Category Evaluations

24 July 2023

Launceston AHS staff chronic care feature tile image: coordinator Di Spotswood & Dr Josh Anand at clinic reception desk'; text 'Review finds ACCHOs achieving better health outcomes than private general practice'

The image in the feature tile is of Dr Josh Annand talking to Chronic Care Coordinator Di Spotswood at the Aboriginal Health Service (AHS) reception desk. Dr Anand says the AHS is more collaborative than private practice. The image appeared in the ABC News article Aboriginal-run doctors clinics are succeeding where many other GP services are failing published yesterday, 24 July 2023. Photo: Erin Cooper-Douglas, ABC News.

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.

Aboriginal-run health services kicking goals

“How’s the bowls going, Smokey?” As he’s offered a cuppa, Michael “Smokey” Beeton tells his greeter he “just got beat” on the green on the weekend. You might think he’s at a community house or a friendly barbecue, but you’d be wrong — he’s at the doctors clinic. He’s been walking through these doors for 20 years, and while the staff have changed over that time, they all know Smokey. The 73-year-old has been treated for a range of issues from diabetes, to chronic back pain and even breast cancer.

He thinks many of these things would have gone untreated if it weren’t for the service. “I lived about half an hour out of town and I very rarely went to the doctor — very rarely,” he says. “But they’d come out to do my sugar checks and see if I needed anything, so it became a bit of a habit.” Smokey says it’s because he got to know everyone so well that he keeps coming back. “I used to go to the doctor and you’d be in there for 10 or 15 minutes, they’d give you a prescription, and you’d never hear from them again,” he says. “Here, it’s very special. You’re treated like family.”

This is the Aboriginal Health Service in Launceston, and while the service is norm for patients like Smokey, it’s worlds away from what many Australians experience when going to see a doctor. According to a recent review Challenges for Medicare and universal health care in Australia since 2000, available here, First Nations-run services are achieving better health outcomes for their patients than private general practice. Amid ever-present headlines about the GP crisis, much can be learnt from Aboriginal health services.

To view the ABC News story Aboriginal-run doctors clinics are succeeding where many other GP services are failing in full click here.

Launceston ACCHO patient Michael "Smokey" Beeton

Michael “Smokey” Beeton says visiting the health service feels like visiting his family. Photo: Erin Cooper-Douglas, ABC News.

Culturally-relevant wellbeing resources

For time poor health practitioners, social and emotional wellbeing can often take a back seat to treating physical ailments. But a more holistic approach can produce much better outcomes for Indigenous patients. In the most recent SBS BLA.C.K. Medicine podcast episode Dr Mikayla Couch chats with Uncle Dave and Angela from Wellmob, about the social and emotional wellbeing model of health care, and their mission to make the resources available to all.

The social and emotional wellbeing model emphasises the importance of a holistic approach to healthcare, especially for Indigenous patients. Along with looking after physical and mental health, it promotes measures that address social and emotional needs as well. Uncle Dave said “The social emotional wellbeing model gives a more holistic perspective, as opposed to maybe a non-Indigenous model where those connections to cultures, spirituality, community and kin may not make up such a strong part of someone’s wellbeing.”

But locating culturally-relevant and accessible resources that use this model can be hard. Angela Sheridan said “We found that all these deadly resources were tucked away in the deep dark corners of the internet… So the idea was conceived to host them all in one place and have a one-stop shop of Indigenous-specific online resources.” The Wellmob website, available here, was created to direct time-poor health practitioners to resources that can improve the wellbeing of Indigenous people and help them stay connected to culture; whether it’s a mindfulness app, a video on healing from trauma, or a collection of healthy recipes.

You can listen to the Making mob well: A new way to find culturally-relevant wellbeing resources SBS NITV podcast episode in full here.

banner SBS BLA.C.K. Medicine, text ' Making mob well: A new way to find culturally-relevant wellbeing resources - 16:14 minutes

Image source: SBS NITV Radio website.

Australia’s first wellbeing budget revealed

Australians live longer, are happier in their jobs and trust each other more than they did two decades ago. But more people are also battling chronic diseases, struggling to make ends meet and having bad experiences online. These are some of the findings of the first national wellbeing framework, released by Treasurer Jim Chalmers last Friday 21 July 2023.

So why is the government measuring wellbeing, what does it have to do with the economy, and will this actually mean anything for you? Chalmers first floated the idea of a “wellbeing budget” in 2020 when the Coalition was in power. Wellbeing is a combination of physical, social, economic and emotional factors, and overall quality of life.

According to the World Health Organization (WHO), focusing on wellbeing supports the tracking of the equitable distribution of resources, overall thriving and sustainability. Measuring What Matters, Australia’s first national wellbeing framework, uses 50 indicators to track how healthy, secure, sustainable, cohesive and prosperous Australia is. The framework also includes an overall life satisfaction indicator.

To view the SBS News article Australia’s first wellbeing budget has been revealed. What does it mean for you? in full click here.
3 ATSI women in park with arms around each other, smiling

Photo: Bobbi Lockyer / Refinery29 Australia – Getty. Image source: SBS News.

SEWB Gathering’s theme ‘Culture First’

The fourth Social Emotional Wellbeing (SEWB) Gathering is around the corner. It is being held from Monday 31 July to Wednesday 2 August in Darwin. Over three days delegates from Aboriginal and Torres Strait Islander peak bodies, community organisations, leaders, experts across Australia will come together to discuss social and emotional wellbeing topics.

The theme for this year’s SEWB Gathering is ‘Culture First’ with a focus on implementing this idea in the workforce, systems, and services.

Like previous SEWB Gatherings there is likely to be many enriching discussions and transformative insights.

tile text 'SEWB Gathering 31 Jul - 2 Aug Double Tree by Hilton Hotel Esplanade Darwin; Co hosted by TIMHWB, NACCHO, AIPA, Gayaa Dhuwi (Proud Spirit) Australia

Calls for more midwives, shortfall of 1,300

Gabby Petersen is a second-year midwifery student and First Nations woman with Aboriginal, Torres Strait and Samoan heritage. “I’m the eldest of three girls, I have two younger sisters and I think my mum has a little bit of birth trauma, and that inspires me to be that midwife to make sure people have safe experiences,” she said. Ms Petersen said there needed to be changes in the industry to accommodate the different needs of First Nations people. “They’re at this really important, really special moment in their lives and they’re shoved into a hospital room that doesn’t look like home, with white lights and unknown linen and it can be so disorientating,” she said.

Ms Petersen said having more First Nations midwives in the industry could see cultural safety improved. “Having that First Nations background, you have a perspective on cultural safety that some people just don’t and that’s not their fault, you just have that extra consideration for what would make them feel safe because that’s what would make you feel safe,” she said.

There are currently 305 registered First Nations midwives in Australia — making up only 1.3 per cent of the workforce. “So, to reach population parity, we’d need 650 midwives. But if you factor in our higher fertility rate, plus the disparity we see in health outcomes, we’ve estimated that we’d need around 1,300 more,” PhD student and First Nations registered midwife Karel Williams said.

To view the ABC News article Calls for more Indigenous midwives as experts estimate national shortfall to be 1,300 in full click here.

First Nations student Gabby Petersen is in her second year of midwifery studies in Canberra

First Nations student Gabby Petersen is in her second year of midwifery studies in Canberra. Photo: Donal Sheil, 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.

International Self-Care Day – 24 July 2023

24 June marks the start of Self-Care Month, which ends with Self-Care Day on 24 July. This symbolic day was chosen because self-care can be practiced “24 hours a day/7 days a week”. During the month, people around the world will be celebrating self-care practices and interventions and the difference they can make to everyone’s lives.

The World Health Organisation (WHO) defines self-care as individuals, families and communities’ promoting and maintaining their own health, preventing disease, and coping with illness and disability, with or without the support of a health worker. Self-care interventions are the evidence-based tools that support self-care. They include medicines, counselling, diagnostic kits, and digital technologies. Now is an exciting time with more and more tools being developed. Self-care is about empowering people to be active agents in their own healthcare. Doing so not only puts people at the centre of their own healthcare, but also relieves pressures on health systems.

Self-care interventions give people choice and the option to access healthcare wherever and whenever they want to. Self-care interventions do not replace health systems, they enhance them. They are part of a holistic approach to healthcare which improves Primary Health Care and contributes to Universal Health Coverage. You can find more information about Self-care month on the WHO website here.

You can access a Self-care Toolkit – A healthy happy mob, means a well done job produced by the Aboriginal Health and Medical Research Council of NSW (AH&MRC) here; an Australian Indigenous HealthInfoNet webpage Aboriginal and Torres Strait Islander Health Professions – Taking care of yourself here; and a VACCHO produced video Self-care for Aboriginal and Torres Strait Islander Health Workers below.

10 July 2023

hairdresser with ATSI man happy with his new mullet; text 'Environmental Health Trachoma Project helping remote WA communities with health, housing and haircuts'

The image in the feature tile is of an Irrungadji resident who is very happy with the new mullet hairstyle given to him by Mrs DeBonde. Photo: Amelia Searson, ABC Pilbara. Image source: ABC News article Environmental Health Trachoma Project helping remote WA communities with health, haircuts and housing published on 9 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.

Environmental Trachoma Project helps WA mob

Tyron Colley usually has to travel hundreds of kilometres to get something as basic as a haircut. He lives in the small Aboriginal community of Irrungadji, in WA’s Pilbara region, where the nearest town with a hairdresser is almost 200 kms away. The lack of accessible basic services in remote Australia extends beyond haircuts to more serious issues, with communities like Irrungadji also facing significant housing and health challenges.

