NACCHO Aboriginal Health News – ‘we must incorporate justice into health care’

feature tile: text: 'we must incorporate justice into health care' Donnella Mills NACCHO Chairperson - Aboriginal flag painted on brick wall, scales of justice vector image in yellow centre of flag and vector image of stethoscope around yellow circle centre of flag

‘We need to incorporate justice into health care’

According to Donnella Mills, who is the managing lawyer at LawRight Community Legal Centre, Chair of NACCHO, sits on James Cook University Council and is the project lawyer for the Wuchopperen Health Justice Partnership, “we need to incorporate justice into health care.”

Mills was central to the establishment of the Wuchopperen Health Justice Partnership, a partnership between Wuchopperen Health Service (Cairns) and LawRight that sees lawyers provide free legal advice, referral and casework to clients of the health service. “I kept seeing this missing link, we were talking about family wellbeing, child protection, youth detention, we were talking about issues around chronic disease and I just kept thinking how can we be delivering services when we are not connecting people to legal representation?” said Mills. “Our people will go to their ACCHO and tell their doctor about all of their concerns because the trust is there. The trust is not in the legal institution. We need to start talking about incorporating justice in the way we deliver primary health care.”

To view the National Indigenous Times article in full click here.

AHW trainee Darren Braun, Danila Dilba, Palmerston, Darwin NT. Image source: ABC News.

Aboriginal Health Worker trainee Darren Braun, Danila Dilba, Palmerston, Darwin NT. Image source: ABC News.

Vaccines a massive challenge for remote areas

Government health authorities are fine-tuning plans to distribute COVID-19 vaccines to remote and vulnerable Indigenous populations across Australia — a task an Aboriginal health organisation says is an unprecedented challenge.

remote community buildings with Uluru in background

There are an estimated 500 homelands and 70 remote communities in the NT alone — including Mutitjulu, at the base of Uluru. Image source: ABC News.

GP-led COVID-19 vaccine rollout

The Royal Australian College of General Practitioners (RACGP) has welcomed government confirmation that GPs will be at the forefront of Australia’s COVID-19 vaccine rollout. RACGP President Dr Karen Price said GPs will play an important role in the vaccine rollout. “This is a massive undertaking for our country and GPs will be essential. The majority of Australians go to their GP for their vaccinations and for many Australians they will do the same for their COVID-19 vaccine. Vaccinations are one of the greatest success stories of modern medicine and GP-led vaccination programs have been at the forefront all along.”

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

gloved health professional administering a vaccine into an arm

Image source: ABC News.

Peak bodies support COVID-19 vaccine strategy

The Australasian Society for Infectious Diseases (ASID), the Australasian College for Infection Prevention and Control (ACIPC), and the Public Health Association of Australia (PHAA) have come out in support of the Commonwealth Government’s COVID-19 vaccine strategy, stressing that concerns about the ability of any vaccines to create herd immunity were not justified at this stage of the process. Immediate Past President of ASID Professor Josh Davis, ACIPC President Associate Professor Philip Russo, and PHAA President, Professor Tarun Weeramanthri said we need to wait until the Therapeutic Goods Administration has completed its review process of the available vaccines.

To view the media release in full click here.

open cardboard box with hundreds of vials of COVID-19 vaccines

Image source: Science News.

Supermarket profits before Aboriginal health

The NT government has caved in to liquor lobby pressure and imperilled the health of First Nations People by approving a Dan Murphy’s Darwin mega-store for Woolworths and lifting the licence cap for Coles.  According to Professor Lesley Russell and Dr Jeff McMullen the Aboriginal communities will pay the price with their health.

To view the full article published by Michael West Media Independent Journalists click here.

shipping container with spray painted Aboriginal flag heart & word Bagot, superimposed with logos for Woolworths and Dan Murphy's

Image source: BlackBusiness.

Back on Track diabetes campaign

Diabetes Australia and the National Diabetes Services Scheme will launch a new health campaign called Back on Track. The campaign has been developed on the back of research which shows that in the last year many Aboriginal and Torres Strait Islander people disengaged from their routine diabetes and health care management plans due to social distancing, fear of exposure to COVID-19, and a focus on other priorities.

The Back on Track campaign is specifically targeted to Aboriginal and Torres Strait Islander people to encourage them to get ‘back on track’ with their diabetes self-care in 2021. It has been designed to provide practical, culturally appropriate and engaging messaging to encourage people to reconnect with their diabetes health. The messaging acknowledges that ‘things have been tough for everyone’ but that it is still important for people to look after themselves and look out for their friends and family too.

The steps to getting back on track (key messages) include:

  • Check in with our diabetes health team
  • Check our blood sugar and take our medications
  • Check that we are eating healthy food and being active every day
  • Check that we are looking after each other and taking time to look after ourselves.

Back on Track with our diabetes campaign banner

New diabetes research centres

The Medical Research Futures Fund will provide $10 million each for two new research centres to address diabetes and cardiovascular disease through the Targeted Translation Research Accelerator. The aim of the centres is to produce rapid improvements in preventing, treating and curing diabetes and cardiovascular disease, and their complications. A further $18 million of funding will go to support translational research projects in these areas.

To view the media release in full click here.

researcher looking down through a microscope, superimposed with transparent images of the cells

Image source: Australian Government Department of Health.

NACCHO housing for health position paper

Housing is a key determinant of health, yet Aboriginal and Torres Strait Islander people face a range of issues that prevent them from accessing housing that is affordable, adequate, safe and sustainable. Overcrowding is increasingly prevalent, making household members further susceptible to the burden of disease, psychological distress and other health and wellbeing issues. The COVID-19 pandemic is a stark reminder of the importance of housing for maintaining health and slowing and stopping the spread of disease. Significant Australian, state and territory government leadership and investment is urgently needed to Improve housing and health outcomes for Aboriginal and Torres Strait Islander people.

To view NACCHO’s housing policy position paper in full click here.

Walpiri Transient Camp, Katherine (NT) rudimentary tin dwellings in a poor state

Walpiri Transient Camp, Katherine (NT). Image source: The Conversation.

NSW – Wyong – Yerin Aboriginal Health Services Limited

Aboriginal Family Preservation Manager

Yerin Aboriginal Health Services Limited is looking to employ an Aboriginal Family Preservation Manager to provide high-quality management and leadership to the Family Preservation team so they can meet all required legal and practice standards for Family Preservation. This position will provide high quality culturally responsive leadership and management practices that focus on supporting effective, flexible, high quality, child-focused, and family-focused, culturally responsive interventions and supports so that our children and young people can remain safely with their families.

To view the position description and to apply click here. Applications close 9:00 am Wednesday 27 January 2021.Yerin Eleanor Duncan AHS logo

QLD – Toowoomba & Warwick – Carbal Medical Services

Aboriginal Health Worker x 2

Carbal Medical Services (Carbal) is a not-for-profit, charitable organisation that provides health services to members of the Aboriginal and Torres Strait Islander communities in and around Toowoomba and Warwick. The core function of Carbal is to provide medical services to Aboriginal and Torres Strait Islander people through two medical practices and over 17 community programs covering the regions of Darling Downs and Southern Downs.

Carbal is seeking to fill two Aboriginal Health Worker positions based in Warwick and Toowoomba.

To view the position description and to apply click here.

Applications close COB Friday 5 February 2021.Carbal Medical Services logo, words & snake

NT – Darwin – Menzies School of Health Research

Champions4Change Project Coordinator – 6 months FT contract, possible extension

RHDAustralia supports the prevention, diagnosis and management of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in Australia. RHDAustralia is based at the Menzies School of Health Research and is funded under the Australian Government’s Rheumatic Fever Strategy. The Champions4Change (C4C) program is a culturally safe support program for people living with ARF and RHD. With support from RHDAustralia, the program is run by people from across Australia with the lived experience of ARF and RHD, designed and led by Aboriginal and Torres Strait Islander peoples and communities. The C4C Project Coordinator will contribute to the conceptual development of the C4C program using experience-based, co-design approaches, and will implement core components of the program.

For more information and the position description click here.

Applications close Friday 22 January 2021.Menzies School of Health Research logo, words plus dot with 3 concentric circles orange black white

NSW – Blacktown/Campbelltown – OzChild

Aboriginal Practice Lead – identified position

OzChild in Blacktown/Campbelltown is looking for an Aboriginal Practice Lead to join its team. The position will be a part of the Dhiiyaan Mirri (family of stars), OzChild’s Bridging Cultures Unit (BCU) and will support the Functional Family Therapy Child Welfare (FFT-CW), Multi systemic Therapy for Child Abuse and Neglect (MST-CAN) and Treatment Foster Care Oregon (TFCO) Teams at Blacktown and Campbelltown. The position will be based a minimum of 2 days per week at each location, however this can be flexible based on need.

The Aboriginal Practice Lead Position within OzChild will work to ensure that participating First Nation families can benefit from these Evidence Based Models (EBMs), and from time to time other programs that OzChild may deliver. The Aboriginal Practice Lead will also facilitate access and receive support in a timely and culturally responsive manner.

Working with OzChild’s Teams, for the effective delivery of OzChild Services to First Nations Children, Young People and their Families/Kin/Carers, the Aboriginal Practice Lead will contribute from intake through to completion (when required) to the provision of culturally responsive services and a culturally safe working environment through consultation and engagement with OzChild staff, First Nations Peoples, stakeholders and relevant Aboriginal Community Controlled Organisations.

For more information and the position description click here.

Applications close Thursday 28 January 2021.two Aboriginal young girls, one kissing the other on the cheek, OzChild logo

NSW – Newcastle – University of Newcastle

Senior Lecturer in Nursing – FT x 1

The teaching team within the School of Nursing and Midwifery is led by award winning academics who are all specialists in their fields of practice and committed to teaching and learning strategies which develop and enhance nursing knowledge, and the full range of clinical and interpersonal skills needed by nurses and midwives to function as effective practitioners. The School enjoys a close collaboration with local area health services in providing clinical learning experiences for students, in the provision of graduate programs and in the conduct of clinical research. The aim is to prepare and develop nurses to function in a wide range of clinical settings, health facilities and rehabilitation services.

