Category Medicare

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Contact Colin Cowell
NACCHO Communications and Media
nacchonews@naccho.org.au
Tel 0401331251

28 September 2023

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

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

Everything you need for the NACCHO 2023 Members’ Conference

The NACCHO 2023 Members’ Conference website is now live with everything you need to know in one spot! Head on over to see the program, check out the presenters and sponsors and register if you haven’t already!

Conference ticket prices increase from 1 October 2023.

This year’s conference is in beautiful Noongar Boodja and include three deadly events:

  • NACCHO Youth Conference – 23 October
  • NACCHO AGM and EGM – 24 October
  • NACCHO Members’ Conference – 25-26 October

The Conference is an annual gathering of Aboriginal and Torres Strait Islander health sector leaders from across the country. With over 400 delegates expected each year, the conference brings opportunities for attendees to network, learn, influence and celebrate our ongoing drive to self-determination.

Visit the NACCHO Conference website for more information and to register here.

AWAHS sets breast screening record

Across NSW only 35% of Aboriginal women aged 40-74 participate in breast screening every two years as recommended, but now in Albury the results are at an all-time high of 80%, the highest in the state. It comes after a mobile clinic was stationed at Albury Wodonga Aboriginal Health Service (AWAHS) for three days in August, offering Aboriginal women a convenient location to have their mammogram. AWAHS also provided a free bra fitting and bra giveaway event, resulting in more participation of Aboriginal women being screened for breast cancer in three days than over the previous 12 months.

AWAHS Acting CEO, Catherine Coysh said many women who screened for the first time were scared that screening would be painful, however left the mobile van smiling and relieved.

“We are pleased that this event has encouraged so many Aboriginal women to screen for the first time and hopefully they’ve overcome their concerns and will continue to screen every two years,” she said.

BreastScreen NSW Director, Veronica Scriven said of the 89 women who screened at the event, 64 were screening for the first time, with the majority of women who had been screened before overdue for their two-yearly breast screen.

“When breast cancer is found early, it’s easier to treat and most women recover and get back to their normal lives.

“We want to ensure Aboriginal women are supported in accessing breast screening and are thrilled to see so many women access this life-saving service,” Miss Coysh said.

Read the full National Indigenous Times article here.

Representatives from Support the Girls, AWAHS and BreastScreen NSW. Image source: BreastScreen NSW.

Growing awareness about risks of drinking alcohol while pregnant and breastfeeding

Red Shoes Rock, a global awareness campaign giving voice and support to those affected by prenatal alcohol exposure, has been making a high-visibility splash across Australia this past month. Many activities across FASD Awareness Month have highlighted the progress that is being made to prevent Fetal Alcohol Spectrum Disorder (FASD). The Red Shoes Rock campaign was started a decade ago by RJ Formanek, an adult with FASD living in Canada. He decided to wear red shoes to stand out and start a conversation about his invisible disability. Now, the movement has spread across the globe, including Australia, with people wearing red shoes and cities lighting up monuments to help raise awareness.

Foundation of Alcohol Research & Education (FARE) CEO, Caterina Giorgi writes: caused by prenatal alcohol exposure, FASD is a lifelong disability. People with FASD can experience challenges such as developmental delay; impaired speech and language development; learning problems; and difficulty controlling behaviour. This is why the National Health and Medical Research Council (NHMRC) recommends that people should not drink any alcohol when pregnant or planning a pregnancy.

September has been an opportunity to raise awareness of FASD and the need to create supportive communities for alcohol-free pregnancies. However, it is also an opportunity to acknowledge progress that has been made in preventing and diagnosing FASD. Providing support, as well as the need to continue to take action. This includes NACCHO’s Strong Born communications campaign, designed to raise awareness of FASD among Aboriginal and Torres Strait Islander peoples.

Read the full article here.

Image source: FARE.

MyMedicare Webinar for ACCHOs

On Friday 29 September, NACCHO is hosting a webinar with the Department of Health and Aged Care for information on the MyMedicare practice and patient registration process. This aims to go into greater detail on how aspects of MyMedicare specific to the ACCHO sector.

MyMedicare is a new voluntary patient registration model that will formalise the relationship between patients, their ACCHO or general practice, general practitioner (GP) and primary care teams. MyMedicare will give patients and their care team access to new MBS items and new blended funding.

Registration in MyMedicare is voluntary for patients, practices and providers. MyMedicare patient registration opens on 1 October 2023 and will be available to patients with a Medicare card or Department of Veterans’ Affairs Veteran Card. ACCHOs and Aboriginal Medical Services can register in MyMedicare as a practice to be ready for patient registration from 1 October.

In this webinar the department will provide information to be MyMedicare ready and will answer your questions. There will be a focus on issues that impact the ACCHO sector including hub and spoke practice registration and the interaction of MyMedicare registration with the Practice Incentive Payment – Indigenous Health Incentive (PIP – IHI).

Register here.

Further information about MyMedicare can be found here.

Calls to Protect the human rights of people with disability

With the final report of the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability being delivered today, Thursday 28 September, the Federal Government is being urged by People with Disability Australia (PWDA) to enact national human rights legislation to address long-standing inequalities. In a statement, President of PWDA, Nicole Lee said, “our laws must change so that disabled people have equal access to human rights just like everyone else.”

Once released, First Peoples Disability Network Australia said they will address the report and advocate for necessary actions.

“Our experiences as First Nations people with disability deserve full representation in the DRC’s final report. Unfortunately, there hasn’t been enough – we need to be heard.”

PWDA has outlines 10 actions Australian governments must take in response to the DRC, including:

  1. Address the drivers of and end segregation of people with disability in all settings and contexts.
  2. Ensure all people with disability enjoy legal capacity and equality before the law.
  3. End all forms of forced treatments and restrictive practices, including seclusion and restraint.
  4. Ensure people with disability, particularly women and girls, enjoy their sexual and reproductive rights on an equal basis as others.
  5. Urgently address indefinite detention and deprivation of liberty of people with disability, particularly First Nations people with disability, people with intellectual disability, and people with psychosocial disability.
  6. End discrimination against migrants and refugees with disability
  7. Urgently address the over-representation of people with disability living in poverty and ensure an adequate standard of living and social protection.
  8. Ensure full participation of people with disability, including through their representative organisations, in all matters that affect them.
  9. Implement a full Disability Royal Commission Redress and Reparation Scheme.
  10. Undertake reform of Commonwealth, State/Territory laws to ensure compliance with the UN Convention on the Rights of Persons with Disabilities.

Read the full Croakey Health Media article here.

Image source: Unspalsh.

Digital inclusion crucial for access to services and informed decision-making

Research by RMIT University has found a significant gap in digital inclusion for Aboriginal and Torres Strait Islander peoples, compared with other Australians. According to The Mapping the Digital Gap 2023 Outcomes Report, about 43% of the 1,545 First Nationals communities across Australia have no mobile services, some with only a shared public photo or no telecommunications access. Nationally, the gap in digital access between Aboriginal and Torres Strait Islander peoples and other Australians is 7.5 points out of 100. The gap widens significantly to 24.5 points for remote communities.

Lead investigator and Senior Research Fellow, Dr Daniel Featherstone said with government and other services increasingly moving online, it is crucial that all Australians can effectively access and use digital technologies.

“We use these technologies to access essential services for health, welfare, finance, and education, participate in social and cultural activities, follow news and media, as well as connect with family, friends, and the wider world.

“Improving digital inclusion and access to services is critically important to ensure informed decision-making and agency among Aboriginal and Torres Strait Islander people.”

Read more here.

Gangan co-researcher Djamika Ganambarr uses public phone which the primary means of phone communication for most Gangan residents. Image source: RMIT University.

Sector Jobs

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

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

20 July 2023

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

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

Embedding pharmacists in ACCHOs

The Medical Services Advisory Committee (MSAC) has announced it supports funding for embedding pharmacists in ACHHOs. NACCHO Chair Donella Mills said, “MSAC’s support confirms ACHHOs can better ensure safe and effective use of medicines when pharmacists are present.”

“Our member services have been calling for support and funding for non-dispensing pharmacists integrated into ACCHOs for years… This endorsement further validates their requests and demonstrates the impact of team-based community-controlled healthcare,” she said.

The recommendation from Australia’s principal medical advisory group is based on a joint submission by NACCHO, PSA, and James Cook University, which found compelling evidence in the Integrating Pharmacists within Aboriginal Community Controlled Health Services to improve Chronic Disease Management (IPAC) project. Pharmacists were proven to be valuable in improving the health outcomes of Aboriginal and Torres Strait Islander peoples; this includes a significant improvement in self-reported adherence to medicines, clinically significant improvements in the control of cardiovascular disease (CVD) risk factors and glycemic control in patients with type 2 diabetes, and reduced risk of chronic disease patients developing CVD.

Read NACCHO’s media release here. Read the Australian Pharmacist article here.

Mandatory alcohol labelling – what’s next?

An expert panel including NACCHO Deputy CEO, Dr Dawn Casey will come together next month, Wednesday 2 August for the FASD Australia Mandatory Alcohol Labelling: A long fought battle. Now what’s next? webinar. From Tuesday 1 August labels identifying the harms of alcohol during pregnancy will be mandatory on all packaged alcoholic beverages with more than 1.15% alcohol by volume sold in Australia and NZ. Label messaging will state: “Alcohol can cause lifelong harm to your baby.”

The event will celebrate the landmark policy and the successful collaboration between researchers, advocates, community, and government. The panel will hear from a mother with lived experience of raising a child with FASD. The webinar will also explore the impact of the changes and other policies in reducing alcohol harms in communities, before looking at what’s next for reducing the risk of prenatal alcohol exposure and FASD across Australia.

