NACCHO Aboriginal Health News: Protecting fontline workers against COVID

Feature tile - Fri 11.6.21 - Protect frontline workers against COVID

Protecting frontline workers against COVID

The Australian Medical Association (AMA) today welcomed the release of updated guidelines on the use of personal protective equipment (PPE) to protect health care workers against aerosol transmission of COVID-19.

The Infection Control Expert Group (ICEG) developed the guidelines in collaboration with the National COVID-19 Clinical Evidence Taskforce Infection Prevention and Control Panel and the Commonwealth Minister for Health in September last year after the AMA expressed its concerns over the lack of protection for health care workers from the risks of aerosol transmission of COVID-19.

AMA President Dr Omar Khorshid said the updated guidelines did much to address the concerns of the medical profession and they were much more explicit on the need for health care workers to be provided with N95/P2 masks when managing patients with confirmed or suspected COVID-19 to protect them against the risks of aerosol transmission.

“Too many health care workers in Australia have been placed at risk of COVID-19 because of the lack of adequate PPE and these new guidelines could not have come soon enough, particularly as Australia still remains at significant risk of outbreaks,” said Dr Khorshid

The updated ICEG guidelines follow the release by the Australian Commission on Safety and Quality in Health Care of an update to its Preventing and Controlling .Infections Standard, which were reviewed in response to the COVID-19 pandemic.

Red the media release by AMA here.

Personal Protective Equipment. Image credit: https://infectioncontrol.care/blog/what-is-ppe.

Personal Protective Equipment. Image credit: https://infectioncontrol.care/blog/what-is-ppe. Feature image – Dr Glenn Harrison in PPE. Image credit: The Royal Melbourne Hospital.

 

Praise for Moree COVID-19 testing rates

More than 900 people have been tested for COVID-19 in Moree within 12 hours, with Hunter New England Health (HNEH) thanking people for their response. The numbers through the expanded hospital and drive through clinics in Moree is a credit to both the community and the medical staff, HNE LHD Chief Executive Mr Michael DiRienzo said.

It comes after residents were told to hold-off on attending the pop-up COVID-19 testing site on Thursday, due to the high number of vehicles at the Moree Gateway. However Mr Di Lorenzo assured the community that Moree District Hospital and Laverty Moree “have swabbing supplies and are not turning people away”.

“I want to sincerely thank the Moree community for quickly getting behind our call to get tested,” he said.

High rates of testing are so important because this will help us to detect any cases in the community as early as possible. Please remain vigilant for COVID-19 symptoms and get tested for even the mildest of symptoms.”

You can read the full story in Tenterfield Star here.

Moree District Health Service. Image credit: Tenterfield Star.

Moree District Health Service. Image credit: Tenterfield Star.

Experiences and impacts of racism on GP training

Dr Talila Milroy jumped at the chance to undertake the Australian Indigenous Doctors’ Association (AIDA) Academic Post in 2020. The Western Australian GP was always interested in developing and furthering general practice research, and the post allowed a structured framework to delve into the data.

Now, having undertaken a year as the 2020 AIDA Academic Post holder, Dr Milroy is continuing her part-time research role and furthering her study into the experiences and impacts of racism on general practice training.

You develop so many skills, not only in research but in teaching as well,” she told newsGP.

‘It’s also the networking; you gain communication skills because you’re teaching medical students, and you get more of a grasp of how to design research and ask questions that are clinically relevant, useful and translatable.’

The AIDA post was first earmarked by the Department of Health as part of the Federal Government’s Closing the Gap strategy. The post is an identified training term open to Aboriginal and Torres Strait Islander GPs in training to undertake teaching and research that aims to improve the health and life outcomes of Aboriginal and Torres Strait Islander peoples.

Read more about Dr Milroy’s experience in newsGP here.

Applications are now open for the 2022 intake of the RACGP Australian General Practice Training Academic Post with entries closing on 5 July. Find out more here.

Dr Talila Milroy, 2020 AIDA Academic Post holder. Image credit: GP News, RACGP.

Dr Talila Milroy, 2020 AIDA Academic Post holder. Image credit: GP News, RACGP.

Improve the health and wellbeing of LGBTQA+ mob

Walkern Katatdjin is looking for people who are committed to improving the health and wellbeing of young Aboriginal and Torres Strait Islander LGBTQA+ mob to join the Walkern Katatdjin Governance Committee.

The Walkern Katatdjin (Rainbow Knowledge) project aims to improve the support available to our young mob through research. The Governance Committee will oversee the Walkern Katatdjin project design, procedures, data management, and translation of findings to ensure meaningful impacts from the project.

Find out more about the role of the Governance Committee and the Walkern Katatdjin project here.

Walkern Katatdjin - Rainbow Knowledge

 

Decision Making and Symptom Control in Kidney Failure

Health Professional Webinar
Kidney Health Australia

Presented by Prof Robyn Langham, Nephrologist

Tuesday 22 June, 7.30pm (AEST)
Register here (registration is essential)
For more information contact us via email.

Decision Making and Symptom Control in Kidney Failure - Kidney Health Australia webinar

Improved quality aged care

‘Improving outcomes for Aboriginal and Torres Strait Islander peoples in aged care’

This webinar will outline how the aged care reforms will improve access to and quality of aged care delivered to Aboriginal and Torres Strait Islander peoples including in remote communities.

Presenters

  • The Hon Greg Hunt, Minister for Health and Aged Care
  • Senator the Hon Richard Colbeck, Minister for Senior Australians and Aged Care Services
  • Michael Lye, Deputy Secretary, Ageing and Aged Care Group
  • Helen Grinbergs, First Assistant Secretary, Service Delivery Division
  • Eliza Strapp, First Assistant Secretary, Market and Workforce Division

Webinar content

Aged care workers and providers who deliver services to Aboriginal and Torres Strait Islander people are encouraged to participate in the webinar.

The webinar will outline how the aged care reforms will help to:

  • involve Aboriginal and Torres Strait Islander people in designing their services and care
  • ensure services and care are available to Aboriginal and Torres Strait Islander people no matter where they live
  • enhance the Aboriginal and Torres Strait Islander aged care workforce.

You will have the opportunity to say how we can best work with Aboriginal and Torres Strait Islander peoples, families, carers and communities, health services, aged care providers and the workforce to make positive changes.

Date and time: 3.00pm to 4.30pm (AEST), Monday, July 19 2021.
Register here.
4 Aboriginal hands holding another Aboriginal hand

Image source: ORIC website.

Presenter Applications Open for Inaugural 2021 Indigenous Wellbeing Conference

Statistics show Aboriginal and Torres Strait Islander people have significantly higher mental health needs than other Australians and experience psychological distress at around 3x the rate of the non-Indigenous population. We see similar numbers across the seas, with Māori and Pasifika populations carrying the highest burden of suicide with higher incidences.

It is time to speak up, be heard and celebrate projects, programs and research contributing to the mission of closing the gap for Aboriginal, Torres Strait Islander and Māori peoples.

The Australian & New Zealand Mental Health Association has announced a final call for applicants wishing to share their insight on Indigenous mental health and wellbeing for the inaugural Indigenous Wellbeing Conference. This event is taking place from 7-8 October at Cairns Pullman International.

The conference theme ‘Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap’ will be bringing attention to four core areas:

  • Promoting Wellbeing
  • Social, Political and Cultural Determinants
  • Community Care, Cultural Revitalisation & Healing
  • Culturally Responsive Care & Community Control

Together we will help to empower Indigenous communities to develop their own solutions to living long healthy lives; strengthen culture; and reconnect with spirit.

Applications close: Friday 18 June 2021.
Submit your presentation brief here.

