NACCHO Aboriginal Health Research Alert : @HealthInfoNet releases Summary of Aboriginal and Torres Strait Islander health status 2019 social and cultural determinants, chronic conditions, health behaviours, environmental health , alcohol and other drugs

The Australian Indigenous HealthInfoNet has released the Summary of Aboriginal and Torres Strait Islander health status 2019

This new plain language publication provides information for a wider (non-academic) audience and incorporates many visual elements.

The Summary is useful for health workers and those studying in the field as a quick source of general information. It provides key information regarding the health status of Aboriginal and Torres Strait Islander people across the following topics:

  • social and cultural determinants
  • chronic conditions
  • health behaviours
  • environmental health
  • alcohol and other drugs.

The Summary is based on HealthInfoNet‘s comprehensive publication Overview of Aboriginal and Torres Strait Islander health status 2019. It presents statistical information from the Overview in a visual format that is quick and easy for users to digest.

The Summary is available online and in hardcopy format. Please contact HealthInfoNet by email if you wish to order a hardcopy of this Summary. Other reviews and plain language summaries are available here.

Here are the key facts

Please note in an earlier version sent out 7.00 am June 15 a computer error dropped off the last word in many sentences : these are new fixed 

Key facts

Population

  • In 2019, the estimated Australian Aboriginal and Torres Strait Islander population was 847,190.
  • In 2019, NSW had the highest number of Aboriginal and Torres Strait Islander people (the estimated population was 281,107 people, 33% of the total Aboriginal and Torres Strait Islander population).
  • In 2019, NT had the highest proportion of Aboriginal and Torres Strait Islander people in its population, with 32% of the NT population identifying as Aboriginal and/or Torres Strait Islanders
  • In 2016, around 37% of Aboriginal and Torres Strait Islander people lived in major cities
  • The Aboriginal and Torres Strait Islander population is much younger than the non-Indigenous population.

Births and pregnancy outcomes

  • In 2018, there were 21,928 births registered in Australia with one or both parents identified as Aboriginal and/or Torres Strait Islander (7% of all births registered).
  • In 2018, the median age for Aboriginal and Torres Strait Islander mothers was 26.0 years.
  • In 2018, total fertility rates were 2,371 births per 1,000 for Aboriginal and Torres Strait Islander women.
  • In 2017, the average birthweight of babies born to Aboriginal and Torres Strait Islander mothers was 3,202 grams
  • The proportion of low birthweight babies born to Aboriginal and Torres Strait Islander mothers between 2007 and 2017 remained steady at around 13%.

Mortality

  • For 2018, the age-standardised death rate for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT was 1 per 1,000.
  • Between 1998 and 2015, there was a 15% reduction in the death rates for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT.
  • For Aboriginal and Torres Strait Islander people born 2015-2017, life expectancy was estimated to be 6 years for males and 75.6 years for females, around 8-9 years less than the estimates for non-Indigenous males and females.
  • In 2018, the median age at death for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT was 2 years; this was an increase from 55.8 years in 2008.
  • Between 1998 and 2015, the Aboriginal and Torres Strait Islander infant mortality rate has more than halved (from 5 to 6.3 per 1,000).
  • In 2018, the leading causes of death among Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT were ischaemic heart disease (IHD), diabetes, chronic lower respiratory diseases and lung and related cancers.
  • For 2012-2017 the maternal mortality ratio for Aboriginal and Torres Strait Islander women was 27 deaths per 100,000 women who gave birth.
  • For 1998-2015, in NSW, Qld, WA, SA and the NT there was a 32% decline in the death rate from avoidable causes for Aboriginal and Torres Strait Islander people aged 0-74 years

Hospitalisation

  • In 2017-18, 9% of all hospital separations were for Aboriginal and Torres Strait Islander people.
  • In 2017-18, the age-adjusted separation rate for Aboriginal and Torres Strait Islander people was 2.6 times higher than for non-Indigenous people.
  • In 2017-18, the main cause of hospitalisation for Aboriginal and Torres Strait Islander people was for ‘factors influencing health status and contact with health services’ (mostly for care involving dialysis), responsible for 49% of all Aboriginal and Torres Strait Islander seperations.
  • In 2017-18, the age-standardised rate of overall potentially preventable hospitalisations for Aboriginal and Torres Strait Islander people was 80 per 1,000 (38 per 1,000 for chronic conditions and 13 per 1,000 for vaccine-preventable conditions).

Selected health conditions

Cardiovascular health

  • In 2018-19, around 15% of Aboriginal and Torres Strait Islander people reported having cardiovascular disease (CVD).
  • In 2018-19, nearly one quarter (23%) of Aboriginal and Torres Strait Islander adults were found to have high blood pressure.
  • For 2013-2017, in Qld, WA, SA and the NT combined, there were 1,043 new rheumatic heart disease diagnoses among Aboriginal and Torres Strait Islander people, a crude rate of 50 per 100,000.
  • In 2017-18, there 14,945 hospital separations for CVD among Aboriginal and Torres Strait Islander people, representing 5.4% of all Aboriginal and Torres Strait Islander hospital separations (excluding dialysis).
  • In 2018, ischaemic heart disease (IHD) was the leading specific cause of death of Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Cancer

  • In 2018-19, 1% of Aboriginal and Torres Strait Islander people reported having cancer (males 1.2%, females 1.1%).
  • For 2010-2014, the most common cancers diagnosed among Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA and the NT were lung cancer and breast (females) cancer.
  • Survival rates indicate that of the Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA, and the NT who were diagnosed with cancer between 2007 and 2014, 50% had a chance of surviving five years after diagnosis
  • In 2016-17, there 8,447 hospital separations for neoplasms2 among Aboriginal and Torres Strait Islander people
  • For 2013-2017, the age-standardised mortality rate due to cancer of any type was 238 per 100,000, an increase of 5% when compared with a rate of 227 per 100,000 in 2010-2014.

Diabetes

  • In 2018-19, 8% of Aboriginal people and 7.9% of Torres Strait Islander people reported having diabetes.
  • In 2015-16, there were around 2,300 hospitalisations with a principal diagnosis of type 2 diabetes among Aboriginal and Torres Strait Islander people
  • In 2018, diabetes was the second leading cause of death for Aboriginal and Torres Strait Islander people.
  • The death rate for diabetes decreased by 0% between 2009-2013 and 2014-2018.
  • Some data sources use term ‘neoplasm’ to describe conditions associated with abnormal growth of new tissue, commonly referred to as a Neoplasms can be benign (not cancerous) or malignant (cancerous) [1].

Social and emotional wellbeing

  • In 2018-19, 31% of Aboriginal and 23% of Torres Strait Islander respondents aged 18 years and over reported high or very high levels of psychological distress
  • In 2014-15, 68% of Aboriginal and Torres Strait Islander people aged 15 years and over and 67% of children aged 4-14 years experienced at least one significant stressor in the previous 12 months
  • In 2012-13, 91% of Aboriginal and Torres Strait Islander people reported on feelings of calmness and peacefulness, happiness, fullness of life and energy either some, most, or all of the time.
  • In 2014-15, more than half of Aboriginal and Torres Strait Islander people aged 15 years and over reported an overall life satisfaction rating of at least 8 out of 10.
  • In 2018-19, 25% of Aboriginal and 17% of Torres Strait Islander people, aged two years and over, reported having a mental and/or behavioural conditions
  • In 2018-19, anxiety was the most common mental or behavioural condition reported (17%), followed by depression (13%).
  • In 2017-18, there were 21,940 hospital separations with a principal diagnosis of International Classification of Diseases (ICD) ‘mental and behavioural disorders’ identified as Aboriginal and/or Torres Strait Islander
  • In 2018, 169 (129 males and 40 females) Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA, and the NT died from intentional self-harm (suicide).
  • Between 2009-2013 and 2014-2018, the NT was the only jurisdiction to record a decrease in intentional self-harm (suicide) death rates.

Kidney health

  • In 2018-19, 8% of Aboriginal and Torres Strait Islander people (Aboriginal people 1.9%; Torres Strait Islander people 0.4%) reported kidney disease as a long-term health condition.
  • For 2014-2018, after age-adjustment, the notification rate of end-stage renal disease was 3 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people.
  • In 2017-18, ‘care involving dialysis’ was the most common reason for hospitalisation among Aboriginal and Torres Strait Islander people.
  • In 2018, 310 Aboriginal and Torres Strait Islander people commenced dialysis and 49 were the recipients of new kidneys.
  • For 2013-2017, the age-adjusted death rate from kidney disease was 21 per 100,000 (NT: 47 per 100,000; WA: 38 per 100,000) for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and NT
  • In 2018, the most common causes of death among the 217 Aboriginal and Torres Strait Islander people who were receiving dialysis was CVD (64 deaths) and withdrawal from treatment (51 deaths).

Injury, including family violence

  • In 2012-13, 5% of Aboriginal and Torres Strait Islander people reported having a long-term condition caused by injury.
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people aged 15 years and over had experienced physical harm or threatened physical harm at least once in the last 12 months.
  • In 2016-17, the rate of Aboriginal and Torres Strait Islander hospitalised injury was higher for males (44 per 1,000) than females (39 per 1,000).
  • In 2017-18, 20% of injury-related hospitalisations among Aboriginal and Torres Strait Islander people were for assault.
  • In 2018, intentional self-harm was the leading specific cause of injury deaths for NSW, Qld, SA, WA, and NT (5.3% of all Aboriginal and Torres Strait Islander deaths).

Respiratory health

  • In 2018-19, 29% of Aboriginal and Torres Strait Islander people reported having a long-term respiratory condition .
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people reported having asthma.
  • In 2014-15, crude hospitalisation rates were highest for Aboriginal and Torres Strait Islander people presenting with influenza and pneumonia (7.4 per 1,000), followed by COPD (5.3 per 1,000), acute upper respiratory infections (3.8 per 1,000) and asthma (2.9 per 1,000).
  • In 2018, chronic lower respiratory disease was the third highest cause of death overall for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Eye health

  • In 2018-19, eye and sight problems were reported by 38% of Aboriginal people and 40% of Torres Strait Islander people.
  • In 2018-19, eye and sight problems were reported by 32% of Aboriginal and Torres Strait Islander males and by 43% of females.
  • In 2018-19, the most common eye conditions reported by Aboriginal and Torres Strait Islanders were hyperopia (long sightedness: 22%), myopia (short sightedness: 16%), other diseases of the eye and adnexa (8.7%), cataract (1.4%), blindness (0.9%) and glaucoma (0.5%).
  • In 2014-15, 13% of Aboriginal and Torres Strait Islander children, aged 4-14 years, were reported to have eye or sight problems.
  • In 2018, 144 cases of trachoma were detected among Aboriginal and Torres Strait Islander children living in at-risk communities in Qld, WA, SA and the NT
  • For 2015-17, 62% of hospitalisations for diseases of the eye (8,274) among Aboriginal and Torres Strait Islander people were for disorders of the lens (5,092) (mainly cataracts).

Ear health and hearing

  • In 2018-19, 14% of Aboriginal and Torres Strait Islander people reported having a long-term ear and/or hearing problem
  • In 2018-19, among Aboriginal and Torres Strait Islander children aged 0-14 years, the prevalence of otitis media (OM) was 6% and of partial or complete deafness was 3.8%.
  • In 2017-18, the age-adjusted hospitalisation rate for ear conditions for Aboriginal and Torres Strait Islander people was 1 per 1,000 population.

Oral health

  • In 2014-15, the proportion of Aboriginal and Torres Strait Islander children aged 4-14 years with reported tooth or gum problems was 34%, a decrease from 39% in 2008.
  • In 2012-2014, 61% of Aboriginal and Torres Strait Islander children aged 5-10 years had experienced tooth decay in their baby teeth, and 36% of Aboriginal and Torres Strait Islander children aged 6-14 years had experienced tooth decay in their permanent teeth.
  • In 2016-17, there were 3,418 potentially preventable hospitalisations for dental conditions for Aboriginal and Torres Strait Islander The age-standardised rate of hospitalisation was 4.6 per 1,000.

Disability

  • In 2018-19, 27% of Aboriginal and 24% of Torres Strait Islander people reported having a disability or restrictive long-term health
  • In 2018-19, 2% of Aboriginal and 8.3% of Torres Strait Islander people reported a profound or severe core activity limitation.
  • In 2016, 7% of Aboriginal and Torres Strait Islander people with a profound or severe disability reported a need for assistance.
  • In 2017-18, 9% of disability service users were Aboriginal and Torres Strait Islander people, with most aged under 50 years (82%).
  • In 2017-18, the primary disability groups accessing services were Aboriginal and Torres Strait Islander people with a psychiatric condition (24%), intellectual disability (23%) and physical disability (20%).
  • In 2017-18, 2,524 Aboriginal and Torres Strait Islander National Disability Agreement service users transitioned to the National Disability Insurance Scheme.

Communicable diseases

  • In 2017, there were 7,015 notifications for chlamydia for Aboriginal and Torres Strait Islander people, accounting for 7% of the notifications in Australia
  • During 2013-2017, there was a 9% and 9.8% decline in chlamydia notification rates among males and females (respectively).
  • In 2017, there were 4,119 gonorrhoea notifications for Aboriginal and Torres Strait Islander people, accounting for 15% of the notifications in Australia.
  • In 2017, there were 779 syphilis notifications for Aboriginal and Torres Strait Islander people accounting for 18% of the notifications in Australia.
  • In 2017, Qld (45%) and the NT (35%) accounted for 80% of the syphilis notifications from all jurisdictions.
  • In 2018, there were 34 cases of newly diagnosed human immunodeficiency virus (HIV) infection among Aboriginal and Torres Strait Islander people in Australia .
  • In 2017, there were 1,201 Aboriginal and Torres Strait Islander people diagnosed with hepatitis C (HCV) in Australia
  • In 2017, there were 151 Aboriginal and Torres Strait Islander people diagnosed with hepatitis B (HBV) in Australia
  • For 2013-2017 there was a 37% decline in the HBV notification rates for Aboriginal and Torres Strait Islander people.
  • For 2011-2015, 1,152 (14%) of the 8,316 cases of invasive pneumococcal disease (IPD) were identified as Aboriginal and Torres Strait people .
  • For 2011-2015, there were 26 deaths attributed to IPD with 11 of the 26 deaths (42%) in the 50 years and over age-group.
  • For 2011-2015, 101 (10%) of the 966 notified cases of meningococcal disease were identified as Aboriginal and Torres Strait Islander people
  • For 2006-2015, the incidence rate of meningococcal serogroup B was 8 per 100,000, with the age- specific rate highest in infants less than 12 months of age (33 per 100,000).
  • In 2015, of the 1,255 notifications of TB in Australia, 27 (2.2%) were identified as Aboriginal and seven (0.6%) as Torres Strait Islander people
  • For 2011-2015, there were 16 Aboriginal and Torres Strait Islander people diagnosed with invasive Haemophilus influenzae type b (Hib) in Australia
  • Between 2007-2010 and 2011-2015 notification rates for Hib decreased by around 67%.
  • In 2018-19, the proportion of Aboriginal and Torres Strait Islander people reporting a disease of the skin and subcutaneous tissue was 2% (males 2.4% and females 4.0%).