A vacancy exists for a full-time ongoing position located either at the Callaghan Campus or Central Coast, with an expectation to work across the Callaghan and Ourimbah (transitioning to Central Coast in mid-2021, subject to ANMAC approval) campuses as well as online.

In this role, you will promote and foster a collaborative, dynamic, productive and globally competitive research environment through research collaboration, external grant income, publication outputs, and research higher degree graduates. The promotion of excellence in teaching and learning through appropriate curriculum development and delivery is also a key requirement of this role.

For more information and the position description  click here.

Applications close Sunday 14 February 2021.University of Newcastle logo white on black vector of horse head and external image of the uni

NSW – southern NSW – Murra Mia Tenant Advocacy Service 

Tenant Advocates – FT x 2

Murra Mia Tenant Advocacy Service (Southern NSW Aboriginal TAAS) is seeking  two motivated Tenancy Advocates to engage with Aboriginal tenants whose tenancies are identified as at risk and provide a range of interventions.

For more information and the position description click here.

Applications close Wednesday 27 January 2021.outline of NSW, top black, bottom red, middle yellow house, state surrounded by red dots

feature tile text 'strong family relationships prove to be perinatal mental health protective factor' & photo of Aboriginal woman's hands above & below pregnant belly

NACCHO Aboriginal Health News: Perinatal mental health protective factors

feature tile text 'strong family relationships prove to be perinatal mental health protective factor' & photo of Aboriginal woman's hands above & below pregnant belly

Perinatal mental health protective factors

A recent Kimberley Aboriginal Medical Service (KAMS) and Rural Clinical School of WA (RCSWA) paper that retrospectively analysed 91 perinatal mental health assessments from the Kimberley region found that almost all of the women had protective factors and these appeared to contribute to them not having anxiety or depression even if they had significant risk factors. The most prominent protective factor was positive relationships with family members.

The study found that for Aboriginal women, it is important that the health professional explores a woman’s whole context; that is, the way she experiences stress and risk and how her protective factors support her. This will help the woman and her health professional best understand and support her mental health and wellbeing. Assessing Aboriginal women’s perinatal mental health by only looking at risk is not enough.

Plain language reports and a link to the paper are available on the KAMS research website which can be accessed by clicking here.

black and white image of adult Aboriginal hand holding sleeping Aboriginal baby's hand

Image source: Centre of Perinatal Excellence website.

AHCWA launches Mappa platform

The Aboriginal Health Council of WA (AHCWA), in conjunction with its 23 member Aboriginal community controlled health services (ACCHSs) and associated communities have initiated the development and launch of the Mappa platform live to all Western Australians.

Mappa is a free-to-use online mapping platform developed to address the lack of clarity at all levels in regards to healthcare services being delivered across rural, remote and metropolitan regions throughout WA. Mappa provided comprehensive, culturally appropriate and reliable information for health services, health professionals, patients, clients and their communities.

Mappa brings three worlds together: the patient/client journey world; the healthcare world; and the technology world. In doing this, the mapping platform seeks to help those who are not technology savvy and/or have English as a second or third language, busy healthcare providers, clinicians, GPs, allied healthcare providers and those who want an easy way to find a place, a community or a healthcare service and to know how long it will take to get there.

Mappa is about ‘getting the right care, in the right place, at the right time‘, while being with family, at home and on country.

To view the article about the Mappa platform in The West Australian – New Directions in Telehealth liftout (page 3) click here.

To access the Live Mappa Link click here.Mappa Mapping Health Services Closer to Home banner with vector of tree and tree roots in a teardrop pointing to a place on a map

NACCHO supports HIV Awareness Week

NACCHO supports the World Aids Day 2020 theme ‘now, more than ever’ saying it is time to close the gap on rates of HIV notifications amongst Aboriginal and Torres Strait Islander peoples and communities in Australia. NACCHO believes as per the National Agreement on Closing the Gap that there is a real opportunity to take Aboriginal-led approaches and partnerships to address Aboriginal and Torres Strait Islander health outcomes.

NACCHO Deputy CEO, Dr Dawn Casey said, “Our Aboriginal and Torres Strait Islander people face unique issues and social determinants that affect health outcomes, including overcrowded housing. We have demonstrated that a partnership and commitment from the Australian Government’s Departments of Health with NACCHO and direct funding for ACCHOs to address the syphilis outbreak has produced some positive outcomes.”

To read NACCHO’s media release click here.banner text U and Me Can STOP HIV with red, aboriginal flag & Torres Strait Islander flag coloured HIV awareness ribbons

8,000 Katherine patients without GP

Katherine’s only general practice closed its doors last month, leaving the 8,000 patients on its books with no other option but to travel three hours to Darwin for a GP consultation. The decision to close was not an easy one for GP and practice owner Dr Peter Spafford – who has been a resident of the NT town for 19 years and owner of Gorge Health for 10 – but he felt he had no other option.
 
A 2018 workforce assessment conducted by the NT Primary Health Network (PHN) recommended the town, with a population of almost 10,000, needed nine GPs to provide a service equal to elsewhere in Australia. The reality on the ground, however, has been just two GPs, four at best. Constant waitlists have meant there’s always been a difficulty in providing full GP services to the community.

The solution, according to RACGP Rural Chair Dr Michael Clements, is multifaceted and requires a whole-of-system approach that considers everything from housing security and spousal employment to children’s education and the training environment.

To view the full article click here.

road sign Kathering 90 Alice Springs 1263

Image source: newsGP website.

Making the invisible visible

After more than 12 months of hard work, consultation and collaboration, the RACGP has launched a reconciliation action plan (RAP) as part of its vision of a healthcare system free of racism.
 
Designed to help establish a culturally safe organisation that supports continuous education and learning for staff and members, the RAP has been praised by Aboriginal and Torres Strait Islander people within and outside of the college. The plan involves a commitment to improving the knowledge, skills and abilities required to deliver culturally responsive health services to Aboriginal and Torres Strait Islander peoples, which relies on a culturally inclusive and safe environment with strong relationships based on mutual respect.

To view The RACGP Innovate Reconciliation Action Plan October 2020 – September 2022 click here.

To view the related article published in newsGP click here.

Aboriginal woman with Aboriginal face paint looking sideways against a background of blue and white Aboriginal dot and line painting

Image source: newsGP.

World Scabies Program launched

The recently launched World Scabies Program (WSP), headed by Professor Andrew Steer, based on key research by Murdoch Childrens’ Research Institute (MCRI), conducted in partnership with the Fijian Ministry of Health and Medical Services (MHMS) and the Kirby Institute of UNSW Sydney, has shown that scabies prevalence can be reduced by more than 90% with a single community wide treatment.

Scabies is a parasitic infestation of the skin with the parasitic ‘itch mite’ Sarcoptes scabiei. The tiny mite burrows into the upper layers of the skin causing intensely itchy lesions which commonly become infected with bacteria and can lead to more serious conditions such and kidney disease and rheumatic heart disease. In humans, scabies is a particularly significant disease in children, but occurs in both sexes, at all ages, in all ethnic groups, and at all socioeconomic levels. Transmission of the mites from one person to the next is by direct skin to skin contact. Scabies is a significant disease worldwide in humans, wildlife, livestock and domestic animals and is a particularly serious problem in many remote Australia Indigenous communities, where overcrowded living conditions are a major factor contributing to high rates of transmission.

Fiji will be one of the first countries in the world to roll out a nationwide scabies elimination program and will be a model for other countries. Approximately one in every five Fijians is at risk of having scabies at any given time, with children at a higher risk. WSP will scale up this approach to the whole population of Fiji, with an aim to essentially eliminate scabies as a public health problem.

To learn more about the World Scabies Program click here.

scabies mite under a microscope

The scabies mite, Sarcoptes scabiei. Image source: SBS NITV website.

2021 Eye Health Conference abstracts open

Abstract submissions are now open for the 2021 National Aboriginal and Torres Strait Islander Eye Health Conference (NATSIEHC): The Gap and Beyond. The conference will bring elements from the postponed Close the Gap for Vision National Conference 2020 and, in 2021, will be delivered fully online.

The conference will be held virtually from 20–22 April 2021 with abstracts welcome from all working in, or interested in, improving Aboriginal and Torres Strait Islander eye health. Topics should be relevant to Aboriginal and Torres Strait Islander eye health and efforts to close the gap for vision and ultimately eliminate avoidable vision loss and blindness for Aboriginal and Torres Strait Islander peoples in Australia. This could include eye care in primary care; eye care stakeholder collaborations; community-led and cultural engagement approaches and initiatives; workforce development; challenges in coordination and case management; improving outcomes and access to services; health system changes and reform.

For more information about abstract submissions click here. The closing date for abstract submissions is Monday 18 January 2021.banner 2021 National ATSI Eye Health Conference The Gap & Beyond 20-22 April 2021

First signs of ear disease at 8 weeks

Telethon Kids Institute researchers have found close to 40% of Aboriginal babies begin to develop middle ear infections between 2–4 months of age in a first of its kind study in metropolitan Perth. By 6–8 months this increased to over 50% of kids according to results published in Deafness and Educational International, clearly demonstrating the urgent need to prioritise early testing and treatment for Aboriginal children suffering debilitating ear infections, also known as otitis media (OM).

Clinical Associate Professor Deborah Lehmann AO, Honorary Emeritus Fellow at the Wesfarmers Centre of Vaccines and Infectious Diseases, based at Telethon Kids Institute, said 650,000 Australian children are affected by OM each year and Aboriginal children have some of the highest rates in the world. “While our previous research has already shown Aboriginal children are disproportionately impacted by chronic ear disease, most studies have focused on kids in regional and remote areas and information about the true burden of OM in urban areas was very limited,” Professor Lehmann said.

To view the full article click here.