Indigenous Wellbeing Conference

 

 

NACCHO Aboriginal Health News: Data proves birthing program works

feature tile text 'data proves innovative community program Birthing in Our Community WORKS!' image of Aboriginal mother's finger being held in her baby's hand

Data proves birthing program works

A unique birthing program in Brisbane has long been advocating for culturally appropriate support for Aboriginal and Torres Strait Islander mothers and their babies. Now it has the data to prove it’s working.

About 300 women go through the Brisbane-based Birthing in Our Community Program (BiOC) was founded in 2013. It’s now been the subject of a long-term study into whether such culturally appropriate care improves the health outcomes for Aboriginal and Torres Strait Islander women and children – and the results are promising.  A study led by researchers at Charles Darwin University and published in The Lancet Global Health journal earlier this year found, over a seven-year period, an 80% increase in women attending antenatal appointments.

It also found women using the service were 50% less likely to have a premature baby than those accessing standard maternity care in hospital, as well as a 40% increase in breastfeeding.

Charles Darwin University professor Yvette Roe, who is co-director of the Molly Wardaguga Research Centre and led the study, says the results are astonishing. “We’ve not seen this kind of evidence anywhere in Australia. This kind of research, this kind of model of care, this system of care, changes life trajectory.” Professor Roe, a Njikena Jawuru woman, says having a range of services available is part of its triumph.

To view the article in full click here.

torso shot of Sarah Booth with her baby daughter Eva

BiOC participant Sarah Booth with her daughter Eva. Image source: SBS News website. Image in feature tile from ISA Healthcare Solutions website.

CTG Partnership Health Check

The 2020 Partnership Health Check report, Joint Council response and Risk Register were released late last week. The Joint Council’s response acknowledges the important leadership role of the Coalition of Peaks in bringing forward policy proposals for consideration and commits the Parties to strengthened shared decision making processes to support the implementation of the National Agreement on Closing the Gap.

The annual Partnership Health Check will make sure the Partnership is getting stronger, and we are all meeting our commitments of the National Agreement to Close the Gap. The Partnership Health Check Report, Joint Council Response and Risk Register are on the Coalition of Peaks website here.tile text 'PARTNERSHIP HEALTH CHECK' CoP logo, The Partnership HEalth Check looks at how the Coalition of Peaks and governments are working together and suggests ways to make the partnership stronger!

4 in 10 children in OOHC are Indigenous

Indigenous children have remained disproportionately represented in Australian out-of-home care (OOHC) statistics, despite overall rates remaining steady. A 118-page annual report, released by the Australian Institute of Health and Welfare, shows one in four of the roughly 46,000 children in out-of-home care in mid-2020 were Indigenous.

At the time there were about 18,900 Indigenous children in OOHC which includes living with a relative or foster carer. That represents one in 18 Aboriginal and Torres Strait Islander children in Australia, and it was 11 times higher than the rate for non-Indigenous kids.

Almost two-thirds (63%) of that group were living with family or other Indigenous caregivers, with the rest in other arrangements including foster care. “In positive news, over 80% of Indigenous children who exited OOHC into more stable and permanent arrangements, did not return to care within 12 months,” AIHW spokesman Dinesh Indraharan said.

To view the full article click here.

close up of face of young Aboriginal girl looking sad

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

Water quality leaves Doomadgee dialysis chairs unused

A remote Indigenous community’s water quality is being blamed for a delay in two dialysis chairs being installed in the town’s hospital. A total of six dialysis chairs were supposed to be installed in Doomadgee last year but were delayed due to COVID-19 border restrictions into Indigenous communities. North West Hospital and Health Service’s acting chief executive Karen Murphy said the Gulf region’s flooding and a shortage in tradespeople had further delayed the installation of the remaining two chairs.

“We actually have all of the chairs in Doomadgee ready to go,” she said. “The contractors who were planned to do the upgrades had gone out of business and we had to go back out to tender. “The complexity is that the water quality going into these chairs has to be very specific water quality and so we’re still finalising all of the plumbing and the filtration system that will be used.”

To view the article in full click here.

from torso down Aboriginal man receiving dialysis, background is monitor & dialysis machine, blue hospital curtain

Renal dialysis in Mount Isa and Townsville are the only options for many Doomadgee residents. Photo: Kelly Butterworth. Image source: ABC News website.

Action needed for heart disease in women

Australian researchers are calling for urgent action to reduce the incidence of cardiovascular disease in women – the leading cause of death for women around the world. The first global report on the issue urges action to tackle inequities in the diagnosis, treatment and prevention of heart disease. 17 experts from 11 countries, including Australia, authored the study, which found heart, stroke and blood vessel disease in women was understudied, under-recognised, underdiagnosed and undertreated.

Around 2.1 million Australian women have cardiovascular disease, which includes heart disease and stroke, and it accounts for about one-in-four female deaths. Cardiovascular disease accounts for 35% of women’s deaths worldwide each year. “This report reinforces that strategies to reduce heart disease in women should be targeted to the most vulnerable people globally, including Aboriginal and Torres Strait Islander women in Australia.” Aboriginal and Torres Strait Islander women are almost twice as likely as non-Indigenous women to have heart, stroke and vascular disease.

To view the full article from The West Australian click here.

plastic model of heart sitting on medical text book

Image source: The Tennessee Tribune.

Patient immunisation details more easily available

Australian healthcare providers now have an improved and consolidated view of their patients’ immunisation details through My Health Record. This is important as the world continues to face the ongoing challenges of COVID-19 and shows how the national digital health system can support the response to both this and future pandemics. Australian Digital Health Agency Chief Clinical Adviser, Dr Steve Hambleton, said the latest update to the system makes it much easier to see patient immunisation information. As a GP I can quickly and easily see my patients’ immunisation details, including their COVID-19 vaccination status or their children’s National Immunisation Program status, without having to go through time-consuming logins for separate systems. This is one of the great benefits of My Health Record, he said.

To view the ADHA media release click here.

My Health Record logo & image of arm being vaccinated

Image source: Australian Government Department of Health website.

Calls to reinstate rural medicine placement program

The Australian Medical Students’ Association (AMSA) has called upon the Australian Government to reinstate funding for the John Flynn Placement Program, which was suspended following the 2021–22 Federal Budget announcements.

The Program, named after the founder of the Royal Flying Doctor Service, has provided thousands of students a taste of rural medicine through four funded fortnight-long placements in rural Australia since 1997. “This Program has fostered an interest in rural medicine among students who wouldn’t have otherwise had the opportunity to immerse themselves in rural life,” AMSA President, Sophie Keen, said. “While we commend the investment into prevocational training in rural and remote areas, this leaves a hole in medical student experiences that cannot be filled by university-led programs through the Rural Health Multidisciplinary.”

To view the AMSA’s media release click here.

young rural doctor sitting on top of group of road signs in outback, one sign says 10 km to Ampilatwatja Health Centre Aboriginal Corporation

Image source: NT GP Education website.

Massive shortage of rural psychiatrists

In a year defined by uncertainty, isolation and grief, our mental health has been tested in new and perhaps unprecedented ways, and we are only now beginning to see the first aftershocks in a system already stretched to capacity to respond. The impact of the COVID-19 pandemic on mental health will be the focus of talks at this week’s annual congress of Australian and NZ psychiatrists.

Workforce issues also will be discussed at length at the Congress, with the College to launch its 2021–31 Rural Psychiatry Roadmap focused on addressing significant access challenges for Australians outside of metropolitan areas, a “cycle of rural psychiatry disadvantage”.

While almost one in three Australians lives outside a major city, only 14% of psychiatrists practice in these areas – and this number is just 10% for full-time clinicians. A paucity of culturally appropriate services greatly compounds this problem for Aboriginal and Torres Strait Islander populations.