NACCHO Aboriginal #CoronaVirus News Alert No 39 : April 16 #KeepOurMobSafe : #OurJobProtectOurMob : Anyinginyi ACCHO partners in new report “Fix housing and you’ll reduce risks of coronavirus and other disease in remote Indigenous communities “

” Remote Indigenous communities have taken swift and effective action to quarantine residents against the risks of COVID-19.

Under a plan developed by the Aboriginal and Torres Strait Islander Advisory Group, entry to communities is restricted to essential visitors only.

This is important, because crowded and malfunctioning housing in remote Indigenous communities heightens the risk of COVID-19 transmission.

High rates of chronic disease mean COVID-19 outbreaks in Indigenous communities may cause high death rates. ” 

Originally published in the Conversation

 ” Rapid-testing machines that detect COVID-19 in 45 minutes are being sent to 83 indigenous communities where remote health clinics are currently waiting up to 10 days to find out whether an Aboriginal resident has coronavirus.

Health Minister Greg Hunt has announced the Australian government was investing $3.3m to establish the rapid coronavirus testing program for remote and rural ­Aboriginal and Torres Strait Islander communities.

The commonwealth is choosing the sites in most need and most at risk with help from state and territory governments and health services, and aims to have 83 ­machines in place by mid-May.”

See full story Part 2 below :  Coronavirus: Rapid tests on way to remote Indigenous communities.

Read full release Here

The “old story” of housing, crowding and health continues to be overlooked. A partnership between the University of Queensland and Anyinginyi Health Aboriginal Corporation, in the Northern Territory’s (NT) Tennant Creek and Barkly region, re-opens this story. A new report from our work together is titled in Warumungu language as Piliyi Papulu Purrukaj-ji – “Good Housing to Prevent Sickness”. It reveals the simplicity of the solution: new housing and budgets for repairs and maintenance can improve human health.

Infection risks rise in crowded housing

Rates of crowded households are much higher in remote communities (34%) than in urban areas (8%). Our research in the Barkly region, 500km north of Alice Springs, found up to 22 residents in some three-bedroom houses. In one crowded house, a kidney dialysis patient and seven family members had slept in the yard for over a year in order to access clinical care.

Many Indigenous Australians lease social housing because of barriers to individual land ownership in remote Australia. Repairs and maintenance are more expensive in remote areas and our research found waiting periods are long. One resident told us:

Houses [are] inspected two times a year by Department of Housing, but no repairs or maintenance. They inspect and write down faults but don’t fix. They say people will return, but it doesn’t happen.

Better ‘health hardware’ can prevent infections

The growing populations in communities are not matched by increased housing. Crowding is the inevitable result.

Crowded households place extra pressure on “health hardware”, the infrastructure that enables washing of bodies and clothing and other hygiene practices.


Read more: Homelessness and overcrowding expose us all to coronavirus. Here’s what we can do to stop the spread


We interviewed residents who told us they lacked functioning bathrooms and washing machines and that toilets were blocked. One resident said:

Scabies has come up a lot this year because of lack of water. We’ve been running out of water in the tanks. There’s no electric pump … [so] we are bathing less …

[Also] sewerage is a problem at this house. It’s blocked … The toilet bubbles up and the water goes black and leaks out. We try to keep the kids away.

A lack of health hardware increases the transmission risk of preventable, hygiene-related infectious diseases like COVID-19. Anyinginyi clinicians report skin infections are more common than in urban areas, respiratory infections affect whole families in crowded houses, and they see daily cases of eye infections.

Data that we accessed from the clinic confirmed this situation. The highest infection diagnoses were skin infections (including boils, scabies and school sores), respiratory infections, and ear, nose and throat infections (especially middle ear infection).

These infections can have long-term consequences. Repeated skin sores and throat infections from Group A streptococcal bacteria can contribute to chronic life-threatening conditions such as kidney disease and rheumatic heart disease (RHD). Indigenous NT residents have among the highest rates of RHD in the world, and Indigenous children in Central Australia have the highest rates of post-infection kidney disease (APSGN).


Read more: The answer to Indigenous vulnerability to coronavirus: a more equitable public health agenda


Reviving a vision of healthy housing and people

Crowded and unrepaired housing persists, despite the National Indigenous Reform Agreement stating over ten years ago: “Children need to live in accommodation with adequate infrastructure conducive to good hygiene … and free of overcrowding.”

Indigenous housing programs, such as the National Partnership Agreement for Remote Indigenous Housing, have had varied success and sustainability in overcoming crowding and poor housing quality.

It is calculated about 5,500 new houses are required by 2028 to reduce the health impacts of crowding in remote communities. Earlier models still provide guidance for today’s efforts. For example, Whitlam-era efforts supported culturally appropriate housing design, while the ATSIC period of the 1990s introduced Indigenous-led housing management and culturally-specific adaptation of tenancy agreements.

Our report reasserts the call to action for both new housing and regular repairs and maintenance (with adequate budgets) of existing housing in remote communities. The lack of effective treatment or a vaccine for COVID-19 make hygiene and social distancing critical. Yet crowding and faulty home infrastructure make these measures difficult if not impossible.

Indigenous Australians living on remote country urgently need additional and functional housing. This may begin to provide the long-term gains described to us by an experienced Aboriginal health worker:

When … [decades ago] houses were built, I noticed immediately a drop in the scabies … You could see the mental change, could see the difference in families. Kids are healthier and happier. I’ve seen this repeated in other communities once housing was given – the change.


Trisha Narurla Frank contributed to the writing of this article, and other staff from Anyinginyi Health Aboriginal Corporation provided their input and consent for the sharing of these findings.

Part 2 :  Coronavirus: Rapid tests on way to remote Indigenous communities

Rapid-testing machines that detect COVID-19 in 45 minutes are being sent to 83 indigenous communities where remote health clinics are currently waiting up to 10 days to find out whether an Aboriginal resident has coronavirus.

There are no known cases of COVID-19 in indigenous communities but health authorities are on high alert for a breakout, particularly in Western Australia, where 11 health workers in the far north Kimberley region tested positive. After a doctor in the Kimberley town of Halls Creek saw Aboriginal patients while he was potentially infectious, those ­patients have been deemed not to be close contacts.

Health Minister Greg Hunt has announced the Australian government was investing $3.3m to establish the rapid coronavirus testing program for remote and rural ­Aboriginal and Torres Strait Islander communities.

The commonwealth is choosing the sites in most need and most at risk with help from state and territory governments and health services, and aims to have 83 ­machines in place by mid-May.

The test, called the Xpert SARS-CoV-2 test, uses rapid ­technology to detect COVID-19 infections by using a nasal swab polymerase chain reaction test in the early phases of the illness.

“It’s vital we do all we can to protect our rural and remote ­Aboriginal and Torres Strait ­Islander communities,” Mr Hunt said.

“This world-first testing response means that we can continue to stay ahead of the curve when it comes to fighting this virus.

“If an outbreak is detected, local health services can move quickly to protect the community and activate established evacuation procedures.”

Indigenous Australians Minister Ken Wyatt said indigenous people were more vulnerable if they contracted coronavirus.

“There are higher rates of chronic conditions and other health issues in these communities and it can be hard to access healthcare,” Mr Wyatt said

“This means that an outbreak of COVID-19 in an Aboriginal or Torres Strait Islander community has the potential to be very serious.

“This testing program will help protect indigenous Australians against the virus.”

The program is an initiative of the Kirby Institute, in partnership with Flinders University.

NACCHO Aboriginal Health and #SocialDeterminants : #MovetoTown Housing bureaucrats are in talks with Aboriginal organisations to convert all town camps into proper suburbs with metered water and electricity

” The suspension of services comes as part of a slow but significant change.

The McGowan government is investing heavily in 10 of the state’s largest remote communities, including by installing sewerage and water systems that residents will for the first time be billed for.

It is also helping Aboriginal families move off dilapidated town camps into new or refurbished homes in the suburbs in a program called Move To Town.

The changes could mean the end of town camps that have been marred by violence and anti-­social behaviour.

Housing bureaucrats are in talks with Aboriginal organisations to convert all town camps into proper suburbs with metered water and electricity.” 

From the Australian 9 March 2020

Read all NACCHO Aboriginal Health and Housing Articles HERE

Read all NACCHO Aboriginal Health and Social Determinant Articles HERE

The West Australian Labor government has quietly suspended essential services at 25 remote Aboriginal communities five years after their Liberal predecessors suffered a political backlash for proposing the closure of most of the settlements.

The Australian has obtained a list of 25 settlements across the far north Kimberley where ­essential services such as maintaining bores and generators are “suspended” because the communities were considered abandoned or inhabited too infreq­uently to justify the cost to the taxpayer.

The West Australian Department of Communities, which is responsible for remote housing, said the suspensions followed consultation with Aboriginal people. It is part of a policy of ­investing in larger remote settlements while razing town camps and moving residents to suburbs in larger communities.

Former Liberal premier Colin Barnett sparked mass protests, a rebuke from the UN and was criticised by the state Labor ­opposition when he announced in November 2014 that most of Western Australia’s 274 remote communities would close.

Read NITV Article HERE

Opposition Treasury and ­Aboriginal affairs spokesman Ben Wyatt asked the state’s lower house to condemn Mr Barnett for “ongoing uncertainty, confusion and fear that he has created in remote Aboriginal communities”. The policy crisis was largely a result of a federal ­decision that states and the Northern Territory would bear the full cost of remote housing, ending an arrangement in which the federal government paid half.

Mr Barnett said there was no way Western Australia could carry that cost. While WA Labor wanted the federal government to reverse or delay its decision, Mr Barnett became the target of anger when he linked community closures to child-sex abuse. “They cannot look anyone in the eye and guarantee the safety of little boys and girls,” he told parliament.

Prime minister Tony Abbott was also criticised when he ­described the decision to live in remote settlements as a lifestyle choice.

The list of communities that have had services suspended by the McGowan Labor government includes Osmond Valley at the foot of the Bungle Bungles where flood then fire drove residents away several years ago.

The Australian understands Warmun Community Incorporated uses its own budget to carry out basic maintenance at ­Osmond Valley amid hopes it can one day become a tourist destination that generates income for Aboriginal people.

Other communities on the state government’s “suspended” list include Kurlku in the Great Sandy Desert, which was established by the late artist Jimmy Pike in the 1980s. It has no permanent residents though rangers had in recent years camped there when carrying out work. Some other remote communities on the list are outstations that had previously been recorded as having small permanent populations or were seasonally occupied.

The suspension of services comes as part of a slow but significant change. The McGowan government is investing heavily in 10 of the state’s largest remote communities, including by installing sewerage and water systems that residents will for the first time be billed for. It is also helping Aboriginal families move off dilapidated town camps into new or refurbished homes in the suburbs in a program called Move To Town.

The changes could mean the end of town camps that have been marred by violence and anti-­social behaviour. Housing bureaucrats are in talks with Aboriginal organisations to convert all town camps into proper suburbs with metered water and electricity.

But the department has shown it is prepared to raze those town camps if that is what traditional owners want. So far, one camp called One Mile on the outskirts of Broome has been bulldozed and all residents of the Kennedy Hill town camp in the centre of Broome have opted to move to better housing elsewhere in the town. One boarded-up house ­remains at Kennedy Hill and will be demolished within a week.

Paul Isaachsen, assistant ­director of general strategy and transformation at the Department of Communities, said the West Australian government was maintaining services in remote places where people lived.

“When the state government establishes that a remote community it supports is no longer ­occupied, which can be the case with very small outstations, the maintenance of essential and ­municipal service assets is suspended pending any return of residents,” he said. “For example, the regular inspection (and, if necessary, ­repair) of generators and bores does not occur during the suspension period. Currently, ­services are suspended in 25 remote communities following ­numerous visits to the communities and consultation with community members, service providers and other relevant stakeholders.”

WA Housing Minister Peter Tinley said he hoped the Labor government’s collaborative approach could succeed where the former Liberal government failed. “Aboriginal people are the most marginalised and vulnerable in Australia — even more so when they live in remote communities, out of sight and generally out of mind to the vast majority of us,” he said.

“The McGowan government does not believe that people should be denied access to basic services based on where they live.

“Everyone has the right to ­expect running water, proper sewerage systems, power supplies, education and health services and suitable housing.

“The challenge to providing such services arose when the state government’s long-term funding partner in the joint arrangement that used to deliver those same services — the commonwealth government — walked away from its responsibilities, axed its funding contribution and laid the entire financial burden on the state government.

“The result is an ongoing ­annual $100m hole in the state’s budget.”

NACCHO Aboriginal Health and #SocialDeterminants “Poor housing is not an issue of indigeneity; it is an issue of poverty” – Dr Paul Torzillo

Aboriginal health, more specifically, is often characterised as wicked.

But when it comes to the link between housing and Indigenous health at least, Dr Paul Torzillo says emphatically,

“This is not some issue about cultural dissonance. This is not a wicked problem.”

Dr Paul Torzillo is a founding director of Healthabitat. A non-profit company that has been working for more than three decades to identify a quantifiable link between housing and health in remote Aboriginal communities, and to offer solutions to clearly articulated, fixable problems.

Drawing above showing Healthabitat’s nine Healthy Living Practice

This article by Habititat and Tracey Clement

“It’s going to get too hard for ngurraritja to live in the desert soon. I might shift somewhere when the desert dries up – up north, down south.”

Without action to stop climate change, people may be forced to leave their country,”

Climate change is a clear and present threat to the survival of our people and their culture,”

Living in “unbearable concrete hot boxes” doesn’t help.

People resort to sleeping outside, or cramming everybody into the coolest room, with all the well-known consequences for the spread of diseases.

It’s also common for people to sleep in shifts, with young people roaming the streets at night where they get into trouble, and sleeping during the day when they should beat school.

You can sometimes see people in communities hosing the outside of their Besser brick walls with garden hoses to keep cool despite the water shortages – that’s how desperate they are.”

