how flawed the previous data was.”

He said the session showed there was a larger proportion of people aged 20 to 39 experiencing homelessness than expected given the broader Albany demographic. He also said it highlighted the massive problem rough sleeping which has been a “largely hidden” and that people would engage with a services if they were provided a safe space to do so. Further sessions designed to engage with those affected by homelessness will be organised so that the organisations involved can better advocate for funding to tackle the issue and target their limited resources to area they are most needed.

To view the Albany Advertiser article Community-driven project already leading to more accurate data about extent of Albany homelessness issues in full click here.

homeless person with makeshift bedding sleeping in public area

Photo: Graeme Powell. Image source: ABC News.

Sector Jobs

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

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

9 May 2023

feature tile vector of 12 ATSI women, text 'Wiyi Yani U Thangani National Summit - We Are The Change - National gathering brings "a necessary First Nations gender lens" to everything from housing to education, healing and economic development'

The image in the feature tile is from the Australian Human Rights Commission website Wiyi Yani U Thangani National Summit. We are the change. 9–11 May 2023 webpage.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Gathering has a “necessary First Nations gender lens”

First Nations women have the right to move beyond “holding society together, healing, reducing harms and violence, and guaranteeing cohesion and healthy environments for everyone” and be free to imagine “gender justice”, the social justice commissioner June Oscar says. More than 900 First Nations women are meeting in Canberra this week, the first national gathering of its kind, to bring “a necessary First Nations gender lens” to everything from housing to education, healing and economic development. “There has never been a national action plan or approach to realising the rights of First Nations women and girls,” the Aboriginal and Torres Strait Islander social justice commissioner Oscar said.

For the past five years, Oscar, a Bunuba woman from the Kimberley, has been developing the Wiyi Yani U Thangani (women’s voices) program. Oscar has consulted more than 2,000 Indigenous women across the nation to identify their greatest needs and aspirations. The Wiyi Yani U Thangani report found that Indigenous women are managing the social health and wellbeing of First Nations communities largely through unpaid and unrecognised work at home, in communities and on country. Without adequate formalised support in place, women are caring for children, elders and those with disabilities, often in overcrowded housing. They are delivering frontline crisis services, supporting family to navigate courts and child protection, as well as maintaining culture.

Oscar says the conference will help design the establishment of the First Nations Gender Justice Institute, based at the Australian National University, to make sure women and girls have a say on the policies and systems that govern their lives and the lives of those they are supporting. “Our vision for the First Nations Gender Justice Institute is that it should be a dedicated independent space for women and girls to talk about issues that affect them and their communities … such as leadership and self-determination, such as women’s knowledges in culture, language, country and water rights, lifting women and their families out of poverty,” Oscar says.

To view The Guardian article National gathering of First Nations women aims to bring ‘gender justice’ to Indigenous issues in full click here. You can watch a livestream of the Wiyi Yani U Thangani National Summit below.

Supporting access to medicines webinar this THURSDAY

All ACCHO sector staff are invited to participate in a free webinar hosted by NACCHO and the Department of Health and Aged Care’s Office of Health Technology Assessment.

Topics include:

  • How do communities get access to medicines, medical products and services?
  • Medicines and the Pharmaceutical Benefits Advisory Committee (PBAC): How does it work?
  • Medical products and services and the Medical Services Advisory Committee (MSAC): How does it work?
  • NACCHO’s consultation and advocacy activities in Health Technology Assessment
  • How can ACCHOs get more involved in Health Technology Assessment?

Panel members include NACCHO representatives and experts from PBS and MBS committees.

The webinar ‘Have your say on HTA – Getting involved with the funding of medicines and medical services’ was first held on Thursday 4 May.

If you missed it, you can register here for the second webinar being held this:

Thursday 11 May: 12.30pm-1.45pm (AEST)

If you have any questions, please contact Mike Stephens via email here.

NACCHO tile text 'Hear from the experts to imprve accdess to medicines and medical services for community in the upcoming webinar: Have your say on HTA - Thursday 11 May: 12.30pm-1.45pm (AEST)

Review of funding for mental health services

The Department of Health and Aged Care currently funds mental health and suicide prevention services commissioned through Primary Health Networks (PHNs) and the Integrated Team Care (ITC) program which supports Aboriginal and Torres Strait Islander people who live with complex chronic conditions and is also commissioned through PHNs.

Ninti One and First Nations Co are undertaking a review of sector funding arrangements a service capability for both programs and the purpose of this review is to explore how the government can best align with the National Agreement on Closing the Gap in the delivery of Aboriginal and Torres Strait Islander mental health and suicide prevention services and the ITC program.

Ninti One and First Nations Co are seeking to learn more from you about your perspectives on current and future commissioning arrangements for Aboriginal and Torres Strait Islander Mental Health and Suicide Prevention Services and the ITC program via a survey response or submission. Your insights will contribute to evidence to inform the review. The survey consists of both multiple choice and free-text and may take approximately 20 minutes to complete, depending on how much information you wish to provide.

You can find out more about the review here and access the survey here.

The survey will remain open until COB Friday 19 May 2023.

Ninti One Limited & First Nations Co logos

An Australia without the RFDS is unthinkable

One of Australia’s most iconic organisations is the Royal Flying Doctor Service (RFDS). The RFDS was founded by Reverend John Flynn in Queensland in 1928 and since then it has been an integral part of the landscape – and skies. Reverend Flynn recognised that vast distances and poor communications created intolerable difficulties for the sick or injured in the regions. Almost 100 years on, and even with exponential advances in technology during that time, the RFDS continues to serve a unique purpose – the ability to bring medical care to the most remote parts of Australia, by integrating an airline with intensive care medical services.

Growth in the primary health areas of the organisation means the RFDS helps fill the gap of providing basic GP and dental clinics in locations where it is challenging – or almost impossible – to attract medical professionals to live permanently. In 2022, RFDS facilitated a total of 606 GP and nursing clinics and 151 dental clinics in remote WA. This provided accessible primary care to 8,427 patients who may have otherwise found it challenging to access health services, simply because of where they choose to live.

