NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

 

 ” Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity “

AMA Position Statement on Nutrition 2018

Download AMA Position Statement on Nutrition 2018

Advertising and marketing of junk food and sugary drinks to children should be banned, and a tax on sugar-sweetened beverages should be introduced as a matter of priority, the AMA says.

Releasing the AMA Position Statement on Nutrition 2018, AMA President, Dr Michael Gannon, said today that eating habits and attitudes toward food are established in early childhood.

“Improving the nutrition and eating habits of Australians must become a priority for all levels of government,” Dr Gannon said.

“Governments should consider the full complement of measures available to them to support improved nutrition, from increased nutrition education and food literacy programs through to mandatory food fortification, price signals to influence consumption, and restrictions on food and beverage advertising to children.

“Eating habits and attitudes start early, and if we can establish healthy habits from the start, it is much more likely that they will continue throughout adolescence and into adulthood.

“The AMA is alarmed by the continued, targeted marketing of unhealthy foods and drinks to children.

“Children are easily influenced, and this marketing – which takes place across all media platforms, from radio and television to online, social media, and apps – undermines healthy food education and makes eating junk food seem normal.

“Advertising and marketing unhealthy food and drink to children should be prohibited altogether, and the loophole that allows children to be exposed to junk food and alcohol advertising during coverage of sporting events must be closed.

“The food industry claims to subscribe to a voluntary code, but the reality is that this kind of advertising is increasing. The AMA calls on the food industry to stop this practice immediately.”

The Position Statement also calls for increased nutrition education and support to be provided to new or expecting parents, and notes that good nutrition during pregnancy is also vital.

It recognises that eating habits can be affected by practices at institutions such as child care centres, schools, hospitals, and aged care homes.

“Whether people are admitted to hospital or just visiting a friend or family member, they can be very receptive to messages from doctors and other health workers about healthy eating,” Dr Gannon said.

“Hospitals and other health facilities must provide healthy food options for residents, visitors, and employees.

“Vending machines containing sugary drinks and unhealthy food options should be removed from all health care settings, and replaced with machines offering only healthy options.

“Water should be the default beverage option, including at fast food restaurants in combination meals where soft drinks are typically provided as the beverage.”

NACCHO Campaign 2013 : We should health advice from the fast food industry !

Key Recommendations:

·         Advertising and marketing of unhealthy food and beverages to children to be prohibited.

·         Water to be provided as the default beverage option, and a tax on sugar-sweetened beverages to be introduced.

·         Healthy foods to be provided in all health care settings, and vending machines containing unhealthy food and drinks to be removed.

·         Better food labelling to improve consumers’ ability to distinguish between naturally occurring and added sugars.

·         Regular review and updating of national dietary guidelines and associated clinical guidelines to reflect new and emerging evidence.

·         Continued uptake of the Health Star Rating system, as well as refinement to ensure it provides shoppers with the most pertinent information.

Aboriginal and Torres Strait Islander people

Food insecurity

Food insecurity occurs when people have difficulty or are unable to access appropriate amounts of food.13

It has been estimated that four per cent of Australians experience food insecurity,14 though it is likely the extent of the problem is much higher.

Food insecurity is associated with a range of factors, including unstable living situations, geographic isolation and poor health.

It is more prevalent in already disadvantaged communities. In households with limited incomes, food budgets can be seen as discretionary and less of a priority.

This can result in disrupted eating habits and an over-reliance on less nutritious foods.

Food insecurity can have significant health implications, such as increased hospitalisation and iron deficiency anemia (in children) and increased kidney disease, type 2 diabetes and mental health issues (among adolescents and adults).

Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.16

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.17

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity. The development and implementation of potential solutions must be led by Aboriginal and Torres Strait Islander people.

The nutrition of Aboriginal and Torres Strait Islander people living in remote communities may be heavily dependent on Outback Stores. The 2009 Parliamentary Inquiry ‘Everybody’s Business: Remote Aboriginal and Torres Strait Community Stores’ resulted in a number of practical recommendations to increase the availability and affordability of healthy foods in Outback Stores, many of which have not been implemented.

Recommendation

These Stores, in consultation with local communities, should prioritise and facilitate access to affordable nutritious foods.

