Category Just Justice

28 July 2023

feature tile image tap on wall with paint & child handprints; text 'Yarrabah community want answers about lead in tap water'

The image in the feature tile is from an article Authorities knew key water treatment infrastructure was ‘offline’ 12 months before lead discovered in Yarrabah tap water published by ABC News earlier today, 28 July 2023. Photo: Brendan Mounter, ABC Far North.

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

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

Yarrabah community deserve answers

The Queensland government was warned of critical infrastructure failures more than a year before lead was discovered in the tap water of Australia’s largest Aboriginal community. Lead up to 12 times the safe level was detected in May in tap water at schools in Yarrabah, in far north Queensland, and levels above acceptable limits have been found in water at the town’s health services and in some homes.

Kaylene Jackson, an outreach worker at the Gurriny Yealamucka Health Service, said it had caught her off guard. “Because we don’t know anything about, you know, lead poisoning or anything like that,” she said. Ms Jackson said two of her grandchildren and a family friend had elevated lead levels in their blood. Ms Jackson said she wanted a more widespread investigation. “I feel angry and wild,” she said. “Because in this day and age in Australia, we should be able to go to the tap, turn it on, grab clean drinking water, be able to drink it.”

Jason King, a Yued Noongar man and the director of clinical services at Gurriny Yealamucka Health Service, agreed that there needed to be a more “widespread understanding of the severity and the spread of [the] water quality issues”. “We then have to drill down and figure out what is the actual cause because if it’s not coming from the water, it needs to be coming from somewhere else,” Dr King said. “There is a genuine interest in getting answers because the community deserves those answers.” Dr King said the health service was in discussions with the paediatrics team in Cairns to include heavy metal testing in situations where doctors had concerns about someone’s neurodevelopment.

To view the ABC News article Authorities knew key water treatment infrastructure was ‘offline’ 12 months before lead discovered in Yarrabah tap water in full click here.

Gurriny Yealamucka Health Service outreach worker Kaylene Jackson, Yarrabah

Yarrabah resident Kaylene Jackson wants to know why children are returning elevated lead results in blood tests. Photo: Brendan Mounter, ABC Far North.

Pride is about bravery says Mirning artist

Mirning artist Tyberius Larking uses the motif of the butterfly to explore his identity as a trans man. Ahead of an exhibition titled PRIDE showing at the Adelaide Contemporary Experimental (ACE) that features his work, Tyberius explained that to him, “Pride is about bravery.” The bright, first-year University of Adelaide science student explains he has always had a penchant for the environment, but he began observing the prowess of butterflies in particular on bushwalks in 2020. “They know that they’re powerful and that they can get away or let you get close,” Tyberius said. “Sometimes they approach you and I look at it as boldness or pluckiness, self-confidence, and I think there’s something about that, which reminds me of the kind of pride that I have to have in order to insulate and deflect hatred.” Asked what kind of hatred, he says: “Discrimination on the front of both my Indigenous and LGBTI identities.”

The PRIDE exhibition is part of the state-wide Tarnanthi Festival of Contemporary Aboriginal and Torres Strait Islander Art and focuses mostly on the multi-disciplinary work of Melbourne-based Ngarigo cross-disciplinary visual artist, Peter Waples-Crowe. One of the exhibition’s curators Ngarrindjeri, Kaurna and Italian writer Dominic Guerrera said the collection is about: “The colours of survival, the attitude of punk and a deep love of community – Blak and queer, we have always been here.”

Although PRIDE prioritises the political and urgent work of Peter, a queer Indigenous artist infusing over two decades of experience as a community health worker and his personal story as an adopted child, it also includes a mentorship component. Three local emerging Aboriginal Australian artists – comprising Arrente ceramicist and APY Gallery artist Alfred Lowe; Gugada and Wirangu mixed-medium artist Jayda Wilson; and Tyberius – have all been mentored by Peter. They will exhibit these pieces as part of the exhibition.

To view the CityMag article From caterpillar to butterfly: (Trans)formation with Tyberius Larking in full click here.

Mirning artist trans man Tyberius Larking

Mirning artist and trans man Tyberius Larking. Photo: Jonathan van der Knaap. Courtesy Adelaide Contemporary Experimental. Image source: CityMag.

New WellMob resource sheets for workers

The WellMob team have developed some new mental health and wellbeing resources for workers. WellMob’s aim is to make using culturally responsive online resources easier for time poor workers and to support the wellbeing of mob.

The resource sheets for workers, available here, cover a range of topics including: anxiety; cultural identity; depression; drugs and smoking; alcohol; gender identity; parenting; sleep; suicide prevention and support; understanding and healing from trauma; understanding social and emotional wellbeing; and understanding and healing from trauma.

You can access a flyer providing an overview of these resource sheets, with embedded links to each one, here.

collage WellMob Healing Our Way & Short cuts to top resources - WellMob Resource Sheets for workforce

60-day prescriptions webinar for primary care

You are invited to join us for a webinar on 60-day prescriptions for selected PBS medicines. The webinar from 3–4pm (AEDT) on Tuesday 1 August 2023 is for primary care and will discuss the upcoming policy change, with time for Q & A’s.

When you’re ready to join, please use this link.

Password: Cwa9mgyFP43 (29296493 from phones and video systems).

If you’re unable to view this webinar live, you can view it on-demand using this link, within a few hours of the live stream ending.

Speakers will include a representative from the Royal Australian College of General Practitioners (RACGP) and Department of Health and Aged Care staff:

  • Penny Shakespeare – Deputy Secretary
  • Adriana Platona – First Assistant Secretary, Technology Assessment and Access Division
  • David Laffan – Assistant Secretary, Pharmacy Branch
DHAC tile text '60-day Prescriptions - session for primary care'

Australian Government Department of Health and Aged Care tile.

Push back against new powers to detain kids

A coalition of over 40 Aboriginal and Torres Strait Islander, health, legal, social, community services and youth advocacy organisations from across Victoria have called on Premier Daniel Andrews and Attorney-General Jaclyn Symes to commit to ruling out any new powers for police over children, once the age of criminal responsibility is raised. The calls respond to recent comments from Victoria Police Commissioner Shane Patton seeking power to arrest and detain children as young as 10, after the reforms are implemented.

In an open letter, the coalition calls for the Victorian Government to invest in a model of care for children which ensures they have the critical supports they need. This model must be designed in close collaboration with Aboriginal communities, advocates for children in the care system and other overrepresented communities. The letter also urges the Victorian Government to raise the age of criminal responsibility to 14 without exceptions.

In May 2023, Victoria Police Commissioner Patton appeared before the Yoorrook Justice Commission and acknowledged that policing of Aboriginal people today is still influenced by systemic and structural racism. Aboriginal young people are almost six times more likely to be processed by police as alleged offenders than non-Aboriginal young people. Any new police powers would disproportionately affect Aboriginal children and families.

Criminalising children is never the answer to behaviours resulting from complex, unmet needs. Evidence shows that any engagement with the criminal legal system, including first contact with police, can be highly distressing and cause harm to a young child. In a crisis, children need first responders who are skilled in health, youth support and other critical services.

To view the Human Rights Law Centre article Experts push back against Victoria Police’s grab for new powers to detain children in full click here.

child's palm raised in stop motion

Image source: The Conversation article Ten-year-olds do not belong in detentions. Why Australia must raise the age of criminal responsibility published on 23 July 2020.

Sector Jobs

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

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

Key Date – World Hepatitis Day – 28 July 2023

Today, 28 July, marks World Hepatitis Day 2023, an important opportunity to give visibility to, and raise awareness of viral hepatitis. It also serves to drive better outcomes for people affected by viral hepatitis. World Hepatitis Day is one of only eight official health days declared by the World Health Organisation (WHO). The theme set for this year is “Hepatitis Can’t Wait”.

If Australian targets are to be achieved, there must be a continuing urgency to redouble efforts to eliminate hepatitis as a global public health threat. Health advocates warn that many people living with viral hepatitis are unaware of their condition or remain unengaged in care. They may not realise their risk of liver disease and liver cancer. Fortunately, after many years of steady decline in testing, and treatment, of hepatitis B and hepatitis C – particularly during COVID – we are seeing an increase in demand for these services. “Public awareness is key. Understanding more about hepatitis B and hepatitis C and sharing this information could save lives and prevent people from developing serious liver disease or cancer,” said Hepatitis NSW CEO Steven Drew.

Aboriginal and Torres Strait Islander peoples are disproportionately affected by both hepatitis B and hepatitis C, with prevalence rates above the general community rate. Today Hepatitis NSW has launched a new hepatitis B resource, Yarnin’ About Hep B (a companion to their very popular Yarnin’ About Hep C), available here. The resource has been developed through collaboration with Aboriginal health workers, community members and clinicians.

To view The National Tribune article No excuses on World Hepatitis Day, hepatitis can’t wait in full click here.

tile World Hepatitis Day 2023; image liver & stethoscope

19 July 2023

feature tile of Aboriginal mother holding baby & young girl interacting with the baby; text 'Structural and systemic change will have a positive effect on trajectory of CTG targets'

The image in the feature tile is from an article More to be done on closing gap for Indigenous wellbeing published in The Canberra Times on 8 March 2023.

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

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

Structural reform needed to CTG

The Productivity Commission’s third Closing the Gap Annual Data Compilation Report shows only four of the 19 targets are on track, while four have deteriorated. “Four targets are getting worse – this is not acceptable. More of the same isn’t good enough, we have to do better. A Voice to Parliament will help to close the Gap, because we know that listening to communities leads to better outcomes that improve people’s lives,” said Federal Minister for Indigenous Australians Linda Burney. Similarly, Coalition of Peaks lead convenor [and NACCHO CEO] Patricia Turner said that “When structural and systemic change is made, there will naturally be a positive effect on the trajectory of the Closing the Gap targets.”

Encouragingly the latest report shows the proportion of Aboriginal and Torres Strait Islander people aged 25–64 who are employed is improving and on track. There has been a 30% reduction in the rate of Aboriginal and Torres Strait Islander young people (10–17 years) in detention, while preschool enrolments have improved. Land subject to Aboriginal and Torres Strait Islander people’s legal rights or interests also remains on track.

