NACCHO Aboriginal & Torres Strait Islander Health News: Keep mob safe this winter

Keep mob safe this winter

With winter here, the best way you and your family can stay well and keep doing the things you love is to:

  • Wear a mask when out in crowded spaces
  • Stay home and get tested if you’re not feeling well
  • Get together outside or in well ventilated places
  • Stay up to date with your vaccinations, including COVID-19 and flu

The NSW Government have prepared a range of new Aboriginal and Torres Strait Islander winter and flu resources to promote help these messages. Your help in sharing these resources through your channels is appreciated to help protect the community this winter.

Even if you’ve had COVID-19, it is still important to stay up to date with your vaccinations to boost your immunity and protect yourself and others. The Australian Technical Advisory Group on Immunisation (ATAGI) now recommends waiting 3 months to receive your vaccine after a confirmed COVID-19 infection.

There are antiviral treatments available for people at higher risk of getting really sick from COVID-19, including Aboriginal and Torres Strait Islander people aged 35 years and over and those with underlying health conditions. You can access more information about antivirals here.

Aboriginal and Torres Strait Islander people aged 50 years and over are also eligible for a winter COVID-19 vaccine (second booster) four months after your first booster dose to help keep your immunity strong. If you get COVID-19 before your winter booster dose, wait three months to receive it.

For more information you can view the NSW Government’s Keep Our Mob Safe COVID-19 Newsletter here and access the Aboriginal and Torres Strait Islander winter and flu resources, including videos (screenshot of the Keep Our Mob Safe video below), posters, graphics and fact sheets here.

Lowitja Institute CEO reflects on NAIDOC Week

Lowitja Institute CEO, Adjunct Professor Janine Mohamed says that “NAIDOC Week can’t just be a tick box, where people invite us in for one week of the year, listen, take some notes, and then go back to business as usual. We need to celebrate and take pride in our First Nations peoples every day of the week and to examine our role in continuing injustice and inequity.”

“This year’s NAIDOC theme encapsulates this idea, it asks us all to: Get up! Stand up! Show up! My people already have a proud history of getting up, standing up, and showing up. From our Aboriginal and Torres Strait Islander health workers who fight everyday for improved care, our Grannies fighting for our kids in out-of-home care, to our activists who scream for justice and remind us of the toll. Just to name a few.

We have been seeking to make change since the first days of colonisation. As an Elder at the NAIDOC flag-raising event on Naarm reminded us, our peoples have been long told ‘Sit down, and shut up, or be locked up!’ So I see this year’s NAIDOC theme as a call to action to non-Indigenous people, to the broader community and to the institutions and organisations that we work with and within. A call to create environments where racism is actively dealt with and prevented. Where governance at all levels privileges Indigenous leadership – and not just by putting an Indigenous person on a reference group. We need authentic involvement. True allyship. And a clear focus on those three NAIDOC Week calls to action.”

To view the Croakey Health Media article Get up, stand up, show up – and listen up in full click here.

Lowitja Institute CEO Adjunct Professor Janine Mohamed. Image source: Better Futures Australia.

RACGP slams QLD pharmacy pilot extension

The Royal Australian College of General Practitioners (RACGP) has slammed Queensland Health’s decision to extend the UTI pharmacy prescribing pilot despite concerns raised by leading health groups, including the RACGP. It follows reports of Queensland Health advising that the controversial pilot, which allows pharmacists to prescribe antibiotics for uncomplicated urinary tract infections or UTIs, will continue while work takes place “determining the future of the scheme”. They also pointed towards a 118-page evaluation report, which has been made public for the first time. Some of the contents of the report were previously reported on by The Australian several months ago.

To view the RACGP media release RACGP slams pharmacy prescribing pilot extension in full click here.

Photo: AAP. Image source: RACGP newsGP.

Improving kidney care for mob

The Adelaide-based Aboriginal Kidney Care Together – Improving Outcomes Now (AKction) project aims to transform Indigenous kidney health and healthcare. It is founded on long-term relationships, a shared determination for systemic change, and recognition of the need for Aboriginal and Torres Strait Islander leadership, autonomy and governance.

Last week, the @AKction2 team took the reins of Croakey’s rotated Twitter account @WePublicHealth and shared knowledge, language and insights into the cultural determinants of health, plus photos from the recent Renal Society of Australasia conference.

To view the Croakey Health Media article Sharing vibrant, productive and creative journeys to improve kidney care for First Peoples in full click here as well as read more about AKction’s work here.

Support for VIC ACCHO frontline workers

The Andrews Labor Government is supporting more Aboriginal organisations across Victoria to provide vital health services in culturally safe ways with a landmark investment in new jobs across the state. Minister for Treaty and First Peoples Gabrielle Williams has announced $25 million is being shared across 26 Aboriginal Community Controlled Health Organisations as part of the second tranche of the Aboriginal Workforce Fund.

The fund was established to support organisations to set their own workforce priorities, with a focus on new jobs, staff wellbeing and building organisations’ capacity to continue delivering vital services to their communities. Recipients include:

  • Aboriginal Community Elders Service, which received $1.6 million to deliver holistic mental health and alcohol and other drug services, and to enhance Elders’ connections with their culture and community
  • Victorian Aboriginal Health Services has also been allocated $1.4 million to strengthen the capacity and capability of its workforce to deliver a range of medical, dental and social services for Victoria’s Aboriginal community
  • Oonah Health and Community Services, which will expand its clinical arm and employ new staff to support the delivery of health, education, community and employment services, and
  • Kirrae Health Service, which will invest in skills training for its Aboriginal workers.

To read the Victorian Government’s media release Supporting Frontline Workers At Aboriginal Services in full click here.

Michael Graham, the CEO of Victoria Aboriginal Health Services, is pictured receiving his COVID-19 vaccination in Melbourne. Photo: Luis Ascui, NCA NewsWire. Image source: news.com.au

Coles raises funds for First Nations health

To raise funds for Indigenous health this NAIDOC week, Coles supermarkets and Express stores in the NT and select regional stores in WA have launched a ‘Purple House’ campaign. Purple House – also known as the Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation – is a First Nations-owned not-for-profit health service that provides dialysis services to people suffering from chronic kidney disease in 19 remote communities across NT, WA and SA.

Through the campaign, Coles will donate $1 to Purple House for every customer who wears the colour purple during their shopping trip or fuel stop at participating Coles supermarkets and Coles Express sites in WA and the NT until Sunday 10 July. “The money raised will help dialysis patients who are forced far from home for treatment, to get back on country for important cultural business and precious time with family,” said, Sarah Brown, Purple House CEO.

To view the Inside Retail article Coles NT, regional WA stores raise funds for Indigenous health in full click here.

Image4 source: Coles Group.

AMSA call for greater disability representation

The Australian Medical Students Association (AMSA) is calling for medical schools and healthcare systems across the nation to actively support students and professionals with disabilities. Considering almost 20% of Australians have reported to have a disability, the current healthcare systems are lacking the protocols and resources to adequately address the various challenges encountered by medical students and health professionals.

“The bottom line is our current approach is not good enough. We are leaving an important part of the population behind, which is unacceptable. We need to see the appropriate pathways for more students and professionals with disabilities in healthcare. We need more role models,” said Jasmine Davis, President of AMSA.

“Inclusion in medicine is important for so many reasons, including creating a better healthcare system for people with disability by embedding those with lived experience within it,” said Jimmy Jan, a current medical student and Ambassador for Wings for Life.

To view the AMSA media release ‘We need more role models’ – Medical students call for greater disability representation and support in the healthcare world click here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: With right investment change possible

Image in feature tile is from ABC News 20 October 2021.

With right investment change possible

Experts say Australian census data linking income level and health outcomes is unsurprising and focus is now on how to change it. The median age in Queenscliffe, a small, wealthy seaside region in Victoria, is 62 – almost three times higher than in Cherbourg, the Aboriginal community in south-east Queensland, where the median age is just 23.

Cherbourg was Australia’s most disadvantaged local government area the last time the Australian Bureau of Statistics calculated it in 2016. Queenscliffe was one of the most advantaged, and holds the honour of being the first local government area in Australia to reach the national COVID-19 vaccination target.

Dr Jason Agostino, the NACCHO’s medical adviser, said while a young median age is an indicator of the lower life expectancy of Aboriginal and Torres Strait Islander people, it’s also a source of hope. With so many young people, and the right investment in them, “things can change quickly”, he said. “That’s what I’ve heard elders at Yarrabah say as well – there’s an opportunity for change,” he said. Agostino works in an ACCHO in Yarrabah, in far north Queensland.

The above is an extract from an article ‘Wealth determines health’: young median age in Indigenous areas reflects lower life expectancy appearing in The Guardian today. The below video looks at life in Utopia, Australia’s poorest and most remote community.

Wading through complex medical system

When Jodie Jackson saw people living with illness in her community nervous to travel off Country to seek the medical attention they needed, she quickly put her hand up to be a travel companion and break down confusion between her mob and doctors. Ms Jackson kickstarted the Perth outreach program at Mawarnkarra Aboriginal Health Service in WA’s Pilbara region six years ago, jumping on endless planes between the city and the remote community since.

“I put it forward (and asked) if you had someone down in Perth that could help you, and you knew that person, would you come to Perth for your appointments.” The answer was yes. Initially a social emotional wellbeing worker, and later obtaining her certificate IV in mental health, Ms Jackson travels with patients to sit in on consultations, break down complex medial jargon, help map out treatment plans and intervene when required, all while lending a loving hand.

To view the National Indigenous Times article To help Indigenous patients, Jodie Jackson sits by their side to wade through complex medical system in full click here.

Jodie Jackson. Image source: National Indigenous Times.

Art centres role in elder health

As part of NAIDOC Week celebrations, SBS will feature the film ‘Art Centres Keep our Elders Connected – sharing the essential role of art centres in supporting older people — to keep culture, Country, language, and kin strong for their communities. The film explores the significant role Aboriginal and Torres Strait Islander community-controlled art centres play in nurturing the health and wellbeing of older people and people living with dementia in remote communities across Australia.

“This film is an invitation to listen to Elders, artists, and staff from three Aboriginal community-controlled art centres as they share their stories. It celebrates the vital role of Elders who are the backbone of these art centres,” NARI Research Fellow, Paulene Mackell, said.