Environmental Health Trachoma Project (EHTP) lead Melissa Stoneham said poor hygiene combined with living conditions and overcrowding can lead to bacterial infections like trachoma – an eye disease that can cause blindness. Australia is the only developed country to still have endemic trachoma, and almost all cases are found in remote Aboriginal communities. In an effort to stop the spread, EHTP is working with the state government, Curtin University and other advocacy groups to take health and housing programs to remote WA communities. The team recently visited Irrungadji to assess its housing situation. Dr Stoneham said a major focus for the team was on plumbing and “anything that helps these people living in their homes with the ability to wash their face, hands, body and clothes”.

Dr Stoneham said health should be approached as a “holistic concept”, with mental and physical wellbeing going hand-in-hand. She said when heading out to remote communities, it was important to provide culturally respectful services that helped people feel taken care of. “We have free haircuts, we have de-licing of hair, we have free clothes that we are giving out,” she said. “Interactions have been great, you know, they’ve been getting a new outfit, a new haircut, they’re feeling fresh and good about themselves.”

To read the ABC News story Environmental Health Trachoma Project helping remote WA communities with health, haircuts and housing in full click here.

Dr Melissa Stoneham - Environmental Health Trachoma Project

r Melissa Stoneham says health should be seen as a “holistic” concept. Photo: Amelia Searson, ABC Pilbara. Image source: ABC News.

Meta to crack down on VTP misinformation

Facebook and Instagram want to be “contributing to democracy” and not exacerbating harms surrounding the Indigenous voice referendum, the company’s Australian policy head has said, as the social media giant beefs up protections on misinformation, abuse and mental health before the national vote. Meta, the parent company of the two apps, has announced it will boost funding to factcheckers monitoring misinformation, activate global teams to locate and respond to potential “threats” to the referendum – including coordinated inauthentic behaviour – and form a partnership with ReachOut for mental health support to Aboriginal and Torres Strait Islander people.

“We are also coordinating with the government’s election integrity assurance taskforce and security agencies in the lead-up to the referendum,” said Mia Garlick, Meta’s director of public policy for Australia. “We’ve also improved our AI so that we can more effectively detect and block fake accounts, which are often behind this activity. “Meta has been preparing for this year’s voice to parliament referendum for a long time, leaning into expertise from previous elections.”

Meta will tap Australian knowledge to respond to abuse and hate speech. “We have hate speech advisory groups and First Nations advisory groups giving insight and advice on issues they see on the ground,” Ms Garlick said. “Building off our experience with the marriage equality postal survey and elections, unfortunately when a particular group is the focus of debate, vulnerable groups can feel more vulnerable.”

To view The Guardian article Meta vows to crack down on abuse and misinformation surrounding voice to parliament referendum in full click here.

background text Meta & logo, foreground Facebook logo

Groups behind the no campaign against the referendum have already had online posts and ads flagged as ‘false information’ by factcheckers. Photo: NurPhoto/Shutterstock. Image source: The Guardian.

BlaQ CEO on the Voice to Parliament

Shane Sturgiss has been the CEO of BlaQ Aboriginal Corporation, a national organisation founded to provide visibility to Queer Indigenous peoples and communities, for 18 months. Asked about what inspires him the most about his role, he said, “I think the idea of seeing people’s lives change, knowing that there’s a better tomorrow, knowing that the work that I’m doing will have an impact– will make a difference.”

According to Sturgiss, the aim of BlaQ Aboriginal Corporation is to “bring visibility and provide a platform to address the intersectionality of our LGBTIQ+SB Aboriginal and Torres Strait Islander community in order to provide a service where they can identify as their whole authentic self when accessing services.” He added, “To bring a level of comfort, provide safe spaces, and hopefully educate people on how to address intersectionality for our people and provide those safe spaces to create safer communities.”

The biggest challenges facing Queer Indigenous people are disparities in health and education as well as “the lack of awareness and acknowledgement of intersectionality and the idea that we are a homogenous group,” he explained. When it comes to the upcoming Indigenous Voice to Parliament referendum, Sturgiss stressed the point that, for Queer Aboriginal and Torres Strait Islander people, this will be the “second time in six years that they’ve invited the entire nation to vote on their rights as humans, and as people, and as citizens. Regardless of where your vote lies. This is still something that needs to be done with respect and dignity because it does involve people’s lives and the negative fallout from that can be a loss of life.”

To view the Star Observer article Shane Sturgiss, CEO of BlaQ Aboriginal Corporation, On The Indigenous Voice to Parliament in full click here.

BLAQ Aboriginal Corporation logo & large group of people on outdoor concrete steps

Image source: Star Observer.

Health Performance Framework summary report

The Aboriginal and Torres Strait Islander Health Performance Framework summary report summarises the latest information on how Indigenous Australians are faring, drawing from the Health Performance Framework (HPF) measures.

In 2018, the burden of disease among Aboriginal and Torres Strait Islander people was 2.3 times that of non-Indigenous Australians. Among Indigenous Australians, mental and substance use disorders were the leading contributor to disease burden (24%). Measures of health status, determinants of health, and health system performance drawn from the Aboriginal and Torres Strait Islander Health Performance Framework (HPF) show mixed results. It is important to note that measures in the 3 tiers are interconnected, and understanding the reasons for progress (or lack thereof) in the health status and outcomes of Indigenous Australians may often be best understood by examining relevant measures in determinants of health and health system performance.

Analysis by the AIHW of ABS survey data indicates that about 34% of the total health gap between Indigenous and non-Indigenous Australians is due to social determinants, and 19% due to individual health risk factors (e.g. smoking). It is likely that differences in access to affordable and nearby health services explain a significant proportion of the health gap between the Indigenous and non-Indigenous populations. In many cases, Indigenous Australians have poorer access to health services than non-Indigenous Australians, for a range of reasons including barriers such as availability, cost and a lack of culturally appropriate health services. For Indigenous Australians to have better health outcomes, improvements in the health system are required.

To view the AIHW’s Torres Strait Islander Health Performance Framework Summary report July 2023 in full click here.

cover of AIHW 'ATSI Health Performance Framework Summary report July 2023'

Best reform for child wellbeing: raising criminal age

The Australian Medical Association (AMA) President Professor Steve Robson said child incarceration in Australia is a national problem that requires a nationally consistent response. In a submission to an Australian Human Rights Commission investigation into possible reforms to youth justice the AMA has called on Australia’s Attorney-General, Mark Dreyfus, to show leadership by encouraging state and territory attorneys-general to raise the age  of criminal responsibility from 10 to 14.

Professor Robson said “The medical evidence is clear, jailing harms children mentally and impairs their physical development and the younger the child is at first contact with the legal system, the higher the rate of recidivism. We cannot accept a stepped approach of raising the age to 12 — let’s remember that children this age are still in primary school — 14 is the absolute minimum age that we should set criminal responsibility. Countries comparable to Australia don’t lock their children up. We really should be ashamed to know that right now there will be around 4,500 children as young as 10 under youth justice supervision in Australia. 10-year-olds are in year four and year five at school, they still have baby teeth, some still need booster seats in the car and at school they have to earn a pen license. They should not be in jail, no matter where they live in Australia or whatever their personal circumstances may be.”

The AMA’s submission also highlights the disproportionate number of Aboriginal and Torres Strait Islander children in detention, making up almost half of all the 10–17 years olds in detention (despite making up only 6% of the population in this age group).

To view the AMA media release Best reform for youth justice and child wellbeing is raising the criminal age across Australia in full click here.

tile text '10 year olds are children, not criminals.' drawing of child in jail cell with head & arms on knees

Image source: UNICEF Australia Tweet 30 November 2017.

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

National Diabetes Week runs from Sunday 9 to Friday 15 July 2023. Diabetes Australia want a future where diabetes can do no harm, but say that to achieve this ambition we must act now to change the trajectory of diabetes in Australia and better support people living with or at risk of diabetes.

The Australian Government recently announced an Inquiry into Diabetes in Australia. It is time to amplify the voice of the diabetes community to ensure this Inquiry focusses on the priorities that will change the numbers, change the future, and change lives.

This National Diabetes Week Diabetes Australia are kick-starting Australia’s biggest conversation about the impact of diabetes in this country – a conversation to drive change, and to create hope for the future. No one understands diabetes more than a person who lives with diabetes. Driving change starts with hearing the views and amplifying the voices of the diabetes community.
For more information about National Diabetes Week 2023 click here.
tile text ' National Diabetes Week 2023 - Join the Conversation - Diabetes Australia'

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.

2 May 2023

feature tile image of young ATSI boy having an ear examination; text 'Central Australian Aboriginal Congress to deliver a new Urgent Care Clinic in Alice Springs'

The image in the feature tile is of a medical examination being undertaken at a Central Australian Aboriginal Congress (CAAC) health service. Image source: CAAC 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.

CAAC to deliver Urgent Care Clinic in Alice Springs

The Commonwealth and NT Governments will establish two new Medicare Urgent Care Clinics (UCCs) in Palmerston and Alice Springs. The NT Government is in advanced stages of negotiations with the Palmerston GP Super Clinic to deliver the Urgent Care Clinic in Darwin and with Central Australian Aboriginal Congress (CAAC) to deliver the Urgent Care Clinic in Alice Springs.

These UCCs will provide bulk billed treatment for urgent but non-life-threatening emergencies. They will be open extended hours, seven days a week. The UCCs will reduce demand pressures on the Territory’s public hospitals and planning is underway in partnership with local primary health providers.

The UCCs will:

  • Improve access to urgent care in non-hospital settings, particularly for vulnerable groups including people with a disability, First Nations people and people from culturally and linguistically diverse communities.
  • Reduce the pressure on emergency department presentations in partner hospitals by providing patients with short term, episodic care for urgent conditions that are not immediately life-threatening.
  • Support integration with existing local health services and complement general practice.

These clinics will be up and running providing urgent care to the local communities by the middle of the year. Category 4 and 5 presentations, non-life-threatening emergencies, make up just over 40% of the total presentations to hospitals in the NT. Medicare UCCs will help make care closer to home possible.