The AMA Position Statement on Nutrition 2018 is available at https://ama.com.au/position-statement/nutrition-2018

 

NACCHO Aboriginal Health : @KenWyattMP #MyLifeMyLead Report: Tackling #SocialDeterminants and Strengthening Culture Key to Improving #Indigenous Health

“My Life My Lead is an opportunity to build on the work we are doing and the progress we have made, for instance in cutting smoking, reducing infant mortality and chronic disease deaths, and achieving higher immunisation rates.

Seven priority areas have been identified in My Life My Lead, which will be integral to the next iteration of the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan. It will also help inform our Closing the Gap refresh agenda.

While governments have a critical role in setting policies and implementing programs, true and lasting gains are made when Aboriginal and Torres Strait Islander people have a say in those areas that impact on their health and wellbeing.”

Minister for Indigenous Health, Ken Wyatt AM

The Turnbull Government has released ( December 21 2017 ) results of national consultations that highlight the importance of culture and tackling the social determinants of health, to improve the health and wellbeing of Aboriginal and Torres Strait Islander people.

Minister for Indigenous Health, Ken Wyatt AM, said the wide-ranging My Life My Lead: Opportunities for strengthening approaches to the social determinants and cultural determinants of Indigenous health (My Life My Lead) report will help inform the whole-of-government approach to better Indigenous health.

 The seven priorities are:

    1. Culture at the centre of change
    2. Success and wellbeing for health through employment
    3. Foundations for a healthy life
    4. Environmental health
    5. Healthy living and strong communities
    6. Health service access
    7. Health and opportunity through education

Report

My Life My Lead: Opportunities for strengthening approaches to the social determinants and cultural determinants of Indigenous Health: Report on the national consultations December 2017 – PDF 4.7 MB

My Life My Lead: Opportunities for strengthening approaches to the social determinants and cultural determinants of Indigenous Health: Report on the national consultations December 2017 – Word 13 MB

Infographics – PDFs only, these are available via the report in word and PDF

Priority Area One: Culture at the centre of change – PDF 413 KB
Priority Area Two: Success and wellbeing for health through employment – PDF 483 KB


Priority Area Three: Foundations for a health life – PDF 496 KB
Priority Area Four: Environmental health – PDF 479 KB


Priority Area Five: Healthy living and strong communities – PDF 464 KB
Priority Area Six: Health service access – PDF 515 KB
Priority Area Seven: Health and opportunity through education – PDF 517 KB

The report was compiled from wide-ranging community consultations conducted during March-May 2017. Approximately 600 people attended 13 forums across Australia, and more than 100 written submissions were received. The report was also informed by literature reviews.

“A consistent theme from the consultations was the importance of including parents, Elders and Aboriginal communities in maintaining our people’s connections with culture and country,” Minister Wyatt said.

“While governments have a critical role in setting policies and implementing programs, true and lasting gains are made when Aboriginal and Torres Strait Islander people have a say in those areas that impact on their health and wellbeing.

“To have strong, healthy children who grow into healthy adults leading fulfilling and long lives, we need to have effective and accessible childhood health care and education, wrapped with positive employment, housing and economic development opportunities.”

Minister Wyatt extended his deep gratitude and respect to the hundreds of individuals and organisations who contributed to the consultations, especially Aboriginal and Torres Strait Islander people from so many parts of Australia, who often travelled significant distances to participate.

Copies of ‘My Life My Lead’ can be found at www.health.gov.au/mylifemylead

NACCHO Aboriginal #ChooseHealth wishes you a very Healthy Xmas and #sugarfree 2018 New Year #SugaryDrinksProperNoGood

 ”  This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York and throughout all our communities experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

WATCH Apunipima Video HERE

“We tell ‘em kids drink more water; stop the sugar. It’s good for all us mob”

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

 ” Let’s be honest, most countries and communities (and especially Aboriginal and Torres Strait Islanders ) now face serious health challenges from obesity.

Even more concerning, so do our kids.

While no single mission will be the panacea to a complex problem, using 2017 to set a new healthy goal of giving sugar the kick would be a great start.

Understand sugar, be aware of it, minimise it and see it for what it is – a special treat for a rare occasion.

This New Year’s, make breaking up with sugar your planned resolution.