Aboriginal woman with Telethon Kids Institute logo on shift with Aboriginal man holding Aboriginal baby standing outside of a building

Image source: Telethon Kids Institute.

NACCHO CEO makes Australians who mattered list

NACCHO CEO Pat Turner has made the Sydney Morning Herald Good Weekend’s second annual 40 Australians Who Mattered list for her contribution to social justice. Pat’s citation says ‘For decades Pat Turner has being a passionate voice for Aboriginal equality and self-determination, inside and outside governments, particularly in the field of Indigenous health. Her strong leadership was highlighted this year in her role as the lead convenor of the Coalition of Peaks, which brings together more than 50 Indigenous community peak organisations. In July, Turner stood beside Prime Minister Scott Morrison to launch a new national agreement on Closing the Gap, which is supposed to make Indigenous-run organisations central to programs to reduce disadvantage in communities.

“She’s one of the most experienced public servants in Australia,” says federal Labor frontbencher and Wiradjuri woman Linda Burney. “She’s had an incredibly distinguished career spanning both community and government. She shows a willingness to speak truth to power, she understands how governments work and is absolutely committed to driving a proper partnership with Aboriginal people in relation to Closing the Gap.”

To view the full article click here.

portrait shot of Pat Turner sitting in a chair looking directly at the camera, hand to her cheek

Pat Turner AM, NACCHO CEO. Image source: The Sydney Morning Herald.

Activism against gender-based violence video  

Goolum Goolum Aboriginal Co-op has contributed to a video telling the story of what a gender equitable future looks like and the need to call out disrespect, sexism and discrimination. The video, produced with funding from Respect Victoria and the City of Ballarat, is part of the 16 Days of Activism against Gender-Based Violence global campaign to end gender-based violence. The campaign is book-ended by the International Day for the Elimination of Violence against Women on 25 November and International Human Rights Day on 10 December. These days were chosen in order to emphasise that violence against women is a human rights violation. 

To view the article about the video’s launch click here, and to view the video click here.banner with text '16 Days of Activism Respect Women: Call It Out' with vector images of people holding up letters that make up words 'Respect is....'

Dialysis trial focusing on culture

Bluey Roberts had been undergoing dialysis treatment in Adelaide’s major hospitals for the past three years. This year, however, he said things have changed for the better. “It’s more like home here,” Mr Roberts said while overlooking a smoking fireplace at Kanggawodli, a short-term accommodation facility in Adelaide’s north-west for Aboriginal and Torres Strait Islander peoples from across Australia.

Until recently, the site didn’t provide dialysis treatment options — but a trial of on-site facilities has seen immediate results, boosting attendance for vital services. For Bluey, a Ngarrindjeri elder and revered artist whose work features at institutions including the Art Gallery of SA, home is several hours’ drive away. But health difficulties linked to his dialysis needs left him in a challenging spot. “I wasn’t too good when I first came but I’m not too bad now, sort of settled down and got a lot better with my dialysis,” he says.

The six-month SA Health pilot of stationing dialysis machines at Kanggawodli makes it the only treatment location outside of a hospital in a metropolitan setting. Kanggawodli Manager Wade Allan said traditional owners often find hospitals overwhelming and alienating, which results in patients not committing to ongoing treatment.

To view the full article click here.

#swab4mob campaign launch

The Aboriginal Health and Medical Research Council of NSW (AH&MRC) has partnered with The National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP) and other Aboriginal organisations to launch #swab4mob; a campaign aimed at urging Aboriginal communities to protect their families by getting COVID-19 testing if they feel unwell. While there is currently no available COVID-19 vaccine or cure, it is essential that continued testing rates are maintained to help with community control of the virus and assist with contact tracing.

AH&MRC CEO Robert Skeen stated: “The collective voice of Aboriginal communities and Aboriginal health organisations play an important role to help people maintain COVID-19-safe behaviours and high testing rates while there is no cure or vaccine available for COVID-19. Wash your hands, wear a mask in crowded areas, and if you are feeling unwell, even just a slightly, play your part to protect your Community and get a COVID-19 test.”

To view AH&MRC’s press release about the #swab4mob launch click here and to view the #swab4mob video click here.image from swab4mob video David Follent Chairman NAATSHIHWP

NACCHO Aboriginal Health News: Diabetes Australia recognises the outstanding contribution of Aboriginal and Torres Strait Islander Nurse Diabetes Educators for World Diabetes Day

Diabetes Australia recognises the outstanding contribution of Aboriginal and Torres Strait Islander Nurse Diabetes Educators 

Based on self-reported and measured results, Indigenous Australians are almost three times as likely to have diabetes as their non-Indigenous counterparts.  According to the ABS 2018–19 National Aboriginal and Torres Strait Islander Health Survey around 64,100 of Indigenous Australians had diabetes

Tomorrow is World Diabetes Day and the NACCHO would like to highlight the disproportionate rates of diabetes amongst Aboriginal and Torres Strait Islander communities. In 2020, the theme ‘nurses make the difference for diabetes’ focuses on promoting the role of nurses in the prevention and management of diabetes. This is particularly important and necessary with Aboriginal and Torres Strait Islander people who are at risk or living with diabetes. 

Diabetes Australia marked World Diabetes Day and NAIDOC Week celebrating the history, culture and achievements of Aboriginal and Torres Strait Islander Nurse Diabetes Educators.
The theme for World Diabetes Day 2020 is Diabetes: nurses make the difference and the theme for NAIDOC week in 2020 is Always Was, Always Will Be. This theme recognises the fact that First Nations people have occupied and cared for this continent and themselves for over 65,000 years this. An important reminder for health organisations.

Diabetes Australia, CEO Professor Greg Johnson said First Nations nurses are playing a major role in helping to meet the challenges of the diabetes epidemic.

“First Nations Peoples in Australia are four times more likely to develop type 2 diabetes and much more likely to develop serious diabetes-related complications. The gap in health outcomes for indigenous Australians is greatest in diabetes,” Professor Johnson said.

“Despite the size of the challenge, we should take heart that we have a growing First Nations health work force who are working hard every single day caring for, and supporting, people with diabetes.

“There are approximately 3000 First Nations nurses in Australia, and I take this opportunity today to recognise their contribution and, on behalf of people with diabetes, say thank you.”

Download the Diabetes Australia media release for World Diabetes Day here.

Dr Charles Perkins oration

Speaking at the 20th anniversary of the Dr Charles Perkins Oration and Prize, hosted by the University of Sydney, Aboriginal leader Pat Turner AM said governments must continue to prioritise working in partnership with Indigenous organisations to achieve positive outcomes for First Nations people. Ms Turner used her keynote address to outline a blueprint for how Australia could move towards a future of greater acceptance and equality, saying “We have a shared future — Indigenous and non-Indigenous Australians, together — and the two sides must come together to deliver lasting equality and recognition for Aboriginal and Torres Strait Islander peoples.”.

The Dr Charles Perkins Oration provides an esteemed platform for the discussion of race relations in Australia. In 2020, the theme is still relevant with the broader Australian public forced to once again reconcile with uncomfortable truths, just as it did in 1965 when Charles Perkins led a bus tour across NSW, known as the Freedom Rides. Over the past 12 months, issues such as the over-representation of Indigenous people in the criminal justice system, an ineffective Closing the Gap strategy, and examples of blatant disregard for culturally significant Aboriginal sites have laid bare the inequality still experienced by Aboriginal and Torres Strait Islander people, Ms Turner said. “Lasting change can only come when it is embedded in the culture of organisations and traditionally Australian governments are … slow to adapt,” Ms Turner said. Ms Turner said Dr Perkins had led the fight against racial discrimination and segregation by mobilising the mainstream media and Aboriginal communities in unprecedented ways. “He wanted Aboriginal people, his people, to see that we deserved more, should demand more, and could be more,” she said.

To view a transcript of the Dr Charles Perkins Oration delivered by Patricia Turner AM at the University of Sydney on 12 November 2020 click here.

Pat Turner AM at lectern at The University of Sydney delivering the Dr Charles Perkins Oration 2020

Pat Turner AM, delivering the Dr Charles Perkins Memorial Oration for 2020. Image source: ABC Sydney.

 

First Nations health champion

When she was growing up, Ngaree Blow used to read statistics about the health of Aboriginal and Torres Strait Islanders and wonder, “does that mean I’m going to die early?” The figures showed First Nations people had, on average, had a significantly lower life expectancy than the rest of the population. They showed increased rates of heart disease, diabetes, renal disease and a host of other health issues. “That’s where my passion led to uncovering what those statistics actually mean, and how that links into our knowledge and understanding of health and wellbeing as Aboriginal people,” Dr Blow said.

To view the full article click here.

photo of Dr Ngaree Blow looking into distance in garden setting

Dr Ngaree Blow, director of First Nations health at the University of Melbourne’s medical school. Image source: ABC News.

Culturally trained female clinicians needed

More culturally trained female clinicians are needed to help reduce cervical cancer rates in remote Indigenous communities, a Mount Isa nurse says. The Australian Institute of Health and Welfare’s 2019 report found the incidence of cervical cancer in Aboriginal and Torres Strait Islander women was more than double that of non-Indigenous women.

The age-standardised incident rate for Indigenous women aged 20–69 was 22.3 new cases per 100,000 compared to 8.7 new cases per 100,000 for non-Indigenous women according to data from 2011 to 2015. The report also said Aboriginal and Torres Strait Islander women were three times more likely to die from the disease. Clinical nurse consultant Rachel Tipoti said a lack of testing put Indigenous women at higher risk.

To view the full article click here.

portrait shot of Rachel Tipoti against wall with Aboriginal ard

Rachel Tipoti is the only female Indigenous clinician trained in cervical screening, servicing NW Qld remote communities. Image source: ABC News.