To read the Prime Minister, Chief Minister of the NT and the Minister for Health and Aged Care’s joint media release Medicare urgent care clinics and new cancer treatment for the NT in full click here.

PM Albanese announcing Medicare UCCs in Darwin & Alice Springs

Mr Albanese in Darwin yesterday making the announcement about the new Medicare UCCs. Photo: Matt Garrick, ABC News.

Reform leads to increased PHC utilisation

Globally, Indigenous populations experience poorer health but use less primary healthcare than their non-Indigenous counterparts. In 2010, the Australian government introduced a targeted reform aimed at reducing these disparities. The reform reduced, or abolished prescription medicine co-payments and provided financial incentives for GPs to better manage chronic disease care for Indigenous peoples.

A study has been undertaken to investigate how the reform affected these health disparities in primary and specialist healthcare utilisation using longitudinal administrative data from 75,826 Australians, including 1,896 Indigenous peoples, with cardiovascular disease. The differences-in-differences estimates indicate that the reform increased primary healthcare use among Indigenous peoples, including 12.9% more prescription medicines, 6.6% more GP services, and 34% more chronic disease services, but also reduced specialist attendances by 11.8%.  Increases in primary care were larger for those who received the largest co-payment relief and lived in metropolitan regions, whereas the reduction in specialist attendances was concentrated among lower income Indigenous patients.

The study concluded that affirmative action can reduce disparities in healthcare utilisation however careful policy design, and ongoing evidence generation, is required to ensure that reform benefits are equitable, target populations of need, and do not lead to substitution away from valuable, or necessary, care.

To view the research article Does affirmative action reduce disparities in healthcare use by Indigenous peoples? Evidence from Australia’s Indigenous Practice Incentives Program in full click here.

ATSI man having a finger prick test in a health clinic

Image source: Choose Your Own Health Career website.

Human Experience Week about love, belonging and healing

Love, belonging and healing are the cornerstones of this year’s NSW Health Human Experience Week (1–7 May); a week co-designed by NSW Health staff and consumers that promises to immerse attendees in new ideas, innovation, with best practice reinforced and new information introduced. At Westmead Hospital yesterday Darug Nation Local Aboriginal woman, Erin Wilkins, opened the event with a Welcome to Country that reflected on the sensitivities and protocols required to cater to the needs of patients and staff from different cultural backgrounds to improve human experience and inclusion for all.

Western Sydney Local Health District (WSLHD) chief executive, Graeme Loy, conveyed his appreciation for the district to be hosting such a critical NSW Health event and the scope of partnerships that makes up human experience which includes consumers, clinicians, carers, their family members, and staff. Mr Loy said “This morning’s session is underpinned by the impact of healthcare on the Stolen Generation and multiculturalism, which is very important to us in western Sydney, as we have the largest First Nations population in the state.”

WSLHD Aboriginal Health Strategy acting district director, Belinda Cashman, said “At WSLHD, we’re currently hearing what Aboriginal people have to say in our communities; we’re looking at a new maternity model of care; creating advisory communities, holding staff network meetings and engaging in a variety of other programs that we offer to work together to close the gap.”

To view The Pulse article All of Us: The Power of Community – Human Experience Week 2023 kicks off at Westmead Hospital – PART 1 in full click here.

Effects of Mental Health First Aid training for mob

Non-suicidal self-injury (NSSI) is a complex issue affecting Aboriginal and Torres Strait Islander peoples in Australia. Researchers have evaluated the effects of an Aboriginal and Torres Strait Islander Mental Health First Aid (AMHFA) training course on assisting an Aboriginal and Torres Strait Islander person engaging in NSSI, including the effects on stigmatising attitudes, confidence in ability to assist, and intended and actual assisting actions.

Improvements were observed in stigmatising attitudes, with significant changes observed. Participants’ confidence in ability to assist also increased significantly both postcourse and at follow-up. 82.7% of participants who identified as Aboriginal and Torres Strait Islander rated the course content as very culturally appropriate.

The results of the trial were encouraging, suggesting that over 5 hours of the Talking About Non-Suicidal Self-Injury course was able to improve participants’ attitudes, confidence and intended assisting behaviours, including among those with prior experience and training. Assisting actions recommended during the training were implemented by several participants in the 6 months since participating in the training course, demonstrating immediate benefits for Aboriginal and Torres Strait Islander communities.

To view the research article Effects of an Aboriginal and Torres Strait Islander Mental Health First Aid training programme for non-suicidal self-injury on stigmatising attitudes, confidence in ability to assist, and intended and actual assisting actions: an uncontrolled trial with precourse and postcourse measurement and 6-month follow-up published in BMJ Open in full click here.

5 women from Yoorana Gunya Family Healing Centre undertaking ATSI Mental Health First Aid Training

Aboriginal and Torres Strait Islander Mental Health First Aid Training at Yoorana Gunya Family Healing Centre (YGFHC). Image source: YGFHC website.

Health service delays driving families apart

Indigenous parents struggling with substance abuse are being permanently separated from their children due to delays in Victoria’s public health system, a truth-telling inquiry has heard. Under state law, parents battling problems such as addiction are given up to two years to get the help they need before their children can be permanently placed in out-of-home care.

But it often takes longer to access public mental health, drug and alcohol services, putting Aboriginal and Torres Strait Islander parents at risk of losing their children, the Yoorrook Justice Commission heard. “The current alcohol and other drug service system is under very significant strain at the moment,” Katherine Whetton, deputy secretary, mental health and wellbeing at the Department of Health told the commission yesterday. “I believe there are waiting lists for those services … I would say that there would be people that have trouble getting the care and treatment they need.”

To view the Health Times article Health service delays hit Indigenous parents in full click here.

Brett Moran, a counsellor at Marrin Weejali, sitting on set of his house with wife, Kristy, and 3 children, Shania-Rose, Maddison-Lee and Ivy-Grace

Brett Moran, a counsellor at Marrin Weejali (Sydney’s only Aboriginal-run drug and alcohol counselling centre), with his wife and three daughters. Moran now runs the same groups at the centre he once joined as a client. Photo: Carly Earl, The Guardian.

Health Minister to ban disposable vapes

Disposable vapes used by more than a million Australians will be banned under a major crackdown on vaping that aims to rid convenience store shelves of thousands of products, but the federal government will make it easier for people to vape with a doctor’s prescription. Health Minister Mark Butler laid out the government’s ambitious plans to eliminate a rampant vaping black market in a National Press Club speech today amid concerns that a new generation of young people have become addicted to nicotine.

Nicotine vapes are already illegal without a doctor’s prescription but legal loopholes and weak enforcement at the border and in shops have allowed sales to flourish under the counter as well as online. One in six teenagers between 14 and 17 have vaped and a quarter of 18 to 24–year-olds have vaped, according to a recent study published in the Australian and New Zealand Journal of Public Health, while Butler has previously said there were as many as 2 million vapers in Australia.

Australia will achieve a world first if it successfully winds back the black market – which sources most of its products from China – and limits vaping to people with a doctor’s prescription.

To view the WAtoday article ‘This must end’: Butler to ban disposable vapes as part of black market crackdown in full click here and Minister Butler’s media release Taking Action on Smoking and vaping in full here.

young woman, arms crossed, holding a vape, face obscured by smoke

Image: Getty Creative. Image source: Forbes Health.

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 April 2023

feature tile; image ATSI man & woman speaking to pharmacist; text 'PSA ATSI people's Healthcare Position Statement drafted in consultation with NACCHO'

The image in the feature tile is from an article Concerns Queensland pharmacy trials will ‘widen the gap’ published in the RACGP newsGP on 24 February 2022. Image source: APP photos.

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.

PSA launches health care position statement

On Friday last week The Pharmaceutical Society of Australia (PSA) launched its Aboriginal and Torres Strait Islander peoples’ health care position statement, which is says recognises culturally safe care and equity of health care access as critical drivers to improving health outcomes. The statement was drafted in consultation with the NACCHO, reaffirming the importance of genuine partnerships and shared decision-making.

In collaboration, PSA and NACCHO have pioneered onsite pharmacists within their network, a program that has been successful. The PSA says it will continue to work to make this service available to as many patients as possible. The PSA said it values its ongoing collaborative relationship with NACCHO and is committed to the principles of community control and self-determination of Aboriginal and Torres Strait Islander peoples. In co-design with NACCHO, the PSA said it has delivered key initiatives including the Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management (IPAC)  trial and development of the Deadly Pharmacists Foundation Training Course to equip pharmacists with the skills needed to work within ACCHOs.

PSA National President Dr Fei Sim FPS said that the statement demonstrates pharmacists’ commitment to enhancing the life expectancy, health and wellbeing of Aboriginal and Torres Strait Islander people. “The 2022 Closing the Gap Annual Report highlighted that the target to close the health and life expectancy gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians within a generation, while trending in a positive direction, is not on track.

To view the APP medianet. article Aboriginal and Torres Strait Islander peoples’ health care statement advocates for improved equity of access in full click here.

PSA Twitter tile, PSA logo, Aboriginal dot painint navy, mauve, tan, blue & text 'ATSI people's health care position statement'

Twitter PSA post 14 April 2023.

Elder abuse program hailed a success

In independent review has hailed the success of two programs run in partnership by two local organisations to combat elder abuse. The programs, run by Eastern Health and the Eastern Community Legal Centre (ECLC), have been earmarked for expansion. A launch at Eastern Health’s Box Hill office was attended by Attorney-General Mark Dreyfus on Wednesday 12 April to release the report into the first three years of the Engaging and Living Safely and Autonomously (ELSA) and Rights of Seniors in the East (ROSE) programs.

ECLC partnered with Eastern Health to launch ELSA and ROSE in 2019, and the programs “have achieved their goals to the highest possible levels” and support the adaption of the ELSA and ROSE models to other geographical locations and their continuation and expansion” according to the report. Eastern Health CEO David Plunkett said “One key aspect that is discussed at length in this report is collaboration with community partners. We know the needs of our community are changing, in fact the proportion of our population over 85 years is set to grow by 75% by the year 2036.”