” Too hot for our mob ” From Central Land Council’s Head of Policy, Josie Douglas

Download Land Rights News 

Land-Rights-News-March-2020_(2)

Read all NACCHO Aboriginal Health and Housing Articles HERE

Read all NACCHO Aboriginal Health and Social Determinant Articles HERE

Drawing above showing Healthabitat’s nine Healthy Living Practice

The company applies a scientific approach to what some have seen as a social and cultural problem.

Some problems are so complex we label them ‘wicked.’ As the Australian Public Service Commission (APS) explains, “The term ‘wicked’ in this context is used, not in the sense of evil, but rather as an issue highly resistant to resolution.”

In a document titled, ‘Tackling wicked problems: A public policy perspective,’ the APS, a policy unit within the Department of the Prime Minister and Cabinet, cites climate change, obesity, land degradation and Indigenous disadvantage as examples.

In 1985, Torzillo was working as a medical officer for the Nganampa Health Council at the Pukatja (Ernabella) health clinic in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands in South Australia. There he met architect Paul Pholeros (1953–2016) and anthropologist Stephan Rainow.

They began working together at the invitation of elder Yami Lester, who could see that people in the community were still getting sick, despite improved health services. In 1987, the trio released a report known as the Uwankara Palyanku Kanyintjaku (UPK) – a plan to “stop people getting sick”, in the local Pitjantjatjara language.

In the UPK, Torzillo, Pholeros and Rainow – who would become the founding directors of Healthabitat – identified a clear link between deficiencies in the built environment and the poor health of community members.

The report outlined nine Healthy Living Practices: washing people, washing clothes and bedding, removing wastewater safely, improving nutrition through the ability to store prepare and cook food, reducing the negative impact of over-crowding; reducing the negative effects of animals, insects and vermin; reducing the impact of dust; controlling temperature in the living environment; and reducing hazards that cause physical trauma.

These practices are still at the core of what Healthabitat does today.

Healthabitat primarily works on projects that focus on improving health by fixing what Dr Fred Hollows (1929–1993) called “health hardware,” in this case the physical infrastructure in a home that enables occupants to undertake the nine Healthy Living Practices. Since 1985, licensed contractors overseen by Healthabitat have completed some 287,919 repair jobs, mostly in remote Indigenous communities. But recently they also conducted projects in densely populated urban areas in both Australia and the USA. “And those projects have provided data to support the important thesis that poor housing is not an issue of indigeneity,” Torzillo says, “it is an issue of poverty.”

While a common misconception persists that occupants in remote Aboriginal communities have destroyed their own homes, Healthabitat’s extensive collection of data has demonstrated that vandalism (or even unsuccessful repair work) accounts for only seven percent of damaged health hardware.

Overwhelmingly, poor design, poor material choices, shoddy or incomplete initial construction (19%), and lack of routine maintenance (74%) are the factors that lead to substandard infrastructure in the homes that they have worked on.

As Torzillo puts it, “We have found that you can improve health hardware in these communities for an affordable cost. And we have also shown that the key reasons that these houses aren’t performing are not reasons which are philosophical, or race related, or even occupant dependent. They are issues that are fixable.”

Small teams of local people undertake Survey-Fix work as part of Healthabitat’s “yellow caps” house repair program.

This all seems fairly straightforward. After all, the link between sanitation and health has been widely accepted since at least the Victorian era. A functioning toilet, kitchen and shower should be standard in all homes, and yet the problem of healthy housing in Indigenous communities is ongoing.

Which is not to say that Healthabitat has not had some success. “I think what we have done is we have unequivocally changed the language and the rhetoric around housing in Australia. So at every housing conference somebody talks about the nine Healthy Living Practices, and at every conference people talk about housing for health, and most bureaucratic statements include language that would suggest that they are adopting the principles,” Torzillo explains. “The difficulty is in the implementation.”

Despite clearly defined solutions and quantifiable evidence that its projects work, Healthabitat’s methodology has yet to be meaningfully translated into Federal and State government policy within Australia. When asked why, Torzillo admits that there is no easy answer. For him, “the hard question”, as he puts it, is why do those in authority insist on labelling the problem as ‘wicked’?

Tackling this question is one of the reasons Healthabitat became an industry partner on a Housing for Health Incubator, led by Professor Tess Lea and facilitated by the Henry Halloran Trust. Beyond the big, complex ‘why’ questions, Lea and her team are also examining the interactions between politics and bureaucracy and probing the ‘how.’

They are asking questions, Torzillo says, such as: “How is it that we are still building houses that don’t perform? How is it that we are losing housing stock because we don’t have sustainable maintenance systems? How does that happen?” Their research, which will conclude later this year, also addresses another apparently wicked problem: climate change.

As Torzillo explains, “Our work started with me thinking predominantly about child health, predominantly about infectious disease and the impact of washing and waste disposal in the 1980s. Most of that still stands, but now there is a whole other set of issues.” Climate change is perhaps the issue of our times, and it is already hitting hard in the communities Healthabitat works with. “Lots of remote communities now have temperatures in the high 40s and low 50s centigrade. And they are not going to have the money to afford the energy to control temperature. So communities are going to be threatened by that,” Torzillo says. “This is a big issue right now. So we want to bring that into the centre of what we’re doing.”

With this in mind, the Henry Halloran Trust Incubator is looking at updating, modernising, and refocusing Healthabitat’s work with an emphasis on the impact of the climate crisis on housing for poor people.

As Torzillo points out. “It’s not a future issue, it’s a here-and-now issue.”

Tracey Clement is an artist and writer based in Sydney, Australia.

NACCHO Aboriginal #Environmental Health ClosingtheGap #HaveYourSay : Our CEO Pat Turner’s speech to the National Aboriginal and Torres Strait Islander Environmental Health Conference in Perth this week

” In mainstream settings, there is no battle for recognition or resources for environmental health from finance departments. There is nothing more to prove and a fully resourced framework is in place. 

But Aboriginal environmental health is something else again.

Aboriginal environmental health combines deep cultural knowledge of how things work in Aboriginal communities with these hard scientific facts about disease.

Aboriginal environmental health must forge high-trust partnerships with community. 

Aboriginal environmental health is a community asset.

And Aboriginal environmental health is needed now more than ever.   Why is this so?

Public housing and public utilities have largely been taken out of Aboriginal control. In some locations, funding for the Aboriginal Environmental Health workforce has evaporated.\

Sometimes, the power to make the simplest decision on the ground has been ripped away from local communities. 

Instead, this power is with someone far away who doesn’t even know us.

This is nowhere more manifest than in Aboriginal housing. 

Effective Aboriginal environmental health programs must be in Aboriginal hands. 

Community controlled organisations must drive the necessary knowledge exchange between those who hold technical expertise and those who have been denied it.

The very nature of this work means that Aboriginal communities must retain the reins – and retain the knowledge

Selected extracts NACCHO CEO Pat Turner addressing the National Aboriginal and Torres Strait Islander Environmental Health Conference in Perth this week

As an Aboriginal woman of Gudanji-Arrernte heritage, I wish to acknowledge the Whadjuk people of the Noongar nation as traditional owners of the land where we meet today.

I also acknowledge our continuing and vibrant First Nations cultures.  I am grateful for the contributions of our past, present and emerging leaders.

Our cultures, our leaders and our country give us collective strength and resilience as Aboriginal and Torres Strait Islander peoples.

Just a note for about language conventions in Western Australia. I tend to use the term Aboriginal in recognition that Aboriginal people are the original inhabitants here. This is not out of any disrespect to Torres Strait Islander colleagues and communities.

I have discovered that the first NATSIEH conference was held in 1998. Every second year or so since, the aim of these national conferences is to increase the understanding and awareness of environmental health issues in our communities.

This year, your theme is ONE GOAL: MANY PATHS.  There must be a huge diversity of backgrounds, professions and experiences in the room.   I am delighted to be here.  I hope I have something for everyone in my address to you today.

I will begin with recent CHANGES in the way governments must now work with Aboriginal and Torres Strait Islander people.

Then I’ll cover some CHALLENGES that we can no longer ignore.

And finally, I’ll explain how Aboriginal LEADERSHIP will show the right path that we must take together.

How has our political landscape changed?

Please cast your minds back to 2008 when the original Closing the Gap policy was agreed by the Council of Australian Governments – known as COAG.

There was never full ownership of Closing the Gap from Aboriginal and Torres Strait Islander peoples. CLOSING the Gap was always considered to be an initiative of Governments.  Frankly, it was governments talking to other governments ABOUT us.  WITHOUT us.

Many Aboriginal and Torres Strait Islander Peak bodies supported Closing the Gap in good faith, particularly with new funding given to specific issues including housing, health and education.

But was Closing the Gap ever going to work with its genesis in the bureaucratic backrooms of Canberra?

Our people were always going to be configured as ‘the problem’.  Not as allies, not as experts, not as partners, not as equals.  It was not surprising to Aboriginal people to see that progress was patchy.

As Prof Marcia Langton, a leading Aboriginal academic of Yiman and Bidjara heritage, said in February this year at the Australian and New Zealand School of Government Indigenous conference:

“You can’t have administration of very complex matters from the Canberra bubble. It’s not working and lives are being lost. 

… We must push for policies that give formal powers to the Indigenous sector and remove incompetent, bureaucratic bungling.”

Marcia made a specific request of those who were listening:

“Please do not feel personally offended by what I have to say to you” she said.

I also ask this of you today.  And as Marcia continued to say:

‘… we must all take responsibility and be courageous enough to take action, to put an end to the policies and programs that disempower Aboriginal and Torres Strait Islander people, not just causing a decline in their living standards, but accelerating them into permanent poverty.

Especially the vulnerable. The children and youth are victims of a failed view of the Indigenous world and Indigenous people. This is a dystopian nightmare. We must imagine a future in which Indigenous people thrive and we must do whatever it takes to reach that future. This is urgent.”

It is not surprising then, that after 10 years, not much progress against the Closing the Gap targets had been made.

As the Closing the Gap targets were expiring, COAG announced a “Refresh” of Closing the Gap.  This “refresh” kicked in during 2017.  As various conversations took place however, it became clear that governments were still not listening properly or engaging in a genuine way, and they only wanted to talk about new targets.

Many Aboriginal Peak bodies wanted more time to test the options being put before us in these conversations. Most importantly, Peak bodies needed to be sure that THEIR voices were truly being heard. There was a real concern – AGAIN – that governments had already decided what they wanted to do. That governments were now negotiating behind closed doors to decide new priorities and targets without our input.

As Aboriginal peak bodies, we had to call this out before the country made another momentous mistake. We were very insistent.  We formed a Coalition.  The Prime Minister and his COAG colleagues had to adopt a better way of working.  Without a radical change in approach, the next ten years would be more of the same lack luster approach.

To his credit, Prime Minister Morrison listened.

He opened the door to a new way of working, giving his personal authority to change.

An historic Partnership Agreement on Closing the Gap was signed this year in March between COAG and the Coalition of Peaks.  This means that now, for the first time, Aboriginal and Torres Strait Islander people, through their peak body representatives, will share decision making with governments on Closing the Gap.

How is this to be done?

This Partnership Agreement has created a high-level COAG Joint Council.  This Joint Council is made up of 22 members.  That means a Minister from the Commonwealth Government, a Minister from each State and Territory Governments, and a representative for local government. This makes up ten members.

But significant success was realized when the Coalition of Aboriginal Peak Bodies ensured TWELVE Aboriginal or Torres Strait Islander representatives were on the Joint Council.  Chosen by us, in the majority, working for our mobs.

The Joint Council is co-chaired by the current Commonwealth Minister for Indigenous Australians and a representative of the Coalition of Peaks chosen by the Peaks. Currently, that representative is me.

The Partnership Agreement embodies the belief of all signatories that:

  • When Aboriginal and Torres Strait Islander peoples are included and have a real say in the design and delivery of services that impact on them, the outcomes are far better;
  • Aboriginal and Torres Strait Islander peoples need to be at the centre of Closing the Gap policy: the gap won’t close without our full involvement; and
  • COAG cannot expect us to take responsibility and work constructively with them to improve outcomes if we are excluded from the decision making.

So to those public servants in the audience, whether you work in Commonwealth, state, territory or local government institutions, I say this.

If the Director-General, Secretary or CEO of your department or agency is not enabling you to do your work differently and act in accordance with the Partnership Agreement, Principles, then you need to join the movement and shake the tree.

I encourage you to:

  • Initiate co-design that looks entirely different to the way your department worked two years ago.
  • Give power of veto to communities on priorities. Listen to what THEY say.
  • Double the number of Indigenous people on your committees.
  • Forget ‘one size fits all’ … because it doesn’t.
  • Immerse yourself in this unprecedented opportunity for true equity in our country.

Trust me, your change of practice will be noticed, commended and supported.

Within the Joint Council, we will continue to lead the structural reform that will make your change of practice easier.  At our recent meeting in Adelaide, the Joint Council significantly agreed to develop a new National Agreement on Closing the Gap centred on three reform priorities.

The reform priorities seek to change the way Australian Governments work with Aboriginal and Torres Strait Islander peoples and organisations, and accelerate life outcomes for Aboriginal and Torres Strait Islander peoples, these are:

  1. Establishing shared formal decision making between Australian governments and Aboriginal and Torres Strait Islander people at the State/Territory, regional and local level to embed ownership, responsibility and expertise on Closing the Gap.
  2. Building and strengthening Aboriginal and Torres Strait Islander community-controlled organisations to deliver services and programs in priority areas.
  3. Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap.

The Joint Council also agreed to the Coalition of Peaks leading engagements with Aboriginal and Torres Strait Islander people over the next two months to ensure others can have a say on the new National Agreement on Closing the Gap.

The Coalition of Peaks want to hear views from across the country on what is needed to make the reform priorities a success.

 

I encourage you all to contribute and have your say.

You can find out more on the NACCHO website. Step up and join in!

I know these priorities, especially the first two, are critical to our success as Aboriginal  people. And I know this from a lifetime of advocacy and service for my people, including my current role as CEO of NACCHO.

NACCHO is the living embodiment of the aspirations of Aboriginal and Torres Strait Islander communities and our struggle for self-determination.  NACCHO is the national peak body representing 143 Aboriginal Community Controlled Health Services or “ACCHOs” across the country.   NACCHO has a history stretching back to a meeting in Albury in 1974 in country New South Wales.

For those who don’t know, an “ACCHO” is a primary health care service initiated and operated by the local Aboriginal community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it, through a locally elected Board of Management.