“Hey sugar – it’s not me, it’s you…”

Alessandro R Demaio  Global Health Doctor; Co-Founded NCDFREE & festival21; Assoc. Researcher, University of Copenhagen and NACCHO supporter ( First Published 2016 see in full below )

 

We recommend the Government establish obesity prevention as a national priority, with a national taskforce, sustained funding and evaluation of key measures including:

  • Laws to stop exposure of children to unhealthy food and drink marketing on free to air television until 9.30 pm
  • Mandatory healthy food star rating from July 2019 along with stronger food reformulation targets
  • A national activity strategy to promote walking, cycling and public transport use
  • A 20 per cent health levy on sugary drinks

Australia enjoys enviable health outcomes but that is unlikely to last if we continue to experience among the world’s highest levels of obesity.

 CEO of the Consumers Health Forum, Leanne Wells

NACCHO Aboriginal #HealthStarRating and #Nutrition @KenWyattMP Free healthy choices food app will dial up good tucker

” Weight gain spikes sharply during the Christmas and New Year holiday period with more than half of the weight we gain during our lifetime explained just by the period between mid-November and mid-January.

Public Health Advocacy Institute of WA

 ” Labels that warn people about the risks of drinking soft drinks and other sugar-sweetened beverages can lower obesity and overweight prevalence, suggests a new Johns Hopkins Bloomberg School of Public Health study.

The study used computer modelling to simulate daily activities like food and beverage shopping of the populations of three U.S. cities – Baltimore, San Francisco and Philadelphia.

It found that warning labels in locations that sell sugary drinks, including grocery and corner stores, reduced both obesity and overweight prevalence in the three cities, declines that the authors say were attributable to the reduced caloric intake.

The virtual warning labels contained messaging noting how added sugar contributes to tooth decay, obesity and diabetes.

The findings, which were published online December 14 in the American Journal of Preventive Medicine, demonstrates how warning labels can result in modest but statistically significant reductions in sugary drink consumption and obesity and overweight prevalence.”

Diabetes Queensland : Warning labels can help reduce sugary drinks consumption and obesity, new study suggests

 

Global recognition is building for the very real health concerns posed by large and increasing quantities of hidden sugar in our diets. This near-ubiquitous additive found in products from pasta sauces to mayonnaise has been in the headlines and in our discussions.

The seemingly innocuous sweet treat raises eyebrows from community groups to policy makers – and change is in the air.

Let’s review some of the sugar-coated headers from 2016 :

  • The global obesity epidemic continued to build while more than two-in-three Australian adults faced overweight or obesity – and almost one in four of our children.
  • Science around sugary drinks further solidified, with consumption now linked to obesity, childhood obesity, heart disease, diabetes (type-2), dental caries and even lower fertility.
  • Australians were estimated to consume a staggering 76 litres of sugary drinks each since January alone, and new reports highlighted that as much as 15% of the crippling health costs associated with obesity could result from sugary drinks consumption.
  • Meanwhile around the planet, more countries took sound policy measures to reduce sugar consumption in their citizens. France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and many parts of the United States implemented, continued or planned the implementation of pricing policies for sugary drinks.

In short, the over-consumption of sugar is now well recognised as a public health challenge everywhere.

With all this in mind and a New Year ahead, it’s time to put big words into local action. With resolutions brewing, here are seven helpful tips to breaking up with sugar in 2017.

1. Understand sugar

When it comes to sugar, things can get pretty confusing. Below, I shed some light on the common misunderstandings, but let’s recheck sugar itself – in simplest terms.

Sugar is a type of refined carbohydrate and a source of calories in our diet. Our body uses sugar and other sources of calories as energy, and any sugar that is not used is eventually stored as fat in our liver or on our bellies.

“Free sugars” are those added to products or concentrated in the products – either by us or by the manufacturer. They don’t include sugars in whole fruits and vegetables, but more on that later. For a range of health reasons, the World Health Organization recommends we get just 5% of our daily calories from free sugars. For a fully grown man or woman, this equates to a recommended limit to sugar consumption of roughly 25 grams – or 6 teaspoons. For women, it’s a little less again.

Consume more than this, and our risk of health problems rises.

