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: Mob left out of record low unemployment

Mob left out of record low unemployment

The National Employment Services Association (NESA) says First Nations people and other disadvantaged Australians are being left out of record low unemployment figures. Last week the Australian Bureau of Statistics (ABS) data reported unemployment remained at a record low 3.9% in May.

But NESA principal policy advisor Annette Gill said the real numbers were much higher. “They focus so narrowly on the official unemployment rate to talk about how well our labour market is doing,” she said. “And that’s a choice the politicians have, basically. It’s not something many Australians actually understand. (The employment) rate among Indigenous Australians is considerably lower than it is for the rest of the population.”

NESA senior policy advisor Alicia Weiderman said many First Nations people had historically been excluded from statistical analysis such as employment figures. “What we still know, though, at the high level on the data, as it is reported, is that historically Aboriginal Torres Strait Islander peoples unemployment rates have sat fairly consistently at three times that of their non Indigenous counterparts,” she said.

To view the National Indigenous Times article Industry peak body calls out Indigenous exclusion in latest unemployment rates in full click here.

Mawarnkarra CEO’s 30+ years of service

Mawarnkarra Health Service CEO and local Roebourne woman Joan Hicks is a familiar face and much respected community leader in our community. She started as a trainee health worker in 1990 when concern for the health of a family member took Joan to the old clinic on Crawford Way to talk to the registered nurse who encouraged her to apply for the role. Joan has been part of Mawarnkarra Health Service for 32 years. Joan worked as a health worker in the old Aboriginal Corporation from 1990–2000, before joining the MHS Board in 2000 and eventually becoming the chair of the board and, later, the CEO.

Joan has watched MHS grow from a small clinic with one registered nurse, a part time doctor from Wickham Hospital and admin staff to what it is today. Over time Joan says she developed a passion for Aboriginal health and could see the importance of Mawarnkarra and the great service and work that is done through the organisation.

Joan is a Ngarluma woman with family connections to Yindjibarndi and is very proud of the Mawarnkarra Health Service and what it stands for. “I enjoy being part of a fantastic team of 60-plus staff,” Joan said. “I also have a great board of directors, most of whom have been on this awesome journey with me,” Joan added.

You can access the story on the Mawarnkarra Health Service Facebook page here.

Mawarnkarra Health Service (MHS) CEO Joan Hicks, Image source: MHS Facebook page.

Lung health for children training

Lung Foundation Australia recently released two new accredited eLearning modules about chronic wet cough called Lung Health in First Nations Children. Chronic respiratory disease is highly prevalent amongst First Nations children. Disease progression can be halted and even reversed when diagnosed and treated early.

The free training provides a supportive tool for health professionals to improving lung health outcomes. Topics include:

  • Fundamentals of providing culturally secure care to First Nations families
  • Respiratory diseases prevalent in First Nations children and
  • Appropriate ways of diagnosing and managing lung conditions.

These modules, developed in collaboration with Telethon Kids Institute and the Western Australian Health Translation Network, have been designed to be culturally appropriate and provide the opportunity to learn ways of providing culturally secure care.

The online training is free and accredited with RACGP and ACRRM. Each module is worth 2 CPD points and will take approximately one hour to complete. You can find out more about the eLearning modules and enrol here.

Eliminating Hep C as public health concern

NSW Health has today released a comprehensive plan to eliminate hepatitis C as a public health concern by 2028 with the NSW Hepatitis C Strategy 2022 – 2025. Chief Health Officer Dr Kerry Chant said the new strategy is centred on prevention, testing, treatment and addressing stigma and discrimination associated with the disease. “The strategy aims to reduce hepatitis C infections by 60% decrease the number of deaths linked to hepatitis C, remove the stigma linked to the virus and increase testing and treatment,” Dr Chant said.

The NSW Hepatitis C Strategy 2022-2025 highlights priority groups who are disproportionately affected by hepatitis C for improved health outcomes. Hepatitis C disproportionately affects Aboriginal people in NSW. In 2019, the notification rate for hepatitis C was 11 times higher in Aboriginal people compared with the rest of the population. Building on partnerships already in place with Aboriginal communities, the strategy aims to bolster education, improve access to harm reduction services and support increased access to testing and treatment in Aboriginal Health Services.

To view the NSW Health webpage Towards the elimination of hepatitis C as a public health concern in full click here and the NSW Hepatitis C Strategy 2022–2025 here.

Image source: NAM aidsmap.

‘Impending and significant’ health crisis

Australians think the healthcare system is getting worse, as they grapple with long emergency department wait times, and being able to afford and access essential services. The country’s healthcare rating dropped from 7.8 out of 10 in March last year, to 7.2 in June this year, the Australian Healthcare Index survey shows. The findings indicate an “impending and significant” health crisis, Healthengine chief executive Marcus Tan said.

“The overall trend is heading in the wrong direction suggesting that the Australian healthcare system is under stress, likely leading to worse experiences and outcomes,” Dr Tan said. Nearly one in four survey respondents said their mental health declined in the past six months and almost 60% of people still seeking treatment had been waiting more than three months. Separate research showed one in three psychologists were unable to see new clients post-pandemic, whereas the figure was one in 100 beforehand.

Nearly 40% of respondents to the healthcare index survey who had visited a public hospital emergency department in the past six months were dissatisfied with their experience and one in four survey respondents said prescription medication was unaffordable.

To read the SBS News article Australia experiencing an ‘impending and significant’ health crisis, survey finds in full click here.

Photo: David Mariuz, AAP. Image source: SBS News website.

ACCHO CEO calls out cherry-picked data

Winnunga CEO Julie Tongs has called out the ACT government for “rely[ing] on ABS data for internal purposes but point[ing] to a much narrower set of data for public purposes. Ms Tongs said that because of the yawning difference between the ACT Aboriginal recidivism rate published by the ACT government at the end of 2020 (over 90 %), which was recently confirmed by the ABS, and the 40% rate recently claimed by acting commissioner for corrections Ray Johnson on ABC radio, she wrote to ACT Corrective Services seeking clarification on the issue.

In response the Directorate advised that “The ACT had 38.5% of detainees (released in 2018-19) returning to prison (within two years from their release) against 45.2% nationally. The return rate for Aboriginal and Torres Strait Islander detainees was 44% compared to 56.8 per cent nationwide.”