As a sector, we are especially proud that ACCHOs are the largest employer of Aboriginal and Torres Strait Islanders in the country.  Not even the mining sector compares. We also have evidence that ACCHOs are demonstrably better than mainstream in providing culturally responsive, clinically effective primary health care.

At this year’s AMSANT conference, Donna Ah Chee, a Bundgalung woman from NSW and CEO of Central Australian Aboriginal Congress, said precisely what community control means in this context.

Read full speech HERE

It means:

  • The right to set the agenda and determine what the issues are
  • The right to determine which programs or approaches are best suited to tackle the problems in the community
  • The right to determine how a program is run, its size and resources
  • The right to determine when a program operates, its pace and timing
  • The right to say where a program will operate, its geographic coverage and its target groups
  • The right to determine who will deliver the program its staff and advisers.

This commitment to equal partnership through COAG has brought us to the table.  There’s no going back.

I’d now like to cover some CHALLENGES in environmental health. 

Environmental health is a science-based, technical practice.  Environmental health takes scientific knowledge to people. It focuses on disease risk and finds the way to limit disease in modern society. Environmental Health Practitioners draw the connection between environmental factors and health outcomes.

Environmental health practitioners take this science and fix environmental hazards to prevent risk. They nip outbreaks in the bud.

They influence and draft legislation, and monitor compliance with public health laws and the regulations to protect people’s health.

Of course, in mainstream Australia, hardly anyone recognizes the role that environmental health plays.  For the majority of the population, environmental health is silently present. Water, sanitation, rubbish, housing standards, food safety, everything … it is all taken for granted.

In mainstream settings, there is no battle for recognition or resources for environmental health from finance departments. There is nothing more to prove and a fully resourced framework is in place.

But ABORIGINAL environmental health is something else again.

Aboriginal environmental health combines deep cultural knowledge of how things work in Aboriginal communities with these hard scientific facts about disease. Aboriginal environmental health must forge high-trust partnerships with community.

Aboriginal environmental health is a community asset.

And Aboriginal environmental health is needed now more than ever.   Why is this so?

Public housing and public utilities have largely been taken out of Aboriginal control. In some locations, funding for the Aboriginal Environmental Health workforce has evaporated. Sometimes, the power to make the simplest decision on the ground has been ripped away from local communities.  Instead, this power is with someone far away who doesn’t even know us.

This is nowhere more manifest than in Aboriginal housing.

First, the evidence.  A recent systematic review of the scientific literature has summarized the known causal links between the home environment and health.  Here are some examples:

  • Skin-related diseases are associated with crowding
  • Viral conditions such as influenza are also associated with crowding.
  • Ear infections are associated with crowding, lack of functioning facilities for washing people, bedding and sewerage outflow.
  • Gastro infections are associated with poorly maintained housing and the state of food preparation and storage.

These are not hypothetical claims yet to be proved.  These have academic weight and the verdict is in.

In mainstream Australia, these causal links between the housing and health have been actioned.  In mainstream Australia, sustained progress in the social and environmental determinants of health has permanently reduced the rates of preventable infectious diseases.  One look at the disease burden tells us that.

BUT … because of the state of OUR environmental conditions, Aboriginal people are denied the health outcomes that non-Indigenous people now enjoy.

The challenge is huge.

  • Let’s consider clinic presentations for Aboriginal children for their first year of life. Did you know that research has found that the median number of clinic presentations per child in the first year of life was 21.  Twenty-one! Per child!   Children in this NT study would typically have six clinic presentations for diarrhea in any one year!  SIX! An infectious ear disease known as Otitis Media and skin infections were also high on the list of most frequent reasons for Aboriginal children coming to the clinic in their first year of life. These infectious diseases are NOT caused by bad parents.  They are caused by poor living conditions, overcrowding and poverty imposed on our people.
  • In the Fitzroy Valley in the Kimberley here in Western Australia, 70% of Aboriginal children have been admitted to hospital at least once before they turn seven years of age. A closer look at the reasons why is shocking.  The researchers concluded that most of these admissions would not have happened at all if household disadvantage, poor quality housing and access to primary health care had been addressed.
  • Another example comes from the Western Desert region here in Western Australia. This looked at clinic presentations of all children aged 0 to 5 years of age.  These children had on average more than 30 clinic visits each per year to their clinic. ………  Think about what that means to the morale of the parents, the attitudes of the clinicians, the health budget bottom line. Infectious diseases explained half of these presentations:
    • Ear infections were 15%
    • Upper respiratory tract infections, 13%
    • Skin sores were 12% of the total.
    • And 25% needed treatment for scabies.
  • These statistics aren’t just confined to remote communities. Aboriginal children in Western Sydney in homes with 3 or more housing problems were two and a half times more likely than others to have recurrent gastro-enteritis. For every additional housing problem, the odds of infectious disease significantly increased.

But is this all NEWS?  What about the year of your first NATSIEH conference in 1998?

1998 was the year a study was published showing that admissions to hospital for skin disease of Aboriginal children under five years of age was ten times higher than that of their non-Indigenous counterparts.

It was also the year that deaths among Aboriginal men from infectious diseases were calculated to be some 15 times higher than deaths among non-Indigenous men.

1998 was also the year a study measured the precise “wear and tear” on washing machines installed in seven remote communities.

1998 was a year AFTER a study had already been published showing that over one-third of Aboriginal remote communities had water supply or sanitation problems. Seventy percent had housing problems.  In the words of the researchers, overcrowding and substandard housing were “commonplace”.

So there we have it.   Even this brief snapshot shows we have a disconnect between data and decisions.

From your first conference in 1998 to this one in 2019 …

….  Aboriginal people, their children and now their children’s children have NOT been afforded their DUE HUMAN RIGHTS in response to these “repeat plays” of research data.

Should we have mobilised a more strategic response at the time these research studies were published?

Perhaps data sovereignty is another challenge we need to face.

I regret thinking of the number of children growing up since 1998 who should have been safe from preventable infections IF THERE HAD BEEN ACTION.  I think of how many children need not have gone to hospital.  Who should NOT have ended up with permanent damage for life from rheumatic heart disease or deafness …

… and would NOT have ended up with these conditions if their houses had been safe, healthy and affordable.

I have been told even mental health problems – including suicide – get worse in overcrowded houses not fit for social purpose.

And please don’t tell me we can’t find the money.  My colleagues in the Kimberley estimate that one third of the entire cost of hospital admissions of Aboriginal children is DIRECTLY due to the environmental conditions in which these children live.  Let me repeat that. One third of the entire cost.

In one year alone, $16.9 million is the estimated cost for hospitalisations of Aboriginal people directly due to the environment. And that was just the Kimberley.

Maybe all those departments of housing really don’t have the money BUT their colleagues in health departments are spending it hand over fist.

The Australian Indigenous Governance Institute affirms that Aboriginal people have the right to:

  • Exercise control of the data “ecosystem” including creation, development, stewardship, analysis, dissemination and infrastructure.

We also have the right to:

  • Data structures that are accountable to Aboriginal and Torres Strait Islander peoples and their governance structures.

And the right to

  • Data that is protective and respects our individual and collective interests.

AND

  • Data that is relevant and empowers sustainable self-determination and effective self-governance.

In my view, Aboriginal people must more clearly set the agenda for the health data story.

As Aboriginal people, WE are vested in the outcomes.  WE are accountable to each other, our families and communities.  These research studies represent OUR families, OUR loved ones, OUR LOST ones.

I believe the character and foresight of Aboriginal leadership will show the right path. 

Should you need convincing, I can think of no better example in environmental health than Yami Lester and the Nganampa Health Council in the APY lands.

Decades ago, these leaders knew that health improvement required medical services AND a healthy living environment.  In 1986, they initiated a collaborative project between local Anangu people and technical experts to ‘stop people getting sick’. Some of you may recognise this as the UKP project.

These Aboriginal leaders engaged Paul Pholeros and Dr Paul Torzillo to work together to develop a codified schedule for home assessments and repairs.  When assessments were finished, simple repairs to health hardware that could be fixed, WERE fixed.  Immediately, over 75% of these assessment and repair teams were local Aboriginal and Torres Strait Islander people trained and assisted by skilled managers and team leaders.

Any requirements for major repairs that were the responsibility of the landlord were submitted, logged and monitored. As this program expanded, data from different locations showed that the reasons for poor housing conditions were shoddy building materials in the first place (22%); inadequate maintenance schedules by the landlord (70%) and less than 8% was due to damage by occupants.

As relevant today, Yami Lester and his Council knew the importance of sharing with their people knowledge about disease transmission and supporting households to adopt new habits to sustain health in circumstances none of us would find easy.

And they succeeded.

Their legacy is the framework of nine Healthy Living Practices about washing, clothes, wastewater, nutrition, crowding, animals, dust, temperature and safety against injury.

Today, housing audits and home hardware assessments conceived by Aboriginal leaders in this UKP project MUST be permanently funded everywhere and combined with culturally responsive support directed by communities to re-build THEIR knowledge about disease transmission.

Every home is different.  Every environmental risk assessment is unique.  In one, there might be an issue with food-borne diseases. In another, passive smoking that affects the children’s ears, lungs and eyes.  In another, it could be …

– a blocked toilet,

– a shower dislodged from a poorly laid wet floor, or

– a washing machine that has collapsed under the pressure from multiple loads and hard water every single day.

Resources enable Aboriginal environmental health workers and families to work together over time to build the household’s confidence and knowledge.  The shared goal is self-management in healthy habits ….. AND an assertiveness as tenants to report poor quality building materials, housing problems and urgent repairs to the respective housing landlord.

Effective Aboriginal environmental health programs must be in Aboriginal hands.  Community controlled organisations must drive the necessary knowledge exchange between those who hold technical expertise and those who have been denied it. The very nature of this work means that Aboriginal communities must retain the reins – and retain the knowledge.

What Yami Lester envisaged is our unrealized obligation.

Housing programmes will have limited impact UNLESS they are controlled in their design and delivery by Aboriginal organisations with sustained visibility, authority and relationships in the community.  Communities have ideas on how to manage overcrowding, maintain housing stock and build new housing through local entrepreneurship. It is time once again for Aboriginal leaders to be heard.

You may know about extensive consultations conducted across the country in 2017 known as “My Life My Lead”.

The purpose of these consultations was to provide an opportunity to shape the next update of the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan released originally in 2013.

At these consultations, Aboriginal people spoke up about the fundamental significance of social, economic and environmental determinants affecting their health and wellbeing.

Environmental health was identified as one of seven top priorities for the next Implementation Plan.

I quote:

Addressing the underlying environmental health conditions that contribute to poor health outcomes in many Aboriginal and Torres Strait islander communities will lead to long-term improved health, education and employment outcomes. 

This is why I hope my message to you today is clear. We will get better health by improving housing and environmental health programs. Regaining control over decisions about housing will also lead to better health.  Returning authority for decision-making to communities about resources and program design reinvigorates empowerment, autonomy and more equitable power arrangements.  Self-determination promotes health.

With a decent investment in Aboriginal housing alongside genuine shifts in who makes decisions about resource allocation, I am prepared to guarantee to you today that the impact on Aboriginal health outcomes will be large, positive and permanent.

If those estimates of the costs from hospital admissions hold true nationally, I am also prepared to guarantee a significant reduction in healthcare budgets.

Our Prime Minister is inclined to miracles … so I think this would be the next miracle he’d very much like to see!

If we believe in public health and preventing the preventable …

If we believe in equity and social justice …

If we believe in community control …

… then we have everything we need to turn this around.

To governments I say let Aboriginal leaders sit down with you and – together in partnership – analyse the current state of environmental health and housing in your jurisdictions.

Let’s establish the level of investment that will reduce the cost of hospitalisations of Aboriginal children, adults and elders due to poor housing and living conditions.

Let’s develop national standards for a safe house. Let’s agree to strict criteria for urgent and priority housing repairs.  Let’s audit repair performance.  Let’s publish the data.

Let’s get more accountability from public housing for proactive home maintenance schedules and repairs.

Let’s invest in environmental and building programs that will cut the demand in primary health care clinics by a quarter and let these busy staff focus on other priorities.

Let’s grow knowledge in our communities as experts in healthy living.

Let’s train, credential and employ young Aboriginal people as environmental health workers, plumbers, electricians and carpenters to keep houses safe, healthy and ready for climate change ahead.

Let’s ensure a sustainable on-the-ground workforce for effective environmental health employed by Aboriginal organisations.

Here at this conference, let’s create the cross-sectoral approach involving communities, environmental health, primary health care and governments IN PARTNERSHIP to get this moving.

In closing, I’d like to quote Senator Patrick Dodson, a Yawuru man from Broome who, in February this year, asked a very important question:

“Who actually closes the gap?”

He answered this by saying:

“It’s the people working at the grassroots, led by First Nations peoples, with a deep understanding and lived experience of the needs of their communities.”

It is in that spirit that I thank each and every Aboriginal Environmental Health Practitioner at this conference whether it is your 1st or your 12th.

I know you work hard. I know you care deeply about your communities.  I know you lead by example.

I respect your hard-earned skills and your expertise to provide a huge scope of professional services ranging from dog control to vector management.

I admire your precise and up-to-date knowledge of disease transmission routes, hazardous chemicals, sanitation and practical engineering.

I am sincerely impressed by the care you take to work with families whose circumstances are complex … and that you find THEIR strengths and work with their capacities.

You respect cultural protocols.  You deliver with few resources, a lot of ingenuity and teamwork.

It is enabling YOU to do an even better job for YOUR communities that motivates me to do mine.  And I will keep on working just as hard as you do.

It’s been a pleasure sharing my reflections with you all.

Thank you for this opportunity to kick off the second day of your 12th NATSIEH conference here in Perth.

 

NACCHO Aboriginal Health #ClosingtheGap Download @AIHW Australia’s Welfare Report 2019 : Our mobs welfare is closely linked to health and is influenced by #socialdeterminants such as education, employment, housing, access to services, and community safety.

Indigenous wellbeing is shaped by the wellbeing of the community. In recent years there have been improvements in a range of areas of wellbeing for Aboriginal and Torres Strait Islander Australians.

Indigenous home ownership has risen over the past decade, from 34% in 2006 to 38% in 2016, household overcrowding has decreased, and fewer Indigenous Australians rely on government payments.

Education remains important in helping to overcome Indigenous disadvantage.

The employment gap between Indigenous and non-Indigenous Australians narrows as education levels increase.

There is no gap in the employment rates between Indigenous and non-Indigenous Australians with a university degree.

Despite these improvements, some Indigenous Australians experience widespread social and economic disadvantage.