The RFDS is part of Australia’s broad national health system, and works closely with governments, industry, Aboriginal medical services, primary health networks, local hospital districts, GPs and rural and remote communities.

To view the Business News article An Australia without the Royal Flying Doctor Service is unthinkable – let’s keep it flying high click here.

RFDS dental assistant & dentist, ATSI patient & patient's mother

L-R: RFDS dental assistant Wendy Andrews, dentist Vincenzo Figliomeri, Sonya Williams (standing) and patient Chervina Wongawol. Image source: Business News.

WA prisons mental health emergency

Content warning: This article contains reference to suicide. Please refer to the services at the bottom of this article for support.

A series of suicides in WA’s Serco-operated Acacia Prison will be highlighted by human rights lawyers and a bereaved family this week as the WA Coroner examines the death of nineteen-year-old Noongar and Wirlomin man, Stanley Inman Jnr. On 11 July 2020 Mr Inman was found in a critical condition in a prison storeroom and he died in hospital two days later.

His sister has said she attempted to speak to an Aboriginal Liaison Officer about her concerns regarding her brother’s mental health just days before his deaths. In a statement, Mr Inman’s family said on Monday: “We as a family have stood alongside those other families also affected by this great epidemic and injustice against Indigenous men, women, youth, and children of this country. We simply just don’t understand how to others he has just become a statistic.”

National Justice Project chief executive and Principal Solicitor, George Newhouse, has called on the WA Minister for Corrective Services, Bill Johnston, to take urgent action to address the “mental health emergency” unfolding in WA prisons. “How many more suicides will it take before the WA government acts? We need Aboriginal Medical Services available in prisons to provide the culturally safe care that WA prisons are incapable of delivering,” he said.

To view the National Indigenous Times article WA prisons mental health emergency under the microscope at inquest into death of Aboriginal teenager in full click here.

black and white blurred image of person behind bars

Image source: ABC News.

If this article brought up anything for you or someone you love, please reach out to, call or visit the online resources listed below for support:

13YARN – 13 92 76, 13yarn.org.au

Lifeline – 13 11 14, lifeline.org.au

Beyond Blue – 1300 224 636, beyondblue.org.au/forums

MensLine – 1300 789 978

Kids Helpline – 1800 551 800

Suicide Call Back Service – 1300 659 467

VACCHO backs state’s drug reforms

The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) welcomed the passage of the Drugs, Poisons and Controlled Substances Amendment (Medically Supervised Injecting Centre) Bill 2023 last Thursday night. The new law will make the North Richmond Safe Injection Room facility permanent and widen eligibility criteria to provide “vital lifesaving healthcare to vulnerable members of the community”, VACCHO said.

The proposed amendments to the Bill are based on recommendations of an independent review of the facility by renowned public health researcher John Ryan. The Fatal overdose among Aboriginal and Torres Strait Islander people Victoria 2018–2021 report states a majority of the fatal overdoses amongst Aboriginal and Torres Strait Islander people were unintentional. VACCHO Executive Director of Social and Emotional Wellbeing, Sheree Lowe, said this year’s Coroners Court of Victoria report demonstrated that Aboriginal families in Victoria “continue to be severely impacted by addiction”.

“The North Richmond initiative is one important part of a multifaceted services system to help manage the complex forms of trauma that lead to addiction. This service along with holistic supports are required to provide important life-saving support to community,” Ms Lowe said. VACCHO noted in a statement on Friday that Aboriginal and Torres Strait Islander people experience fatal overdoses at a rate more than three times higher than non-Indigenous people. “In 2023, the significant disparity between Aboriginal and non-Indigenous people should not exist,” the organisation said.

To view the National Indigenous Times article Victorian Aboriginal health peak body backs state’s drug reforms in full click here.

VACCHO HQ Melbourne - external view

VACCHO HQ Melbourne. Image source: VACCHO website.

Sector Jobs

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

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

22 March 2023

feature tile image ATSI man have echocardiogram; text 'AI has enormous potential for use in remote Australia to screen more people and catch heart ailments earlier'

The image in the feature tile is of a man in the Alice Springs Hospital undergoing an echocardiogram with the aid of artificial intelligence. Photo: Steven Schubert. Image source: the article ABC News article How artificial intelligence is helping to detect heart disease in remote Australia published by ABC News earlier today.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

AI helps detect heart disease in remote Australia

In a small room in the Alice Springs Hospital, Rhonda O’Keefe is giving a man an ultrasound on his heart, despite having no formal training to do so.  Ms O’Keefe is not a sonographer, she’s an Aboriginal Health Practitioner. She has some medical training, but not the two years of post-graduate study it takes to become a qualified sonographer.  Instead, Ms O’Keefe is being guided by artificial intelligence (AI) as she performs the echocardiogram, the ultrasound of the heart. The AI software prompts Ms O’Keefe on where she needs to hold the ultrasound probe, and how much pressure to apply, depending on what the echocardiogram is looking for. Her first attempt at performing the procedure was just two weeks ago, but already she is obtaining pictures that cardiologists can use for diagnosis.

It’s a remarkable achievement, according to Dr Angus Baumann, the only full-time cardiologist at the Alice Springs Hospital. Dr Baumann, who has been observing Ms O’Keefe’s training, said when he learned to conduct echocardiograms it took him months of practice to get usable images — despite already working as a specialist in the field after years of medical school. “With this technology, someone’s able to get usable images on their first go,” he said.

The images are uploaded to a cloud-based server, and then downloaded and analysed by cardiologists. who may be hundreds of kms away from the patient. Dr Baumann said he could see an enormous potential for the technology to be used in remote Indigenous clinics to try to screen more people and catch heart ailments earlier.

