NACCHO Aboriginal Health News: progressing the Australia Day debate

feature tile, Aboriginal & national flag hanging horizontally, words: Stolen Generations history needed to progress the Australia Day debate

Progressing the Australia Day debate

The Healing Foundation CEO, Fiona Petersen, spoke with Virginia Trioli on ABC Radio Melbourne ‘Mornings’ today about the importance of Stolen Generations history being taught as part of the Australian school curriculum. Fiona said the Healing Foundation encourages school communities to engage with survivors in their local area to learn about not just what happened when they were removed and the follow-on effects of that, but also how they and their families have been overcoming what happened. Fiona agreed that if Stolen Generations history is taught more broadly in schools it is likely to better inform the ongoing conversation about Australia Day.

To view the full transcript of the interview click here.

Aboriginal people with large banner National Day of Mourning 26 January

Image source: Teach Indigenous Knowledge.

COVID-19 patient identification and racism

The Australian Indigenous Doctors’ Association (AIDA) is the peak body representing Aboriginal and Torres Strait Islander medical students and doctors in Australia. During the COVID-19 pandemic, AIDA members witnessed incidents of racism related to patient identification. Patient identification is imperative to providing culturally safe health care to Aboriginal and Torres Strait Islander patients. In one instance, a patient who identified as Aboriginal was denied testing for COVID-19. The justification for this denial was that priority testing would only be offered to “real Aborigines”. Incidents like these highlight the need to improve the cultural safety of all healthcare workers and that increasing community education about why asking all patients whether they identify as being of Aboriginal and Torres Strait Islander origin is vital.

AIDA advocates for best practice in patient identification to support the development of policies and services related to the health of Aboriginal and Torres Strait Islander people. Culturally safe practice begins with sensitively, correctly, and regularly asking the identification question at the admission of care. Addressing under-identification includes asking all patients the identity question and recording responses accurately as one of several best practice principles.

To view AIDA’s position paper on patient identification click here.

desktop resource used as a prompt to 'asking the question' "are you of Aboriginal or Torres Strait Islander origin?"

Desktop resource to prompt ‘asking the question’. Image source: The University of Melbourne.

Measuring self-reported racism in healthcare

Racism is a fundamental cause of ill health and health inequities globally. Aboriginal and Torres Strait Islander stakeholders have identified as a high priority, research on the experiences of discrimination, overall and specifically within healthcare. Regardless of the measure used, there is consistent evidence of high exposure to discrimination in this population. High quality measurement of experiences of discrimination is therefore essential to underpin action to improve health and reduce inequities.

A recent article in the International Journal for Equity in Health, Developing and validating measures of self-reported everyday and healthcare discrimination for Aboriginal and Torres Strait Islander adults looks at instruments to capture Aboriginal and Torres Strait Islander peoples’ experiences of interpersonal discrimination. The instruments can be used to enable valid measurement of discrimination’s prevalence, in order to identify priority targets for action, quantify discrimination’s contribution to health and health inequities, monitor trends, and evaluate interventions.

To view the paper in full click here.

Image source: The Royal Melbourne Hospital website.

Confronting Australia’s collective racism

In health, ‘bravery’ is something that is typically used about patients. Children (and sometimes adults) are asked to be ‘brave’ when they receive a vaccination. People are often called brave for sharing stories of mental illness to destigmatise it. Sometimes, just seeing a health professional is brave, if the issue is very personal or potentially embarrassing.

However, bravery has now been used about health professionals and policymakers in the 2021 State of Reconciliation in Australia Report: Moving from Safe to Brave. This is the second report (the first being in 2016) outlining where Australia is at with reconciliation between Aboriginal and Torres Strait Islander people and other Australians. The report is based on interviews with leaders of national Aboriginal and Torres Strait Islander organisations, leaders of relevant non-Indigenous organisations, corporate leaders and Reconciliation Action Plan (RAP) partners.

To view the Croakey article in full click here.

street march, lady with flag Aboriginal colours, words no room for racism inside yellow map of Aust, against black top and red lower half of flag, young Aboriginal girl with drum

Image source: The Conversation.

Australia slammed for age of criminal responsibility 

Australia was slammed over its treatment and acknowledgment of First Nations people at the United Nations last week. More than 30 nations – including Canada, France, Germany, Italy, Poland and Mexico – called on Australia to raise the age of criminal responsibility from 10 to 14, in line with the recommendations from the United Nations Committee on the Rights of the Child.

Nolan Hunter, Amnesty International Australia Indigenous Rights Lead, told NITV News that policies around Australia’s age of criminal responsibility were “outdated” and a “legacy of Colonialism”. “What’s more worrying is to allow it to continue and the acceptance of this where kids as young as 10 years old are being thrown in jail,” he said. “The culture of the community in Australia and more so the government is the attitude that there isn’t a problem or to recognise this as a serious issue.”

To view the article in full click here.

black & white spray paint image of Aboriginal child on brick wall with white bars across image representing imprisonment

Photo by Chris Devers. Image source: New Matilda website.

Mobilising a COVID-19 vaccine workforce

The Australian Government is preparing for the COVID-19 vaccine rollout by securing an additional vaccine workforce and working to deliver essential training to everyone who will administer the vaccinations. “Australia’s vaccine roll out will be carried out through hospitals, general practices, state and Commonwealth vaccination clinics, Aboriginal Community Controlled Health Organisations and pharmacies. This additional vaccination workforce will help support and supplement existing services and assist in outreach in areas such as aged care and remote and Indigenous communities working with existing providers. Through the Australian Government’s plan, a panel of four providers have been appointed, who will be called upon to provide a vaccine workforce to supplement the existing immunisation workforce for specific populations. The providers are Aspen Medical, Healthcare Australia, International SOS, and Sonic Clinical Services.”

To view the media release in full click here, and to read a related article in the Western Advocate click here.

gloved hand placing cotton wool bud on person's upper arm

Image source: startsat60. website.

Biggest mass vaccination program begins

vaccine Coronavirus production line

Image source: European Pharmaceutical Review website.

GPs united on vaccine rollout

Australian GPs stand united to work with the Government on rolling out COVID-19 vaccines across the community and the nation. The Australian Medical Association (AMA) and the Royal Australian College of General Practitioners (RACGP) have worked collaboratively with Health Minister Greg Hunt over the past weeks to ensure the vaccine rollout is delivered with patient safety as the first priority.

In a joint media release AMA President Dr Omar Khorshid and RACGP President Dr Karen Price said “This is an important moment for the Australian community. We have gone from no coronavirus vaccine a year ago to several vaccines, with the first expected to be rolled out next month. GPs are ready to help vaccinate and protect the community from COVID-19 as soon as vaccines are fully approved for use in Australia, and available for delivery. Vaccinations are also an important opportunity to discuss other health concerns with GPs. This is particularly important at a time when many people have deferred health care due to the pandemic.”

To view the joint AMA and RACGP media release click here.

vaccine lying on top of a mask on at bench

Image source: AMA website.

General practices sought for rollout

The Australian Government is seeking expressions of interest from all accredited general practices to take part in the planned delivery of the COVID-19 vaccine. “General practices will play a key role in the Australian Government’s rollout of COVID-19 vaccines, in what will be one of the greatest logistical exercises, public health or otherwise, in Australian history. Providing access to safe and effective COVID-19 vaccines for everyone in Australia is a key priority for our Government. General practices will help deliver the vaccine initially to priority groups, starting with people over 70, adults with underlying medical conditions and Aboriginal and Torres Strait Islander people in phase 1. Three more phases will follow until the whole country has been offered the vaccine.”

To view Minister Greg Hunt’s media release click here.

doctor's arm taking blood pressure of Aboriginal woman

Image source: Australian GP Alliance website.

Pandemic compounds hardship for PWD

Despite the refrain throughout the COVID-19 pandemic that ‘we are all in this together’, the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability (PWD) last week revealed the many hardships encountered by PWD over the past six months. In his closing remarks, Chair Ronald Sackville AO QC said the hearings had shed a “piercing light” on the impact of the pandemic and associated stringent measures to contain it on PWD.

He said the pandemic had exacted a “terrible”, and largely hidden, toll on people with a disability. We have heard people with disability experiencing the sudden loss of essential support services, an absence of clear and consistent information in accessible form essential to their health and wellbeing; an inability to access health care, personal protective equipment and even the basic necessities of life such as food and medication; we’ve heard of isolation from the community, from friends and family and from social networks; exposure to a heightened risk of domestic violence; stress and anxiety associated with exposure to the virus; inadequate measures for the protection of people with disability, and uncertainty about how to survive in the face of disruptions to care and essential services, sometimes leading to worsening mental health.”

To read the Croakey article in full click here.

wheelchair image overlaid on Aboriginal dot painting

Image source: AbSec website.

Kelvin Kong’s pandemic reflections

In a Q&A, ear, nose and throat specialist Associate Professor Kelvin Kong, a Worimi man, based in Newcastle on the country of the Awabakal people, has reflected upon the upheaval and life-changing lessons of the past several months. “I am so thankful that we have not seen the devastation that we have seen in other First Nation populations across the world. COVID-19 is such a travesty to all of us. But it really highlights the inequities we have as health service providers. We are lucky geographically that we were able to shut down communities so quickly. The Aboriginal leadership across the nation needs far more praise in its ability to get the message across. Messages that communities could relate to and believe was, and continues to be, paramount in the response.”

To read a transcript of the interview click here.

image of Associate Professor Kelvin Kong smiling at the camera in scrubs in operating theatre with two health professionals in the background

Dr Kelvin Kong. Image source: University of Newcastle.