Ms Tongs said that in this case the ACT government relies on data that relates only to detainees who were re-imprisoned within two years of release and completely ignores the rest. If the information is based on the latest ABS data on recidivism rates of all detainees and not just those re-imprisoned within two years of release it tells a very different story.

To read the CBR CityNews article Lies, damned lies and ACT government statistics in full click here.

Image source: The Canberra Tims.

Connection to Country on campus

A visionary long-term project will embed Aboriginal and Torres Strait Islander design values on University of Queensland campuses, reshaping them over time to better recognise and celebrate Indigenous connections. UQ Pro-Vice-Chancellor (Indigenous Engagement, Professor Bronwyn Fredericks, , said the framework was a tremendous achievement, and an important step in UQ’s reconciliation journey. “The University of Queensland is proud to be part of what is a new and emerging space for the higher education sector, that is re-shaping its learning, teaching, research and engagement environments,” Professor Fredericks said.

“UQ is among only a handful of Australian universities engaging with Aboriginal and Torres Strait Islander Design Principles for its physical and built environments. Our Design Principles Framework aims to ensure safe and welcoming spaces for Aboriginal and Torres Strait Islander peoples, along with offering all people a greater connection to what it means to visit, study or work within a great Australian university. This is important legacy work which adds to UQ’s master plan and contributes to shaping the way our campuses and premises will look and feel for generations to come.”

To read the University of Queensland UQ News article Creating connection to Country and Indigenous cultures on campus in full click here and to access the Campuses on Countries Aboriginal and Torres Strait Islander Design Framework at The University of Queensland click here.

Winnunga News – June 2022 edition

The Winnunga Nimmityjah Aboriginal Health and Community Services’ Winnunga News June 2022 edition has just been released. In her update CEO Julie Tongs OAM refers to the enormous and continuous strain the COVID-19 pandemic and increasing cases of influenza, have placed on staff and the operations at Winnunga as well as the Aboriginal community and Winnunga clients.

Articles in the newsletter cover:

  • a visit to Winnunga by the Narrabundah Early Childhood School
  • a review of the ACT Government’s plan to reform out of home care and child protection in the ACT
  • the Uluru Statement From the Heart
  • the eviction of 340 long term ACT public housing tenants
  • the importance of not just moving on after Reconciliation Day
  • the need for government leadership in relation to traditional custodianship
  • what has gone wrong at the Alexander Maconochie Centre
  • a Canberra artist’s portrait of Aunty Matilda House
  • a COVID-19 and influenza update

You can access the Winnunga News June 2022 edition 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: 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: Time to end First Nations “economic apartheid”

Image in feature tile is of shack outside of Tennant Creek. Image source: ABC News.

Time to end First Nations “economic apartheid”

Experts from The Australian National University (ANU) have raised alarm bells about the “economic apartheid” facing Aboriginal and Torres Strait Islander peoples and are calling for an urgent, nation-wide strategic approach to ensure their economic self-determination. This is the key theme of a landmark series of events to be held this week and led by the ANU First Nations Portfolio.

A first for Australia, the forum and symposium will chart the path to First Nations Australians’ economic development, wealth creation and a self-determined economy. Professor Peter Yu AM, Vice-President First Nations at ANU, said Australia remains the only Commonwealth country to have never signed a treaty with its Indigenous people.

To view the ANU’s media release Time to end First Nations “economic apartheid” in full click here.

A town camp outside Alice Springs, NT. Photo: Children’s Ground. Image source: The Guardian.

Children protection system under fire

Every year, Australia’s child safety departments remove thousands of children from their parents on the grounds they are not safe at home and need urgent protection. In doing so, the government becomes their guardian, taking responsibility for their lives. Far from being safe, some of these children are then preyed upon by the very people the government has vetted to look after them.

Indigenous children are 10 times more likely to be removed from their families. Departmental policy dictates that they are then placed with Indigenous carers to maintain contact with their culture, but that doesn’t always happen. Instead, Aboriginal children can languish in care hours from their land while some workers dismiss signs of sexual abuse in First Nations children as “cultural” behaviour.

Lisa Wellington from Aboriginal women’s health and welfare organisation Waminda said the child protection system had been failing Indigenous families since it had been set up. “In order for change to happen, the department needs to engage with the Indigenous community and listen to the families and walk alongside them,” she said.

To view the ABC article Bad Parent in full click here.

Image source: Aboriginal Family Legal Services website.

Health reform issues for new government 

Is Australia on the verge of a long-awaited and sorely needed move towards cooperative federalism to drive health reform? Encouraging noises to this effect have emerged from the first National Cabinet meeting (Friday 16 June) since the Federal election.

The NSW Premier said there had been “a real focus of working with the States and Territories in relation to substantive health reform going forward” something that had “been in the too-hard basket for too long.” The Queensland Premier said it had been “a refreshing change to be able to discuss health. Previously, we have tried to get this on the agenda. We’ve got a PM who listens and understands that health is a big issue and it is a national issue that’s affecting everybody across our nation”.

The Victorian Premier said: “…on behalf of every nurse, every ambo, every doctor, every patient in Victorian public hospitals I want to thank the Prime Minister. Politics was put aside at this meeting and we’ve put patients first and that is the most important thing. Now, the test for all of us will be to work hard in the weeks and months to come, to come up with practical ways in which we can make the system work as a true system.”

Associate Professor Lesley Russell will monitor the efforts of the Albanese Government to deliver on their election commitments in health, healthcare, Indigenous health and climate change (and in fact any issue that improves the health status and reduces the health disparities of Australians).

To view the Croakey Health Media article The Health Wrap: as National Cabinet sets a course for health reform, here are some key issues to address in full click here.

Image source: Choose Your Own Health Career website.

Call for action against racism, racial violence 

A Brisbane author brought her defiant call to action against racism and racial violence to Cherbourg last week, welcoming South Burnett community members to the Ration Shed Museum for a workshop on her 2021 book ‘Another Day in the Colony’. ‘Another Day in the Colony’ has attracted praise from fellow academics as well as members of the public, who commend the author on her uncompromising truth-telling and exposure of Australia’s intolerance.