Learn more here.

Image source: FASD Hub Australia.

Remote supervision keeps GP doors open

Remote supervision aims to get more GPs training and working in remote communities and communities in need across Australia. Regional NSW town, Armidale has been contending with workforce shortages in recent months, with clinics relying on telehealth services as a stopgap since its onsite GP moved away. A Royal Australian College of GPs (RACGP) remote supervision placement will see a new registrar practice at West Armidale Medical Clinic, supported by two remote supervisors.

“Remote supervision enables a GP to train in a community with limited or no onsite supervisor available – it’s an innovative way to get more GP registrars into communities in need and improve access for patients,” said RACGP President Dr Nicole Higgins.

RACGP Senior Local Medical Educator, Head of Training New England Northwest, Dr Donna Quinn said the program in Armidale is an example of improving and expanding access to care for patients, “the fact that a registrar will be able to practice with remote supervision means that the patients at the clinic can continue to access care, and that makes a huge difference for a community.”

Read more here. More information about the RACGP’s remote supervision placements can be found here.

Image source: Unspalsh.

Ongoing impacts of COVID-19

Healthcare leaders are concerned about a lack of information and awareness about the ongoing risks of COVID-19. NACCHO Medical Advisor, Megan Campbell said, “COVID-19 continues to spread and affect many people across the country, including ACCHO clients and staff.” Victoria Allied Health Professionals Association, Executive Officer Andrew Hewat says across the board, COVID-19 continues to put pressure on the healthcare system and it’s important to recognise the ongoing efforts of health workers.

“COVID has taken regular healthcare workload pressures and put it on steroids,” he said.

Meanwhile, Professor Lesley Russell said national COVID data is lacking, and Australia has “no effective national surveillance or no standardised national collection of epidemiological and genetic data.” This makes it difficult to determine how many Australians are affected, plan for future waves, identify accurate prevalence of Long COVID, and evaluate the effectiveness of interventions and treatments.

Lung Foundation Australia says not many people are aware of the impacts of Long COVID.  The Foundation is urging people to “remain vigilant as COVID continues to be a major health concern” and to ensure they are up to date with COVID and other vaccinations, particularly during winter while other respiratory viruses are circulating.

Read the full Croakey Health Media article here.

Image source: Unsplash.

Improving mental health literacy of young men

Young Aboriginal and Torres Strait Islander men aged between 1425 will be at the centre of new mental health research in Stirling. The Curtin University research project will aim to understand how young Aboriginal and Torres Strait Islander men perceive mental health and their current approaches to promoting mental wellbeing, as well as the barriers and facilitators to fostering wellbeing and resilience. The research team will develop and test culturally appropriate mental health messages that will resonate with young Aboriginal and Torres Strait Islander men.

“We will conduct co-design workshops to develop new strengths-based approaches to increase mental health literacy and mental health promotion grounded in Indigenous ways of knowing and being, which might include social media campaigns or mass media campaigns,” said Curtin’s School of Population Health, Professor Penelope Hasking.

“We will soon be recruiting our research team to guide the project… comprising young Aboriginal [and Torres Strait Islander] men and Elders before we commence an initial pilot within the City of Stirling early next year,” she said.

Read the full West Australian article here.

Curtin University. Image Source: The West Australian.

Palliative Care Conference registrations near 1,000

Registrations for the 2023 Oceanic Palliative Care Conference (23OPCC) are now open with registrations climbing towards 1,000 delegates. Running between Wednesday 13 September and Friday 15 September, the conference centres around the theme, ‘With the end in mind, shaping stronger health systems, delivering quality palliative care.’ Topics on the agenda include building and sustaining the workforce, caring for diverse populations, future models of care and primary health reform. Palliative Care Australia CEO, Camilla Rowland said, “our sector is very passionate about the care they provide and OPCC really energises innovative thinking, not just in the palliative care sector but also its connection with aged care, disability services and the wider health system.”

“We were blown away by the strength of the abstract submissions we received, the best and brightest speakers are lining up to share their work and knowledge at OPCC,” said Ms Rowland.

Speakers include geriatrician Dr Sue Kurrle, Canadian researcher and podcaster Dr Hsien Seow, former Health Secretary Professor Brendan Murphy, Aboriginal nurse practitioner Kat Hooper, and renowned researcher and leader Professor David Currow. Registrations are open until Thursday 17 August, a late fee will apply from Friday 18 August.

For further registration details click here.

To view the medianet. article Strong conference program and passion for reform draws palliative care sector to Sydney this September in full click here.

Image Source: Palliative Care Australia Twitter.

Sector Jobs

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

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

3 July 2023

Aunty Dr Naomi Mayers OAM; text 'Aboriginal and Torres Strait Islander health leader, Dr Naomi Mayers receives 2023 National NAIDOC Lifetime Achievement Award'

The image in the feature tile is of Dr Naomi Myers OAM from a National Indigenous Times article Dr Naomi Mayers honoured as 2023 NAIDOC award finalists announced published on 6 June 2023.

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

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

Dr Naomi Mayers receives 2023 NAIDOC award

This year’s National NAIDOC Week Award Winners were announced at the 2023 National NAIDOC Awards ceremony, held in Meanjin (Brisbane) on Saturday. The 10 award recipients were selected from almost 200 nominations from across the nation. This year’s award recipients included Aunty Dr Naomi Mayers OAM, who was acknowledged with a Lifetime Achievement Award after dedicating her life to the advancement of Indigenous health.

Aunty Dr Naomi Mayers OAM, is a proud Yorta Yorta and Wiradjuri woman, born in 1941 on Erambie Mission, just outside of Cowra in country NSW. Aunty Dr Naomi has developed and led some of the most enduring and fundamentally profound reforms in Aboriginal and Torres Strait health, both in terms of community-controlled services and the broader Australian health system.

Aunty Dr Naomi was one of the founders and a pioneering force in establishing the Aboriginal Medical Service Redfern (AMS) in 1971. The AMS Redfern was the first Aboriginal medical service and has since become a service model for community controlled health services that underpins the principles of self-determination. The service provides culturally appropriate healthcare to Indigenous people and has been instrumental in improving health outcomes for Aboriginal communities throughout Australia.

Aunty Dr Naomi dedicated 45 years to the Redfern AMS and service to the community. She started out as an Administrator, and in 2012 went on to become the Chief Executive Officer (CEO) before her retirement in 2017. Throughout her career at the AMS, Aunty Dr Naomi guided the transformation of the AMS from a small shop-front into a national network of services.

Aunty Dr Naomi is a founding member of the Aboriginal Health and Medical Research Council of NSW, the National Aboriginal and Islander Health Organisation (NAIHO) (now NACCHO), was founding president of the Federation for Aboriginal Women and a member of the first ATSIC Regional Council for Metropolitan Sydney.

To read the National Indigenous Times article Blak excellence celebrated as Meanjin hosts 2023 National NAIDOC Awards in full click here. You can also read more about Dr Naomi Meyers on the NAIDOC Week website here.

Dr Naomi Mayers as a young ATSI health advocate

Aunty Dr Naomi Mayers OAM at the beginning of her career. Image source: National Museum Australia.

52 mob who are changing the world

National NAIDOC Week celebrations are held across Australia in the first week of July to celebrate and recognise: “the history, culture and achievements of Aboriginal and Torres Strait Islander peoples.” In 1956 major Aboriginal organisations, and state and federal governments, all supported the formation of the “National Aborigines Day Observance Committee” (NADOC) and the second Sunday in July became a day of remembrance for Aboriginal people and their heritage. In 1991 with a growing awareness of the distinct cultural histories of Aboriginal and Torres Strait Islander peoples, NADOC was expanded to NAIDOC to recognise Torres Strait Islander people and culture.

Cosmos, a quarterly science magazine, was supported by the Australian Council of Learned Academies (ACOLA)  and Australia’s five Learned Academies to create a list of 52 leading Aboriginal and Torres Strait Islander people who are changing the world. It is neither exhaustive, nor are they listed in any particular order.

Ryan Winn, CEO of ACOLA said: “I am sure readers will recognise many names on the list, but there is a larger number of Aboriginal and Torres Strait Islander researchers we should all know about. These amazing researchers range from early and mid-career through to later career researchers, and cover a broad range of research disciplines. We thank them all, as well as the many other Aboriginal and Torres Strait Islander researchers, scientists and knowledge holders, for their valuable and continuing contributions to advancing knowledge in Australia. Their work builds upon the tens of thousands of years of knowledge created by Aboriginal and Torres Strait Islander people on their lands.”

To read the Cosmos article 52 Aboriginal and Torres Strait Islander people changing the world in full click here.

tile text 'for our Elders 50+ Indigenous people changing the world'

Image credit: Marc Blazewicz. Image source: Cosmos.

Uncle Clarke Scott on work with Cancer Council

Uncle Clarke Scott, a Wiradjuri man with close connections to community across the Central West and Riverina regions of NS, has spoken about his experiences working with Cancer Council NSW in creating and developing culturally safe and responsible services and information for Aboriginal and Torres Strait Islander people. Uncle Clarke Scott is a member of Cancer Council NSW’s Aboriginal Advisory Committee and has a wealth of experience working in Aboriginal community health.

Uncle Clarke has a strong understanding of what is needed to improve health outcomes for Aboriginal and Torres Strait Islander communities across NSW, “I think it’s mainly about the word being out among the community. So, with the Advisory Committee having the connection to community to be able to pass on the information from Cancer Council with their pamphlets and all that type of thing,” he says.

In communities, Uncle Clarke explains how the employment of specific Aboriginal staff is vital for culturally safe advice and support, “I think it’s so good that we’re able to help the Aboriginal community with understanding cancer. It’s really important that Aboriginal health workers can provide that cultural advice to the non-Aboriginal staff and cultural support to our community members.”