To view the ABC News article How artificial intelligence is helping to detect heart disease in remote Australia in full click here. You can also read a previous story, here, about the trial of this AI technology being run from the Walgett Aboriginal Medical Service.

Aboriginal health practitioner Rhonda O'Keefe performs an echocardiogram as cardiologist Dr Angus Baumann observes

Aboriginal health practitioner Rhonda O’Keefe performs an echocardiogram as cardiologist Dr Angus Baumann observes

Closing health gap needs more than booze, crime control

In a letter to the Alice Springs News Editor, Dr Simon Quilty, who was formerly based at Alice Springs Hospital and is currently working with Purple House said: “While there is a lot of focus on alcohol, crime and violence in communities such as Alice Springs, it is the long-term, underlying issues that are the real problem here. We are definitely experiencing difficulty in attracting, retaining and housing health professionals right across the NT, addressing this issue in isolation of the greater social disparity only makes the problem worse.

When our patients do not have adequate housing, and are living in conditions that are extremely detrimental to the health, education and basic safety of their residents, this provides fertile grounds for youth disengagement, domestic violence and social disharmony. There is a pervasive sense of hopelessness that is a key contributing factor to the issues affecting these communities and this has been exacerbated by the social fallout after COVID which has resulted in the cessation of many social programs that previously supported many people, particularly youth, in these communities.

How does it look to our patients when doctors and nurses are provided with accommodation, when they are sleeping in shifts so they can fit in the increasing number of people needing basic shelter? Extreme disparity exists even within our Aboriginal health workforce. Alice Springs Hospital Aboriginal Liaison Officers, who provide interpreting services essential to the delivery of health care to our patients, are the lowest paid interpreters in the country. These are essential health workers, who speak many dialects, and the value of their skills must be equitable with interpreter salaries for government services for immigrants to Australia.

To view the Closing health gap needs more than booze, crime control article published in the Australian Rural & Regional News in full click here.

Dr Simon Quilty checking female ATSI women with stethoscope

Dr Simon Quilty with patient in Alice Springs. Image source: Stephanie Zillman, ABC News.

Community Hubs based on ACCHO model

Genuine community engagement is required to deliver equitable outcomes for people living in rural and remote Australia, according to Mark Burdack, CEO of the Healthy Communities Foundation Australia (the Foundation). The Foundation has a proposed policy for Community Hubs in rural areas, which Mr Burdac describes as “a one-stop-shop for services that are engaged in addressing the social determinants of health”.

Similar to the Aboriginal Community Controlled Health (ACCHO) model, Community Hubs would be funded by both state and commonwealth governments, and led and governed by communities, he says. The ACCHO sector has shown us how we can effectively support communities and merge health promotion, prevention and intervention using multi-jurisdictional funding models. We have the capacity and models to do things differently in rural and remote health if there is a will to do so.

But this requires decision makers to recognise that rural and remote people have the knowledge, skills and capacity to create more equitable access to healthcare, and more equitable health outcomes, if they receive the right support and investment needed to lead that change.

To view the Croakey Health Media article How Community Hubs could contribute to better health for rural and remote Australians in full click here.

group of smiling 7 ATSI youth & The Healthy Communities Foundation Australia logo

Image source: The Healthy Communities Foundation Australia website.

New oral health education resources for mob

For the last three years, the FDI World Dental Federation has used World Oral Health Day on 20 March to campaign for everyone around the world to ‘Be Proud of Your Mouth’. However, Aboriginal and Torres Strait Islander children and adults continue to have poorer oral health than non-Indigenous Australians. Due to the poorer oral health outcomes of First Nation peoples, the Australian Dental Association (ADA) embarked on the development of the culturally appropriate oral health education resources. On World Oral Health Day this week the ADA was pleased to launch these resources as part of its new Mob Smiles initiative.

According to Indigenous dental practitioners the available resources for use with children and adults in Australia do not resonate with this target population. The goal of the Mob Smiles resources is to develop oral health education kits purposely developed for Aboriginal and Torres Strait Islander children and adults. Poor oral health can affect individual quality of life and exacerbate chronic health conditions. Unfortunately access to affordable, and culturally appropriate dental care is difficult for many Indigenous Australians. The resources aim to provide education and oral health information in a culturally safe manner.

The suite of oral health resources consists of posters, flyers and factsheets for various ages including toddlers, teenagers, pregnant women and the elderly. The multiple resources provide education in caring for oral health and details on hygiene, diet and scheduling dental visits.

To view the Australian Dental Association article ADA Mob Smiles released on World Oral Health Day in full click here. You can also find more information about Mob Smiles here and World Oral Health Day here.

Medicare cards coming soon to the myGov app

Australians will soon be able to add their Medicare card to the digital wallet in the myGov app.

The new myGov app, available here, was released last year. The app has a digital wallet where people can securely store some government digital cards and certificates. People can already use the wallet to store their Centrelink concession and health care cards.

The new digital Medicare card in the myGov app will look similar to Medicare cards in the Express Plus Medicare app, available here and physical cards.

The myGov app has features to protect against fraud and theft of all items in the myGov wallet. Medicare cards and Centrelink concession and health care cards have:

  • an animated hologram to show the card is not a screenshot
  • a QR code that can be scanned to confirm the card is genuine and valid
  • the date and time of when the card was last updated at the bottom of the screen.

If a person is no longer eligible for Medicare, the card will be automatically removed from their myGov app.

When a person’s Medicare card expires, it’ll be replaced automatically in their myGov wallet if they’re still eligible.

Accepting a digital Medicare card and scanning the QR code is optional, you don’t have to accept it if you don’t want to. You can still verify a Medicare card in the same way you do now.

Scanning QR codes

You scan the code using the myGov app on your device. You don’t need to sign in to the app to scan the QR code.

You can find more information and instructions on how to scan the QR code on the myGov website here.

Further information will be provided when the Medicare card becomes available in the myGov app.

hand holding mobile phone with Australian Government myGovID

Image source: The Sydney Morning Herald.