“While I work as an academic, the book was written just for anyone to read – I wanted to write for mob and wanted my kids to be able to read it, regardless of whether they got a degree or not,” Dr Watego explained. “The thing that’s really hit me is mob getting back to me and saying ‘you wrote what I feel! You gave a language to what I already knew but didn’t know how to express.’

“Mob have been really moved by it, and that’s what I wanted to do – I wanted to speak to the souls of blackfellas. That’s the beautiful part: not the reprints, but the imprint it’s had on the community.”

To view the Burnett Today South, Central & North article Cherbourg Celebrates book tour in full click here.

Dr Chelsea Watego and her book Another Day in the Colony.

Top 3 men’s health questions

In celebration of Men’s Health Week (13-19 June 2022), Dr Lucas de Toca from the Australian Government Department of health has spoken on how family history and lifestyle impact our health and provides tips to help maintain a healthy lifestyle. The three top questions answered by Dr de Toca are:

  • What is Men’s Health Week?
  • How can men build healthier outcomes and reduce the risk of chronic disease?
  • How can men better engage with Australia’s health services?

To view the Department of Health’s Top 3 Qs article click here.

Health conference abstracts FINAL CALL

A final call for abstracts for the upcoming Ngar-wu Wanyarra Aboriginal & Torres Strait Islander Health Conference is being put out. The closing date is just one week away – COB Monday 27 June 2022.

For further event information click here and to register to present click here.

Adam Goodes (virtually attending) and Sue-Anne Hunter will be keynote speakers at The 7th Annual Ngar-wu Wanyarra Aboriginal & Torres Strait Islander Health Conference.

Mob left out of low unemployment figures

The National Employment Services Association says First Nations people and other disadvantaged Australians are being left out of record low unemployment figures. Last week the Australian Bureau of Statistics (ABS) data reported unemployment remained at a record low 3.9% in May.

The real numbers were much higher. The employment rate among Indigenous Australians is considerably lower than it is for the rest of the population. Many First Nations people have historically been excluded from statistical analysis such as employment figures. Historically Aboriginal Torres Strait Islander peoples unemployment rates have sat fairly consistently at three times that of their non Indigenous counterparts.

Discrimination is a factor in the employment of Aboriginal and Torres Strait Islander people. That is ever so slowly changing so that disparity you know is trending in the right way, but not rapidly. To view the National Indigenous Times article Industry peak body calls out Indigenous exclusion in latest unemployment rates in full click here.

Image source: Monash University Lens 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: NACCHO Chair addresses FECCA conference

NACCHO Chair addresses FECCA conference

Earlier this morning NACCHO Chair Donnella Mills addressed The Federation of Ethnic Communities’ Councils of Australia (FECCA) 2022: Advancing Multicultural Australia conference. The event is Australia’s premier conference on multiculturalism, diversity and inclusion, and migration and hosts multicultural communities, policy makers, service providers, academics and many more over two days of presentations, speakers and topics.

Ms Mills said, “It is important that when we are talking about today’s systemic racism in the health system, we understand two fundamental points. The first is that Aboriginal and Torres Strait Islander peoples are foremost and always Aboriginal and Torres Strait Islander peoples. We have our own distinct identities, languages and beliefs about what contributes to health and wellness and what causes sickness. Australia’s health system, however, is built around the identities and beliefs of the white settler and their western model of health and wellness and causes of sickness. This immediately puts Aboriginal and Torres Strait Islander peoples on the back foot in accessing health care in Australia. For us to access mainstream health services, we are required to suspend our own beliefs and cultures and adopt or accept the western model of health.”

You can access Ms Mills’ speech in full here. For more information about the FECCA2022 conference click here.

ACCHO CEO awarded honorary doctorate

Aboriginal Medical Services Alliance NT (AMSANT) has issued a media release saying it is proud to acknowledge the awarding of an Honorary Doctor of Arts to its Chair and Central Australian Aboriginal Congress Congress (CAAC) CEO, Donna Ah Chee, by Charles Darwin University yesterday. The award took place at a ceremony in Mparntwe (Alice Springs) where she has lived and worked for the past 30 years.

AMSANT CEO, Dr John Paterson congratulated Ms Ah Chee on her well-deserved honour in recognition of her significant contribution to the health of First Nations peoples. “Donna has distinguished herself through the outstanding leadership she has provided to the Aboriginal community-controlled health services (ACCHS) sector, including many years as CEO of CAAC and as Chair and Director of AMSANT”, Dr Paterson said.

“Her leadership has also been recognised through many high-level appointments to boards and advisory bodies in Aboriginal health and related areas, including the NACCHO, the NT Aboriginal Health Forum and the NT Children and Families Tripartite Forum. “Donna has been a driving force in the development and expansion of the model of Aboriginal comprehensive primary health care delivered by our ACCHSs and broader reforms of the health system that together are required to achieve better health outcomes for our people. Her passion and significant contribution in the areas of early childhood development, education, health research and reducing alcohol harm have been widely recognised.”

To view AMSANT’s media release AMSANT Chair, Donna Ah Chee, awarded Honorary Doctorate in full click here.

Donna Ah Chee. Image source: Health Voices Journal of the Consumers Health Forum of Australia.

Remote houses are dangerous hot boxes

In remote Indigenous communities that are already very hot and socioeconomically disadvantaged, climate change is driving inequities even further. New research, published in the Medical Journal of Australia shows how higher temperatures in remote Indigenous communities in the NT will drive inequities in housing, energy and health.

Existing housing in remote areas is old and poorly constructed. In many remote Indigenous communities in the NT, you don’t need a building permit or even a qualified builder to build a house. Houses have missing doors, boarded-up windows, no air conditioners, are often un-insulated, have failed plumbing and have been poorly maintained over decades. These houses become dangerously hot as climate change bears down.

The researchers conclude the solution is Indigenous communities need a say; buildings need to be climate resilient; energy needs to be safeguarded and houses need to be maintained.

To view The Conversation article How climate change is turning remote Indigenous houses into dangerous hot boxes in full click here.

Shoddy NT remote homes lethal

Indigenous Australians living in remote, shabby housing with unstable electricity connections in the NT’s extreme heat are enduring life-threatening conditions. A research paper published this month in the Medical Journal of Australia found that Indigenous Australians with chronic diseases who depend on cool storage and electrical equipment are vulnerable to dying earlier.