First Aboriginal dermatologist

Dana Slape is Australia’s first Aboriginal dermatologist. Her mission is mentoring students who may have never considered a career in medicine, as well as advocating for more Indigenous leadership throughout our healthcare system. “I think there has been a really longstanding narrative in Australia particularly in the healthcare space that Aboriginal and Torres Strait Islander people are just sick people, and people that are chronically unwell, that are chronically suffering, but the truth of it is that what we have is a system of unconscious and conscious bias that impacts how people are provided care and how they are able to access all of the things that keep us, as a community, well as individuals but also collectively. So when you have people like me and all of the other people that end up working in senior leadership, in hospitals, in clinics, in places where we access healthcare, it starts to tell a different story. You’re deconstructing those unconscious biases around people being always the patient, and never the care provider.”

“My hope is that Aboriginal and Torres Strait Islander specialist numbers increase, because the greater leadership we have that are Aboriginal and Torres Strait Islander people at all layers of the health system and tertiary education system, means that we are opening up doors for people so that those people can go on and be the leaders of the future and provide care to the next generation and that’s extremely important, and I’m thrilled to be a part of that.”

To listen to the ABC interview with Dana Slape click here.

photo of Dana Slape against outback grassland setting

Dr Dana Slape. Image source: The Sydney Morning Herald.

Smoking kills half of those 45+

A study has found smoking kills one in two older Aboriginal and Torres Strait Islander adults, and experts are calling for more funding to boost culturally appropriate smoking cessation services. The report from the Australian National University found smoking caused 37% of deaths at any age in Aboriginal and Torres Strait Islander adults, but that increased to about half of deaths in those aged over 45.

Dr Michelle Bovill, a Wiradjuri woman and an Aboriginal smoking health researcher at the University of Newcastle, found the results were “quite alarming”. “Aboriginal people do want to quit,” she said. “But then people still don’t really know what to do to quit, and we really don’t have enough funding being put into our Aboriginal community controlled health services to provide that support.”

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

elderly Aboriginal man smoking

Image source: The Conversation.

Pharmacy students inform WRAP toolkit

Delivering effective healthcare requires healthcare professionals to reflect on their own cultural background and their patient’s cultural needs. Culture is a determinant of health and if not considered, negative health outcomes can result. This is of particular importance when working with Aboriginal communities and caring for Aboriginal people whose views have been excluded from healthcare models, funding, and policy. Non-indigenous healthcare professionals, such as pharmacy students, benefit from understanding Aboriginal peoples’ healthcare needs and models of holistic healthcare, as well as reflecting on their own cultures, assumptions, and experiences on placement.

A research article, Pharmacy students’ learnings and reflections to inform the development of the ‘Working Respectfully with Aboriginal Peoples’ (WRAP) Toolkit  explores students’ views to inform the development of a Toolkit to support students’ learning prior to engaging in placements in Aboriginal communities. The study involved collaboration with students, Aboriginal community members, educators experienced in Indigenous health and allied health education.

For further details about the research article click here.

Dr Rallah-Baker checking elderly Aboriginal woman's eyes with torch

Dr Rallah-Baker has called for cultural competency to become standard good practice before health workers are registered. Image source: Michael Amendolia (Fred Hollows Foundation).

SNAICC appoints new CEO

SNAICC – National Voice for Our Children, the national peak body for Aboriginal and Torres Strait Islander children, has announced that Catherine Liddle has been appointed to the position of Chief Executive Officer. Catherine will commence the role on 8 February 2021. An Arrernte/Luritja woman from Central Australia, she comes to SNAICC with a strong background in senior leadership positions with First Nations organisations. “It is with great pleasure that we welcome Catherine to SNAICC,” says Muriel Bamblett, SNAICC Chair. “With her previous leadership roles, combined with her experience on the Coalition of Peaks, Catherine will ensure that SNAICC can continue to strengthen our partnerships with state and federal governments to make sure our children are at the forefront of policies.”

To view SNAICC’s media release click here.

Katherine Liddle standing in front of a tree in bushland holding a twig with leaves, smiling

Catherine Liddle. Image source: radioinfo website.

NACCHO Aboriginal Health News: COVID-19 one year on, lessons have been learnt?

feature tile 20.1.21 text: COVID-19 one year on, what lessons have been learnt? person in full PPE with graph behind him with increasing graph lines

COVID-19 one year on, lessons learnt

A year ago, Connor Bamford, a Research Fellow, Virology, Queen’s University Belfast, wrote about a mysterious outbreak of pneumonia in the Chinese city of Wuhan, which transpired to be the start of the COVID-19 pandemic. At the time of writing, very little was known about the disease and the virus causing it, but Conor Bamford warned of the concern around emerging coronaviruses, citing Sars, Mers and others as important examples. Every day since we continue to learn so much about SARS-CoV-2 and COVID-19, finding new ways to control the pandemic and undoubtedly keep people safer in the decades that will follow.

To view The Conversation article in full click here.

Stop the Spread Stay Strong image form SA government Department of Health& AHCSA YouTube video

Image source: SA Government Department of Health YouTube image.

Healing Foundation supports Uluru Statement

As feedback is sought on the second stage of the Indigenous Voice co-design process, The Healing Foundation has reiterated its strong support for the Uluru Statement from the Heart. The Healing Foundation CEO Fiona Petersen said that Stolen Generation survivors and their descendants see all elements of the Uluru Statement – the Constitutional change, the Legislative change, and the Makarrata Commission – as crucial to the process of healing for all Aboriginal and Torres Strait Islander peoples.

“Stolen Generations survivors and the wider Aboriginal and Torres Strait Islander community know what they need to heal, and they have been telling governments for years,” Ms Petersen said. “The benefits of healing flow to all Aboriginal and Torres Strait Islander peoples and, ultimately, to all Australians.”

To view The Healing Foundation’s media release in full click here.

silhouette of pregnant Aboriginal woman with red heart for herself and baby

Intergenerational Trauma Animation screenshot. The Healing Foundation.

New permanent GP clinic for Katherine

Katherine’s only general practice closed late last year, but the town has now secured a new locally delivered service.

Talking to newsGP in November last year, following the closure of the only general practice in Katherine, NT, RACGP Rural Chair Dr Michael Clements said ‘It’s very disheartening and disappointing. The impact on this community can’t be underestimated … So we really must see the relevant agencies … look to see what novel solutions there are.’

Now, along with the local community, hospital and Aboriginal Community Controlled Health Organisations (ACCHOs), Dr Clements is welcoming the announcement of a permanent general practice, Katherine Family Medical Practice, opening in April 2021 saying ‘I am very excited for them [the new practice owners]. What they are doing in terms of linking in the ACCHOs, hospital, Northern Territory Primary Health Network [NT PHN] and Territory Government is excellent, and [they have] a good plan in mind’.

To view the full article in newsGP click here.

extract of a road map with a pin in Katherine

Image source: newsGP.

Decade-long syphilis outbreak needs national response

Australia’s peak medical body is calling for a coordinated national response to bring an end to a syphilis outbreak that has spread through the country for 10 years. The sexually transmitted infection is easily treatable but has been moving through parts of Queensland, the NT, WA and SA since January 2011. It has primarily affected young Aboriginal and Torres Strait Islander people living in remote and rural areas, particularly Northern Australia.

More than 3,600 people have been diagnosed since the outbreak began, according to federal Department of Health data. “It was fairly clear that there was a very ineffective response to this very significant disease epidemic across four states, and there was a total lack of coordination from the various states and territories in dealing with it,” the Australian Medical Association’s NT president, Dr Robert Parker, said.

In 2017, a group of state and federal government health officials developed a strategic approach to deal with the outbreak. $21.2 million in federal funding was given to Aboriginal community-controlled health organisations to fund extra staff and point-of-care testing until 2021. John Paterson, the CEO of the Aboriginal Medical Services Alliance NT (AMSANT), says the funding is due to expire next month. He’s questioned what that will mean for screening and education programs in remote areas, which he says already need more resourcing. “It’s not enough,” he said. “We need a commitment from the Commonwealth Government to ensure we can get the appropriate ongoing funding.”

To view the article in full click here.

health professional's gloved hands holding cotton ball to finger of Aboriginal person after finger prick blood test

Image source: National Indigenous Television (NITV) website.

NT David and Goliath liquor laws battle

A David and Goliath battle is being waged in the NT as health and social welfare organisations and Indigenous leaders battle business behemoths and the Territory Government over the issuance of new liquor laws. In a reversal of previous policy and decisions, including a five-year moratorium on new liquor licences, the NT Government has given the go ahead to a Dan Murphy’s megastore in Darwin, two new Coles outlets in Palmerston, and takeaway alcohol sales in the Tiwi Islands community of Pirlangimpi.

At stake are, on the one hand, huge social costs from the increased availability of alcohol, especially for Indigenous communities, and on the other hand, the commercial interests of large corporations. There is particular concern for what this new Dan Murphy’s will mean for the three dry Aboriginal communities – Bagot, Kulaluk and Minmarama – that are within walking distance of the proposed megastore in Darwin. Indigenous leaders have led the opposition to it, fearing the health and social consequences.

But alcohol harm is not limited to Indigenous communities. The per capita alcohol consumption of the NT is among the highest in the world, estimated at 11.6 litres of pure alcohol per year, compared to the Australian average of 9.5 litres.. Moreover, while alcohol abuse is a serious problem in impoverished Indigenous communities, research shows that more Indigenous people abstain from booze than non-Indigenous people.

Not surprisingly, the per capita costs and harms of alcohol consumption in the NT have long been the highest in the nation. In 2015–16 the health and social costs for the NT were estimated by the Menzies School of Health Research at $1.4 billion a year, or four times the national average; this included $100 million for healthcare, $58 million for road accidents; $272 million for crime; and $171 million for child protection.

To view the Croakey article in full click here.

3 empty Jim Beam bottles, one squashed can etc on side of red dirt road

Image source: ABC News website.

What’s app-ening with your lungs?