To view the Cancer Council NSW article NAIDOC Week 2023: For Our Elders in full click here.

17% of WA kids live with food insecurity

Demand for food relief across WA has substantially increased over the past four years and children in regional areas are among those most in need, a report has found. The Hungry For Change report, tabled in parliament last month, found that 17% 0f children and young people in the state live with food insecurity. The full extent of the problem may not be known because families and children hide the fact they have insufficient food, according to the report.

It detailed a recent cost-of-living study, which found over half of the participating households in the Kimberley region did not have enough money to purchase 12 days’ worth of food. These same families could not afford 24/7 electricity, which impacted directly on their ability to store, cook and prepare meals.

Foodbank WA chief executive Kate O’Hara said the government’s willingness to closely investigate the issue was a positive sign. “It’s a sensational approach, just seeing the government get informed about the truth in community to give them the clarity and vision on what could be achieved,” she said.  The “tyranny of distance” was something Ms O’Hara said many from outside of the region struggle to comprehend. “The distance factor means that cold chain, which is vital for quality food to get into the remote areas of state … the cold chain infrastructure is predominantly around the major retail food outlets,” she said.

To view the ABC News article Food insecurity report highlights plight of children in Kimberley and Pilbara in full click here.

2 young ATSI girls in Broome with containers of food from Feed the Little Children charity

Every weekend Feed the Little Children delivers about 700 hot dinners to children in Broome. Photo: Erin Parke, ABC Kimberley. Image source: ABC News.

Senate calls for public dentistry

An interim report into the state of Australia’s dental health has been tabled in the Senate, renewing calls for the inclusion of dental care in Medicare. The Select Committee into the Provision and Access to Dental Services interim report has shown widespread support from experts and the community for broadening Medicare to include more dental and oral health care subsidies.

Oral and dental health in Australia have improved over the past 25–30 years, especially with the addition of fluroide to drinking water. However, the Australian Government dental health statistics indicate there are still significant problems. Poor oral health costs Australia’s health care system significantly.

There are an estimated 750,000 GP consultations each year for dental problems, which costs taxpayers up to $30mp er year. Dental and oral health problems also affect the hospital system, with Australian Institute of Health and Welfare (AIHW) estimating that, in 2020–21, there were about 83,000 hospitalisations for preventable dental conditions. Dental disease and oral health problems disproportionately affect those on low incomes, Aboriginal and Torres Strait Islanders peoples, people in rural and remote areas, prisoners, disabled people, and those with specialised health care needs.

To view the InSight article Medicare with teeth: Senate call for public dentistry in full click here.

youth in dental chair, dentist & dental assistant

Image source: Goolburri Dental Service. Goolburri Aboriginal Health Advancement Co, Ltd. website.

Cancelled flights affect Cape York health services

Remote Far North Queensland Indigenous communities fear losing health and other essential services if airlines continue to cancel flights. According to the Kowanyama Aboriginal Shire Council, SkyTrans has cancelled 18 flights since the start of this year. Robbie Sands is the mayor of the western Cape York community and chair of the Torres Cape Indigenous Council Alliance (TCICA), which represents 15 remote local government authorities.

He says flight cancellations happen far too often and are causing significant disruption to the delivery of essential services in some of Queensland’s most disadvantaged communities. “Things like weekly medications sent up from Cairns, they can be delayed or don’t come in, which impacts on our peoples’ health,” Cr Sands said.

“We get a lot of allied health services come into our communities, and [cancellations] cause major disruptions if they can’t come in and see and treat our people.”

To view the ABC News article Flight cancellations to remote Cape York communities affecting health, essential services in full click here.

aerial view of Bamaga, North Qld

Bamaga has experienced frequent flight cancellations. Photo: Brendan Mounter, ABC Far North. Image source: ABC News.

Sector Jobs

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

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

22 May 2023

feature tile image of ATSI mum & newborn; text 'World-first online digital tool helps facilitate faster and more effective perinatal mental health screening'

The image in the feature tile is from an article Why did nobody tell me how hard it would be? The plight of perinatal mental health published in the InPsych 2022 Vol 44 Summer 2022 available on the Australian Psychological Society website here.

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

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

World first online mental health screening

Founder and executive director of Centre of Perinatal Excellence (COPE), Australia’s peak body for reducing the impacts of perinatal anxiety and depression, and perinatal mental health specialist, Dr Nicole Highet said the COVID-19 pandemic increased the incidence and severity of perinatal depression and anxiety, and had a dramatic effect on the mental health of new and expectant parents. “Becoming a parent is challenging enough, but now new and expectant parents are experiencing the additional long-lasting mental health effects of living through a global pandemic” Dr Highet said.

COPE has developed a world-first online screening program to support the mental health of new and expectant mums. The iCOPE digital screening tool can be used to identify mums at risk and facilitate faster and more effective mental health screening in the perinatal period.  It enables perinatal mental health screening to be undertaken across all clinical settings, from in-person to remote screening via the patient’s mobile phone. “iCOPE is changing the way perinatal mental health screening is conducted across the country to ensure all mums-to-be have the opportunity to undertake regular mental health screening, in line with the National Perinatal Mental Health Guideline,” Dr Highet said.

“It’s now more important than ever to be using this world-leading technology to implement regular, faster and more efficient perinatal mental health screening to identify those at risk and those experiencing symptoms.” The sooner symptoms are detected, the faster the treatment can begin, which is why it’s so important to spot the signs early. The iCOPE screening tool also includes two perinatal mental health screening tools that have been developed specifically for Aboriginal and Torres Strait Islander peoples: the Kimberly Mum’s Mood Scale and the Mt Isa Postnatal Depression Scale.

To view the Kyabram Free Press article World first online mental health screening service rolled out in Benalla in full click here.

COPE Centre of Perinatal Excellence logo; iCOPE Digital Screening Platform; image of woman using app on iPhone

Image source: COPE website, iCOPE Digital Screening webpage.

New MBS education webpage

The Royal Australian College of General Practitioners (RACGP) President Dr Nicole Higgins describes the Medicare Benefits Schedule (MBS) as overly complex and difficult to interpret. Dr Higgins says RACGP members frequently report it is difficult to keep up with regular changes to item numbers and claiming rules. In late 2021, the RACGP surveyed members to collect feedback on the value of existing Department of Health and Aged Care resources and what topics GPs would like to see covered in future resources. Responses revealed that there is a lack of awareness around existing resources, and these are underutilised by health providers.

The RACGP have now developed a new publicly accessible webpage, available here, which contains links to Medicare and compliance education resources. Resources are grouped together in one central location so general practitioners (GPs) do not have to search across multiple websites to find what they are looking for. Links are grouped under key themes, which are in alphabetical order. We have also included short descriptions of each resource to help GPs find what they need. This new webpage compiles links to resources such as MBS explanatory notes, fact sheets, education guides, eLearning programs, infographics and case studies. It includes links from various sources, including the Department of Health and Aged Care, Professional Services Review, Services Australia and the RACGP.

Dr Higgins said that while there has been extensive discussion about the need for more education on the MBS and the RACGP is working to identify gaps by reviewing existing materials, there is a range of useful resources already available that GPs may not know about. Dr Higgins said the RACGP is encouraging GPs to bookmark this webpage and RACGP staff will continue to add to it as new resources become available.

RACGP logo & ribbon of MBS Medicare compliance - Summary of useful links on website

Helping improve LGBTIQ+ workplace inclusion

The Victorian government is supporting hundreds of service organisations across the state become more inclusive for queer communities. Last week Premier Daniel Andrews and Equality Minister Harriet Shing announced the state government is investing $1.85m for Rainbow Health Australia to deliver inclusion training to service organisations to make sure they are safe and trusted by the LGBTIQ+ community.

Rainbow Health Australia is a trusted organisation located in the Australian Research Centre in Sex, Health and Society at La Trobe University, supporting LGBTIQ+ health and wellbeing through research, training and resources. This investment will support up to 400 organisations to undertake Rainbow Health Australia’s training program How2 – helping them improve LGBTIQ+ inclusion in their workplaces in a sustainable way, including by developing and implementing an inclusion plan.

Rainbow Health Australia will also partner with an Aboriginal-led organisation to come up with the best approach for supporting Aboriginal-led organisations as they undertake this work. It will also create networks of organisations that have completed the program, providing a place to share experiences and advice.

To view the Premier of Victoria the Hon. Daniel Andrews’ media release Building LGBTIQ+ inclusion across Victoria article in full click here.

rainbow flag

Image source: La Trobe University website.

Integrated practice models key to tackling elder abuse

Elder abuse is a serious problem in Australia and across the globe, with one in six Australians over 65 years of age experiencing abuse. Elder abuse occurs when a person causes harm or distress to an older person. Elder abuse can be psychological, financial, physical, sexual, or neglect. Adult children and family members (including intimate partners) most commonly perpetrate elder abuse.

Established by Eastern Community Legal Centre (ECLC) and its partners Eastern Health and Oonah Health & Community Services Aboriginal Corporation, the ELSA and ROSE programs were created in 2019 as part of the National Plan to respond to the abuse of older Australians, funded by the Commonwealth Government. ELSA and ROSE provide integrated practice models that combine lawyers and other community service professionals including elder abuse advocates (often social workers) and financial counsellors to provide a wrap-around service for those experiencing elder abuse.

Michael Smith, ECLC CEO says that the Centre is proud of its ongoing work to prevent, intervene early and respond to elder abuse. “The ROSE and ELSA programs demonstrate that collaborative approaches improve access for older people needing assistance and the wrap around service model works to provide the best level of support for victim survivors in the community,” said Smith.