The study was conducted by the ANU in partnership with the Julalikari Council Aboriginal Corporation in the NT, where extreme heat stress has become a reality in the past few years. ANU researcher Simon Quilty says excessive heat, poor housing, energy insecurity and chronic disease have reached critical levels and a multi-sector response is needed to avert catastrophe. He says a constant electricity supply is often a luxury, rather than a right.

“Most houses in remote communities are old, poorly constructed and poorly maintained,” Dr Quilty said. He said tenants pay rent for houses with no doors, no windows and no insulation in the ceiling, falling well below national building codes. “All of the houses in these communities rely on pre-paid power cards and as a result there are extreme rates of electricity disconnection, making those with chronic disease particularly vulnerable,” Dr Quilty said.

To view the Kyabram Free Press article Shoddy homes lethal to Indigenous patients in full click here.

Unserviced shacks in Tennant Creek shelter some people on the public housing waiting list. Photo: Samantha Jonscher. ABC News.

Diabetes epidemic hits Central Australia

The latest health research has shown type two diabetes in remote Aboriginal communities has reached epidemic proportions, with children as young as four diagnosed. The rates of type 2 diabetes in remote communities are some of the highest in the world and getting worse, according to new research released by the Menzies School of Health Research.

Menzies researchers examined seven years of health data from 21,000 Aboriginal people across 51 remote communities in the NT. It found a staggering 40% of adults in Central Australia now have the condition, which can cause kidney disease, heart disease, strokes, impaired vision and amputations due to infections. 29% of the Aboriginal adult population in the rest of the Territory are also living with the condition. In 2020 it became the leading cause of death in communities, and those diagnosed with it are getting younger.

Shiree Mack and her family have lived with type two diabetes for years and many of her extended family are also battling the condition. With younger generations increasingly affected, she says the time for change is now. “The effects are huge and our little people are getting diagnosed at five and six,” she said. Ms Mack said any proposed solutions need to come from the community. “Let’s listen to the community let them tell us what will work. They know.”

To view the SBS NITV article Diabetes epidemic hits Central Australia in full click here.

The Mack and Ross families from Alice Springs are all living with type two diabetes as the number of cases in the Centre skyrocket. Image source: NITV.

Integrating kidney health into patient care

Chronic kidney disease (CKD) affects one in 10 Australian adults. For Aboriginal and Torres Strait Islander peoples, the prevalence is even higher, affecting nearly one in five adults. CKD contributes to 11% of all deaths and is associated with 37% of all cardiovascular deaths in Australia. However, the asymptomatic nature of CKD means it can be difficult to diagnose unless there is targeted screening for it. Timely management can slow or even prevent the deterioration in kidney function, and improve cardiovascular outcomes. GPs are in a prime position to detect and diagnose CKD early. This involves targeted screening and performing investigations that are mostly already part of regular clinical practice.

Dr Tim Senior, GP at Tharawal Aboriginal Corporation, clinical senior lecturer at the University of Western Sydney Medical School and CKD expert in general practice says that “Rather than seeing the kidneys as a single, separate, complex and difficult organ, it is straightforward to integrate them into the overall care of your patients along with other organ systems. You’ll find, for instance, that what’s needed to diagnose CKD is largely already what you’re doing for other conditions like cardiovascular disease and diabetes. So when you assess your patients for risk factors and test for cardiovascular disease and diabetes, you should also think of their kidneys.”

To view the NPS MedicineWise article CKD – Integrating kidney health into patient care in full click here.

Dr TIm Senior. Image source: RACGP newsGP.

Indigenous assistant minister sworn in

Indigenous Australians assistant minister Malarndirri McCarthy has vowed health outcomes for First Nations people will be placed at the forefront of the Albanese government’s bid to close the gap. The NT senator was sworn into the ministry by Governor-General David Hurley at Government House on yesterday.

Senator McCarthy said commitments taken to the election campaign focused on health policies, but also included improving access to education and job opportunities for people in regional and remote communities. A key focus would be closing the gap in life expectancy between Indigenous and non-Indigenous people, with better health outcomes being essential to improving the lives of First Nations people.

Senator McCarthy said she will be working closely with Indigenous Australians Minister Linda Burney – who was appointed to cabinet – on progressing a constitutionally enshrined voice to parliament in the government’s first term.

To read Yass Tribune article Indigenous assistant minister sworn in in full click here.

Malarndirri McCarthy with her partner Richard and their children following her swearing-in at Parliament House. Photo: AAP, Image source: SBS News.

Indigenous Eye Health Conference

Health leaders from Aboriginal and Torres Strait Islander communities, who recently attended a national eye health conference, called on non-Indigenous Australians to support efforts to establish an Indigenous led approach to closing the gap in eye health. The 2022 National Aboriginal and Torres Strait Islander Eye Health Conference (NATSIEHC22), co-hosted by Indigenous Eye Health (IEH) at the University of Melbourne and Aboriginal Medical Services Alliance Northern Territory (AMSANT), took place on Larrakia country in Darwin from 24–26 May 2022.

The conference theme, Our Vision in Our Hands, was reflected in a consistent call for “greater leadership and ownership of eye health by Aboriginal and Torres Strait Islander people, along with the shift in power that is necessary to produce the outcomes that we are all working towards”.

One of the conference co-chairs, Anne-Marie Banfield, who is the National Manager of Engagement and Awareness at Hearing Australia said that while First Nations peoples must play a key role in leading eye health initiatives that improve outcomes in their communities they cannot do this on their own – non-Indigenous people are needed as allies to “amplify the voice of Aboriginal and Torres Strait Islander people”.

To view the mivision The Ophthalmic Journal article Making Change: Indigenous Eye Health Conference 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.

NACCHO Aboriginal & Torres Strait Islander Health News: racism in perinatal health services

Image in feature tile is of Stacey Foster-Rampant with her baby boy, Tyler, at a Malabar Community Midwifery Link Service clinic. Photo: Louise Kennerley. Image source: The Sydney Morning Herald.