However the data shows a slide in the number of children developmentally on track, increased numbers of children in out-of-home care, increased adult incarceration rates and an alarming rise from baseline in suicide. Peak body for Indigenous Children SNAICC CEO Catherine Liddle said the gap was becoming a chasm for Aboriginal and Torres Strait Islander children. “More and more Aboriginal and Torres Strait Islander children are being removed from families and put into out-of-home care. Fewer children are developmentally on track when starting school. Where we are seeing progress it’s encouraging but it’s not happening at the scale required for genuine reform. Australia needs to do things differently if Aboriginal and Torres Strait Islander children are going to have a brighter future.”

To view the Australian Nursing & Midwifery Journal (ANMJ) article Voice to Parliament the structural reform needed to Closing the Gap in full click here.cover of Australian Government Productivity Commission Closing the Gap Annual Data Compilation Report July 2023

WAMS launches Freedom Rides Memorial and website

The Freedom Riders arrived in Walgett on 15 February 1965. They protested outside the Walgett RSL Club because they had been told the club was refusing to admit Indigenous ex-servicemen. After their protest their bus was run off the road by a car driven by an unidentified person. This event led to Walgett, the Freedom Riders and the plight of Indigenous Australians in rural NSW getting national and international media attention. Little of the history of the Freedom Rides however was publicly recorded or known from the perspective of local Aboriginal people from Walgett, who both themselves and their ancestors took part in this significant event in history.

On Monday this week (17 July 2023) the Walgett Aboriginal Medical Service (WAMS) launched the Freedom Ride Memorial Park and Freedom Rides to Walgett website. The Remembering the Freedom Ride to Walgett project was initiated by WAMS Chairperson Mary Purse, the daughter of the late Harry Hall who was a primary leader, along with the late Charles Perkins (AO). The project includes history and archival research to tell the story of the Freedom Rides and its surrounding events from the perspective of the local Gamilaraay and Yuwaalaraay people. It is being led by Mary Purse, assisted by Christine Corby OAM, the CEO of WAMS. WAMS has been collaborating on this project with a historian from Nura Gili, University of NSW to research the history through participation of local community members and their families who took part in these events.

The project began with WAMS securing state government funding to develop an artwork to commemorate the Freedom Ride to Walgett to be displayed in a park in Walgett.  The display’s focus is on Walgett’s association with the Freedom Ride, identifying significant local Aboriginal people who had a key role in the demonstrations and events specific to the town.

To access the Freedom Rides to Walgett website click here.

WAMS staff in front of Freedom Rides to Walgett 1965 Memorial Park sign, 17.7.23

WAMS staff at the launch of Freedom Rides Memorial Park. Image source: WAMS.

Financial barriers to sight-saving treatment

Aboriginal and Torres Strait Islander people are ending up with avoidable blindness because of the high out-of-pocket costs of sight-saving treatments, according to Dr Guy Gillor, Lose (Rose) Fonua and Associate Professor Mitchell Anjou. As well, the most common treatment for diabetic retinopathy, an intravitreal injection, is challenging to access, as it involves multiple and regular treatments, predominantly in private ophthalmology clinics. Diabetic retinopathy is one of the three conditions that contribute most to avoidable blindness for Aboriginal and Torres Strait Islander people.

Gillor, Fonua and Anjou from the Indigenous Eye Health Unit (IEHI) at the University of Melbourne, say “Without a public or no-cost option, these fees mean the difference between retaining one’s vision, and losing it.” In the absence of such a solution, the IEHU has developed a new information sheet – Diabetic Retiopathy Treatment and Cost in Private Practice, available here, to support patients and healthcare teams in negotiating access for intravitreal injection treatment with private ophthalmology clinics.

To view the Croakey Health Media article Financial barriers to sight-saving treatment are leading to avoidable blindness in full click here.

ATSI man having an eye test

Image source: AHCSA website.

ACCHO to deliver healthcare in youth justice centre

Barwon Health has been commissioned to deliver healthcare services to young people at the new Cherry Creek Youth Justice Centre, just outside of Little River, a town approximately 44kms SW of Melbourne. To open next month, the $419m facility is funded and managed by the Department of Justice and Community Safety and will accommodate young men aged 15–17 who are sentenced or on remand.

Barwon Health public health and primary care co-director Deborah Kay said the regional health service’s vision for Cherry Creek was to offer a range of comprehensive culturally safe services tailored to the needs of the young people in the facility. “We will work with the young people to build knowledge, health literacy, resilience and trusted relationships while preserving dignity and enhancing health outcomes. We know that young people need to be engaged and empowered to understand their own health needs and treatment options.”

Barwon Health will partner with Wathaurong Aboriginal Co-operative to ensure safe and high-quality care is provided. Ms Kay said it was important to establish a safe, appropriate and sustainable service that was culturally safe for young people from a range of backgrounds.

To view the Geelong Times article Barwon Health to provide services at Cherry Creek in full click here.

exterior of Cherry Creek Youth Justice Precinct

The Cherry Creek Youth Justice Precinct will accommodate young men aged 15 to 17 who are sentenced or on remand. Image source: Geelong Times.

New research to look at dietary practices

Victoria University (VU) researchers have received a VicHealth $230,000 grant to investigate Aboriginal Australian dietary practices and place-making in public health equity. The two-year project, led by Dr Kristina Vingrys together with VU’s Indigenous Academic Unit Moondani Balluk, hopes to uncover ancestral Aboriginal knowledge about the ‘deadly tucker’ and Aboriginal food practices that can be used by the Aboriginal community today. “The project aims to support Aboriginal people and Country, to strengthen social and emotional wellbeing, inter-cultural understanding, skills and knowledge to support sustainable, healthy food systems, and reduce health inequities currently experienced by Aboriginal Australians in Victoria,” Dr Vingrys said.

The multidisciplinary project will involve Aboriginal community and researchers, with research expertise also from dietitians, community psychology, sociology and ecology teams. “We hope to also gather information through lived experiences – we want to uncover the lost knowledge about traditional foods that were grown in the Kulin Nation and the practices around growing, harvesting and preparing them” Dr Vingrys explained. “We are also really interested in identifying the potential nutritional benefits that might have been prescribed to those consuming these foods.”

Moondani Balluk Executive Director Karen Jackson said: “Once the knowledge has been gathered, it will be protected and used by and for the local Aboriginal community for cultural healing and place-making to support their social and emotional wellbeing.”

To view the University of Victoria article VicHealth funding for new research looking at Aboreiginal Australian dietary practies and place-making in full click here.

Pelargonium - a tuberous root plant that was used by Aboriginal people

Pelargonium – a tuberous root plant that was used by Aboriginal people. Image source: Victoria University News webpage.

Mob contribute to health and climate strategy

The Australian Government is engaging with First Nations leaders as it develops Australia’s first National Health and Climate Strategy. Assistant Minister for Health and Aged Care Ged Kearney MP is holding a roundtable today with First Nations peak bodies and representatives from across Australia. The Strategy will provide a plan of action to reduce greenhouse gas emissions in the health system and better prepare the sector for the challenges presented by climate change, including threats specific to the health and wellbeing of First Nations people.

Climate change threatens to disrupt connections to Country, further limit access to safe drinking water and increase the difficulty in accessing appropriate housing, infrastructure and health services. Embedding Aboriginal and Torres Strait Islander perspectives and expertise in the strategy will strengthen climate adaptation and mitigation planning. Co-designing the strategy in partnership with First Nations peoples across the country is essential to its successful development and implementation.

Minister Kearney said “The World Health Organisation has described climate change as the greatest threat to public health in the 21st century. First Nations people already face inequality in health outcomes, and these will only be exacerbated by climate change – it is critical we hear from First Nations people as we develop this strategy.”

To view the Assistant Minister for Health and Aged Care, the Hon Ged Kearney MP’s media release First Nations voices input to National Health and Climate Strategy in full click here. In the below video residents of Poruma (Coconut) Island, a low-lying coral cay in the Central Islands group of the Torres Strait, calling for urgent action to help protect their island from the coastal flooding and erosion linked to climate change.

Sector Jobs

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

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

10 July 2023

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

The image in the feature tile is of an Irrungadji resident who is very happy with the new mullet hairstyle given to him by Mrs DeBonde. Photo: Amelia Searson, ABC Pilbara. Image source: ABC News article Environmental Health Trachoma Project helping remote WA communities with health, haircuts and housing published on 9 July 2023.

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

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

Environmental Trachoma Project helps WA mob

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

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

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

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

Dr Melissa Stoneham - Environmental Health Trachoma Project

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

Meta to crack down on VTP misinformation

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

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

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

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

background text Meta & logo, foreground Facebook logo

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

BlaQ CEO on the Voice to Parliament

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

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

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

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

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

Image source: Star Observer.

Health Performance Framework summary report

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

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

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

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

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

Best reform for child wellbeing: raising criminal age

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

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

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

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

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

Image source: UNICEF Australia Tweet 30 November 2017.

Sector Jobs

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

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

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

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

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

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

14 June 2023

image Adam Goodes opening session conference; text 'LOWITJA INSTITUTE'S 3rd International Indigenous Health and Wellbeing Conference KICKS OFF IN CAIRNS'

The image in the feature tile is of Adam Goodes speaking at the Opening Plenary Session at the Lowitja Institute’s 3rd International Indigenous Health and Wellbeing Conference on the tropical lands of the Gimuy Walubara Yidinji and Yirrganydjii peoples (Cairns). Image source: Melbourne Poche Centre for Indigenous Health, University of Melbourne Twitter post, 11.20 am Wednesday 14 June 2023.

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

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

International Indigenous Health and Wellbeing Conference

An important conference is taking place on the lands of the Gimuy Walubara Yidinji and Yirrganydji peoples, in Cairns. The Lowitja Institute’s 3rd International Health and Wellbeing Conference began earlier today, Wednesday 14 June, with around 1,200 attendees. During the three-day conference there will be more than 250 presentations.

The conference brings together people from across the country and around the world, to share knowledge for the health and wellbeing of First Nations peoples and communities. Community leaders and representatives, researchers, health professionals and practitioners, policy makers, government representatives, and international First Nations leaders are expected to attend.