To read the Inside Ageing article NARI film to premiere on SBS during NAIDOC Week in full click here.

Program to give kids best start in life

Edith Cowan University (ECU) has been awarded a $3 million National Health and Medical Research Centre (NHMRC) Clinical Trials and Cohort Studies 2021 grant which aims to give Aboriginal children the best possible start to life. Over five years, the research team involved in the project will implement the Care for Child Development (CCD) program, which the World Health Organization and UNICEF have used to positive effect internationally.

CCD trains health providers to offer appropriate advice to caregivers on play, responsive stimulation, mother-child interaction, and maternal depression, starting from the first month of their child’s life. These interactions add 30 minutes to a routine infant health check, but could provide lifelong benefits for Aboriginal children.

“Almost one in three Aboriginal children start school in WA with at least two developmental vulnerabilities,” explained ECU Director of Aboriginal Research Associate Professor Dan McAullay. “The long-term effects of having poor early child development means children don’t live up to their potential. That then influences their educational attainments, and their social and emotional wellbeing going into adulthood.”

To view the The Sector article ECU gets $3m grant to support Aboriginal children to reach their full potential in full click here.

Image source: RACGP

Self-collect cervical screening option

From today, women who need to get a cervical screening test will be able to choose to self-collect a sample themselves. The self-collect option is a game changer in cervical screening – and Australia is one of the first countries in the world to offer it as a choice for all screening participants.

For many women and people with a cervix, particularly those who have experienced sexual violence or abuse, having a regular ‘pap smear’ from a GP can be extremely traumatic, and many women instead opt not to get this test done, which exposes them to a higher risk of developing cervical cancer.

Being able to do the test yourself is also expected to increase the rates of cervical cancer screening for women from culturally and linguistically diverse backgrounds, who may have experienced cultural barriers and taboos around traditional ‘pap smears’.

To view the Assistant Minister for Health and Aged Care’s media release ‘Pap smears’ can be replaced by do-it-yourself cervical cancer tests in full click here.

Image source: MJA InSight.

National inpatient care research

The Society of Hospital Pharmacists of Australia (SHPA) is marking National NAIDOC Week 2022 by highlighting newly published national research into care for Aboriginal and Torres Strait Islander inpatients, as the organisation works to embed training on culturally safe care across all members’ annual education.

The article, which leads the June 2022 issue of the Journal of Pharmacy Practice and Research (JPPR) released last week found a significant gap between the provision of hospital pharmacy services for Aboriginal and Torres Strait Islander inpatients and processes to measure outcomes.

You can read the SHPA media release New research and NAIDOC Week sharpen focus on strength, resilience and respect in Hospital Pharmacy in full here.

Image source; scimex website.

Mixed bag for kids in CTG data

The latest data on Closing the Gap outcomes shows a mixed result in terms of reaching targets for children and young people. Data released today by the Productivity Commission shows two of three targets are on track, but the number of children starting formal schooling years assessed as being developmentally on track has declined alarmingly.

SNAICC CEO Catherine Liddle said it was heartening to see more children enrolled in early years education at a rate exceeding their non-Indigenous peers. The Productivity Commission data shows that in 2021, 96.7% of Aboriginal and Torres Strait Islander children were enrolled in preschool programs for the year before school.

To read the SNAICC media release Mixed bag for children in latest Closing the Gap data in full click here.

Image source: Good Start Early Learning website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: First Nations population continues to grow

Image in feature tile is of Census remote team member using tablet. Image source: ABS image library.

First Nations population continues to grow

The 2021 Census provides an updated snapshot of Aboriginal and Torres Strait Islander peoples, the Australian Bureau of Statistics (ABS) said today. The Census found that 812,728 people (3.2% of the population) identified as Aboriginal and Torres Strait Islander, an increase of over 25% (25.2%) since 2016. Of the Aboriginal and Torres Strait Islander people counted, 91.4% identified as Aboriginal, 4.2% identified as Torres Strait Islander, and 4.4% identified as both Aboriginal and Torres Strait Islander.

The Census also revealed growing numbers of older Aboriginal and Torres Strait Islander peoples, with over 47,000 (47,677) aged 65 years and over in 2021, up from 31,000 in 2016 and 21,000 in 2011. The median age for Aboriginal and Torres Strait Islander people increased slightly to 24 years in 2021, up from 23 years in 2016 and 21 years in 2011.

To view the ABS media release 2021 Census finds Aboriginal and Torres Strait Islander older population continues to grow in full click here.

Apunipima Men’s Health Summit success

From Monday 13 to Friday 17 June, males from all over the Cape descended on Elim Beach Camp Ground near Hope Vale for a Men’s Health Summit hosted by Apunipima Cape York Health Council’s Social & Emotional Wellbeing (SEWB) team. The event focused squarely on men’s health, with four nights of camping giving the men an opportunity to relax and connect with other men from across the Cape in a remote location free of many of the distractions of regular daily life.

The Summit was attended by men from Mapoon, Napranum, Aurukun, Mossman Gorge and Wujal Wujal. The theme for this year’s Summit was ‘Growing Together as Fathers, Providers and Protectors,’ with guest speakers, discussions and activities centred around men’s business and how to be the best men they can be for their families and for their communities.

The program was structured to present different topics to the men daily to promote conversation throughout the day and into the night. Some of the key themes to come out of the week were, looking after yourself, providing a safe place for men in community, talking about and sharing your problems and being good male role models for both your own kids and others in community.

MC for the week was one of FNQ’s funniest comedians, Sean Choolburra who kept everyone laughing throughout the week. Also speaking throughout the summit was BBM Cairns’ National TalkBlack radio host Trevor Tim, former NRL players Davin Crompton and Brenton Bowen and others including academics, motivational speakers and health industry professionals.

“Men’s health is a topic that often doesn’t get discussed, or gets pushed down the priorities list. We want to change that and hopefully some of the discussions that we’ve had this week will be the foundation for further progress in the men’s health space back in community,” said Summit Project Officer and local Traditional Owner Kurtis Gibson.

To view the Apunipima media release “Growing Together as Fathers, Providers & Protectors” – Apunipima Men’s Health Summit in full click here.

Apunipima Men’s Health Summit team and speakers.

Save money on medicines, register for CTG scripts

As of 1 July 2022, Aboriginal and Torres Strait Islander people must be registered correctly with Services Australia Health Professional Online Services (HPOS) to continue to claim benefits for their medicine scripts, through the Closing the Gap (CTG) Pharmacy Benefits Scheme (PBS) program.

Unfortunately, not all patients who previously received CTG prescriptions were transferred to the new database, resulting in some people paying more for their medicines.

Check with your local doctor or health service today, to help register you as soon as possible to avoid paying full price for medicines from 1 July.

Dr Dawn Casey, Deputy CEO NACCHO said, “We welcome the reforms to the CTG PBS database but are concerned not all eligible patients have been correctly registered. Potentially thousands of patients may have to pay more for medicines on 1st of July, so please check your registration with your pharmacy and doctor now.”

For further information about the CTG PBS program click here.

The Department of Health reminder letter regarding the CTG PBS program can be found here.

Download this poster that you can put up at your services here and images for Facebook/Twitter here and Instagram here.

We urge you to share this information across all your networks.

Get2it bowel cancer campaign launched

The Cancer Council, leaders in cancer prevention and social marketing, has launched the Get2it campaign calling Aussies to screen their number 2s. The Get2it campaign is an integrated mass media drive in partnership with the Australian Government, encouraging all Australians aged 50-74 to Get2it and participate in the National Bowel Cancer Screening Program (NBCSP) when they receive their free test in the mail.

The Get2it campaign, which is funded by the Australian Government, has been informed by extensive research undertaken by Cancer Council’s Centre for Behavioural Research in Cancer (CBRC) which was designed to uncover why only four in ten (43.5%) Australians undertake the bowel screening test every two years. The mass media campaign includes a national media buy across TV, radio, digital and OOH, as well as PR.

In addition, the campaign will also target communities with increased risk of developing bowel cancer and increased barriers to participating in the National Bowel Cancer Screening Program. These include Aboriginal and Torres Strait Islander communitie, and health care professionals including GPs.

To view the Mumbrella article Cancer Council launches Get2it bowel cancer campaign calling Aussies to screen their number 2s in full click here.

Cherbourg rents frozen for 12 months

Renters in Queensland’s largest Indigenous shire have had their rates frozen for a year as the council helps locals cope with the rising cost of living. The Aboriginal Shire of Cherbourg, a three-hour drive from Brisbane, is also facing a mass influx of former residents returning home in search of affordable and culturally-appropriate housing.

It is contributing to the housing crisis, with 200 people on a waiting list for a home in the town of about 1,200, according to the Cherbourg Aboriginal Council. Elder and past mayor Arnold Murray said there was a growing trend of young people wishing to return to the Cherbourg community from other south-east Queensland regions, including Ipswich, Brisbane and Logan. “They want to come home. This is their home and it’s too expensive out there,” he said.

To view the ABC News article Cherbourg Aboriginal Council freezes rents for 12 months to combat cost of living pressures in full click here.

Former Cherbourg mayor Arnold Murray says many people want to return to the town. Photo: Jenae Jenkins, ABC Wide Bay.

Digital health helps youth with ear disease

Thanks to funding from the Western Australian Future Health Research and Innovation Fund, Ear Science Institute Australia, in collaboration with Curtin University, will address child and youth mental health in WA.bThe partnership will leverage existing digital health technologies to target Aboriginal young people with ear disease and hearing loss to support their mental health and wellbeing.

Lead investigator, Professor Christopher Lawrence, Dean of Indigenous Engagement, Faculty of Science and Engineering at Curtin University, and proud Nyungar (Whadjuk and Ballardong) person, developed the mobile app #thismymob in 2016 when he was based at the University of Technology Sydney. This social and emotional digital health platform allows local communities to discuss and share information relevant to their mob. It is a local resource for important health information and advice.

To view the Curtin University article Digital health technologies to help Aboriginal young people with ear disease in full click here. The below NITV video dates from the first release of the This My Mob app in July 2018,

Indigenous EMCR Award date extended

The Women’s Health Research and Translation Network Indigenous (WHRTN) offers one-off financial support to facilitate career advancement and development for women working in women’s health research and translation.