Racism in perinatal health services

After nine months, imagine giving birth to a beautiful, healthy baby. As tired as you are, you adapt to your new sleep-deprived routine, feeding your newborn at any time of the day and night as needed. But then child protection services arrive with the police, and a court order, to take your baby from your arms and place them in the care of a stranger. Sadly, this is the case for too many First Nations women in Australia.

Issues relating to the removal of First Nations infants from their families by contemporary child protection systems can be traced to perinatal health services. Tracey Stephens, a Kurnai woman and registered midwife, sees racism towards Aboriginal and Torres Strait Islander women across mainstream healthcare settings on a regular basis. “Stereotypically in mainstream midwifery there’s this strong sense that all Aboriginal women are going to smoke cannabis and drink alcohol and are drug addicts. However, this isn’t the case.” she says. “Far too much of my time is spent trying to educate others and address unconscious bias and racism amongst the healthcare workforce.

To read the article Separated at birth: Racism and unconscious bias in perinatal health services by Research Fellow, Health and Social Care Unit, Monash University in full click here.

Image source: Monash University Lens webpage.

SA to start Voice to Parliament journey

South Australian Attorney-General Kyam Maher wants to begin talks on a state version of the First Nations Voice to Parliament ahead of a launch of the body next year. It would provide advice to Parliament about decisions affecting the lives of First Nations people. Mr Maher — SA’s first Aboriginal Attorney General and Aboriginal Affairs Minister — said South Australian Labor made a commitment to adopt the Statement from Uluru after the 2019 federal election.

He said he believed the state should not have to wait for the federal government to act. “At its core, it’s about Aboriginal people having more a say in decisions that affect their own lives,” Mr Maher said. “I find that pretty hard to argue against.”

To view the ABC News story Consultation to start on SA Indigenous Voice to Parliament ahead of 2023 launch in full click here.

Kyam Maher is the only Indigenous person elected to parliament in South Australia at a state or federal level. Photo: Ethan Rix, ABC News.

First Nations more likely to die in childbirth

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.

The causes of these gaps in life expectancy are complex and stem from colonisation, including:

  • racism and lack of cultural safety in hospitals and from healthcare providers
  • pregnant First Nations women avoiding antenatal care for fear of child protection services taking their children. This is a legacy of the “stolen generations” with continuing high rates of child removals
  • closures of regional and remote birthing services requiring more First Nations women to leave home and travel long distances to give birth, often alone. Some women opt to give birth without a midwife, which can have significant issues for mother and baby.

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.

To view The Conversation article First Nations mothers are more likely to die during childbirth. More First Nations midwives could close this gap in full click here.

Geraldine at the Gudang Dalba Hostel, Darwin NT. Image source: ABC News.

Mental health restraint concerns

Patients in Victoria’s mental health hospitals are being restrained at higher rates and for longer than the national average, a new report has found. Aboriginal and Torres Strait Islander people are being secluded and restrained at higher rates, which the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) said is concerning.

“Many Aboriginal people have complex trauma,” a spokesman for VACCHO said. “We are concerned with this data and would like to know more on the reasons that drive this over-representation. A model of care that is focused on healing, social and emotional wellbeing and cultural safety is what works for Aboriginal people.”

To view the 7 News article Restraint concerns in Vic Mental health in full click here.

Image source: The University of Melbourne Pursuit webpage.

Approaches for non-Aboriginal health professionals

SA’s outstanding young leaders were recently celebrated through the 40 Under 40 Awards. Annabelle Wilson, Associate Professor of Implementation Science at Flinders University, SA was included in the list. 38-year-old Professor Wilson is a dietician and PhD with a clear focus on Indigenous health. “Through my research and leadership, I have disrupted and challenged current thinking about how non-Aboriginal health professionals work in Aboriginal and Torres Strait Islander health, specifically in nutrition and dietetics,” Annabelle says.

“My research has impacted health professional practice by identifying and translating approaches that non-Aboriginal health professionals can use when working in Aboriginal and Torres Strait Islander health, including reflexivity and awareness of one’s own attitudes and biases.” Annabelle’s work led her to develop models of practice, which were adopted in mentoring and training courses for health professionals. “In the next few years I plan to continue and extend the work I have been doing. In particular, I have applied for funding to lead transformation in nutrition and dietetics related to Aboriginal and Torres Strait Islander health.”

To view the InDaily and CityMag article SA’s top young business leaders click here.

Associate Professor Annabelle Wilson. Image source: citymag.indaily.com.au.

Indigenous Health Division is recruiting

Do you want to make a real contribution to improving Aboriginal and Torres Strait Islander health outcomes? Do you have a unique set of skills and experiences to contribute to this challenging undertaking? The Indigenous Health Division of the Department of Health has multiple roles for you across both the APS5 and APS6 levels.

The Department of Health is seeking experienced and committed people to develop relationships, policies and programs that improve the health outcomes of Aboriginal and Torres Strait Islander people. You will help to shape the development and implementation of the Australian Government’s healthcare commitments to Aboriginal and Torres Strait Islander communities.

Applications close on Monday 27 June 2022. Further detail on the roles is available on the APSJobs and the Department of Health’s website or by using this link.

Remote PHC Manuals project June update

The Remote Primary Health Care Manuals (RPHCM) are currently being reviewed and updated. Monthly updates are being provided to keep health services and other organisations up-to-date as RPHCM moves through the review process. It is now almost two years into the manuals updating project and activities are continuing to meet planned timelines (despite some COVID impacts that have tightened deadlines for reviews).

All protocols will be finalised for publication on Thursday 20 June 2022. After this date, there will be no further changes to the manuals as they move into the final editing and publication stage. The new editions are planned for release (online and hardcopy) in November 2022. The project team will meet with key stakeholders shortly to discuss major changes and prepare health services to use the new editions.

You can view the RPHCM Project Update June 2022 flyer 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.

Take Heart: Deadly Heart screening

A virtual screening of the Take Heart: Deadly Heart – A Journey to an RHD Free Future followed by a Q&A panel session will take place from 11:00 AM–12:00 PM AEST on Wednesday 29 June 2022.

A guest speaker for the Q&A panel session is a senior Noongar woman, Vicki Wade, who has over 40 years of experience in healthcare. Vicki is a co-producer of Take Heart: Deadly Heart. She has guided the production process in a culturally appropriate way and employed a series of yarning circles throughout the pre-production phase. Vicki is well respected for the work she has done to close the gap. She sits on the National Close the Gap steering committee and is a previous board member of the Congress of Aboriginal Nurses and Midwives.