‘Harmony Day’ obscures need for systemic change

International Day for the Elimination of Racial Discrimination (IDERD) is observed around the world on 21 March, yet in Australia it’s called ‘Harmony Day’. The change came about in 1999 at the order of the Howard government who sought to replace the IDERD and portray a unified multicultural society, one that did not need to actively combat racism. This aligned with the personal views of the PM John Howard, who always maintained that racism was not an inherent problem in Australia.

But critics have said the positively framed ‘Harmony Day’ intentionally obscures the need for systemic change. “It’s absurd,” said Professor Chelsea Watego. “[It’s] quite telling that this country still insists on erasing the reality of racial violence in this place. We have a health system that makes aspirations [to be] free of racism, without a strategy for achieving that. We have a Race Discrimination Act which successive governments have suspended specifically in relationship to Indigenous people, on multiple occasions. The parameters for prosecuting a race discrimination case in this country are so narrow, that so few get through. The name Harmony Day tells us about the ways in which this country and all of its institutions have refused to deal with the reality of racial violence.”

To view the NITV article It’s the International Day of Eliminating Racial Discrimination. Why does Australia call it ‘Harmony Day’? in full click here.
black & white photo of 1960 Sharpeville massacre protestors & 4 silhouettes jumping holding letters of the word 'harmony'

While the International Day for the Elimination of Racial Discrimination commemorates the 1960 Sharpeville massacre, critics say Australia’s ‘Harmony Day’ obscures the need to fight systemic racism. Image source: NITV.

Sector Jobs

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

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

Dietitians Week 20–26 March 2023

Today is the third day of Dietitians Week 2023 and as part of raising awareness of the role and value of dietitians, today we are sharing a case study of Jenna Perry, a Graduate Accredited Practising Dietitian. Jenna is originally from Lutriwata (Tasmania), where she has Aboriginal ancestry on her father’s side of the family. Although there was a disconnect with culture growing up, Jenna says she was always passionate about Aboriginal and Torres Strait Islander health and advocating for health care that Aboriginal and Torres Strait Islander people delivered in a way that strengthened cultural identity and cultural beliefs of health and wellbeing.

A Bachelor of Dietetics wasn’t offered in Jenna’s home state, so she decided to move away to the Sunshine Coast on Gubbi Gubbi/Kabi Kabi country. There she started a Bachelor of Nutrition before transferring over into the Bachelor of Dietetics. While Jenna says she loved studying for a Bachelor of Dietetics, there was minimal education on cultural humility or Aboriginal and Torres Strait Islander health through a strength-based lens. Because of this Jenna was very grateful to attend the Indigenous Allied Health Australia (AIHA) Health Fusion Challenge and complete a placement at the Institute for Urban Indigenous Health (IUIH).

To view the Indigenous Allied Health Australia (IAHA) article My Journey into Dietetics Jenna Perry in full click here.

portrait shot of Jenna Perry & text 'My Journey into Dietetics Jenna Perry'

Image source: IAHA website.

25 November 2022

The image in the feature tile is NDIS participant Rex Munungurr (middle) and cousin Ted Wanambi (left) out the front of their homes in the East Arnhem Land community of Garrthalala. Photograph: Tamara Howie. Image appeared in The Guardian article The land the NDIS forgot: the remote Indigenous communities losing the postcode lottery published on 5 November 2019.

Disability Royal Commission – have your say

The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with a Disability wants to hear from people with disabilities, carers, families, support workers – anyone with a lived experience that has feedback and a contribution to make. This is a chance to tell your story and help bring about positive changes in the disability space. Don’t be deterred by the word ‘submission’ – there is no set format, it doesn’t have to be detailed or even written, it can be a recording of your story or even a painting.

Some of the common issues being found in submissions to date are discrimination and exclusion, barriers to accessing community services, issues with the NDIS, children being excluded from school, discrimination, and lack of support in the workplace and the disproportional impact of family violence for women with a disability.

Those who are thinking about making a submission are encouraged to contact Your Story Disability Legal Support if they’d like advice and support prior to making a submission. Your Story Disability Legal Support is available in all states and territories offering free independent, confidential support to make submissions to the Disability Royal Commission, which is currently open until Saturday 31 December 2022. It’s not compulsory to contact this service but could be useful if you have concerns about privacy and confidentiality or naming a service provider or other agency that you need to maintain a relationship with, such as a school or an employer. The service can also link people to free counselling and support, interpreting and Auslan services and specific support for Aboriginal and Torres Strait Islander people.

You can access the Your Story Disability Legal Support website here which includes a webpage for Aboriginal and Torres Strait Islander peoples here. You can also access the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability website here.

Image source: Your Story Disability Legal Support website.

NPS MedicineWise Programs and Services Transition

NPS MedicineWise will cease all operations on Saturday 31 December 2022. This follows the recent decision by the Federal Minister for Health and Aged Care, the Hon Mark Butler, to continue with the redesign of the Quality Use of Therapeutics, Diagnostics and Pathology (QUTDP) Program announced in the March 2022 Federal Budget.

Under the redesign, from Sunday 1 January 2023, NPS MedicineWise will no longer receive grant funding from the Department of Health and Aged Care to deliver Quality Use of Medicines (QUM) functions. The Australian Commission on Safety and Quality in Health Care (the Commission) will take on core QUM ‘stewardship’ functions while education programs for health professionals and consumers will move to contestable funding.