Learning about healthy lungs has just become a lot easier for Aboriginal and Torres Strait Islander families and health practitioners thanks to an expanded interactive app. The app, produced by the Menzies School of Health Research’s (Menzies) Child Health Division, uses interactive images, audio and quizzes to teach people about various conditions affecting the lungs and is available in eight different languages used in northern and central Australia. Originally released in 2020 with a focus on asthma, the app has been expanded to include other common childhood lung conditions such as bronchiolitis, pneumonia and bronchiectasis.

In Australia, the burden of ill health from acute and chronic lung diseases remains high among Aboriginal and Torres Strait Islander people. Health education that is culturally appropriate is important to reduce language and context barriers to health equity. Menzies senior research fellow and project lead Dr Gabrielle McCallum says that the expanded app is an innovative way to help people access important health information about common lung conditions in their home and at their own pace. “The team evaluated the app with Aboriginal and Torres Strait Islander carers and found that knowledge of lung health significantly improved after using the app, particularly how lung conditions are treated,” Dr McCallum said. “Health care professionals also described the app as an innovative and effective method of providing lung education to culturally and linguistically diverse groups.”

To view the Lung Foundation Australia and Menzies School of Health Research media release in full click here.

Aboriginal mother's face looking over the shoulder of her child holding iPhone

Image source: National Indigenous Television (NITV) website.

Monsoon rains increase melioidosis risk

Recent monsoonal rains in the Top End have increased the threat of the potentially deadly disease, Melioidosis. There are between 40 and 90 cases of the soil-borne disease reported in the NT each year with the majority diagnosed across the Wet Season between October and May. Dr Vicki Krause, Director of Disease Control and Environmental Health, Top End Health Service said recent heavy rains and the monsoonal weather expected in the coming weeks increased the risk of the disease. “In past years around 10 per cent of infections have been fatal, even with the best medical care. Last season there were 45 cases of Melioidosis and one death in the NT,” she said.

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

bare feet walking across soil

Image source: NT News.

Time to revamp Medicare for 21st Century

The most exhaustive inquiry into the mechanics of Medicare in its 36 years makes a compelling case for extensive reforms that must be commenced now if Australians are to retain access to best available 21st Century health care, according to the Consumers Health Forum (CHF). The Medicare Benefits Schedule (MBS) Taskforce has reviewed more than 5,700 Medicare items and made more than 1,400 recommendations “to strengthen, modernise and protect Australia’s world class health system”.  Its final report states it has identified numerous opportunities to improve health outcomes for all Australians into the future.

“CHF welcomes this deep and detailed report An MBS for the 21st Century and its advocacy of consumer-centred health care,” the CEO of CHF, Leanne Wells, said today. “The 1980s Medicare model is being rapidly overtaken by the huge shifts in health care and the escalation of chronic conditions and this report shows why the Government and providers must change in areas such as remuneration to meet consumer needs and make the most of modern medicine.

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

5 Medicare cards

Image source: Medical Business Services website.

Kimberley women’s antenatal care experiences

The second paper from the Nini Helthiwan Project looking at Kimberley women’s antenatal care experiences Aboriginal women’s experiences of strengths and challenges of antenatal care in the Kimberley: A qualitative study has been published. While the Australian pregnancy care guidelines note the importance of culturally safe care, this is not always assured for Aboriginal women. Studies exploring Aboriginal women’s antenatal care experiences in various locations have identified local strengths and priority areas.

Throughout the Kimberley, 124 Aboriginal women who had accessed antenatal care in 2015–2018 provided qualitative data during the Nini health assessment or standalone interview with an Aboriginal researcher. Most women expressed that overall they had a positive antenatal care experience. Key themes were. The experiences shared by these Kimberley women add to evidence from other parts of Australia, showing a need to improve culturally safe antenatal care for all Aboriginal women. This includes having more local Aboriginal antenatal care providers. There also needs to be more support for the large number of women and their families who need to travel for care.

To view a summary of the project click here. You can access the paper, including a plain language version, via the KAMS research website.

Aboriginal woman;s hands cradling pregnant belly painted with image of baby turtle in the sea

Image source: #LoveBroome.

AMSANT calls Darwin CBD quarantine ‘ludicrous’ 

More than 80 foreign military personnel and their family members staying at a Darwin CBD hotel are being released from quarantine over the next two days, despite concerns from an Aboriginal health group that genomic sequencing on two positive coronavirus cases detected at the hotel last week is yet to be made public. Last Wednesday, a foreign military official and the partner of another official tested positive to COVID-19 at the Darwin Travelodge, where up to 300 foreign military staff and their families were given approval by the NT’s Chief Health Officer to quarantine for 14 days. The decision to allow the cohort to stay at the inner-city hotel, rather than at the government-managed Howard Springs quarantine facility, which is considered Australia’s ‘gold-standard’ for infection control, has previously been labelled as inexplicable..

Earlier this week Associate Professor John Boffa, a spokesperson for the Aboriginal Medical Services Alliance Northern Territory (AMSANT), said it would be a serious mistake to release any of the foreign military personnel before health authorities know which variant of the virus had been recorded within the Travelodge. Dr Boffa added his voice to the growing chorus of criticism from organisations like Danila Dilba and the NT Branch of the Australian Medical Association regarding military personnel quarantining in a CBD hotel rather than Howard Springs. “It’s ludicrous, it makes no sense that this exemption is given. It’s the position of AMSANT and other leading Aboriginal organisations in the NT that this is not good enough,” he said.

To view the article in full click here.

external view of Travelodge Hotels Darwin, front gate closing, Australian soldier standing guard

Image source: ABC News website.

Ways to contain COVID-19 faster

The level of vaccination uptake will be the most important factor in controlling the COVID-19 pandemic, according to a new position paper by an international consortium of scientists which compared COVID-19 vaccination strategies. The position paper – authored by scientists and health experts from the University of Sydney’s Centre for Complex Systems and the Faculty of Medicine and Health in collaboration with scientists and epidemiologists from India and Europe – emphasises that, given the limited availability of vaccines at the initial stage of the COVID-19 vaccination rollout, effective prioritisation and optimal use of vaccination resources will be crucial to contain the pandemic in the near future. “It is not desirable to expose a significant portion of the population to the pathogen in order to acquire herd immunity,” said lead author, Dr Mahendra Piraveenan, who is a senior lecturer in complex systems in the Faculty of Engineering.

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

pink and white mini figures with arrows reaching our from central red figure to demonstrate COVID-19 spreading

Image source: MIT News.

Where are all the public health workers?

Significant gaps in the size, training, structure and credentialing of the public health workforce have been exposed as a result of the demands generated by the COVID-19 pandemic. This problem has been highlighted by the need to scale up to levels of activity never previously required by a communicable disease outbreak in Australia. However, the demands on the nation’s public health workforce go beyond the management of a communicable disease outbreak alone. With the heavy and growing burden of preventable Non-Communicable Diseases (NCDs), workforce shortages are perhaps less urgent but just as real. Government capacity should be adjusted in line with this increasing threat and disease burden.

There is a broad scope of practice in public health, from epidemiologists and biostatisticians, through to contact tracers, community health promoters, transmissible disease experts, health economists, environmental health, nutrition and food safety workers, Aboriginal Health Workers, nurses, physicians, policy analysts, policy makers and more. A clearly agreed definition of those to include and exclude remains difficult. One size will not fit all in terms of training needs, employment options and support. There will also be differing demands depending on the extent of workforce and skills shortages.

Current best estimates suggest that about 80 per cent of the public health workforce is employed by government, academia and the not-for-profit sector. What little data we have suggests that the rate of growth of public health professionals currently in the workforce is very low to zero. Certainly, the growth rate of the public health workforce is behind that of most other health professions, and indeed most other professions generally.

To view the full Croakey article click here.

two small Aboriginal boys in traditional dress, one having heart checked & the other having his ear checked by health professionals

Image source: General Practice Training Queensland.

Wiyi Yani U Thangani (Women’s Voices) Report

The recently released Wiyi Yani U Thangani (Women’s Voices): Securing our Rights, Securing our Future 2020 Report holds the voices and stories of over 2,000 First Nations women and girls of all ages, from all across Australia, belonging to hundreds of different ancestral countries. The report carries their incredible strengths, unyielding determination and diverse lived realities. This is not a report for the shelves, it is a landmark report that puts a First Nations female-led plan for change on the table.

To access the report in full click here.cover of 2020 Australia Human Rights Commission Wiyi Yani U Thangani report

Long term Kakadu cancer cluster studies needed 

Aboriginal medical groups are calling on the NT and Federal Governments to fund long term studies into the causes of a cancer cluster and high fetal death rates in the vicinity of the now defunct Ranger uranium mine in Kakadu. A Health Department study into the cancer cluster couldn’t reach any firm conclusions. The groups also want a similar monitoring program extended to other Aboriginal communities near major mines.

An ABC News PM report with Linda Mottram includes comments from John Paterson, Aboriginal Medical Services Alliance CEO, Dr Michael Fonda, Public Health Association of Australia, Justin O’Brien, Gunjeihmi Aboriginal Corporation CEO and Dr Hugh Heggie, NT Chief Health Officer.

To listen to the ABC News PM news report click here.

Aboriginal minor leaning on wire fence looking down into open cut mine

Image source: ABC News website.

NT – Darwin – Danila Dilba Health Service

Danila Dilba Health Service (DDHS) is going through a dynamic period of expansion and growth and in order to meet increasing client need, DDHS is looking to fill several vacancies within the operations area. The roles are at the core of DDHS’ services and are critical in ensuring delivery of culturally safe, comprehensive primary health care services.

As part of the DDHS team you’ll contribute to improving the health and wellbeing of Indigenous Australians and be provided with great learning opportunities, given the chance to grow your skills and progress your career.