The screening is an opportunity to see the work that is being done across Australia, in regional and remote communities, to eliminate Rheumatic Heart Disease. Attendance is free but registration is essential. To register click here.

NACCHO Aboriginal & Torres Strait Islander Health News: Lessons for mainstream health services

Image in feature tile from Bulgarr Ngaru Medical Aboriginal Corporation website.

Lessons for mainstream health services

The longevity and success of the Aboriginal Community Controlled Health (ACCH) sector has some valuable lessons for mainstream health services, according to a panel of Indigenous health experts at the recent Giant Steps conference. In a recent article, written for Croakey Health Media, Jennifer Doggett reviewed the key points raised by the panel discussion: “One of the success stories of Australia’s response to the COVID-19 pandemic has been the achievements of the ACCH sector in preventing the spread of infection among Indigenous communities.

The conference panel included Pat Turner AM, NACCHO CEO who reminded participants that ACCHOs have been part of Australia’s health landscape since before the introduction of Medibank (the precursor to Medicare) in 1975. She stressed the innovative model of primary healthcare developed by the ACCHOs and their focus on prevention and social justice, all later adopted by World Health Organization in its Declaration of Alma-Ata in 1978.

Brad Brown described ACCHOs as a “home away from home” and discussed how the community controlled model has deep roots in Aboriginal culture. “Aboriginal people sit around a lot and talk and yarn. We talk about how to do things better, and what our current needs are. Local people talking about their local issues are part of our culture – we know that needs are different place to place and we know how to reframe what we do to meet local priorities. Community control is part of self-determination,” Brown said. As well as providing comprehensive primary healthcare to Indigenous Australians, the panel discussed how the ACCHO model provides some important lessons for the rest of the health system about how to deliver inclusive, community controlled and integrated care.

To read the Croakey Health Media article Lessons from the Aboriginal Community Controlled Health sector in full click here.

Landmark mural by Aboriginal artists, Ray Thomas, Kulan Barney and Ruby Kulla Kulla, in partnership with world famous street artist Adnate, launched in 2016 to mark the 20th anniversary of VACCHO. Image source: Croakey Health Media.

Ingkintja Male Health Service leads way

Ingkintja: Wurra apa artwuka pmara is an Aboriginal Male Health Service at the Central Australian Aboriginal Congress that has taken the lead in providing cultural activities and social and emotional wellbeing services for male health for many years. The ACCHO delivers a full suite of medical care complemented by social support services with an emphasis on preventative health, servicing over 1,000 men every year.

The Ingkintja ‘Men’s Shed’ male-only washing facilities (showers and laundry facilities) and gym enable males, both young and old, to come together and access fitness, comradery and practical life skills. A psychologist and Aboriginal care management worker are available through Ingkintja, allowing therapeutic care on counselling, violence interventions, and cultural and social support to men.

The theme of Men’s Health Week (13–19 June) this year is Building Healthy Environments for Men and Boys. Ingkintja is Congress’ male only service supports men and boys through a range of ways to build healthy environments. The Ingkintja clinic does preventative 715 health checks – a complete check of your physical health and wellbeing to keep men and boys on track to stay well. Having regular health checks helps men and boys stay in control of their health and wellbeing so they can stay strong and well.

For more information about the Ingkintja Male Health Service click here.

Ingkintja: Wurra apa artwuka pmara is an Aboriginal Male Health Service at the CAAC. Image source: CAAC.

Calls to redirect mental health funds

Indigenous psychologists at the Australian Indigenous Psychologists Association-hosted forum held earlier this month, have criticised a state of ‘political limbo’ they claim has led to the funnelling of money into non-Indigenous organisations despite years of calls to redirect efforts to community-led, culturally-appropriate models.

Townsville Elder and professor Gracelyn Smallwood opened up the forum and in a call to action said it was important to do away with bickering to ensure the new Federal government addressed closing the gap targets, “the only programs that are effectively working are programs that are from the bottom-up rather than top-down, which is mostly paternalistic and government controlled.” Concern over white organisations receiving funding for Indigenous services is nothing new, however aunty Gracelyn laments the practice remained too common.

Kabi Kabi and Australian South Sea Islander psychologist Kelleigh Ryan said “The system, it still hears the talk of holistic, it hears the talk of Indigenous led, it hears the talk of First Nations or cultural Integrity but it doesn’t really understand, so then it often chooses what it always knows. So it chooses the people (the system) has a relationship with, instead of the organisations who are doing the work, who have always been doing the work.”

To view the National Indigenous Times article Indigenous psychologists’ call to redirect mental health funds to First Nations services in full click here.

Plans to begin Birth Centre construction

On the 21 February 2022, Waminda South Coast Aboriginal Women’s Health and Welfare Corporation (Waminda) hosted the Hon Linda Burney MP, Minister for Indigenous Australians, and the Hon Fiona Phillips MP, Federal Member for Gilmore, where they pledged on behalf of the Labor Government $22 million towards the Birthing Centre and the Birthing On Country program. With the funding now promised to the Community, Waminda and the Minga Gudjaga program (Waminda’s Maternity & Childcare program) are already making plans to begin construction before 2023.

Melanie Briggs, Senior Endorsed Midwife at Waminda said “We hope to secure land soon, and we will be building a purpose built facility, so that our mum’s can birth their babies in this place. The next steps are…Birth Centre Criteria, Risk Assessments, we’re developing a cultural and clinical governance committee to ensure high quality safety [for clients]. We’re also increasing our partnership with our local health district by providing services in the hospital for our women. We’re designing our birth centre. It’s designed by the cultural committee and the women in the community. We’re actually going back out into Community to do more consultations around what the [Birth Centre] needs to be, and what Community want it to be.”

You can access Waminda’s media release Birthing on Country closer to our goal here.

Waminda Birthing On Country program. Image source: IndigenousX.

SMS4Dads supporting fathers

There’s not a lot out there that speaks directly to dads.It’s a simple idea. Dad’s are really busy before and after the birth – there is no way they’ll come to lots of parenting classes… but they do have mobile phones. SMS4dads provides new fathers with information and connections to online services through their mobile phones.