The ROSE program features a community lawyer, elder abuse advocate, and financial counsellor to respond to older people experiencing or at risk of abuse, working in partnership with Oonah Health and Community Services Aboriginal Corporation and other community partners.

To read the Star Mail article Elder abuse program partnership hailed a success by independent review in full click here. The video below from the Queensland Government’s Stop Elder Abuse campaign, available here.

Spare by cyclone but evacuees unable to return

Severe Tropical Cyclone Ilsa has made its passage through WA but many evacuees from the Great Sandy Desert are yet to return home with remote communities cut off by floodwaters. Pilbara leaders are relieved remote communities went largely unscathed as Isla maintained her strength travelling inland. But authorities said it was difficult to predict when waters would recede, roads would dry out, and residents would be able to return home.

Inland communities such as Punmu and Parnngurr evacuated children and vulnerable residents ahead of Ilsa’s passage, while small numbers of remaining residents and staff sheltered in the limited cyclone-rated accommodation available. Martu leader Bruce Booth said people did the right thing by evacuating, but not being able to return to community was challenging.

To read the ABC News story Remote Indigenous communities spared by Cyclone Ilsa but evacuees unable to return home in full click here.

Road access to the remote community Punmu cut off after Cyclone Ilsa

Road access to the remote community Punmu has been cut off after Cyclone Ilsa. Photo: Edith Costello. Image source: ABC News.

Conference an attempt to solve NT housing crisis

Nine out of 10 people experiencing homelessness in the NT are Aboriginal. In an attempt to solve the housing crisis, Aboriginal Housing NT is hosting a three-day conference from Tuesday 18 April 2023. The group’s chief executive Skye Thompson said Indigenous people deserved sustainable long-term housing solutions. “We have got a lot of work to do, we want long term investment in our ACCOs to deliver the housing-related services to Aboriginal people,” she told AAP. “We know that they do it best for our people.”

Organisers are expecting about 200 delegates from around Australia to attend. Indigenous Australians Minister Linda Burney and Assistant Minister Malarndirri McCarthy will address the conference. So too will heads of First Nations agencies, directors of corporations that serve Aboriginal homelands and community members. “It’s clear that if housing is neglected in remote communities, those issues can compound and come into major centres including Darwin, Katherine and Alice Springs,” Senator McCarthy said.

To read the St George and Sutherland Shire Leader article ‘Work to do’: Aboriginal leaders want housing solutions in full click here.

Gwen Brown, 68, standing outside her tin shed house in Tennant Creek

Gwen Brown, 68, says her Tennant Creek home can become stiflingly hot during heatwaves. Photo: Gwen Brown. Image source ABC News.

2050: how’s our health system holding up?

So much of our day-to-day attention is focused on the problems facing healthcare systems now. Lifting our gaze to envision the likely future challenges – say in 2050 – can help set a course forward. In the first of a two-part series, Croakey editor Jennifer Doggett gazes into a health policy crystal ball, providing advice to the policymakers of today around five key themes: health financing; workforce; technology; climate and planetary health; and patient and community involvement in healthcare.

One example given in the article of changing primary healthcare teams is cohealth’s recent move towards making peer navigators a key role in healthcare teams. According to Dr Kim Webber, “Peer navigators understand the system and speak the language of both consumers and providers. They are the key people to join up the system, a role we currently expect GPs to perform but which does not usually occur. We can learn how this works from Aboriginal Health Workers here – they are ten years ahead of the rest of the health system.”

Australia clearly needs to establish a comprehensive health and aged care workforce planning process to set the foundation for a future health workforce that can meet our healthcare needs. Without robust planning and the political will to resist pressure from professional vested interest groups, the most likely scenario in 2030 will be a hyper-concentration of health professionals in areas of high income where they can generate supplier-induced demand. Meanwhile, many other areas, including disadvantaged communities and rural and regional areas, will have little or no access to healthcare.

To view the Croakey Health Media article It’s 2050. How is our health system holding up? in full click here.

Image source; AMA website.

Health workforce older and more female

Women made up 44% of medical practitioners in 2021, up from 41.6% five years before. In 2021 women made up 76.3% of the health practitioners across 15 health professions, a significant increase of 0.5% since 2016, and 44.4% of medical practitioners, with implications for workplace planning and sustainability. Research published in the Australian Health Review used AHPRA registration data to analyse 15 of the 16 regulated health professions between 1 July 2015 and 30 June 2021. The total number of registered health professionals increased by 22% (141,161) to 784,421 in that time, and the number per 100,000 population increased by 14% from 2016.

“Demographic trends in the Australian health workforce parallel those in the broader population,” wrote the authors, led by Dr Sarah Anderson, AHPRA’s manager of research analytics and insights. “Some health professions have aged considerably since the mid-1980s … [and there have been] shifts towards feminisation in parts of the health workforce. “This presents unique workforce planning issues, such as the retention of practitioners approaching retirement age or experiencing age-related disabilities and the need to improve understanding of gender-sensitive, supportive working environments.”

There was a 32% growth in the numbers of Aboriginal and Torres Strait Islander health practitioners, with 2.42 per 100,000 population in 2016 jumping to 3.19 in 2021. Almost 80% of them are female, a number that has remained steady of the study period.

To read the Medical Republic article Health workforce getting older and more female in full click here.

Derby's first Aboriginal GP Vinka Barunga at a hospital desk with stethoscope around her neck

Worrora woman Vinka Barunga is Derby’s first Aboriginal doctor. Image source: Pelican Magazine.

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.

21 March 2023

–feature tile text Birthing in Our Community services reduces preterm birth rates for ATSI babies by 38%

The image in the feature tile is from an article Indigenous-led birthing program gains international recognition published in the National Indigenous Times on 1 April 2021.

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.

Birthing service reduces preterm births by 38%

A birthing service established by three SE Queensland health organisations has reduced preterm birth rates for Aboriginal and Torres Strait Islander babies by 38% and demonstrated significant cost savings to the health system. Results published in the Lancet Regional Health – Western Pacific this week highlighted improved outcomes for women having a baby through the Birthing in Our Community (BiOC) service. The reduction in preterm birth rates meant that women accessing the program required fewer costly interventions, procedures and neonatal admissions, resulting in savings of $4,810 per mother/baby pair. Additionally, the BiOC service reduced two thirds of women’s out of pocket costs by bringing the service closer to home.

The cost-effectiveness study concluded that replication of the BiOC service across Australia has the potential to reduce the number of Aboriginal and Torres Strait Islander babies born preterm by 965 each year, thereby potentially saving the Australian health system $86,994,021 per annum. The BiOC service and model of care was established in 2013 by the Institute for Urban Indigenous Health (IUIH), the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane and Mater Health in Brisbane in response to a need for women who are pregnant with an Aboriginal and Torres Strait Islander baby to access culturally and clinically safe care throughout their pregnancy and at birth.

Ms Renee Blackman, ATSICHS Brisbane CEO, said that “the success of the BiOC service shows what can be achieved when partners work together with a shared vision and a commitment to Aboriginal-led models of care”.

You can view the medianet. article Improved birthing outcomes for Aboriginal and Torres Strait Islander families generates savings to the health system in full here and the The Lancet Regional Health Western Pacific research paper (The Lancet Regional Health Western Pacific article Birthing on country service compared to standard care for First Nations Australians: a cost-effectiveness analysis from a health system perspective) in full click here.

IUIH tile Birthing In Our Community, ATSI mum and baby

Image source: Birthing in Our Community North Facebook page.

Disproportionate impact of diabetes on mob

Diabetes WA is calling for greater recognition of the disproportionate impact of diabetes on Aboriginal Communities in WA. Aboriginal West Australians are at far greater risk of diabetes and diabetes-related complications than any other community in the State. Aboriginal West Australians are nearly 40 times more likely to have major lower limb amputation. Aboriginal people living in remote areas have 20 times the incidence of end-stage renal disease compared with the national average. Cataract and diabetic retinopathy continues to be the leading causes of vision loss in Aboriginal people in WA. The diabetes gap is also generational.  Type 2 diabetes in children, once rare, is on the rise.

Gestational diabetes, also more common in Aboriginal Communities, is the fastest growing type of diabetes in WA, with many women remaining undiagnosed while diabetes silently impacts their unborn baby. In some remote communities, 60–70% of people over the age of 65 have type 2 diabetes. Too many older Aboriginal people are living with preventable disabilities as a result of diabetes and its silent damage.

Project Lead for Diabetes WA, Natalie Jetta, is an experienced Aboriginal Health Professional. She says training Aboriginal Health Professionals will make diabetes education more accessible and more culturally safe for Aboriginal West Australians. “We know that Aboriginal Health Professionals are best placed to talk to people within their own Community, because they already have the respect, trust, knowledge and connection they need to nurture their clients,” Natalie says. “We have now trained 20 Aboriginal Health Professionals employed by the Aboriginal Community Controlled Health sector to deliver the Diabetes Education Self Yarning (DESY) program. This will improve the cultural security of this diabetes education program and enable it to be delivered on Country across WA.”

To view the News Medical Life Sciences article Diabetes WA calls for greater recognition of diabetes impact on Aboriginal Communities in full click here.

6 Aboriginal female graduates of the Diabetes WA Diabetes education program - Diabetes Education Self Yarning (DESY)

Graduates of the Diabetes WA Diabetes education program – Diabetes Education Self Yarning (DESY). Image source: News Medical Life Sciences.

Jury is in on vaping – time for action

The jury is in on the harms of vaping, with a new study published in the Medical Journal of Australia today providing the most comprehensive review yet on the health impacts of e-cigarettes. Australian Medical Association (AMA) President Professor Steve Robson said the findings of the study leave zero room for confusion about the dangers of e-cigarettes and vaping. “It’s time for stronger, strictly enforced regulations so we can avoid another public health crisis like tobacco,” Professor Robson said.