You’ll IMPACT the community, helping close the gap in Indigenous healthcare and wellbeing, one helping hand at a time.
You’ll be PROUD, both of the work you do and who you work for.
You’ll work with a TEAM, alongside people who are down to earth and truly dedicated to what we do.
You’ll EXPERIENCE and learn something new every day through the variety of your role.
You’ll embrace the OPPORTUNITY to progress your career – follow your path at Danila Dilba.

Head of ICT x 1 FT (Fixed Term) – Darwin

Clinic Team Leader x 1 FT – Bagot Clinic – Darwin

General Practitioner (After Hours) x 1 PT – After-Hours Malak Clinic – Darwin

Medical Receptionist x 1 PT (after hours and weekend) – After-Hours Malak Clinic – Darwin

NDIS Support Worker x 1 FT (Fixed Term) – Darwin

Finance and Contract Officer x 1 FT – Darwin

Dentist x 1 PT (Fixed Term) – Palmerston – Darwin

Indigenous Outreach Worker x 1 FT – Rapid Creek Clinic – Darwin

To view position descriptions and to apply click here. Applications close 1 February 2021.Danila Dilba Health Service logo - turtle, snake with two fish brown, black, white & yellow

 

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

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

‘We need to incorporate justice into health care’

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

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

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

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

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

Vaccines a massive challenge for remote areas

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

remote community buildings with Uluru in background

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

GP-led COVID-19 vaccine rollout

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

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

gloved health professional administering a vaccine into an arm

Image source: ABC News.

Peak bodies support COVID-19 vaccine strategy

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

To view the media release in full click here.

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

Image source: Science News.

Supermarket profits before Aboriginal health

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

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

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

Image source: BlackBusiness.

Back on Track diabetes campaign

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

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

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

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

Back on Track with our diabetes campaign banner

New diabetes research centres

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

To view the media release in full click here.

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

Image source: Australian Government Department of Health.

NACCHO housing for health position paper

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

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

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

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

NSW – Wyong – Yerin Aboriginal Health Services Limited

Aboriginal Family Preservation Manager

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

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

QLD – Toowoomba & Warwick – Carbal Medical Services

Aboriginal Health Worker x 2

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

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

To view the position description and to apply click here.

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

NT – Darwin – Menzies School of Health Research

Champions4Change Project Coordinator – 6 months FT contract, possible extension

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

For more information and the position description click here.

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

NSW – Blacktown/Campbelltown – OzChild

Aboriginal Practice Lead – identified position

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

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

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

For more information and the position description click here.

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

NSW – Newcastle – University of Newcastle

Senior Lecturer in Nursing – FT x 1

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

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

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

For more information and the position description  click here.

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

NSW – southern NSW – Murra Mia Tenant Advocacy Service 

Tenant Advocates – FT x 2

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

For more information and the position description click here.

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

NACCHO Aboriginal Health News: Cancer screening saves lives! It helps to keep our communities strong, safe and healthy

Cancer screening saves lives! It helps to keep our communities strong, safe and healthy

It’s really important for Aboriginal and Torres Strait Islander communities to keep taking care of our health, even during a pandemic.

COVID-19 has been on everyone’s mind and the safety of our communities has been a major priority. Cancer screening may have been put off or forgotten during this time.

However, cancer screening really does make a big difference to the health of our community members and families. When cancer is found early, treatment can be a lot more effective.

National screening programs are available in Australia for breast cancerbowel cancer and cervical cancer.

For further information about the campaign click here.

 

Australian Institute of Health and Welfare Report: Alcohol, tobacco and other drugs in Australia 

The consumption of alcohol, tobacco and other drugs is a major cause of preventable disease and illness in Australia. This report consolidates the most recently available information on alcohol, tobacco and other drug use in Australia, and includes key trends in the availability, consumption, harms and treatment for vulnerable populations. Further, information on a range of health, social and economic impacts of alcohol, tobacco and other drug use are highlighted.

This release includes data relating to COVID-19 since the beginning of the pandemic up to November 2020.

For other data and information from this period, please see our AIHW COVID-19 resources.

Aboriginal hands holding can of Bundaberg Rum & cigarette

Image source: ABC News website.

The 2021 Antimicrobial Academy -Improve antibiotic use and management of infections in your community

An exciting opportunity exists for 12 Aboriginal and Torres Strait Islander health care professionals to enroll in the inaugural Hot North Antimicrobial Academy 2021. 

The Antimicrobial Academy is a fully subsidised 9-month online program for Aboriginal or Torres Strait Islander health care workers (pharmacists, doctors, nurses or Aboriginal Health Practitioners) to build on their understanding and expertise in antibiotic resistance and to support further leadership of antibiotic use in our communities.

Further details available via the HOT NORTH Website, Opportunities Page, Antimicrobial Academy click here

The deadline for the submission have been extended till Sunday 20 December 2020. Please email statewide.ams@health.qld.gov.au or medicines@naccho.org.au or call (07) 3646 1886 for further information.

Tropical Australian Academic Health Centre & Hot North Improving Health Outcomes in the Tropical North Antimicrobial Academy 2021 banner

IHF Young Executive Leaders: Call for 2021 applications now open

Young executive leaders who have proven outstanding merit in healthcare management can have the chance to exchange with peers on capital healthcare issues, as well as to interact with talented thought leaders from all around the world. Through IHF Young Executive Leaders program, participants will build sustainable relationships and expand their network internationally. As a group, they will discuss current trends, challenges and opportunities for the young healthcare leaders of today, creating an environment for vibrant and exciting dialogue.

Through the IHF Young Executive Leaders program, participants will build sustainable relationships and expand their professional network. As a group, they will discuss current trends, challenges and opportunities for the young healthcare leaders of today, creating an environment for vibrant and exciting dialogue.

Through this program, the 2021 cohort will share experiences and work together on a topic related to the 2021 IHF World Hospital Congress which will take place in Barcelona with the overarching theme “PEOPLE ON BOARD: TRANSFORMING HEALTHCARE. Blending Agility, Responsiveness, Resilience.” 

Young executive leaders wishing to join the IHF YEL initiative can submit their applications until 25 January 2021.

For further info click here.

Award for Don Dale youth detention centre in the NT shows Indigenous-led, youth-justice solutions work

Amnesty International Australia welcomed the news that Danila Dilba – which took over the health services at Don Dale youth detention centre in the Northern Territory – has won the International Juvenile Justice Observatory (IJJO) Justice Without Borders International Award.

“This shows us that our people know what’s best for them, and Indigenous-led solutions like Olga Havnen and her team’s program at Danila Dilba are available to governments around the country,” Amnesty International Australia Indigenous Rights Advisor, Rodney Dillon said.

“The solutions to youth offending – and actually addressing the over representation of Indigenous people in Australia’s jails – are already there. We just need our State and Territory Governments to listen to the experts, like the IJJO.

“All the evidence shows that diversion, and getting kids out of watchhouses and bail houses is what’s effective on youth crime.

“With the right wrap around services in place, like those Danila Dilba provide, there is simply no reason not to raise the age of criminal responsibility.”

Danila Dilba Health Service logo

 
NSW – Armajun Aboriginal Health Service, Full Time – Glen Innes
 
Aboriginal Drug and Alcohol Caseworker (Aboriginal designated position)

Are you of Aboriginal or Torres Strait Islander descent?

Do you already live in the Glen Innes district or looking for a tree change away from the hustle of the city and the pandemic? Are you looking for a cooler climate? Do you want to hike through the Washpool National Park, which offers wilderness walks, camping, and horse riding in stunning World Heritage surrounds? Do you want to learn to fossick for sapphires and topaz?

Do you possess formal qualifications in health, welfare, social work, alcohol and other drugs or related area at a TAFE level (Certificate IV minimum) or above and/or have substantial experience in any of these areas?

Would you like to become part of a great team providing culturally appropriate primary health care services to Aboriginal people and communities living in Glen Innes and surrounding districts?

Glen Innes offers an attractive lifestyle including a well serviced and friendly rural community, laid back living, short commuting times, affordable housing, easy access to NSW north coast beaches and larger regional centres, and terrific recreational and sporting facilities. The Glen Innes district has a deep cultural and spiritual significance for traditional owners, the Ngoorabul people.

Applicants must obtain a job package and address the selection criteria in the position description as well as attach a current resume to their application. 

On-going applications for this position will be accepted.

Job Package: Belinda Butler bbutler@armajun.org.au  0267 219 777 Enquiries: Jenny Ryan jryan@armajun.org.au   0267 219 777  www.armajun.org.au

NSW – OzChild in Blacktown/Campbelltown

Aboriginal Practice Lead

The position will be a part of our Dhiiyaan Mirri (family of stars), OzChild’s Bridging Cultures Unit (BCU) and will support their Functional Family Therapy Child Welfare (FFT-CW), Multi systemic Therapy for Child Abuse and Neglect (MST-CAN) and Treatment Foster Care Oregon (TFCO) Teams at Blacktown and Campbelltown. The position will be based a min of 2 days per week at each location, however this can be flexible based on need.

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

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

To apply for the position click here.

Cairns, Adelaide or Alice Springs – CRANAplus

Professional Officer, Workforce Development Nursing

A senior position in our Workforce Development programs, driving initiatives to support Nursing across remote and regional Australia.

This position is responsible for professional knowledge contribution, project management, and industry networking to strengthen resources and pipelines encouraging and supporting nurses in rural and / or remote practice.

Be sector aware and reactive to the needs of the remote health workforce.

  • Contribute professional knowledge and experience to a range of projects and priorities engaged by the Office of the Chief Operating Officer, including contribution to the development of consultation papers and position statements.
  • Strategic and operational management of CRANAplus programs, including remote areas nurse (RAN) certification program and RAN standards, fellowship, awards, and scholarships, conference abstract committee, and other programs identified in the annual busines plan.
  • Develop and drive Continuous Professional Development initiatives, including:
    – Author or curate clinical articles or updates for the quarterly CRANAplus Magazine
    – Professional Services guest presenter webinar series
    – Contribute to the development of on-line or e-resources for CRANAplus members and wider community stakeholders
    – Participate in the delivery of professional development workshops, as required, to remote workforces.