Proud Narrunga Kaurna woman, Adjunct Professor and CEO of the Lowitja Institute, Janine Mohamed, said “we’ve been really overwhelmed by the interest in the conference – it’s been sold out for a month…It shows that there is such an appetite for sharing innovative ideas and transformational community-led research that is grounded in our ways of knowing, being and doing – knowledge that disrupts Western research narratives.”

To view the Croakey Health Media article Sharing, learning, celebrating and more at the 3rd International Indigenous Health and Wellbeing Conference in full click here. For more information about the conference, including the program click here to access the Lowitja Conference website. You can also listen to Adjunct Professor Janine Mohamed speaking earlier this afternoon on NITV Radio about the conference here.

Lack of investment creates ‘sickcare’ system

Australia’s struggling healthcare system will remain a ‘sickcare’ system until governments see investing in health not as a cost, but as an investment that improves the wellbeing of Australians and pays economic dividends well into the future. In a report being launched today at the National Press Club by Australian Medical Association (AMA) President Professor Steve Robson, the AMA says Australia’s lack of investment in health, particularly in prevention and early intervention, is making health care more costly and challenging.

The Health is the best investment: Shifting from a sickcare system to a healthcare system report, available here, highlights the growing rate of chronic disease, with almost half the population having one or more chronic diseases and an ageing population that is putting the health care system under increasing pressure.

“Our current approach to investing in and managing health is focused very much on treating poor health outcomes not preventing them, which leads to a sickcare rather than healthcare system,” Professor Robson said.  “We need to reframe our thinking and focus more on how the money we invest in healthcare can improve health outcomes and support economic growth because the evidence is clear — keeping people healthy reduces the costs and burden on our healthcare system and drives economic growth and productivity. And while we are wealthy nation, our spend on health as a proportion of Gross Domestic Product is modest when compared to OECD countries like the UK. We have room for investment.”

To view the AMA’s media release Lack of investment and innovative thinking creates a ‘sickcare’ system in full click here.

AMA President Professor Steve Robson speaking at the National Press Club

AMA President Professor Steve Robson speaking at the National Press Club earlier this afternoon. Image source: AMA Media Twitter post 12:41 PM 14 June 2023.

Little progress in gynaecological cancer outcomes for mob

The Australian Indigenous HealthInfoNet’s latest review of gynaecological cancer among Aboriginal and Torres Strait Islander people in Australia, available here, shows that Aboriginal and Torres Strait Islander women are still disproportionately burdened by gynaecological cancers, impacted by increased exposure to risk factors as a direct result of colonisation. Senior author, Associate Professor Lisa Whop, says that “Providing effective cancer prevention by risk reduction and participation in cancer screening programs for Aboriginal and Torres Strait Islander people requires improved access to both high quality primary health care services and tertiary specialist services. This will also enable earlier diagnosis, management, and care for Aboriginal and Torres Strait Islander women at all stages.”

Culturally safe, accessible and patient centred care are seen as key components to decreasing the burden of gynaecological cancers on Aboriginal and Torres Strait Islander women and their communities. Without equitable resourcing to implement effective prevention, management and care of gynaecological cancers, Aboriginal and Torres Strait Islander women will continue to suffer. While national strategies and policies have highlighted the need to improve awareness of cancer prevention and early detection through the provision of culturally safe and high-quality care, little progress has been made and the disparities in gynaecological cancer outcomes persist.

Rigorous research is the urgent need to focus on implementation, monitoring and evaluation of strategies which hold the health system accountable to providing culturally safe care free of racism that is patient centred. With the Australian cancer plan, National Aboriginal and Torres Strait Islander cancer plan and the National Strategy to Eliminate Cervical Cancer under development, their implementation is critical as is their subsequent monitoring, and evaluation to ensure tangible outcomes in the prevention, diagnosis, treatment and care of Aboriginal and Torres Strait Islander women with gynaecological cancer.

VIC mental health system: racism, violence, sexual assault

Indigenous people in Victoria are subject to violent acts of seclusion and restraint in the mental health system at greater rates than non-Aboriginal people, a damning report has found. The special report found mental health patients who had their human rights violated under Victoria’s flawed health system are owed public apologies and compensation from the state government.

A number of mental health patients were allegedly subjected to traumatic incidents while undergoing mandatory treatment including seclusion and restraint, and coercive treatment such as the use of induced comas. The report, released yesterday, was commissioned by the state’s health department, and called for a truth-telling process to hear and document cases it says are unresolved. “On average, those within Victoria’s mental health system may lose 30 years of life due to the medications they are forced to take,” the report said. Incidents of racism, sexual assault and violence were also reported. Families, carers and supporters have also been mistreated and neglected by the system, with a lack of information about treatment, care and support options.

While systemic flaws were highlighted during a 2021 mental health royal commission, the report found truth-telling and acknowledging harms were not the focus. Human rights consultant Simon Katterl, who led the project, said the purpose of the report was to force the government to acknowledge harm, “Let there be no doubt that there are gross human rights violations being committed within the mental health system on a daily basis and we really need to, as a matter of urgency, start acting on this.”

To view the National Indigenous Times article Calls for justice after report finds racism, violence and sexual assault in Victoria’s mental health system in full click here.

side view of man's nose, mouth, cheek, rest of face obscured by black hoodie

Some people who received mental health treatment were subjected to compulsory treatment that sometimes included the use of induced comas. Photo: Chris Gillette, ABC News.

GRAMS launches Stopping Family Violence program

Geraldton Regional Aboriginal Medical Centre (GRAMS) has launched a new program to assist men in Carnarvon improve their relationships and reduce family and domestic violence in the community. The Department of Communities-funded We Can Together program is focused on empowering Carnarvon men to challenge and transform their behaviours.

Through a partnership between GRAMS and Stopping Family Violence (SFV), the program aims to address family and domestic violence and create a positive pathway for change. The well-rounded, culturally sensitive and tailored program will be led by GRAMS men’s intervention co-ordinator David Batty with support from SFV project manager Kyalie Moore.

“Family violence has a profound impact on children, shaping their lives in ways we cannot underestimate. Through training, education, and unwavering support, we can empower our community to grow and heal,” Mr Batty said. “It’s crucial to address the barriers that men face in seeking support, challenging the misconception that seeking help is a sign of weakness.” Ms Moore said by working together, the organisations could pave the way for change and create availability for services. “Addressing family domestic violence within Aboriginal communities requires a collaborative approach, with a strong focus on investing in and supporting our ACCHOs,” she said.

To view Midwest Times article Geraldton Regional Aboriginal Medical Service launches Stopping Family Violence program in Carnarvon in full here. You can also view the GRAMS media release GRAMS and Stopping Family Violence partner for “We Can Together” project here.

L-R: David Batty, Kyalie Moore and Damian Green

L-R: David Batty, Kyalie Moore and Damian Green. Image source: GRAMS website.

Sector Jobs

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

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

Key Date – Men’s Health Week 12–18 June 2023

International Men’s Health Week (IMHW) is celebrated around the world in the middle of June every year. It’s a reminder to support and promote the health and wellbeing of men across the globe. The week focuses on physical health, mental health, emotional wellbeing, and community connection – and it’s a good prompt to consider men’s use of alcohol and other drugs.

When it comes to alcohol and other drug use, research has shown that compared to women, men:

  • are more likely to engage in illicit drug use
  • begin using alcohol and other drugs at an earlier age
  • have higher rates of substance dependence1, 2
  • often drink more than the recommended guidelines in one sitting3
  • have higher rates of unintentional drug-induced overdoses.4

Higher rates of alcohol and other drug use mean that men often experience more associated harms. The Alcohol and Drug Foundation webpage Men’s Health Week – time for healthy habits here provides information about how to build healthier habits, the signs to check if you need support, how to talk to a mate about their alcohol and other drug use, and find out where to get support. You can also watch the Queensland Reds rugby union players(L-R) Zane Nonggorr, Jock Campbell and Harry Wilson dispel some men’s health myths in the video below.

7 June 2023

image of ATSI child & adult hands reaching towards each other across Aboriginal flag; text 'AIHW child protection report reveals CRISIS faced by Aboriginal and Torres Strait Islander children'

The image in the feature tile was produced by Dionne Gain, an illustrator at The Sydney Morning Herald, and appeared in the article I was kept from my Indigenous family as a child. Then my own kids were taken from me published in The Age on 1 May 2023.

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

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

Child protection report reveals crisis

Aboriginal and Torres Strait Islander children are 10 times more likely to be on care and protection orders than non-Indigenous children, and at least seven times more likely to have suffered maltreatment in recent years, according to a new government report. The disturbing statistics were released yesterday (6 May 2023) in Australian Institute of Health and Welfare (AIHW)’s 2021–2022 Child Protection Australia report.

Across the country, around one in 32 children, or 178,000 kids under 18 of all backgrounds, came into contact with protection services during the 2021–22 period – almost 70% being repeat or continued cases. Indigenous children accounted for a third of all cases – the vast majority between the ages of five and 14. There was a marginal decrease from 2021, though the numbers have risen in the previous four years, as they have for all children.

275,000 kids of all backgrounds were subjected to alleged maltreatment, of which 119,000 became subject to investigations and in 45,500 cases it was substantiated that maltreatment occurred. Of these cases, 13,600 involved Aboriginal and Torres Strait Islander children (40 in every 1000 Indigenous kids), compared to 5.7 per 1000 from non-Indigenous backgrounds. Emotional abuse and neglect were the most common factors. Per thousand of overall cases, these instances occurred in remote areas at almost four times the rate in major cities. The 2020–2021 statistics revealed one in every 23 Indigenous children suffered substantiated abuse or neglect.

To view the National Indigenous Times article Child protection report reveals crisis faced by Indigenous children in full click here.

6 ATSI kids sitting on gate to horse yard in bush

Image source: Amnesty International website.

SWAMS Aged Care Service expands offerings

An Aboriginal aged-care service in the Peel region has experienced a rapid growth in demand for its services — with almost 100 clients already — despite launching just four months ago. Operated by South West Aboriginal Medical Service (SWAMS), Bindjareb Aged Care Service opened in Mandurah in February and is quickly moving from strength to strength to reach its June goal of assisting 100 people.