“Vaping is not harmless, it is not safe, it is not part of tobacco control. It has become a scourge in our schools, with parents and educators reporting that it has got out of hand. And we are seeing adults and children alike suffering as a result of vaping.” Risks identified in the review include addiction, poisoning, especially in small children, seizures and loss of consciousness caused by nicotine overdose, headache, cough, throat irritation, and burns and injuries, largely caused by exploding batteries.

Another major risk identified by the study was that young non-smokers who use e-cigarettes are around three times as likely to go on to smoke regular cigarettes, compared to young people who did not use e-cigarettes. “Vaping products are a gateway to smoking for young people and there are significant risks from vaping that warrant much stronger regulation. For example, we know many products marketed as not containing nicotine have been found to contain nicotine and products have also been found to contain prohibited chemicals that can cause serious harm, like vitamin E acetate and diacetyl, which can cause serious damage to the lungs.”

To view the AMA’s media release Jury is in on vaping and associated harms – time for action in full click here.

cloud of vape smoke obscuring most of man's face

Image source: ABC News.

RACGP says international medical graduates needed

As Australia’s health system faces a crisis, amid a growing shortage of GPs and mounting pressure on both primary and secondary care services, the RACGP is calling on the Federal Government to support international medical graduates (IMGs). College President Dr Nicole Higgins said the workforce shortage is a significant part of the crisis, and that it is widespread, from general practice to pharmacy and nursing.

She said IMGs could help to address the issue in the short-term, and that many are eager to work in Australia, but are being held back and becoming disillusioned by red tape and a lack of support. “Rural and remote communities are particularly affected,” Dr Higgins said. “But there is a simple solution to boost the number of GPs in the short-term: we can and should be doing much more to attract IMGs to Australia, and to support and retain them as valuable community members. This includes cutting red tape and making the application process easier for doctors who want to work in areas of need.”

To view the RACGP newsGP article IMGs a ‘simple solution’ to boost GP numbers: RACGP in full click here.

RACGP President Dr Nicole Higgins

RACGP President Dr Nicole Higgins says barriers to overseas doctors wanting to work in Australia make no sense amid crisis. Photo: Jono Searle/AAP Photos. Image source: Bunbury Mail.

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.

International Day for the Elimination of Racial Discrimination

Minister for Immigration, Citizenship and Multicultural Affairs, Andrew Giles, says every year in March, Australians come together to mark Harmony Week, culminating in the observance of the United Nations International Day for the Elimination of Racial Discrimination on the 21 March. Australia is one of the world’s most successful multicultural nations. We are home to the world’s oldest continuous cultures as well as migrants from nearly 200 countries.

This week schools, workplaces and community groups will reflect on this diversity by participating in events across the country and nearly 7000 people from more than 120 countries will become new citizens. Multiculturalism is integral to our national identity- but we cannot take it for granted. This International Day for the Elimination of Racial Discrimination marks 75 years since the adoption of the Universal Declaration of Human Rights and focuses on the urgent need to combat racism and racial discrimination.

To view Minister Giles’ media release Harmony Week and International Day for the Elimination of Racial Discrimination in full click here. You can find more information about International Day for the Elimination of Racial Discrimination on the United Nations website here.

tile text International Day for the Elimination of Racial Discrimination March 21

Image source: Ontario Nurses’ Association website 14 March 2023.

World Down Syndrome Day

Today, Tuesday 21 March 2023, is World Down Syndrome Day. World Down Syndrome Day aims to celebrate the progress that has been made over the last 50 years and, in particular, over the last 10 years. Progress is often made in small steps, sometimes pausing to review our journey, but always aware of how far we have come and the difference that our small steps make to the day-to-day life of people living with disability.

As part of the worldwide celebrations, World Down Syndrome Day lights up buildings of significance. This is referred to as ‘Light up a Landmark’. Buildings that have been lit up previously, include: Palais des Nation – UN Geneva; The Empire State Building – NY; Eiffel Tower – Paris; Tower 42 – London and Belfast City Hall – Ireland. Once the buildings are lit up, images are taken and shared on Social Media to build awareness and engagement throughout the world. This year the iconic Canberra Grammar School Quad will be the first in Australia to take part in this international event!

Dietitians Week 20–26 March 2023

Today is Day 2 of Dietitians Week 2023. When it comes to managing health through food and nutrition, a dietitian should be your first port of call. Ongoing and specialised education ensures dietitians are the reliable choice for life-changing food and nutrition support. Because we all have our own unique goals, challenges and lifestyles, Accredited Practising Dietitians understand that our health is not a one-size fits all approach. They are trained to offer personalised health advice that is fine-tuned to a person’s specific needs.  Dietitians Australia has an Indigenous nutrition role statement, available here, which listed the knowledge and skills of an APD working in the area of Indigenous nutrition.

16 March 2023

feature tile, image of Australian and Aboriginal flags flying; text '2023 Close the Gap Campaign Report highlights essential role of ATSI-led decision-making and self-determination

The image in the feature tile is a photo taken by Lukas Coch/AAP published in The Guardian on 8 October 2020.

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.

2023 CTG report calls for greater and faster change

This years 2023 Close the Gap (CTG) Campaign Report was launched earlier today at the Aboriginal Health and Medical Research Council (AH&MRC) in Little Bay Sydney. The theme this year is, ‘Strong Culture, Strong Youth: Our Legacy Our Future’ which highlights the essential role of Aboriginal and Torres Strait Islander-led decision-making and self-determination in shaping a vision of health and wellbeing built upon a strong cultural foundation.

You can download the report here and watch a video of the launch using this link. You can also watch a short ABC News video Close the Gap report calls for greater and faster change here.

A bit of history. . .

The CTG Campaign is an independent, Indigenous-led campaign that calls on political leaders from all levels of government to take action on health and life expectancy equity for Aboriginal and Torres Strait Islander communities. It is separate to Closing the Gap, which is an Australian Government strategy.

The CTG Campaign, launched in 2006 to address the unacceptable gap in life expectancy and other health indicators between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians, helped influence the establishment of the Joint Council on Closing the Gap, and the formation of the National Agreement on Closing the Gap in July 2020.

The Campaign is made up of 52 Aboriginal and Torres Strait Islander and non-Indigenous health, NGO and human rights organisations. More than 200,000 Australians have signed a pledge supporting the Campaign.

cover of the Close the Gap Campaign Report 2023; 9 photos of ATSI people/children; text 'Strong Culture, Strong Youth: Our Legacy, Our Future

Early Years Strategy must focus on equity and justice

Experts in child and family health are developing submissions for the Federal Government’s new Early Years Strategy, which it says will “shape its vision for the future of Australia’s children and their families”. Among a number of groups who have shared their concerns and priorities the Australian College of Nursing (ACN) is concerned the early focus of the strategy “does not demonstrate a health equity lens”. We note the verdict on that is mixed. The ACN points to the Discussion Paper’s aim that a national Strategy “will seek to ensure that all children, wherever they live, enjoy the same opportunities to learn, develop and thrive.”

The ACN says “this is not a health equity lens. Instead, it assumes all children, irrespective of class, culture and context, require the same opportunities. This ignores some of the children who need this most, like those children that have different abilities or grow up in specific cultural contexts like First Nations children.”

Maybe the Federal Government should also be turning a sharp eye on all the policies, programs and, of course, politics that are currently causing major harm to young people in Australia, particularly Aboriginal and Torres Strait Islander children, and/or threaten to further entrench inequity.

To view the Croakey Health Media article As governments entrench disadvantage, will Australia’s Early Years Strategy focus on equity and justice? in full click here.tile purple, lime green, pink, orange; text Australian Government The Early Years Strategy in white font & Australian Coat of Arms

First podcast for mob with disabilities

Having to learn how to walk and talk again after an incident left him in an induced coma, Bernard Namok, a proud St Paul, Badu, and Erub Torres Strait Islander man, is now advocating for Indigenous people living with disabilities in the Far North. Mr Namok is teaming up with the First Peoples Disability Network (FPDN) to help empower Aboriginal and Torres Strait Islanders with a focus on giving a voice to the voiceless. Today, on National Closing the Gap Day, Mr Namok and the FPDN launched a first-ever podcast dedicated to Aboriginal and Torres Strait Islander people living with disabilities.

Mr Namok said one of the barriers facing people with disabilities from Indigenous communities is simply knowing what help is out there and how to access it. “Creating the podcast was about finding a way to get information to people who may be living in remote areas in places like Thursday Island where I grew up, as well as telling their stories,” he said

The Australian Bureau of Statistics has found that almost a quarter (24%) of Aboriginal and Torres Strait Islander people in Australia living in households lived with a disability with 8.8% living with a profound or severe limitation.

The above story featured in the Herald Sun article First podcast for First Nations people with disabilities launches published earlier today.

Bernard Namok, TSI disability advocate

Bernard has been working in disability advocacy in Cairns after previously working in radio broadcasting in the NT.

Culture + Kinship program has positive outcomes

Yesterday the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) launched the groundbreaking Culture + Kinship program evaluation report in the lead up to today’s National Close the Gap Day. VACCHO noted that last year’s Closing The Gap report data and the Coroners Court of Victoria suicide Report in February this year provided “unmistakable evidence” that the devastating gaps in health and wellbeing outcomes between Aboriginal and Torres Strait Islander people and non-Indigenous Victorians continue to blight health equality in Victoria.

VACCHO said its Culture + Kinship Report demonstrates that by focusing on the cultural determinants of health, “there are constructive approaches that can be taken to close the gaps in health and wellbeing disadvantage”. The report notes that through the Culture + Kinship program, Aboriginal and Torres Strait Islander communities have been able to re-connect with Community, Culture and Country.