To submit your application, please email your resume to kati@crana.org.au, outlining your alignment to the above four criteria. This position will close as of Monday 11 January 2021.

For the position description click here.

 

 

feature tile text 'community based organisations are the way forward to overcome disadvantage'

NACCHO Aboriginal Health News: Community-based organisations are the way forward

feature tile text 'community based organisations are the way forward to overcome disadvantage'

Community-based organisations the way forward

The latest Overcoming Indigenous Disadvantage report shows support for self-determination and community-based organisations is the way forward to address the systemic barriers faced by First Peoples, Oxfam Australia says. The Productivity Commission’s eighth report, which examines progress against 52 indicators, identified some areas of progress, but systemic problems remain in the high rates of removal of children from their families, incarceration, poor mental health, and in rates of suicide and self-harm. “Oxfam has long advocated self-determination as a core element in addressing the challenges that First Peoples face. We welcome the report’s finding that shared decision-making and participation on the ground are common elements in successful outcomes,” said Ngarra Murray, National Manager of Oxfam’s First People’s program.

To view a short video about the report click here and to read the Overcoming Indigenous Disadvantage 2020 report click here.

To view Oxfam’s media release click here and to access the Productivity Commission’s media release click here.

front cover of the Overcoming Indigenous Disadvantage Key Indicators 2020 report

COVID-19 paves new ways for remote health

One positive from COVID-19 disrupting face-to-face teaching is the opportunity it is giving health professions education (HPE) in regional, rural and remote communities, education experts from around Australia say. Health professionals and students are commonly required to drive long distances at a cost of time and money either to themselves and their families, or the health service which employs them.

However, this burden on regional, rural and remote (RRR)-based professionals and students will reduce if in-service, tertiary and professionally accredited training providers can embrace defensibly effective and engaging teaching approaches to make lectures, tutorials, skill education, and practice development accessible from a distance,” says SA Riverland-based Dr Amy Seymour-Walsh, lecturer in Clinical Education Development at Flinders University.

To view the Flinders University media release in full click here.

Aboriginal health worker and Aboriginal mum with Aboriginal baby

Pika Wiya Health Service, SA. Image source: NIAA website.

Condoman creater reflects on career

ABC Radio’s James Valentine spoke with Professor Gracelyn Smallwood on World HIV-AIDS day and two weeks into her retirement. Professor Gracelyn Smallwood AM is a Birrigubba woman from Townsville where she became internationally acclaimed for her work in Indigenous health. After 45 years of midwifery and 50 years of being a registered nurse, Gracelyn reflects on her achievements such as the creation of Condoman, a superhero that was used to promote culturally appropriate sexual health messages to Indigenous communities in the 1980s.

To listen to the Afternoons with James Valentine interview with Professor Gracelyn Smallwood click here.

close up photo of face of Gracelyn Smallwood & the Condoman poster

Professor Gracelyn Smallwood and Condoman poster. Image source: Townsville Bulletin, Museum of Applied Arts & Sciences.

Meth use risk and protective factors

A recently published study Identifying risk and protective factors, including culture and identity, for methamphetamine use in Aboriginal and Torres Strait Islander communities: Relevance of the ‘communities that care’ model has highlighted that methamphetamine use is of deep concern in Aboriginal communities and a deep understanding of risk and protective factors is needed to prevent harm. While many risk and protective factors overlap with mainstream settings some do not and it is crucial for culturally informed prevention systems to include culturally relevant factors.

To view the details of the study click here.

silhouette of person smoking ice

Image source: SBS website.

 

Young voices challenge negative race perceptions

Following on from large-scale Black Lives Matter rallies in Australia earlier this year, The Healing Foundation has launched the third podcast in its new series on intergenerational trauma and healing. This latest episode explores how racism continues to impact Aboriginal and Torres Strait Islander peoples 250 years after colonisation. It features four young Indigenous people as they confront the negative perceptions, stereotypes and prejudice they have encountered growing up.

The Healing Foundation CEO Fiona Petersen said the latest Healing Our Way podcast highlights the importance of truth telling in breaking the cycle of intergenerational trauma and enabling healing for young people and the nation more broadly.

You can listen to this podcast by clicking here and view The Healing Foundation’s related media release here.

Healing Foundation Healing Our Way podcast logo - microphone drawing surrounded by purple, orange, blue & black Aboriginal dot painting

Image source: Healing Foundation website.

Health problems related to trauma

The Healing Foundation CEO Fiona Petersen, a proud Wuthathi descendant with family roots from the Torres Strait has given a speech to the Indigenous Allied Health Australian (IAHA) Conference. Ms Petersen said “Healing refers to the recovery from the psychological and physical impacts of trauma, which is largely the result of colonisation and past government policies including state and federal assimilation policies.  By healing trauma, we are tackling the source of social and health problems that are far more prevalent for our people, including family violence, substance abuse, incarceration and children in out-of-home care. These are the symptoms of trauma, not the nature of Aboriginal and Torres Strait Islander people. Unfortunately, negative stereotypes like this still remain, but with your help we can improve understanding about the impacts of trauma that are still being felt today.”

To view the transcript of Fiona’s speech click here.

portrait of Healing Foundation CEO Fiona Petersen

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

Maari Ma mixed results for young people

A new report looking at a number of health, educational, and social indicators for Indigenous children and young people in far-west NSW has shown improvements in some areas but a decline in others. Aboriginal health service Maari Ma released its latest Health, Development, and Wellbeing in Far Western NSW — Our Children and Youth report last week. It was compiled throughout 2019 with the cooperation of several agencies such as the state’s health and education departments, and follows previous reports on the indicators in 2014 and 2009. Maari Ma’s latest report shows that the rate of smoking in pregnancy for young Aboriginal people in the region is more than nine times higher than the rest of the NSW population.

To view the full report click here.

photo of 1 Aboriginal man, 3 Aboriginal women & 4 Aboriginal children walking along river

Image source: ABC News website.

Pioneer Indigenous doctor wins top WA gong

She currently serves as commissioner with the National Mental Health Commission and lectures in psychiatry at the University of WA. A pioneer in Aboriginal and child mental health research, Professor Milroy was also appointed in 2018 as the AFL’s first Indigenous commissioner. “It’s been a privilege as a doctor and as a child psychiatrist to go on those journeys with so many people in their lives,” she said in a UWA profile last month. I think I have a natural inclination to wanting to find out more, to find out what makes people tick and to actually help them get back on track, particularly kids.”

To view the full article published in The Standard click here.

portrait photo of Professor Helen Milroy

Professor Helen Milroy. Image source: The Standard.

Locals unmoved by Dan Murphy’s new site

NRHA Board reflects diverse health skills

The diversity of health professionals working across the rural sector is reflected in the new Board of the National Rural Health Alliance (the Alliance), elected at the 29th Annual General Meeting (AGM) in Canberra this week. The Alliance of 44 national rural and health-related organisations advocates for sustainable
and affordable health services for the 7 million people in rural and remote Australia. There membership includes representation from the Aboriginal and Torres Strait Islander health sector, health professional organisations, health service providers, health educators and students, as well as consumer groups.

At the AGM on Monday 30 November 2020, the representative for Allied Health Professions Australia, Nicole O’Reilly, was elected Chair. A former occupational therapy clinician and health manager from the NT, Ms O’Reilly has comprehensive skills and knowledge, and strong relationships across the allied health sector.

To view the Alliance’s media release about the new board click here.

National Rural Health Alliance logo circle of 8 leaves and dots & portrait shot of NRHA new Chair Nicole O'Reilly

Nicole O’Reilly. Image source: NRHA website.

Palliative care at home project seeks input

Although comprehensive data on rates of Aboriginal and Torres Strait Islander people accessing palliative care services are not available in Australia, clinically it has been observed that these Australians are underrepresented in the palliative care patient population. In addition, Aboriginal and Torres Strait Islander people are more likely to be admitted for palliative care-related hospitalisations, with the rate of admissions in public hospitals approximately double that for other Australians.  These statistics are noteworthy given that many Aboriginal and Torres Strait Islander people report feeling culturally unsafe in hospitals and some (especially in remote communities) express a preference for dying ‘on country’. 

The Australian Government Department of Health (DoH) is funding a new project entitled caring@home for Aboriginal and Torres Strait Islander Families.  The initial phase of this project is to consult with relevant stakeholders across the country to get feedback on how the existing caring@home resources for carers need to be tailored to meet the needs of Aboriginal and Torres Strait Islander families. DoH is currently designing the consultation with the aim of undertaking consultation in 2021.

As a first step in this process DoH would like to connect with relevant individuals/Departments at the state government/local health networks level and with peak Aboriginal and Torres Strait Islander organisations to ensure that everyone knows about this project. DoH has Steering and Advisory Committees for the project but would appreciate any advice/feedback about the project, especially any local consultation/processes they should undertake, that will help to promote use of the new resources.

A factsheet describing the project can be accessed here and you are invited to have input into the proposed 2021 consultation process by contacting Karen Cooper by phone 0428 422 818 or email karen.cooper3@health.qld.gov.au.

Aboriginal woman holding a cuppa and caring at home logo

Image source: Brisbane South Palliative Care Collaborative website.

CRE-STRIDE scholarships available

The Centre for Research Excellence – Strengthening Systems for Indigenous Health Care Equity (CRE-STRIDE) vision is equitable health care for Aboriginal and Torres Strait Islander communities through quality improvement (QI) and collaborative research to strength primary health care systems. CRE-STRIDE involves leading researchers from across Australia with expertise in health systems and QI research, participatory action research, Indigenous methodologies, epidemiology, public health, health and social policy. The CRE Investigator team, and higher degree research (HDR) supervisors have outstanding national and international reputations and track records.