One in 5 Indigenous Australians live in remote areas and fare worse than those in non-remote areas. They had lower rates of school attendance and employment, and were more likely to live in overcrowded conditions and in social housing.

Members of the Stolen Generations are another particularly disadvantaged group.

They were more likely than other Indigenous Australians to have been incarcerated, receive government payments as their main source of income, experience actual or threatened physical violence or experience homelessness.”

AIHW spokesperson Mr. Dinesh Indraharan.

” Many factors contribute to the welfare of Aboriginal and Torres Strait Islander Australians.

Welfare is closely linked to health and is influenced by social determinants such as education, employment, housing, access to services, and community safety. Contextual and historical factors are particularly important for understanding the welfare of Indigenous Australians.”

” Home ownership has an opportunity to formulate the next wave of transformative success for indigenous people.

Home ownership is a key pillar on the journey to economic independence for indigenous Australians, providing not only stable housing but also an anchor from which to build an asset base for current and future generations and equity for other investment and business opportunities.”

Dagoman-Wardaman man and chairman of Indigenous Business Australia Eddie Fry oversees a home loan program that is helping increasing numbers of Aboriginal and Torres Strait Islander people into home ownership. See Part 2 Below

The latest two-yearly snapshot of national wellbeing uses high-quality data to show how Australians are faring in key areas, including housing, education and skills, employment, social support and justice and safety.

The Australian Institute of Health and Welfare report Australia’s welfare 2019 was launched today in Canberra by Senator the Hon. Anne Ruston, Minister for Families and Social Services.

The report shows that record employment and an increase in education levels are contributing to Australia’s wellbeing but challenges facing the nation include housing stress among low-income earners.

Download the Report and Snapshot

aihw-aus-227

Australias-welfare-snapshots-2019

‘Australia’s welfare 2019 demonstrates the value in continuing to build an evidence base that supports the community, policy makers and services providers to better understand the varying and diverse needs of Australians,’ said AIHW spokesperson Mr. Dinesh Indraharan.

‘Australia is in the top third of Organisation for Economic Co-operation and Development (OECD) countries for a range of measures, including life satisfaction and social connectedness.

‘In 2018, 74% of people aged 15–64 were employed—the highest annual employment rate recorded in Australia. In July 2019 the female and total employment rates remain at record levels.’

The proportion of Australians working very long hours (50 or more per week) declined from 16% to 14% and more Australians are using part-time work to balance work with other activities including caring responsibilities.

However, in December 2018, about 9% of workers were underemployed, or unable to find as many hours of work as they would like. One in 9 families with children had no one in the family who was employed.

Generally, the higher a person’s level of education, the more opportunities they have in their working life.

‘Between 2008 and 2018 the proportion of students staying in school until Year 12 rose from 69% to 81% for males and from 80% to 89% for females,’ Mr Indraharan said.

‘In 2018, 65% of Australians aged 25–64 had a non-school qualification at Certificate III level or above. This is up from 55% in 2009.’

Australia has high levels of civic engagement with 97% of eligible people enrolled to vote in 2019—up from 90% in 2010 and strong rates of volunteering (contributing 743 million hours a year). But an estimated 1 in 4 Australians are currently experiencing an episode of loneliness – with people who live alone, young adults, males and people with children more likely to feel lonely.

Finding affordable housing remains a challenge for many Australians, with more people spending a higher proportion of their incomes on housing than in the past and fewer younger people owning their own homes.

‘More than 1 million low-income households were in housing stress in 2017-18, where they spent more than 30% of their income on rent or mortgage repayments,’ Mr Indraharan said.

There has been little change in income inequality since the mid-2000s—though it is higher now than it was in the 1980s—and wealth is more unequally distributed than income.

Most crime rates have fallen in recent years but Australia ranked in the bottom third of countries for people feeling safe walking alone at night.

‘Survey data shows rates of partner and sexual violence have remained relatively stable since 2005, while rates of total violence have fallen. However, the number and rate of sexual assault victims recorded by police has risen each year since 2011,’ Mr. Indraharan said.

Welfare services and support for people in need

Australian governments spent nearly $161 billion on welfare services and support in 2017-18, including $102 billion on cash payments to specific populations, $48 billion on welfare services and $10 billion on unemployment benefits. Per person spending on welfare increased an average of 1.3% a year—from $5,287 per person in 2001–02 to $6,482 in 2017–18.

Over the past 2 decades, there has been a notable fall in the number of people aged 18–64 receiving income support—down from 2.6 million in 1999 to 2.3 million in 2018. Put another way, in 1999, 22% of Australians aged 18–64 received income support, but this fell to 15% in 2018.

In 2017-18:

  • 1.2 million people (or 3 in 10 older people) received aged care services
  • 803,900 people were in social housing
  • 288,800 people were supported by Specialist Homeless Services
  • 280,000 people used specialist disability support services under the National Disability Agreement
  • 172,000 people were active participants in the National Disability Insurance Scheme (at June 2018)
  • 159,000 (or 1 in 35) children aged 0–17 received child protection services.

incarcerated, receive government payments as their main source of income, experience actual or threatened physical violence or experience homelessness.

Aboriginal and Torres Strait Islander Survey #HaveYourSay :

Pat Turner Lead Convener of the Coalition of Peaks invites community to share their voice on #ClosingtheGap

Part 2 From today’s Australian

More indigenous Australians than ever are homeowners, fewer live in overcrowded accommodation and Aboriginal and Torres Strait Islander people who rent are slowly shifting away from social housing in favour of private properties.

Figures to be published on Wednesday by the Australian Institute of Health and Welfare show almost two in five indigenous Australians were homeowners at the last census — of those, 12 per cent owned their home outright and 26 per cent had a mortgage. The number of indigenous households where the home is paid off or mortgaged has reached an estimated 263,000.

The rate of home ownership among indigenous Australians has gradually increased since 2006, while the home ownership rate among non-indigenous Australians has decreased slightly over the same period.

In 2006, 34 per cent of indigenous Australians owned their home or were paying it off.

By 2011 that figure had climbed to 36 per cent and at the 2016 census, 38 per cent of indigenous Australians either owned their homes outright or were paying off a mortgage.

In contrast, the percentage of non-indigenous Australians who either owned their home or were paying it off declined from 68 per cent in 2006 to 66 per cent in 2016.

Dagoman-Wardaman man and chairman of Indigenous Business Australia Eddie Fry oversees a home loan program that is helping increasing numbers of Aboriginal and Torres Strait Islander people into home ownership.

IBA approved more than $1bn in home loans to indigenous Australians over the past five years.

In 2014-15, IBA approved 517 home loans to Aboriginal and Torres Strait Islander people. In 2017-18, the number of home loans approved by IBA was a record 917.

“Home ownership has an opportunity to formulate the next wave of transformative success for indigenous people,” Mr Fry said.

“Home ownership is a key pillar on the journey to economic independence for indigenous Australians, providing not only stable housing but also an anchor from which to build an asset base for current and future generations and equity for other investment and business opportunities.”

The Australian Institute of Health and Welfare report used census data to show that, between 2006 and 2016, the proportion of indigenous households living in social housing fell from 29 per cent to 21 per cent.

The proportion of indigenous Australians renting privately increased from 27 per cent to 32 per ce

NACCHO Aboriginal Health News : Read Barb Shaw AMSANT Chair keynote speeches at the inaugural Indigenous Health Justice Conference #NILCIHJC2019 Darwin 13 Aug and #AMSANT25Conf Alice Springs 7 Aug

” The conference represents the coming together of two strands of community endeavour—health and justice—that I think naturally belong together, and about which I have had a close association with, and passion for, since I was young.

From my sector’s perspective—the primary health care sector—you simply cannot talk about health without invoking the principles of justice.

It’s in our DNA as health professionals.

Even more so when we are talking about Aboriginal community controlled primary health care services.

For our services are—first and foremost—acts of self-determination. There is no stronger expression of our community’s desire and hunger for justice than the pursuit of our rights as First Nations peoples to be self-determining.

To have our people making the decisions about what we need and how we should do things.

And to have our people governing and being employed in the organisations that deliver programs and services to our communities.

And yet we have never accepted, and we will never accept, this imposed status quo.

Aboriginal community controlled health services embody this determination and resolve.” 

Barb Shaw keynote address delivered 13 August to the inaugural Indigenous Health Justice Conference held in Darwin in conjunction with the National Indigenous Legal Conference.

Read in full Part 1 Below

” AMSANT provides a strong and respected voice nationally, which is evidenced by the high regard that we are afforded by the politicians we seek to influence, the bureaucrats we spar with on a daily basis, and by our peers who we work with at the national level, including our national peak body, NACCHO. AMSANT has been a consistent and significant contributor to NACCHO.

I will finish by sounding a note of concern that we can’t take our achievements or position for granted. We need to be forever vigilant, for despite all our efforts, the system has not fundamentally changed and is still configured to marginalise and disempower Aboriginal people. We have to work harder and smarter.

And we know we can because AMSANT is all of us. When we work together, when we combine our voices, and when we share a vision, then nothing is going to stop us.

May the next 25 years of AMSANT be as wonderful as the first.

AMSANT Chair Barb Shaw Keynote address for AMSANT 25th Anniversary Conference
Alice Springs Convention Centre, 7th August 2019 

At the #AMSANT25Conf Dinner 25 years of Aboriginal health leadership cutting the 25 year celebratory cake Our Barb Shaw Chair and John Paterson CEO , Pat Anderson , June Oscar and Donna Ah Chee 

Read and or download 25 Anniversary address here 

Barb Shaw – Keynote address for AMSANT 25th Anniversary Conference_FINAL (2)

Good morning everyone.

I’d like to begin by acknowledging the Traditional Owners of the land on which we’re meeting, the Larrakia people, and particularly their elders, past, present and emerging, and to thank James Parfitt for his warm welcome to country.

My name is Barb Shaw.

I am the Chairperson of the Aboriginal Medical Services Alliance of the NT—or AMSANT—and also the Chief Executive Officer of Anyinginyi Health Service.

I would like especially thank David Woodroffe for his insightful words of introduction, and particularly his highlighting of the importance of the words hope, optimism and resilience. These are qualities that have always been strong in our communities.

I am very grateful to the Winkiku [Win-kee-koo] Rrumbangi NT Indigenous Lawyers Association for their invitation to AMSANT to partner with them in holding the inaugural Indigenous Health Justice Conference, being held in parallel with this year’s National Indigenous Legal Conference.

The conference represents the coming together of two strands of community endeavour—health and justice—that I think naturally belong together, and about which I have had a close association with, and passion for, since I was young.

From my sector’s perspective—the primary health care sector—you simply cannot talk about health without invoking the principles of justice.

It’s in our DNA as health professionals.

Even more so when we are talking about Aboriginal community controlled primary health care services.

For our services are—first and foremost—acts of self-determination. There is no stronger expression of our community’s desire and hunger for justice than the pursuit of our rights as First Nations peoples to be self-determining.

To have our people making the decisions about what we need and how we should do things.

And to have our people governing and being employed in the organisations that deliver programs and services to our communities.

When we take a long, hard look at the many, many injustices our people face today, we can trace the path of injustice back to the persistent and variously callous, arrogant, or ignorant denials of our rights to self-determination that is our lived experience as First Nations peoples in this country.

And yet we have never accepted, and we will never accept, this imposed status quo.

Aboriginal community controlled health services embody this determination and resolve.

In the NT, we have been around more than 45 years, since Congress was first established in Alice Springs in 1974.

It was a time when one out of every four of our babies died before their first birthday! Just think about that.

It was a time when the life expectancy for Aboriginal males was just 52 years and for Aboriginal females, 54 years.

The community rallied—literally. It was a turning point and a movement was born.

Other communities followed and new community controlled services emerged—Urapuntja in 1977, Wurli Wurlinjang in the early 1980s, Pintupi and Anyinginyi in 1984, with more joining over the years.

As a sector, we didn’t sit back and wait for the government to do to us—we actively drove the agenda, took a leadership role, and did the hard work to advocate and lobby—and importantly—to provide the evidence and substance to what we were asking for.

Last week AMSANT held our 25th Anniversary celebrations in Alice Springs. One of our strong and amazing leaders, Pat Anderson, reminded us of our sector’s leadership in the early years, including in the international arena.

When primary health care leaders from around the world met in Russia in 1978, to set out a vision for primary health care, resulting in the historic Alma Ata Declaration—we were there—making our contribution to the Declaration’s drafting.

And in 1996, when the United Nations Working Group on Indigenous Populations was drafting the UN Declaration on the Rights of Indigenous Peoples—UNDRIP—we were there, advocating for community control.

Back in Australia, we led the campaign to remove health from ATSIC’s responsibilities—where it was chronically underfunded—and transfer it to the Commonwealth Department of Health, where Commonwealth bureaucrats were made accountable for our people’s health.

Importantly, this meant we were finally able to begin to access the mainstream resources and services due to us, that we were not receiving.

This brought significantly increased funding to our sector and transformed the Aboriginal health landscape.

Today, our services provide over 60% of all primary health care to our people in the Northern Territory.

And we do it better. In 2010, a major study concluded that when ACCHSs deliver health programs there is fifty percent more health gain or benefit than if those programs were delivered by mainstream primary care services.

The important point here is that this didn’t come from government. It came from us.

This history also illustrates two fundamental principles that our two disciplines, justice and health, also hold in common—Truth and Evidence.

For our sector, our truth existed in the history of disadvantage, neglect, exclusion and institutional racism that our communities were facing.

But in order to get action from government we needed to provide the evidence to support our case.

The battles we were fighting were, in fact, situated within a much longer history of struggle to establish and protect human rights.

Advances in public health achieved during the 19th century laid the foundations for a set of rights as citizens and communities that we now regard as standard entitlements and the responsibility of good government—if not to provide—then at least to regulate.

These advances depended on evidence.

For example, discovery of the causes of infectious diseases, such as cholera, provided crucial evidence for the need for public infrastructure for clean water supply and sewage disposal.

Evidence of the impacts on health caused by poor and overcrowded housing contributed to establishing a role for government in the provision of public housing and building standards—the concept of shelter as a basic human right.

Such advances in our knowledge of health determinants underpin the rights and laws that have developed around these issues, which we largely take for granted.

In stating this, it is also apparent to all of us here that these rights have not become automatic and universally available, and that those who most often lack them, come from the poorest and most marginalised sections of our society.

Here in the Northern Territory, particularly in remote communities, the lack of adequate housing, water and sewerage are major issues of concern.

For our people, connection to country and the ability to live on our ancestral lands are fundamental to our identity, to our cultural and spiritual wellbeing, and to our right to maintain our relationships and communities.