VACCHO said “The Culture + Kinship program was uniquely Community driven with a flexible funding model that empowered Communities to lead the way with their own solutions in the form of self-determined, locally led programs.” VACCHO also said a social return on investment analysis showed the program “produced significant value for its stakeholders, with Community Members benefiting especially through reconnecting with Community, Culture and Country, and in doing so, experiencing a range of positive health and wellbeing outcomes”.

To view the National Indigenous Times article Aboriginal-led Culture + Kinship program makes breakthroughs in health and wellbeing in full click here.

Budja Budja Yarning Circle

Budja Budja Yarning Circle

Scholarship helps Palm Is AHW realise dream

A young Indigenous woman awarded a scholarship to study nursing at Mater Private Hospital Townsville is realising a dream to follow in her family’s footsteps. “My grandma is a twin and she and her sister worked at Mater for many years as registered nurses,” said Tehanna Tanerau-Love, who works part-time as a health worker on Palm Island.

Ms Tanerau-Love, 20, a Yorta Yorta woman with Māori ties, said she had a number of great role models. “My other grandma is a CEO of an Aboriginal community-controlled health organisation and my sister is a social worker,” she said.

Ms Tanerau-Love said the Indigenous scholarship to study a Diploma of Nursing at Mater would help her connect with her community and provide the opportunity to give back to her mob. “My ultimate goal is to work in remote and rural Aboriginal communities to have a meaningful impact on people’s lives,” she said.

The above story featured yesterday in the Cairns Post article Palm Island health-worker Tehanna Tanerau-Love to become nurse at Mater Townsville.

Tehanna Tanerau-Love in hospital room

Young North Queensland woman Tehanna Tanerau-Love has been awarded an Indigenous scholarship to study a Diploma of Nursing at Mater Private Hospital Townsville. Image source: Cairns Post.

Pioneering Cape ear health program gaining traction

The Torres and Cape Hospital and Health Service Integrated Ear, Nose and Throat (ENT) program, launched as a pilot in 2021 to target hearing problems in Cape York and the Torres Strait, is seeing exponential growth, with the number of patients seen almost doubling within 12 months.

The team includes a GP with specialist ENT training, a senior ENT nurse, an Aboriginal and Torres Strait Islander Health Worker, an audiologist and a speech pathologist who travel to 13 remote communities across the region. They treat both children and adults, predominantly for hearing issues, but also with other ear, nose and throat conditions. The team saw more than 1,300 patients during 2022, well up from the 861 seen in 2021.

A further $1.6m of state government funding has been committed to the program over 18 months which will allow for additional staff to support the huge growth. Senior audiologist Kristen Tregenza said she believed the project’s success was due to the culturally-appropriate service they were providing, with patients now seeking them out instead of learning about them via referral. She said most of the hearing conditions being seen and treated were caused by treatable ear infections. “It is well documented that remoteness, lower socio-economic living and all the things that come with that – access to nutritious foods, housing conditions, exposure to passive cigarette smoke – significantly increase the number of ear infections, severity and recovery time,” she said. “It is all preventable.”

To view the Cape York Weekly article Pioneering program launched in Cape gaining traction in full click here.

Kowanyama’s Naveen Accoom getting his ears tested by Dr Stephen Johnston

Kowanyama’s Naveen Accoom getting his ears tested by Dr Stephen Johnston as part of the successful ENT program. Image source: Cape York Weekly.

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.

5 December 2022

The image in the feature tile is of NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship recipient Bryony Forrest during an interview at the 2022 NACCHO Members’ Conference in Canberra.

Pharmacist Scholarship recipient Bryony Forrest

Bryony Forrest (Darumbal / Kanolu), an aspiring deadly pharmacist and a recipient of the NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship was interviewed at the recent NACCHO Members’ Conference following the Medicines and Pharmacy stream session.

In February 2022, NACCHO announced applications were open for the inaugural NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship, proudly supported by a grant from Sanofi Australia. The scholarship provides subsidy and support for prospective or current Aboriginal and Torres Strait Islander pharmacy students and aims to build the pharmacist workforce among Aboriginal and Torres Strait Islander people. It includes tailored mentoring from Aboriginal and Torres Strait Islander health leaders.

In April 2022 NACCHO was pleased to announce the five successful recipients. Though the scholarship was initially established to support two applicants, the quality and number of applicants led to the expansion of the program:

  • Bryony Forrest, Royal Melbourne Institute of Technology (RMIT)
  • Jai-ann Eastaughffe, James Cook University
  • James Sowter, RMIT
  • Jason Coleman, University of SA
  • Louis Emery, Queensland University of Technology (QUT)

Dr Dawn Casey, NACCHO Deputy CEO said, ‘NACCHO was impressed with the calibre and volume of applicants we received, especially in this first year of the scholarship’s implementation. We are proud to provide opportunities that help build leadership and skills amongst Aboriginal and Torres Strait Islander health professionals, who are significantly underrepresented in the pharmacy profession.’

Karen Hood, Sanofi’s Country Lead said, ‘As members of Australia’s healthcare community we know how important it is to listen to, and work in partnership with, Aboriginal and Torres Strait Islander communities to improve health outcomes and support meaningful steps toward a more fair, equal and just society. ‘Recognising the crucial role pharmacists play in our health system and the clear need for greater Aboriginal and Torres Strait Islander participation in this field of study, we are delighted to be supporting the inaugural NACCHO scholarship as another step toward improving health and economic participation as determined by Australia’s First Peoples.’

Bryony Forrest said ‘I have always had a passion for pharmacy from when I started as a pharmacy assistant in 2018, which only deepened as time went on and I gained more experience in this field. Connecting with my community is extremely important to me and forming these meaningful connections with individuals in the context of health showed me how powerful being a pharmacist is, and what a unique opportunity it holds for health interventions and long-term health solutions in improving the lives of others. I look forward to practising as a pharmacist and making a difference for other Aboriginal and Torres Strait Islander peoples.’

You can find further information about the NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship on the NACCHO website here and listen to Bryony Forrest’s interview below.

Winnunga Health and Wellbeing Service at AMC

Winnunga has been operating the standalone Winnunga Health and Wellbeing Service in the AMC (Alexander Maconochie Centre, ACT adult prison) since January 2019, within its own model of care. This is an Australian first and one Winnunga believes will prove to be one of the most significant advances in the care and rehabilitation of Aboriginal detainees. Development of this service required meeting the RACGP Standards for health services in Australian prisons with infrastructure, staffing, equipment and policies. The service provides high quality holistic care for Aboriginal and Torres Strait Islander peoples in prison and continuity upon a client’s release from prison.

A client satisfaction survey of the Winnunga prison health and wellbeing service was published in the Journal of the Australian Indigenous HealthInfoNet in February 2022. Participant responses indicated a high quality of care across all five aspects of
care that were evaluated (participation in care; care design; care planning and self management; care coordination; follow up and respectful care). At least three-quarters of respondents indicated that they had received the specified aspects of care ‘Most of the time’ or ‘Always’. The provision of respectful care was rated particularly high, with all respondents indicating that they always had things explained in a way they could understand, had their concerns listened to, and felt that they and their beliefs were respected by Winnunga staff. Clients were also highly satisfied with the care provided to them and their families through Winnunga.

The most common suggestions for improvement in the client survey related to Winnunga not yet having an opioid replacement pharmacotherapy program so some clients could not be transferred to Winnunga care. This has now been addressed and more detainees have access to the Winnunga prison health and wellbeing service

The above information about the AMC Health and Wellbeing Service Survey was published the Winnunga News November 2022 edition here. You can read the Evaluating Patient Experience at a Novel Health Service for Aboriginal and Torres Strait Islander Prisoners: A Pilot Study article here.

Winnunga Health Clinic at Alexander Maconochie Centre. Image source: The Canberra Times.

HIV and sexual health webinar this WEDNESDAY

The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM), the Australian Federation of AIDS Organisations (AFAO) and NACCHO are partnering to deliver a webinar during Aboriginal and Torres Strait Islander HIV Awareness Week 2022, to discuss available HIV resources and support that we can offer to the sexual health sector. The purpose of the HIV Toolkit Webinar is to provide ACCHOs and the HIV and Sexual Health Sector with culturally appropriate, evidence informed, and effective training for workers to build the capacity and confidence to support and educate their Aboriginal and Torres Strait Islander clients around HIV and sexual health.

The webinar also aims to increase the uptake and utilisation of AFAO’s recently published ‘Healthcare Workforce Toolkit: HIV and Sexual Health for Aboriginal and Torres Strait Islander people tool kit‘ as an ongoing resource with comprehensive information, including to help improve rates of HIV and sexual health testing, and to increase the awareness and uptake of HIV treatment, and prevention tools including condoms, PrEP (Pre-Exposure Prophylaxis) and PEP (Post-Exposure Prophylaxis).

The webinar is from 12:00 pm to 1:00 pm (AEST) Wednesday 7 November 2022. To REGISTER click here.

ACCO literacy campaign linked to crime reduction

Researchers from Literacy for Life Foundation, the Lowitja Institute and the University of NSW have authored a report about the beneficial impacts of a First Nations community-controlled adult literacy campaign. The most significant quantitative finding was a 50% reduction in reported serious offences in a sample of 162 campaign participants. Qualitative data from interviews found an increased use of legal assistance services following the campaign. These findings are contextualised through the lived experiences and perceptions of First Nations campaign staff and participants, community leaders and government and non-government agency personnel.

This study demonstrates the potential benefits of an adult literacy campaign in reducing the incidence of negative justice system outcomes in rural and remote NSW Indigenous communities with low levels of English literacy. By drawing on linked administrative data to corroborate self-reported and observer reported data, this study has shown that participation in a community-controlled Aboriginal adult literacy campaign correlates with reductions in the average number of total offences, especially those related to traffic and justice procedures.