To view the Star Mail article Integrated practice models key to tackling elder abuse in full click here. The below video is one a number of resources included in the Queensland Government’s Together we can stop elder abuse campaign available here.

How Wreck Bay was left asking “who will die next?”

A two-year investigation has revealed devastating sickness and death in an Indigenous community located next to a defence base that used toxic firefighting foam. When Peggy Carter, a resident of the Aboriginal villiage, Wreck Bay, died in 2019 at the age of 39, following a short struggle with a savage cancer, the three children she cared for lost their world.

Residents of Wreck Bay, on the edge of Jervis Bay’s southern peninsula, 200 kms south of Sydney, know more about grief than most. They say sickness and death cast an ever-present pall over their community. An assault of heart attacks, kidney disease, cancer after cancer. Aunty Jean, 90, said she was one of the few locals who had survived to see old age. “There’s no old men and no old women in Wreck Bay,” she said. “There used to be.” Locals have despaired in their search for answers. What was going wrong in Wreck Bay? Was it hereditary? Bad luck? Something more sinister?

The penny dropped when the Department of Defence disclosed that toxic chemicals in its firefighting foam – known as “forever chemicals” or PFAS – had been seeping into the community’s waterways, food supply and sacred sites for at least three decades. Paradise Poisoned, a two-year investigation by this masthead in conjunction with Stan, iKandy Films and Shark Island Foundation, has delved into the immense loss of life in the community of 400 people and the devastation wrought on their ancient cultural practices by the toxic chemicals. A politician, a doctor and a water board employee all sounded the alarm about a potential cancer cluster in the village, which has recorded some of the worst rates of premature death in Australia.

To view The Sydney Morning Herald article Paradise Poisoned: How the idyllic town of Wreck Bay was left asking ‘Who’s going to die next?’ in full click here.

Wreck Bay (NSW) resident Aunty Jean Carter sitting of rocks at beach

Resident Aunty Jean Carter is amongst those speaking out about fears of a cancer cluster in the Aboriginal community of Wreck Bay. Photo: Rhett Wyman. Image source: The Sydney Morning Herald.

Sector Jobs

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

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

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

National Palliative Care Week (NPCW) runs from Sunday 21 to Saturday 27 May 2023 and aims to put ‘Matters of Life and Death’ front and centre in Australia’s consciousness. Camilla Rowland, CEO at Palliative Care Australia (PCA) says, “We understand that death and dying is a difficult subject to talk about and engage with, but this year we have some powerful voices joining the campaign to inspire and start important conversations. The ‘people at the heart of quality palliative care’ – our workforce and volunteers, have opened their hearts to share the life lessons they learn everyday as they provide care and support to people and families living with a life limiting illness.”

“NPCW and the stories we’ll share will open the door on the full scope and impact of palliative care and the quality of life it delivers. I hope it provides a moment of reflection for all Australians to think about and plan for the last chapter of life,” Ms Rowland says.  

Film screenings and a host of other events will make for a busy NPCW around the country. A full list of events as well as a range tools to help grow awareness of palliative care can be found on the PCA’s National Palliative Care Week 2023 – ‘Matters of Life and Death’ webpage here.

2 May 2023

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

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

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

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

CAAC to deliver Urgent Care Clinic in Alice Springs

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

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

The UCCs will:

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

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

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

PM Albanese announcing Medicare UCCs in Darwin & Alice Springs

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

Reform leads to increased PHC utilisation

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

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

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

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

ATSI man having a finger prick test in a health clinic

Image source: Choose Your Own Health Career website.

Human Experience Week about love, belonging and healing

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

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

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

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

Effects of Mental Health First Aid training for mob

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

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

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

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

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

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

Health service delays driving families apart

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

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

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

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

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

Health Minister to ban disposable vapes

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

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

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

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

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

Image: Getty Creative. Image source: Forbes Health.

Sector Jobs

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

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

20 April 2023

feature tile image of Medicare card sitting on $50 notes; text ' Strengthening Medicare - General Practice (GP) Grants program will allow ACCHOs to expand patient access and improve their services'

The image in the feature tile is from an article Strengthening Medicare – General Practice (GP) Grants Program published on the PNH Hunter New England and Central Coast website on 3 April 2023.

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

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

GP grants to help expand patient access

The Australian Government is delivering on a key election commitment to strengthen GP practices across the country. The $220m Strengthening Medicare – General Practice (GP) Grants Program will allow all General Practices and eligible ACCHOs to expand patient access and improve their services.

The GP Grants will support all general practices and eligible ACCHOs across Australia to make investments in innovation, training, equipment, and minor capital works in one or more of the three investment streams below:

  1. Enhance digital health capability
  2. Upgrade infection prevention and control arrangements
  3. Maintain and/or achieve accreditation against the Royal Australian College of General Practitioners (RACGP) Standards for General Practices (5th edition).

Grants will be provided depending on accredited GP practice size, with smaller practices eligible for grants of $25,000 or $35,000 and larger practices eligible for grants of $50,000. GP practices and ACCHOs not currently accredited against the RACGP standards will be eligible for $25,000.

The grants will be delivered through local Primary Health Networks (PHNs) and  NACCHO. Over the coming weeks, PHNs and NACCHO will be sending letters directly to general practices inviting participation in the Grants Program.

To view Minister Mark Butler’s media release Strengthening Medicare with $220m in GP Grants in full click here.

vector hand holding bag with grants written on it, clinic in background

Image source: WA Primary Health Alliance website.

Funding to narrow the digital divide

Minister for Indigenous Australians, Linda Burney and Minister for Communications, Michelle Rowland say the Albanese Government has bolstered its commitment to narrowing the digital divide for First Nations Australians by providing an additional $10m in funding to the latest round of the Regional Connectivity Program (RCP).

“This funding will deliver dedicated solutions to improve digital connectivity for First Nations communities in Central Australia. Improvements in digital connectivity will help address low levels of digital inclusion for individuals and communities and, in turn, support improved social inclusion and access to online services including health, education and social support services.”

To view Minister Burney and Minister Rowland’s joint media release Additional funding to drive digital inclusion for First Nations communities in full click here.

2 vector people joining plugs, text 'digital divide' computer code in background

Image source: article Bridge the digital divide to promote inclusion published in Capacity on 3 December 2021.

Alice Springs alcohol restrictions working

Chief Minister and Minister for Alcohol Policy, Natasha Fyles, says the NT Government will extend takeaway alcohol restrictions in Alice Springs. Over the past three months we have seen these alcohol restrictions work, and support our community and frontline workers.

Alcohol-related emergency department presentations at Alice Springs Hospital have almost halved, and domestic violence has dropped by a third in the month since the takeaway alcohol restrictions were reintroduced into the Northern Territory town.  In January we outlined a number of measures to address anti-social behaviour and crime in Alice Springs, with alcohol restrictions being part of this plan.

To view the Chief Minister of the NT Natasha Fyles’ media release Alice Springs alcohol restrictions working in full click here.

VB carton in sandy creek bed

Photo: Xavier Martin. Image source: ABC News.

Australian Immunisation Register enhancements

Enhancements to the Australian Immunisation Register (AIR) implemented on 15 April 2023 in preparation for the 2023 influenza season include:

COVID-19 and Influenza Immunisation History Statement

Individuals can use a new COVID-19 and Influenza Immunisation History Statement (IHS) from the Australian Immunisation Register (AIR).

The new IHS only displays COVID-19 and influenza vaccination information (including medical contraindications) on the AIR for an individual. This provides individuals with more privacy as they can use it as evidence for employment purposes, instead of providing their full vaccination history.

Individuals can view and print their COVID-19 and Influenza IHS (PDF version) from the AIR by:

  • accessing their Medicare online account through myGov or the Express Plus Medicare mobile app
  • calling Services Australia on 1800 653 809 to ask for a copy
  • asking their vaccination provider to print a copy.

NOTE: For privacy reasons, anyone aged 14 or older can get their own IHS.

Digital versions of the new IHS will be available in late 2023. Individuals will be able to use and share the new IHS with their digital wallets (Apple/Google).

COVID-19 Vaccination Report (AIR042A)

The AIR042A report is now available for vaccination providers to generate through the AIR site. Updates were made to improve the usability of the AIR042A report. Vaccination providers can extract information from the AIR based on an individual’s COVID-19 vaccination history. This allows providers to choose the:

  • vaccine brand
  • total number of doses an individual has received
  • number of doses received in a specified timeframe
  • For example, an individual has received ‘0’ doses in the last ‘6’ months
  • age or Date of Birth range

Services Australia will publish an eLearning module for the AIR042A report in the coming weeks. This will include more information on how to use the AIR042A report.

It is mandatory under the Australian Immunisation Register Act 2015, for vaccination providers to report the administration of COVID-19 and influenza vaccinations to the AIR. Reporting timely, high quality and accurate vaccination information ensures that the AIR contains a complete and reliable dataset. This allows the monitoring of immunisation coverage and administration.

The Department of Health and Aged Care will continue to work with Services Australia to help vaccination providers meet their reporting obligations.

hand holding mob ph with COVID-19 vax certificate

Image source: Australian Government Every Australian online webpage.

PSA calls for action to improve access for mob

From changes to policy, service design and delivery, PSA is calling for action to improve Aboriginal and Torres Strait Islander peoples’ access to healthcare. There is a staggering gap in life expectancy between Aboriginal and Torres Strait Islander people and other Australians.

The PSA has partnered with NACCHO to deliver several Aboriginal and Torres Strait Islander-led healthcare programs and educational initiatives over the years, including the Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management (IPAC) Project and the Deadly pharmacist foundation training course, available here.