However, we cannot achieve this without basic infrastructure and services that are routinely provided in cities and towns, but which in many of our communities, are either inadequately provided or don’t exist.

Poor quality and inadequate sources of potable water have become issues of public health concern which in some cases are threatening community viability.

The significant shortfall in housing and high levels of overcrowding and homelessness experienced in Aboriginal communities are unacceptable in themselves, but all the more so, because the evidence tells us that inadequate housing and homelessness are determinants of poor health and wellbeing.

This includes transmitted diseases such as rheumatic heart disease, communicable diseases, effects on stress and wellbeing, family violence and even school attendance.

Whichever way you look at it, Indigenous housing is an area of significant government failure.

In a large part this is because government made a series of ill-considered decisions to cut us out of any significant or meaningful governance and decision-making role in housing.

Our Indigenous Community Housing Organisations were abolished.

The Commonwealth’s Strategic Indigenous Housing and Infrastructure Program or SIHIP, and National Partnership on Remote Indigenous Housing or NPARIH, burned through some $1.7 billion over 10 years without much troubling to get our input.

And the NT Intervention saw the Commonwealth take over responsibility for remote community leases and housing, with housing transferred to the NT Government.

The latter has been its own disaster, with evidence of incompetent management of residential tenancy leases and rents and an inadequate system for responding to repairs and maintenance, leading to significant hardship for residents.

Despite evidence of its own failures, it is perhaps unsurprising that the government is not happy that communities have recently exercised their rights to adequate housing by launching a class action against the NT Government in relation to rents and repairs.

This is a good example of a health justice partnership—the community partnering with a group of lawyers who provided the expertise to document and launch an action at the direction of the community.

It is hard to look at this example as anything other than a spectacular own goal by government.

They should have listened to us, perhaps!

In saying this, it needs to be acknowledged that there are encouraging developments in government policy on housing at both the NT and Commonwealth levels.

The NT Government’s Local Decision Making policy extends to Aboriginal housing and the new National Partnership Agreement on Indigenous housing struck between the NT and the Commonwealth, includes the four Northern Territory Land Councils in a significant role.

However, this falls well short of self-determination in Aboriginal housing.

Here, the leadership has once again come from the Aboriginal community. Four years’ work—supported by the Aboriginal Peak Organisations NT, or APO NT—has resulted in the development of a new Northern Territory Aboriginal peak housing body, Aboriginal Housing NT, or AHNT.

This was our initiative and our hard work—not government’s.

With in-principle agreement to support the new body, it is now a matter of negotiation about what formal role the new peak body will be afforded.

Occasionally an issue emerges that cuts like a knife through the national consciousness, requiring immediate and strong action.

Such was the situation when the 4-Corners program revealed the appalling abuse that was occurring inside the Don Dale youth detention centre. The revelations prompted the immediate establishment of the Royal Commission into the protection and detention of children in the Northern Territory.

This issue blew wide open the systemic failures that exist in the treatment of our young people, mostly Indigenous children, and provided a huge opportunity for reform.

Our sector’s response, alongside our APO NT partners, provided leadership to ensure an evidence-based, therapeutic, public health response was considered by the Royal Commission.

We also advocated for a new Tripartite Forum with an oversight role in relation to reforms in child protection and youth justice. AMSANT is represented on the Forum as one of three APO NT representatives.

The NT Government’s acceptance of the recommendations of the Royal Commission is commendable, however progress on the reforms is concerning and the lack of a commitment of funding from the Commonwealth is disappointing.

It is also disappointing to see the Northern Territory Government waver in the face of a recent campaign to water down the reforms.

We know only too well the politics that have long played out in the Northern Territory to scapegoat and demonise our people as problems to be managed, and punished.

We have seen the law and order and mandatory sentencing campaigns that have directly contributed to outcomes such as Don Dale.  We have suffered under the NT Intervention.

The low road of political opportunism dressed up as community concern.

Anything but focus on the neglect and structural racism that are key underlying determinants of the situation.

We can and must do better as a community.

This brings me to two other moments of national consciousness pricking that bring us—I believe—to a watershed moment in this nation’s history.

The first is Closing the Gap—a policy that was well-intentioned but also typically forged without our consent or input and delivered as a top-down initiative.

What could possibly go wrong?

Burdened with annual, very public demonstrations of its failure according to its own indices—only two of 10 targets achieving reasonable improvement—the Prime Minister sensibly called for a re-fresh of the policy.

Perhaps not so sensibly, the re-fresh consultations were centrally controlled and once again failed to engage us meaningfully.

However, this time, faced with concern expressed by a national Coalition of Peak Indigenous organisations, the Prime Minister asked for our solution.

The result is a formal Partnership Agreement on Closing the Gap with the Coalition of Peaks, and the establishment of a Joint Council on Closing the Gap with the Coalition of Peaks represented as a member—the first time that a non-governmental body has been represented within a COAG structure.

APO NT is a member of the Coalition of Peaks and the NACCHO CEO, our very own Pat Turner, is leading the Coalition.

Importantly, the central ask of the Coalition of Peaks, is not around the new indicators—although these are important tools to get right—but for a fundamental change in the way governments work with our people and the full involvement of our people in shared decision-making at all levels.

This includes the need for a commitment to building, strengthening and expanding the formal Aboriginal and Torres Strait Islander community controlled sector to deliver Closing the Gap services and programs.

The second watershed moment was the release of the Uluru Statement from the Heart.

That this considered and heart-felt gesture from our communities was summarily dismissed by the Prime Minister of the day—and that it continues to be undermined by baseless scaremongering—represents a moment of national shame.

But we have taken great heart from the many, many non-Indigenous organisations and individuals who have taken the Statement to their hearts.

This includes the AMA and the Australian Law Society.

And what did we ask for? We asked for:

  • a process of treaty-making to lay a firm basis for the future relationship of First Nations and those who came to this country later;
  • a process of truth telling about our shared past; and
  • a constitutionally enshrined voice to Parliament to ensure ongoing structures for our input into policy making and the life of the nation.

If we were to try to pinpoint the essence of what justice for our people means and what it will take to address the health disadvantage we face, then we would probably find it contained within the pregnant potential of these two initiatives—Closing the Gap and the Uluru Statement.

We are not going anywhere.

And we will not give up on our dreams.

All we ask is to be afforded the responsibility to make our own decisions about our own lives.

To have the opportunity to participate in decision-making over the policies that affect us; and to have our organisations and our people serve our communities.

To be afforded respect as equals, side-by-side, safe and secure in our cultures and identity.

To have the courage and the decency to face the truth of this nation.

Over the next two days, these and many other issues will be discussed and I know it will be done with passion and with goodwill.

I commend this conference to you.

Thank you.

 

NACCHO Aboriginal Health #ClosingTheGap #NT #Housing #Jobs : AMSANT , Central and Northern Land Councils join 40 peaks having equal say in the design, implementation, monitoring and evaluation of a ‘refreshed’ #ClosingtheGap policy.

“Closing the Gap was well meaning and policy makers were genuine in wanting to achieve equality for our peoples.

However, we also said from the outset that the problem was that only governments had been involved in negotiations of the agreement and only the views of governments about what had to be done and how to achieve it were included

Our people weren’t asked or given any role in Closing the Gap.

Now it looks like governments and both major parties have finally realised that it was a mistake to exclude us and that this is an important reason why the policy failed

More than anything else we were determined that in the next phase, we must be in charge of our own development

Now the election is over, we will make sure we stay at the decision making table. It’s a big shift, but it’s critical for our people.”

Central Land Council policy manager Josie Douglas said while this is good news “it wouldn’t have happened except for the hard work of nearly 40 members of national and state/territory Aboriginal and Torres Strait Islander peak bodies, including the Central and Northern land councils and the NT’s Aboriginal Medical Services Association.

SEE CLC Facebook Page 

“ This historic achievement of a hard-fought partnership between peak Aboriginal organisations and governments on Closing the Gap should be celebrated.

From this day forward, expert Aboriginal and Torres Strait Islander voices in health, education and community services will be working as equal partners with COAG in crafting the best solutions to achieve better life outcomes within our communities.

The health disparities and widening gaps between Aboriginal and Torres Strait Islanders and other Australians are unacceptable and as leaders in our fields, we are ready to do the hard work to reverse these trends.”

The journey of Aboriginal representatives to the table where the policy decisions are made has been long and difficult.

Pat Turner, CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO) said the joint council meeting was “a culmination of many years of negotiations and hard work.

Download the CTG FACT Sheet and Partnership Agreement from Here

CTG Final fact sheet (1)

– Partnership Agreement on Closing the Gap 2019-2029[73948]

Read full NACCHO Coverage of Closing the Gap Peaks

Jobs with the CTG Peak body secretariat will be advertised here 4 June  

Ten years after Australian governments launched Closing the Gap it looks like Aboriginal and Torres Strait Islander peoples finally have a real say about the policy.

The policy was meant to improve their lives by getting Australian governments to work together, but has mostly failed because it was designed without Aboriginal representatives in the room.

The first joint Closing the Gap council meeting between the Council of Australian Governments (COAG) and a coalition of national Aboriginal peak bodies in late March in Brisbane promises to turn a decade of failure into success.

The joint council has 12 representatives elected by the coalition of peaks, a minister nominated by the Commonwealth and each state and territory government, plus one representative from the Australian Government Association.

The council was set up under a historic partnership agreement under which the peak bodies will, for the first time, have an equal say in the design, implementation, monitoring and evaluation of a ‘refreshed’ Closing the Gap policy.

In 2008, the COAG signed up to an agreement which for the first time had national targets and committed state and federal governments to reducing the gap in life expectancy, infant mortality, access to early childhood education, educational achievement and better employment outcomes.

This raised some hopes but, for the last five years, each time a Prime Minister reported to the federal parliament on the progress of Closing the Gap they had to admit that most of the targets were not on track to be achieved.

That does not mean that there had been no progress at all, but Aboriginal Territorians know that their lives are not much better than they were 10 years ago, especially when it comes to housing and jobs.

Early last year, public servants invited these organisations to workshops to ask them what they thought about Closing the Gap.

Like most others, CLC representatives left the workshops feeling that the governments had already made up their minds and were going to repeat the mistake they made over a decade ago and exclude them from their proposed ‘refresh’ of the policy.

Last October, the NACCHO asked the CLC and other peak bodies across Australia for help to try and stop the governments from deciding on a new Closing the Gap policy without Aboriginal representatives.

“We were up for it because we know how hard life is for our people and that we couldn’t afford governments to keep making decisions about us without us,” Ms Douglas said.

“We couldn’t afford the harm that means for our people and the waste – just look at the federal government’s punitive and failed work for the dole scheme.

“We wrote to Prime Minister Scott Morrison, the state premiers and Chief Minister Michael Gunner, asking them not to agree to changes to the Closing the Gap policy without us,” she said.

The coalition of peaks asked to be signatories to a formal Closing the Gap partnership agreement on behalf of Aboriginal and Torres Strait Islander peoples.

They met with Mr Morrison last December and he changed his mind.

“We didn’t expect that,” Ms Douglas said.

The partnership agreement on Closing the Gap they signed three months later came with a Commonwealth grant paying the costs of the coalition for being in the partnership.

In May this year, also for the first time, the coalition met to work out what should be in a new Closing the Gap policy.

NACCHO Aboriginal #AusVotesHealth and Housing : #2019WIHC #VoteACCHO #Election2019 Labor promises to address overcrowding and create jobs in remote Indigenous communities in #NT #QLD #SA #WA with a $1.5 billion, 10-year investment

“ Labor will address overcrowding and create jobs in remote Indigenous communities with a $1.5 billion, 10-year investment.

Housing shortages and chronic overcrowding contribute to poor outcomes in health, education, employment and community safety for residents living in remote communities.

Labor’s Warren Snowdon (MHR) and Senator Malarndirri McCarthy

Download Press Release Here

Labor $1.5 billion, ten-year Housing investment.

 ” The Torres Strait Island Regional Council put it best in its statement outlining its federal election initiatives:

Homelessness and housing stress can profoundly affect the mental and physical health of individuals and families, as well as impact on their education and employment opportunities, and their ability to participate fully in the community “

See Housing: the first building block to better Indigenous health article Part 3

“ The Queensland Government remains committed to providing quality housing across our State’s remote communities under our 1.08 billion commitment over 10 years,

Federal Labor’s commitment will only strengthen the work we are already doing to assist those living in communities such as across Leichardt

“For 50 years, Australian governments have joined with us to provide homes in remote Aboriginal and Torres Strait Islander communities,” 

Deputy QLD Premier and Minister for Aboriginal and Torres Strait Islander Partnerships Jackie Trad said quality of living simply can’t be achieved if people don’t have a roof over their heads. Part 4

“WA has consistently argued that the Commonwealth has historic and moral obligations to provide ongoing funding support for remote communities that, in WA, are home to an estimated 12,000-14,000 of the country’s most disadvantaged people.

“It is gratifying to see that a Federal Labor Government will recognise and honour that responsibility – something the Morrison Government has flatly refused.”

McGowan Government welcomes Federal Labor pledge to support remote housing in WA ” See Part 5 Below 

NACCHO Recommendation 5.Improve Aboriginal and Torres Strait Islander housing and community infrastructure

  • Expand the funding and timeframe of the current National Partnership on Remote Housing to match at least that of the former National Partnership Agreement on Remote Indigenous Housing.
  • Establish and fund a program that supports low cost social housing and healthy living environments in urban, regional and remote Aboriginal and Torres Strait Islander communities.

Read all NACCHO Housing Posts 

 See all 10 NACCHO #VotesACCHO Recommendations HERE

In 2014-15, more than half of Indigenous Australians in very remote areas lived in overcrowded households, and overcrowding is the leading contributor to Indigenous homelessness.

They said a Labor Government would:

  • Provide a decade of funding certainty to the Northern Territory, by committing an additional $550 million over 5 years from 2023-24, double the commitment by the Liberals.
  • Provide $251 million in funding to Queensland, Western Australia and South Australia in 2019-20.

Following these interim arrangements, Labor will work with the States and Territories to develop a genuine, ongoing partnership to tackle the issue of overcrowding, as part of the Closing the Gap Refresh.

When last in office, Labor initiated the National Partnership Agreement for Remote Indigenous Housing (NPARIH), which saw a record $5.4 billion invested over 10 years to reduce overcrowding and address chronic housing shortages.

An independent review of NPARIH in 2017 found it had built or refurbished 11,500 homes in remote areas, successfully decreasing the proportion of overcrowded households in remote and very remote areas.