Antenatal care links to baby outcomes

This report explores the factors associated with antenatal care use among Aboriginal and Torres Strait Islander mothers, and how these may relate to baby outcomes – including how this varies spatially across the Indigenous Regions (IREGs) of Australia. Having no antenatal care was associated with increased odds of pre-term birth and perinatal death and late antenatal care was associated with increased odds of low birthweight and NICU/SCN admission. In 2016–2017 63% of Indigenous mothers attended antenatal care in the first trimester, up from 55% in 2014–2015. IREGs with higher rates of antenatal care were more likely to have lower rates of adverse mother and baby outcomes.

To view the Antenatal care use and outcomes for Aboriginal and Torres Strait Islander mothers and their babies report click here.

Aboriginal baby in hessian & orange wool in a basket sitting on paperbark

Photo by Aboriginal photographer Bobbi-lee Hille.

Best Practice decision-making

There are thousands of agreements in place between Indigenous and non-Indigenous Australians, covering wide-ranging issues including land use, mining exploration and the provision of health services. But these agreements don’t always work, particularly where parties have little regard for formal agreement provisions, community standards or the spirit of ‘partnership’ with Traditional Owners. Agreement making processes must reflect that Indigenous Australians are more than ‘stakeholders’ and have a special relationship to Country as Traditional Owners. This includes ensuring appropriate representation in negotiations and transparency, as well as effective mechanisms for compliance and review.

The recent National Agreement on Closing the Gap sets out processes for representation, consultation and shared decision making. This demonstrates a commitment to improved partnerships between governments and Aboriginal and Torres Strait Islander organisations and people.

Once the relevant groups are identified, it’s essential that resources are invested to ensure that the relevant Indigenous organisations can participate meaningfully in negotiations, and the subsequent implementation of agreements, including acting as a liaison between the parties.

To view the full article click here.

NACCHO COE Pat Turner AM at a Partnership Agreement on CTG meeting

NACCHO CEO Pat Turner AM. Image source: The University of Melbourne.

Nidjalla Waangan Mia celebrates 10 years

The Nidjalla Waangan Mia team only conducted 24 Aboriginal health checks in its first year of operation. However, 10 years on the service completed 312 health checks in the past year and helps 964 active clients. Celebrating the milestone anniversary during NAIDOC Week, Aboriginal community leader George Walley made a speech and played didgeridoo at the event. “Nidjalla Waangan Mia is quite an extraordinary place because it allows us to now work with families and clients to help them manage their own health – we’ve come a long way,” he said.

“Access is a big issue in terms of health and it’s important to break down the barriers that stop people accessing the health services they need,” she said. “So we have a transport service here, we have outreach services, and we do offer rapid appointments – all the eligible people that come here are offered an Aboriginal health check, offered prevention measures and health promotion measures to live the best lives they can. “Nidjalla now has 964 active clients, which is 56 per cent of the Aboriginal community in Peel based on the last census.”

To view the Mandurah Mail article click here.

Elder, client and GP cutting 10 year anniversary cake

Aboriginal community leader George Walley, GP down south chief executive Amanda Poller, and Nidjalla Waangan Mia client Keith Savage celebrating the organisation’s 10 year anniversary. Image source: Mandurah Mail.

Joe Williams promotes mental wellbeing

Focusing on what matters and reflecting on the ‘small victories’ could be the key to lessening the impact of COVID-19 on our mental health, according to former NRL player and mental health advocate, Joe Williams.

Joe has managed his mental wellbeing during the current global pandemic by focusing on some of the positive aspects to emerge from the significant and sudden changes to everyone’s life. He uses the extra time at home to connect more closely with family. 

“It was my sign to slow down,” says Joe. “I don’t want to say it’s been a positive, but the whole experience has taught me the importance of family. Living more closely with each other and spending more time at home means thinking more about our own words, actions and behaviours.”

For further information click here.

portrat shot of Joe Williams navy suit jacket and grey t-shire

Joe Williams. Image source: 33 Creative.

Eliminating Hep C webinar

EC Australia is hosting a webinar from 12.00 pm-1.30 pm (AEDT) on Wednesday 18 November 2020 presenting the latest hepatitis C data from a national sentinal surveillance network of ACCHOs (ATLAS network) and the results of The Goanna Survey 2; a study of knowledge, risk practices and health service access for sexually transmissible infections (STIs) and blood-borne viruses (BBVs) among young Aboriginal and Torres Strait Islander people.

Findings from a recent study on the barriers and enablers of hepatitis C treatment among clients of urban Aboriginal Community Controlled Health Services in SE Queensland and how the Institute of Urban Indigenous Health (IUHI) have translated these research findings into service delivery. The webinar will also showcase micor-elimination approaches from two local ACCHOs based on outer regional and urban settings and one peer-based model of service delivery.

For further information about the webinar and to register click here.

image of hepatitis C cell

Image source: NPS Medicinewise.

Strong Brother Strong Sister partners with Surfing Victoria

Surfing Victoria and the Victorian Indigenous Surfing Program have signed a strategic partnership with Victorian based Indigenous Youth Organisation, Strong Brother Strong Sister. The organisations have been working closely together since Strong Brother, Strong Sister was founded in 2017 by Cormach Evans, and have now formalised the partnership to continue surfing as a key part of their program.

The Victorian Indigenous Surfing Program is the key initiative of Surfing Victoria’s Indigenous Strategic Pillar and is one of the longest running Indigenous engagement programs in the country. Now in its 23rd year, the program uses Surfing as a way to connect Indigenous Victorians with the ocean while learning new skills, water safety knowledge and healthy habits.

Evans notes “Strong Brother Strong Sister and Surfing Victoria’s partnership will allow the two organisations excellence to grow further and thrive, ensuring First Nations children, youth and their families have the opportunities to connect with community, culture and positive health and wellbeing and a love for the ocean through surfing.”

To view the full article click here.

two male adults and two Aboriginal children surfing

Image source: Australasian Leisure Management website.

Birthing in the city redesigned

Murdoch researchers are redesigning health care for Aboriginal people and the results may radically improve life outcomes for many. Healthy mothers, on the whole, give birth to healthy children and healthy mothers are supported physically and mentally by not only their communities, but their health practitioners and the health systems they deliver.

But what happens when the health system, which has been designed as a one size fits all approach, doesn’t fit?

Murdoch University’s Ngangk Yira Research Center, led by Professor Rhonda Marriott, has been working with Aboriginal communities throughout WA to identify the needs of Aboriginal women giving birth in metropolitan and regional centers. The project, Birthing on Noogar Boodjar, was conceived during a trip Rhonda took to Alice Springs in 2012 to discuss Australian country maternity services for Aboriginal women. The words Noongar Boodjar mean ‘the land that the Noongar people live on,” which is the SW corner of WA.

To view the full article click here.

Minister Wyatt, two researches & two Aboriginal mums and bubs

Image source: Murdoch University.

IAHP Yarnes restart

The Indigenous Australians’ Health Programme (IAHP) Yarnes (Yarning Action Reflection National Evaluation Systems) Team enacted a decision to pause engagement with potential evaluation partners on 31 March 2020 because of COVID-19 and agreed to restart once pandemic conditions permitted safe engagement. Over the last six months, the team remained in contact with potential partners, and requested advice about when and how it would be appropriate to recommence planning workshops.

Over this period, the IAHP Yarnes team facilitated a series of three evaluation-specific webinars with potential partners. The webinars provided an opportunity for two-way knowledge exchange. They enabled potential partners to engage more in-depth with the evaluation values, scope, proposed approaches and methods, and for the team to better understand the concerns and needs of partners and test different approaches for future engagement. The team is confident that planning workshops, to discuss and reach agreement on partner participation and the implementation of the evaluation in individual sites can be successfully delivered virtually.

For further information about the IAHP Yarnes restart click here.IAHP Yarnes logo

NSW – Sydney – The George Institute for Global Health

PT or FT Research Associate – Aboriginal and Torres Strait Islander Health Program (identified position)
There is a very exciting opportunity for a Research Associate (project Manager) to join The George Institute for Global Health’s ‘Safe Pathways’ team that will work in partnership with families to focus on developing a discharge planning and delivery model of care that will: address institutionalised racism; facilitate access to ongoing specialist burn care; and enhance communication, coordination and care integration between families, local primary health services and the burns service at Westmead.
 
The George Institute’s Aboriginal and Torres Strait Islander Health Program cuts across content areas and is conducted within Aboriginal and Torres Strait Islander ways of knowing, being and doing, with a focus on social determinants of health, health systems and healthcare delivery. We maintain an Aboriginal and Torres Strait Islander paradigm of health and healing (physical, emotional, social, cultural and spiritual) and a commitment to making impact through translation that influences policy.
 
For further information about the position and to apply click here.The George Institute for Global Health logo - white background, name in black font, purple sound waves across bottom

Feature tile 9.11.20 The Pharmacy Guild of Australia promote importance of NAIDOC Week, NAIDOC Week logo

NACCHO Aboriginal Health News: Pharmacy Guild promotes importance of NAIDOC Week

Feature tile 9.11.20 The Pharmacy Guild of Australia promote importance of NAIDOC Week, NAIDOC Week logo

Pharmacy Guild promotes NAIDOC Week

The Pharmacy Guild of Australia’s Executive Director Suzanne Greenwood has released an editorial about the importance of NAIDOC Week as the annual celebration of the history, culture and achievements of Aboriginal and Torres Strait Islander peoples saying that NAIDOC Week is celebrated not only in Aboriginal and Torres Strait Islander communities but by Australians from all walks of life in what is a national coming-together in cultural recognition and respect.

This year’s NAIDOC Week theme Always Was, Always Will Be, aims to recognise that First Nations peoples have occupied and cared for this land for more than 65,000 years. Our First Nations peoples are spiritually and culturally connected to this country. At the Pharmacy Guild, NAIDOC Week is an opportunity to highlight the way community pharmacies work with Aboriginal and Torres Strait Islander peoples, particularly in regional, rural and remote communities.

These pharmacies are going the extra mile in providing services to help address the documented poorer health outcomes experienced by Aboriginal and Torres Strait Islander peoples. Whether it be through visits to communities, special consultations or even ensuring labelling meets the needs of individual communities, pharmacists are at the forefront. And as the most accessible healthcare professionals, they have a unique role to play in addressing gaps and providing targeted services to improve the health outcomes of these Australians.