While NACCHO is the national leadership body for Aboriginal and Torres Strait Islander health in Australia, PSA shapes initiatives from a pharmacist-standards, policy and educational perspective. ‘To develop pharmacy-related resources and information, we need to work with the peak bodies operating in the pharmacy world to translate and distil the messages from Aboriginal and Torres Strait Islander people into practice,’ said Mike Stephens MPS, Director, Medicines Policy and Programs at NACCHO.

To view the Australian Pharmacist article PSA demands equity of healthcare access for Aboriginal and Torres Strait Islander peoples in full click here.

2 images: Mike Stephens; 2 ATSI staff Danila Dilba, NT

Mike Stephens. Danila Dilba, NT staff. Image sources L-R: Australian Pharmacist and Danila Dilba website.

Improving health with good sleep

The University of Queensland and Beyond Blue have partnered to deliver culturally responsive sleep health services to Aboriginal and Torres Strait Islander adolescents in Queensland. Project lead Assoicate Professor Yagoot fatitma from UQ’s Poche Centre for Indigenous Health said Aboriginal and Torres Strait Islander adolescents experience disproportionately high rates of poor sleep – up to twice as high as other young people.

“Improving sleep among young people means they can become more engaged in school, sport, cultural and community activities,” Dr Fatima said. “Poor sleep can be caused by medical conditions like sleep apnoea, restless leg syndrome, home environments or behavioural issues such as an irregular bedtime. Our previous studies have shown that Indigenous adolescents sleep better when they feel connected to their culture which is why this program is important.”

A 10-week Sleep for Strong Souls program will connect with more than one hundred 12 to 18-year-olds through workshops in north and western Queensland communities. The UQ-led program promotes and reinforces healthy sleep behaviours by integrating traditional and western knowledges and was successfully piloted in Mt Isa  last year.

To view the First Nation s Telegraph article Improving Indigenous health with a good night’s sleep click here.

7 people stranding in group - Sleep for Strong Souls program team

Sleep for Strong Souls program team. Image source: National Indigenous Times.

Sector Jobs

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

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

31 March 2023

feature tile - Dr assessing cut Aboriginal hand on computer screen; text 'telehealth a game changer for many First Nations people but review shows we could do better'

The image in the feature tile is from an article Telehealth a game changer: closing the gap in remote Aboriginal communities published in The Medical Journal of Australia on 31 March 2019.

Dr Angus Turner assessing an ultra widefield retinal scan at the Northwest Eye Hub in the Kimberleys.

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

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

Telehealth review shows we could do better

Telehealth has been a game changer for many First Nations people globally, including in Australia. It has allowed First Nations people to access health care close to home – whether that’s screening for health issues, diagnosing illness or monitoring existing conditions. It has done this while minimising exposure to COVID. Telehealth uses information and communication technology to deliver health care at a distance. In Australia, this is mainly via phone and video consultations. Telehealth can be delivered by any health-care provider including doctors, nurses, and allied health or ancillary health providers. Telehealth is not a complete replacement for in-person care. But it can be used instead of some face-to-face appointments.

ACCHOs have traditionally provided primary (initial) health care and some specialist care for First Nations people in Australia. Telehealth allows them to provide a greater range of specialist services. So, this allows First Nations people access to care close to home, with optional support from an Indigenous health worker.

A recent review of telehealth for First Nations people – in Australia, Canada, NZ and the US – shows we could do better. Unreliable internet access, services designed without meaningful First Nations’ input, and concerns about establishing rapport with health workers were some of the concerns.

To view The National Tribune article Telehealth has much to offer First Nations people. But technical glitches and a lack of rapport can get in the way in full click here.

stethoscope on wooden surface wrapped around mobile phone with vector stethoscope on its screen

Image source: The University of Queensland Australia, UQ News webpage.

NT-specific solution to health staff shortages

Finding solutions to the dire challenges facing the health workforce in rural and remote areas to better support Territorians, particularly First Nations people, is the focus of the Better Health Futures Symposium being held in Alice Springs today. The Symposium will bring together the diverse perspectives and experience of influential leaders, rural and remote health experts, educators and researchers to address health challenges spanning the NT.

For instance high staff turnover, high job vacancy rates and low staff retention resulting in critical staff shortages. Plus a decline in Aboriginal health practitioners and international medical graduates, clinic closures, clients not visiting a GP and lacking care plans for chronic conditions. The Symposium is presented by Charles Darwin University (CDU) in partnership with Menzies School of Health Research, Central Australian Aboriginal Congress (CAAC), Aboriginal Medical Services Alliance Northern Territory (AMSANT) and NT Health.

AMSANT Acting Chief Executive Officer Dr Donna Ah Chee said the Symposium will help address major health issues, such as the life expectancy of First Nations people in the NT. “While the life expectancy gap in the Northern Territory is still unacceptable there has been substantial improvement over the past two decades, with a nine-year improvement in life expectancy for men and almost five years for women,” Dr Ah Chee said. “Our sector has been critical in leading these gains. However the progress we have made will stall if we do not urgently address the workforce crisis we are now facing. Many of our services are facing severe shortages of health professionals, leading to reduced services and temporary clinic closures.”

To view the CDU article Health workforce lift for NT in Alice Springs in full click here.

3 ATSI participants (2 young females, 1 male) at 2023 Better Futures Symposium, Alice Springs

The 2023 Better Health Futures Symposium in Alice Springs aims to build a robust rural and remote health workforce in, and for, the NT. Image source: CDU Australia News webpage.

Emerging leaders hope to make communities better

Emerging Indigenous leaders from across the Big Rivers region are among a group of 24 participants of the 2023 First Circles Leadership Program. The program aims to build leadership skills and bring new voices from remote communities to the Territory conversation on matters affecting Aboriginal Territorians.

This year, education, health services, infrastructure, housing and telecommunications will be among the topics discussed at the regional workshops, which take place in Darwin, Katherine, Nhulunbuy and Alice Springs until November. The year-long series of intensive workshops culminate in the group addressing all Ministers in the Northern Territory Government Cabinet, presenting ideas on policies, projects and initiatives that could positively impact their communities.

Minister for Aboriginal Affairs, Selena Uibo, a First Circles graduate herself, said he had learned firsthand how important this program was in “fostering the next generation of Aboriginal leaders. The program gave me an invaluable opportunity to hone my leadership skills and to work with Government at a grassroots level,” she said. “I look forward to supporting new voices to join the conversation about how to improve lives in remote communities.”

To view the Katherine Times article Emerging leaders hope to ‘make communities better for everyone’ click here.

2023 First Circles Leadership Program participant Leon Kinthari from Wadeye

Leon Kinthari from Wadeye said he joined the 2023 First Circles Leadership Program in a bid to build his skills. Image source: Katherine Times.

World-first framework for remote nursing

The National Rural Health Alliance (the Alliance) congratulates the Government, the National Rural Health Commissioner and all the professional bodies that have worked together to release the National Rural and Remote Nursing Generalist Framework 2023–2027. This Framework supports registered nurses to work to their full ability in rural and remote healthcare settings.

“We see this as a step in the right direction in building a multidisciplinary model of care in rural and remote settings,” said Alliance Chief Executive Susanne Tegen. “We would like to congratulate and we appreciate the work of Minister Emma McBride and Assistant Minister Ged Kearney in working with grassroots nurses, medical and allied health professionals – including dentists, paramedics and pharmacists – to bring sustainable solutions to the healthcare inequities seen in rural Australia,” said Ms Tegen.

The Alliance advocates for the Primary care Rural Integrated Multidisciplinary Health Services (PRIM-HS) model, which is an evidence-based and community-led policy and funding solution to support primary care where markets are failing or communities are without medical and healthcare services. It aims to overcome the professional, financial and social barriers to working rurally. The Framework aligns with the Alliance’s advocacy efforts to bring this multidisciplinary model of care to rural communities and we seek government funding and support to promote PRIM-HS nationwide.

You can view the NRHA media release More support for nurses under world-first framework for rural and remote nursing in full click here.

Fewer kids in detention but more support needed

The number of young people coming into contact with the criminal justice system has fallen in the past five years. However, Aboriginal and Torres Strait Islander children continue to be over-represented under youth justice supervision in every state and territory, according to data released by the Australian Institute of Health and Welfare (AIHW).

Indigenous people aged 10-17 are about 24 times more likely to be in detention than other young people. On an average day in 2021-22, almost two-thirds (60%) of people aged 10-17 in detention were Indigenous compared with almost one-third (32%) of adults in prison, the report found. Palawa elder and Amnesty International Australia Indigenous advisor Rodney Dillon said the underlying causes of poverty and inequality needed to be addressed.

Arrernte/Luritja woman Catherine Liddle is the CEO of SNAICC – National Voice for our Children, the peak body that represents Indigenous children in out-of-home care. Ms Liddle said research has consistently shown Indigenous children were more likely than other Australian children to be in out-of-home care, which is a major contributing factor to coming into contact with the criminal justice system. “What we need to do is be putting the dollars into early intervention and looking at ways that we strengthen families so that children don’t hit child protection systems, but rather have the supports that they and their families need,” she said.

To view The Islander article Fewer kids in detention but more support needed click here.

children's hands on bars - one set of hands are Aboriginal

Image source: Law Society of NSW Journal Online.

GRAMS launch competition for No Tobacco Day

As World No Tobacco Day approaches, the Geraldton Regional Aboriginal Medical Service (GRAMS) has thought of a unique approach to tackle smoking in the community with a recipe competition and free cookbook. GRAMS has launched the recipe competition to coincide with this year’s World No Tobacco Day theme of We Want Food Not Tobacco, and are seeking the community’s best recipe entries.