The review also found that a further 5500 houses are needed to meet the existing shortfall of housing and accommodate future population growth by 2028.

Part 2 2019 World Indigenous Housing Conference.

The 2019 World Indigenous Housing Conference will bring together Indigenous leaders, government, industry and academia representing Housing, health, and education from around the world including:

  • National and International Indigenous Organisation leadership
  • Senior housing, health, and education government officials Industry CEOs, executives and senior managers from public and private sectors
  • Housing, Healthcare, and Education professionals and regulators
  • Consumer associations
  • Academics in Housing, Healthcare, and Education.

The 2019 World Indigenous Housing Conference #2019WIHC is the principal conference to provide a platform for leaders in housing, health, education and related services from around the world to come together. Up to 2000 delegates will share experiences, explore opportunities and innovative solutions, work to improve access to adequate housing and related services for the world’s Indigenous people.

Event Information:

Key event details as follows:
Venue: Gold Coast Convention and Exhibition Centre
Address: 2684-2690 Gold Coast Hwy, Broadbeach QLD 4218
Dates: Monday 20th – Thursday 23rd May, 2019 (24th May)

Registration Costs

PLEASE NOTE: The Trade Exhibition is open Tuesday 21st May – Thursday 23rd May 2019

Please visit www.2019wihc.com for further information on transport and accommodation options, conference, exhibition and speaker updates.

 

Part 3 Housing: the first building block to better Indigenous health April 24 

Craig Johnstone Media Executive at Local Government Association of Queensland

Both Prime Minister Scott Morrison and Labor leader Bill Shorten were in northern Australia recently  (Darwin and Townsville respectively).

Both have brought their chequebooks, but there is one pressing policy issue that impacts many people in north Queensland and the NT but has received scant attention, not only during this campaign, but for many months.

So far in this campaign, there have been many announcements on indigenous policy: promises of better funding for mental health services, hospital upgrades, a plan to address rheumatic heart disease and a range of other public health initiatives.

Bill Shorten has said that West Australian Senator and long-time Aboriginal advocate Pat Dodson would become indigenous affairs minister under a federal Labor government.

Scott Morrison, too, has zeroed in on the scourge of suicide in indigenous communities, promising millions of dollars to address mental health.

The Guardian last week published a rundown of the pronouncements of Labor, the LNP and The Greens propose on indigenous policy.

But missing from the raft of promises by both sides of politics is an acknowledgment that the simple provision of proper shelter has a powerful impact on the physical and mental health of everyone, including indigenous communities.

Overcrowding, homelessness and generally inadequate housing are among the most persistent problems indigenous communities confront. There was a program to tackle this. The National Partnership Agreement on Remote Indigenous Housing provided billions of dollars of investment in building new homes and maintaining existing homes in these communities.

The Government’s own review of the program showed it was making progress but that more work needed to be done to achieve lasting success.

On 30 June last year, it ceased. And neither of the major parties has gone anywhere near promising to revive it.

Maslow’s famous hierarchy of needs counts shelter as among the most basic of human physiological needs. Unless this need is met, people are not motivated to achieve higher level needs, like financial and emotional security, health and well-being.

The Torres Strait Island Regional Council put it best in its statement outlining its federal election initiatives: Homelessness and housing stress can profoundly affect the mental and physical health of individuals and families, as well as impact on their education and employment opportunities, and their ability to participate fully in the community.

The latest Closing the Gap report stated that indigenous Australians are three times more likely to experience overcrowding than non-indigenous Australians. This despite the report and all sides of politics acknowledging that Aboriginal and Torres Strait Islander people need to secure appropriate, affordable housing as a pathway to better lives.

Yes, the investment proposed is significant _ $5.5 billion nationally over the next 10 years. But what price better health and education outcomes for indigenous communities?

Part 4 : The Palaszczuk Government has welcomed Federal Labor’s commitment to address overcrowding in remote communities.

The $1.5 billion, ten-year investment will go a long way towards closing the gap in remote housing disadvantage across Queensland.

Deputy Premier and Minister for Aboriginal and Torres Strait Islander Partnerships Jackie Trad said quality of living simply can’t be achieved if people don’t have a roof over their heads.

“The Queensland Government remains committed to providing quality housing across our State’s remote communities under our 1.08 billion commitment over 10 years,” Ms Trad said.

“Federal Labor’s commitment will only strengthen the work we are already doing to assist those living in communities such as across Leichardt

“For 50 years, Australian governments have joined with us to provide homes in remote Aboriginal and Torres Strait Islander communities,” she said.

Housing Minister Mick de Brenni said that all ended last year under the Federal LNP.

“Aboriginal and Torres Strait Islander leaders have said it was profoundly disappointing to see the Morrison Coalition turn its back from a shared responsibility to Queensland’s remote communities.

“Queensland Labor has joined calls to the Federal Government to continue to fund remote indigenous housing and I wrote and met repeatedly with the outgoing Federal Minister for Indigenous Affairs Nigel Scullion over the past 12 months. All he showed Queensland’s First Nations people was contempt.

“It’s pretty clear that Prime Minister Scott Morrison seems comfortable being the first PM in half a century to turn his back on Aboriginal and Torres Strait Islander Queenslanders.

“And what’s just as bad is that Deb Frecklington’s Queensland LNP has continually refused to reach out to their colleagues in Canberra and ask them not to turn their backs on Aboriginal and Torres Strait Islander Queenslanders.

“Further, the Queensland LNP has stood by and done absolutely nothing while their Morrison Coalition in Canberra stripped $1.6 billion from housing funding for Queenslanders – a plan designed to wipe out remote communities.

Member for Cook Cynthia Lui said only a Shorten Labor Government has a plan for all Queenslanders.

“The Palaszczuk Government will provide pathways to secure better futures, to help close the gap between Indigenous and non-Indigenous Queenslanders.

“Had Queensland been given our fair share from the Morrison LNP Government, we could have built 189 3-bedroom homes in remote communities in just one year,” Ms Lui said.

Mayor of Palm Island Shire Council Alf Lacey said an investment of $112 million in the 2019-20 Budget from the

Commonwealth coupled with the existing spend is all that would have been needed to address overcrowding – and save the 600 jobs in remote communities.

“It will change and save lives – this funding will help to address overcrowding, protect jobs and allow further economic investment in the region, while a longer-term agreement is negotiated,” Mr Lacey said.

Part 5. WA McGowan Government welcomes Federal Labor pledge to support remote housing in WA

  • Offer would double Coalition’s commitment and offer long-term stability
  • State continues unyielding position to hold Commonwealth accountable
  • Housing is key to achieving Closing the Gap targets for Aboriginal people The McGowan Government’s fight for a better Commonwealth funding deal for remote communities across Western Australia has seen Federal Labor commit to deliver a national 10year, $1.5 billion agreement if it wins government on May 18.

The pledge was welcomed by Housing Minister Peter Tinley and Treasurer Ben Wyatt who have led the State’s fight for a better deal.

Federal Labor’s vow to provide additional funding contrasts starkly with the Federal Coalition which walked away from the previous 10-year, $1.1 billion funding deal when it expired on June 30 last year, claiming responsibility for remote communities rested solely with the State.

Federal Labor leader Bill Shorten confirmed today that a Federal Government led by him would address overcrowding and create jobs in remote indigenous communities with a $1.5 billion, 10year investment.

At least $120 million of that package would flow to WA in the coming financial year (2019-20), doubling the amount supplied by the Coalition Government as a one-off exit payment from the previous long-term agreement in December last year.

That $120 million offer only came after WA rejected the previous offer of $60 million payable over three years and launched a public campaign urging a new long-term agreement to help support some of Australia’s most disadvantaged people.

Tellingly, Mr Morrison and his Aboriginal Affairs Minister Nigel Scullion refused to negotiate a new long-term deal and provide financial certainty for the provision of housing in remote communities.

Poor outcomes in health, education, employment and community safety for those living in remote communities can be largely attributed to housing shortages and chronic overcrowding.

The McGowan Government currently spends about $90 million annually supporting housing and essential services such as power, water and waste management in about 165 remote communities across the State.

Comments attributed to Housing Minister Peter Tinley:

“If we are to have any chance of achieving the aspirational targets of Closing the Gap Refresh then we need to put roofs over people’s heads.

“This is not something the State can do, or indeed should do, on its own – it requires a working, collaborative, sustainable and enduring partnership with the Commonwealth.

“It’s great to see that Bill Shorten is stepping up and is willing to open doors, rather than walk away from this challenge the way Scott Morrison has.”

NACCHO Aboriginal Health Our Vote Our Future #VoteACCHO #Election2019 11 Languages Info : Enrolments Close 8.00 pm 19 April Plus #OchreDay19 and @2019wihc Registrations for The World Indigenous Housing Conference #2019WIHC

This weeks featured NACCHO SAVE A DATE event

Thursday 18th April at 8pm Enrolments to vote close

Download the 2019 Health Awareness Days Calendar 

15 May Cultural Safety Consultation closes

20 -24 May 2019 World Indigenous Housing Conference. Gold Coast

18 -20 June Lowitja Health Conference Darwin

2019 Dr Tracey Westerman’s Workshops 

7 -14 July 2019 National NAIDOC Grant funding round opens

23 -25 September IAHA Conference Darwin

24 -26 September 2019 CATSINaM National Professional Development Conference

9-10 October 2019 NATSIHWA 10 Year Anniversary Conference

16 October Melbourne Uni: Aboriginal and Torres Strait Islander Health and Wellbeing Conference

5-8 November The Lime Network Conference New Zealand 

Featured Save a dates date

Thursday 18th April at 8pm Enrolments to vote close 

The 2019 Federal Election has been called for Saturday 18th May 2019.

We must enrol our our mob to vote, to ensure our voices are heard at a national level

Given this extremely short time frame we are calling on all Members to reach out to their Communities and assist with the enrolment process.

If you are an Australian citizen aged 18 years or older you are required to vote in the federal election.

You must be correctly enrolled by 8pm local time Thursday 18 April 2019. To enrol, complete the online form below.

If you are already enrolled but need to update your details, you can update your name or update your address online, but you must do so before 8pm Thursday 18 April 2019.

It is compulsory by law for all eligible Australian citizens to enrol and vote in federal elections, by-elections and referendums.

Download the AEC Fact sheet

NACCHO Info FACT SHEET – Federal Election (1)

Eligibility basics

  • you are an Australian citizen, or eligible British subject,
  • aged 18 years and over, and
  • have lived at your address for at least one month.

If you are 16 or 17 you can enrol now so when you turn 18 you’ll be able to vote.

You will need

  • your driver’s licence, or
  • Australian passport number, or
  • have someone who is enrolled confirm your identity.

18+ or Proof of Age cards are not accepted

Please find attached a PDF voting enrolment form:

NACCHO Info VOTING ENROLMENT FORM

Enrol Online 

Follow the link to the AEC website.

Language assistance  : The voting process

Monday 15th – Sunday 21st April 2019 :HELP ZIBEON BUILD A COMMUNITY GYM

Epic Tour De APY Lands 

DONATE HERE

My name is Zibeon Fielding, I’m 25 and hail from Mimili, a remote Indigenous community situated in the far north-west region of South Australia on the Anangu Pitjantjatjara Yankunytjatjara Lands (APY). I am a father, runner, health worker and Indigenous man working towards a healthier, happier community in my home of the remote APY lands.

THE JOURNEY SO FAR

I was one of 12 selected participants to run the New York City Marathon with the Indigenous Marathon Project under world champion Robert De Castella in 2016. In 2018 I ran the Boston Marathon with the support of the philanthropist organisation, the Epic Good Foundation, and organised an ultramarathon of 62kms from the neighbouring community Indulkana to Mimili. The ultramarathon raised over $50,000 to support Purple House https://www.purplehouse.org.au/ in Alice Springs to fund dialysis services for the APY. My goal was to help raise enough money for Purple House so that people living away from community because they suffer from chronic kidney failure can return to their communities and still get the treatment they need. And, with the support of South Australian Film Corporation, I had the opportunity to personally direct a documentary called Running 62 which we will be touring to the communities with the intention of inspiring the next generation (and older community members too) to get running!

THE DREAM

As a health practitioner I’m at the forefront; every day I see many people on the edge of developing diseases at a young age and dying from chronic problems such as renal failure. These people are the friends, parents and children I’ve grown up with. I want to promote a healthy lifestyle and positive change in the community through the running and exercise culture.The dream is to build a community gym – giving the young people a place to gather, an activity to do and employment opportunities as personal trainers and staff. The community gym is an idea the students of Mimili School came up with.

THE CHALLENGE!

The 62km ultramarathon was a huge mental and physical challenge. I now have another goal ahead of me and set the challenge to be the first man to ride around the entire APY Lands from the Stuart highway in South Australia along the outskirts of the Northern Territory and Western Australian border to my home town Mimili. Over seven days, from the 15th -21st of April 2019. Around 700km in total.

On the final day I’ll ride into Mimili to finish the race and celebrate with the community. Along the way will stop off in the community to talk to school kids about health, nutrition and exercise and how to become young, strong, independent leaders for their family, community and culture.

As well as training to do the epic bike ride I’m ALSO training to run Tokyo Marathon 2019 on March 3rd, my third major marathon (sponsor; https://epicgood.com.au/)

We aim to raise $30,000 dollars to help build the community gym.

My latest challenge, Running 62 is a testament to my determination to inspire my community to get healthy. I want to continue challenging myself, and bringing the community along with me, promoting a healthy lifestyle and working for positive change for our people and the future. I aim to be a man with a responsibility who’s driven by his purposes to make change and inspire.

I’m reaching out to you for support to help fund a community gym. I hope you’ll donate to the cause, and join me on this EPIC bike journey (virtually, over the internet) around the beautiful APY Lands.

Epic Tour De APY Lands 

DONATE HERE

15 May Cultural Safety Consultation closes 

This engagement process is important to ensure the definition is co-designed with Aboriginal and Torres Strait Islander people, health professionals and organisations across Australia.

Cultural safety is essential to improving health and wellbeing outcomes for Aboriginal and Torres Strait Islander Peoples and we are committed to a genuine partnership approach to develop a clear definition “

NHLF Chair, Pat Turner said the forum’s partnership with the Strategy Group meant that the definition is being led by Aboriginal and Torres Strait Islander health experts, which is an important value when developing policies or definitions that affect Aboriginal and Torres Strait Islander Peoples.

The NHLF has been operating since 2011 and is national representative committee for Aboriginal and Torres Strait Islander health peak bodies who provide advice on all aspects of health and well-being.

Help define this important term for the scheme that regulates health practitioners across Australia.