The 2022 Indigenous Early and Mid-Career Researcher (EMCR) Award is open to Aboriginal and Torres Strait Islander women in the early and mid-career stages of their careers in women’s health research. This Award aims to bolster the career development of women working across the breadth of women’s health research.

You can access further information and an application form here or on the WHRTN website here. You can also email Monash University directly using this email link.

EMCR Awards have been extended to Monday 18 July 2022.

AACAP – 25 years of supporting mob

This year the Australian Army is marking its 25th year of providing support to remote First Nations communities through the Army Aboriginal Community Assistance Programme (AACAP). AACAP is a joint initiative between Army and the National Indigenous Australians Agency (NIAA) which sees Army personnel deployed to a different remote community each year to work on projects that improve health, living and economic conditions specific to that community.

This year, AACAP will be hosted in Gapuwiyak and Baniyala in East Arnhem Land. Army personnel will live and work alongside the community for a five month period to deliver upgrades to infrastructure and services and provide health programs, vocational training and community-based engagement activities.

Among the community-requested projects, the Gapuwiyak community will benefit from a new culture and arts centre co-funded by the NT Government. Chief of Army, Lieutenant General Rick Burr, said Gapuwiyak and Baniyala will be the 48th and 49th communities to benefit from the program since it commenced in Bulla, NT, in 1997. AACAP capitalises on Army’s ability to deliver a range of services that would not normally be available in a single project.

To view the Australian Defence Magazine article AACAP begins 25th year in full click here.

Australian Army and community of Jigalong, WA welcome CO PNGDF Engineer Battalion and team to AACAP 2019. Image source: AACAP Twitter 26 July 2019.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO Members’ Conference registrations open

Image in feature tile from 2019 NACCHO Members’ Conference.

NACCHO Members’ Conference registrations open

In just over 100 days NACCHO delegates from 144 Aboriginal Community Controlled Health Organisations, guests and presenters from across our sectors will come together to at the NACCHO Members’ Conference in beautiful Canberra to celebrate our successes over the years and discuss all the good work to come.

Please join us:

NACCHO Youth Conference 17 October 2022

NACCHO Extraordinary General Meeting and Annual General Meeting 18 October 2022

NACCHO Member’s Conference 19–20 October 2022

Early bird rates available (2-day conference package only).

For more information and to register click here.

NACCHO looks forward to celebrating with you all in October.

Due to COVID-19 restrictions the NACCHO Members’ Conference was not held in 2020 or 2021. You can watch a video below with highlights from the 2019 conference below.

AHCWA to deliver $17.6m mental health pilot

The Aboriginal Health Council of Western Australia (AHCWA) has been awarded $17.6 million to deliver a mental health pilot to improve the quality of life for Aboriginal people. The regional Social and Emotional Wellbeing (SEWB) Model of Service pilot program aims to increase access to social and emotional wellbeing and healthcare services for Aboriginal people of all ages in the Kimberley, Pilbara, Mid-West, Goldfields and South-West regions of WA.

Local ACCHOs will run the program in their communities:

  • Bega Garnbirringu Health Service in Kalgoorlie;
  • Derby Aboriginal Health Service in Derby;
  • Wirraka Maya Health Service Aboriginal Corporation in South Hedland;
  • Geraldton Regional Aboriginal Medical Service in Geraldton; and
  • South West Aboriginal Medical Service in Bunbury.

Through culturally secure prevention and community development, psychosocial support, targeted interventions and coordinated care by multidisciplinary teams, the pilot is expected to improve quality of life for Aboriginal people. The Mental Health Commission will work with AHCWA to support the governance and evaluation of the pilot.

To view the Government of WA Media Statement Mental health pilot to boost Aboriginal social and emotional wellbeing in full click here.

Image sources: Wikivoyage, Queensland Government IMHIP webpage.

$1.25m NDIS grants to ACCHOs

NACCHO has delivered over $1.25 million in grants to 57 Aboriginal Community Controlled Organisations (ACCOs) to support the delivery of culturally safe and appropriate National Disability Insurance Scheme (NDIS) services to their communities. The grants were delivered through the NDIS Ready program which is funded by the Department of Social Services.

The Indigenous Business Support Funding (IBSF) grants, worth $22,000 each, are designed to build the capacity of ACCHOs and ACCOs to deliver disability services sustainably under the NDIS by empowering them with the resources they need to be NDIS ready. This will support the growth of the Aboriginal and Torres Strait Islander NDIS market and workforce and help improve access to culturally safe services for Aboriginal and Torres Strait Islander people with disability.

NACCHO CEO Pat Turner AM welcomed the funding, “These grants will enable the ACCHO sector to expand into the NDIS, to provide additional essential supports for people with disability.” CEO of Danila Dilba Health Service in Darwin, Rob McPhee, said: “Danila Dilba is committed to helping our Mob with disabilities live the life they want. The IBSF grant will help us further the work we do in supporting our communities in accessing NDIS services. Demand for support and services is much higher than what we can provide alone – but the IBSF grant can assist in strengthening our internal business planning and development and organisational readiness for addressing the unmet need of many in our community with a disability.”

To view The National Tribune article $1.25 million to support community-controlled sector to deliver NDIS services for their communities in full click here.

Kelvina Benny, WA. Image source: NDIS website.

Staying physically and mentally healthy

The Australian Government Department of Health as produced two resources designed for Aboriginal and Torres Strait Islander people with tips on staying physically and mentally healthy. You can download the resources below:

Stay Physically Healthy – Let’s put looking after our physical health on our to do lists in 2022

Stay Mentally Healthy – Let’s put looking after our social and emotional wellbeing on our to do lists in 2022

You can also access the relevant Australian Government Department of Health webpages here and here.

Images from the Department of Health Stay Mentally Healthy and Stay Physically Healthy resources.

Lack of housing bites harder in winter

Djiringanj man Uncle Lewis Campbell has been homeless for seven years, and has been on the list for social housing just as long. In the last two years, his health has deteriorated rapidly and he has suffered multiple bouts of pneumonia due to repeated exposure to the cold. Uncle Lewis has been supported by services in the area to access temporary accommodation through motels, but said he can only access those services for four nights per week. Other nights he stays with friends in the community.

But beds with friends are becoming few and far between.

In early June Uncle Lewis was staying in a spare room with Aunty Kath Jones in her flat in Bega. Ms Jones said she had never seen the housing situation as bad as it had been in her community over the last two years due to multiple natural disasters and the pandemic. “He’s not the only one, I’ve got another homeless girl at the moment, so since she’s been there Uncle Lewis has been staying at the motel to let her have the room because she’s a woman,” Ms Jones said.

The above story is from a Bega District News article Lack of housing and refuges bites even harder in winter with health issues exacerbated for South Coast homeless.

Uncle Lewis Campbell from Bega has been homeless for seven years. His health has suffered immensely as a result, with several bouts of pneumonia in the last few years. He is pleading for more refuges for women and men on the Far South Coast. Photo: Ellouise Bailey. Image source: Bega District News.

LGBTQ+ mob shouting to be heard

For individuals who identify within multiple marginalised groups, their opinions and concerns in a climate of change can often go without consideration. In Pride Month (June) members of the First Nations LGBTQ+ community and leading organisations are shouting for their voice to be heard while creating an environment of support for those left out of the discussions effecting them. Indigenous LGBTQ+ advocacy group BlaQ Aboriginal Corporation founding director and chairman John Leha said recent policies ostracising trans people took an increased toll on First Nations people within the community.

Mr Leha described the recent religious discrimination bill and ban of trans women competing in elite swimming, international rugby league and policy reviews in other sports as a targeted onslaught. “I think the onslaught of this type of anti trans movement or people not having a true understanding of what it looks like and means for the community is the is what is of concern,” Mr Leha said. “Aboriginal trans people are one of the most highest populations that are faced with mental health, suicide rates across the country, and particularly young people.

To view The National Tribune article Indigenous LGBTQ+ support body stands up for community caught up in public debate in full click here.

Black Rainbow LGBTIQA+SB 2021 poster. Image source: Black Rainbow website.

Neoliberalism’s impact on oral health

A study examining the detrimental effect of neoliberalism on the oral health of Australian indigenous peoples was presented by Brianna Poirer of the University of Adelaide, Australia during the “Keynote Address; Global Oral Health Inequalities Research Network” session yesterday the 100th General Session and Exhibition of the International Association for Dental Research.

In Australia, Indigenous peoples experience poorer oral health than their non-Indigenous counterparts across nearly every oral health metric. Recently, neoliberalism has been suggested as an overwhelming contributor to Indigenous oral health disparities. The objective of this qualitative research was to generate an understanding of how neoliberal subjectivity exists for Indigenous peoples in the context of oral health in Australia. The authors argue that personal responsibility for health, as a tenet of neoliberal ideologies, furthers Indigenous oral health inequities and that neoliberalism as a societal discourse perpetuates colonial values by benefitting the privileged and further oppressing the disadvantaged.

To view the News Medical Life Sciences article Study examines the impact of neoliberalism on oral health of Australian indigenous peoples in full click here.

Kyleesha Boah receives a dental check-up at Mackay Aboriginal and Torres Strait Islander Community Health Services. Image source: NIAA website.

Take Home Naloxone Program update

This year’s Federal Budget included $19.6 million (over 4 years) for a Take Home Naloxone Program (THN) in all Australian states and territories which will commence on 1 July 2022. The THN program aims to provide people who may be at risk of an opioid overdose, or are likely to witness an overdose, access to free naloxone without a prescription from participating settings. Naloxone will be available at no cost and without a prescription to anyone who may experience, or witness, an opioid overdose or adverse reaction.

From 1 July 2022, Section 90 (s90) community pharmacies and Section 94 (s94) hospital pharmacies in all States and Territories will be able to register via the Pharmacy Programs Administrator (PPA) Portal at here to participate in the THN Program. In addition, naloxone will continue to be available at a range of other sites in NSW, SA and WA, including alcohol and other drug treatment centres, custodial release programs and needle and syringe programs. The Department will be working with jurisdictions that did not participate in the Pilot program in the coming months to support access through these non-pharmacy settings.