The competition began on Tuesday 7 March and will end on Friday 21 April, with a Tackling Indigenous Smoking Cookbook to be released on Wednesday 31 May during World No Tobacco Day. GRAMS is asking the community to ditch the smokes and get their recipes into the competition, with weekly prizes for the winning recipe. Recipes include family favourites, healthy snacks, sauces and traditional food.

Tackling Indigenous Smoking acting co-ordinator Brent Walker said anyone could submit a recipe and he hoped to see a variety of healthy, traditional food from the local area such as bush fruits, herbs and spices. Mr Walker said GRAMS took up the idea to raise awareness that cigarettes were not that important and to send a message to give up smoking. “It’s making parents and adults aware that providing food for their kids is more important than buying smokes, they’re getting expensive and kids are going to school hungry,” he said.

To view The West Australian article Geraldton Regional Aboriginal Medical Service launch recipe competition for World No Tobacco Day in full click here.

GRAMS employees Brent Walker, Levi Thorne and Neau Simpson

GRAMS employees Brent Walker, Levi Thorne and Neau Simpson. Photo: Tamati Smith, Regional Hub. Image source: The West Australian.

Sector Jobs

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

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

22 March 2023

feature tile image ATSI man have echocardiogram; text 'AI has enormous potential for use in remote Australia to screen more people and catch heart ailments earlier'

The image in the feature tile is of a man in the Alice Springs Hospital undergoing an echocardiogram with the aid of artificial intelligence. Photo: Steven Schubert. Image source: the article ABC News article How artificial intelligence is helping to detect heart disease in remote Australia published by ABC News earlier today.

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

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

AI helps detect heart disease in remote Australia

In a small room in the Alice Springs Hospital, Rhonda O’Keefe is giving a man an ultrasound on his heart, despite having no formal training to do so.  Ms O’Keefe is not a sonographer, she’s an Aboriginal Health Practitioner. She has some medical training, but not the two years of post-graduate study it takes to become a qualified sonographer.  Instead, Ms O’Keefe is being guided by artificial intelligence (AI) as she performs the echocardiogram, the ultrasound of the heart. The AI software prompts Ms O’Keefe on where she needs to hold the ultrasound probe, and how much pressure to apply, depending on what the echocardiogram is looking for. Her first attempt at performing the procedure was just two weeks ago, but already she is obtaining pictures that cardiologists can use for diagnosis.

It’s a remarkable achievement, according to Dr Angus Baumann, the only full-time cardiologist at the Alice Springs Hospital. Dr Baumann, who has been observing Ms O’Keefe’s training, said when he learned to conduct echocardiograms it took him months of practice to get usable images — despite already working as a specialist in the field after years of medical school. “With this technology, someone’s able to get usable images on their first go,” he said.

The images are uploaded to a cloud-based server, and then downloaded and analysed by cardiologists. who may be hundreds of kms away from the patient. Dr Baumann said he could see an enormous potential for the technology to be used in remote Indigenous clinics to try to screen more people and catch heart ailments earlier.

To view the ABC News article How artificial intelligence is helping to detect heart disease in remote Australia in full click here. You can also read a previous story, here, about the trial of this AI technology being run from the Walgett Aboriginal Medical Service.

Aboriginal health practitioner Rhonda O'Keefe performs an echocardiogram as cardiologist Dr Angus Baumann observes

Aboriginal health practitioner Rhonda O’Keefe performs an echocardiogram as cardiologist Dr Angus Baumann observes

Closing health gap needs more than booze, crime control

In a letter to the Alice Springs News Editor, Dr Simon Quilty, who was formerly based at Alice Springs Hospital and is currently working with Purple House said: “While there is a lot of focus on alcohol, crime and violence in communities such as Alice Springs, it is the long-term, underlying issues that are the real problem here. We are definitely experiencing difficulty in attracting, retaining and housing health professionals right across the NT, addressing this issue in isolation of the greater social disparity only makes the problem worse.

When our patients do not have adequate housing, and are living in conditions that are extremely detrimental to the health, education and basic safety of their residents, this provides fertile grounds for youth disengagement, domestic violence and social disharmony. There is a pervasive sense of hopelessness that is a key contributing factor to the issues affecting these communities and this has been exacerbated by the social fallout after COVID which has resulted in the cessation of many social programs that previously supported many people, particularly youth, in these communities.

How does it look to our patients when doctors and nurses are provided with accommodation, when they are sleeping in shifts so they can fit in the increasing number of people needing basic shelter? Extreme disparity exists even within our Aboriginal health workforce. Alice Springs Hospital Aboriginal Liaison Officers, who provide interpreting services essential to the delivery of health care to our patients, are the lowest paid interpreters in the country. These are essential health workers, who speak many dialects, and the value of their skills must be equitable with interpreter salaries for government services for immigrants to Australia.

To view the Closing health gap needs more than booze, crime control article published in the Australian Rural & Regional News in full click here.

Dr Simon Quilty checking female ATSI women with stethoscope

Dr Simon Quilty with patient in Alice Springs. Image source: Stephanie Zillman, ABC News.

Community Hubs based on ACCHO model

Genuine community engagement is required to deliver equitable outcomes for people living in rural and remote Australia, according to Mark Burdack, CEO of the Healthy Communities Foundation Australia (the Foundation). The Foundation has a proposed policy for Community Hubs in rural areas, which Mr Burdac describes as “a one-stop-shop for services that are engaged in addressing the social determinants of health”.

Similar to the Aboriginal Community Controlled Health (ACCHO) model, Community Hubs would be funded by both state and commonwealth governments, and led and governed by communities, he says. The ACCHO sector has shown us how we can effectively support communities and merge health promotion, prevention and intervention using multi-jurisdictional funding models. We have the capacity and models to do things differently in rural and remote health if there is a will to do so.

But this requires decision makers to recognise that rural and remote people have the knowledge, skills and capacity to create more equitable access to healthcare, and more equitable health outcomes, if they receive the right support and investment needed to lead that change.

To view the Croakey Health Media article How Community Hubs could contribute to better health for rural and remote Australians in full click here.

group of smiling 7 ATSI youth & The Healthy Communities Foundation Australia logo

Image source: The Healthy Communities Foundation Australia website.

New oral health education resources for mob

For the last three years, the FDI World Dental Federation has used World Oral Health Day on 20 March to campaign for everyone around the world to ‘Be Proud of Your Mouth’. However, Aboriginal and Torres Strait Islander children and adults continue to have poorer oral health than non-Indigenous Australians. Due to the poorer oral health outcomes of First Nation peoples, the Australian Dental Association (ADA) embarked on the development of the culturally appropriate oral health education resources. On World Oral Health Day this week the ADA was pleased to launch these resources as part of its new Mob Smiles initiative.

According to Indigenous dental practitioners the available resources for use with children and adults in Australia do not resonate with this target population. The goal of the Mob Smiles resources is to develop oral health education kits purposely developed for Aboriginal and Torres Strait Islander children and adults. Poor oral health can affect individual quality of life and exacerbate chronic health conditions. Unfortunately access to affordable, and culturally appropriate dental care is difficult for many Indigenous Australians. The resources aim to provide education and oral health information in a culturally safe manner.

The suite of oral health resources consists of posters, flyers and factsheets for various ages including toddlers, teenagers, pregnant women and the elderly. The multiple resources provide education in caring for oral health and details on hygiene, diet and scheduling dental visits.

To view the Australian Dental Association article ADA Mob Smiles released on World Oral Health Day in full click here. You can also find more information about Mob Smiles here and World Oral Health Day here.

Medicare cards coming soon to the myGov app

Australians will soon be able to add their Medicare card to the digital wallet in the myGov app.

The new myGov app, available here, was released last year. The app has a digital wallet where people can securely store some government digital cards and certificates. People can already use the wallet to store their Centrelink concession and health care cards.

The new digital Medicare card in the myGov app will look similar to Medicare cards in the Express Plus Medicare app, available here and physical cards.

The myGov app has features to protect against fraud and theft of all items in the myGov wallet. Medicare cards and Centrelink concession and health care cards have:

  • an animated hologram to show the card is not a screenshot
  • a QR code that can be scanned to confirm the card is genuine and valid
  • the date and time of when the card was last updated at the bottom of the screen.

If a person is no longer eligible for Medicare, the card will be automatically removed from their myGov app.

When a person’s Medicare card expires, it’ll be replaced automatically in their myGov wallet if they’re still eligible.

Accepting a digital Medicare card and scanning the QR code is optional, you don’t have to accept it if you don’t want to. You can still verify a Medicare card in the same way you do now.

Scanning QR codes

You scan the code using the myGov app on your device. You don’t need to sign in to the app to scan the QR code.

You can find more information and instructions on how to scan the QR code on the myGov website here.

Further information will be provided when the Medicare card becomes available in the myGov app.

hand holding mobile phone with Australian Government myGovID

Image source: The Sydney Morning Herald.

‘Harmony Day’ obscures need for systemic change

International Day for the Elimination of Racial Discrimination (IDERD) is observed around the world on 21 March, yet in Australia it’s called ‘Harmony Day’. The change came about in 1999 at the order of the Howard government who sought to replace the IDERD and portray a unified multicultural society, one that did not need to actively combat racism. This aligned with the personal views of the PM John Howard, who always maintained that racism was not an inherent problem in Australia.

But critics have said the positively framed ‘Harmony Day’ intentionally obscures the need for systemic change. “It’s absurd,” said Professor Chelsea Watego. “[It’s] quite telling that this country still insists on erasing the reality of racial violence in this place. We have a health system that makes aspirations [to be] free of racism, without a strategy for achieving that. We have a Race Discrimination Act which successive governments have suspended specifically in relationship to Indigenous people, on multiple occasions. The parameters for prosecuting a race discrimination case in this country are so narrow, that so few get through. The name Harmony Day tells us about the ways in which this country and all of its institutions have refused to deal with the reality of racial violence.”