Although NPS MedicineWise will no longer operate, a number of NPS MedicineWise programs and services will be transitioning to other organisations. The following programs and services will be transitioning to the Australian Commission on Safety and Quality in Health Care (ACSQHC):

  • MedicineInsight
  • MedicineWise App and Doctor’s Bag App
  • Choosing Wisely Australia website here
  • Delivery of the National Medicines Symposium
  • Delivery of MBS and PBS Practice Reviews
  • Value in Prescribing bDMARDs materials
  • NPS MedicineWise website here and online learning platform here (excludes Australian Prescriber journal and Good Medicine Better Health)

The following programs are transitioning to NACCHO:

  • Good Medicine Better Health
  • Resources to support medicines use in remote locations

NPS MedicineWise online programs and resources that support medicines use in Aboriginal and Torres Strait Islander communities will transition to the NACCHO website here from Thursday 1 December 2022. Specific resources being transitioned include:

  • Good Medicines Better Health– learning modules and consumer resources developed for Aboriginal and Torres Strait Islander Health Workers and Practitioners and their communities to improve quality use of medicines and medical tests
  • Resources to support medicines use in remote locations
  • Principles for producing best possible medicines lists for Aboriginal and Torres Strait Islander people.

If you have any queries regarding these resources, you can contact the NACCHO Medicines team using this email link.

To view the AMA News article NPS MedicineWise Programs and Services Transition in full click here.

Image source: AMA News website.

Exploring how to transform Indigenous oral health

A first-ever conference featuring a wealth of dental experts will explore how to transform Aboriginal and Torres Strait Islander peoples’ oral health and attract more Indigenous dental professionals. Inspirational speakers including Australia’s first Indigenous dentist Dr Chris Bourke and several other oral health specialists and professionals will present at the first Indigenous Dental Association of Australia’s (IDAA) National Conference on Monday 28 November 2022.

Only about 0.4% of the approximately 16,000 employed dentists in Australia are Indigenous and Indigenous patients have significantly poorer oral health outcomes than non-Indigenous patients. “More than 60% of Indigenous patients aged 35-54 have signs of early-stage gum disease and almost one-third of Indigenous adults rate their oral health as poor or fair,” IDAA president Dr Gari Watson said.

“Indigenous children also have significantly worse oral health outcomes than their non-Indigenous counterparts and suffer higher rates of tooth decay and gum disease. We can only close the gap in health inequalities by improving Indigenous representation in the workforce and spurring the next generation of Indigenous health professionals. With oral health key to overall health and wellbeing, it is also vital we improve current dental health outcomes for Aboriginal and Torres Strait Islander peoples. This conference will help generate ideas for addressing unacceptable oral health inequalities and how we can highlight what’s behind every great smile—healthy teeth.”

To view the Bite magazine article Upcoming conference to explore how to transform Indigenous oral heath in full click here.

Image source: Parenthub website.

Mental health support for flood affected communities

Flood-affected residents in the Central West are being encouraged to access a range of expanded mental health support services to help them deal with the devastating floods that have impacted their communities. Premier Dominic Perrottet said the NSW Government had increased the number of mental health clinicians and workers deployed in the State’s Central West, to provide support to flood ravaged communities.

“We understand it has been an incredibly stressful and upsetting time for people in our flood affected towns and communities. We are committed to providing whatever support we can to help people who are doing it tough,” Mr Perrottet said. “Today I am also announcing an immediate funding boost for Lifeline Central West to increase its Rapid Response Program currently active on the ground, with six additional crisis counsellors, new vehicles and funding for fuel, and accommodation.”

To view NSW Government’s joint media release Mental health support for flood-affected communities in full click here.

There were 157 flood rescues in Eugowra, Central West NSW during the period 13 to 16 November 2022. Photo: NSW SES. Image source: The Orange App.

Staggering undersupply of GPs in next 20 years

New analysis from the Australian Medical Association (AMA) has confirmed Australia is facing a shortage of more than 10,600 GPs by 2031, with the supply of GPs not keeping pace with growing community demand. The AMA’s new report found demand for GP services increased by 58% between 2009 and 2019. The report, The general practice workforce: why the neglect must end is a detailed examination of the scale and causes of the GP workforce shortfall and proposes solutions, as part of the AMA’s Plan to Modernise Medicare campaign.

AMA President Professor Steve Robson said the AMA’s projections showed no let-up in future demand for GP care. “We are staring at this unimaginable shortage of GPs in our future and our projections show these pressures are just not going to ease up. We simply should not be in this position, but it’s clear the short-sighted policies of successive Commonwealth governments have failed the community.”

“We need long-term solutions to improve access to GP led care for patients, including in rural and remote areas that have been hardest hit by workforce shortages. Right now, we need all levels of government to work together with the health sector to resolve the GP workforce issues. These state-based quick fixes are not the answer. Our report shows the most cost-effective method, with the best outcomes for patients, is GP-led primary care. We want to work together with pharmacists, psychologists, and other allied health as part of a collaborative team for every patient,” Professor Robson said.

To view the AMA’s media release AMA report confirms staggering undersupply of GPs in next two decades in full click here.

Image source: AMA News website.

New guidelines to tackle chronic kidney disease

New guidelines to improve the diagnosis and management of chronic kidney disease in Aboriginal and Torres Strait Islander people have been launched in a bid to tackle one of the country’s biggest killers. Every day, on average, 63 people with kidney disease die in Australia. While the condition affects one in 10 non-Indigenous Australians, First Nations people are twice as likely to develop kidney disease and nearly four times more likely to die with it.

New guidelines are the results of four years of work from a federally funded project team coordinated by Kidney Health Australia and led by University of Sydney research program Caring for Australians and New Zealanders with Kidney Impairment. with the Recommendations for Culturally Safe Kidney Care for First Nations Australians having now been launched.

To read the National Indigenous Times article New guidelines developed to tackle one of the biggest killers of Indigenous people in full click here.

Image source: Mala’la Health Service Aboriginal Corporation’s Renal Dialysis webpage.

Medicine shortage – Ozempic and Trulicity

You may be aware, there is a severe shortage of two diabetic medicines called Ozempic (semaglutide) and Trulicity (dulaglutide) and the shortage has been very challenging for many Australians  To assist consumers and health professionals, the Therapeutic Goods Administration (TGA) has published two web pages, providing practical information and advice about these shortages including a link to new clinical guidelines from the Royal Australian College of General Practitioners (RACGP), answers to questions we have received about Ozempic and Trulicity availability and alternative treatments.