We do know that awareness around naloxone and its use can be improved. The roll-out of the THN Program at a national level provides an opportunity to start conversations to improve awareness of naloxone and support individuals to identify their personal risk, and where appropriate, access naloxone. The Department’s website will be updated on 1 July 2022 to include further information and resources around naloxone and the THN program. The THN Administrator’s website will also be updated from 1 July 2022 to reflect the new Program Rules and other resources to support the national program.

Your support in promoting the program through your networks is greatly appreciated as we work together to improve the lives of Australians who may overdose on opioids. Providing access to naloxone for free and without prescription will continue to remove barriers to access this important medicine and save lives.

Photo: Bridget Judd, ABC News.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Vital role of First Nations midwives

Image in feature tile is of a participant of a new, dedicated, midwifery service for Aboriginal and Torres Strait Islander mums-to-be, established by Townsville Hospital and Health Service in partnership with Townsville Aboriginal and Torres Strait Islander Health Services (TAIHS). Image source: Townsville Bulletin.

Vital role of First Nations midwives

First Nations midwives play a vital role in improving health outcomes for Aboriginal and Torres Strait Islander women and children, according to Pamela McCalman (midwife and PhD Candidate at La Trobe University), Professor Catherine Chamberlain (Professor of Indigenous Health Equity at The University of Melbourne) and Machellee Kosiak, who is affiliated with Rhodanthe Lipsett Indigenous Midwifery Charitable Fund.

Reporting on results from the Birthing in our Community study, they write that “in addition to western midwifery training, First Nations midwives draw on cultural and community knowledge systems” and “foster a sense of cultural safety and trust in maternity services for First Nations women”. While Australia is one of the safest places in the world to give birth, First Nations women are three times more likely to die in childbirth than other Australian women and First Nations infants are almost twice as likely to die in the first month of life, with preterm birth the biggest cause of mortality.

Ensuring First Nations children are born healthy and strong is the second Closing the Gap target – a critical foundation for “everyone enjoying long and healthy lives”. A much needed step to guarantee this is to increase First Nations health workers, particularly midwives and nurses. The article goes on to discuss the health impacts of colonisation, the vital role of First Nations nurses and midwives and the need to increasing their number.

To read the Croakey Health Media article First Nations midwives’ leadership and care are central for improving outcomes click here.

Midwife Mel Briggs, wearing “Sister Scrubs” to identify herself as Indigenous, Yuin woman Hayley Williams and baby Jaari. Photo: Janie Barrett. Image source: The Sydney Morning Herald.

AMA emergency pharmacy trial meeting

AMA President Dr Omar Khorshid has called an emergency virtual meeting tonight to discuss the North Queensland Scope of Practice Pilot. The North Queensland pharmacy trial, as it has been called, will allow pharmacists to prescribe and dispense autonomously. It will allow chemists in 37 local government areas to diagnose and treat 23 conditions, including type 2 diabetes, heart failure and asthma without consulting a GP.

The Queensland Government says a recent two-year Queensland urinary tract infection (UTI) pharmacy prescribing trial was a success, but the AMA strongly disagree, saying the trial lacked transparency. With no meaningful data available about the UTI trial, which was open to non-pregnant women aged 18 to 65, AMA Queensland surveyed 1,300 doctors and found approximately one in five treated patients for serious complications which were either missed or misdiagnosed by pharmacists in the trial. The complications ranged from antibiotic allergies to ectopic pregnancies to cervical cancer.

The AMA and AMA Queensland believe the trial places an unacceptable risk on patient health and safety and will exacerbate workforce shortages and hospital pressures; widen the health gap for Aboriginal and Torres Strait Islander communities; fragment healthcare and exacerbate emergency department ramping and hospital logjam; and is a major conflict of interest for pharmacists.

To view the AMA Queensland article AMA calls emergency Town Hall meeting click here. You can also view NACCHO’s Media Statement NACCHO and the Aboriginal Community Controlled Health sector oppose the proposed Queensland Community Pharmacy Trial on the NACCHO website here.

Image source: AMA News website.

The new addiction of vaping

Vaping is a multi-billion-dollar global industry that is rapidly growing in popularity amongst teenagers and young adults. Vaping was hailed as the new way to quit smoking but there are serious concerns the product is now causing nicotine addiction in teenagers. On Monday next week Four Corners investigates the explosion in vaping amongst teenagers and the booming black market which is thriving in Australia due to a failure to police the rules. Reporter Grace Tobin tracks down some of the suppliers who are illegally selling nicotine vapes either online or under the counter in stores.

To view the ABC Four Corners media release Vape Haze: The new addiction of vaping in full click here.

According to a Talking About the Smokes survey 21% of Aboriginal and Torres Strait Islander people who smoke have tried vapes. Aboriginal and Torres Strait Islander people who had tried vaping were younger; living in non-remote areas or more advantaged areas; people who smoke daily and wanting to quit, having made a quit attempt/used NRT in the past year.

You can find more information on Tackling Indigenous Smoking webpage Facts about vaping (e-cigarettes) webpage here.

Image source: ABC News website.

Mental health surf program for youth

Biripi and Bundjalung siblings Amber Hamer and James Mercy are working to raise awareness about the importance of mental health through surfing. Surfing has been part of their lives from their earliest days in Coffs Harbour, NSW. “We went straight from the hospital when I was born ,Mum and Dad took me straight to the beach, because Dad was dying for a surf. I guess that started my lifelong affinity with the water,” Ms Hamer said.

Their late father Eric Mercy was a well-known surfer and beloved member of the local community who took his own life. Now, the brother and sister duo are continuing their father’s legacy by teaching youth about mental health and well-being on Gumbaynggirr Country. Five years ago they started hosting regular surfing camps to help young people learn about the healing beauty of the ocean. Their project is called Naru, the Gumbaynggirr word for water.

To view the SBS NITV article The surfing program teaching youth about culture and mental health click here.

Equity and emergency care

Equity and emergency care was the theme for day two of the 21st International Conference on Emergency Medicine on 17 June 2022. One of the speakers, Professor Greg Phillips, spoke about improving outcomes for First Nations people, how to address systemic racism and decolonise healthcare by blending Aboriginal and Western health paradigms with better representation and rewritten health curricula. He highlighted the importance of separating intent from affect, saying white fragility and recognition of privilege in healthcare is a pressing issue that involves a lot of listening and a lot of unlearning, especially for clinicians.

Ways to keep mums-to-be healthy

Dr Karen Best leads SAHMRI research in Adelaide, SA that targets optimal nutrition for women and kids. Dr Best, a Senior Fellow in the Women & Kids theme at the South Australian Health and Medical Research Institute (SAHMRI), designs and manages clinical trial research to understand the best nutrition for pregnant women.

Food eaten during pregnancy keeps the mother healthy and supports the growth and development of the baby. However, certain components of food – nutrients- are important for more subtle aspects of health. Karen’s recent research has focused on a type of fat called omega-3, which is found in oily fish, walnuts and other foods. “We found a dietary supplement of omega-3 in women who had low levels could reduce their risk of preterm birth,” Karen explains.

Preterm birth can result in developmental problems for babies and is often distressing for families. Required support and healthcare are costly. Even just a small improvement in that rate could translate into better outcomes for the children and families involved, and lowered expense for the healthcare system. SAHMRI’s Women & Kids theme is also researching optimal levels of iodine in pregnancy. Iodine is a naturally occurring mineral important for developing the brain and nervous system. “In this study, we’re looking at levels of iodine in pregnant women and how that is linked with developmental measures we assess once the baby reaches age two,” Karen explains.

To read The Lead article Discovering the best ways to keep mums-to-be healthy in full click here.

Photo: Emma by Jess Naera Creative. Image source: Australian Birth Stories.

Community First Development Fellow’s Oration

At Community First Development, ‘research success’ is research that is requested, led and delivered by First Nations’ people and communities. It is undertaken through deep listening and strives to achieve the outcomes that communities have set out to achieve. The First Nations Research and Evaluation Fellow is a pathway for First Nations’ academics to explore, design and deliver evaluation and research projects driven and led by First Nations’ people and communities.

Community First Development launched the inaugural Fellowship in 2020. As part of the Fellowship Murran/Iwaidja woman, Donna Stephens, our first Fellow, took a lead role in a participatory action research project with 11 communities across Australia. The final report has been published, and findings have been presented at numerous events. At this year’s oration Donna will speak on Participation and Community Development: Reflections on Change Organisations.

You can download an the invitation to the event here and register for the live webcast this Friday, 25 June 2022 by clicking here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Reflecting on moments mob stood up

The image is the feature tile is of an Invasion Day rally in Sydney on 26 January 2018. Image source: Illawarra Mercury.

Reflecting on moments mob stood up

Alexis Moran has written an article for NITV reflecting on this year’s NAIDOC theme — Get Up, Stand Up, Show Up — reflection on some significant moments where Aboriginal and Torres Strait Islander people have shifted history by fighting for their community. Ms Moran says “Aboriginal and Torres Strait Islander people always stand up. It’s nothing new to our communities. Since colonisation, Indigenous people have fought against oppression. And that continues every day — whether it be on January 26, to march against deaths in custody and other wrongdoing, or just to speak up for what we believe in and what’s right. It’s because of this activism — getting up, standing up and showing up — that history can and has been changed.”

Ms Moran goes on to discuss specifically the frontier wars; land rights: Mabo and Wik vs. Queensland; deaths in custody; sports; establishing essential First Nations services; the Aboriginal Tent Embassy and the Koori Mail during the NSW floods.

To read the SBS NITV article 7 historical moments where mob Got up, Stood up and Showed up click here. You can also watch LaVerne Bellear, CEO AMSC Redfern in the video below as she explains the story behind the Aboriginal Medical Service (AMS) established in 1971, Australia’s first ACCHO.

Register for CTG scripts BEFORE 1 July

As of 1 July 2022, Aboriginal and Torres Strait Islander people must be registered correctly with Services Australia Health Professional Online Services (HPOS) to continue to claim benefits for their medicine scripts, through the Closing the Gap (CTG) Pharmacy Benefits Scheme (PBS) program.

Unfortunately, not all patients who previously received CTG prescriptions were transferred to the new database, resulting in some people paying more for their medicines.

Check with your local doctor or health service today, to help register you as soon as possible to avoid paying full price for medicines from 1 July.