To view Suzanne Greenwood’s editorial in full click here and to read the two Aboriginal and Torres Strait Islander pharmacist case studies click here.

portrait photo of Aboriginal intern pharmacist Lillian Emery and Aboriginal pharmacist student Louis Emery

Aboriginal intern pharmacist Lillian Emery and Aboriginal pharmacist student Louis Emery. Image source: The Pharmacy Guild of Australia website.

Dr Charles Perkins AO Memorial Oration

In 2001, the University of Sydney, in collaboration with the Koori Centre, launched an annual oration by a leading spokesperson within the field of Indigenous and non-Indigenous race relations. The Dr Charles Perkins AO Memorial Oration was established with the full support of the Perkins family and in acknowledgement of his tireless dedication to human rights and social justice for Indigenous Australians.

This year the 2020 Charles Perkins Memorial Oration, will be presented by Pat Turner AM in honour of her uncle. This event, hosted by Stan Grant and Isabella Higgins at The Great Hall at the University of Sydney, will be a timely look at the state of race relations in Australian over the last two decades.

You can watch the Dr Charles Perkins Oration via livestreamed from 8.00 pm – 9.00 pm (AEST) Thursday 12 November from the following platforms:

University of Sydney Facebook    

University of Sydney YouTube

ABC Indigenous Facebook

ABC Sydney Facebook

black and white photo of Charles Perins on bus home after visit to Tranby, Glebe 1963

Charlies Perkins travelling home on a Sydney bus in 1963. Image source: ABC News website.

Professor Milroy wins mental health prize

Pioneering Aboriginal psychiatrist, researcher and mental health champion Professor Helen Milroy has been named as a joint winner of the 2020 Australian Mental Health Prize. Professor Milroy, recognised as the first Indigenous Australian to become a medical doctor, shares the prestigious prize with leading psychiatrist and founder of the Black Dog Institute, Professor Gordon Parker.

The national prize, presented by the Governor General, His Excellency General the Honourable David Hurley AC DSC (Retd), recognises Australians who have made outstanding contributions to either the promotion of mental health or prevention/treatment of mental health issues. “I am hoping that through this award, we can shine a light on children’s mental health and provide whatever it takes to bring about their wellbeing and that of their families and communities.”

To view the full article click here.

portrait photo of Professor Helen Milroy, background is an office

Image source: The University of Western Australian.

Jimmy Little Foundation supports remote health care

Based in Lightning Ridge, NSW the Jimmy Little Foundation is working to improve the quality of life and access to health care for remote and regional communities. The Foundation’s focus is promoting healthy outcomes for Indigenous Australians facing Chronic Kidney Disease (CKD) and the demands of dialysis. It currently depends solely on donations to run its programs and advocacy ventures.

The late Jimmy Little, a proud Yorta Yorta man, musician and actor founded the Jimmy Little Foundation in 2006. After undergoing a kidney transplant, he used his performances as an opportunity to tell the communities he visited there is good quality of life after dialysis. Little’s daughter, Frances Peters-Little, is now Managing Director of the Foundation. She said she’s proud of the Foundation’s current board of directors, who are all Indigenous women.

To read the full article click here.

portrait photo of Francis Peters-Little Managing Director of the Jimmy Little Foundation

Francis Peters-Little. Image source: ALTD Spirits website.

Football has power to improve health

The 2020 Indigenous Football Week (IFW20) – Monday 9 November until Sunday 15 November – will feature a program of events that will engage Indigenous communities and players across Australia. Organisers say IFW20 will highlight how football has the power to create pathways to improved physical and mental health, wellbeing, education, and community engagement for Indigenous players. The football community has come together to support the John Moriarty Football (JMF) initiative. JMF has partnered with Football Federation Australia (FFA), Professional Footballers Australia (PFA), SBS, NITV, and FOX Sports, to celebrate events held in JMF communities in NT, NSW and Queensland.

To read the full article click here.

Aboriginal boy in football uniform kneeling on soccer ball

Image source: Moriarty Foundation website.

48 hour follow up initiative supports recovery

In a resent presentation at the Deniliquin Local Health Advisory Committee, Aboriginal health education officer Jill Owens, shared some information about her role and partnerships, ensuring the health and well-being of Aboriginal members in the community are addressed.  Jill shared information about the ‘48 hour Follow Up’ initiative, a service for patients who have been in hospital for things such as diabetes, heart disease, lung disease or kidney disease, ensuring there is a check in on their well-being within 48 hours of discharge. Jill said ‘‘The value of this is that ongoing health needs can be identified and services put in place to support the patient’s recovery and prevent unnecessary admissions.’’

To view the full article in the Deniliquin Pastoral Times click here.

health worker with middle-aged Aboriginal man in home setting

Image source: GP Synergy website.

Tresillian Mobile2U helps get babies to sleep

If you or someone you know has ever had trouble getting a baby to sleep you have probably heard of the amazing work of Tresiliian and the Mid North Coast Local Health District. Tresilian works with parents to get babies into a sleep routine and have been recognised for their innovative approach to delivering child and family health services to regional NSW. Hesta has announced Tresillian and Mid North Coast Local Health District as a finalist in the HESTA Excellence Awards in the Team Excellence – Community Services category. The Mobile 2U van goes to locations in communities such as the Kempsey Community Centre and the Council Chambers at Wauchope. Ms Carlon said the Tresillian 2U mobile service is innovative, and unique. Nurses are focussed on individual parenting plans and give focussed and individualised support.

Aunty Delya Smith, a Dunghutti woman, is the Aboriginal health worker in the team and close to twenty percent of families who access the service identify as Aboriginal. The van also has two child and family health nurses who work with families providing the specialised services in the locations that are easy for families to access in their own communities.

To read the full News of The Area article click here.

Aboriginal baby sleeping

Image source: News Of The Area website.

Voluntary Indigenous Identifier Framework survey

Since 2002, Aboriginal and Torres Strait Islander people have been able to have their status recorded confidentially on a database called the Voluntary Indigenous Identifier (VII). The VII is primarily used to estimate use of the Medicare Benefits Scheme by Aboriginal and Torres Strait Islander people. This information, grouped together to produce statistical reports, appears in a range of publications and is used to:

  • improve policies focused on access to health programs and services,
  • target funding to specific areas of need,
  • improve access to benefits and payments, and
  • improve the Department of Health’s plans and policies for First Nations People.

The Framework for the Collection, Release, Use and Publication of Voluntary Indigenous Identifier Data (VII Data Framework) is a set of guidelines that direct how VII data is collected and used.

You can download the draft Framework here. and are invited to provide your feedback via the VII Framework Online Survey.

young Aboriginal woman portrait photo, green foliage in the background

Image source: VincentCare website.

ADHA aims to make health care more equitable

This NAIDOC Week the Australian Digital Health Agency (ADHA) has proudly joined a network of more than 1,100 corporate, government and not-for-profit organisations that have made a formal commitment to reconciliation through the Reconciliation Action Plan (RAP) program. Agency CEO Amanda Cattermole PSM said the Agency’s reconciliation commitments include an emphasis on understanding and progressing digital health priorities for Aboriginal and Torres Strait Islander people living across Australia, in rural, remote and metropolitan communities. “Technology can contribute to closing the gap by improving health care accessibility, quality and safety no matter where people live,” she said. “We can make health care more equitable and efficient using digital tools and technology like My Health Record, telehealth and electronic prescriptions.”

To view the full article click here. and to download the ADHA RAP click here.

cover of ADHA RAP 2020–21 report - Aboriginal dot painting circules orange blue dark red

Image source: Australian Government ADHA website.

Funding for improved use of data collections

The Australia Government is investing $8.9 million to support improved management and use of Indigenous data collections. The funding will be used to create a data network that will transform how Australian social and cultural data is accessed, curated and analysed. The project will support the development of eResearch platforms and tools for visualisation, transcription and entity recognition. Minister for Education Dan Tehan said the investment would boost Humanities, Arts and Social Sciences (HASS) and Indigenous research capability and “will improve the reliability and consistency of data for Indigenous Australians to better support evidence-based Indigenous policy-making.”

To view the media release click here.

Aboriginal dot painting of map of Australia

Image source: Open Forum website.

Unaddressed trauma plays role in present pain

The Healing Foundation CEO Fiona Petersen said that NAIDOC Week this year celebrates the knowledge and ancestral wisdom of First Nations Australians and the importance of being connected to it. “While we marvel at the resilience and survival of our cultures, we have to continue to acknowledge unaddressed trauma and the role it plays in our present and immediate future,” Ms Petersen said. “In our journey, we continue to listen and learn from those who have gone before us, often too soon, and survivors of trauma. This drives our efforts to support intergenerational healing for all generations to come.

“NAIDOC Week is an opportunity to share the truth about the ongoing trauma experienced by Stolen Generations survivors and their descendants – and shine a light on the importance of healing.” For Stolen Generations survivors, being removed from family, community and Country had a profound impact on their connection to identity, language and culture. This has resulted in a huge amount of grief and trauma. Ms Petersen said healing is a proven way to overcome trauma and intergenerational trauma and restore wellbeing, which can bring about long-term change for families and communities. “By healing trauma, we are tackling the source of social and health problems that are far more prevalent for our people,” Ms Petersen said.

To view the Healing Foundation’s media release click here.

portrait shot Fiona Petersen CEO The Healing Foundation

The Healing Foundation CEO, Fiona Petersen. Image source: The Healing Foundation website.

NSW Aboriginal Deputy Children’s Guardian appointed

The head of Australia’s national peak body for Aboriginal and Torres Strait Islander children, Richard Weston will become the first Deputy Children’s Guardian for Aboriginal Children and Young People in NSW. Minister for Families, Communities and Disability Services Gareth Ward said Mr Weston, who is currently the CEO of Secretariat of National Aboriginal and Islander Child Care (SNAICC), brings more than 25 years of experience to the role. “Mr Weston’s wealth of experience working in peak and Indigenous-controlled organisations has delivered significant social, health and economic outcomes for Aboriginal and Torres Strait Islander people and communities,” Mr Ward said.