To view the Croakey article in full click here.

outback road, red dust & dry grass clumps either side, blue skiy, no clouds, kangaroo road sign

Image source: Pro Bono website.

Aboriginal Chronic Conditions Conference

The Aboriginal Chronic Conditions Network at the Agency for Clinical Innovation, The Aboriginal Health and Medical Research Council and NSW Primary Health Networks would like to cordially invite you to join us for the virtual 2021 – Aboriginal Chronic Conditions Conference 10:00 AM 8 June to 3:00 PM 9 June 2021.

The aim of this free, open to all, virtual conference is to bring together stakeholders to showcase each other’s success and key learnings in designing and delivering virtual models of care for Aboriginal peoples. We also would like to showcase any key initiatives that have supported the emotional wellbeing of the workforce and community during these challenging times.

To register click here. Link will be provided to attendees 48hr prior to the conference.

Aboriginal art work orange, aqua, green, yellow, blue, purple, red - 4 horizontal layers

Image source: NSW Government, Agency for Clinical Innovation.

NACCHO Aboriginal Health News: Health will improve when housing improves

feature tile text 'Aboriginal & Torres Strait Islander Health will only improve if we improve housing', image of a boarded house near Alice Springs

Health will improve when housing improves

University of Melbourne academics Laureate Professor Hugh Taylor AC, Senior Research Fellow Mitchell D Anjou AM and Research Fellow Emma Stanford have written an article To Improve Indigenous Health, We Must Improve Indigenous Housing. In the article they say the recommendation of the recent Senate report to re-establish the National Partnership Agreement on Remote Indigenous Housing is to be applauded, but more importantly, it should be implemented as a matter of urgency.

Trachoma is blinding eye disease spread repeatedly between young children which causes scarring in the eyes, leading to blindness in adults. Sometimes called “Sandy Blight”, Trachoma disappeared from mainstream Australia more than a century ago. But actually, Australia remains the only developed country to still have trachoma, along with some 44 low-income countries.

Last week, the World Health Organisation (WHO) declared Gambia to be the latest country to eliminated trachoma. Australia had made a declaration in 2009 to eliminate trachoma by 2020 – a target the country missed.

Trachoma is spread by the frequent exchange of infected eye and nose secretions from one child to another. The key to stopping this terrible blinding disease is to stop the spread of infected secretions by keeping the children’s faces clean. In order to do this, they must have access to safe and functional bathrooms. Although some good progress has been made, the process has stalled for lack of safe and functional housing. Inadequate housing has a critical impact on health, including Indigenous health.

To view the article click here.

Aboriginal adults hands holding arms of young Aboriginal child. guiding soapy child's hands under a tap of running water

Photo: Indigenous Eye Health. Image source: The University of Melbourne Pursuit webpage.

Perinatal healthcare gap a priority

Health researchers across the globe are pushing for better Indigenous perinatal care with a focus on Indigenous-led, community-based solutions.

Yvette Roe is a Njikena Jawuru woman and an Indigenous health researcher at Charles Darwin University is one of about 50 names from Australia, New Zealand, Canada and the United States on a recently published paper in Women and Birth, the official journal of the Australian College of Midwives. They are all demanding better perinatal care for First Nations women to better support mothers from the start of their pregnancies through their infants’ first 12 months of life.

Dr Roe said the mainstream health system routinely failed Indigenous mothers, “What we know is the current system of maternity services is not working for our people,” she said. According to Dr Roe, when compared to non-Indigenous Australians, Aboriginal women were more likely to have pre-term births, more likely to die during childbirth, and more likely to have their babies die during their first year of life.

For Dr Roe and her peers, Indigenous-led, community-based solutions are paramount to closing the perinatal healthcare gap, “Each community comes with its own historical context,” she said. “[The key is] local people being engaged with local solutions.”

To view the article in full click here.

Aboriginal hands holding baby's hands against baby's chest, baby is lying in a coolamon on a cloth, leaves bark seed pods surround coolamon

Photo: Bobbi Lockyer. Image source: ABC News.

Establishing national First Nations researcher network

A team of 91 researchers, led by four experienced First Nations Australian leaders have come together to establish the National Network for First Nations Researchers. This represents the largest cohort of Aboriginal and Torres Strait Islander researchers (97%) ever assembled with a single goal of growing the next generation of research leaders. This initiative is a critical part of the National Health and Medical Research Council’s (NHMRC) framework for improving Aboriginal and Torres Strait Islander health through research.

One of the researchers who will lead this innovative project, Chairperson of the Lowitja Institute, Dr Pat Anderson AO, says “The National Network’s vision is embedded in the principles of self-determination with activities led by First Nations Peoples for First Nations. It will build on the extensive legacy and ground-breaking work led by the Lowitja Institute over the last 23 years. Our lead investigators will spearhead the establishment of strong and dynamic governance structures that will ensure an inclusive, transparent, equitable and collaborative approach to achieve our commitment to building Australia’s Aboriginal and Torres Strait Islander national research network.”

To view the Menzies School of Health Research media release click here.

portrait shots top L clockwise Dr Pat Anderson AO, Professor Gail Garvey, Professor Sandra Eades & Professor Alex Brown

Researchers leading the National Network for First Nations Researchers project, clockwise from top left: Dr Pat Anderson AO, Professor Gail Garvey, Professor Sandra Eades & Professor Alex Brown. Image sources: National Indigenous Times, Bupa, Burnet Institute, and NHMRC CREATE.

Resilient NSW First Nations people

Indigenous supporters of reconciliation came together last week to take part in a Q+A panel discussing the resilience of First Nations People in NSW with Members of Parliament. In its 12th year, Reconciliation in Parliament is a program of events hosted by Reconciliation NSW to continue the bi-partisan commitment of the NSW Parliament to Reconciliation. This year’s theme, ‘A case of resilience for the First Nations People of NSW’ highlighted Aboriginal communities’ successful responses to COVID-19 global pandemic.

Panellists praised the actions of ACCHOs in communicating clear information about the global pandemic very early to Aboriginal communities to keep them safe. Comments made included:

  • ACCHOs were prepared earlier than much of mainstream Australia, and because of the need to protect culture, understood the risk and took steps to mitigate any risk by closing off communities.
  • Communities worked together embracing covid measures – not complaining or resisting the limitations of the COVID Guidelines promoted by ACCHOs…and provided practical help to each other, networking and sharing what was working.
  • One of the key strengths is our culture of connectivity which served us during the pandemic as we were all communicating / connected / informed.

The panel also warned of new health epidemics looming – even higher trends of intergenerational trauma, overrepresentation of kids in out of home care and juvenile justice.

To view the full article click here.

blurred background of green hill & people, clear image Aboriginal man with Aboriginal flag mask, ochre beanie, denim jacket, strap of black backpack looking serious

Image source: SBS NITV website.

Vaccinating 3,500 across 75,000 sq kms

Five hours’ drive from Darwin, Barunga laundromat manager Frederick Scrubby, 55, is not convinced that he should get the COVID-19 vaccination. Mr Scrubby, a community leader, said COVID-19 affected people far away, in Sydney and Melbourne. “None of my mob is infected,” he told Aboriginal health practitioner Raelene Brunette. She is going door to door in Barunga and nearby Beswick to address fears and explain how important the vaccine was to keeping elders — and their culture — alive. Sitting on a chair in the red dirt outside his laundromat, Mr Scrubby said he would have the jab if Ms Brunette had it first. Agreed, she said.