SMS4dads supports men in their role as fathers and increases awareness of their influence on baby’s brain development. SMS4dads helps fathers understand and connect with their baby and partner. It also checks in on their wellbeing and offers professional support if needed.

SMS4dads is FREE.  It provides info related to the age and stage of the baby. It’s the info dad’s need – when they need it, how they need it – straight to their phone. For more information about SMS4dads and to join click here.

Single test could rule out heart attack

Queensland University of Technology (QUT) researchers have identified a way of more quickly determining the risk of a heart attack for Indigenous patients, which could fast-track their treatment and ease hospital overcrowding. Results from a single test could be used to safely rule out heart attack for up to one third of Aboriginal and Torres Strait Islander patients with low troponin levels according to QUT research.

Published earlier this week in the Medical Journal of Australia, QUT Associate Professor Jaimi Greenslade from Australian Centre for Health Services Innovation (AusHSI) evaluated data from 110 patients who presented with chest pain to the Cairns Hospital emergency department. The current process to identify heart attack was to test for levels of troponin, a protein released from damaged heart muscles into the blood stream, at the time of patient presentation and again 2-3 hours later.

“There is a growing body of evidence reporting that a single test may be adequate to rule out heart attack for a group of non-Indigenous patients, but limited research has evaluated the use of a single test for Indigenous patients,” said Professor Greenslade.

To view the QUT article Single test could rule out heart attack in Indigenous Australians in full click here.

Mental Health Co-Response program expands

The WA state government  is expecting improved outcomes for people with a mental illness when it introduces a Mental Health Co-Response (MHCR) program into the South West region following the successful roll out of program in Geraldton in August 2021. The “innovative” program is a cross-government response to mental health challenges that sees WA Health, WA Police and the Mental Health Commission in partnership. The CHCR program involves mental health practitioners from WA Country Health Service and police officers co-responding to calls seeking assistance, where mental illness is identified as a likely factor.

By providing specialist intervention and support, the initiative aims to provide a coordinated response for people experiencing mental health crisis, including self-harm, alcohol and other drug-related issues. WA Police Minister Paul Papalia said “This initiative has proven to be effective in the metropolitan area and in the first regional site, Geraldton. It’s good for the community, individuals, families and police. Having Aboriginal mental health workers as part of the co-response team will also ensure a culturally sensitive response to people in the community experiencing a mental health crisis.”

Response teams will be supported by Aboriginal mental health workers, to ensure Aboriginal communities have access to culturally informed support. The program will initially cover Bunbury and immediate surrounds from the end of July 2022.

To read the Busselton-Dunsborough Mail article WA government announce a mental health co response program to South West in full click here.

Ageism and elder abuse linked

SA Health has a new media campaign which aims to raise public awareness of the link between ageism and abuse and mistreatment of older people. The campaign reminds the community that older people have rights – the right to make their own decisions, to work, be safe, and be treated with dignity and respect. It highlights that when others assume an older person cannot do something and exclude them because of their age, it makes them feel invisible and sad.

The 2021 National Elder Abuse Prevalence Study reported that one in six older Australians experienced some form of abuse or mistreatment in the 12 months before the survey, from February to May 2020. In a SA survey of older people, around half said they did not feel valued in their community. Ageism stems from negative views of older people and the ageing process.

The new campaign underscores that ageism can lead to mistreatment, neglect, and other forms of abuse and it urges people to reflect on how they treat the older people in their life. The campaign will feature on digital and social media, radio, in print, and on screens in shopping centres around regional and metropolitan SA for the next six weeks.

For more information click here.

Elder, Kimberleys WA. Image source: Al Jazeera.

 

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: 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: Diabetes burden still impacting mob

Image in feature tile by Tom Joyner, ABC Goldfields showing patient hooked up to dialysis machine.

Diabetes burden still impacting mob

Diabetes is the fastest growing chronic disease condition globally. Type 2 diabetes has reached epidemic proportions, with the greatest burden falling on socially disadvantaged groups and Indigenous peoples. The Australian Indigenous HealthInfoNet’s latest Review of diabetes among Aboriginal and Torres Strait Islander people focuses primarily on type 2 diabetes among Aboriginal and Torres Strait Islander people.

The high levels of type 2 diabetes in many Aboriginal and Torres Strait Islander communities reflect a broad range of historical, social and cultural determinants, and the contribution of lifestyle and other health risk factors. It provides general information on the social and cultural context of diabetes, and the behavioural and biomedical factors that contribute to diabetes among Aboriginal and Torres Strait Islander people. There is growing concern regarding the emergence of type 2 diabetes in Aboriginal and Torres Strait Islander children and adolescents.

The review includes information about incidence and prevalence data; hospitalisations; mortality and burden of disease; the prevention and management of diabetes; relevant programs, services, policies and strategies that address the health issue of diabetes among Aboriginal and Torres Strait Islander people.

To view a summary of the review in plain language, a one-page factsheet and a short animated video below of the key points from the review you click here.

AH&MRC wins governance award

Last night Reconciliation Australia, the Australian Indigenous Governance Institute, and the BHP Foundation proudly announced the winners of the 2022 Indigenous Governance Awards. The Awards share and promote success from Aboriginal and Torres Strait Islander communities and organisations around Australia.

CEO of Reconciliation Australia, Karen Mundine said that following a rigorous judging process, the Aboriginal Health & Medical Research Council (AH&MRC) Human Research Ethics Committee based in Sydney was named the winner of Category 1 – Outstanding examples of Governance in Indigenous led non-incorporated initiatives. The AH&MRC is the peak body for Aboriginal controlled health services in NSW and the Ethics Committee helps ensure that Aboriginal people are at the centre of Aboriginal health research. “The Ethics Committee helps ensure that Aboriginal people are at the centre of Aboriginal health research, and provides an Aboriginal lens to make sure that research is conducted ethically and in a culturally safe way,” Committee Co-chair, Dr Summer May Finlay said.

To view the Reconciliation Australia article in full click here and watch a video about the AH&MRC Human Research Ethics Committee below.