AHPRA, the National Boards and Accreditation Authorities in the National Registration and Accreditation Scheme which regulates registered health practitioners in Australia have partnered with Aboriginal and Torres Strait Islander health leaders and the National Health Leadership Forum (NHLF) to release a public consultation.

Together, they are seeking feedback on a proposed definition of ‘cultural safety’ to develop an agreed, national baseline definition that can be used as a foundation for embedding cultural safety across all functions in the National Registration and Accreditation Scheme and for use by the National Health Leadership Forum.

In total, there are 44 organisations represented in this consultation, which is being coordinated by the Aboriginal and Torres Strait Islander Health Strategy Group (Strategy Group), which is convened by AHPRA, and the NHLF (a list of representatives is available below).

Strategy Group Co-Chair, Professor Gregory Phillips said the consultation is a vital step for achieving health equity for Aboriginal and Torres Strait Islander Peoples. (see Picture below )

‘Patient safety for Aboriginal and Torres Strait Islander Peoples is inextricably linked with cultural safety. We need a baseline definition of ‘cultural safety’ that can be used across the National Scheme so that we can help registered health practitioners understand what cultural safety is and how it can help achieve health equity for all Australians’, said Prof Phillips.

The NHLF has been operating since 2011 and is national representative committee for Aboriginal and Torres Strait Islander health peak bodies who provide advice on all aspects of health and well-being.

The consultation is a continuation of the work by the National Scheme’s Strategy Group that has achieving health equity for Aboriginal and Torres Strait Islander Peoples as its overall goal. Members of the Group include Aboriginal and Torres Strait Islander health leaders and members from AHPRA, National Boards, Accreditation Authorities and NSW Councils.

AHPRA’s Agency Management Committee Chair, Mr Michael Gorton AM, said the far reach of this work is outlined in the Strategy Group’s Statement of intent, which was published last year.

‘The approach to this consultation is embodied in the Strategy Group’s Statement of intent, which has commitment, accountability, shared priorities, collaboration and high-level participation as its values. As a scheme, we are learning from our engagement with Aboriginal and Torres Strait Islander leaders, who are the appropriate leaders in this work. I thank these leaders, and the experts who have shared their knowledge and expertise with us, for their generosity and leadership which will lead to better health outcomes’, said Mr Gorton.

The six-week consultation is open to the public. Everyone interested in helping to shape the definition of ‘cultural safety’ that will be used in the National Scheme and by NHLF members is warmly invited to share their views.The consultation is open until 5:00pm, Wednesday 15 May 2019.

For more information:

Download the NACCHO 2019 Calendar Health Awareness Days

For many years ACCHO organisations have said they wished they had a list of the many Indigenous “ Days “ and Aboriginal health or awareness days/weeks/events.

With thanks to our friends at ZockMelon here they both are!

It even has a handy list of the hashtags for the event.

Download the 53 Page 2019 Health days and events calendar HERE

naccho zockmelon 2019 health days and events calendar

We hope that this document helps you with your planning for the year ahead.

Every Tuesday we will update these listings with new events and What’s on for the week ahead

To submit your events or update your info

Contact: Colin Cowell www.nacchocommunique.com

NACCHO Social Media Editor Tel 0401 331 251

Email : nacchonews@naccho.org.au

15 May Cultural Safety Consultation closes 

This engagement process is important to ensure the definition is co-designed with Aboriginal and Torres Strait Islander people, health professionals and organisations across Australia.

Cultural safety is essential to improving health and wellbeing outcomes for Aboriginal and Torres Strait Islander Peoples and we are committed to a genuine partnership approach to develop a clear definition “

NHLF Chair, Pat Turner said the forum’s partnership with the Strategy Group meant that the definition is being led by Aboriginal and Torres Strait Islander health experts, which is an important value when developing policies or definitions that affect Aboriginal and Torres Strait Islander Peoples.

The NHLF has been operating since 2011 and is national representative committee for Aboriginal and Torres Strait Islander health peak bodies who provide advice on all aspects of health and well-being.

Help define this important term for the scheme that regulates health practitioners across Australia.

AHPRA, the National Boards and Accreditation Authorities in the National Registration and Accreditation Scheme which regulates registered health practitioners in Australia have partnered with Aboriginal and Torres Strait Islander health leaders and the National Health Leadership Forum (NHLF) to release a public consultation.

Together, they are seeking feedback on a proposed definition of ‘cultural safety’ to develop an agreed, national baseline definition that can be used as a foundation for embedding cultural safety across all functions in the National Registration and Accreditation Scheme and for use by the National Health Leadership Forum.

In total, there are 44 organisations represented in this consultation, which is being coordinated by the Aboriginal and Torres Strait Islander Health Strategy Group (Strategy Group), which is convened by AHPRA, and the NHLF (a list of representatives is available below).

Strategy Group Co-Chair, Professor Gregory Phillips said the consultation is a vital step for achieving health equity for Aboriginal and Torres Strait Islander Peoples. (see Picture below )

‘Patient safety for Aboriginal and Torres Strait Islander Peoples is inextricably linked with cultural safety. We need a baseline definition of ‘cultural safety’ that can be used across the National Scheme so that we can help registered health practitioners understand what cultural safety is and how it can help achieve health equity for all Australians’, said Prof Phillips.

The NHLF has been operating since 2011 and is national representative committee for Aboriginal and Torres Strait Islander health peak bodies who provide advice on all aspects of health and well-being.

The consultation is a continuation of the work by the National Scheme’s Strategy Group that has achieving health equity for Aboriginal and Torres Strait Islander Peoples as its overall goal. Members of the Group include Aboriginal and Torres Strait Islander health leaders and members from AHPRA, National Boards, Accreditation Authorities and NSW Councils.

AHPRA’s Agency Management Committee Chair, Mr Michael Gorton AM, said the far reach of this work is outlined in the Strategy Group’s Statement of intent, which was published last year.

‘The approach to this consultation is embodied in the Strategy Group’s Statement of intent, which has commitment, accountability, shared priorities, collaboration and high-level participation as its values. As a scheme, we are learning from our engagement with Aboriginal and Torres Strait Islander leaders, who are the appropriate leaders in this work. I thank these leaders, and the experts who have shared their knowledge and expertise with us, for their generosity and leadership which will lead to better health outcomes’, said Mr Gorton.

The six-week consultation is open to the public. Everyone interested in helping to shape the definition of ‘cultural safety’ that will be used in the National Scheme and by NHLF members is warmly invited to share their views.The consultation is open until 5:00pm, Wednesday 15 May 2019.

For more information:

20 -24 May 2019 World Indigenous Housing Conference. Gold Coast

Thank you for your interest in the 2019 World Indigenous Housing Conference.

The 2019 World Indigenous Housing Conference will bring together Indigenous leaders, government, industry and academia representing Housing, health, and education from around the world including:

  • National and International Indigenous Organisation leadership
  • Senior housing, health, and education government officials Industry CEOs, executives and senior managers from public and private sectors
  • Housing, Healthcare, and Education professionals and regulators
  • Consumer associations
  • Academics in Housing, Healthcare, and Education.

The 2019 World Indigenous Housing Conference #2019WIHC is the principal conference to provide a platform for leaders in housing, health, education and related services from around the world to come together. Up to 2000 delegates will share experiences, explore opportunities and innovative solutions, work to improve access to adequate housing and related services for the world’s Indigenous people.

Event Information:

Key event details as follows:
Venue: Gold Coast Convention and Exhibition Centre
Address: 2684-2690 Gold Coast Hwy, Broadbeach QLD 4218
Dates: Monday 20th – Thursday 23rd May, 2019 (24th May)

Registration Costs

  • EARLY BIRD – FULL CONFERENCE & TRADE EXHIBITION REGISTRATION: $1950 AUD plus booking fees
  • After 1 February FULL CONFERENCE & TRADE EXHIBITION REGISTRATION $2245 AUD plus booking fees

PLEASE NOTE: The Trade Exhibition is open Tuesday 21st May – Thursday 23rd May 2019

Please visit www.2019wihc.com for further information on transport and accommodation options, conference, exhibition and speaker updates.

Methods of Payment:

2019WIHC online registrations accept all major credit cards, by Invoice and direct debit.
PLEASE NOTE: Invoices must be paid in full and monies received by COB Monday 20 May 2019.

Please note: The 2019 WIHC organisers reserve the right of admission. Speakers, programs and topics are subject to change. Please visit http://www.2019wihc.comfor up to date information.

Conference Cancellation Policy

If a registrant is unable to attend 2019 WIHC for any reason they may substitute, by arrangement with the registrar, someone else to attend in their place and must attend any session that has been previously selected by the original registrant.

Where the registrant is unable to attend and is not in a position to transfer his/her place to another person, or to another event, then the following refund arrangements apply:

    • Registrations cancelled less than 60 days, but more than 30 days before the event are eligible for a 50% refund of the registration fees paid.
    • Registrations cancelled less than 30 days before the event are no longer eligible for a refund.

Refunds will be made in the following ways:

  1. For payments received by credit or debit cards, the same credit/debit card will be refunded.
  2. For all other payments, a bank transfer will be made to the payee’s nominated account.

Important: For payments received from outside Australia by bank transfer, the refund will be made by bank transfer and all bank charges will be for the registrant’s account. The Cancellation Policy as stated on this page is valid from 1 October 2018.

Terms & Conditions

please visit www.2019wihc.com

Privacy Policy

please visit www.2019wihc.com

18 -20 June Lowitja Health Conference Darwin


At the Lowitja Institute International Indigenous Health and Wellbeing Conference 2019 delegates from around the world will discuss the role of First Nations in leading change and will showcase Indigenous solutions.

The conference program will highlight ways of thinking, speaking and being for the benefit of Indigenous peoples everywhere.

Join Indigenous leaders, researchers, health professionals, decision makers, community representatives, and our non-Indigenous colleagues in this important conversation.

More Info 

2019 Dr Tracey Westerman’s Workshops 

More info and dates

7 -14 July 2019 National NAIDOC Grant funding round opens 

The opening of the 2019 National NAIDOC Grant funding round has been moved forward! The National NAIDOC Grants will now officially open on Thursday 24 January 2019.

Head to www.naidoc.org.au to join the National NAIDOC Mailing List and keep up with all things grants or check out the below links for more information now!

https://www.finance.gov.au/resource-management/grants/grantconnect/

https://www.pmc.gov.au/indigenous-affairs/grants-and-funding/naidoc-week-funding

29 – 30  Aug 2019 Ochre Day Men’s Conference 2019.

Location:              Melbourne, Victoria

Venue:                 Pullman Hotel – 192 Wellington Parade, East Melbourne Vic 3000

View all interview here on NACCHO TV from last year

23 -25 September IAHA Conference Darwin

24 September

A night of celebrating excellence and action – the Gala Dinner is the premier national networking event in Aboriginal and Torres Strait Islander allied health.

The purpose of the IAHA National Indigenous Allied Health Awards is to recognise the contribution of IAHA members to their profession and/or improving the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

The IAHA National Indigenous Allied Health Awards showcase the outstanding achievements in Aboriginal and Torres Strait Islander allied health and provides identifiable allied health role models to inspire all Aboriginal and Torres Strait Islander people to consider and pursue a career in allied health.

The awards this year will be known as “10 for 10” to honour the 10 Year Anniversary of IAHA. We will be announcing 4 new awards in addition to the 6 existing below.

Read about the categories HERE.

24 -26 September 2019 CATSINaM National Professional Development Conference

 

 

The 2019 CATSINaM National Professional Development Conference will be held in Sydney, 24th – 26th September 2019. Make sure you save the dates in your calendar.

Further information to follow soon.

Date: Tuesday the 24th to Thursday the 26th September 2019

Location: Sydney, Australia

Organiser: Chloe Peters

Phone: 02 6262 5761

Email: admin@catsinam.org.au

9-10 October 2019 NATSIHWA 10 Year Anniversary Conference

SAVE THE DATE for the 2019 NATSIHWA 10 Year Anniversary Conference!!!

We’re so excited to announce the date of our 10 Year Anniversary Conference –
A Decade of Footprints, Driving Recognition!!! 

NATSIHWA recognises that importance of members sharing and learning from each other, and our key partners within the Health Sector. We hold a biennial conference for all NATSIHWA members to attend. The conference content focusses on the professional support and development of the Health Workers and Health Practitioners, with key side events to support networking among attendees.  We seek feedback from our Membership to make the conferences relevant to their professional needs and expectations and ensure that they are offered in accessible formats and/or locations.The conference is a time to celebrate the important contribution of Health Workers and Health Practitioners, and the Services that support this important profession.

We hold the NATSIHWA Legends Award night at the conference Gala Dinner. Award categories include: Young Warrior, Health Worker Legend, Health Service Legend and Individual Champion.

Watch this space for the release of more dates for registrations, award nominations etc.

16 October Melbourne Uni: Aboriginal and Torres Strait Islander Health and Wellbeing Conference

The University of Melbourne, Department of Rural Health are pleased to advise that abstract
submissions are now being invited that address Aboriginal and Torres Strait Islander health and
wellbeing.

The Aboriginal & Torres Strait Islander Health Conference is an opportunity for sharing information and connecting people that are committed to reforming the practice and research of Aboriginal & Torres Strait Islander health and celebrates Aboriginal knowledge systems and strength-based approaches to improving the health outcomes of Aboriginal communities.

This is an opportunity to present evidence-based approaches, Aboriginal methods and models of
practice, Aboriginal perspectives and contribution to health or community led solutions, underpinned by cultural theories to Aboriginal and Torres Strait Islander health and wellbeing.
In 2018 the Aboriginal & Torres Strait Islander Health Conference attracted over 180 delegates from across the community and state.

We welcome submissions from collaborators whose expertise and interests are embedded in Aboriginal health and wellbeing, and particularly presented or co-presented by Aboriginal and Torres Strait Islander people and community members.

If you are interested in presenting, please complete the speaker registration link

closing date for abstract submission is Friday 3 rd May 2019.
As per speaker registration link request please email your professional photo for our program or any conference enquiries to E. aboriginal-health@unimelb.edu.au.

Kind regards
Leah Lindrea-Morrison
Aboriginal Partnerships and Community Engagement Officer
Department of Rural Health, University of Melbourne T. 03 5823 4554 E. leah.lindrea@unimelb.edu.au

5-8 November The Lime Network Conference New Zealand 

This years  whakatauki (theme for the conference) was developed by the Scientific Committee, along with Māori elder, Te Marino Lenihan & Tania Huria from .

To read about the conference & theme, check out the  website.