CRE-STRIDE is offering scholarships to support honours, Masters of Research and PhD candidates. 

For more information about the scholarships and details of how to submit an Expression of Interest click here.CRE-STRIDE banner

NT – Alice Springs – Children’s Ground

FT Health Promotion Coordinator – 6 months fixed term contract (extension subject to funding)

The Health Promotion Coordinator will work within a multi-disciplinary team that delivers the Children’s Ground Family Health and Wellbeing Framework – Health in the Hands of the People (HIHP) to improve the health and wellbeing outcomes for the community. This will include the recognition and support of local cultural knowledge systems and practices, and the agency of consumers. This position will coordinate the work of the Health and Wellbeing team. It will also be responsible for leading the development and implementation of family health plans with individuals and families and creating and delivering responses to population health needs with the local community

Children’s Ground is working to create an environment where families realise their aspirations for the next generation of children to be free from trauma and suffering, enjoy equity and safety, be able to grow into adulthood happy and healthy, and have agency over their social, cultural, political and economic life.

To view the position description click here and to apply click here.

Applications close 9.00 am NT time (10.30 am AEST) Monday 7 December 2020.children's ground banner - 7 Aboriginal children running towards camera on country

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

NACCHO Aboriginal Health News: Perinatal mental health protective factors

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

Perinatal mental health protective factors

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

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

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

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

Image source: Centre of Perinatal Excellence website.

AHCWA launches Mappa platform

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

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

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

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

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

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

NACCHO supports HIV Awareness Week

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

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

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

8,000 Katherine patients without GP

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

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

To view the full article click here.

road sign Kathering 90 Alice Springs 1263

Image source: newsGP website.

Making the invisible visible

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

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

To view the related article published in newsGP click here.

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

Image source: newsGP.

World Scabies Program launched

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

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

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

To learn more about the World Scabies Program click here.

scabies mite under a microscope

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

2021 Eye Health Conference abstracts open

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

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

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

First signs of ear disease at 8 weeks

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

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

To view the full article click here.

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

Image source: Telethon Kids Institute.

NACCHO CEO makes Australians who mattered list

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

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

To view the full article click here.

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

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

Activism against gender-based violence video  

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

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

Dialysis trial focusing on culture

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

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

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

To view the full article click here.

#swab4mob campaign launch

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

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

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

feature tile Australia's HIV response strengthened with Health Minister's 2020 World Health Day announcements

NACCHO Aboriginal Health News: Australia’s HIV response strengthened

feature tile Australia's HIV response strengthened with Health Minister's 2020 World Health Day announcements

Australia’s HIV response strengthened

Among Aboriginal and Torres Strait Islander peoples, the number of HIV diagnoses has fluctuated over the past five years, but diagnosis rates are still between 1.3–1.9 times higher than in Australian-born, non-Indigenous Australians. Professor James Ward from the University of Queensland says “To reduce this unacceptable gap, there needs to be sustained investment in targeted, culturally appropriate, community focused campaigns.”

Today (1 December 2020), on World AIDS Day, the Australian Federation of AIDS Organisations (AFAO) has warmly welcomed a number of announcements from the Health Minister, the Hon. Greg Hunt MP, including the intention to ensure every person living in Australia with HIV has access to life saving antiretroviral medicine, regardless of Medicare eligibility. “This is a critical public health measure,” said Darryl O’Donnell, chief executive of the AFAO, “For too long, too many people in Australia who aren’t eligible for Medicare struggled to afford the medicine needed to keep them healthy. This act of leadership will give access to antiretroviral medicine to everyone in Australia who needs it. This is more than a question of treatment, it is also a question of prevention, because a person with an undetectable viral load cannot transmit HIV.”

Darryl O’Donnell continued, “Australia has always been a global leader in the HIV response and today with 90% of those living in Australia with HIV tested and diagnosed, 91% on treatment and 97% achieving an undetectable viral load, we can be proud of being among a small handful of nations to meet the UNAIDS 2020 global [90-90-90] goal for HIV treatment and prevention. This is an important milestone, however we can and should be more ambitious. We must double down. With renewed political and financial commitment we can achieve 95-95-95 [the ambitious strategy announced by UNAIDS in 2014, aiming to end the AIDS epidemic by 2030 by achieving 95% diagnosed among all people living with HIV (PLHIV), 95% on antiretroviral therapy (ART) among diagnosed, and 95% virally suppressed (VS) among treated].”

AFAO has produced a number of resources you can view by clicking on the resource title below:

To listen to a recording of this morning’s 2020 World AIDS Day Parliamentary Breakfast click here.

To view the AFAO media release click here.

image of Minister Payne, Minister Wong and Minister Hunt at podium on World AIDS Day

Minister for Foreign Affairs, Marise Payne, Senator Penny Wong, Minister for Health, Greg Hunt at the 2020 World AIDS Day Parliamentary Breakfast. Image source: AFAO website.

feature image text 'child protection system sets First Nations people with disability up to fail, photo of Aboriginal youth leaning on wire gate and broken wire fence in desert landscape

NACCHO Aboriginal Health News: Child protection system sets PWD up to fail

feature image text 'child protection system sets First Nations people with disability up to fail, photo of Aboriginal youth leaning on wire gate and broken wire fence in desert landscape

Child protection system sets PWD up to fail

First Nations people with disability (PWD) will tell the Disability Royal Commission this week about the structural violence they experience in the child-protection system around Australia. “We are among the most seriously disadvantaged members of the Australian community, and are also experts on the impact of policies on us,” says First Peoples Disability Network CEO Damian Griffis.

“This week, a number of First Nations people with disability will give evidence about the different racist and ableist systems that harm our children.” Mr Griffiths says the child protection system is “hostile and complicated.  Child removal is an ever present threat, and reality in our communities. It has become part of the community vernacular, and families live with the legacies of trauma from the removal of their parents and grandparents,” he says. 

Health Justice Australia CEO Donnella Mills says the current child protection system risks setting people with disability and their families up to fail, “First Nations people with disability and their families in contact with child protection systems face multiple, intersecting problems that result from intersectional and institutional discrimination,” she says. 

To view the full article click here.

placards against steps with Hands off our kids, black babies belong with black families

Image source: The Guardian.

Infectious skin diseases researcher awarded

The Australian Museum Eureka Awards (the “Oscars of science”) celebrate research and innovation, leadership, science engagement and school science. “Science is at the core of everything we do and we are committed to supporting and showcasing the work of Australian scientists,” Australian Museum Research Institute Professor Kristofer Helgen said.

The Emerging Leader in Science award went to Associate Professor Asha Bowen, who is Head of Vaccines and Infectious Diseases at the Telethon Kids institute. Her work over the years has significantly changed the way indigenous children with skin infections are treated.

To listen to Associate Professor Bowe being interviewed on ABC RN Breakfast with Fran Kelly click here.

portrait of Associate Professor Asha Bowen standing outside on path with trees in the background

Image source: RHD Action.

Parents fear child services

Treating mental health episodes more like a physical injury could help prevent the long-term removal of children of Indigenous parents with a disability, a national inquiry has heard. Mental health worker Christine May has told a hearing of the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability that when a parent with a mental illness had a psychotic episode and needed to stay in hospital it should be regarded as a period of treatment. “If I broke my leg I wouldn’t have an order taken out on my child,” she said.

Unless parents are deemed dangerous, Ms May said, they shouldn’t have to fight to keep their children when services could provide treatment for them to become well and be re-assessed. She recommended the Queensland Health program Cultural Healing she works for be expanded across the state.

To view the full article click here.

young Aboriginal child in shadows outside with tricycle and parts of other play equipment visible

Image source: SBS NITV website.

Increased clinical trial access for regional Australia

Much is riding on $125 million in Federal Government funding, announced in the recent budget and aimed at addressing this disparity and providing access to life-saving clinical trials in the regions. “This funding is our last chance to get it right, to deliver a higher level national health system,” said Sabe Sabesan, a doctor who was central to developing Queensland’s model of delivering medical support to regional communities via telehealth. His program has paved the way for the next step towards making clinical treatment trials available to all patients regardless of their location.

Oncologist Craig Underhill is hopeful the clinical trials would not only drive an improvement in cancer outcomes but enable research in other chronic health areas affecting regional patients, such as geriatric oncology, Indigenous health and palliative care.

To view the article in full click here.

health professional at desk conducting telehealth session

Image source: National Rural Health Alliance online magazine, Partyline.

Lung cancer signs free webinar

According to the Australian Institute of Health and Welfare (AIHW) estimated trend lines indicate a significant increase in the lung cancer incidence and mortality rates for Indigenous Australians over time. For non-Indigenous Australians, the age-standardised incidence rate for lung cancer has been relatively stable, while the mortality rate has fallen. Estimated trend lines indicate a significant decrease in the lung cancer mortality rate for non-Indigenous Australians.

Symptoms of lung cancer are often vague and can be overlooked, however, early and rapid investigation and referral is necessary for optimal patient outcomes. How can GPs give themselves the best chance of identifying possible lung cancer in busy primary care practice?

Cancer Australia invites you to join them in an upcoming webinar on investigating symptoms and signs of lung cancer in primary care: Symptoms and signs that might be lung cancer – a new guide to optimal investigation and referral in general practice – 7.00pm-8.00pm (AEDT) Wednesday 2 December 2020.

T join the FREE webinar click here and to learn about Cancer Australia’s new resource Investigation symptoms of lung cancer: a guide for all health professionals click here.

doctor's hand pointing to x-ray of lung

Image source: SBS News website.