Most of the service’s programs are group activities at present, but it is expanding its service offerings to cater to a rapidly increasing demand. From 1 July 2023, the organisation will bolster clients’ access to areas including social support, transport, home maintenance, domestic assistance and more group activities.

SWAMS chief executive Lesley Nelson said with more than 90 clients, Bindjareb Aged Care Service has had to increase its workforce. “We also have two new care finder staff who are able to assist Elders to access aged-care services such as the Commonwealth Home Support Programme and Home Care Packages,” she said. The Bindjareb Aged Care Service can be accessed by Aboriginal and Torres Strait Islander community members in the Bindjareb region over the age of 50 who are not already receiving other supports.

To view The West Australian article Bindjareb Aged Care Service expanding offerings to cater for increased demand for home and social support in full click here.

group of people at launch of first Aboriginal Aged Care Service in Perth 1.2.23

The first Aboriginal Aged Care Service in Perth, the Bindjareb Elders Centre, was launched on 1 Feburary 2023. Image source: SWAMS website.

Minister speaks at AIATSIS Summit

On Monday this week (5 June 2023) Minister for Indigenous Australians, the Hon Linda Burney MP spoke at the 2023 Australian Institute of Aboriginal and Torres Strait Islander Studies (AIATSIS) Summit held on Noonga Boodja (Perth). Minister Burney opened her address saying “When I spoke to you last year at the AIATSIS Summit on Kabi Kabi country – It was just a week after I had the honour of being appointed as Minister for Indigenous Australians.”

“I spoke with great enthusiasm about the things I’d be working on, and a year on we’ve made progress. Our landmark First Nations justice package is starting to rollout. We’re investing in housing and services in the NT homelands. We’ve signed an agreement with the NT Government to deliver on the $100m commitment to improve housing and infrastructure in NT Homelands. We’re scrapping the failed CDP and replacing it with real jobs, real wages and proper conditions.

We’ve announced $97m to support the New Jobs Program trial and to meet the sustained service demand. We’re making First Nations Australia part of the way we engage with the world, through the appointment of an ambassador. I said we would continue to work with the Coalition of the Peaks on Closing the Gap – and lifting the ambitions for our people. And we’re doing just that. We’re improving First Nations health infrastructure – including renal services in the city and the bush. And we’re working with Aboriginal Controlled Health Services to train 500 extra First Nations health workers.

We know that so much more needs to be done, but in our first year, we’ve hit the ground running.

The speech delivered by Minister Burney at the 2023 AIATSIS Summit is available in full on the Australian Government Department of the Prime Minister and Cabinet 2023 AIATSIS Summit webpage here.

text 'AIATSIS Summit Noongar Boodja Perth 05-09 June 2023' & image of Aunty Liz Hayden and Terry Morich giving a Welcome to Country & the Koolangka's Kreate dancers opening the AIATSIS Summit 2023

Aunty Liz Hayden and Terry Morich giving a Welcome to Country at the AIATSIS Summit 2023 and the Koolangka’s Kreate dancers opening the event. Image source Ngarra Murray Twitter 5 June 2023.

Have The Yarn organ donation initiative

Wide Bay Hospital and Health Service (WBHHS) is getting involved with a new initiative encouraging First Nations peoples to talk about organ donation and transplant surgery. The Have The Yarn initiative is the result of a collaboration between First Nations Elders and DonateLife Queensland focused on addressing barriers to organ donation held by some First Nations people.

A 2020 Australian Institute of Health and Welfare (AIHW) study showed that while kidney disease was the leading cause of hospitalisation for Indigenous Australians, Indigenous patients are less likely to be waitlisted for kidney transplantation than non-Indigenous Australians. While the study cited reduced service availability in remote communities as part of the explanation, WBHHS medical staff said that cultural barriers to organ donation is another significant factor that is being addressed by the Have The Yarn initiative.

“Unfortunately, end stage kidney disease disproportionately affects Aboriginal and Torres Strait Islander people and it’s one of the main reasons for ending up in hospital,” donation specialist nurse Karen Jenner said. “This project is all about reducing cultural barriers to discussion about organ and tissue donation among Aboriginal and Torres Strait Islander people.”

The above has been extracted from the article Have The Yarn initiative to encourage dialogue about organ donation among First Nations people by James Taylor published in The Courier Mail on 6 June 2023.

3 female Wide Bay Hospital and Health Service staff involved with the Have The Yarn initiative

Wide Bay Hospital and Health Service is getting involved with the Have The Yarn initiative from DonateLife Queensland encouraging First Nations peoples to talk about organ donation and transplant surgery. Image source: The Courier Mail.

Lead found in Yarrabah school’s water

Lead has been detected in drinking water at schools in a Far North Queensland Aboriginal community, with bottled water and free blood tests offered to staff and students. The lead was found after water at the Yarrabah Health Facility tested positive for elevated levels of copper in May.

Subsequent preliminary testing at Yarrabah State School’s primary and secondary campuses, and the kindergarten, have shown traces of lead. Queensland Health chief health officer John Gerrard said authorities were running further tests to determine the sources of contamination and if any rectification works were necessary.

“The immediate health risks are minimal,” Dr Gerrard said, noting the exposure risk at three tested sites was low. “Out of an abundance of caution, children and staff at Yarrabah’s kindergarten and primary and secondary schools will use bottled water for drinking until we are certain supplies are safe to ingest. While this is understandably concerning for the community, it is still safe for children and staff to use the water for nondrinking purposes. Free blood testing will also be made available for staff and children and anyone in Yarrabah who is concerned.”

To view the news.com.au article Lead detected in Far North Qld school’s water in full click here.

aerial view of Yarrabah State School QLD

Yarrabah State School. Image source: The Cairns Post.

Deaths in custody at a record high

The rate of Aboriginal and Torres Strait Islander deaths in custody are at their equal worst since the records began. Data released by the Productivity Commission in the annual Report on Government Services show that eight Indigenous people died in police custody during the 2021–22 period, numbers not seen since 2016–17.

Advocates say the latest figures, a low point since reporting began in 2007, are an indictment on successive governments’ failure to adequately respond to multiple inquiries into the issue. Hannah McGlade, an associate professor at Curtin University’s Law School, said, “It’s not surprising though, because our governments haven’t been doing the right thing in addressing deaths in custody or Aboriginal incarceration. They need to make this a priority now.”

McGlade pointed to recommendations from both the Royal Commission into Aboriginal Deaths in Custody and the Australian Law Reform Commission’s ‘Pathways to Justice’ inquiry as ready-made answers for the government to implement. “We’re not seeing the commitment from our state and federal governments to seriously addressing these outstanding inquiries and recommendations,” the Noongar woman said. While the latest number of Indigenous deaths in custody equal the worst year on record, the rate overall has declined. The 2021–22 period saw 22 deaths, while that number was 34 in 2007–08. The disparity shows the need for tailored responses to Indigenous needs within the justice system, said McGlade.

To view the SBS NITV article Three years on from the Black Lives Matter marches, Indigenous deaths in custody are at a record high in full click here.

a Black Live Matter rally in Perth, 2020

A Black Lives Matter rally in Perth, 2020. The changes called for in the global protests have failed to materialise in Australia. Photo: AAP. Image source: SBS NITV.

Sector Jobs

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

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

24 May 2023

feature tile, image of Senior Lawyer John Cattanach & Aboriginal Community Engagement Officer Belinda Foley in front of Wathaurong Aboriginal Co-operative building; text 'Wathaurong Aboriginal Co-operative's partnership with Victoria Legal Aid is delivering GREAT OUTCOMES'

The image in the feature tile is of Senior Lawyer John Cattanach and Aboriginal Community Engagement Officer Belinda Foley standing in front of the Wathaurong Aboriginal Co-operative building. The photo appeared in a Victoria Legal Aid article Creating stronger connections to community in partnership with Wathaurong Aboriginal Co-operative published yesterday, 23 May 2023.

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

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

Partnership with ACCHO delivers great outcomes

Geelong Senior Lawyer John Cattanach has always wanted to be part of positive change for First Nations peoples. He says closer ties between Victoria Legal Aid (VLA) and the local Wathaurong Aboriginal Co-operative to support First Nations people with legal needs – a model being replicated across other regional offices – is helping him achieve that goal. He and Aboriginal Community Engagement Officer Belinda Foley are both based in our Geelong office  and regularly receive referrals through the co-operative in a partnership they established in March last year. The co-operative is a holistic service that provides health, family, community and cultural services to First Nations peoples in the Geelong, Bellarine and Colac region. The partnership with VLA links First Nations peoples to early support from Belinda and John to prevent escalating legal issues, as well a culturally sensitive service that responds to their individual needs.

John is a Marrithiyel man whose mob is located five hours southwest of Darwin, and Belinda is a Central Arrernte woman on her mother’s side (Alice Springs). Both grew up in community (Wadawurrung Country). Their background is crucial for the important work they undertake through the co-operative. In addition to providing practical assistance to First Nations peoples, John and Belinda derive great satisfaction from being connected to their community. “Growing up, I saw firsthand how our mob is treated by police, and I knew I wanted to be a part of the change and the healing,” said John. “From a legal standpoint, I am a lawyer who seeks to keep police accountable, and achieve the best outcomes for our mob. And from a First Nations perspective, I’m here to help Indigenous clients who present with a broken or wonky spirit, and help nurture that spirit so it becomes strong once again.”

Belinda is also proud of the difference the clinic has made in the community and to the Wathaurong Aboriginal Cooperative, “I’m delighted that this clinic has been able to provide a service to more than 100 clients in under 12 months,” she said. “It has given our First Nations community a safe environment, passed our knowledge to the Wathaurong Aboriginal Co-operative to use in their service delivery and provided comfort to First Nations peoples in that they know a specialist legal service is available to support them.”

To view the Victoria Legal Aid article Creating stronger connections to community in partnership with Wathaurong Aboriginal Co-operative in full click here.

external view of Wathaurong Aboriginal Co-operative building

Image source: City of Greater Geelong website.