With a total of 149 cases and no deaths, Indigenous Australians have done so well at keeping COVID-19 at bay — many remote communities closed the gates to outsiders last year — that many people think it is no longer a threat. Some Aboriginal people have told Ms Brunette they’d rather go bush and hide instead of risking a blood clot from the AstraZeneca vaccine. The Therapeutic Goods Association has reported 18 cases of thrombosis with thrombocytopenia syndrome, including one death, from the first 1.8 million doses of AstraZeneca given in Australia.

Senior Indigenous health leaders meeting in Katherine expressed serious concerns about increasing resistance to getting vaccinated. John Paterson, the chief executive of the Aboriginal Medical Services Alliance of the Northern Territory (AMSANT), said members were reporting community hesitance “because of the media around blood clotting [associated with AstraZeneca vaccine]“. AMSANT represents 26 Aboriginal-controlled medical services.

To view The Sydney Morning Herald click here.

Binjari man Christopher Frith, 62 (red black white grey polo shirt, long grey beard & hair on balding head) get's covid-19 vaccine at Katherine's Wurli Wurlinjang Health Service, looks worriedly to the side as the vaccine is injected

Binjari man Christopher Frith, 62 gets the shot at Katherine’s Wurli Wurlinjang Health Service, Photo: Rhett Wyman. Image source: Brisbane Times.

Family violence supports discriminate

The fact that many Australians recognise the names of people like Hannah Clarke and Rosie Batty and little Kobi Shepherdson, the fact that strangers march in the streets calling for justice on their behalf, is a reflection of the increasing consciousness of domestic and family violence in this country. But for all the hard-fought gains in putting this issue on the national agenda, a stunning lack of attention has been dedicated to one of the most critically impacted groups: Aboriginal and Torres Strait Islander women.

Have you heard of Tamica Mullaley and her son, Charlie, for example? What about Jody Gore? They have endured family violence so shocking you’d imagine their names dominating front pages and news bulletins. But, no. Their names are barely spoken, their stories little told. There are no nationwide vigils or street-filling marches.

To view the full article click here.

Aboriginal woman with hand out-stretched in front of face with the word enough written palm of hand

Image source: SBS NITV website.

What GPs can expect from the Budget

Responding to the 2021–22 Federal Budget, RACGP President Dr Karen Price said additional funding for primary care, aged care and mental health is welcome, but the finer details ‘make all the difference’. RACGP newsGP have prepared a summary of the major measures affecting GPs, under the headings: primary care, COVID-19 response, Medicare, aged care, rural health, mental health, and disability.

To view the article click here.

copies of cover of 3 Budget 2021–22 budget paper

Image source: RACGP newsGP.

Kidney Disease Webinar TOMORROW

Kidney Health Australia is hosting a Health Professional Webinar Chronic Kidney Disease & Acute Kidney Injury presented by Professor Karen Dwyer tomorrow evening Tuesday 18 May at 7:30 PM AEST. You can view a flyer here.

If you have not registered and are interested in attending, you can register up until the day here.

Kidney Health Australia logo large letter 'K' with elongated half circles in white either side of the join of the 'K', blurred image of Aboriginal man in the background & blood flowing through dialysis machine

Image of dialysis patient from SBS NITV website.

NACCHO Aboriginal Health News: Acceleration of efforts to reduce overincarceration

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

Acceleration of efforts to reduce overincarceration

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

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

To view the Coalition of Peaks media release click here.

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

Photo: Getty. Image source: BBC News website.

Aboriginal people still dying in custody

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

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

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

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

To view the BBC article in full click here.

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

Photo: Getty: Image source: BBC News website.

Deaths in custody & intergenerational healing

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

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

You can view a transcript of the interview here.

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

Image source: Parks Australia website.

NDIS independent assessments on hold

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

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

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

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

rear view of seat and wheel of a wheelchai

Image source: Pro Bono Australia News website.

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

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

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

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

Review of kidney transplant wait-listing

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

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

To view the full research paper here.

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

Image source: Renal and Urology News.

Lessons from subsidised spectacles scheme

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

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

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

To view the full research paper click here.

Aboriginal man wearing eye test equipment spectacles

Image source: Optometry Australia website.

NACCHO Aboriginal Health News: Important Update from CMO to COVID-19 Vaccine Delivery Partners

Important Update from CMO to COVID-19 Vaccine Delivery Partners

Dear Australian COVID-19 Vaccine Delivery Partner

By now you will be aware of advice provided by the Australian Technical Advisory Group on Immunisation (ATAGI) in light of the evolving evidence of a rare but serious side effect involving thrombosis with thrombocytopenia following receipt of the AstraZeneca vaccine.

This ‘thrombosis with thrombocytopenia syndrome’ (TTS) is a newly described serious condition, with unusual blood clots in the brain (cerebral venous sinus thrombosis) or in other parts of the body, associated with low platelet levels and can cause serious long term disability or death.

The evidence that connects TTS to receipt of the AstraZeneca vaccine has been reviewed by ATAGI and the Therapeutic Goods Administration (TGA) and subsequently, ATAGI has recommended new changes to the Australian COVID-19 Vaccine Program including a preference for the use of the Comirnaty (Pfizer) vaccine in adults aged under 50 years.

The ATAGI statement (found here) provides further information on the key considerations that went into formulating this advice.  Amongst these were the following:

  • TTS remains an extremely rare event among vaccine recipients. Experience in Europe has shown approximately  4 – 6 people in every one million people develop TTS in the 4-20 days after the first dose of vaccine. However higher rates have been reported in some countries, and among younger people. One person in Australia developed the syndrome after receiving the AstraZeneca vaccine.
  • While Australia currently has very low or no community transmission of COVID-19, this could change. The risk of serious disease and death in Australia remains, even as border controls and other measures continue.
  • The individual benefit-to-risk balance of vaccination with COVID-19 vaccine AstraZeneca in Australia varies with age. The risk of ongoing health issues and death from COVID-19 is highest in older age groups, particularly rising from 50 years of age. By comparison, the rate, and so possibility of disability and death from TTS may be higher in younger people.

Please note that ATAGI has further recommended that:

  • The AstraZeneca vaccine should only be used in adults aged under 50 where the benefits clearly outweigh the risk for that individual and the person has made an informed decision based on an understanding of the risks and benefits.
  • People who have had the first dose of COVID-19 Vaccine AstraZeneca without any serious adverse effects can be given the second dose, including adults under 50 years.

The Australian Government places safety above all else, as it has done throughout the pandemic, and will continue to follow the medical advice in protecting Australians. On this basis, the Government has accepted ATAGI’s recommendations and will move swiftly to ensure Australia’s vaccination program and advice to patients is adjusted accordingly, as per the TGA’s and Department of Health Secretary and Chief Medical Officer statements.

In the short term, and in line with ATAGI’s recommendations, you may want to contact any patients under 50 who are currently booked to receive their first dose of the AstraZeneca COVID-19 vaccine and cancel in cases where the benefit clearly does not outweigh the risk.

As per the previous ATAGI statement on 2 April (found here), please remain alert for warning signs of TTS in those who have received the AstraZeneca COVID-19 vaccine. So far these have included as either central venous sinus thrombosis (CVST) or thrombosis in other sites, such as intra-abdominal venous systems. These presentations have occurred between 4 and 20 days following receipt of the AstraZeneca COVID-19 vaccine. CVST may present as a new onset persistent headache not settling with analgesia, features of raised intracranial pressure (including acute severe headache, vomiting, confusion), focal neurological deficits, and/or seizures. Thrombosis in the intra-abdominal venous system may present as abdominal pain.