To view the NSW Government Minister for Families, Communities and Disability Services media release click here.

Portrait shot of Richard Weston against greenery of a garden

Richard Weston. Image source: @INDIGENOUSX website.

NACCHO Aboriginal Health News: Cultural approach tackles mental health shame

Feature tile 2.11.20 - young Aboriginal children Quinton and Jasalia Williams with face, hair, hands & chest paint, cultural day on country

Cultural approach tackles mental health shame

Small-town living can have its benefits, like knowing your neighbours, but when it comes to accessing help and support, it can be a barrier. Colleen Berry, who lives in the small inland community of Leonora in WA’s Goldfields, said people often felt “shame” in asking for help — and she wanted to do something to change that. So the proud Wongutha woman founded Nyunnga-ku, a community group for the women of Leonora where they can chat, sew, drink cups of tea and speak freely. As more women came to the group, Ms Berry said she realised how many were struggling with mental health and other issues. “Mental health has become something really big in our communities” she said.

To view the full article click here.

Young Aboriginal children Quinton and Jasalia Williams with face, hair, hands & chest paint, cultural day on country

Quinton and Jasalia Williams enjoy a cultrual day on country at the Nyunnga-Ku women’s camp. Image source: ABC News website.

Program aims to improve medication access

Metro North Hospital and Health Service is launching a pharmaceutical program that will allow greater access to medications for Aboriginal and Torres Strait Islander patients visiting its facilities. The Better Together Medication Access program will ensure Aboriginal and Torres Strait Islander patients have access to any medications needed upon discharge from hospital with no out-of-pocket expense.

Redcliffe Hospital Director of Pharmacy Geoffrey Grima said the program would improve health outcomes for Aboriginal and Torres Strait Islander patients who have an increased susceptibility to chronic illnesses such as cardiovascular disease and diabetes. “First Nations Australians have a disease burden 2.3 times the rate of non-Indigenous Australians, which means they may require more medications to treat more illnesses,” Grima said. “We know medications can be expensive, and when a number of medications are required to treat various illnesses, this can add up quickly, making the process burdensome for patients.

To read the article in full click here.

Aboriginal hand holding different coloured pills

Image source: Australian Pharmacist website.

New support for NSW people impacted by suicide

The NSW Government is investing $4.54 million in post-suicide care to provide a range of practical and psychological services to NSW residents bereaved or impacted by suicide. Minister for Mental Health Bronnie Taylor said the state-wide services will range from one-to-one counselling and family therapy, to supporting grieving loved ones to liaise with police, the coroners and media. “It is estimated that up to 135 people can be impacted by a single suicide,” Mrs Taylor said. “We’re building a specialised workforce that can provide both practical and emotional support – from accessing existing services to explaining a suicide death to young children.” $4.2 million will be invested in StandBy Support After Suicide to enable the leading post-suicide support service to expand its footprint and range of services across NSW.

To view the media release  click here.

Aboriginal flay painted on a wall with shadows of two people holding hands

Image source: SBS NITV website.

Become a SOCKSTAR for kidney health

Kidney disease is a deadly disease and there is currently no cure. 1.7 million Australians are affected by the disease and it can have an enormous impact on people’s physical and mental health, family lives and livelihood. There are currently 25,000 Australians living with kidney failure. Dialysis or kidney transplant are needed for them to stay alive. For those on dialysis, they spend an average of 60 hours a month hooked to this life-saving machine, which cleans their blood of toxins. Dialysis can make them feel cold so blankets and warm socks are a must.

Kidney Health Australia has launched a brand new fundraising campaign – the Kidney Health Red Socks Appeal, to take place over the month of November. Participating in the Kidney Health Red Socks Appeal is a great way to show people living with kidney disease that you care. Solo or together with friends, everyone’s effort counts. It is easy to get involved – register as an individual or a team, grab some red socks and get going.

For more information about the Kidney Health Red Socks Appeal click here.

Kidney Health Red Socks Appeal banner - picture of red socks against background of pink and blue kidney vectors & words 'I'm wearing a pair to show I care'

ABS health surveys – have your say

Last year, the Australian government announced a new health study called the Intergenerational Health and Mental Health Study (IHMHS). The IHMHS will run over three years from late 2020 to 2023 and comprise surveys of health, nutrition and physical activity, and an optional biomedical survey. Similar to the Australian Health Survey conducted by the Australian Bureau of Statistics (ABS) in 2011–13, the IHMHS will provide an opportunity to measure Australia’s health, including providing a picture of the health and wellbeing of our Aboriginal and Torres Strait Islander peoples. The results will be useful in helping to inform policy, services and programs supporting Aboriginal and Torres Strait Islander peoples to live healthier lives. 

The Australian Bureau of Statistics (ABS) needs your participation to help them shape the Aboriginal and Torres Strait Islander components of the IHMHS. The ABS want to talk to Aboriginal and Torres Strait Islander peoples to ensure their surveys are done in a culturally appropriate way and reflect the priorities, values and diversity of Aboriginal and Torres Strait Islander peoples. Sign up here to participate in an upcoming webinars and have your say!

There is also an online survey on the ABS website that can be completed at any time.

The survey closes on Monday 30 November 2020.ABS tile 'help shape the upcoming ATSI Health Survey, two Aboriginal women sitting at outside tableyoutube https://www.youtube.com/watch?v=6_jpsVuTR3w&w=560&h=315

Research centre targets regional Victorian health disadvantage

A new research centre at Federation University will work to reduce the health disadvantage of regional and rural residents. The Health Innovation and Transformation Centre, will develop innovative, multidisciplinary solutions for patients and the general community, spearheaded by the digital, genomic and data revolution. It will focus on areas including aged care, cardiovascular health, digital health interventions, workforce development and patient safety, ensuring the right care, in the right place at the right time.

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

entrance to Federation University Australia - sign on sandstone wall and brick university buildings in background

Image source: magiqsoftware website.

Calls for action on NT mental health neglect

The Royal Australian and New Zealand College of Psychiatrists (RANZCP) Northern Territory Branch has called on the NT Government to take a cue from Churchill and ‘action this day’ the rescue of NT Mental Health Service funding from decades of neglect.  ‘Northern Territorians have been short-changed on investment in mental health services for decades now and this becomes starkly apparent when we compare NT funding with that of other states and territories,’ said RANZCP NT Branch Chair, Dr David Chapman.

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

Aboriginal hands holding

Image source: St Vincent de Paul Society website.

Cashless Debit Card to be made permanent

Shadow Minister for Families and Social Services, Linda Burney, says the Government decided to make the Cashless Debit Card permanent, despite the Minister for Families and Social Services Senator Anne Ruston admitting at Senate Estimates that she hadn’t read the long-awaited review of the card. The card is currently being trialed in four sites: Ceduna; the Goldfields and East Kimberley; and Bundaberg-Hervey Bay. As well as this, the Government has also revealed it had set up a formal working group with the big banks and Australia Post to work on making the Cashless Debit Card part of mainstream accounts and point of sale technology – revealing their real plan to roll this technology out more broadly.

To view Linda Burney’s media statement in full click here.

Aboriginal hands holding the cashless debit card

Image source: The Morning Bulletin.

HealthInfoNet has new sexual health portal

The Australian Indigenous HealthInfoNet has added a new sexual health portal to its website. Through engagement with Aboriginal and Torres Strait Islander experts in the field, topics for the sexual health portal will focus on the aspects of sexual health that impact Aboriginal and Torres Strait Islander individuals and their communities. These topics include safe sex, healthy relationships, sexuality, sexually transmitted infections and blood borne viruses, sexual disorders and reproductive health. Funded by the Australian Department of Health, the portal has information about publications, policies, health promotion and practice resources, organisations and workforce information to provide up-to-date relevant information for those working in this important area. 
 
PVC Equity and Indigenous at Edith Cowan University Braden Hill, says of this important topic ‘This is a wonderful addition to HealthInfoNet’s already important work in ensuring the health and wellbeing of Aboriginal and Torres Strait Islander communities. The focus on sexual health is of vital importance and will enable an evidence informed approach to health care in relation to this sometimes complex area of health’. HealthInfoNet Director Neil Drew says, ‘There is a need for trusted evidence based information that is freely accessible in one place and this portal like our others delivers that’.

To access the new sexual health portal click here.

two pairs of legs sticking out from under a doona

Image source: Faculty of Health and Behavioural Sciences – University of Queensland website.

NACCHO Aboriginal Health News: world-first virtual healthcare technology will improve remote area training access

feature tiel - two nurses using virtual healthcare training goggles

World-first virtual healthcare training trial

Training for healthcare workers is about to go virtual for the first time as part of a new partnership between industry, TAFE and NSW Health. Learning how to take a blood test will no longer need to be done in a real health setting. Instead, trainees including doctors, nurses, laboratory technicians and Indigenous health workers will be able to learn the procedure while fully immersed in a virtual hospital, including sound effects such as blipping machines.

The NSW government said the virtual reality training technology was a world first that would be piloted in a yet-to-be named regional hospital. The virtual reality blood testing pilot was developed by TAFE NSW with NSW Health Pathology, CognitiveVR and diagnostic solutions company Werfen. Healthcare workers will use a virtual reality headset to learn “hands-on” blood testing. The simulation aims to provide healthcare professionals across the state, including in regional and remote areas, with greater access to hands-on training scenarios, ultimately increasing the quality of care while also reducing time away from clinical care.

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

Werfen Australian NZ GM Sally Hickman demonstrates virtual reality blood testing - wears virtual reality goggles, hand is outstretched

Werfen Australian NZ General Manager Sally Hickman. Image source: The Sydney Morning Herald.