Dr Dawn Casey, Deputy CEO NACCHO said, “We welcome the reforms to the CTG PBS database but are concerned not all eligible patients have been correctly registered. Potentially thousands of patients may have to pay more for medicines on 1st of July, so please check your registration with your pharmacy and doctor now.”

For further information about the CTG PBS program click here.

The Department of Health reminder letter regarding the CTG PBS program can be found here.

You can download a poster here to put up at your service as well as images for Facebook/Twitter here and Instagram here.

We urge you to please do share this across all your networks.

NACCHO Medicines Team

Intergenerational toll of nuclear tests

Three generations of First Nations survivors of historic nuclear tests have told the United Nations (UN) that Australia must do more to address the devastating impact the tests have had on their families. The International Campaign to Abolish Nuclear Weapons (ICAN) invited survivors to address a conference in Vienna, more than 60 years after nuclear bombs were detonated in the SA outback.

Yankunytjatjara woman Karina Lester, Kokatha elder Sue Coleman-Haseldine and her granddaughter, Mia Haseldine, shared their experiences via video link from Port Augusta. The women told the conference how the tests conducted by the British government at Maralinga and Emu Field in the 1950s had affected the health of successive generations of Aboriginal families from the region. They called on the Australian government to sign the UNTreaty on the Prohibition of Nuclear Weapons, which came into force in January last year.

To read the ABC News article Nuclear test survivors’ plea for Australia to sign treaty, as they speak at UN meeting in full click here.

Submissions to the UN from Port Augusta were part of the first meeting of the Treaty on the Prohibition of Nuclear Weapons. Photo: Bethanie Alderson, ABC North & West SA.

AMA calls for telehealth extension

The AMA today called on the federal government to extend patient access to Medicare funded COVID-19 telehealth services beyond June 30 2022 Under a decision taken by the former Government, from 1 July access to both GP and non-GP specialist telehealth services will be cut back, particularly telephone consultations.

AMA President Dr Omar Khorshid said patients cannot afford to lose access to COVID-19 telehealth as it will make access to medical care more difficult, particularly for vulnerable populations and those who might not have the access or skills to use other IT platforms. “Broad access to Medicare funded telehealth services has been a key part of our pandemic response by reducing patients’ exposure to the virus and helping people in self-isolation to access critical medical care,” Dr Khorshid said. Dr Khorshid said governments needed to be responsive to the ongoing situation and adapt as circumstances change.

To view the AMA’s media release AMA calls for telehealth funding extension as COVID-19 pandemic continues in full click here. You can watch an Australian College of Rural and Remote Medicine (ACRRM) video of a telehealth consultation below.

Minds need decluttering too

Accredited mental health social worker Kym Marsden’s article Decluttering isn’t just a house job, our minds need it too was recently published in the National Indigenous Times. Ms Marsden asks readers to “Picture a cluttered area in your home, now think about how all that clutter makes you feel as it grows, you start tripping over things and are unable to locate things you need. She admits to initially trying to ignore it, which is a short term solution, but as the clutter remains, or continues to grow so does the ability to ignore it.

Ms Marsden says the same applies when our minds are overloaded resulting in persistent overwhelming thoughts, regrets, worries or concerns. While we will all respond differently when our cluttered minds have reached capacity, for Ms Marsden it is disturbed sleep, feeling anxious and being unable to concentrate as she is fixated on certain thoughts and worries that are like a whirlwind in head head that won’t shut off, particularly at night.

To read the article in full, including strategies to help declutter your mind, click here.

Image source: iStock by Getty Images.

Preventing falls at any age

Falls are common. Each year 2 in 3 people aged over 65 will fall. Around 1 in 10 falls lead to serious injury. The most common serious injuries are fractures and brain injuries. Falls can also result in a loss of confidence, which can lead to restriction of activity and a lower quality of life. Many older people never regain their pre-fall level of function and might even struggle to keep living by themselves.

The consequences of falls cost Australia a staggering $4.3 billion every year. The good news is 20–30% of fall among older Australians can be prevented.

To view The Conversation article I’m getting older, how can I prevent falls? in full click here.

According to recently published Australian Institute of Health and Welfare (AIHW) data falls are one of the leading causes of hospitalisations for older Aboriginal people In 2019–20, among Aboriginal and Torres Strait Islander people there were 7,000 hospitalisations and 45 deaths due to unintentional fall with rates of fall hospitalisations being highest among people aged 65 and over. During that period Indigenous Australians were 1.4 times as likely as non-Indigenous Australians to be hospitalised due to a fall injury. For the majority of causes, the most remote areas had the highest rates and the least remote areas had the lowest rates.

It has been proven that once someone has suffered a fall, they are at a higher risk of another injury. A free, culturally safe, falls prevention program, IRONBARK, run by South West Aboriginal Medical Service (SWAMS) and Curtin University has seen great success. Y ou can read more about the IRONBARK program here.

Image source: Health Times.

Noongar version of Baby Ways book

An award winning early years literacy program has been expanded to include the Noongar language, with the launch of the first dual language Baby Ways book. Maawit Mart/Baby Ways will be given to Aboriginal families living on Noongar land and aims to help narrow the gap between literacy rates for Aboriginal and non-Aboriginal children.

The Baby Ways book is an engaging and fun-to-read book that features WA babies sitting, bathing, reading and playing. It is included in the Better Beginnings pack that is presented to all new families in WA at birth as part of a wider program that encourages parents to read to their children.

To view The National Tribune article Noongar version of Better Beginnings Baby Ways book launched in full click here.

Image source: Better Beginnings Indigenous Program State Library of WA webpage.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

World Continence Week

World Continence Week (WCW) is a health campaign run by the World Federation For Incontinence and Pelvic Problems (WFIPP) to raise awareness of incontinence related issues. This year it takes place from the Monday 20 to Sunday 26 June and during the week the WFIPP highlights the impact urinary incontinence can have on our life and encourages those living with it to seek help so they no longer have to suffer in silence.

For more information about WCW click here.

You can also access a range of resources developed specifically for Aboriginal and Torres Strait Islander people, by the Continence Foundation of Australia, here.

 

NACCHO Aboriginal & Torres Strait Islander Health News: Save money on medicines, register for CTG scripts

Save money on medicines, register for CTG scripts

As of 1 July 2022, Aboriginal and Torres Strait Islander people must be registered correctly with Services Australia Health Professional Online Services (HPOS) to continue to claim benefits for their medicine scripts, through the Closing the Gap (CTG) Pharmacy Benefits Scheme (PBS) program.

Unfortunately, not all patients who previously received CTG prescriptions were transferred to the new database, resulting in some people paying more for their medicines.

Check with your local doctor or health service today, to help register you as soon as possible to avoid paying full price for medicines from 1 July.

Dr Dawn Casey, Deputy CEO NACCHO said, “We welcome the reforms to the CTG PBS database but are concerned not all eligible patients have been correctly registered. Potentially thousands of patients may have to pay more for medicines on 1st of July, so please check your registration with your pharmacy and doctor now.”

For further information about the CTG PBS program click here.

The Department of Health reminder letter regarding the CTG PBS program can be found here.

Download this poster that you can put up at your services here and images for Facebook/Twitter here and Instagram here.

We urge you to please do share this across all your networks.

200+ years of injustice – is redress likely?

Opinion columnist David Fickling leads a recent article with ‘Talk is easy. Political change is hard. In Australia, it’s more than two centuries overdue.’ He goes on to write: ‘Claiming victory in last month’s election, new PM Anthony Albanese’s first words were a vow to redress the unfinished business from the colonial invasion of 1788. His promise to “commit to the Uluru Statement from the Heart” — a set of political demands from Indigenous groups, first outlined in 2017 — puts Australia on the path to the most substantive constitutional change it’s seen in more than half a century. If the resulting referendum succeeds, the country may wind up with a new First Nations elected chamber, an array of treaties with state and federal governments, and a truth and reconciliation commission.

Adopting the Uluru Statement would ensure Indigenous people are “given a seat at the decision-making table where it comes to laws and policies that affect us,” Dani Larkin, a legal lecturer at the University of New South Wales and Bundjalung and Kungarykany woman. Megan Davis, a Cobble Cobble woman and constitutional lawyer instrumental in the drafting of the Uluru Statement, wrote in a 2015 essay on the halting process of reform saying  “Public policy no longer requires the imprimatur of the Aboriginal people; Aboriginal participation in the decisions taken about their lives is negligible.”

To view the The Print article How Australia is likely to redress two centuries of injustice towards indigenous groups in full click here.

Photo: Luas Cosh, AAP. Image source: The Guardian.

Coonamble ACCHO needs a dentist

The Coonamble Dental Surgery remains without a resident dentist and the Coonamble Aboriginal Health Service (CAHS) says that the hole left by the departure of the last dentist is a problem for the whole community. “The previous dentist left in December for bigger and better things,” said CAHS CEO Phil Naden. “That left us in a challenging position to recruit a permanent dentist and we’ve been relying on locum dentists since before Christmas.”

According to Mr Naden, CAHS have been pulling out all stops to find a new permanent dentist and the package on offer is very competitive, “We’ve tried every avenue we can think off over the last 6 months to make it as attractive as possible in competition with other areas, but we are challenged with recruiting a full time dentist. While it is CAHS’ responsibility to recruit a dentist, ensuring that the service continues, oral health is closely linked to chronic disease and if we can’t have treatment locally the matter is a community issue and we need some longer term solutions.”

To view the Coonamble Times article Dentist vacancy starting to bite article in full click here.

CAHS Executive Assistant Beau Ewers with one of the chairs at Coonamble Dental Surgery in need of an on-site dentist. Image source: The Coonamble Times.

‘Go Rural’ program inspires medical students

The Rural Doctors Network (RDN) recently took 20 medical, nursing and allied health students on a number of immersive excursions to GP clinics, hospitals and multipurpose services. The trip’s western region leg spanned from Dubbo to Nyngan, Cobar, and Wilcannia. Research published in the Medical Journal of Australia showed rural exposure during medical training was key to getting medical students to consider leaving capital cities for the bush after graduation.

A massive part of that effort is educating, familiarising future healthcare workers with the unique healthcare needs Aboriginal people living regionally. RDN Future Workforce Manager Chris Russell said communicating the importance of Aboriginal Medical Services, and the role they played in the whole community, was best done in person. “It allows [students] to get some insight into Aboriginal culture and people and the specific healthcare needs they have,” he said.