I appreciate that this change in direction is sudden, and may cause additional stress and difficulty over the next period. It is also likely to contribute to an increase in vaccine hesitancy amongst your patients. GPs are key to managing this risk in their roles as trusted advisors, and we expect that you will be called upon to assist your patients to make an informed decision based on their individual circumstances.  I suggest you reiterate to your patients:

  • the risk of developing this side-effect following receipt of the AstraZeneca vaccine is extremely rare;
  • the new age-based recommendations are made out of an abundance of caution and the benefits of the COVID-19 AstraZeneca vaccination outweigh the risks for the vast majority of people; and
  • that if you have received your first dose of the vaccine with no major adverse reaction, you are strongly encouraged to receive the second dose as planned.

If you have questions about specific patients with prior medical conditions, you can contact the specialist immunisation service within your jurisdiction.

The Department is further developing and refining resources for informed consent that clearly convey the benefits and risks of vaccination for both providers and consumers, and we will continue to provide you with advice and patient resources in coming days and will be sent directly to you. The attached script has also been developed to assist your practice to respond to patients who may call with questions about the AstraZeneca vaccine. Please continue to check www.health.gov.au for the most up to date information.

ATAGI and the TGA will continue to review the evidence on a regular basis,  and as with everything during this pandemic, it is possible that there may be further changes to this advice as new evidence emerges or the epidemiological situation changes. The Department will be working with states and territories to determine how those under the age of 50 in phase 1 can access the Pfizer (Cominarty) vaccine in a timely fashion.  We will keep you updated with this process as it continues, and will come back in coming days with further resources and information.

I want to take this opportunity to again thank you for your flexibility, commitment and resilience during the pandemic.

Prof Paul Kelly MBBS, DTM+H, PhD, FAFPHM

Chief Medical Officer

Australian Government Department of Health

The script prepared for General Practices to assist in responding to patients with questions about the AstraZeneca COVID-19 vaccine can be found here.

The Department of Health acknowledges the Traditional Custodians of Australia and their continued connection to land, sea and community. We pay our respects to all Elders past and present.

Ministerial Media Release: AstraZeneca COVID-19 Vaccine

The Australian Government received advice from the vaccine expert taskforce, the Australian Technical Advisory Group on Immunisation (ATAGI). The Government accepts the advice from Australia’s medical experts and will move swiftly to ensure Australia’s vaccination program and advice to patients is adjusted accordingly.

The Australian Government places safety above all else, as it has done throughout the pandemic, and will continue to follow the medical advice in protecting Australians. The ATAGI advice is clear that the AstraZeneca COVID-19 vaccine is highly effective in preventing severe disease caused by COVID-19. The medical advice to the Government is that the risk of blood clotting side effects from the Astra Zeneca vaccine is four to six in one million people, in the first four to 20 days post the vaccine.  This is a rare but serious side effect.

Read the full media release here.

SWAMS pick up rural health award

The South West Aboriginal Medical Service (SWAMS) has been recognised for its outstanding work in the public health sector at the 2021 WA Rural Health Awards. The organisation’s Kaart Darabiny ‘What are you thinking?’ Mental Health Team was successful in the Building Healthy Country Communities category at the awards, which were held last month. The program is designed to support young people at risk and using culture to promote a holistic view on wellness as well as working with clients who have experienced trauma.

Seven doctors from the South West, more than ever before, were also recognised at the ceremony for 40 years of service to rural health. Mary Collins, Ronald Jewel, Michael Peterkin, Frederik Pretorius, Phil Reid, David Robinson and Allan Walley all received recognition and were thanked for their service by Rural Health West chief executive Tim Shackleton. “We are extremely pleased to shine a light on the work undertaken by these outstanding health professionals and sincerely thank them on behalf of their patients and the rural communities they serve,” he said.

To view the full article click here.

photo of SWAMS' Kaart Darabiny Mental Health Team - 3 women, 2 men holding rural health award

SWAMS’ Kaart Darabiny Mental Health Team. Image source: South Western Times.

Call for radical mental health system reform

The Australian Association of Social Workers’ (AASW) submission to the House of Representatives Select Committee inquiry into Mental Health and Suicide Prevention has called for government to seize the opportunity to build a more cohesive system of mental health support that will radically reform Australia’s mental health system. AASW CEO, Cindy Smith, said the AASW’s extensive submission draws on decades of experience of its members working with some of the most vulnerable and marginalised people in our society and this submission and its recommendations for improvements to the mental health system are consistent with previous submissions. “Social workers have been talking about the failings of the mental health system for decades and here we are in 2021, still beset by long waiting lists to access publicly funded services, inadequate rebate amounts under Better Access, and a shortage of mental health professionals across the country.”

To view the AASW media release in full click here.

drawing of a head, inside the head in a map of Australian raining with water going doing neck into a drain hole

Artwork by Matt Davidson. Image source: The Sydney Morning Herald.

Rural and Remote health COVID-19 roundtable

Regional Health Minister, Mark Coulton MP, chaired the 12th special rural and remote health COVID-19 roundtable with members of the Rural Health Stakeholder group on 18 February 2021. A summary of the proceedings and decisions can be found here.

outback road with signs of camel, wombat, kangaroo & text 'nest 96 km'

Image source: AJP.com.au.

Health professional kidney disease webinar

Kidney Health Australia are hosting a Health Professional Webinar discussing chronic kidney disease in Aboriginal and Torres Strait Islander Peoples. The webinar will be presented by Associate Professor Mark Thomas at 7:00 PM Tuesday 20 April 2021.

Registration is essential. You can register here or via the link in this flyer.banner text'Kidney Health Australia Health Professional Webinar Kidney Disease in Aboriginal & Torres Strait Islander Peoples Presented y: A/Prof Mark Thomas When: Tuesday 20 April, 7.00 PM AEST; image of two Aboriginal men against outback setting

Add your voice to family violence consultation

The Australian Government has opened public consultation on the next National Plan to reduce family, domestic and sexual violence in Australia. All Australians can add their views and voices to the consultation via an online questionnaire, available on the Engage website. Women who have experienced violence, family safety advocates, service providers and other stakeholders will also be invited to take part in a two-day National Women’s Safety Summit to be held on 29 and 30 July 2021. The Summit was agreed as part of the establishment of the Taskforce on Women’s Safety in December last year.

To view the joint media release here.segment of cover of plan with text 'National Plan to reduce violence against women & children' background in yellow paper chain of girl/woman against khaki background

Decolonising public health policies 

Wingara Mura Leadership Program Academic Fellow Carmen Parter has written a PhD thesis with the title Decolonising public health policies: Rightfully giving effect to Aboriginal and Torres Strait Islander peoples’ knowledges and cultures of ways of being, knowing and doing in public health policies.

In her thesis Carmen argues that ‘for the knowledges held by Indigenous people to be recognised and valued, the dominant western non-Indigenous culture must accept that Indigenous people’s cultural knowledges of ways of being, knowing and doing are relevant to policy production.’ Carmen goes on to say in her concluding remarks ‘As policy makers and all levels of government embark on a new National Closing the Gap Agreement (Australian Government, 2020), a continued and trusting co-design approach that is a genuine partnership with Aboriginal and Torres Strait Islander people and communities is paramount. A systems perspective is warranted to address the ingrained and invisible colonialist, imperialist and racialized paradigms – the native assumptions – that have dominated the Indigenous affairs and Indigenous public health policy environment for the last 31 years.’

To view the thesis in full click here.

blurred image of a city overlaid with Aboriginal flag colours & text 'decolonise'

Image source: Eco-shout website.

COVID-19 an opportunity to build a better healthcare sector

The opportunities of the COVID-19 pandemic continue to represent an opportunity for Australia to do better in supporting the health of all, according to the Australian College of Nursing (ACN). Speaking on World Health Day, ACN Chief Executive Officer, Adjunct Professor Kylie Ward FACN, said that the World Health Organisation (WHO)’s annual report should be seen as an opportunity by governments to build a better health care sector as the world rolls out the COVID-19 vaccine.