Purple House HESTA Excellence Award finalist

Purple House is one of six finalists in the Outstanding Organisation category of the HESTA 2020 community services awards. Purple House has been recognised for getting Indigenous dialysis patients home to country and providing a home away from home in Alice Springs. Purple House is an innovative Indigenous-owned and run health service operating from a base in Alice Springs. It runs dialysis units in 18 remote communities across the NT, WA and SA, and a mobile dialysis unit called the Purple Truck and has a focus on getting patients back home so families and culture remain strong.

Before Purple House, patients were forced to leave country and move far away for dialysis, leaving communities without elders to share knowledge and families disrupted. Many patients are now home but there are still communities without dialysis and patients who need to live short or long term in Alice Springs. Purple House’s base in Alice also offers primary health care, allied health, wellbeing, aged care, NDIS and a bush medicine social enterprise.

To view the full article click here.
Purple House CEO Sarah Brown with patient Rosie Patterson from Yuelamu

Purple House CEO Sarah Brown and patient Rosie Patterson. Image source: Hospital and Healthcare.

Homelessness affects children’s health

Seven new Flinders University research projects have been funded by the Channel 7 Children’s Research Foundation, including support for special studies to help homeless, at-risk, migrant and autistic children and Indigenous health. Nurse practitioners working with social service agencies is one way to help the estimated 22% of Australian children living in temporary or precarious living conditions, with families hit hard by unemployment and other problems created by the pandemic. These children – some skipping health checks, vaccinations and even nutritional meals – may not have regular doctor appointments, and poorer access to health services, leading to more physical and mental health issues and emergency department presentations.

To view the full article click here.

small Aboriginal child with tangled hair, scrapped knees sitting on concrete floor with head in knees, hands wrapped around legs

Image source: Flinders University website.

NT 2021 Australian of the Year Award nominees

Across Australia (except Vic & Tas) – Australian Bureau of Statistics (ABS)

2021 Census Engagement Manager x 35 (25 in remote areas, 10 in urban/regional locations)

The ABS is recruiting Census Engagement Managers for the 2021 Census. Due to the close working relationship with the community, 35 Census Engagement Manager positions will be only open to Aboriginal or Torres Strait Islander applicants. Census Engagement Managers are specialised roles requiring a high degree of community interaction. They will be working within communities telling people about the Census and ensuring everyone can take part and get the help they need. Where possible, Census Engagement Managers will be recruited locally. To view a recruitment poster click here.

For further information on the roles and to apply click here.

Applications for Census Engagement Manager roles are open now and close Thursday 5 November 2020.

NACCHO Aboriginal Health News: CtG targets alone will not close the chasm of need


AIHCTG logo painting of black hand with thumb interlinked with thumb of white hand against burnt orange cirle, surrounded by golden yellor circle, then white dots then black circle

CTG targets alone don’t drive change

The new National Agreement on Closing the Gap released in late July this year, was met with mixed reactions. Featuring 16 new socioeconomic targets and the commitment to shared decision-making between government and Aboriginal and Torres Strait Islander representatives, it reset the original 2008 targets after little year-to-year progress. The Coalition of Peaks, a representative body made up of approximately 50 Indigenous community-controlled organisations, believes progress on the targets over the last 12 years didn’t progress as far as was hoped, as governments didn’t follow through with their commitments.

Lead Convenor of the Coalition of Peaks and CEO of the National Aboriginal Community Controlled Health Organisation, Pat Turner AM said targets alone do not drive change. “The National Agreement gives our people and the wider Australian public a birds eye view of every government’s level of commitment to actually close the giant chasm of need,” she said.

To read the National Indigenous Times article click here.

view from waist up of two Aboriginal children one with arm around the shoulders of the other facing away from the canera

Image source: National Indigenous Times website.

SNAICC expresses out-of-home care concerns

The Secretariat for National Aboriginal and Islander Child Care (SNAICC) is deeply concerned about the increasing number of Aboriginal and Torres Strait Islander children in out-of-home care being placed away from Aboriginal and Torres Strait Islander families and carers, as revealed in a new report released by the Australian Institute of Health and Welfare (AIHW) today. The Aboriginal and Torres Strait Islander Child Placement Principle Indicators 2018–19 report measures progress towards implementing the Aboriginal and Torres Strait Islander Child Placement Principle – a principle that aims to ensure the value of culture to the safety and wellbeing of Aboriginal and Torres Strait Islander children is embedded in policy and practice.

To view SNAICC’s media release click here.

sad face of young Aboriginal girl

Image source: AbSec website.

COVID-19 homelessness short-term fix

Research for the Australian Homelessness Monitor 2020 reveals at least 33,000 rough sleepers and other homeless people have been booked into hotels and other temporary accommodation during the COVID-19 crisis. COVID-19 triggered multimillion-dollar commitments by state governments to tackle homelessness, with several states pledging funds and support to move beyond this short-term fix to ensure former rough sleepers find long-term housing. These are commendable actions in a long-neglected policy area, even if largely inspired by public health anxieties rather than concern for the welfare of people without a home. Such action should be part of comprehensive national housing strategy to design and phase-in the wide-ranging reforms of taxes and regulations needed to rebalance Australia’s housing system and tackle homelessness at its source.

To view the full article click here.

homeless camps (multiple tents) Macquarie Street Sydney

Homeless camp in the centre of Sydney. Image source: The Conversation website.

COVID-19 wellbeing survey seeks youth voice

The Menzies School of Health Research Aboriginal and Islander Mental health initiative (AIMhi) Stay Strong team is looking for Aboriginal and Torres Strait Islander youth between 16–25 years old to take part in to understand the impacts of the Coronavirus pandemic on mental health and wellbeing.

HAVE A YARN WITH THE TEAM – the team would love to hear about your experiences during the pandemic. Join them for a casual interview in-person (in Darwin) or on Zoom! Each interview participant will receive a $30 voucher! For more information about the research click here and here and to express your interest in participating click here.

UNABLE ATTEND AN INTERVIEW? – you can still take part by completing this 10 minute survey and go in the draw to win a $20 voucher!

Not you, but know someone who might be interested?

Please share this information to spread opportunities for young Aboriginal and Torres Strait Islander people to have a voice in Australian research.

backs of Aboriginal Trei and Karlie Stewart leaning against would post rail fence looking at football field

Trei and Karlie Stewart. Image source: ABC news.

Every Doctor, Every Setting National Framework

The Every Doctor, Every Setting: A National Framework was officially launched last week, as part of a national commitment to prioritise the mental health and wellbeing of Australian doctors and medical students. The framework was developed under the guidance of a national working group and in consultation with doctors, doctors in training and medical students in addition to a review of best practice evidence. It aims to guide coordinated action on the mental health of doctors and medical students through target areas including – improving training and work environments, recognising and responding to those needing support, improving the response to doctors and medical students impacted and improving the culture of the medical profession to enable wellbeing and coordinated action and accountability.

To view the DRS4DRS media release click here.Every Doctor, Every Setting banner - stethoscope sitting on keyboard

Reward for NATSIHWA membership referrals

The Aboriginal and Torres Strait Islander Health Worker Association (NATSIHWA) is holding a membership drive for the month of October 2020. NATSIHWA are inviting all student, associate and full members of NATSIHWA to refer new members. By referring a new member, you will assist others to discover the benefits of becoming a NATSIHWA member and get rewarded with a special gift pack for every successful referral. Also, there is a chance to win a Google Home Mini, for the most number of referrals!
 
The offer is valid for the month of October 2020 and applications must be made online.

Better healthcare in hospitals for our people webinar during NAIDOC Week 2020

The Australian Healthcare and Hospitals Association will be holding a free webinar Better healthcare in hospitals for Aboriginal and Torres Strait Islander people in acknowledgement of NAIDOC Week 2020 at 10.30 am Thursday 12 November 2020.

AHHA would like to invite you and any other interested parties to register here, where you will also find more information on the webinar and presenters.

health professional leaning on rail of hospital bed talking to Aboriginal woman patient

Image source: the footprints network webpage.

Racism embedded in healthcare system

Why do vast gaps exist between Indigenous and non-Indigenous Australians when it comes to health outcomes? What would you say if someone told you that racism is embedded in Australia’s healthcare system, and that the system itself was perpetuating inequities? Professor Roianne West is taking on the immense task of unravelling racism in Australia’s complex health system through innovative training and education, and inspiring a generation of healthcare workers to understand the impact of racism on the health outcomes of Aboriginal and Torres Strait Islander people.

To read the full Hospital and Healthcare article click here.

portrait photo of Professor Roianne West

Professor Roianne West, Griffith University. Image source: Hospital and Healthcare website.

Training to support Stolen Generations survivors

The Marumali Journey of Healing Model developed by Aunty Lorraine (Darcy) Peeters, a survivor of the removal policies herself. is unique, original and unparalleled. Since 2000 the Marumali Program, that is based on the nationally recognised best practice, good practice healing model, has been delivered to groups and individuals, with an aim of increasing the quality of support available to Stolen Generations, their families and their communities. Groups  include service providers in the Aboriginal community controlled sector and Government sector and survivors within community and the prison system.

Wingali Marumali Pty Ltd is running two courses in December:

Marumali Program for Aboriginal and Torres Strait Islander Service Providers (4 days) – 1–4 December 2020, Brisbane.

Marumali Program Trauma-Informed Care For Stolen Generations Workshop for Non-Aboriginal Service Providers (2 days) – 7–8 December 2020, Brisbane.

For more information on the courses and to register click here.

close up photo of faces of Aunty Lorraine Peeters & her daughter Shaanf

Aunty Lorraine Peeters and her daughter Shaan. Image source: ABC All In The Mind webpage.

Mental health support network for our mob

Black Dog Institute is one step closer to developing a network to support mob struggling with mental ill-health. Led by the Aboriginal and Torres Strait Islander Lived Experience Centre, the network is being developed through extensive consultation with communities across the nation.