To view the NITV article It’s the International Day of Eliminating Racial Discrimination. Why does Australia call it ‘Harmony Day’? in full click here.
black & white photo of 1960 Sharpeville massacre protestors & 4 silhouettes jumping holding letters of the word 'harmony'

While the International Day for the Elimination of Racial Discrimination commemorates the 1960 Sharpeville massacre, critics say Australia’s ‘Harmony Day’ obscures the need to fight systemic racism. Image source: NITV.

Sector Jobs

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

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

Dietitians Week 20–26 March 2023

Today is the third day of Dietitians Week 2023 and as part of raising awareness of the role and value of dietitians, today we are sharing a case study of Jenna Perry, a Graduate Accredited Practising Dietitian. Jenna is originally from Lutriwata (Tasmania), where she has Aboriginal ancestry on her father’s side of the family. Although there was a disconnect with culture growing up, Jenna says she was always passionate about Aboriginal and Torres Strait Islander health and advocating for health care that Aboriginal and Torres Strait Islander people delivered in a way that strengthened cultural identity and cultural beliefs of health and wellbeing.

A Bachelor of Dietetics wasn’t offered in Jenna’s home state, so she decided to move away to the Sunshine Coast on Gubbi Gubbi/Kabi Kabi country. There she started a Bachelor of Nutrition before transferring over into the Bachelor of Dietetics. While Jenna says she loved studying for a Bachelor of Dietetics, there was minimal education on cultural humility or Aboriginal and Torres Strait Islander health through a strength-based lens. Because of this Jenna was very grateful to attend the Indigenous Allied Health Australia (AIHA) Health Fusion Challenge and complete a placement at the Institute for Urban Indigenous Health (IUIH).

To view the Indigenous Allied Health Australia (IAHA) article My Journey into Dietetics Jenna Perry in full click here.

portrait shot of Jenna Perry & text 'My Journey into Dietetics Jenna Perry'

Image source: IAHA website.

14 March 2023

feature tile ATSI mum looking down on premature twin babies on her chest; text: preterm birth prevention program hopes to provide a roadmap for improved outcomes

The image in the feature tile is from an article GLU test expands to benefit Aboriginal mothers published on the Women & Infants Research Foundation website.

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

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

Closing the gap in preterm birth rates

Rates of early birth continue to disproportionately impact Aboriginal and Torres Strait Island women and their newborns. Recent Closing the Gap data showed that the official target for healthy birthweights for babies has gone from being “on track” to “not on track”. Now, an innovative preterm birth prevention program led out of the NT is taking aim at this unacceptable disparity and the hope is that it will provide “a roadmap for improved outcomes” for all First Nations women and their children. Dr Kiarna Brown, Jess Murray and Marisa Smiler-Cairns are a team based in Garramilla (Darwin), on Larrakia Country, that make up the Top End chapter of the Australian Preterm Birth Prevention Alliance.

They note that preterm birth remains the leading cause of death in children up to five years of age. “The national average rate of preterm birth in Australia has remained relatively constant over the last 10 years (between 8.1 and 8.7%). Many of these babies lose their fight for life,” the Australian Preterm Birth Prevention Alliance noted in a statement. “In 2018, there were twice as many preterm live born babies born to First Nations mothers (17%) than to non-Aboriginal mothers (8%).” The biggest discrepancy is in the extremely preterm gestational age. First Nations women in the NT are four times more likely to lose a baby between 20 and 23 weeks gestational age: before the baby even gets a chance to survive.

Pregnancy can be a particularly vulnerable time for First Nations women, especially for those with pre-existing medical conditions such as diabetes and cardiac conditions like Rheumatic Heart Disease (RHD). Dr Kiarna Brown said there have been some key improvements in outcomes for First Nations women over the past decade. There has been a notable increase in the proportion of First Nations mothers attending an antenatal visit in the first trimester (from 49% in 2012 to 70% in 2020).”

To view the National Indigenous News article The First Nations health experts working to give Indigenous babies the best possible start in life in full click here.

Top End Alliance: Jessica Murray, Marisa Smiler-Cairns, and Dr Kiarna Brown

Top End Alliance: Jessica Murray, Marisa Smiler-Cairns, and Dr Kiarna Brown. Image source: National Indigenous Times.

Karlie one of growing number of Aboriginal doctors

For most of Karlie James’s life, studying medicine was a “pipedream”. Then she grew up, started working full time and had kids of her own, and she felt that dream slipping away. “Part of the reason why I wanted to become a doctor when I was little was that my passion was science and learning and wanting to help people,” she said. Then, around the time the Gunaikurnai, Yorta Yorta and Kuku Djungan woman turned 30 and had her third son, she reached a turning point. Growing up between Darwin and Katherine in the NT, she realised becoming a doctor was something she had to do.

“It became more apparent as I got older in the workforce, how much of an impact it would [have] to create more Indigenous doctors, especially in the community,” she said. “And that was one of my driving motivators to pursue medicine.” Having graduated from the Flinders University NT medicine program late last year, Dr James is now among the 0.5% of doctors in Australia who identify as Aboriginal or Torres Strait Islander. But that figure, which is recorded each year by the Australian Health Practitioners Agency (AHPRA), is slowly shifting and is up from 0.3% in 2016.

Also shifting is the understanding that in order to close the gap in health outcomes between Indigenous and non-Indigenous Australians, Australia needs more First Nations doctors.

To view the ABC News article Karlie James is among the growing number of First Nations doctors working to tackle the health care gap in full click here.

Dr Karlie James walking with her 4 sons

Dr James completed her degree while caring for her four sons, as well as her nephews and nieces. Photo: Dane Hirst, ABC News.

Healing walk to honour those lost to suicide

This week, for the very first time, a group of First Nations and non-Indigenous people will take a walk along the Murrumbidgee River in memory of loved ones they have lost to suicide. The walk has been called Murra Yarra, which means ‘Speak Out, Speak Loud’ in Wiradjuri language. Organiser Jasmine Williams hopes it gives families with the chance to think of the good memories with those who have passed away.

“It’s the first time anything like this has ever been done in this community,” the Wiradjuri and Wolgalu woman said. “It’s an opportunity to have a positive spin on our grief and be able to really focus on the goodness, and the good memories of their lives instead of focusing on the way they passed.” Ms Williams is hosting Murra Yarra through the youth suicide prevention community action group Yamandhu Marang (‘Are You Well’), after Wiradjuri Elder Uncle Hewitt Whyman came to her with the idea. He said he had a vision of people coming together in their grief, and encouraged everyone experiencing similar losses to share with others in their sorrow.

When they heard about the walk Riverina Medical and Dental Aboriginal Corporation got involved and decided to sponsor the event. Practice manage Jane Kearnes said they’ve helped organise a barbecue at the end of the walk at the Wiradjuri Reserve, as well as bucket hats and water stations along the track. “I applaud Jasmine and the other committees for getting this up and running,” she said. “Something like this might encourage others to speak out more and not be silent.” According to data from the Australian Institute of Health and Welfare, Indigenous suicide were more than double that of non-Indigenous suicides in 2021.

For more information on the walk you can access the Yamandhu Marang Facebook page here.

Jasmine Williams, sitting on rock under tree on bank of river

Murra Yarra organiser Jasmine Williams says the healing walk is a chance for those grieving to remember their loved ones. Photo: Madeline Begley. Image source: The Daily Advertiser.

Healthy food in remote NT a priority

The NT government has a long way to go in their efforts to address obesity and create healthier food environments, according to the latest scorecard of government performance on food policy. The Food Policy Index, first developed and implemented in 2017, benchmarks Australian governments on their implementation of globally recommended policies to improve population diets. Professor Gary Sacks from Deakin University’s Institute for Health Transformation who compiled the most recent report said greater policy action was required by the NT government.

“Supporting efforts to establish a licensing and accreditation scheme for healthy food retail in remote Indigenous communities needs to be one of the top priorities for the NT government.” Professor Sacks said a key recommendation from the 2020 Parliamentary Inquiry into Food Pricing and Food Security in Remote Indigenous Communities was the need for a licensing and inspection scheme for all remote stores. “The Healthy Stores 2020 study showed that restrictions on price promotion and product placement of unhealthy foods and drinks resulted in 1.8 tonnes less sugar being sold from 10 stores over 12 weeks while not impacting store profits,” Professor Sacks said.

“If this was extrapolated out across all remote stores over a year, the reduction could be as much as 90 tonnes a year, which equates to the weight of 60 medium sized family cars. Modelling suggests that this reduction in sugar could result in a 10% risk reduction in mortality from cardiovascular disease.”

To view the Deakin University media release Healthy food retail in remote NT communities identified as top priority click here and the Joint Policy Statement of The Coalition for Healthy Remote Stores on the Northern Territory Remote Stores Program here.

inside Peppimenarti grocery store, NT

Peppimenarti store, NT. Image source: C&I Media.

AMA urges action to save patients on PBS medicines

The AMA has urged all members of the Federal Parliament to support the AMA’s campaign to bring down out-of-pocket costs of medicines for patients and relieve cost of living pressures. It says implementation of a five-year-old recommendation of the Pharmaceutical Benefits Advisory Committee (PBAC) would save patients up to $180 a year on selected PBS medicines.

AMA President Professor Steve Robson has written to all MPs and Senators, calling on their support for the Federal Government to immediately implement a recommendation from the independent PBAC to increase the maximum dispensed quantities of selected PBS items from one month’s supply to two months’ supply per dispensing. This would also allow up to 12 months’ supply in total from a single script, saving patients an extra trip to their doctor.