Of particular note, serious offences were halved in our study group, especially in women and in relation to assault. The analysis of qualitative data indicates that improved literacy may lead to greater degrees of self-control, among other positive impacts. If efforts to reduce the overrepresentation of Indigenous adults in the criminal justice system are to be successful, further research into and resourcing of adult literacy interventions is urgently required. Such research can assist in moving beyond simplistic law-and-order agendas by acknowledging that ‘building of positive futures for communities relies on building a foundation of well addressed non-criminal needs’.

You can read the International Journal for Crime, Justice and Social Democracy article Impact of a Community-Controlled Adult Literacy Campaign on Crime and Justice Outcomes in Remote Australian Aboriginal Communities in full here.

Image source: Literacy for Life Foundation website.

What’s next for our kids? asks Chris Bin Kali

Deputy Chairperson, Aboriginal Health Council of WA (AHCWA) Chris Bin Kali has written an opinion piece published in the National Indigenous Times last Friday about Premier Mark McGowan announcement of a $63m plan to address conditions for youth in detention. Bin Kali said while it is clear that additional funding is desperately needed, so is clarity around what is next for our young people in detention.

Bin Kali said a single funding announcement is not enough to make lasting change, ‘We know that in Australia, Aboriginal youth are disproportionately represented in youth detention. A large majority of the youth detainees currently at Banksia Hill are Aboriginal.  Under the National Agreement on Closing the Gap, the WA Government has committed to partnerships and shared decision-making with Aboriginal people about issues impacting our lives, and to improving the accountability and responsiveness of government to the needs of Aboriginal and Torres Strait Islander people.”

“To honour these commitments, the WA Government must listen to Aboriginal people and partner with us to find solutions to these issues. We know that these problems are complex and will require long-term changes across a range of areas. We know how troubled some of our young people are and the healing they need. We don’t pretend these things can be fixed overnight. But we are certain that they won’t be fixed without prioritising Aboriginal voices.”

To view the NIT article What next for our kids, Premier? in full click here.

Chris Bin Kali. Photo supplies by AHCWA. Image source: National Indigenous Times.

NDIS Ready videos and social media tiles

At the end of 2021 NACCHO delivered over $1.25m in grants to 57 Aboriginal Community Controlled Organisations (ACCOs) to support the delivery of culturally safe and appropriate National Disability Insurance Scheme (NDIS) services to their communities. The grants were delivered through the NDIS Ready program which is funded by the Department of Social Services.

The Indigenous Business Support Funding (IBSF) grants, worth $22,000 each, are designed to build the capacity of ACCHOs and ACCOs to deliver disability services sustainably under the NDIS by empowering them with the resources they need to be NDIS ready. This will support the growth of the Aboriginal and Torres Strait Islander NDIS market and workforce and help improve access to culturally safe services for Aboriginal and Torres Strait Islander people with disability.

Some of the funding has been used by NACCHO affiliates to produce the following videos:

AHCWA

AH&MRC

AHCSA (no videos)

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 October 2022

The image in the feature tile is of two health workers from the Puntukurnu Aboriginal Medical Service (PAMS), Newman, WA. Image source: PAMS website.

Claims Budget will improve First Nations health

Yesterday the Hon Mark Butler MP, Minister for Health and Aged Care, issued a media release announcing health measures in the Australian Government’s 2022–23 Budget. Minister Butler said the Albanese Government would take immediate action to support their commitment to the Uluru Statement from the Heart, by making real improvements in health outcomes ($314.5m).

The government will also deliver improved infrastructure, including new and expanded First Nations health clinics in locations with high and growing First Nations populations ($164.3m). The First Nations Health Workers Traineeship Program ($54.3m), led by NACCHO, will train up to 500 First Nations health workers.

The Budget also provides funding to target chronic diseases disproportionally affecting First Nations people, with a increase in funding to combat rheumatic heart disease in high-risk communities ($14.2m). Renal services will be improved with funding ($45 million) for up to 30 four-chair dialysis units in up to 30 sites.

In addition, the government will build a dedicated Birthing on Country Centre of Excellence in NSW to provide culturally safe care and wrap-around support services for First Nations families ($22.5m). We know this is essential to improve long term health and development outcomes for First Nations peoples.

To view Minister Butler’s media release Budget October 2022–23: Strengthening Medicare in full click here.

Photo: Mick Tsikas, AAP photos. Image source: The Canberra Times.

Noonga-Yamatji woman works to close ear health gap

Young Noongar-Yamatji woman who suffered poor ear health as a child is working hard to help Indigenous children in the same situation today. Kassy Hayden, 24, works with medical group Earbus Foundation, coordinating programs for Pilbara east and south central, as well as visits to the Goldfields and Esperance by the Earbus team. “It is important for the kids and for everybody out there,” Ms Hayden said. Earbus works with local Aboriginal Medical Services to deliver comprehensive ear healthcare.

“Yesterday two of my colleagues noticed that one of the children didn’t have a Medicare number, which means they would never have seen a GP and this child is eight years old. But we were able to see them and continue seeing them, which is one example. It is making a difference in remote communities, and there is relationship building as well. For a child who has never seen a GP it would be pretty scary having people looking in your ears for the first time.”

Indigenous children have some of the highest rates of middle ear disease in the world. On average, Aboriginal children suffer from middle ear disease for 32 months on their first five years of life compared to just three months for non-Indigenous children. Indigenous people suffer ear disease and hearing loss at up to ten times the rate of non-Indigenous Australians. Ear conditions like Otitis Media (middle ear infection) affect development, social skills and education for children, making the crucial formative years of life far more difficult and putting children at a long term disadvantage.

To view the National Indigenous Times article The young Indigenous woman working to close the gap in children’s ear health in full click here.

Image source: National Indigenous Times.

Funding for early childhood partnership

Federal Treasurer Jim Chalmers has handed down the 2002–23 Federal Budget in which the Government delivered on its core Plan for Cheaper Child Care promise to improve early education and care (ECEC). “Early childhood education and care will be more affordable for more than 1.2 million eligible Australian families who will benefit from higher subsidies,” Mr Chalmers said. “Cheaper childcare is a game-changing investment in families, our workforce, and our economy. It will increase the paid hours worked by women with young children by up to 1.4 million hours a week in the first year alone. That’s the equivalent of 37,000 extra full-time workers.”

Accessibility focused measures include:

  • $33.7 million over four years from 2022–23 to introduce a base entitlement to 36 hours per fortnight of subsidised Early Childhood Education and Care (ECEC) for families with First Nations children, regardless of activity hours or income level
  • $10.2 million over three years from 2022–23 to establish the Early Childhood Care and Development Policy Partnership with Coalition of Peaks partners and First Nations representatives to develop policies on First Nations early childhood education and care

To view The Sector article Federal Budget 2022/23 delivers on Plan for Cheaper Child Care but reference to workforce shortages absent in full click here.

Children attending ECEC Indi Kindi in Tennant Creek, NT. Image source: The Sector.

Budget fails to recognise GP crisis

The Royal Australian College of General Practitioners (RACGP) has warned that although Budget October 2022-23 delivers on key election promises, significant funding for general practice care is urgently needed to address the GP crisis. The Budget includes a re-commitment to $250m per year in GP funding over three years following the Strengthening Medicare Taskforce Report which is due later this year, as well as $143.3m for rural and remote healthcare, and $229.7m in general practice support grants to build better infrastructure. However, it does not address the immediate challenges facing general practice care, including a lack of funding following years of Medicare freezes and inadequate indexation of patient rebates.

The RACGP holds grave concerns that without major investment into general practice care by the federal Government the current shortage of GPs being felt by communities throughout Australia will intensify, waiting times to see a doctor will increase, and the health and wellbeing of Australians will suffer.

In the college’s October 2022-23 Pre-Budget submission the RACGP called for a series of timely reforms including an increase Medicare rebates for longer consultations, the creation of a new Medicare item for GP consultations longer than 60 minutes, as well as support for longer telehealth phone consultations lasting more than 20 minutes, and increased investment in rural healthcare. RACGP President Adj. Professor Karen Price said that although the Budget delivered on many key promises, major reform was sorely needed to secure the future of high-quality general practice patient care.

To read the RACGP media release RACGP: First Budget delivers on election promises but fails to recognise GP crisis in full click here.

Image source: Head Topics Ireland.

Addressing health risks of flooding

As flood-affected towns across Victoria begin relief and recovery efforts, the Victorian Government is working to minimise the risks floodwaters can cause to human health and investing to support communities to rebuild and recover together. Communities across the state are still experiencing major flooding, with more rain set to risk higher water levels and flash flooding — both of which pose threats to people’s health.

An investment of $6.5 million will deliver important health protection initiatives, with a dedicated monitoring and control system to prevent and control mosquitoes that are drawn to flooded areas, as well as making the vaccination for Japanese Encephalitis Virus — a serious mosquito-borne disease — free in flood-affected areas. This funding will also deploy an Environmental Health and Field workforce to flooded regions to provide communities with advice on waste disposal, septic tank repair and the safest way to clean up homes and businesses, as well as boost resourcing in the worst-affected Local Public Health Units to keep communities safe and healthy.

The floods have affected healthcare staffing levels in the affected areas — with some staff unable to get to work. Pharmacies in flooded areas, many of which have just a single pharmacist, are processing extremely high levels of scripts with many people displaced. Flooded sewers or septic tanks often contaminate floodwater before it inundates properties and clean drinking water sources, while flooded areas are subject to mosquito invasions. As flood clean-up and recovery begins, mould growth can also pose a serious risk to the human respiratory system.

An investment of $2 million will support the health of Aboriginal Victorian communities affected by the floods, many of which have been inundated. The funding will make sure Aboriginal Health Services in Shepparton, Swan Hill, Kerang and Echuca have appropriate GP, nurse and health outreach worker coverage while they are isolated.