Until the end of March 2023, there will be no further supplies of Ozempic available in Australia and access to Trulicity is expected to be very limited. It is recommended that patients who are prescribed Ozempic contact their doctor immediately to have their treatment reassessed. This is especially important as we approach the Christmas holiday period and access to medical services may be limited. This information needs to go out to patients to allow enough time to access alternative treatments.

The TGA will continue to work with Novo Nordisk and Eli Lilly, pharmaceutical wholesalers and medical professional organisations to reduce the impact of this global shortage on consumers, where possible.

If you have any questions, please contact the Australian Government Department of Health’s Medicine Shortages Section on 02 6289 4646 or by email using this link.

Image sources: Ozempic – AJP.com.au and Trulicity. Photo: Bridget Murphy, Newcastle ABC News.

Sector Jobs

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

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

14 October 2024

The image in the feature tile is from the Holistic Care With No Limits – Empowering the Aboriginal Community on Darkinjung Country webpage of the Yerin Eleanor Duncan Aboriginal Health Services (Central Coast, Darkinjung Country) website.

Redesigning maternity services for mob

Earlier this week more than 250 representatives from First Nations communities, health services, universities and research institutes, came together in Mparntwe (Alice Springs) to explore the scope for system-wide reform to secure the ‘best start to life’ for First Nations babies and their families.

The 2022 Best Start to Life Conference: a national gathering in Mparntwe was co-hosted by Molly Wardagugu Research Centre, Charles Darwin University (CDU) and Central Australian Aboriginal Congress (CAAC) to improve maternity services for First Nations communities and, ultimately, reduce maternal health inequities in the NT.

The Charles Darwin Universities’s Co-Director at CDU’s Molly Wardaguga Research Centre and Indigenous Health Professor Yvette Roe, who is a Njikena Jawuru woman from the West Kimberly region, WA, who grew up in Darwin, spoke on CAAMA Radio about the challenges faced by first nations mothers, in bringing up strong healthy babies.

“Before colonisation, our babies were born on country, we were raised by our mothers, we were raised by grandmothers, we had cultural ceremony and we had a real connection to community – after 200 years of colonisation, we have babies too early, too small, that are very sick when they’re born, we have mothers that have babies that are very sick, we got a health system that is being designed by a colonised system, a system imposed on our people… and this has really had poor outcomes, especially with our women in very remote communities, but also our women in urban centres.” Professor Yvette Roe said.

To view the CAAMA article Maternity services redesigned for First Nations women, which includes a video of Professor Roe speaking about the aim of the The Best Start to Life national gathering and improving maternity and birthing outcomes for First Nations women across Australia, click here.

Improving tobacco and e-cigarette control

Five ANU researchers have been awarded more than $10.7 million from the National Health and Medical Research Council (NHMRC) Investigator Grant scheme, to help tackle some of the world’s biggest medical and health challenges. Professor Emily Banks will receive more than $2.9 million to drive improved tobacco and e-cigarette control and provide new insights into cardiovascular disease prevention.

“Smoking remains Australia’s number one cause of premature death and disability,” Professor Banks said. “It is also a major cause of health inequity. Excellent progress by communities means that most Aboriginal and Torres Strait Islander people don’t smoke. At the same time, around half of all deaths at age 45 and over in this priority population are due to tobacco smoking.

“Australia is aiming for a tobacco-free future and is up against a predatory industry that is constantly innovating. E-cigarettes, or vaping, also present new challenges. My team and I will use this funding to generate and translate new insights to empower the next generation of tobacco and e-cigarette control and chronic disease prevention,” Professor Banks said.

To view the Canberra Weekly article Major ANU funding win to boost health for all Australians in full click here.

Photo: Mike Mozart, Flickr. Image source: Croakey Health Media.

Great oral health habits for kids

Smiles 4 Miles (an initiative of Dental Health Services Victoria – DHSV), the Healthy Eating Advisory Service (HEAS) and Ballarat Community Health are supporting early childhood services to improve children’s oral health and healthy eating habits. This work is highlighted in a new video case study (below) celebrating how Perridak Burron Early Learning, an Aboriginal community-owned education and care service, embedded these health priorities into their centre.

Tooth decay is largely preventable. However, public dental data shows that approximately one in four children aged five years and under who presented to public dental clinics in 2021–22 have a history of tooth decay and only 6% of Victorian children aged two to 17 eat the recommended serves of fruit and vegetables per day.

“We hope that Perridak Burron’s holistic, whole-of-service approach to healthy eating and oral health will inspire other early childhood education and care services to also make positive changes,” Smiles 4 Miles coordinator Demelza Diacogiorgis said. “Early childhood is a crucial stage in learning and development. Promoting health messages in simple ways enables children attending early childhood education and care settings to get a healthy start in life.”

To view the Bite magazine article Early childhood service leading the charge for great oral health habits in full click here.

New Deadly pharmacists training course

The new Deadly pharmacists foundation training course, co-designed by PSA and NACCHO, is designed to upskill pharmacists to work in ACCHOs. Lucky Zeniou MPS, Senior Pharmacist at the Institute for Urban Indigenous Health (IUIH) in Brisbane thinks the seven-module course, available on the PSA platform, will broaden career pathways for pharmacists.

Mike Stephens MPS, Director, Medicines Policy and Programs at NACCHO, said pharmacists can expect to gain a good understanding of the key concepts that underpin Aboriginal and Torres Strait Islander health, including the importance of self-determination and community control. ‘There are so many services ACCHOs can offer their community, and clinical care and pharmacy is just one part of that integrated care model,’ he said.