Professor Robson said increasing out-of-pocket costs of medicines was a key reason many Australians delayed or failed to fill prescriptions. He said although the Government’s recent policy to lower co-payments for patients to $30 was a good move, many patients still faced significant costs and more needed to be done to lower PBS medicine costs for patients. “Pensioners and concession card holders would be among those to benefit, recognising the recent reduction in the PBS co-payment to $30 did not apply to them. It would free-up GP consultations with the possibility for GPs to write what is effectively a 12-month prescription for these particular medications. This is time GPs could spend with other patients who, we know, can benefit from the preventative health care GPs provide.”

To view the AMA’s media release AMA urges immediate action to save patients on PBS medicines in full click here.

AMA President Professor Steve Robson

AMA President Professor Steve Robson. Image source: The Age.

Breakthrough partnership to benefit remote communities

A breakthrough partnership between Hoops 4 Health and the Center for Healing and Justice through Sport will see some of the NT’s most remote communities benefit from access to trauma-informed and culturally-informed and healing-centred training. Founder of Hoops4Health, Timmy Duggan OAM, is the man behind the vision to re-empower young people and communities to improved their quality of life.

Mr Duggan has maternal ties with Tennant Creek mob from Warramungu and paternal ties to the Nykinya people of the Kimberley, and has been working with communities across the NT for two decades. He said the move to combine First Nations-led healing with trauma-informed care emerged through Hoops 4 Health staff receiving training under Dr Bruce Perry’s Neurosequential Network model.

“We have partnered with The Center for Healing and Justice Through Sport (CHJS) who offers training to help folks understand the impact of overwhelming stress, or trauma, on young people and equips them with skills to take action to support these young people,” Mr Duggan said. “This partnership just really solidifies that sometimes you’ve got to bring in an expert you know, we’ve got the First Nations knowledge. Blend that with the science around the neuroscience to address trauma in our communities and the places we work and we think we’ve got something pretty unique.”

To view the National Indigenous Times article Hoops 4 Health and The Center for Healing and Justice through Sport form partnership in full click here.

basketball star Nate Jawai with a young rising star shooting for goal

Basketball star Nate Jawai with a young rising star. Image source: National Indigenous Times.

Sector Jobs

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

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

7 March 2023

aerial view of Imanpa Community NT

The image in the feature tile is an aerial view of Imanpa Community. Image source: ResearchGate website.

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

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

Remote health centres move to ACCHO control

Central Australian Aboriginal Congress (Congress) has this month assumed operations of the primary health care clinics in Imanpa and Yulara. Congress already provides care at nearby Mutitjulu, an Aboriginal community adjacent to Uluru, as well as other communities. One of the most experienced services in the country in Aboriginal health, Congress is the largest Aboriginal Community Controlled Health Service (ACCHS) in the NT, a national leader in primary health care, and a strong advocate for the health of Aboriginal people.

Yulara will become a service hub for the region and, in Imanpa, NT Health will continue providing BreastScreen appointments along with other specialist outreach services. The Kaltukatjara (Docker River) Health Centre will also transition to Congress on 1 July, 2023. Evidence shows that increasing community involvement in the planning and delivery of local health services brings additional health benefits to local residents. This supports local communities with greater opportunities to influence the health care services offered, in particular, their cultural responsiveness.

Congress CEO, Donna Ah Chee said “Congress is proud to welcome Imanpa and Yulara communities to the Aboriginal community controlled health service model. ACCHS delivery is recognised as best practice for Aboriginal health, and the further development of the ACCHS sector is a key part of the Closing the Gap commitments that all governments have signed. This is because, for every dollar spent there is a greater return in health improvement for our people with this model of health care.”

To view the Chief Minister of the NT, Natasha Fyles and Chansey Paech, Member for Bwoja’s joint media release More Central Australian remote health centres set to transition to Aboriginal community control in full click here.

external view of Imanpa Health Centre

Imanpa Health Centre. Photo: Nick Hose. Image source: ABC News.

Maningrida PHC graduates make history

Last week the first-ever cohort to obtain formal health qualifications on-country in Maningrida made history, graduating with a Certificate II in Aboriginal Primary Health Care. The ceremony started with a beautiful welcome to Kunibidji Country from Traditional Owner, David Jones, followed by a welcome speech from Mala’la Health Service Aboriginal Corporation chairperson and Senior Aboriginal Health Practitioner, Charlie Gunabarra. David and Charlie are dedicated to bettering community health outcomes and have been proactive in guiding the Aboriginal community-control model of health service delivery.

Guest speaker, NT Chief Aboriginal Health Practitioner, Iris Raye welcomed the new graduates, Eileen Gunabarra, Fabian Smith, Jermaine Namanurki, Kurt Brown, Natasha Bond and Shannon Brown, to the health profession and imparted her passion for Aboriginal health care with the students.  On-country adult learning provided an accessible format that also ensured students could continue their family, cultural, work and community responsibilities whilst undertaking studies.

Support and funding for the place-based model of adult-learning course was received from NT PHN, the NT Department of Employment and Workplace Relations’ Foundation Skills for Your Future program and Industry NT and Ninti Training delivered engaging, fun and relatable learning.

To view the Mala’la Health Service Aboriginal Corporation Facebook post The End of a Journey. The Beginning of a Legacy. click here.
6 Maningrida (NT) graduates of Aboriginal PHC Certificate II

Certificate II in Aboriginal PHC graduates. Image source: Mala’la Health Service Aboriginal Corporation Facebook page.

Medicare changes could reduce deaths in custody

The federal government has been urged to make an immediate improvement to the lives of prisoners by providing Medicare in custodial settings, in a change that coroners have argued could reduce Indigenous deaths in custody. Advocates have argued for decades that Medicare should be available in custody. However, the change has not yet been made. Medicare is not available for prisoners because of a section of the Health Insurance Act that prohibits Medicare benefits from being paid when state funding has been provided.

Nadine Miles, principal legal officer of the NSW and ACT Aboriginal Legal Service, said her organisation had appeared at inquests where Indigenous men in their 20s, 30s, 40s and 50s died in custody from ailments including an asthma attack, organ failure, an ear infection, a clot in the lung, and coronary artery disease.

“Inadequate healthcare was an issue brought up for each of them,” Miles said. “We have seen far too many preventable deaths and far too many failures to provide a basic standard of healthcare for people behind bars. The result is that lives are lost too soon and whole families and communities are changed forever.”

To view The Sydney Morning Herald article The change to Medicare that could reduce deaths in custody in full click here.

Smoking Ceremony held at the NSW Coroners Court in July 2022 during the inquest for Mootijah Shillingsworth, who died from an ear infection

A smoking ceremonyat the NSW Coroners Court in July 2022 during the inquest for Mootijah Shillingsworth, who died from an ear infection. Photo: Dean Sewell. Image source: SMH.

Resources for health workers supporting mob with cancer

Ngununggula is a new package of resources, including a manual and quality improvement resources developed for ACCHOs in NSW to support best practice cancer care of Aboriginal and Torres Strait Islander people. The training materials are based on the work of the Illawarra Aboriginal Medical Service Cancer Care Team and feature work of other cancer care workers around the state.

The training resources are a result of a collaboration with the Aboriginal Health and Medical Research Centre of NSW (AH&MRC), the University of Sydney, the University of Wollongong, the Menzies School of Health Research and Coordinare and have been funded through Cancer Australia’s Supporting People with Cancer Grant Initiative.

The Ngununggula package of resources includes a series of webinars providing guidance on:

  • cancer prevention
  • investigations and treatment
  • cancer survivorship
  • end of life.
You can access the links to the webinars, including the one below, on the Australian Indigenous HealthBulletin website here.

How to save PHC in remote Australia

What happens when an area loses its GPs? Dr Sam Heard is witnessing the fallout, and has set out a treatment plan to combat the issue before it is too late. Dr Heard says there is a health workforce crisis in Central Australia and much of remote NT. The current social disruption and negative experiences of residents in Alice Springs mirrors the turmoil sometimes faced by remote health staff. But this is our country and remote Australians require healthcare to a level that many in the city do not.

Patients are having dialysis locally, there are emergencies that frequently require patients to be evacuated, along with housing, educational and environmental issues that desperately need advocacy. It was not always like this.

During more than 30 years as a GP and educator in the NT, Dr Heard says he has attempted to strengthen primary care and has been ably supported by motivated colleagues along the way: young doctors, nurses and Aboriginal Health Practitioners in training, and by older doctors who have moved to the area to contribute to the health of remote Australians. Over the past decade, however, Dr Heard says he has witnessed a worrying decline in primary care services and an unwillingness to tackle the issue until it is too late.

To read the RACGP newsGP article How to save primary care in remote Australia: RACGP NT Chair in full click here.

RACGP NT Chair Dr Sam Heard

RACGP NT Chair Dr Sam Heard. Image source: RACGP newsGP.

Language to be no barrier to HIV support

Hundreds of people from culturally and linguistically diverse communities living with HIV will be better able to understand vital education material as part of a national push to improve their quality of life. The non-profit organisation Living Positive Victoria is one of four HIV-focused community organisations nationally to have been awarded $200,000 in grants to help the nearly 30,000 Australians living with the disease access better healthcare.

Living Positive Victoria along with Positive Life NSW, the Bobby Goldsmith Foundation and the National Association of People Living with HIV Australia (NAPWHA) have established five projects that will receive funding. NAPWHA will unite Aboriginal and Torres Strait Islander people living with HIV from across Australia for a three-day residential workshop to promote healing.

To view the PerthNow article Language to be no barrier for accessing HIV support in full click here. Below is a Young Deadly Free animation explaining the basics of HIV.

Sector Jobs

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

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