To view the ABC News article Rural road trip gives health students a taste of life and work in western NSW amid staff shortage in full click here.

The students toured Dubbo Base Hospital as part of the Rural Doctors Network ‘Go Rural’ program.Photo supplied by the NSW Rural Doctors Network. Image source: ABC News.

Public drunkenness health-based response

The Andrews Labor Government is ensuring the right programs and systems are in place to help people who are drunk in public get the support they need to stay safe. Minister for Health Martin Foley today announced $50 million over two years to continue the trial site operations that will help develop a health-based response to public drunkenness ahead of the state-wide rollout of the reforms.

Four trial sites will begin operating in the City of Yarra, City of Greater Dandenong, City of Greater Shepparton and Castlemaine from mid-year onwards and be managed in partnership with local health services and Aboriginal organisations. These trials will inform how a new public health model will be rolled out across the state. The investment will provide outreach services in all four trial locations and sobering facilities in Yarra, Dandenong and Shepparton – ensuring intoxicated people are transported to a safe place where they can receive appropriate support.

To read the Victorian Health Minister’s media release Delivering a Health-Based Response to Public Drunkenness click here.

Family of Tanya Day – a mother, grandmother and proud Yorta Yorta woman – who died in a holding cell after being arrested for public drunkenness. Photo: Nicole Asher, ABC News.

Nominate a mental health hero

With the pressures of COVID-19 restrictions, followed by the current cost of living crisis, the work of mental health professionals has rarely been so important. Now is the time to put them in the spotlight and recognise the amazing work they do in communities across Australia. On Tuesday 14 June 2022, nominations will open for the Australian Mental Health Prize, which seeks to recognise the important and ground-breaking work that many Australians do in this area.

This year, the prize has expanded to accept nominations in four categories:

  • Aboriginal or Torres Strait Islander: To recognise and celebrate outstanding Aboriginal or Torres Strait Islander mental health leadership at a national or community level;
  • Lived experience: To recognise and celebrate outstanding mental health leadership by someone with lived experience of mental health, either personally or as a supporter, at a national level;
  • Professional: To recognise and celebrate outstanding mental health leadership in the clinical, academic or professional sectors at a national level; and
  • Community hero: To recognise and celebrate outstanding mental health leadership at a state or community level.

Henry Brodaty, Professor of Ageing and Mental Health at UNSW, said “While we will continue to recognise people who have dedicated their lives to improving the mental health of Australians, we specifically wanted to shine a light on the incredible work of Aboriginal and Torres Strait Islander mental health leaders. People with lived experience have so much insight and wisdom to share. We also wanted to recognise our community heroes, as a great deal of innovative work begins at a grass-roots level in local communities.”

You can nominate a deserving Seymour and district-based mental health professional by visiting the UNSW Sydney Australian Mental Health Prize webpage here.

You can view the Kyabram Free Press article Honouring Seymour’s mental health heroes in full here.

Suicide prevention consultation in Balgo community, WA. Photo supplied by KAMS. Image source: NIT website.

Healing Circle facilitator training program

When the COVID-19 pandemic hit in 2020, causing shockwaves of isolation and trauma throughout Australia, Kultchafi Managing Director Ara ‘Julga’ Harathunian made a commitment to support the healing of individuals and communities right across the nation. Two years later, an innovative and ground-breaking Healing Circle Work Facilitator Training program has been officially launched. The training will be showcased again at the National Rural Health Alliance’s 16th National Rural Health Conference in August and at the 23rd International Mental Health Conference being held by the Australian and NZ Mental Health Association (ANZMA) in September.

“My wife, Aboriginal Elder Aunty Cheri ‘Yingaa’ Yavu-Kama-Harathunian, devoted her life to the development of Healing Circle Work right up until her passing in December 2019. We had always committed to share this work for the highest good of others,” says Ara. “Healing Circle Work is not a therapy, but therapeutic outcomes are experienced. It is a healing process based on an ancient Aboriginal and Torres Strait Islander methodology. Participants learn to live life in the moment, recognising and understanding their own spirituality, and reaffirming themselves. It is suitable for any trauma, and for Indigenous and non-Indigenous men and women.”

To view the Partyline article Kultchafi healing training rolls out across Australia in full click here and the Kultchafi website page here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Closing First Nations life expectancy gap

Image in feature if of Helicopter Joey Tjungurrayi Waruwiyi – Canning Stock Route Project website.

Closing First Nations life expectancy gap

Closing the gap in life expectancy for Aboriginal and Torres Strait Islander peoples will be the focus of an Australian first health alliance. The Research Alliance for Urban Goori Health will unite a research organisation, health service and primary health care provider to improve health for Aboriginal and Torres Strait Islander peoples.

The partnership between UQ’s Poche Centre for Indigenous Health, the Institute for Urban Indigenous Health (IUIH) and Metro North Health, has identified cancer care, rehabilitation programs and innovative models of care, such as hospital in the home, as priority areas.

Poche Centre Director Professor James Ward said the Alliance’s work would be transformational, helping to accelerate Australia’s progress towards closing the gap in life expectancy. “Some of the issues we’re looking to explore is where the health system works well for Aboriginal and Torres Strait Islander patients, and where it needs to be improved,” Professor Ward said. “As a Pitjantjatjara and Nukunu man, I know how important it is to ensure our peoples’ voices are at the center of service design and delivery, to ensure equal access across the healthcare system.”

To view the University of Queensland article Australian-first health alliance aims to close life expectancy gap for Aboriginal and Torres Strait Islander people published on the New Medical Life Sciences website click here.

Image source: SNAICC website.

Pain Scales don’t work for mob

Presenting at the Australian Rheumatology Association Annual Scientific Meeting last week, Dr Manasi Murthy Mittinty said it was critical to address cultural differences into the diagnosis and management of pain. “Conventional pain scales have only been tested for Caucasian populations and do not capture the significant influence of spirituality and chronic harm,” said Dr Mittinty, clinician and pain scientist from the Royal North Shore Hospital, Sydney.

Dr Mittinty’s research on conceptualisation of pain by Aboriginal and Torres Strait Islander peoples revealed that it is embedded in a psycho-socio-spiritual context that is core to perceptions of health and wellbeing in Indigenous Australian communities. The research revealed that some experiences of pain by Indigenous people are unique. These perceptions of pain incorporate factors such as spiritual connection with pain, grief and loss, history of trauma and injury, fear of addiction to pain medication and exposure to pain from early childhood.

To view the Oncology Republic article Why pain scales won’t work for Indigenous Australians in full click here.

Image source: Gidgee Healing website.

Food insecurity not only a remote issue

A new study has found Aboriginal families in urban and regional NSW regularly experience food insecurity and has identified five key contributing factors that need to be addressed. The research – led by Aboriginal Doctoral researcher Simone Sherriff and senior researcher Sumithra Muthayya from the Sax Institute – is based on collaborative work with two Aboriginal Medical Services (AMSs): Tharawal Aboriginal Corporation in Campbelltown in outer Sydney and Riverina Medical and Dental Aboriginal Corporation in Wagga Wagga in regional NSW. Extensive interviews were conducted with local Aboriginal people and AMS staff from the two communities, along with stakeholders from local food relief and government agencies, food suppliers and schools.

Aboriginal people felt strongly that food insecurity was a huge issue facing many Aboriginal families in the two communities, despite not being in remote areas. When data obtained from both sites were analysed, the authors identified five key drivers of food insecurity unique to Aboriginal communities in non-remote areas.

To read the Sax Institute media release Aboriginal families strongly impacted by food insecurity, study
finds in full click here. The research paper Murradambirra Dhangaang (make food secure): Aboriginal community and stakeholder perspectives on food insecurity in urban and regional Australia is available here.

Let’s Yarn About Sleep program

Young Indigenous people in Mt Isa will be taught about the mental health benefits of a good night’s sleep as part of a nation-leading program developed by The University of Queensland. Australia’s first ever Indigenous sleep coaches, Karen Chong and Jamie Dunne from Mt Isa, will work with 120 local youth on sleep education, sleep health coaching and narrative therapy as part of UQ’s Let’s Yarn About Sleep program (LYAS).

Launched last year by the Institute for Social Science Reseach, Senior Research Fellow Dr Yagoot Fatima said the program was an Australian first that promotes sleep health in Aboriginal and Torres Strait Islander communities by integrating traditional knowledge with Western sleep science. “The LYAS program provides holistic, inclusive and responsive solutions to improve Aboriginal and Torres Strait Islander adolescents’ understanding of sleep and empowers them to embrace sleep health,” Dr Fatima said.

To view The University of Queensland UQ News article Dreamtime: Australia’s first Indigenous youth sleep program forges ahead in full click here.

Community members have created an artwork, “Lets Yarn about Sleep”. The artwork is a powerful representation of how the research team, community Elders, youth workers, and service providers work together to connect young people with their culture and improve their sleep and SEWB. Image source: The University of Queensland website.

Good Medicine Better Health online modules

The Good Medicine Better Health IGMBH) team at NPS MedicineWise have developed a series of seven education courses for Aboriginal and Torres Strait Islander Health Workers and Practitioners. The free online learning modules are designed to improve quality use of medicines (QUM) in Aboriginal communities, with each module featuring a member of a family as they learn more about their medicines.

In the video below, proud Ankamuthi and Erub woman and Advanced Aboriginal and Torres Strait Islander Health Worker, Judith Parnham, talks about the importance of QUM education and introduces the modules which cover a range of medical conditions: asthma, chronic pain, hypertension, type 2 diabetes, respiratory tract infections, and anxiety and depression, with more to come in 2022. All modules are self-paced, free to enrol in and earn CPD points.

To find out more you can access the GMBH program webpage here.

Prevocational standards committee EOIs sought

The Australian Medical Council (AMC) is currently seeking expressions of interest for a member of its Prevocational Standards Accreditation Committee who is an international medical graduate (IMG) and who has been granted general registration following completion of an AMC-accredited workplace based assessment (WBA) program. As the AMC is planning to undertake a review of the WBA processes (along with other assessment pathways for IMGs) they are hoping to receive expressions of interest from IMGs with experience working in an Aboriginal Medical Service, to share their insights on this, as well as the other areas of responsibility of this Committee.