‘In some ACCHOs a pharmacist may be working alongside tobacco outreach workers, legal services, diabetes educators and Aboriginal and Torres Strait Islander health workers all in the same location.’ For pharmacists interested in working in an ACCHO, Mr Stephens recommends undertaking the course before or as soon as they begin work in this space. ‘This course will be a great enabler for this emerging workforce to grow,’ he said. ‘We know many ACCHOs are looking for suitable pharmacists to employ.’

To view the Australian Pharmacist article Securing a job in an Aboriginal Community-Controlled Health Service in full click here.

Image source: PSA Deadly pharmacists foundation training course webpage.

Closing the digital exclusion gap

Tech for good’ organisation Hitnet has been working with Aboriginal and Torres Strait Islander people for over 20 years, but its recent move is going further to amplify Indigenous voices. Co-founder and director Julie Gibson has ceded the company, which brings information and services to close the digital exclusion gap in rural and remote communities, to Visual Dreaming, a First Nations technology platform drawing on cultural practices and storytelling to support Indigenous youth.

For Gibson, the business move acts as a symbol for the non-Indigenous community to make room for First Nations organisations in an authentic and meaningful way. “Myself and the other founders strongly believe that Hitnet needed First Nations innovation, knowledge, creativity and entrepreneurship to take it to the next level,” said Gibson. “It was actually us that approached Visual Dreaming after a national search of actively looking to transition out.”

“I think the time has well and truly come for businesses that operate in the First Nations space to have management structures to ensure there is solid First Nations representation, which is not tokenism, but genuine ownership and control.”

To view the Pro Bono Australia article How ‘yindyamarra’ informed a business acquisition in full, click here.

How to provide better safer care

The COVID-19 pandemic has disrupted health and healthcare in many ways. One important issue is developing a better understanding of its impacts upon Aboriginal and Torres Strait Islander peoples’ experiences of healthcare. An important indicator of the quality and cultural safety of healthcare is whether Aboriginal and Torres Strait Islander people feel safe to remain in a service to receive healthcare, or whether they leave before healthcare is delivered or completed.

According to data recently reviewed by the Australian Commission on Safety and Healthcare, there are some grounds for concern that the pandemic has been associated with an increase or, at the very least, no improvement in leave events.

Another important question is how the pandemic has affected Aboriginal and Torres Strait Islander peoples’ access to care, given widespread reports of service closures, workforce shortages and systems under grave pressure. Dr Julieann Coombes and Keziah Bennett-Brook, researchers from the George Institute who conducted a systematic review informing national policy on leave events, suggest the issue deserves far more attention from policymakers, health services and providers, through efforts to address racism and improve cultural safety at all levels of the system.

To view the Croakey Health Media article How can health services provide safer, better care for Aboriginal and Torres Strait Islander people? in full click here.

Image source: CommunitySkills WA website.

Sector Jobs

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

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

Global Handwashing Day

October 15 is Global Handwashing Day, a global advocacy day dedicated to increasing awareness and understanding about the importance of handwashing with soap as an effective and affordable way to prevent diseases and save lives.

In Australia trachoma remains a major cause of avoidable blindness and as a prevention, face and hand washing are critically important. Australia is the only developed country still with high levels of trachoma, and almost all cases occur in our remote Aboriginal communities. Curtin University in partnership with West Australian Country Health Service, the Directorate of Environmental Health (WA Health) and Indigenous Eye Health (University of Melbourne) have produced a 30 second video, available here, based on Milpa’s Six Steps to Stop Germs!

For more information about Global Handwashing Day 2022 click here.

The University of Melbourne’s School of Population and Global Health webpage.

11 October 2022

The image in the feature tile is artwork by Riki Salam, an artist and graphic designer and the digital designer of the Our Mob and Cancer website. Born and raised in Cairns on Yidindji land, Riki has connections to Muralag, Kala Lagaw Ya, Meriam Mer, Kuku Yalanji peoples on his father’s side and the Ngai Tahu people in the South Island of NZ on his mother’s side. Image source: Our Mob and Cancer Artworks webpage of the Our Mob and Cancer website.

Our Mob and Cancer website launched

Australia’s first comprehensive cancer website developed by and for Indigenous Australians was officially launched yesterday in a bid to boost health outcomes and care across the country. Assistant Minister for Indigenous Health, Senator Malarndirri McCarthy, launched the Our Mob and Cancer website which provides culturally-safe support and information for patients, their families, communities and health professionals. The website includes critical information about how cancer affects Our Mob, ways to protect against cancer, types of cancer, diagnosis, treatment and living with cancer, how cancer spreads and where to get help and support.

In 2015–2019, Aboriginal and Torres Strait Islander people were 1.4 times more likely to die from cancer compared to non-Indigenous Australians and they experience higher incidence rates, and lower participation rates in bowel, breast, and cervical cancer population screening programs.

To view Senator the Hon Malarndirri McCarthy’s media release Ground-breaking platform launched for Aboriginal and Torres Strait Islander people affected by cancer in full click here.

Health students get a taste of rural life

First year health students have had a taste of what it would be like to work in a rural or remote area during a recent trip to the Atherton Tablelands as part of three Health Workforce Queensland’s GROW Rural Programs, aimed at encouraging them to return and work in the region. The program is focused on ensuring remote, rural, Aboriginal and Torres Strait Island communities have access to highly skilled health professionals when and where they need them, now and into the future.

It is being supported by Northern Queensland Primary Health Network (NQPHN) over the next three years. GROW Rural NQ presents first-year medical, nursing, midwifery, dentistry, and allied health students with a unique experience to develop familiarity and a deeper understanding of the potential of a professional and personal life they could have working in rural Queensland.

By cultivating strong connections with the health workforce community and the broader community, the GROW Rural program encourages health students to return to rural communities for their clinical placements and to consider rural practice as a future career opportunity. HWQ Future Workforce team leader Meredith Connor said the 25 students visited Atherton, Ravenshoe, and Mareeba. “Mulungu Aboriginal Corporation Medical Centre welcomed the students with fantastic cultural activities including traditional dance and an art workshop in which the students painted boomerangs and clapsticks,” Ms Connor said.