2. Quit soft drinks

With 16 teaspoons of sugar in a single bottle serving – that’s more than 64 grams – there’s nothing “soft” about soft drinks. Including all carbonated drinks, flavoured milks and energy drinks with any added sugars, as well as fruit drinks and juices, sugary drinks are a great place to focus your efforts for a healthier 2018. Sugary drinks provide no nutritional value to our diets and yet are a major source of calories.

sugartax

What’s more concerning, evidence suggests that when we drink calories in the form of sugary drinks, our brains don’t recognise these calories in the same way as with foods. They don’t make us feel “full” and could even make us hungrier – so we end up eating (and drinking) more. In this way, liquid calories can be seen as even more troubling than other forms of junk foods. Combine this with studies that suggest the pleasure (and sugar spike) provided by sugary drinks may make them hard to give up – and it’s not difficult to see why many of us are drinking higher amounts, more often and in larger servings. This also makes cutting down harder.

The outcome is that anything up to one-seventh of the entire public cost of obesity in Australia could now result from sugary drinks. In other words, cut out the sugary drinks and you’ll be doing your own health a favour – and the health of our federal and state budgets.

3. Eat fruit, not juice

When it’s wrapped in a peel or a skin, fruit sugars are not a challenge to our health. In fact, the sugars in fruit are nature’s way of encouraging us to eat the fruit to begin with. Fruits like oranges, apples and pears contain important fibres. The “roughage” in our foods, this fibre is healthy in many ways but there are three in particular I will focus on. First, it slows our eating down; it is easy to drink a glass of juice squeezed from 7 apples, but much harder to eat those seven pieces whole. Second, it makes us feel full or satiated. And third, it slows the release of the sugars contained in fruit into our blood streams, thus allowing our bodies to react and use the energy appropriately, reducing our chances of weight gain and possibly even diabetes.

Juice, on the other hand, involves the removal of most of those fibres and even the loss of some of the important vitamins. What we don’t lose though, is the 21 grams or more than five teaspoons of sugar in each glass.

In short, eat fruit as a snack with confidence. But enjoy whole fruit, not juice.

4. Sugar by any other name

High-fructose corn syrup, invert sugar, malt sugar and molasses – they all mean one thing: sugar.

As the public awakens to the health challenges posed by sugar, the industry turns to new ways to confuse consumers and make ‘breaking up’ more difficult. One such way is to use the many alternative names for sugar – instead of the ‘s’ word itself. Be on the lookout for:

Evaporated cane juice, golden syrup, malt syrup, sucrose, fruit juice concentrate, dextrose and more…

5. Eat whole foods where possible

Tomato sauce, mayonnaise, salad dressings, gravies, taco sauces, savoury biscuits and breakfast cereals – these are just some of the many foods now often packed with hidden, added sugars.

A study found that 74% of packaged foods in an average American supermarket contain added sugars – and there is little evidence to suggest Australia would be dramatically different. Added to food to make it more enjoyable, and moreish, the next tip when avoiding such a ubiquitous additive is to eat whole foods.

It’s hard to hide sugar in plain flour, or a tomato, or frozen peas. Buying and cooking with mostly whole foods – not products – is a great way to ensure you and your family are not consuming added sugars unaware.

6. See beyond (un)healthy claims

Words like “wholesome”, “natural” and “healthy” are clad on many of our favourite ingredients. Sadly, they don’t mean much.

Even products that are full of sugar, like breakfast cereals and energy bars, often carry claims that aim to confuse and seduce us into purchase. Be wary – and be sure to turn the package over and read the ingredients and nutrition labelling where possible (and if time permits).

7. Be okay with sometimes

The final but crucial message in all of this is that eating or drinking sugar is not a sin. Sugar is still a part of our lives and something to enjoy in moderation. The occasional piece of cake, or late night chocolate – despite the popular narrative painted by industry to undermine efforts for true pricing on sugar – these occasional sweet treats are not the driving challenge for obesity. The problem is that sugary drinks, and sugar in our foods, have become every day occurrences.

With this in mind, let’s not demonise sugar but instead let’s see it for what it is. Enjoy some juice or bubbles from time to time but make water the default on an everyday basis. With the average can of cola containing 39 grams or 9 teaspoons of sugar, be OK with sometimes.