“Many of the issues identified by the WHO are issues that we face not only in Australia, but in our Pacific region where we have a role to both lead and support local health systems,” Adjunct Professor Ward said. “We must use the pandemic as an opportunity to continue to support people most impacted by global inequality in health care, not just to aim to return to the previous status quo.”

Adjunct Professor Ward said the Australian Government must use World Health Day to look to support the most vulnerable members of our community, including Aboriginal and Torres Strait Islander peoples, Australians living in rural and remote areas and elderly Australians.

To view the article in full click here.

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

Image source: Benefits pro.

Fully-funded community data use course – BE QUICK!

After the successful launch of its Full-Time Data Analytics (the science of being able to tell an accurate story from a set of data) and Cloud Course, Goanna Education is offering a part-time course that you can fit around your work schedule.

This fully funded program has been developed in conjunction with Data Analysts working in the industry, educators and technical recruiters. This program will teach participants how to identify the right data, make sure that data is fit for analysis, analyse the data and then present it visually in order to better explain the results to other people. The course is designed specifically for Indigenous Australia and it is a requisite that students identify as Aboriginal or Torres Strait Islander to apply.

The part time Data Analytics course starts on Monday 12 April 2021.

It is made up of:

  • 6–7 week self-study blocks with weekly online drop-ins, and
  • 4 intensive learning weeks: 1. Excel: 24–28 May; 2. Excel: 19–24 July; 3. Databases: 13–17 Sep; and 4. Power BI: 18–22 Oct.

The course includes the opportunity to sit exams for 3 Microsoft Certifications and finishes 22 October 2021.

To register click here. collage of 3 tiles, each with Aboriginal student, text 'career pathway support', no experience needed, fully-funded' & goanna Education logo superimposed

VIC – Mooroopna/Shepparton – Rumbalara Aboriginal Co-operative – multiple positions

Health Outreach Worker x 1 PT (Fixed Term) – Mooroopna

The Outreach Worker plays a pivotal role in service coordination, advocacy and support for the Aboriginal and Torres Strait Islander community throughout the Integrated Team Care Goulburn Valley Primary Health Network Region. You will be required to provide culturally appropriate coordination of care for patients with complex needs/chronic disease including treatment, early intervention and prevention and associated services in the context of an Aboriginal Health Service.

To view the position description and to apply click here.

Applications close 4:00 PM Tuesday 13 April 2021.

Specialist Aboriginal Family Violence Team Leader (Orange Door) x 1 FT – Shepparton Office

The Aboriginal Family Violence Team Leader is a leadership position co-located in The Orange Door site and will have a significant role to work closely with other Orange Door partners as well as provide supervision to the Aboriginal Family Violence practitioners to lead high quality, culturally safe and effective responses to Aboriginal and Torres Strait Islander people seeking support and safety.

To view position description and to apply click here.

Applications close 4:00 PM Friday 16 April 2021.

Specialist Aboriginal Family Practitioner (Orange Door) x 1 FT – Shepparton Office

The Aboriginal Family Violence Practitioner will provide screening, assessment, triage and short-term response to all incoming referrals through the Orange Door Hub using an Integrated Practice Framework and ensuring the delivery of high quality, culturally safe and effective responses to Aboriginal and Torres Strait Islander people seeking support and safety.

To view position descriptions and to apply click here.

Applications close 4:00 PM Friday 16 April 2021.

Family Partnership Worker x 1 FT (identified) – Mooroopna

Culturally support delivery of The Australian Nurse-Family Partnership Program to clients, alongside the Nurse Home Visitor and Nurse Supervisor. Includes, promotional event planning and coordination, cultural connection and community networking.

To view position description and to apply click here.

Applications close 4:00 PM Tuesday 20 April 2021.

Nurse Home Visitor x 1 FT (fixed term) – Mooroopna

Deliver the Australian Nurse-Family Partnership Program to clients in a home setting, alongside the Family Partnership Worker and Nurse Supervisor. Includes, promotional event planning and coordination, maintaining stakeholder networks, improving pregnancy outcomes, improving child health and development and helping parents develop a vision for their own future.

To view position description and to apply click here.

Applications close 4:00 PM Tuesday 20 April 2021.

Kinship Case Manager x 1 FT – Mooroopna

Work with and support children and young people and carers to meet case contracted kinship targets.  The role will work directly within case management and care teams ensuring a shared understanding of key issues related to theoretical frameworks including attachment theory, trauma theory, brain development, ages and stages of development, resilience theory, strength-based approach and the neurobiological development of maltreated children. The minimum qualifications required to be considered for these positions include: Tertiary qualification in Community Services, Social Work, Youth Work or related discipline.

To view position description and to apply click here.

Applications close 4:00 PM Friday 23 April 2021.

Team Leader Kinship Care, Better Futures Home Stretch x 1 FT – Mooroopna

Provide strong leadership to a team of workers, oversee and maintain the responsibility for the Better Futures, Home Stretch Programs, staff operating in this space to ensure young people are transitioning occurs from Kinship Care to Better Futures Home Stretch. Minimum qualifications required to be considered for these positions include: Tertiary qualification in Community Services, Social Work, Youth Work or related discipline.

To view position description and to apply click here.

Applications close 4:00 PM Friday 23 April 2021.

Family Preservation Worker x 1 FT – Mooroopna

To provide intensive support to Aboriginal families in a culturally respectful way and to support parents to maintain care or to resume care of their child/children who are referred to the Family Preservation Program by Child Protection. The Worker is responsible for the provision of all aspects of casework services to families referred to the Rumbalara Family Preservation Program Minimum qualifications required to be considered for these positions include: Diploma of Community Services and Welfare Studies or equivalent is preferred.

To view position description and to apply click here.

Applications close 4:00 PM Friday 23 April 2021.

Assessment Officer x 1 PT (3 days per week) – Shepperton

Undertake in home holistic assessments, for people wanting to access Aged Care and Disability related supports and then match the client or carer’s needs and goals to the most appropriate service. The position requires someone who is experienced with navigating funded supports such as the Home and Community Care Program for Younger People (HACC PYP), Commonwealth Home Support Program (CHSP), the National Disability Insurance Scheme (NDIS); has an understanding of the issues faced by Indigenous and Torres Strait Islander people; and has Tertiary qualifications in Aged Care, Community Services, Case management or equivalent.

To view position description and to apply click here.

Applications close 4:00 PM Friday 23 April 2021.

Support Worker x Casual (flexible as per demand) – Shepperaton

Assist members of the Aboriginal and Torres Strait Islander Community by providing direct support to clients and consumers in the delivery of services for Home and Community Care Program for Younger People (HACC PYP), Commonwealth Home Support Program (CHSP) and the National Disability Insurance Scheme (NDIS) offered by Rumbalara Aged Care and Disability Services. Minimum qualifications required to be considered for this position include: Qualifications in Certificate IV in Aged Care Work or equivalent, or willing to undertake such training.

To view position description and to apply click here.

Applications close 4:00 PM Friday 23 April 2021.

external view of Rumbalara Aboriginal co-operative Ltd building & logo: Aboriginal art of emu against 3 curves rainbow shaped lives in red yellow black colours

Image source: Baldasso Cortese Architecture website.

NACCHO Aboriginal Health News: NDIS Ready Indigenous Business Support Funding grant round opening soon

Feature tile text 'NDIS Ready Indigenous Business Support Funding Grant Round Opening Soon' & image of tile with same text & logo artwork

Hi there

You may have accidently received the previous blog post that went out earlier today. Our WordPress site had a ‘whoops’ moment and it was published by mistake.