Good Medicine Better Health resources survey

NPS MedicineWise is are seeking Aboriginal and Torres Strait Islander consumer input to assist the development of Good Medicine Better Health (GMBH) consumer resources. Lived experience, and preferred format and learning styles will help us to develop consumer driven, culturally appropriate and accessible resources that deliver key information about quality use of medicines. 

To view the invitation for consumers to share their lived experience and/or community experience of a range of health issues click here and to access the link to the consumer participation survey click here.

The purpose of the survey is to elicit information about age, region (metro, regional, rural or remote), education level, willingness to be involved and preferred contact details. The GMBH team will then contact willing participants to arrange one-on-one phone interviews, online focus groups or workshops.

portrait shot Aboriginal woman and Aboriginal boy and girl, Good Medicine Better Health banner

Image source: NPS MedicineWise.

Native millet could change lives

Native millet on Gamilaraay country in western NSW is the most economically viable native grain for future farm enterprises, a University of Sydney study has found. The University of Sydney Institute of Agriculture study is the most comprehensive trial of Indigenous paddock-to-plate produce in Australia and was done in consultation with local communities and Black Duck Foods, owned by Aboriginal foods expert Bruce Pascoe. The one-year research project into the environmental, economic and cultural viability of growing native grains for bread on Gamilaraay country near Moree and Narrabri was released on 9 November 2020.

“Gamilaraay and Yuwaalaraay country in north-west NSW is one of the largest Aboriginal language groups in Australia, and they are proudly known as grass people,” said Dr Angela Pattison, study leader from the University of Sydney Institute of Agriculture and Plant Breeding Institute at Narrabri.

To view the full article click here.

loaf of bread on breadboard, bread being broken between fingers, man and woman in crop field

Image source: The University of Sydney website.

NT  Darwin and Palmerston region – Danila Dilba Health Service

Multiple positions: Head of ICT, Dietitian, Occupational Therapist, Physiotherapist, Mental Health Nurse, Community Support Worker

Danila Dilba Health Service is going through a dynamic period of expansion and growth. As a result of robust growth in services and in order to meet increasing client need, they are looking for people to join their team and be part of delivering important services to the Darwin and Palmerston region.

These are important roles where you’ll be able to contribute to improving the health and wellbeing of Indigenous Australians. Danila Dilba will provide great learning opportunities and give you the chance to grow your skills and progress your career.

For further information and to apply click here. Applications close Monday 7 December 2020.Danila Dilba Health Service logo

NACCHO Aboriginal Health News: World Prematurity Day 2020 – Life’s Little Treasures

World Prematurity Day 2020 - life's little treasures, image of Aboriginal father looking at baby in a humdicrib

World Prematurity Day 2020

Every year, 15 million babies are born premature worldwide. More than one million of these babies die, and many more facing serious, lifelong health challenges. Worldwide, one in 10 babies are born too early – more than 27,000 each year in Australia alone. The National average rate of preterm birth in Australia has remained relatively constant over the last 10 years (between 8.1 and 8.7%), however, for many Aboriginal babies, the news is far worse.

In an address to the National Rural Press Club, National Rural Health Commissioner Dr Ruth Stewart will explain that in 2018, 8.4 per cent of births in major cities were premature compared with 13.5 per cent in rural, remote and very remote Australia. “Those averaged figures hide pockets of greater complexity. In East Arnhem Land communities, 22 per cent of babies are born prematurely,” she will say. But she will argue it is an “urban myth” that the quality of rural maternity care and services is to blame. Rather, she will point to an ongoing decline in available services, clinics and skilled operators.

One solution she will present is the model of care developed through the Midwifery Group Practice on Thursday Island. That program has halved premature birth rates across the Torres Strait and Australia’s northern peninsula since 2015. Crucially, all women have access to continuity of care, or the same midwife throughout the pregnancy, and those midwives are supported by Indigenous health practitioners and rural generalists (GPs with a broad range of skills such as obstetrics).

November 17 is World Prematurity Day, a globally celebrated awareness day to increase awareness of preterm births as well as the deaths and disabilities due to prematurity and the simple, proven, cost-effective measures that could prevent them.

For further information about preterm birth in Aboriginal babies click here and to view the ABC Rural article mentioning the Midwifery Group Practice on Thursday Island click here.

World Prematurity Day 2020 - life's little treasures, image of Aboriginal father looking at baby in a humdicrib & logo of World Prematurity Day 2020 with vector image of white footprint and text November 17th & Get your purple on for prems

Image source: Australian Preterm Birth Prevention Alliance Twitter.

Narrative therapy helps decolonise social work

Social worker, educator and proud Durrumbal/Kullilli and Yidinji woman, Tileah Drahm-Butler, has found a narrative therapy approach resonates with Aboriginal practitioners and clients alike. For many Aboriginal people, the words ‘social work’ trigger the legacy of child removal and everything that comes with that. Social work is a colonised discipline that has had a problematic relationship with Aboriginal communities. Tileah was introduced to the practice of narrative therapy while working on ‘Drop the rock’ – a jobs and training program in Aboriginal communities that supported mental health service delivery and went on to complete a Masters in Narrative Therapy and Community Work. 

Tileah explains that for Aboriginal and Torres Strait Islander people, problems have come about from colonisation. So with clients, it is important to re-author – to move away from a medicalised, pathologised discourse to a story that tells of survival and resistance. Narrative therapy helps people to tell their strong stories and identify the skills and knowledge that they already have that can help them make the problem smaller. Tileah said ‘the problem is the problem’, is narrative therapy’s catchphrase. The person, the family, the community aren’t the problem.

To view the full article published by the University of Melbourne click here.

portrait photo of Tileah Drahm-Butler - senior social worker Cairns Hospital

Tileah Drahm-Butler. Image source: The Mandarin Talks.

Joint Council on CTG to meet

The Joint Council on Closing the Gap will meet this afternoon (17 November 2020) to discuss the implementation of the National Agreement on Closing the Gap. It will be the first time the Joint Council has met since the historic National Agreement on Closing the Gap came into effect on 27 July 2020.

The Joint Council will discuss the collective responsibilities for the implementation of the National Agreement on Closing the Gap; funding priorities for the joint funding pool committed by governments to support strengthening community-controlled sectors (Priority Reform Two); a revised Family Violence target and a new Access to Information target which reflect a commitment in the National Agreement to develop these two targets within three months of the Agreement coming into effect; and the first annual Partnership Health Check of the Partnership Agreement on Closing the Gap. The Health Check reflects the commitment of all parties to put in place actions and formal checks over the life of the 10-year Partnership Agreement to make sure that the shared decision-making arrangements strengthen over time.

To view the Coalition of Peaks media alert click here.

Minister Ken Wyatt & Pat Turner sitting at a desk with draft CTG agreement

Minister for Indigenous Australians Ken Wyatt and Co-Chair of the Joint Council on Closing the Gap Pat Turner. Image source: SBS News.

Facebook can help improve health literacy

Health literacy, which generally refers to the abilities, relationships and external environments required to promote health, is an influential determinant of health that impacts individuals, families and communities, and a key to reducing health inequities. New research is showing how Facebook can be a useful source of information – particularly when used in conjunction with other methods – to develop broader understandings of health literacy among young Aboriginal males in the NT, and to spark different conversations, policies and health promotion programs. 

The project, Health literacy among young Aboriginal and Torres Strait Islander males, led by the Menzies School of Health Research emerged from an understanding that Aboriginal and Torres Strait Islander males face multiple health and social inequities, spanning health, education and justice settings. Unfortunately, these health and social inequities start early in life and persist across different stages of their life-course. They are particularly pronounced for young Aboriginal and Torres Strait Islander boys and men.

The project found its participants were very open about sharing information about their health and wellbeing on social media — including the benefits of being on country and the importance of family and friends — and how this influenced their own health-related decision making.

To view the full article published in croakey click here.

three young Aboriginal men at Galiwinku, Elcho Island, NT, 2008

Young Aboriginal men, Galiwinku, Elcho Island, NT, 2008. Image source: Tofu Photography.

Clothing the Gap supports Spark Health

For view the full article and to access a link to an interview with Laura Thompson click here.

photo of Laura Thompson sitting in front of laptop at desk huge smile, arms outstretched

Laura Thompson delivering a Spark Health program. Image source: The Standard.

LGBTIQ mental health crisis

The Australian Federation of AIDS Organisations (AFAO) has called on the Commonwealth Government to develop a mental health and suicide prevention blueprint to tackle the crisis of unmet need within the LGBTIQ community and public investment in LGBTIQ health organisations. La Trobe University research found 57.2% of more than 6,000 surveyed lesbian, gay, bisexual, transgender, intersex and queer people were experiencing high or very high levels of psychological distress, while 41.9% reported thoughts about suicide over the past 12 months.

“Mental health in the LGBTIQ community is in crisis, and the La Trobe research makes it clear action and investment in LGBTIQ mental health and suicide prevention is sorely needed,” Darryl O’Donnell, CEO of AFAO, said. “Existing approaches aren’t working and LGBTIQ communities are paying the price.”

To view AFAO’s media release click here and the La Trobe University media release click here. To access the La Trobe University’s Private Lives 3 The Health and Wellbeing of LGBTIQ People in Australia report click here.

Aboriginal trans person with rainbow coloured plait

The Tiwi Islands Sistagirls at Mardi Gras. Image source: Balck Rainbow website.

Most kids in out-of-home care with kin

A new report by the Australian Institute of Health and Welfare (AIHW) has found the majority of Aboriginal and Torres Strait Islander children in out-of-home care were living with relatives, kin or Indigenous caregivers in 2018–19. The report, The Aboriginal and Torres Strait Islander Child Placement Principle Indicators (ATSICPP) 2018–19: measuring progress, brings together the latest state and territory data on five ATSICPP indicators that measure and track the application of the placement and connection elements of the framework. 