Bitter truth

Let’s be honest, We now face serious health challenges from obesity.

Even more concerning, so do our kids.

Learn more about our ACCHO making Deadly Choices

 

NACCHO Aboriginal Health :The @AusHealthcare blueprint ‘Healthy people, healthy systems maps out how to give Australians a 21st century health system’

 

” We’re giving Health Ministers an early Christmas gift, over the past nine months Australian health leaders mapped out how to transform our healthcare system into a fit for purpose 21st century system that will meet the needs and expectations of Australians.

‘Healthy people, healthy systems is a solid blueprint with a range of short, medium and long term recommendations on how to reorientate our healthcare system to focus on patient outcomes and value rather than throughput and vested interests.”

Australian Healthcare and Hospitals Association (AHHA) Chief Executive Alison Verhoeven. see Part 1 Below

Download Healthy people, healthy systems  ahha_blueprint_2017

 “For Aboriginal and Torres Strait Islander people, institutional racism in hospitals and health services fundamentally underpins racial inequalities in health.

It forms a barrier to accessing healthcare, and must be acknowledged and addressed in order to realise health equality.

A matrix has been developed for identifying, measuring and monitoring institutional racism. Simple and cost-effective to administer, research to date shows its value as both an internal and external assessment tool “

(Marrie & Marrie 2014). See Section 2 Performance information and reporting

“ The need for integrated care, workforce development and reform and a reorientation to primary and preventive care were central recommendations.

We would welcome more performance reporting on such measures as patient reported health outcomes and experiences of care and deeper examination of how that care will be delivered in the future and by whom.

“Prevention funding needs to be increased and to be explicitly tied to evidence-based interventions.

We strongly support many of the aims of the report Healthy people, healthy systems.”

CEO of the Consumers Health Forum, Leanne Wells See Part 2 Below .

Great blueprint by AHHA  for a Post-2020 National Health Agreement. Fantastic to see it aligning with PHAA’s key principles of universal healthcare, a holistic view of health and well being, and health equity. ”

Public Health Association Australia

Part 1 AHHA Press Release

‘In 2018 Health Ministers and First Ministers will negotiate and agree new public hospital funding arrangements—if Ministers are committed to a healthy Australia supported by the best possible healthcare system they simply need to direct their health departments to begin rolling out the recommendations found in the blueprint.

‘Health Ministers must be more ambitious than agreeing what public hospital funding arrangements will look like after 2020. The health sector is adamant it’s time we move our system toward value-based care and away from more of the same and tinkering around the edges.

‘To do this we outline four steps with recommendations on governance arrangements, data and reporting that drives intelligent system design, health workforce reform and sustainable funding that is dependable yet innovative.

‘An independent national health authority distinct from Commonwealth, state and territory health departments  reporting directly to the Council of Australian Governments (COAG) or the COAG Health Council would help take the politics and finger pointing out of health reform and allow for a nationally unified and regionally controlled health system.

‘Requiring all health service providers delivering government funded or reimbursed services to supply data on patient outcomes and other service provision dimensions will better inform system performance and help us move toward publicly available outcomes data that will empower patients to make informed choices about treatment options and providers.

‘A national health workforce reform strategy is required that goes beyond the supply and location of health practitioners and considers roles and responsibilities needed to achieve a health workforce that is flexible, competent, working to the top of their scope of practice, and actively participating in the design and delivery of health services.

‘Maintaining current Commonwealth funding levels for public hospitals, including the growth formula, will provide sustainable and appropriate support, but we need to be more innovative in our move toward value-based care. In the short term, trialling a mixed funding formula with a 25% component for achieved health outcomes relating to the top 4 chronic diseases is a start.

‘It’s time to step out of our comfort zones and transform fragmented healthcare in Australia. The blueprint’s recommendations are a good place to start. We thank the many health leaders, clinicians and consumers who have contributed to this work.’

For more information on AHHA, see: http://ahha.asn.au

To read the Healthy people, healthy systems. Strategies for outcome-focused and value-based healthcare: a blueprint for a post-2020 national health agreement, see: http://ahha.asn.au/blueprint

The Consumers Health Forum welcomes the Australian Healthcare and Hospitals Association’s blueprint for a national health agreement as a much-need stimulus for a serious rethink of Australia’s health system.