You can find information regarding the position and how to apply on the AMC website: here. Expressions of interest should be submitted to using this email link by Friday 24 June 2022.

For more information, please contact Brooke Pearson, Manager, Prevocational Standards and Accreditation, using the above email link or by phoning 02 6270 9732.

Act now on Ice Inquiry recommendations

The Law Society of NSW is calling on the NSW Government to act without further delay on the recommendations of the Ice Inquiry to implement a health focused approach to battling the scourge of drug abuse. President of the Law Society of NSW Joanne van der Plaat says that it has taken far too long for the Government to act on the recommendations of the Ice Inquiry, and now is the time to make a decision and start implementing programs that will tackle the drug problem in earnest.

“The Law Society agrees with the experts called to give evidence during the Special Commission of Inquiry into the Drug Ice that the current prohibitionist approach is not working. We agree with law enforcement authorities who have said we can’t arrest our way out of drug problems,” Ms van der Plaat said.

To view The Law Society of NSW media release No MERIT in further delay of bold drug law reform and rehab in full click here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

National Aboriginal and Torres Strait Islander Children’s Day

The National Aboriginal and Torres Strait Islander Children’s Day will be held on Thursday 4 August 2022 with this year’s theme “My Dreaming, My Future.”

Children’s Day is an opportunity to celebrate our children and their connection to culture, family and community. Each year the Secretariat of National Aboriginal and Islander Child Care (SNAICC) promotes the event to engage children and communities across the country.

People are encouraged get involved with the day by hosting their own event. You can register your event on the SNAICC website here.

NACCHO Aboriginal & Torres Strait Islander Health News: Mob more likely to die in car accidents

Mob more likely to die in car accidents

In a 2021 submission to the Joint Select Committee on Road Safety, the National Aboriginal Community Contorlled Health Organisation (NACCHO) found that Aboriginal and Torres Strait Islander people are 2.7 times more likely to die, and 1.4 times more likely to suffer serious injury because of a vehicle crash compared to other Australians.

Pat Turner, CEO of NACCHO says, ‘this year’s National Road Safety Week is an important reminder that significant and sustained action must be taken to improve road safety outcomes for Aboriginal and Torres Strait Islander people. The level of fatalities is unacceptable for our people. It is also unacceptable across the board for all Australians.’

In a 2021 policy submission, NACCHO outlines key recommendations for improving road safety outcomes for the Aboriginal and Torres Strait Islander community including, the need to fund Aboriginal Community Controlled Health Organisations (ACCHOs) and other community-controlled organisations to develop and deliver targeted road safety campaigns to their local communities, and to provide post-accident and trauma care, including training, medicines, and equipment.

Other recommendations include, subsidising public transport options for regional and remote communities to reduce the need for people to drive when it is unsafe to do so; developing and implementing road safety programs, including those that target prevention and early intervention; and, ensuring that any road enforcement policies do not disproportionately impact Aboriginal and Torres Strait Islander communities.

‘These recommendations must be addressed in genuine partnership with Aboriginal and Torres Strait Islander community-controlled organisations and local communities and made widely accessible,’ Pat Turner stated.

Donnella Mills, Chair of NACCHO further commented, ‘government must take immediate action to improve road safety outcomes and reduce fatalities and injuries for Aboriginal and Torres Strait Islander people in alignment with the National Agreement on Closing the Gap and the four Priority Reforms. These responses must be holistic and consider the social determinants of health.’

The policy submission can be accessed on the NACCHO website here and this media release here.

Image source: The Conversation.

Growing diabetes epidemic in remote NT

A new paper published this week shows rates of diabetes among Aboriginal people in remote NT communities are some of the highest in the world and getting worse—with the condition affecting more people, year after year. The research shows the prevalence of diabetes is currently 17% (of which 99% is classified as type 2 diabetes)—up from 14.4% recorded in 2012. When focusing on the adult population, the findings show a massive 29% of Aboriginal people in remote NT communities have diabetes, with the burden highest in the Central Australia region, where a staggering 40% of adults now have the condition. Diabetes is a leading contributor to kidney disease, heart disease, strokes, impaired vision and amputations due to infections.

The study analyses seven-years’ worth of health data relating to over 21,000 Aboriginal people from 51 remote communities across the NT. It was published in the online open access journal BMJ Open. Lead author Endocrinologist Dr. Matthew Hare said the burden of type 2 diabetes among Aboriginal people in remote communities of the NT is among the highest reported of any population globally, and there is an urgent need to introduce preventative strategies to address the crisis. “Type 2 diabetes is not due to ‘lifestyle choices.’ This epidemic is strongly related to the impacts of colonisation and the ongoing social and economic disadvantage experienced by many Aboriginal people in the remote NT.” “Holistic prevention strategies need to be developed and implemented in partnership with Aboriginal community members, alongside better resourcing of clinical care for chronic conditionsin remote communities,” Dr. Hare said.

To view the Medical Xpress article Growing diabetes epidemic in remote NT communities by Menzies School of Health Research click here.

Keen basketballer Kudin Brogan and her mum, Gemma Brogan, both live with diabetes. Photo: Michael Franchi, ABC News.

Dramatic increase in RHD funding needed

A dramatic increase in funding will be needed to eradicate a disease which stems from poverty in Australia’s Indigenous community, according to a leading paedeatrician. The federal government has committed to ending rheumatic heart disease (RHD) by 2030, but advocates are adamant the goal will not be met unless there’s a major increase in investment and a radical shift in the way overcrowding is tackled in remote communities.

The disease starts with repeated strep A infections which damage the heart over time, leading to serious illness and death. While the disease is no longer an issue in mainstream Australia, it disproportionately impacts Indigenous people, particularly women, in places like the Kimberley, NT and outback Queensland and SA, where overcrowding and poverty are entrenched. Experts warn the current trajectory of new diagnoses means more than 8,000 Indigenous people are expected to develop the disease in the next decade, leading to the deaths of about 600 people.

Commonwealth funding is largely targeted towards treatment, a task made difficult by cultural barriers and logistical challenges. Remote health workers and specialists who research the disease nationally say overcrowding and poverty among Indigenous Australians must be tackled meaningfully if the 2030 goal has any chance of being achieved.

To view the ABC News article Rheumatic heart disease funding needed to help Indigenous communities in full click here.

Curtis and Trey Brown travelled from Maningrida, NT, to Canberra in 2018 to raise political awareness of rheumatic heart disease. Photo: Josh Francis. Image source: ABC News.

Sign up to join the LIPPE family

The Leaders in Indigenous Pharmacy Profession Education (LIPPE) Network” is a partnership of the Australian Pharmacy Council, and the Council of Pharmacy Schools Australia and New Zealand. Under the leadership of Indigenous pharmacists, and in collaboration with other individuals and organisations, LIPPE will foster transformational change in the pharmacy workforce beginning with the recruitment and retention of students to the provision of care in practice settings.”

And “Sign up to join the LIPPE family – You will be part of a dynamic and growing community who are committed to making a difference through the work that pharmacists do. You will receive news on our progress, be invited to take part in events, including sharing your knowledge and expertise.”  You can watch a short video below of Wiradjiri woman Associate Professor Faye McMillan AM welcoming you to LIPPE, and find further information on the LIPPE Network website here.

New NT liquor laws process “shameful”

A coalition of peak Aboriginal and community bodies have ramped up their attack on the NT Government over its decision to allow booze to be sold in remote communities again for the first time in 15 years. The NT Government on Tuesday passed amendments to the Liquor Act allowing the sale of takeaway booze into hundreds of alcohol protected areas from mid-July. More than 200 remote communities and homelands will be able to decide for themselves whether they remain dry. About 100 will revert to old restrictions.

Aboriginal health, housing and justice organisations have panned the government’s lack of consultation before implementing the changes, arguing the move risked opening the floodgates to booze in remote communities. And now the Territory’s police union and council of social services have added their voices to the chorus of criticism, urging immediate consultation to avoid a looming booze-fuelled disaster. NT Police Association president Paul McCue said frontline police held “significant” concern about the reforms. “The passing of this legislation goes completely against what the Government claims to be achieving in relation to reducing alcohol-related harm,” he said. “Our already stretched resources will now undoubtedly suffer further strain, not to mention the risk to them, other frontline workers and the wider community as a result of alcohol related harm, “Residents in communities and town camps will now likely be subject to an increase of violence and isolation.”

NT Council of Social Services chief executive Deborah Di Natale said the legislation was rushed and done against the advice of ACCOs. The coalition is calling for a moratorium on takeaway alcohol sales until transparent negotiations have taken place, and for more funding for alcohol harm programs to manage increased needs. Concerns have also been raised about the impact of the policy on already-stretched Aboriginal medical services. AMSANT CEO John Paterson said the legislation’s process was shameful.

To view the National Indigenous Times article A relic of NT Intervention is being lifted, but peak Aboriginal groups are furious in full click here.

Image source: National Indigenous Times.

Initiative allows vision-impaired kids play football

Blind and vision impaired Aboriginal children from some of Australia’s most disadvantaged and remote communities will be able to participate in the transformational program through the use of audible balls. A new partnership between two of Australia’s most prolific sporting initiatives will provide football opportunities for children with eye and vision problems, currently the most common long-term health conditions experienced by Aboriginal and Torres Strait Islander peoples.

The program established by John Moriarty Football (JMF) and Australian Blind Football (ABF) will help facilitate education and knowledge to coaches which will allow for children to enjoy the social benefits of the sport. Yanyuwa man John Moriarty AM, the Co-Founder of JMF and the first Indigenous man to be selected for the Socceroos, claims that the new partnership will be “game changing. Improving access to the game of football is paramount to us at JMF,” he said.

To view the SBS Sport article Game-changing initiative allowing blind, vision-impaired Aboriginal children to play football in full click here.

Vision impaired JMF participant, Alyawarr boy Tarrant Jackson (16 years), celebrates a goal in Tennant Creek, NT. Image source: SBS Sport website.

Chance for 2 years of PIHW membership

Want to be more LGBTQ inclusive in your care?