To view The Express article Health students get a taste of rural life in full click here.

Seven of the GROW Rural students (from left) Savindie Abeynayak, Louis Huynh, Maddy Harris, Elliot Hunt, Caitlin Brims, Karif Hung, and Jessica Lanza on the Tablelands. Image source: The Express.

Indigenous Doctor of the Year 2022

Tennant Creek’s Dr Sarah Goddard has been crowned Australia’s Indigenous Doctor of the Year award for 2022. She won the award at the Australian Indigenous Doctors’ Association conference after being nominated by her community and practice for going above and beyond and making a difference within healthcare. Dr Goddard said she was shocked, overwhelmed and very honoured to receive the award. Dr Goddard grew up in Tennant Creek. Her mother was very unwell for a time and Dr Goddard said she was inspired by the doctors and medical crew around her mother to go off and study and come back to the Barkley.

You can listen to ABC Radio National Drive presenter Rohan Barwick speaking to Dr Sarah Goddard here.

Dr Sarah Goddard has been named Indigenous Doctor of the Year 2022 by the Australian Indigenous Doctors’ Association. Image source: ABC News Alice Springs.

Close the Gap September 2022 newsletter

The September edition of the 2022 Close the Gap Quarterly Newsletter has been released. It includes information about the Deadly Physios Podcast show; words from the Close the Gap Campaign Co-Chair Commissioner June Oscar AO; and upcoming events:

  • ANTAR Celebrating 25 Years – ANTAR National Forum, Canberra or online – Wednesday 12 October 2022
  • launch of the Recommendations for Culturally Safe Kidney Care for First Nations Australians – Sunday 16 October 2022
  • CEO forum on how your organisation can support the Uluru Statement from the Heart, Sydney – Wednesday 16 November 2022

You can access the Close the Gap Quarterly Newsletter September 2022 edition here.

Benefits of early mental health interventions

Sueanne Gola is a Kamilaroi (Aboriginal) woman and Clinical Psychologist who has worked in mainstream mental health for 15 years says World Mental Health Day (yesterday) was an opportunity to share and showcase First Nations perspectives of Mental Wellness such as the Social and Emotional Wellbeing (SEWB) Framework. The framework takes into account the complexity and holistic nature of our experiences of mental wellbeing and includes connection to land, culture, and community. SEWB also takes into account the historical, political and societal experiences continuing to impact on our experiences of individual and community mental wellness and mental illness.  

Yesterday, she said, was also an opportunity to talk about infant mental health. Infant mental health is well established worldwide, however across much of Australia is still a relatively unknown and fledgling area of mental health. Ms Gola supports families in the first weeks of an infant’s life as they get to know the unique addition to their family. She gets to work with families to support the social and emotional development of their young children and most importantly support parents to improve the mental wellness of the family unit which aides in the recovery from intergenerational trauma and provides the next generation with a strong foundation of mental wellness.

Ms Gola said that lastly, but no less importantly, yesterday was an opportunity to reflect on Mental Wellness. All too often we talk about mental illnesses and what can be done to reduce a) symptom severity or b) the impact of mental illness symptoms on the individual and/or society. Yesterday was an opportunity to have conversations about Mental Wellness. 

To view the Indigenous Allied Health Australia (IAHA) article Celebrating 2022 World Mental Health Day with IAHA Member Sueanne Gola, Clinical Psychologist/Infant Mental Health Clinician in full click here.

Image source: myDr.com.au.

ACCHO recipients of oral health grants

While Australia has seen substantial improvements in oral health over recent years, we are beginning to see this positive trend decline in disadvantaged and remote communities. In fact, Australians from the lowest socioeconomic backgrounds are now almost half as likely to consult a dental professional, and nine times more likely to suffer complete tooth loss. While there are a number of factors at play, barriers such as lower access to dental facilities, financial pressures, and lower health literacy all contribute to Australia’s dental health inequity.

Now in its 11th year, the Mars Wrigley Foundation and Australian Dental Health Foundation (ADHF). Healthier Smiles Community Service Grants program is a well-established initiative supporting dentists and dental students from across Australia who seek to improve oral health outcomes by providing screening, treatment, and education to those most in need. This year, the Mars Wrigley Foundation has awarded approx. AU$111,000 in grant funding to 10 worthy projects. Among the 2022 recipients are:

Cherbourg Volunteer Dental Clinic

Indigenous people of Cherbourg – Australia’s most disadvantaged community – experience many health inequalities, including a lack of access to regular dental services. With the grant funding, the project team will work in conjunction with the Cherbourg Regional Aboriginal and Islander Community Controlled Health Services to provide volunteer dental screening, treatment, and education. The clinic’s aim is to allow the community of Cherbourg to transition from emergency intervention to preventative dental health through ongoing education and support.

Biripi Aboriginal Medical Corporation

Many Indigenous elders are unable to afford dental care and treatment, resulting in the loss of teeth or poorly fitted dentures that affect their lifestyle and ability to derive proper nutrition. The grant funding will assist the Biripi Aboriginal Medical Corporation in supporting Elders of the Biripi community through the provision of comprehensive dental care, including fillings, extractions and specialised denture services. The project team also aims to create awareness of the importance of maintaining oral health and the harmful effects of drugs, alcohol and smoking on the deterioration of oral health.

To view The National Tribune article Recipients announced for 2022 Healthier Smiles Community Service Grants in full click here.

Image source: Australian Dental Health Foundation website.

SWAMS develops syphilis awareness video

The short video (below), developed by South West Aboriginal Medial Service (SWAMS), aims to increase awareness around syphilis in the south-west region of WA, due to an ongoing outbreak. The video briefly discusses:

  • transmission
  • symptoms
  • treatment
    • risk if untreated during pregnancy
  • testing
  • prevention

You can access the SWAMS website here.

https://youtu.be/DK3KCVim41w

Sector Jobs

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

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