The system is the real “terror” in youth justice

In an opinion piece published today in the National Indigenous Times,  CEO of the National Justice Project, Adjunct Professor George Newhouse says “It’s the WA Government and not “terrorists” that are the cause of the troubles in Banksia Hill youth detention centre. How can the WA Premier Mark McGowan get away with describing a group of kids with disabilities as “terrorists”? Especially when we know that many of them grew up in the care and control his own State’s Child Protection system. Most of these so-call “terrorists” are in Banksia Hill on remand. Tragically, children are often held in Banksia Hill because they have nowhere to go if they were released. They could and should be supported in a group home or a purpose-built boarding house instead of prison.

So, who are these children? It’s a fact that around 89% of the kids in Banksia Hill have been found by the Telethon Foundation, one of Australia’s leading children’s’ health research organisations, to have a severe neurodevelopmental impairment, and over one third of the children were found to have been suffering from Foetal Alcohol Syndrome Disorder (FASD). These are significant impairments. But to deflect attention away from his own government’s abject failure to protect children in State “care”, Premier McGowan launches an attack on them. He wants us to believe that the problems are caused by a few ‘rotten apples” and not his own government’s systemic failures. Failures that have been obvious for decades.

During a recent visit to the facility, Australia’s National Children’s Commissioner Anne Hollonds said: “These are children in need of care and treatment for complex disabilities and serious mental health problems.” Allegations that the children are “monsters” or “terrorists” have been slammed by the former President of the Children’s Court of WA, Denis Reynolds who said: “The Premier and the Minister are saying these are bad, bad children behaving badly, ignoring deliberately any reference to [their] unlawful treatment. It’s the treatment in that place that is causing the behaviour and that’s what we want to stop.”

To view the National Indigenous Times article The system is the real “terror” in youth justice in full click here.

ATSI male youth holding sign 'Close Down Banksia Hill Detention Centre', Aboriginal flag in the background

Photo: Giovanni Torre. Image source: National Indigenous Times.

Drinking fountains alone won’t fix water issues

Water plays a significant role in Aboriginal culture. Respect for and understanding of water has enabled Aboriginal people to thrive for millennia in very hot and remote places. The impacts of colonisation including introduced species of plants and animals, farming and overuse of rivers and ground water, compounded by global warming, has dramatically reduced water access and quality, and in some places threatened the water supply. Recent coverage of the quality of drinking water in Walgett, NSW, again highlights that clean, safe drinking water is not a right in Australia. Walgett residents say the water is unsafe to drink and they’re backed by scientists from the George Institute who report an urgent need to address drinking water quality.

The reasons for poor or limited water supply vary. They include river flows and environmental health issues, infrastructure, and insufficient skilled, credentialed staff available to conduct water quality checks. But understanding the causes is one thing. Taking active steps to address them is another. When clean, safe water doesn’t flow to communities, they are more likely to drink sugar-sweetened beverages. A 2020 study, available here, visited three remote schools with high proportions of Aboriginal students. Initial results, gathered in 2014, found 64% of children regularly drank sugary drinks. Some 5% thought drinking water was “unhealthy”. In some places in Australia that’s true at least some of the time.

The availability of safe drinking water impacts tooth decay, obesity and diseases like diabetes. Australia has drinking water quality guidelines but they are not mandatory.

When cold, filtered water fountains were installed in 2018 that 84% of children at those same schools drank water every day. The percentage who regularly drank sugary drinks shrank to 33% in the intervening four-year period. A follow-up study found towns of lower socioeconomic status were less likely to have access to community drinking water and more likely to have a high Aboriginal population. So, Aboriginal people are particularly disadvantaged by this issue. It also found that in many towns the cheapest drink is soft drink.

To view The Conversation article Drinking fountains in every town won’t fix all our water issues – but it’s a healthy start in full click here.

young ATSI girl drinking from water fountain

Image source: Government News.

Victoria’s budget delivers health funding boost

Yesterday three Victorian Ministers released a joint media release Doing what matters for patients and healthcare workers. They said the Andrews Labor Government is doing what matters: giving our healthcare system – and the dedicated workers who care for Victorians – a $4.9b boost in the Victorian Budget 2023/24. This Budget will deliver on every promise we made to Victorians at the election – with more healthcare workers, new services, the latest equipment and new and upgraded hospitals across the state. That’s on top of more than $54b we’ve invested in our healthcare system – as well as the workers we need to run it – since coming to government in 2014.

Of particular relevance to Aboriginal and Torres Strait Islander health is:

  • $153m to establish 20 new comprehensive women’s health clinics, an Aboriginal-led clinic and a mobile health clinic, nine new women’s sexual and reproductive health hubs, scholarships to expand the women’s health workforce, an inquiry into women’s pain management and 10,800 extra laparoscopy surgeries
  • $2.5m to establish an LGBTIQ+ suicide aftercare service, continue Strong Brother Strong Sister for young Aboriginal Victorians in Geelong and deliver Youth Live4Life for young regional Victorians
  • $256m to support a health‑based response to public intoxication, continue the life-saving North Richmond Medically Supervised Injecting Room and expand our Naloxone and Pharmacotherapy programs
  • $35.1m to Aboriginal community health organisations to deliver 100,000 extra additional Aboriginal community healthcare appointments
  • $86m to increase the time newborns spend with maternal nurses, help mums struggling with breastfeeding, support new dads – and expand our Early Parenting Centre network with a new centre in Northcote and an Aboriginal-led centre in Frankston

To view the Victorian Minister for Health Mary-Anne Thomas, Minister for Ambulance Services and Mental Health Gabrielle Williams and Minister for Disability, Ageing and Carers Lizzie Blandthorn’s joint media release Doing what matters for patients and healthcare workers click here.

group of Strong Brother Strong Sister participants & staff holding Aboriginal flag

The Strong Brother Strong Sister program will receive funding under the 2023–24 Victorian budget to continue to operate. Image source: Strong Brother Strong Sister Foundation website.

Copper detected in Yarrabah health service’s tap water

Staff at an Aboriginal community health facility near Cairns have been offered bottled water and precautionary blood tests after tap water at the service was found to contain elevated levels of copper. Testing of the Yarrabah Health Facility’s mains water in March detected the presence of high levels of copper. It’s understood the issue is isolated to the clinic and has not affected the quality of the drinking water in the wider community. Tropical Public Health Services director Richard Gair said investigations into the facility’s plumbing system were ongoing. Meanwhile, bottled water was being provided to staff and visitors.

“The health service has engaged an expert hydraulic engineering firm to investigate the plumbing system within the facility and make recommendations,” Dr Gair said in a statement. He said senior officers from the Cairns and Hinterland Hospital and Health Service, including experts in environmental health and medical doctors, had met twice with staff at the Yarrabah Health Service in May to answer questions and share with them plans to address the water quality issues.

“Any staff who work within the health facility, including Gurriny Yealamucka and Queensland ambulance staff, have been offered a precautionary blood test for elevated copper levels,” Dr Gair said. “The testing is free and voluntary. The drinking water elsewhere in Yarrabah community complies with the Australian drinking water guidelines.”

To view the ABC News article Water at Yarrabah Aboriginal community health precinct found to have elevated copper levels in full click here.

aerial view of Yarrabah, N Qld

Users of the Yarrabah community Aboriginal health facility are on alert. Photo: Brendan Esposito, ABC News.

Sector Jobs

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

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

Key Date – Palliative Care Week – 21–27 May 2023

During this year’s Palliative Care Week (21–27 May 2023) NACCHO is showcasing some of the amazing programs and resources available for Aboriginal and Torres Strait Islander people. The Gwandalan Project is one such program that supports palliative care for Aboriginal and Torres Strait Islander Communities. ‘Gwandalan’ is a word from the Darkinjung and Awaba language meaning rest, peace or resting place. For this project, the Gwandalan word represents the spiritual aspect of the palliative and end-of-life journey, with the hope that the spirit is at rest and peace as a result of good palliative care and a ‘good death’.

Education and training materials for the Gwandalan Project aim to support relationships between service providers, frontline staff and Aboriginal and Torres Strait Islander Communities through cross-cultural education and the sharing of knowledge. This will be achieved through the provision of education and training to support increased capacity in those who care for Aboriginal and Torres Strait Islander peoples during their palliative and end-of-life journey. The Gwandalan Project does not address clinical palliative care content but rather, supports the provision of culturally safe and responsive palliative care by upskilling frontline staff to contextualise care for Aboriginal and Torres Strait Islander peoples, and deliver services in a way which supports a good ‘finishing up’.

Access to all Gwandalan education and training materials, listed below, is free of charge, thanks to funding by the Australian Government under the Public Health and Chronic Disease Care Grant, National Palliative Care Projects.

  • eLearning Modules – a series of engaging eLearning modules to support frontline staff to deliver culturally responsive palliative care
  • Workshops – face-to-face workshops across Australia to learn about delivering culturally safe palliative care for Aboriginal and Torres Strait Islander communities
  • Webinars – a series of interactive webinars on various aspects of Aboriginal and Torres Strait Islander palliative care which expand on the learnings from the Gwandalan online modules

You can find more information on the Gwandalan website here.

tile Gwandalan logo & text 'Gwandalan Supporting Palliative Care for ATSI Communities'

Image source: Gwandalan website.

17 May 2023

feature tile image of rainbow flag; text ' LGBTQI+ Aboriginal and Torres Strait Islander people experience significant and intersecting points of discrimination and marginalisation'

The image in the feature tile is from the Yarra City Council’s Celebrating IDAHOBIT webpage, published on 17 May 2021.

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

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

Raising awareness about LGBTQI+ discrimination

The United Nations Development Programme (UNDP) Administrator, Achim Steiner has released a statement to mark International Day against Hoomophobia, Biphobia and Transphobia (IDAHOBIT) – 17 May. In the statement Mr Steiner said “Deeply-embedded homophobic and transphobic attitudes and social norms leave many lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI+) people extremely vulnerable to discrimination.  Far too often, LGBTQI+ people are singled out for hate-motivated violence, or even murdered. Many are mistreated and even disowned by their own families. This has led to LGBTQI+ people, of all ages and around the world, being among those left furtherest behind as countries pursue the [17] Global Goals [agreed to by world leaders in 2015].”