We apologies for the error! This is the final version of today’s NACCHO Aboriginal Health News.

Thank you.

NDIA Ready IBSF grant round opening soon

Attention NACCHO members!

We are excited to announce that the NDIS Ready Indigenous Business Support Funding (IBSF) grant round will be opening soon!

IBSF offers funding to eligible ACCHOs to help address:

  • basic establishment costs, and/or
  • business and technical challenges in registered and delivering services under the NDIS.

Grants of $20,000 will be available for up to 100 member ACCHOs. ACCHOs will be contacted shortly via email with information about the grants and how to apply.

image of wheelchair wheel & seat overlaid with Aboriginal dot painting gold, red, blue white tones

Image source: AbSec website.

Outcry over fifth death in custody in a month

The fifth Indigenous death in custody in a month has provoked an outcry by Aboriginal leaders after a 45-year-old maximum security inmate died in a WA prison. The prisoner from WA’s Casuarina Prison, who has not been publicly identified was taken to the secure wing of Fiona Stanley Hospital in southern Perth where he underwent a medical procedure and was placed in intensive care where he died.

Among the outcry from Indigenous leaders, Victoria’s first Aboriginal politician, Greens Senator Lidia Thorpe posted on Twitter that the man was “the 5th Aboriginal person to die in this country’s criminal legal system since the start of March. The pain is never ending! No justice, no peace!!,” she wrote. Since 1991, almost 500 Indigenous Australians have died in prison or in the custody of police.

To read the full article click here.

Indigenous Senator Lidia Thorpe holding Aboriginal flag & wearing hat with the word Deadly at an Invasion Day rally in January 2021

Indigenous Senator Lidia Thorpe (above at an Invasion Day rally in January) has protested at the fifth death in custody in a month. Picture: Darrian Traynor. Image source: news.com.au

Fears new NDIS assessments not culturally safe

Submissions to a parliamentary inquiry have raised concerns that controversial proposed changes to the NDIS will not serve people from Indigenous and culturally and linguistically diverse backgrounds. A parliamentary committee examining controversial independent assessment reforms under the NDIS has been warned about the potential impact of changes on Indigenous and culturally diverse communities.

The inquiry is looking into the proposed changes intended to overhaul the evaluation process for determining an individual’s eligibility for support and funding under the disability support scheme. Currently, people with disability are required to submit evidence from their own experts such as specialists for evaluation by the National Disability Insurance Agency (NDIA).

The reforms would instead see participants undergo an “independent assessment” from an allied health professional employed by contracted providers – paid for by the Australian government. Critics claim the move is a cost-cutting exercise that will leave participants worse off and undermine their control over the support they receive – a claim strongly denied by the government.

To view the full SBS News article click here.

portrait photo of SA artist Jackie Saunders with her artwork in the background

Ngarrindjeri Wirangu woman and artist Jackie Saunders lives with FASD. Image source: SBS News website.

Funding boost for Indigenous healthcare provider

FIRST Peoples’ Health and Wellbeing has received nearly $2 million to expand its services. The Frankston-based Indigenous healthcare provider’s CEO, Karinda Taylor, said the funding would “ensure that first nations’ people are provided with culturally safe services that meet the health and wellbeing needs of local communities”. The funding was secured through the federal government’s Indigenous Australians’ Health Programme. and is expected to fund service expansion and minor capital costs until 2023.

Dunkley MP Peta Murphy said, “the City of Frankston is home to one of the fastest growing indigenous populations in Victoria. This funding will allow First Peoples’ Health and Wellbeing to continue their crucial work and expand their local services. I’m proud to have lobbied the federal government for this additional funding”.

To view the full article click here.

FIRST Peoples’ Health and Wellbeing’s Naaz Stojkova and Karinda Taylor with MPs Peta Murphy & Paul Edbrooke standing outside FPH&WS shopfront

FIRST Peoples’ Health and Wellbeing’s Naaz Stojkova & Karinda Taylor with MPs Peta Murphy & Paul Edbrooke. Image source: Bayside News.

Crusted scabies NT study

Scabies is listed as a neglected tropical disease by the World Health Organization. Crusted scabies affects vulnerable and immunosuppressed individuals and is highly contagious because of the enormous number of Sarcoptes scabiei mites present in the hyperkeratotic skin. Undiagnosed and untreated crusted scabies cases can result in outbreaks of scabies in residential facilities and can also undermine the success of scabies mass drug administration programs.

Crusted scabies became a formally notifiable disease in the NT in 2016. A 2-year prospective study of crusted scabies cases notified between March 2016 and February 2018, with subsequent follow up for 22 months has been conducted. Demographics, clinical and laboratory data, treatment and outcomes were analysed, with cases classified by severity of disease.

The study concluded that crusted scabies can be successfully treated with aggressive guideline-based therapy, but high mortality remains from underlying comorbidities. Reinfection on return to community is common while scabies remains endemic.

To view the research article in full click here.

crusted scabies manifestation on feet & sarcoptes scabiei mite under the microscope

Sarcoptes scabiei mite under a microscope. Image source: Managing Crusted Scabies in Remote Communities 2017 Edition.

The Lucky Country – but not for all

Australia’s lack of action on climate change, treatment of Indigenous people and the ongoing detention of refugees have been singled out for criticism in Amnesty International’s annual report into the state of human rights around the world: Amnesty International Report 2020/21 – The State of the World’s Human Rights. The report highlighted widespread public support for raising the age of criminal responsibility from 10 to 14, and Australian law makers reluctance to move on an important reform which would have a significant impact on the health and wellbeing of Indigenous children. “Australians like to see ourselves as living in the lucky country, and that’s true for the privileged among us, but there are swathes of our community who are unable to access justice and the basic rights to which we’re all entitled,” Amnesty International Australia National Director, Samantha Klintworth, said.

To view Amnesty International Australia’s media release in full click here.

remote Aboriginal community with multiple beds in the open outside a dwelling

Image source: Street Smart Action Against Homelessness website.

Check yourself, before you wreck yourself

A major push to improve the health of the Indigenous community was launched by the Australian Government last month, with a focus on increasing Annual health checks. Backed by a new radio advertising campaign delivered in five Aboriginal languages: Kriol, Yolngu Matha, Warlpiri, Arrernte and Burarra, the Government is encouraging Aboriginal and Torres Strait Islander people to see their GP and have a 715 health check.

The health check, listed as item 715 on the Medicare Benefits Schedule, is tailored specifically to support Aboriginal and Torres Strait Islander people of all ages. It is free and available every nine to twelve months. Minister for Health and Aged Care, Greg Hunt said the health checks are an opportunity for early intervention, prevention and chronic disease management for all age groups.

In one of the campaign’s latest resources comedian Sean Choolburra urges mob to get a regular 715 health check. After completing his 715, Sean says there’s nothing to be afraid of. “It was what I expected – I had my hearing checked, my eyesight checked, and I thought my eyesight has been getting worse, but apparently Dr. Prabash says I have great eyes. No joke, I do have great eyes,” says Sean. “I’d love to bring my kids in because they seem to not hear me. And they don’t seem to see their clothes all over the floor and their empty cups. I think they’re the ones who need their eyes and hearing checked!” Sean jokes.

Further information, including resources for patients and health practitioners is available here.

To view the Minister for Health’s media release click here and to view the Sean Choolburra case study click here.

Aboriginal comedian Sean Choolburra getting ear check by health professional - Sean's mouth is wide open

Comedian Sean Choolburra. Image source: Department of Health.