To view The Courier Cobram article State government addresses health risks of recent and future flooding in full click here.

Echuca residents sandbagged their properties in anticipation of rising floodwaters. Photo: Sarah Lawrence. Image source: ABC News.

Community-engaged research improving health

A University of Hawaiʻi at Mānoa faculty member has explored ways that community-engaged research and service can improve Indigenous health while honoring the culture and norms of Indigenous communities in a new book.

Kathryn L. Braun, a public health professor in the Thompson School of Social Work and Public Health, along with Linda Burhansstipanov (Cherokee Nation) from Native American Cancer Research, are co-editors of Indigenous Public Health: Improvement through Community-Engaged Interventions, released in August 2022.

“Many reports on Indigenous health focus on the negative. In contrast, this book features 30 stories of success, including initiatives to address racism, reduce diabetes, and increase cancer screening and treatment. Chapters on community-based participatory research and the building of strong public health infrastructures also include examples of success,” said Braun.

To view the University of Hawaii News article Indigenous public health success stories focus of new book in full click here.

Image source: University Press of Kentucky.

National award for student with rural health passion

University of Melbourne final year medical student Jasraaj Singh has received the Rural Doctors Association of Australia’s (RDAA) Medical Student of the Year Award for 2022. The award is given annually to a medical student displaying a passion and strong commitment to Rural Medicine. As a student on the Extended Rural Cohort at the University’s Medical School, Ms Singh has undertaken all her medical training in rural areas since the second year of her medical degree, including placements in Shepparton, Wangaratta, Ballarat and currently Bendigo. Along the way, she has also undertaken additional placements in East Arnhem Land and Cairns. Ms Singh said she loves the variety of work offered in rural medicine, as well as the sense of community.

“I have had the opportunity to meet incredible and inspiring people, undertake hands-on and practical clinical placements, become part of rural and remote communities across Australia, and develop my clinical and life experiences along the way. It has been such a rewarding, eye-opening and exciting adventure – I strongly believe all healthcare students should be undertaking rural placements in some way, shape or form.”

Ms Singh said a placement she undertook in Nhulunbuy, East Arnhem Land, in 2020 gave her a deep appreciation for the “incredible skill set” of generalist doctors working in remote communities. “My placement in East Arnhem Land really changed the trajectory of my life,” she said. “I became hooked on rural and remote medicine and realised that in these settings I got a much deeper understanding of medicine. I aim to challenge the common misconception that all the excitement and ‘real medicine’ happens in the city – because the country is definitely where it’s at.”

To view The University of Melbourne Newsroom article Medical student who found her passion in rural health receives national award in full click here.

RDAA Medical Student of the Year 2022, Jasraaj Singh (left), pictured with fellow student and 2021 awardee, Indira Barrow, at Tennant Creek Hospital, NT. Image source: University of Melbourne Newsroom.

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.

21 October 2021

The image in the feature tile is from the Yarn for Life – It’s OK To Talk About Cancer website, available here.

How mob view and experience cancer  

A new national study has launched to give Australians a better understanding of how First Nations people view and experience cancer. Funded by Cancer Australia, Kulay Kalingka – the first study of this kind in Australia – is led, designed and implemented by an Aboriginal and Torres Strait Islander research team at the Australian National University (ANU).

The team will collect data for 22 cancer control indicators in First Nations people. These include their knowledge, attitudes and understanding of cancer, participation in health promotion and cancer screening programs. Assistant Minister Malarndirri McCarthy, says improving cancer outcomes for First Nations people is a national priority for the Government.

To view Senator McCarthy’s media release First of its kind study to explore cancer from a First Nations perspective in full here. Below is a video of Aboriginal and Torres Strait Islander people talking about their cancer journeys.

Mob lean on each other during floods

An Aboriginal community education centre in Shepparton is working overtime to set up a culturally safe evacuation facility and schedule food and supply drop offs to those who remain stranded. Yorta Yorta woman Leonie Dwyer is the manager of Shepparton’s Academy of Sport, Health and Education (ASHE), a service for young Aboriginal people.

With so many staff, students and families displaced, Ms Dwyer opened the ASHE office and their residential facility as a refuge. While waters are receding in Shepparton, Ms Dwyer said there’s talk that the town may be getting another downpour. “Everyone’s emotionally drained and really a bit traumatised in the sense they don’t know what’s next” she said. People are worried the flood waters will come back up, and that it might be another week until they can get out.

With the future unknown, Ms Dwyer remains staunch – saying whatever happens mob will be ok. “We’re a strong Aboriginal community here in the valley and we’ll stick together. We’re resilient. We know that,” she said. “I think that this is just another something that’s in our way, but we will get through it.”

To view the SBS NITV article Victorian Indigenous communities leaning on one another during severe floods in full click here.

Photo of flooding in Mooroopna, taken by Mooroopna local and Yorta Yorta man Neil Morris. Image source: SBS NITV.

COVID hits some more than others

For lots of Australians, their experience of the COVID-19 pandemic was one of inconvenience, with missed holidays, home haircuts, and social events moved online. But for many others, the physical, mental, emotional, and financial cost was much greater.

A new report Fault lines: An independent review into Australia’s response to COVID-19, available here, has highlighted who was worst-hit by the handling of the pandemic. The report says Aboriginal and Torres Strait Islander people were already affected by disproportionate rates of physical and mental ill health, along with other disadvantages, but the pandemic made them “particularly vulnerable”.

The report said that for the first 12 to 18 months of the pandemic, COVID-19 was largely kept out of remote communities thanks to the work of ACCHOs. But once the virus reached those communities, poor funding of those organisations, and inadequate health infrastructure and workforce capacity caused significant problems in containing the virus and treating those infected Those issues were compounded when governments under-utilised AACCHOs during the vaccine rollout.

To read the SBS News article Job loss, trauma, isolation: COVID hit some people more than others. Were you among them? in full click here.

Health workers practice remote outbreak response measures at an Aboriginal health clinic in Ramingining, NT, last year. Photo: Miwatj Health Aboriginal Corporation. Image source: The Washington Post.

Co-designing food sovereignty models

A project to co-design a food sovereignty model with Indigenous communities by a multidisciplinary team of researchers from QUT and University of Southern Queensland and Diabetes Australia has received a $829,628 ARC Discovery Indigenous grant. Wakka Wakka Warumungu woman Associate Professor Debbie Duthie, from QUT School of Public Health and Social Work, said food sovereignty was considered an essential element of health of First Nations people.

“Food sovereignty is a core human right that privileges Indigenous knowledges and methodologies to co-design local strategies for addressing food insecurity,” Professor Duthie said. “We aim to develop place-based food sovereignty models with both rural and urban Indigenous communities to build sustainable food systems. This project’s outcomes will ultimately lead to tailored strategies to foster food sovereignty and develop resources to preserve language and cultural foodways that can be integrated into educational programs.”

To view the QUT article Co-designing food sovereignty models for Indigenous communities in full click here.

Photo: Yurbay 2021. Image source: ACT Historic Places website.

Reducing diabetes – Ngarrindjeri pilot

A new regional diabetes program will be piloted in Ngarrindjeri country – the Coorong and the Murraylands – with the aim to reduce the burden of diabetes in Aboriginal communities. The pilot program has been co-designed with Aboriginal Elders and senior community representatives, with recent funding from the federal government’s Medical Research Future Fund.

Using a ketogenic eating program and new point-of-care testing technology will monitor health and wellbeing and aim to motivate change. Senior Lecturer in Public Health and Indigenous Health at Flinders University, Doctor Courtney Ryder said Aboriginal people in Australia are three times more likely to be diagnosed with diabetes and five times more likely to die from it than non-Indigenous Australians.

“This burden impacts on the overall health and wellbeing of Aboriginal patients, families and communities. Targeted, community co-designed intervention programs are needed to stop this ongoing cultural devastation,” Doctor Ryder said.

To view The Murray Valley Standard article Reducing burden of diabetes, starting with Ngarrindjeri pilot in full click here.

Image source: AMA InSight.

Join AMA’s Equity, Inclusion and Diversity Committee

Nominations are now open for up to five vacancies on the Australian Medical Association’s (AMA) Equity, Inclusion and Diversity Committee which develops policy and initiatives targeted towards enhancing equity and addressing discrimination in the medical profession. The AMA is inviting nominations from its members to fill up to five vacancies on its Equity, Inclusion and Diversity Committee (EIDC) for 2023–2024.

The role of the EIDC is to develop policy and initiatives targeted towards enhancing equity and addressing inequitable and discriminatory practices that exist in the medical profession. It also considers how the AMA can actively promote equity and diversity of representation in the AMA’s own governance structures. Committee members offer in-depth knowledge of, and experience in, a range of equity, inclusion and diversity issues and help to shape our work on equity, inclusion and diversity for our members and the medical workforce. T

Visit here for more information on time commitments. If you would like to get involved in the AMAEIDC please submit a short expression of interest (between 200-400 words) and your CV by email here by 5:00 PM AEDT Friday 28 October 2022.

To view the AMA article Join the AMA’s Equity, Inclusion and Diversity Committee in full click here.

Image source: Stanford University website.

Sax Institute Resource Hub

The Sax Institute is an independent, not-for-profit organisation that improves health and wellbeing by driving better use of evidence in policies, programs and services. Their Resource Hub allows you to search for downloadable files such as PDFs, videos and Word files. You can filter your search by publication date, topic keyword, type of product, as well as the Sax program associated with it.

An example of publications available via the Sax Institute Resource Hub include Establishing an enduring co-production platform in Aboriginal health; Outcomes reported in evaluations of programs designed to improve health in Indigenous people; and Murradambirra Dhangaang (make food secure): Aboriginal community and stakeholder perspectives on food insecurity in urban and regional Australia.

To access the Sax Institute Resource Hub click here.

Image source: Sax Institute Resource Hub webpage of Sax Institute 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.