To view the UNDP article International Day Against Homophobia, Biphobia and Transphobia (IDAHOBIT) in full click here.

The Australian Human Rights Commission (AHRC) says brotherboys, sistergirls and other LGBT Aboriginal and Torres Strait Islander peoples experience a number of significant and intersecting points of discrimination and marginalisation in Australia. The AHRC Resilient Individuals: Sexual Orientation, Gender Identity & Intersex Rights report considered the intersecting issues of racism, homophobia and transphobia faced by these communities, with participants involved in consultations for the report raising a range of issues including: Little investigation into the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples, experiences of racism, discrimination and isolation and the gap between Aboriginal specific service provision and service provision that accommodates for broader LGBT populations

You can read the AHRC article Brotherboys, sistergirls and LGBT Aboriginal and Torres Strait Islander peoples in full here.

You can also read about the 2021 Edith Cowan University (ECU) research which found that 73% of Indigenous LGBTQIA+ participants had experienced discrimination. The study, Breaking the Silence, was led by Pro Vice Chancellor Professor Braden Hill, a Nyungar Wardandi man and head of Kurongkurl Katitjin, ECU’s Centre for Indigenous Australian Education and Research. “For many of the participants there was a great sense of pride in being Indigenous and LGBTIQ+, however, the experience of discrimination, particularly racism, was a major concern,” said Professor Hill.

You can view the National Indigenous Times article Over 70% of Indigenous LGBTQIA+ experience discrimination, new research finds in full here. and also watch Professor Hill, one of four panelists, who came together at the PRIDE@AGSM Network Event: Queer Aboriginal Voices Matter to discuss inclusion of LGBTIQ+ First Nations People through their work, research and authentic leadership, below.

Fears for increased incarceration as legal services cut

There are concerns innocent people will end up in jail as Aboriginal and Torres Strait Islander legal services are cut across the country, leaving more people to represent themselves in court. Queensland and NSW legal services have withdrawn from 23 locations due to what they say are increasing workloads and a lack of funding.

Atherton Courthouse, where Ngadjon-jiman man Terry Murray helps First Nations people navigate the legal system, is among them. Mr Murray, who works as a court support officer, said he had felt more pressure since lawyers from Queensland’s Aboriginal and Torres Strait Islander Legal Service had withdrawn from the Far North Queensland court. “Clients always ask questions and legal advice and if you don’t have the answers to answer that, that also puts them in an impacted position,” Mr Murray said. “If we don’t have a legal service, they’re just going to sort of do the best they can [representing themselves].”

Aboriginal legal services in Australia receive state and federal funding, the vast majority of which being allocated through the Commonwealth Attorney-General’s department. The National Aboriginal and Torres Strait Island Legal Service (NATSILS) says demand has increased “up to 100% since 2018”, but Commonwealth funding had not kept pace. The peak body called for a $250m emergency package in the lead-up to the May budget, but the request was not granted, and state-based services have withdrawn in regional and metropolitan courts. 10 Queensland locations — including Brisbane and Cairns — will no longer have court-based support dedicated to First Nations clients.

To view the ABC News article Fears for increased First Nations incarceration grow as Indigenous legal services cut in full click here.

Aboriginal Legal Services CEO Karly Warner portrait against Aboriginal painting of crocodile

Aboriginal Legal Service chief executive Karly Warner says Aboriginal and Torres Strait Islander legal services around the country are on a “slippery slope”. Photo: Patrick Begley, ABC News.

Connecting to Country strengthens culture

20 projects throughout the Kimberley, Pilbara, Mid-West, Goldfields-Esperance and Metropolitan regions will share in $469,384 through the Connecting to Country program. Connecting to Country is a competitive grants program that supports Western Australian Aboriginal people and organisations to undertake on-country activities that foster the intergenerational transfer of knowledge, preservation of culture and strengthening of communities.

The program aims to:

  • facilitate sharing of cultural knowledge and skills between generations, such as the preservation of language, stories and dance;
  • recognise Aboriginal cultural leadership within the Aboriginal community and support leadership development in young people;
  • contribute to stronger community mental health and wellbeing; and
  • strengthen, protect and maintain traditional ways of maintaining cultural knowledge.

To view the Government of WA’s media statement Connecting to Country strengthens culture and communities in full click here.

group of ATSI people in bush

Image source: Government of WA Department of Local Government, Sport and Cultural Industries – Connecting to Country webpage.

Aboriginal health leader kicks goals

From a member of the first ever all-Aboriginal rugby league team to the first person employed in an Aboriginal identified position at Nepean Hospital, Clarke Scott has been a leader in both his football career and his career at Nepean Blue Mountains Local Health District.

Working in community health for 16 years, Clarke helped break down barriers between clinicians and people in the community. “At Lawson Community Health Centre I helped to support people, and their families in their homes,” says Clarke. “On home visits, I would go along and help the community feel relaxed. Just having another Aboriginal person there really helps.” Clarke also ran Aboriginal Boys Cultural Mentoring Camps out of the Community Health Centre, ensuring young boys were connected to culture, and their responsibilities.

Up until 2022, Clarke was a valuable member of the Nepean Blue Mountains Local Health District Board. Having served two consecutive five-year terms, Clarke’s passion championing for health equality for the Aboriginal community continues to drive his career. Currently as Aboriginal Health Programs Manager, Drug & Alcohol Services, Clarke says it’s his toughest gig yet. “The stories behind the issues are devastating, helping to address those issues is the challenge for me. But I know it’s part of the job where I can make a difference,” says Clarke. He says having dedicated leadership in the Aboriginal Health team has made a significant difference to embedding change.

To view the NSW Government article Aboriginal health leader kicks goals in full click here.

Clarke Scott, Aboriginal Health Programs Manager, Drug & Alcohol Services

Clarke Scott, Aboriginal Health Programs Manager, Drug & Alcohol Services. Image source: NSW Government webpage Aboriginal health leader kicks goals, 17 May 2023.

Federal budget support for Central Australia’s youth

Following the delivery of the 2023–2024 Federal Budget by the Treasurer last week, mixed reactions have been voiced across the nation regarding the adequacy of funding for the education sector. Ongoing issues with teacher workloads, skills shortages, and wage caps have been compounded by strong concerns surrounding a lack of action on improving equity and diversity across the education sector, which continues to position marginalised socio-economic groups in regional, remote, and Indigenous communities at a marked disadvantage.

In a joint statement released on 9 May, Federal Minister for Education, Mr Jason Clare announced that the Australian Government and NT Government are working together to deliver the next stage of the $250m landmark plan for a Better, Safer Future for Central Australia to improve community safety and provide more opportunities for young people. The Better, Safer Future for Central Australia plan includes funding for community and regional infrastructure; on-country learning to improve school engagement; enhancement of digital connectivity; justice reinvestment; strengthening community safety; a Youth Services Action Plan; up to five new Junior Ranger sites in Central Australia; effective governance to ensure successful service delivery; and improving First Nations health outcomes.

The Australian Government will invest $23.5m to support the health of Aboriginal and Torres Strait Islander children, young people and their families in Alice Springs and surrounding communities. This includes $18.4m to the Central Australian Aboriginal Congress (Congress) to expand their existing Children and Youth Assessment and Treatment Services (CYATS). The funding to expand CYATS aims to meet current demand and increase the availability of early detection and intervention services for neurodevelopmental conditions, including Fetal Alcohol Spectrum Disorder (FASD). Additionally, there will be $5m provided to Congress in 2022–23 to support the development of Health Hub in Alice Springs – combining the four current health services into one single centre.

To view the Education Matters article Federal budget supports young people in Central Australia in full click here.

yellow sign, silhouette adult holding child's hand & walking & text 'School Bus' by side of dirt road in outback

Image source: Education Matters.

Cash incentive offered to find health workers

A program to attract interstate health workers to Queensland has been announced by Queensland Health. The Workforce Attraction Incentive Transfer Scheme will provide interstate and international medical practitioners with a payment of up to $70,000 to move to Queensland with $20,000 payments for other healthcare workers. Applicants can take their pick from one of more than 2,400 communities to work in. To qualify for the payments they must work there for more than 12 months.

Minister for Health, Yvette D’Ath said it had become necessary to think outside the square to lure doctors to the State. “Innovative policies like this means every dollar we spend works hard delivering the right care at the right time, in the right place,” Ms D’Ath said. She described the scheme as a win-win — “more quality healthcare workers in our unique regional and remote communities, more efficient use of resources and great career memories to be made”.

Healthcare workers eligible for this incentive are medical doctors and specialists, nurses, midwives, allied health professionals, Aboriginal and Torres Strait Islander health workforce members, dentists, oral health practitioners and scientific officers.

To view the QLD PS News article Cash incentive offered to find health workers in full click here.

young ATSI boy having a hearing test in mobile medical van; male allied health professional & ATSI female health worker

Image source: Winter 2019 edition of UQMedicine Magazine – University of Queensland website.

Sector Jobs

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

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

12 May 2023

feature tile image male & female ATSI health workers & patient; text 'Many communities in need of skilled Aboriginal and Torres Strait Islander healthcare workers'

The image in the feature tile is the article $1.1 million grant to research shortage of Aboriginal and Torres Strait Islander nurses and midwives published on the a Charles Sturt University News webpage on 16 November 2022.

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

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

Nurse shortage highlighted on International Nurses Day

Jane Jones has spent over two decades of her career working in healthcare. A finalist for Elder of the Year, she’s got two decades working with ACCHO, Derbarl Yerrigan, in Boorloo (Perth) under her belt. Inspired by her mum, her daughter Tamara Jones followed in her footsteps and became a midwife. On International Nurses Day, the duo acknowledges the need for more skilled Aboriginal and Torres Strait Islander healthcare workers in many communities.

According to the Australian Health Practitioner Regulation Agency, only 1.4% of registered nurses and midwives in Australia identify as Aboriginal and Torres Strait Islander. However, the number of Aboriginal and Torres Strait Islander nurses and midwives has increased in the last 10 years with 3,216 First Nations nurses registered in 2019 compared to 1,721 in 2010.