Head of the Aboriginal and Torres Strait Islander Lived Experience Centre, Quandamooka woman, Leilani Darwin. said “We have had an opportunity to host some national online yarning circles with mob who have lived experience and I feel so privileged to hear their stories and their journeys. Even though we know how much our communities are impacted by suicide and mental ill-health, when you have families there that are losing 20 people in a year in the family group … the fact they can [attend and] talk about it is powerful.” 

To view the full article in the National Indigenous Times click here.

Aboriginal man talking on his mobile phone

Image source: ABC News website.

Health worker support essential

The national peak body Mental Health Australia, has released results of a survey on the mental health and wellbeing of healthcare professionals across the country. The research looks at how the pandemic has affected healthcare professionals on a personal level, and what strategies they have used to maintain mental health and wellbeing over the past six months. Over 70% of healthcare professionals stated that COVID-19 restrictions have impacted their mental health and wellbeing in a negative way. 4 out of 5 say that working in healthcare during the pandemic has increased the amount of stress and pressure they experience in the workplace.

To view the Mental Health Australia’s media release click here.

3 Moorundi ACCHS Aboriginal Health Workers in office, one have blood pressure taken

Moorundi ACCHS Aboriginal Health Workers Alfie Gollan, Njirrah Rowe, Dorothy Kartinyeri. Image source: The Murray Valley Standard.

Social determinants of health link to kidney disease

The Australian Indigenous HealthInfoNet has produced an updated Review of kidney health among Aboriginal and Torres Strait Islander people. Kidney disease is a serious health concern for people living in Australia with one in three adult Australians at an increased risk of developing chronic kidney disease (CKD).  Australians diagnosed with CKD regularly suffer poor health outcomes and a compromised quality of life. CKD  can be associated with other chronic diseases like diabetes and cardiovascular disease. Aboriginal and Torres Strait Islander people experience an increased burden of kidney disease, particularly those living in remote communities. HealthInfoNet Director Neil Drew says, “The purpose of this review is to provide a comprehensive synthesis of key information on kidney health among Aboriginal and Torres Strait Islander people in Australia and provide evidence to assist in the development and delivery of policies, strategies and programs”.

To view the Australian Indigenous HealthInfoNet media release in full click here.

Aboriginal person's arm & hand with tubes for dialysis

Image source: RACGP website.

Australia-wide – Hearing Australia

Hearing Australia is looking to fill the two Hearing Assessment Program (HAP) positions listed below. The HAP is a major initiative to reduce hearing loss in Aboriginal and Torres Strait Islander children aged 0-6 years living in regional and remote communities.

FT Aboriginal Manager Capability Strategy HAP (fixed term)

The Aboriginal Manager Capability Strategy HAP position is a national role responsible for the detailed design and implementation of the capability strategy with a key focus of building capability in Aboriginal Community Controlled Health Services.  The capability strategy contains 3 key areas- ensuring services have the resources (human and physical) to do ear and hearing health checks on 0–3 year olds; that services have staff who are competent to undertake these checks and that services have a system in place to provide checks at regular intervals during a child’s first 3 years of life. To view the job description click and to apply click here.

FT Manager Clinical Operations HAP (fixed term)

The Manager Clinical Operations HAP position is a national role responsible for ensuring that HAP-EE has sufficient clinical staff to meet its national service targets. The Manager will work closely with other HAP-EE managers to ensure that clinical staff and clinical equipment are deployed effectively across all HAP-EE sites, hearing centres and tele-health services to complete assessments and to build capability in participating services. To view the job description click and to apply click here.

Applications for both positions close on Friday 30 October 2020.

Adelaide – CRANAplus

FT or PT Senior Psychologist: Mental Health & Wellbeing Service (permanent)

CRANAplus is the Peak Professional Body for Health Professionals working in remote and isolated areas across Australia. We exist to ensure the delivery of safe, high quality primary healthcare to remote and isolated areas of Australia. Responsible for the development and delivery of high-quality psychological interventions and supports to Health Professionals and their families, across Australia. We are seeking an experienced Practitioner who has a passion to: – Provide counselling care and interventions through CRANAplus’ Bush Support Line – Grow clinical resources, materials, and workshops available to remote and rural Health Professionals to support their wellbeing and professional knowledge growth. – Contribute to new innovations, designs, and position CRANAplus as a specialist service.

To view the position description click here.

Applications close 3.00 pm 9 November 2020.CRANAplus logo & image of 4-wheel drive in outback

NACCHO Aboriginal #Kidney Health News and Resources Alert :  @KidneyHealth Australia awarded funding investment to improve kidney disease outcomes for our communities : Plus Download new APP

Contents of this post 

1.Funding press release

2.Updated CKD Go! App is now available!

3.Indigenous Resources

4. NACCHO Kidney Health articles over past 8 years

The peak body for kidney disease in Australia, Kidney Health Australia, is pleased to announce Federal Government funding of over $700k to support world-first clinical guidelines to improve the diagnosis and treatment of kidney disease within Aboriginal and Torres Strait Islander communities.

Kidney Health Australia CEO Chris Forbes said the funding was vital to improve health outcomes for Aboriginal and Torres Strait Islander people as the rate of kidney disease in indigenous communities was twice as high as non-indigenous communities, with 1 in 5 Aboriginal and Torres Strait Islander people having the indicators for chronic kidney disease.

“We are very pleased to have the Federal Government’s ongoing support in working with Aboriginal and Torres Strait Islander communities to deliver better health outcomes for kidney disease,” Mr Forbes said.

“Kidney disease is an insidious and deadly disease that is often not detected until kidneys fail, and the treatment for end stage kidney disease can make life very challenging – for First Nations people, the social, spiritual and community impact is immense.”

“Since 2018, we have conducted consultations with Aboriginal and Torres Strait Islander communities around Australia to develop a framework for evidence-based guidelines that are specific to the management of kidney disease within their communities, and will deliver better health outcomes.

“The Federal Government funding enables us to deliver what the community has clearly told us is long-overdue – meaningful and appropriate clinical guidelines that are aligned with First Nations’ community preferences and needs,” Mr Forbes said.

For more information on the Federal Government’s funding announcement, please visit: www.kidney.org.au/yarning-kidneys-consultations

2. Updated CKD Go! App is now available!

Kidney Health Australia recently launched of the 4th edition of the ‘Chronic Kidney Disease (CKD) Management in Primary Care’ handbook.

Download HERE

chronic-kidney-disease-management-in-primary-care-4th-edition-handbook

This highly regarded handbook provides guidance and clinical tips to help detect, manage, and refer patients in your practice with CKD.

We are excited to share that the new content is now also available in our FREE app CKD Go!  The CKD Go! app can now be downloaded free from the iTunes Store and from Google Play.

3.Indigenous Resources

Download HERE

4. NACCHO Kidney Health articles over past 8 years

Read Here

 

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

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

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

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

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

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

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

Here are the key facts

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

Key facts

Population

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

Births and pregnancy outcomes

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

Mortality

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

Hospitalisation

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

Selected health conditions

Cardiovascular health

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

Cancer

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

Diabetes

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

Social and emotional wellbeing

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

Kidney health

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

Injury, including family violence

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

Respiratory health

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

Eye health

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

Ear health and hearing

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

Oral health

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

Disability

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

Communicable diseases

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

NACCHO Aboriginal Health and #Racism : Download Report : Confronting racism to improve healthcare for Aboriginal and Torres Strait Islander patients with kidney disease

Action is urgently needed to confront the immense health disparities in kidney disease outcomes suffered by Aboriginal and Torres Strait Islander peoples.

‘There is some encouraging work being done—especially by the Queensland and South Australian governments, and in some individual agencies—but much more is needed.’

Australian Healthcare and Hospitals Association Strategic Programs Director, Dr Chris Bourke.

Read the 120 Aboriginal Health and racism published by NACCHO over past 8 years

Read the 12 Aboriginal Kidney Health published by NACCHO over past 8 years

Dr Bourke, who is Australia’s first Aboriginal dentist, has co-authored a Perspectives Brief published by the AHHA’s Deeble Institute for Health Policy Research—Addressing racism to improve healthcare outcomes for Aboriginal and Torres Strait Islander people: a case study in kidney care.

‘The raw facts are that Indigenous Australians have at least 6 times—in some age groups up to 15 times— the incidence of end-stage kidney disease as non-Indigenous Australians.

‘Yet we have one-quarter of the chance of receiving home-based dialysis, and one-third of the chance of receiving a kidney transplant.

‘We believe that many of the answers to solving this problem lie in addressing racism—mostly unintentional—particularly at the institutional level, but also at the individual level’.

‘There is documented evidence of Aboriginal and Torres Strait Islander peoples receiving poorer healthcare outcomes when treated by non-Indigenous healthcare organisations and health professionals’.

‘My fellow authors and I feel that equity in kidney care should come from concerted action in four interconnected areas:

Cultural safety: Boards, accreditation agencies, and education and training providers can do more to promote self-reflection in non-Indigenous healthcare professionals about providing accessible and responsive care that is safe and free of racism, as judged by Indigenous individuals, families and communities.

Institutional racism: Healthcare organisations can actively work within the health system to reverse the exclusion of Aboriginal and Torres Strait Islander people from governance, control, and accountability of healthcare organisations, and to employ more Indigenous health workers.

National safety and quality health service standards: The Australian Commission on Safety and Quality in Healthcare’s triennial accreditation processes for hospitals set out how healthcare organisations can improve service delivery to Aboriginal and Torres Strait Islander people.

Race discrimination law: The existing laws tend to focus on individual rather than systemic discrimination, with racism being hard to prove, even though intention to discriminate does not have to be proven.

The laws also focus on equality of opportunity rather than equality of outcomes. Nevertheless, it is important for healthcare organisations to ensure that the need to avoid discrimination is factored into their governance and operations and to be aware that the laws do provide for “positive discrimination” in removing barriers to care and bringing about better outcomes.’

Addressing racism to improve healthcare outcomes for Aboriginal and Torres Strait Islander people: a case study in kidney care is available here. More information on the Deeble Institute for Health Policy Research is available here.