Missing piece of chronic pain puzzle

The patient experience isn’t what we thought it was, and Aboriginal and Torres Strait Islander health research is showing us better ways to treat it. An important factor has been missing in the assessment of pain, according to Dr Manasi Murthy Mittinty who practices at the Pain Management Research Institute at the Royal North Shore Hospital.

“More and more research shows us that we need to take a biopsychosocial approach to managing pain,” she says. “It is very much a person-centered approach. ‘One size fits all’ doesn’t work for pain.” Dr Mittinty’s pain research has taken her around the world including studies with patients from India, First Nations people from Appalachia in the United States and with Aboriginal and Torres Strait Islander people from SA. She says culture and spirituality are missing aspects in the conventional assessment and treatment of pain.

Dr Mittinty has some helpful tips for GPs, including a new understanding of conventional pain assessment scales. “Most of the pain measurement we use clinically and research has never been adapted for Indigenous communities. The questions we pose to the patient do not always relate to, or reflect, their lived experiences,” she says.

You can listen to the Medical Republic podcast A missing piece of the chronic pain puzzle here.

Image source: Medical Republic website.

Greg Inglis on mental health

He’s one of the greatest rugby league players of all time, but when football injuries put him on the bench Greg Inglis’ mental health started to slip. Former NRL player and Dhungutti man, Greg Inglis has been running the Goanna Academy the first accredited and Indigenous-owned mental health organisation in Australia. The Goanna Academy was designed to help end the stigma surrounding mental health and improve social capacity to identify, talk about, and manage mental health for all Australians – in particular at risk groups such as Regional Males, Youth, and First Nations communities.

The Goanna Academy (est. 2020) is representative of Greg’s life after football – showing his commitment to giving back to the community and improving the mental health outcomes of Australians. The Academy gives Greg the opportunity to share his personal journey and own battles with mental illness with the ambition to inspire and influence others – especially within his own culture, the Indigenous community.

You can listen to the Greg Inglis’ interview with Fi Poole on ABC Coffs Coast radio here. You can also access the Goanna Academy website here.

Poor food choices – a colonisation legacy

The ongoing impacts of colonisation complicates healthy diets and relationships to food for First Nations people in semi-regional areas, a new study has found. The Sax Institute study tapped into local Aboriginal medical services in Western Sydney and Wagga Wagga, where it found food security concerns were not just an issue in remote Aboriginal communities. “Often people when they think of food insecurity, maybe they think of the more extreme food insecurity where people are starving,” said Wotjobaluk woman and lead author of the  study Simone Sherriff.

Ms Sherriff said fast food was often favoured over healthy options, which caused a direct link between financial disadvantage and weight gain, obesity and chronic disease. “A family spoke about how they’ve got so much going on in their lives and stress and things sometimes you just need to make sure the kids are fed,” she said. “That’s going down to the corner shop and getting $5 of hot chips.”

Ms Sherriff heard stories of taxis avoiding certain areas and difficulties with public transport limiting options when there was no family car. She said those accessing food relief services at times felt targeted for taking too much when trying to provide for extended family. Some were also deterred by the lasting impact of the Stolen Generations. “People are really afraid to go and tell a white organisation I’ve run out of food, I can’t afford to feed my family, can you help me,” Ms Sherriff said. “(They are) just so fearful to tell people because they’re worried their kids will be taken.”

To view the National Indigenous Times article How colonisation has left a legacy of poor food choices for First Nations people in full click here.

Nominate those making a difference 

The Purple House story began with paintings by Papunya Tula artists from Walungurru and Kiwirrikurra. Auctioned in 2000, these paintings raised more than $1 million to kick start a new model of care based on family, country and compassion. Since then, the Purple House has been making families well. An entirely Indigenous owned and operated service, Purple House offers remote dialysis, social support, aged care services and the NDIA and it runs a bush medicine social enterprise called Bush Balm.

Purple House has transformed Central Australia from having the worst to the best dialysis survival rates. For service to community health, remote area nursing and to the Indigenous community, CEO Sarah Brown has been appointed a Member of the Order of Australia.

People from all parts of Australia and all backgrounds are honoured and celebrated through the Order of Australia, but they all have one important thing in common – someone nominated them. All nominations are made by members of the Australian community. If you know someone who is making a positive difference in your community, your nomination could help celebrate them. Visit the Governor-General of the Commonwealth of Australia Australian Honours and Wards webpage here and complete a nomination form today.

To view the Australian Government Department of Health’s Award-winning healthcare for Western Desert communities webpage click here.

Sarah Brown AM, CEO Purple House. Image source: ABC News.

Stayin’ On Track resource for young dads

Stayin’ On Track is a collaborative community-based project, working with funding from Young and Well Co-operative Research Centre, the University of Newcastle NSW, and Microsoft. The website was created by a group of Aboriginal dads who got together and shared their experiences about fatherhood. They wanted to pass on useful information and tips to other young dads for support. The stories shared centre on themes about pride in being a father, tough times, culture, the emotions on finding out they would be a dad, feeling down, and who their role models are. Stayin’ On Track showcases some of these stories and aims to acknowledge dads who are doing great work and sharing their insights with other young dads.

You can visit the Stayin’ On Track website here and hear what other young dads have to say about the real stuff of fathering at a young age.

COVID-19 conference early bird registration due

The Australasian Society for HIV Medicine (ASHM) is hosting the 2nd Australasian COVID-19 Conference. This two-day face-to-face conference will be held at the Sheraton Grand Sydney Hyde Park from Thursday 21 to Friday 22 July 2022. The conference theme is “Taking stock of our COVID toolkit”: researchers from an array of disciplines, specialist clinicians, epidemiologists and community members have developed new and harnessed existing tools to comprehensively address prevention, treatment and management of COVID-19/SARS-COV-2 and evolving challenges presented.

Professor Sharon Lewin, AO, Director of the Peter Doherty Institute; Professor Allen Cheng, ID physician, epidemiologist/statistician, President ASIDANZ and Program Chair Associate Professor Edwina Wright, AM, of the Alfred Hospital and Monash University will convene the conference. The recently released program for the conference can be found here.

The early bird DEADLINE for registration is Sunday 12 June 2022. The early bird registration is a savings of $100 so it is worth getting in early. The registration fee also includes dinner on the first night of the conference as well as morning/afternoon tea and lunch each day.

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.