As a Whadjuk, Ballardong and Willman midwife, Tamara knows her patients having culturally appropriate care, is one of the most important parts of her job. Working as a midwife at Wirraka Maya Health Service, a NACCHO member, she runs into points of cultural difference all the time. “The biggest problem with not having an understanding of our culture is that you don’t know how people are living,” Tamara said. “For instance in hospitals they’re just seeing them for 15 minutes, they’re just doing the investigations they need to do and they’re not doing that yarning. In the long run, women are going through sorry business, there are family or domestic violence situations or for some reason they’ve stopped going to see their health provider because they don’t think they’re being heard.”

To view the National Indigenous Times article Aboriginal mother-daughter duo shine light on nurse shortage on International Nurses Day in full click here.

Nurse Jane Jones and her daughter, midwife Tamara Jones

Nurse Jane Jones and her daughter, midwife Tamara Jones. Image source: National Indigenous Times.

ACCHO makes social impact architecture award shortlist

The shortlist for the inaugural ArchitectureAU Award for Social Impact has been revealed. The award recognizes projects that promote the common good. It has been conceived to reward practice that preferences empathy over aesthetics, extending the spatial possibilities of architecture to advance the discipline and to empower its users. Projects may relate to social cohesion, racial justice, inclusive housing, accessibility, equity, social sustainability or other areas where design can make a difference to society. This accolade is the only national recognition of this type of work within Australia.

“In recent years, there has been a shift in architectural approach – with emphasis placed on the relationship of a building to its community or users, rather than simply on the built form itself. This increasing focus on social values is something we’d like to celebrate, promote and encourage – prompting us to the launch of the ArchitectureAU Award for Social Impact,” said jury chair and editorial director of Architecture Media, Katelin Butler. “The inaugural shortlist demonstrates the multitude of ways that our built environment can have an impact – from taking research into practice and deep community engagement to providing economy opportunities and fostering social cohesion.”

From 139 entries, 39 including Winnunga Nimmityjah Aboriginal Health and Community Services have been shortlisted by the jury,  The winner of the prize will be announced on 27 June, 2023 on ArchitectureAU.com and in the July/August issue of Architecture Australia magazine.

To view the ArchitectureAU article The inaugural ArchitectureAU Award for Social Impact shortlist revealed in full click here.

collage 4 images Winnunga new health clinic exterior, reception, architect plan

WNAHCS new, purpose-built facility. Images: top two – Canberra City News; bottom two Judd Studio.

Mums hiding pregnancies for fear of losing babies

About 20% of Aboriginal children reported to authorities over concerns for their safety before birth were removed from their mothers within the first three months of life in Victoria in 2021. For Aboriginal children the rate was 21.5% compared to 13.5% for non-Aboriginal children. The stark figures were revealed as Department of Families, Fairness and Housing associate secretary Argiri Alisandratos gave evidence at the Yoorrook Justice Commission  yesterday. He was asked why pregnant women were not allowed to know details about reports against them before giving birth.

Senior counsel Fiona McLeod pointed to previous evidence that often the very first person those mothers saw after delivery was a child protection officer. “I’d be extremely concerned if the very first person in a birthing suite is a child protection practitioner, that clearly is far from ideal,” Mr Alisandratos replied.

Commissioner Sue-Anne Hunter said she was among many Aboriginal mothers who were worried about unborn notifications. “The reality of our mothers when they’re pregnant (is) thinking these children are going to be removed before they’re even born,” Ms Hunter said. “If I’m emotional about this (it’s) because it’s the truth, you go to hospital and you’re so worried about a notification happening. You become pregnant, you don’t want to tell anybody.” Mr Alisandratos revealed 40% of all child protection reports about Aboriginal children met the threshold to be investigated, compared to 29% for the total population.

To view the National Indigenous Times article High rate of Aboriginal babies taken from mothers in full click here.

Yoorrook Justice Commission - Commissioner Sue-Anne Hunter

Commissioner Sue-Anne Hunter says Aboriginal mothers are hiding pregnancies for fear of losing their babies. Photo: James Ross, AAP. Image source: National Indigenous Times.

Historical trauma, old men and suicide

In a recent article, Bob Morgan, a highly respected and acknowledged Aboriginal educator/researcher who has worked extensively throughout Australia and internationally in the field of Aboriginal knowledge and learning for over 40 years, says

I’ve always been concerned about the health and wellbeing of Aboriginal men in particular, and men generally, and to develop a better understanding of what men were experiencing in an ever-changing world.  I designed and hosted a number of men’s gatherings, where I sat in talking and sharing circles with other men, including Dr Mark Winatong, and non-Aboriginal friends and colleagues, to hear the stories of men’s journeys as they talked openly about the low and high points of their life. The men who attended these gatherings were sons, brothers, uncles, husbands, grandfathers and partners, and all of us were flawed in some way, filled with grief and regrets, but determined to be, and do better, as men. 

The men ranged in age from late teens to older men in the 70s or 80s, some of whom were Elders with years of accumulated life experiences and wisdom.  The diversity between and within the men served to enrich us, and we worked hard to ensure that difference didn’t divide us. One issue that kept emerging during these gathering was historical trauma, and how it affected the mental health of Indigenous men, including associated illnesses such as suicide or suicide ideation. Data from the latest Australian Bureau of Statistics (ABS) illustrate a situation involving suicide and older male Australians that should be of urgent concern to all Australians. The ABS stats show that for men over 85, the rate of suicide is more than three times the national average. Not enough work is being done to better understand why old men are suiciding at such a rate. 

To view the Echo article Historical trauma, old men and suicide in full click here.

Youth justice needs Indigenous-led solutions

All security footage from within WA youth detention facilities Banksia Hill and Unit 18 should be surrendered to an independent body for review, justice advocates said yesterday. At a press conference held in response to the major disturbance at Banksia Hill this week, Megan Krakouer of the National Suicide Prevention and Trauma Recovery Project said “80 to 85% of the abuses (occurring in the youth detention system) are not known (by the public)”.

“If the WA government has nothing to hide whatsoever, they will hand (the footage) over,” she said. Ms Krakouer called for an independent inquiry into the youth detention and justice systems. Ms Krakouer and her National Suicide Prevention and Trauma Recovery Project colleague Gerry Georgatos have collected testimony from 100s of current and former Banksia Hill detainees for a class action. Stewart Levitt of Levitt Robinson law firm said the statements of claim for the class action would be filed next week.

Dana Levitt from Levitt Robinson law firm said staff in Banksia Hill, particularly in the intensive support unit, were not properly equipped to deliver the environment needed by young detainees. “The intensive support unit is more like an intensive suicide unit… we have kids in there self-harming and attempting suicide at rates that are beyond belief,” she said. “Instead of attracting people who want to help kids, (the Department) is attracting people who want to hurt kids… There is an abject lack of respect for these children.” Mr Georgatos called for a strong focus on support, nurture and psychological care for young detainees to address their trauma and other conditions so they can escape the cycle of re-offending and incarceration. Professor of public health, Ted Wilkes, said the mental health crisis in the youth justice system needs an Indigenous-led solution.”It is a public health emergency for our children. Us Aboriginal leaders seem to get neglected in terms of our knowledge.”

To view the National Indigenous Times article Justice advocates urge WA government to hand over security video from youth prisons in full click here.

people at Banksia Hill juvenile detention holding placards 'Shame on you McGowan' ' Rehabilitate not incarcerate'

Protesters at Banksia Hill Juvenile Detention Centre. Image source: ABC News.

New Indigenous aged care home – Whynnum

The former Wynnum Hospital site has been handed over to the Winnam Aboriginal and Torres Strait Island Corporation, as the site will be used for a new indigenous health and aged care facility. The hospital will be demolished and a new health hub and 30-bed residential aged care facility, including palliative care beds, will be built.

“The Royal Commission into Aged Care Quality and Safety recommended the aged care system improve their specific provisions for the diverse needs of Aboriginal and Torres Strait Islander people – and we are doing just that,” said Aged Care Minister Anika Wells.

“This development is one of four First Nations aged care services across Australia receiving a collective $115m in funding through the Aged Care Capital Assistance Program (ACCAP) to construct new culturally safe, purpose-built facilities. The handover of the site has been a number of years in the making and it’s great to see it finally come to fruition,” said Winnam Chair Aunty Becky. “The planned redevelopment of the site into a wellbeing precinct hub will be a huge asset to the community.”

To view The Weekly Source article Former QLD regional hospital handed over to local community group for new Indigenous aged care home in full click here.

3 ATSI dancers smoking ceremony for handing over of site for new ATSI aged care home


Former QLD regional hospital handed over to local community group for new Indigenous aged care home. Image source: Yvette D’Ath, Facebook – The Weekly Source.

Sector Jobs

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

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

International Day Against Homophobia and Transphobia – 17 May 2023

Wednesday 17 May 2023 is International Day Against Homophobia, Transphobia and Biphobia. It is an important day to remember why we fight for safe, affirming and culturally appropriate care for all LGBTIQ+ communities.

You can find out how your workplace or organisation can show your support for fighting LGBTQ+ discrimination here. You can also access LGBTIQ+ Health Australia’s website here. LGBTIQ+ Health Australia, (formerly the National LGBTI Health Alliance), is the national peak health organisation in Australia for organisations and individuals that provide health-related programs, services and research focused on lesbian, gay, bisexual, transgender, intersex and queer people and other sexuality, gender and bodily diverse (LGBTIQ+) people and communities.

globe wrapped with rainbow ribbon; text 'international day against homophobia, transphobia & biphobia - 17 May

Image sources: The World Bank and the Canadian Union of Public Employees.

9 May 2023

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

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

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

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

Gathering has a “necessary First Nations gender lens”

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

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

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

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

Supporting access to medicines webinar this THURSDAY

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

Topics include:

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

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

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

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

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

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

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

Review of funding for mental health services

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

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

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

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

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

Ninti One Limited & First Nations Co logos

An Australia without the RFDS is unthinkable

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

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

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

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

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

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

WA prisons mental health emergency

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

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

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

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

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

black and white blurred image of person behind bars

Image source: ABC News.