Suicide rises linked to disasters

NSW suicide deaths data released today highlights the need for immediate action to address distress in our community and future-proof against disasters. According to the NSW Suicide Monitoring and Data Management System there have been 104 suspected or confirmed suicide deaths reported in NSW from 1 January to 31 January 2021. This is significantly more than the number of deaths reported within the same period in 2019 (75) or 2020 (81). Suicide Prevention Australia, CEO, Nieves Murray said, “Any increase in deaths by suicide is a tragedy. The ripple affect across families, workplaces and communities is unfathomable. “The past year has presented many trying circumstances across NSW communities including droughts, bushfires and COVID-19. This has increased risk factors for suicide such as financial distress and unemployment.

To view the Suicide Prevention Australia media release click here.

split image of a tree, half green & lush, half bare branches grey skys

Image source: Psychiatric Times.

COVID-19 vaccine priority groups

In this video, Professor James Ward explains why Aboriginal and Torres Strait Islander people will be some of the first to receive the COVID-19 vaccine. Professor Ward says he’s heard some concerns regarding which vaccine people will get and why the vaccine is being rolled out to our mob first. Aboriginal and Torres Strait Islander people, like other Indigenous peoples around the world, will be some of the first to receive the vaccines. This is solely to protect our Elders and those in our communities with underlying health conditions. Without the vaccine, our population will remain susceptible to COVID-19. When it’s your turn to be vaccinated, you’ll have access to whichever vaccine is available at that time. There’ll be enough vaccine doses for everyone in Australia.

VIC or ACT – Melbourne or Canberra – Australian Physiotherapy Association (APA) 

Senior Advisor – Aboriginal and Torres Strait Islander Health  x 1 PT (4 days/week)- Melbourne or Canberra

The Australian Physiotherapy Association (APA) is the peak body representing the interests of over 28,000 physiotherapists in Australia. It does so by advocating for access to quality physiotherapy services, providing leadership in the wider health landscape, creating lifelong learning opportunities for members, and promoting the value of physiotherapy to the community.

The Senior Advisor – Aboriginal and Torres Strait Islander Health (ATSIH) is responsible for the development and implementation of our Aboriginal and Torres Strait Islander Health policy and advocacy initiatives, including the implementation of our Reconciliation Action Plan (2021-23), Physiotherapy Cultural Safety Action Plan and our involvement in the Close the Gap (CtG) Campaign.

To view the job description and to apply click here. Applications close Wednesday 14 April 2021.logo: text 'Australian Physiotherapy Association' & triangular blue shape with cursive letters APA, all in blue & white

NSW – Sydney – The University of Sydney 

Senior Ad (identified) x 1 FT (Fixed Term) – Sydney – CLOSING DATE EXTENDED

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

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

This role is primarily located at The Children’s Hospital at Westmead in Sydney but will be required to spend short periods in rural and regional Australia.

To view position descriptions and to apply click here. Applications close midnight Sunday 18 April 2021.

drawing of cross-section of kidney & kidney stones

Image source: Kettering Health Network website.

NACCHO Aboriginal Health News: First Australians urged to get vaccinated

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

First Australians urged to get vaccinated

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

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

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

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

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

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

ACCHO’s first vaccine day incredibly successful

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

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

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

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

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

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

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

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

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

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

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

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

Community-based COVID-19 responses among best

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

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

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

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

Image source: The Medical Journal of Australia.

COVID-19 information for Victoria’s mob

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

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

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

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

Victorian Senator Lidia Thorpe. Image source: BBC News.

Updated health check templates survey

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

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

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

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

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

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

Remote PHC Manuals update

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

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

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

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

Aboriginal-led ways to foster mental health

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

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

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

What ‘healing’ means

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

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

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

Healthier smiles in Loddon Mallee

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

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

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

Image source: Bendigo Advertiser.

Proposed NT youth justice changes flawed

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

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

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

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

Image source: Change the Record website.

NSW – Sydney – The University of Sydney

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

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

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

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

vector image of kidneys, one sliced showing kidney stones

Image source: Kettering Health Network.

Purple Day

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

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

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

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

Second phase of COVID-19 vaccine rollout starts

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

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

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

To view the ABC news article in full click here.

Dunghutti Elder & Gandangara Local ALC board member Aunty Gail Smith

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

Kimberley Aboriginal Health Research Alliance launched

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

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

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

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

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

Rhetoric and action gap needs to close

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

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

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

To view the joint media release here.

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

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

Aged care fails remote communities 

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

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

To view the full article click here.

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

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

High youth detention FASD rates acknowledged

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

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

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

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

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

Image source: The Conversation.

International Day for the Elimination of Racial Discrimination

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

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

Diabetes management in Aboriginal communities webinar

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

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

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

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

Aboriginal person's hands - diabetes blood test

Image source: The Medical Journal of Australia.

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

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

First Nations COVID-19 vaccine implementation plan released

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

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

Sydney hospital goes from worst to best

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

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

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

To view the full ABC News article click here.

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

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

Former PM urges women to get COVID-19 vaccine

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

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

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

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

portrait photo of ex-PM Julia Gillard

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

Umoona Tjutagku frontline staff receive COVID-19 vaccine

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

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

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

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

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

Image source: Umoona Tjutagku Health Service Aboriginal Corporation website.

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

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

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

To view the full SBS News article click here.

Aboriginal woman and man both 50+ years

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

Professor Langton talks about the COVID-19 vaccine 

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

You can view the short video and transcript here.

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

Professor Marcia Langton AO, The University of Melbourne.

Pain treatment and opioid use – have your say!

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

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

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

bottles of tablets & blister packs

Image source: NPS Medicinewise website.

System must be held accountable for deaths in custody

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

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

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

Image source: ABC News website.

World Kidney Day

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

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

When compared to non-Indigenous Australians, Indigenous Australians

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

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

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

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

2021 Indigenous Wellbeing Conference

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

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

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

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

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

Inspirational First Nations women celebrated on

First Nations women to celebrate on IWD 2021

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

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

To view the article in full click here.

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

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

Maningrida Health Centre now in Aboriginal hands

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

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

sign outside Manayingkarirra Primary Health Care Centre, Maningrida

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

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

Charlie Gunabarra Chairperson Mala'la Health Service Aboriginal Corporation

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

Vaccine rollout to support Aboriginal & Torres Strait Islander peoples

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

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

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

arm being vaccinated with glove hands

Image source: UNSW Sydney Newsroom website.

Indigenous groups want bigger role in aged care

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

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

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

Image source: Industry Skills Advisory Council NT website.

Doctors combat vaccine hesitancy in Aboriginal communities

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

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

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

To view the article in full click here.

silhouette of Aboriginal woman walking towards Uluru as sun is setting

Image source: Huffpost website.

Suicide prevention inquiry invites submissions

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

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

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

Submissions should be submitted to the Committee by 24 March.

face covered with hands, black background, low light

Image source: UNSW Sydney Newsroom website.

NT Generational Change Impact Report released

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

To view the Minister Moss’ media release click here.

torso of Aboriginal youth sitting on pavement leaning against a wall

Image source: Katherine Times.

Health literacy and equity research findings

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

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

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

To view Croakey’s special edition click here.

wooden platter of tomatoes

Image source: Croakey.

Fear for pets – barrier to leaving family violence

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

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

To view the full article in The Conversation click here.

kelpie cross dog asleep on a step

Image source: Warlukurlangu Artists of Yuendumu website.

International Women’s Day 2021

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

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

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

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

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

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

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

AHW first in Kimberley to receive COVID-19 vaccine

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

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

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

SA – Adelaide – CRANAplus – improving remote health

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

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

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

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

National Day of Women Living with HIV

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

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

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

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

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

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

Kidney Health Week – 15–21 March

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

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

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

Pilbara Aboriginal Health Alliance launch

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

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