‘The ATSICPP is a framework designed to promote policy and practice that will reduce the over-representation of Aboriginal and Torres Strait Islander children in the child protection system,’ said AIHW spokesperson Louise York. As at June 2019, nearly two-thirds (63% or about 11,300 out of 18,000) of Indigenous children in out-of-home care were living with Indigenous or non-Indigenous relatives or kin or other Indigenous caregivers.

To view the full article click here.

Aboriginal mum kissing small child on the cheek at table of activities in outside setting

Image source: Family Matters website.

STI testing drops during COVID-19

Victorians are being urged to get tested for sexually transmissible infections (STIs), with new figures showing a concerning drop in STI notifications and testing during the coronavirus pandemic. New data from the Melbourne Sexual Health Centre shows a 68% drop in people without symptoms seeking STI testing this year. There are many types of STIs and most are curable with the right treatment, however, if left untreated, STIs can cause long-term damage, including infertility.

This week is STI Testing Week (16–20 November) – and as Victoria moves towards COVID Normal it’s the perfect time for everyone to consider their sexual health, have a conversation about STIs and get the important health checks they might have put off during the pandemic. To view the full article click here.

The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) says the COVID-19 pandemic has forced Australia’s top experts in HIV and sexual health to drastically rethink our national response. Over 700 HIV and sexual health experts will gather (virtually due to the COVID-19) this week (16–20 November) for the joint Australasian HIV & AIDS and Sexual Health Conferences, run by the ASHM. To view ASHM’s media release click here

half peeled banana with red patch

Image source: Medicine Direct.

HMRI proud of health related initiatives 

Hunter Medical Research Institute (HMRI) has been helping researchers to undertake research that translates to better treatments and better access to health services for Aboriginal and Torres Strait Islander Australians, including:

MRFF grant for Indigenous kid’s ear health

Associate Professor Kelvin Kong received a 5-year Medical Research Future Fund (MRFF) grant to explore a telehealth ear, nose and throat (ENT) model, based in metropolitan, rural and regional Aboriginal community controlled health services, enabling improvement in Aboriginal children’s access to specialist ENT care and a reduction in the waiting time for treatment during the vital years of early childhood ear and hearing health.

Partners and Paternal Aboriginal Smokers’ project

Research Associate with the University of Newcastle and HMRI affiliated researcher, Dr Parivash Eftekhari, is running a first-of-its kind program to empower Aboriginal and Torres Strait Islander fathers to quit smoking when their partner is pregnant, or if they have young children at home. The Partners and Paternal Aboriginal Smokers’ (PAPAS) project is key in improving children’s health by supporting fathers to have smoke-free homes.

To access further information about these research projects and to download the Indigenous Healthy: Eliminating the Gap seminar held earlier this year click here.

Professor Kelvin Kong presenting at Indigenous Health - Eliminating the Gap virtual seminar

Professor Kelvin Kong. Image source: HMRI website.

Mt Isa Hospital opens new Indigenous family rooms

North West Hospital and Health Service has unveiled its newly built family rooms at the Mount Isa Hospital. The family rooms, situation near the hospital’s Emergency Department are a culturally appropriate space where Indigenous patients and their families can meet, rest or engage with specialist hospital staff. Christine Mann, Executive Manager of Aboriginal and Torres Strait Islander Health said the facility was a spacious place close to the hospital for use by families, “We have a lot of sorry business around here and regrettably we are outgrowing the hospital, so this place is spacious enough to accommodate families. This is a place where they can come and have a cup of tea and have family meetings.”

To view full article in The North West Star click here.

9 Aboriginal women cutting red ribbon to Mt Isa Hospital family rooms

Image source: The North West Star.

General Practice: Health of the Nation report

The Royal Australian College of General Practitioners (RACGP) has released its General Practice: Health of the Nation report, an annual health check-up on general practice in Australia. Chair of RACGP Aboriginal and Torres Strait Islander Health, Professor Peter O’Mara, said the report contains many positive signs for Aboriginal and Torres Strait Islander health.

“It is important not to just dwell on the problems confronting healthcare for Aboriginal and Torres Strait Islander people,” he said. “On the workforce, education and training front there is very good news. In 2018, there were 74 Aboriginal and Torres Strait Islander GPs registered and employed – an increase from 50 in 2015. In 2020, there are 404 Aboriginal and Torres Strait Islander medical students – this has increased from 265 in 2014. This year 121 Aboriginal and Torres Strait Islander students started studying medicine, which is a 55% increase over the past three years. Nearly 11,000 members have joined the RACGP’s National Faculty of Aboriginal and Torres Strait Islander Health, which to me shows real interest and engagement.”

To view the full article click here.

Associate Professor Peter O'Mara

Associate Professor Peter O’Mara. Image source: RACGP Twitter.

Prison language program linked to better health

A new Aboriginal Languages in Custody program has been launched at Boronia Pre-release Centre for Women where up to 30 Aboriginal and non-Aboriginal prisoners will be taught Noongar, the official language of the Indigenous people of the south-west of WA. The program will be created and delivered by the Perth-based Noongar Boodjar Language Cultural Aboriginal Corporation and rolled out to Hakea Prison, Bunbury Regional Prison and the rest of the state’s jails in four stages from late 2020 to the first quarter of 2021. 

WA Corrective Services Minister Francis Logan said “There is an intrinsic link between language and culture so this new program aims to help Aboriginal prisoners reconnect with their own people, practices and beliefs. Research shows that teaching Aboriginal languages leads to positive personal and community development outcomes, including good health and wellbeing, self-respect, empowerment, cultural identity, self-satisfaction and belonging.”

To view the related Government of WA media release click here.

Aboriginal painting of Aboriginal person with Aboriginal art and english words in the backgrouns

Image source: ABC News.

Dispelling outdated HIV myths webinar

In the lead up to World AIDS Day on 1 December 2020 Positive Women Victoria will host a ground breaking webinar. A panel of women living with HIV, including Yorta Yorta woman Michelle Tobin, will be  joined by a leading Australian infectious diseases physician, to share stories and knowledge about how this fact has transformed their lives and discuss issues around motherhood, sex, and relationships. The webinar will introduce audiences to more than 20 years of scientific evidence confirming that when antiretroviral treatment is used, and levels of HIV cannot be detected in blood, HIV is not transmitted during sexual contact or to a baby during pregnancy and childbirth. There is also growing evidence that supports mothers with HIV with an undetectable viral load and with healthcare support can also breastfeed their baby. 

For more information about the webinar on Thursday 7.00 pm – 8.30 pm (AEDT) 26 November 2020 and to register for the webinar click here.

portrait shot of Yorta Yorta woman Michelle Tobin

Yorta Yorta woman Michelle Tobin. Image source: AFAO website.

Fully subsidised online antibiotic resistance program

An exciting opportunity exists for 12 Aboriginal and Torres Strait Islander health care professionals to enrol in the inaugural Hot North Antimicrobial Academy 2021. The Antimicrobial Academy is a fully subsidised 9-month online program for Aboriginal or Torres Strait Islander health care workers (pharmacists, doctors, nurses or Aboriginal Health Practitioners) to build on their understanding and expertise in antibiotic resistance and to support further leadership of antibiotic use in our communities.

Further details are available here.

Submissions close Monday 30 November 2020.Tropical Australian Academic Health Centre & Hot North Improving Health Outcomes in the Tropical North Antimicrobial Academy 2021 banner

Vision 2030 Roadmap open for consultation

The National Mental Health Commission is inviting you to participate in a guided online consultation to inform the content and recommendations of the Vision 2030 Roadmap.

This online consultation forms part of the Commission’s stakeholder engagement approach to ensure that the Vision 2030 Roadmap incorporates as wide a range of experience as possible when developing evidence-based responses to mental health and psychosocial wellbeing.

Through special interest meetings and external expertise, the Commission has identified a number of priority areas for inclusion in the Roadmap. The online consultation asks you to consider the impact of Vision 2030 on you and identify your needs in its implementation.

More information on Vision 2030, including video recordings of the ‘Introducing Vision 2030 Blueprint and Roadmap’ webinars is available at the Commission’s website. The Vision 2030 Roadmap guided online consultation can be accessed here.

Now is your chance to get involved. This consultation opportunity is open to all until Friday 4 December 2020.purple tile text 'have your say - online consultation now open - VIsion 2020 AUstralian Government National Mental Health Commission' vector map of Australia with magnifying glass image surrounding the map

 

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

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

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

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

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

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

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

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

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

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

Dr Charles Perkins oration

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

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

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

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

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

 

First Nations health champion

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

To view the full article click here.

photo of Dr Ngaree Blow looking into distance in garden setting

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

Culturally trained female clinicians needed

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

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

To view the full article click here.

portrait shot of Rachel Tipoti against wall with Aboriginal ard

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

Antenatal care links to baby outcomes

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

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

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

Photo by Aboriginal photographer Bobbi-lee Hille.

Best Practice decision-making

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

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

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

To view the full article click here.

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

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

Nidjalla Waangan Mia celebrates 10 years

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

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

To view the Mandurah Mail article click here.

Elder, client and GP cutting 10 year anniversary cake

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

Joe Williams promotes mental wellbeing

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

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

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

For further information click here.

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

Joe Williams. Image source: 33 Creative.

Eliminating Hep C webinar

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

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

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

image of hepatitis C cell

Image source: NPS Medicinewise.

Strong Brother Strong Sister partners with Surfing Victoria

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

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

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

To view the full article click here.

two male adults and two Aboriginal children surfing

Image source: Australasian Leisure Management website.

Birthing in the city redesigned

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

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

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

To view the full article click here.

Minister Wyatt, two researches & two Aboriginal mums and bubs

Image source: Murdoch University.

IAHP Yarnes restart

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

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

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

NSW – Sydney – The George Institute for Global Health

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