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

13YARN – 13 92 76, 13yarn.org.au

Lifeline – 13 11 14, lifeline.org.au

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

MensLine – 1300 789 978

Kids Helpline – 1800 551 800

Suicide Call Back Service – 1300 659 467

VACCHO backs state’s drug reforms

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

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

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

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

VACCHO HQ Melbourne - external view

VACCHO HQ Melbourne. Image source: VACCHO website.

Sector Jobs

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

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

5 May 2023

feature tile NACCHO generated ARF and RHD logo; text 'For Heart Week 2023 NACCHO is encouraging everyone to learn more about ARF and RHD'

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

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

Heart Week 2023 – learn about ARF and RHD

Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are entirely preventable conditions, and only occur in high income countries when the social and cultural determinants of health are not equitably addressed.

In 2022, the Australian Institute of Health and Welfare reported the number of cases of ARF and RHD increased nationally from 2016–2020, with 92% of ARF diagnoses occurring in Aboriginal and Torres Strait Islander people, and diagnoses of RHD 15 times more likely to occur than for non-Aboriginal and Torres Strait Islander people in the same period. This is why it’s so important the ACCHO sector is co-designing approaches to prevent and manage ARF and RHD in Australia.

ARF occurs as an immunological response to a Group A Streptococcal (GAS) infection (be it of the skin or throat).

People affected by ARF usually present with a range of non-specific symptoms and signs, including fever, painful and tender joints, rash, chest pain, shortness of breath, tiredness, and jerky body movements. These symptoms can be easy to ignore so please check in with a health professional if you are worried. Ask the question: could this be ARF?

RHD occurs when the heart valves are damaged by recurrent, untreated episodes of ARF. Whilst effective treatments exist to prevent people diagnosed with ARF from developing RHD, ARF is too often misdiagnosed and mismanaged in Australia. Once the heart valves are damaged, there is no cure. However high quality, holistic care can prevent worsening of the valve damage and ensure people living with RHD can live a happy and healthy life.

For this year’s Heart Week, we are encouraging everyone to learn more about ARF and RHD.

If you have a sore throat or skin sores, visit the clinic and get it checked out.

Have a yarn with your health worker about getting a 715 health check. This could help diagnose ARF and RHD early and ensure you get the right treatment.

If you get ARF or RHD, regular antibiotics (injections or oral) can protect your heart valves and prevent worsening damage.

If you are pregnant or planning to start a family, have a yarn with your GP to check your heart for RHD as early as possible to plan for a safe pregnancy. If you have RHD, it will be important to get regular check-ups during pregnancy to protect your heart from further damage.

For further information, contact the NACCHO RHD team by email here.

tile text 'Heart Week 2023'

Scale of preventable blindness in Australia is massive

Urgent action is required to address the systemic barriers deterring access to eye health care in Australia, write Dr Gifar Hassan and Clinical Professor Leanne Rowe AM. For many years, the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) and other eye health organisations have highlighted the massive scale of preventable blindness in Australia, including increasing diabetic retinopathy, glaucoma, cataracts, macular degeneration, and uncorrected refractive error.

After three years of reduced patient access to preventive eye care and elective eye surgery due to the coronavirus disease 2019 (COVID-19) pandemic, medical practitioners at the front line of health care are increasingly recognising the fire impact of undiagnosed and untreated visual impairment. This includes falls, motor vehicle and other accidents and injuries, medication error, deterioration of other comorbid disorders due to inactivity, mental health problems, loss of independence and prolonged hospitalisation to name a few.

Based on what is known about the increasing prevalence of diabetes and diabetic retinopathy, cataracts, glaucoma and macular degeneration in our aging population, it is likely millions of Australians are missing out on routine eye screening, follow-up and treatment, particularly in regional and rural areas. As many disadvantaged people continue to have inadequate access to health care as we emerge from the COVID-19 pandemic, it is also impossible to estimate the true extent of undiagnosed eye disease in vulnerable groups, including Aboriginal and Torres Strait Islander peoples, ethnic minorities, and those with lower incomes.

To view the InSight article Medicare limitations causing preventable blindness in full click here.

ATSI man having eye test

Image source: Flinders University News webpage.

Attorneys General meeting to address justice reform

Last Friday (28 April 2023) the Standing Council of Attorneys General (SCAG), made up of Commonwealth Attorney General Mark Dreyfus and the AGs from each state and territory, met in Darwin. All Attorneys General present agreed “significant and transformational criminal justice reform” is needed to correct the ongoing impacts of the current system on First Nations people.

Currently, targets 10 and 11 of the National Agreement on Closing the Gap, to reduce the over-representation of Aboriginal and Torres Strait Islander people in custody, “is going backwards”, according to the Council. At the adoption of the agreement in mid-2020, after more than a decade of steps towards it, the most recent set of Australian Bureau of Statistics data recorded an imprisonment rate of 2.2% among all Aboriginal and Torres Strait Islander adults. In the most recent set of data, from the December 2022 quarter, the number had risen to close to 2.4%. In June 2022, more than 32% of all prisoners in the country were Aboriginal and Torres Strait Islander people.

The Council acknowledged the “significant role” they play in reducing the rate of First Nations adults in custody by at least 15% by 2031. “All Attorneys-General acknowledged the need to do better, collectively, to improve justice outcomes for First Nations Australians,” the SCAG said in a statement. Central to realising targets set out by the National Agreement on Closing the Gap, and a key pillar to incorporating principles and shared decision-making, is the Justice Policy Partnership (JJP) body made up of Coalition of Peaks (Indigenous peak bodies), coalition-appointed Aboriginal and Torres Strait Islander experts, and Australian, state and territory governments.

To view the National Indigenous Times article Attorneys General meeting flags reforms to reduce Indigenous incarceration rate, raising age of criminal responsibility in full click here.

ATSI man's arms / hands though jail bars

Image source: Law Society Journal Online.

Measure aims to protect against heart disease

The Albanese Government is acting to protect Australians against our country’s biggest killer – heart disease. As part of the 2023–24 Budget, the Albanese Government will extend the Medicare rebate (items 177 and 699) for heart health assessments until 30 June 2025. Each day 438 Australians are hospitalised with coronary heart disease. Heart disease is responsible for almost 1 in 10 deaths and for 6% of Australia’s total disease burden. Many Australians don’t know they are at risk of heart disease, as some factors – such as high blood pressure or high cholesterol – might not be noticeable without a medical assessment.

An assessment of a patient’s heart health with a general practitioner (GP) will help to identify the risk of heart attack or stroke in those patients who haven’t previously been diagnosed with heart disease. The Check takes less than 30 minutes with a GP and is the nation’s best tool for preventing heart disease. GPs can then work with their patients to make changes to their lifestyle or prescribe medicines to lower any identified risk of heart disease.

The items will also be amended to remove restrictions preventing First Nations people from claiming a heart health assessment within 12 months of an annual health check for Aboriginal and Torres Strait Islander, supporting the earlier diagnosis and treatment of cardiovascular disease in First Nations people.

To view Minister Butler’s media release Protecting Australians against heart disease in full click here.

red heart stress toy sitting on trace of heart rate, stethoscope

Photo: Krisanapong Detraphiphat – Getty Images. Image source: Prevention website.

Rural and remote deserve health reform that works

Services for Australian Rural and Remote Allied Health (SARRAH) has welcomed the focus National Cabinet is giving to system-wide health reform. It was reinforced at their meeting of Friday 28 April and demonstrated by the announcement of $2.2b in extra Commonwealth funding to improve access health care in the community when and where people need it. Minister for Health and Aged Care, the Hon Mark Butler MP, elaborated on the urgency for action and the proposed direction of reform in his address to the National Press Club on Tuesday 2 May, revealing more can be expected when the Federal Budget is announced next week.

Reforming our health system is a priority long overdue. Our system faces mounting pressures. Ministers acknowledge that key components are no longer fit-for-purpose, and this is putting the entire system at risk. Existing gaps in access and service capacity – long evident and unresolved – must be addressed.

On 4 April 2023, SARRAH convened a roundtable meeting of rural and remote health care providers and workforce organisations. Two things framed our discussion:

1. Chronic and continuing service and workforce shortages in rural and remote Australia – which contribute to, and correlate closely with, poor health and wellbeing outcomes across communities.

2. Current system and policy reform agendas – at the inter-government, intra-government and cross-sector levels which have the potential to enable more equitable, effective and sustainable health and care systems than have been achieved through the policy and delivery frameworks operating over recent decades.

To view the SARRAH media release People living in rural and remote Australia deserve primary health reform that works for them in full click here.

bitumen road through outback Australia

Image source: The Australian Prevention Partnership Centre website.

Sector Jobs

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

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

Save the Date – NACCHO Members’ Conference 2023

𝗬𝗼𝘂𝘁𝗵 𝗖𝗼𝗻𝗳𝗲𝗿𝗲𝗻𝗰𝗲: Monday 𝟮𝟯 𝗢𝗰𝘁𝗼𝗯𝗲𝗿
𝗔𝗚𝗠: Tuesday 𝟮𝟰 𝗢𝗰𝘁𝗼𝗯𝗲𝗿
𝗠𝗲𝗺𝗯𝗲𝗿𝘀’ 𝗖𝗼𝗻𝗳𝗲𝗿𝗲𝗻𝗰𝗲: Wednesday 𝟮𝟱 October Thursday 𝟮𝟲 𝗢𝗰𝘁𝗼𝗯𝗲𝗿

This year’s Youth Conference, AGM and NACCHO Members’ Conference will be held at the Hyatt Regency, Noongar Boodjar (Perth).

The conference brings together people working in the Aboriginal and Torres Strait Islander health sector to network, showcase, learn and celebrate the impact of our work on improving health and wellbeing across the country.

Registrations and sponsorship opportunities will open soon.

For up-to-date information about the conference visit the NACCHO website here.

Or follow us on social media here.

If you have any queries, please contact the NACCHO Conference Team by email here.

save the date tile: NACCHO Members' Conference 2023 26-28 October, Noongar Boodjar (Perth); photo of Perth at night in the background; graphic gold Aboriginal dot wave