Through the Coles Grant Scheme, two 2-year Pride in Health + Wellbeing Memberships are available to help smaller organisations provide more LGBTQ inclusive care. These memberships will allow these organisations to not only review and upskill on their care for gender and sexuality diverse patients/service users but also to measure this change through the free annual Health + Wellbeing Equality Index (HWEI) benchmark and surveys.

For further details about the grants and to access an EOI form click here. EOIs close Wednesday 1 June 2022 – so get in QUICK!

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

National Road Safety Week

Every year, approximately 1,200 people are killed and another 44,000 are seriously injured on Australian roads. Traffic injury is the biggest killer of Australian children under 15 and the second-biggest killer of all Australians aged between 15 and 24. These numbers are growing every year but are preventable if we choose to Drive So Others Survive!.

National Road Safety Week is an annual initiative from the Safer Australian Roads and Highways (SARAH) Group, partnering road safety organisations and Government. The week highlights the impact of road trauma and ways to reduce it.

You can access the National Road Safety Week 2022 website here, as well as view a short video below:

HIV&AIDS Sexual Health conference scholarships deadline extended

The deadline for Scholarship applications for HIV Clinicians to attend the Joint Australasian HIV&AIDS and Sexual Health Conferences 2022, has been EXTENDED to this Sunday 22 May 2022.

HIV Clinician scholarships include:

  • Return economy flights to the conference
  • Accommodation
  • HIV&AIDS Conference registration

View the Scholarships webpage here for more information on eligibility and priority.

NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO CEO joins pre-election health discussion

Image in feature tile, NACCHO CEO Pat Turner AM. Image source: The Sydney Morning Herald, 10 May 2022.

NACCHO joins pre-election health discussion

Yesterday Dr Norman Swan, who hosts the ABC Radio National Health Report, said as it has been a long election campaign with not much on health it had been decided for last Health Report before the election to try and cover health issues that have not been covered in the campaign by the major parties. Dr Norman Swan has hosted the pre-election health discussion with four experts talking about the pressing issues: what are the most pronounced problems, what type of care is the most effective, how should rebates work, and what health questions have not been raised at all.

The discussion begins with Dr Swan asking NACCHO CEO Pat Turner AM about the recent study done of the economics of health care in Aboriginal communities. Ms Turner said that NACCHO commissioned Equity Economics to look at the gap in health expenditure in terms of what is paid by the government for all Australians and for Aboriginal people. It was found that Aboriginal and Torres Strait Islander people require an additional $5,042 per head of population which equates to a $4.4 billion shortfall in funding Aboriginal health in this country – $2.6 billion from the Commonwealth and $1.8 billion from the states and territories in terms of what they should be inputting.

Ms Turner said the figures had been adjusted for the health status of Aboriginal people, who have, on average, over two times the burden of disease that other Australians with a life expectancy still 8–9 years below that of other Australians. Ms Turner then outlined some horrific statistics: Aboriginal people are 3.7 times more likely to have kidney disease, 3.3 times more likely to have diabetes, 3.2 times more likely to suicide as youth, 2.1 times more likely to die in infancy and youth are 55 times more likely to die from RHD. What is driving this is, Ms Turner said, is the overall lack of equal funding to make up for the health gap, “we can’t close the gap between the life outcomes of our people until we get at least equal funding as other Australians do, on basis of need.”

You can listen to the ABC Radio National episode Considering health issues ahead of an election of the Health Report with Dr Norman Swan here.

Nigel Morton and half of the 500 residents of his town, Ampilatwatja, NT have diabetes. Image source: ABC News website.

Remote communities pay 39% more for food

Residents in remote Aboriginal communities pay the highest average price for food in Australia. Advocates say the next PM must act to ensure affordable, healthy food is available for all Australians. The local supermarket is the heart of Wirrimanu, a remote Aboriginal community on the edge of the Great Sandy Desert in WA’s Kimberley region. It’s the only shop of its size for 300 kms and it’s only open limited hours each day, supplying fresh and dry food, as well as clothing, basic furniture and some white goods.

Plastic curtains hang over the front door to keep dust and flies out, as residents enter to pick up their goods and use the ATM. But what’s really surprising about the store are the prices on the shelves. When SBS News visited the Wirrimanu Community Store, a 380g jar of Vegemite was selling for $13.25; a plain loaf of white bread for $4.99 and a two litre bottle of orange juice was priced at $7.20. A 500g bag of San Remo pasta cost $4.40 while a 250g packet of Arnott’s biscuits cost $5.85.

The National Indigenous Australians Agency estimates that residents of remote communities pay 39 per cent more for supermarket supplies than consumers in capital cities, and the gap could be widening. Wirrimanu resident Ronald Mosquito was browsing the aisles, and told SBS News the community has little option but to pay the prices. “If people are desperate and hungry, they will buy whatever they must,” he said. Ronald has diabetes and said he’s trying to improve his diet, but the availability of fresh, affordable food is a major problem.

To view the SBS News article Remote communities pay 39 per cent more at the supermarket checkout than city shoppers. Here’s why that’s a problem. in full click here.

Wirrimanu resident Ronald Mosquito says the community has few other options but to pay the prices. Image source: SBS News website.

Opportunity to transform Australia’s eye health

One of the most important presentations at this year’s 52nd RANZCO Congress was the launch of the college’s Vision 2030 and Beyond plan to overcome Australia’s long-standing and complex eye health equity issues. One of the presenters Dr Kristen Bell called for an Atlas of healthcare delivery to help address healthcare variance, depending on where people live. In her presentation on service delivery issues, Dr Bell – the Vision 2030 and Beyond clinical lead – said ophthalmology differs from other specialties, with 80% being outpatient care-based and 20% surgical. Chronic sight threatening conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration make up the bulk of ophthalmic service delivery, with acute care often bypassing surgery and emergency to the outpatient setting.

Dr Bell presented maps of Australia showing very few public care areas outside of urban areas. NT and WA fund outreach from Darwin, Alice Springs and Broome, respectively, while Tasmania has recently started funding an additional service in the NW of the state, giving these three jurisdictions the best regional coverage. But across Australia, 30% of entire population and 65% of Indigenous patients have no or limited access to a publicly funded local outpatient service.

To view the Insight article A pivotal opportunity to transform Australia’s eye health in full click here.

Auntie Emily at the Danila Dilba Aboriginal Health Service, Darwin Photo: Brien Holden Vision Institute. Image source: Optometry Australia.

TIS National Coordinator on new vaping laws

In the below video, National Coordinator for Tackling Indigenous Smoking, Professor Tom Calma AO answers questions including:

    • What is vaping?
    • What are the current laws around nicotine vapes?
    • Can nicotine vaping help me stop smoking?

This video forms part of a campaign created by the Therapeutic Goods Administration and the National Best Practice Unit for Tackling Indigenous Smoking. You can view other resources, including a brochure and posters, developed for the campaign here.

NPS MedicineWise low literacy consumer resource

NPS MedicineWise has developed a number of low literacy consumer resources, which aims to support conversations between a Health Care provider and patient (or patient representative) regarding medicine choice for treatment of mild COVID illness in people who identify as Aboriginal or Torres Strait Islander and are at higher risk of disease progression.

The medicines mentioned in the resources are the two oral antivirals and the monoclonal antibody Sotrovimab. There are also FAQs for prescribers and dispensers working in ACCHOs for these same three medicines. The links below to the low literacy factsheets for use in ACCHOs and remote communities can be found on the NPS MedicinesWise website.

Paxlovid, Lagevrio (Molnupiravir), Sotrovimab (Xevudy). Image sources: FirstWord Pharma+, Medical Update Online, The Guardian, GSK UK Products.

Health services need to cater for the whole person

The University of Melbourne on-line Pursuit magazine has published an article Embracing Queer Indigenous Australia – Health services need to cater to the whole person as a human right, and that includes Indigenous LGBTIQ+ Australians by Todd Fernando, Victorian Commissioner for LGBTIQ+ Communities and University of Melbourne.  In the article, Todd Fernando says: I’ve been fortunate in my life to build a strong sense of pride in my identity as a queer Wiradjuri man. Despite this, my intersectionality – the way different identities can marginalise people or expose them to discrimination – is sometimes misunderstood, particularly in health settings.

This experience rings true for many queer Indigenous people, as evidenced in my recently submitted doctoral thesis exploring health equity for queer Indigenous people. The findings of my own and previous research highlight the need for services to understand the importance of catering to the full person. Because as humans, we don’t divide easily. Without further data that truly captures the lived experience of queer Indigenous people, no effective changes to systems can be lobbied for. The belief that heterosexuality is the preferred or ‘normal’ sexual orientation is as much a direct threat to the survival and advancement of queer Indigenous people as racism is.

To view Todd Fernando’s article in full click here.

Image source: 2SER Breakfast radio.

Keep mob healthy this winter with flu vax

The Lung Foundation of Australia are conducting a campaign from mid-May to June to encourage Aboriginal and Torres Strait Islander people to be vaccinated against respiratory diseases this flu season. Aboriginal and Torres Strait Islander people aged over six months are eligible for a free flue vaccination. You can access the Lung Foundation Australia website for more information here.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Arthritis Australia National Grants Program

Arthritis Australia has long been a leader in funding nationally and internationally based research programs to find solutions in the management of Arthritis. In the past three years Arthritis Australia has awarded many research projects, fellowships, scholarships, project grants and grant-in-aid projects from an annual donation sum of $7m.  Arthritis Australia’s National Grants Program is currently accepting applications for 2023. This year we are welcoming applications for the Aboriginal and Torres Strait Islander Fellowship sponsored by Janssen.

The Aboriginal and Torres Strait Islander Fellowship is for research to be undertaken in 2023 for a duration of 12 months, in the field of Arthritis and musculoskeletal conditions among Aboriginal and Torres Strait Islander people. The Fellowship will be awarded to a researcher who identifies as an Aboriginal or Torres Strait Islander, or who has a team member who identifies as an Aboriginal or Torres Strait Islander. The researcher must be currently undertaking post-doctoral work or following a recently completed Rheumatology Advanced training.

Applications are open until Friday 8 July 2022.

The can access further information about the National Research program here and the Fellowship Application form here. Applications should be forwarded to Arthritis Australia using this email link. If you have any further queries, please email Arthritis Australia using the email address here or call the Arthritis Australia office on 02 9518 4441.

Image source: Merri Health.