“We strongly support many of the aims of the report Healthy people, healthy systems,”

the CEO of the Consumers Health Forum, Leanne Wells said.

“In too many corners of Australia’s health system, whether it be Medicare, primary care, prevention or health insurance, there is a lack of rigorous evaluation and less than optimal use of available data and knowledge to improve services.

“We back AHHA’s call for Australia to re-orientate the healthcare system over the next 10 years by enabling outcomes-focused and value-based health care,” Ms Wells said.

“We agree that the national hospitals agreement requires reform, that it, should be negotiated for the longer-term and that we need much better coordination and integration to promote consumer-centred health care.

“While there is undoubtedly a pressing need for a more nationally cohesive leadership and administration of health, we are not sure a national health authority as prescribed by AHHA would achieve this.  It could risk imposing another layer of management and decision-making with no certainty of any benefit.

“On the other hand, moves to greater regional coordination of health services, is the best way to achieve integrated locally responsive services. We know that integration is best achieved when decisions about how services are configured and organised are taken as close to the point of care delivery as possible by people who know and understand local services and need.  Joint planning, funds pooling and joint commissioning by PHNs and LHDs should be actively explored.

“We would urge governments to note the consistency of advice coming from Australian health leaders about how we can strengthen and improve our health system.

CHF presented an Issues Paper containing our ideas for health system improvements to Minister Hunt at our Consumer and Community Roundtable in August, see:

https://chf.org.au/sites/default/files/docs/chf_ministerial_roundatble_issues_paper_final.pdf

“The need for integrated care, workforce development and reform and a reorientation to primary and preventive care were central recommendations.

“We would welcome more performance reporting on such measures as patient reported health outcomes and experiences of care and deeper examination of how that care will be delivered in the future and by whom.

“Prevention funding needs to be increased and to be explicitly tied to evidence-based interventions.

“AHHA’s chair, Dr Deborah Cole, states that if there is a genuine commitment to delivering patient-centred care that improves health outcomes, consumers must be genuinely engaged in co-designing services and how the entire health system functions across hospitals, primary healthcare and prevention activities.

“We fully agree and hope all health leaders would actively support that rationale.  Only when we involve consumer insights in planning and evaluation will achieve better health, better experience of care and better value care” Ms Wells said.

The Healthy people, healthy systems report is at:

http://ahha.asn.au/sites/default/files/docs/policy-issue/ahha_blueprint_2017.pdf

NACCHO Aboriginal Health and #Nutrition : Download Guide , Posters , Activity sheets @MenziesResearch SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities )

 

” This guide presents information on the consumer education strategy used in the SHOP@RIC study.

SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities) is one of four studies in the world to provide evidence on the effect of a price discount with and without nutrition education on food purchasing.”

Download Guide Here :  SHOP_RIC_Consumer_Education_Guide

Read over 35 NACCHO Aboriginal Health and Nutrition articles HERE

This study is the largest nutrition-related trial to be conducted with remote Aboriginal communities in Australia.

It provides an example of a successful collaboration between communities, retailers, health professionals and academics.

Many people participated in making SHOP@RIC the success that it was.

See full resources website

The SHOP@RIC consumer education strategy was delivered with a price discount on fresh and frozen fruit, vegetables, artificially sweetened soft drinks and water.

We hope that the information presented here will inspire readers to use the consumer education strategy resources and the evaluation tools we have made available on the Menzies School of Health Research website.

Below are six poster options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer education posters
Attachment
SHOP@RIC poster theme 1
Attachment
SHOP@RIC poster theme 2 (landscape)
Attachment
SHOP@RIC poster theme 3
Attachment
SHOP@RIC poster theme 4
Attachment
SHOP@RIC poster theme 5 (landscape)
Attachment
SHOP@RIC poster theme 6

Below are several web activity sheet options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer activity sheets
Attachment
SHOP@RIC activity sheet – beverages theme 1
Attachment
SHOP@RIC activity sheet – beverages theme 2
Attachment
SHOP@RIC activity sheet – beverages theme 3
Attachment
SHOP@RIC activity sheet – beverages theme 4
Attachment
SHOP@RIC activity sheet – beverages theme 5
Attachment
SHOP@RIC activity sheet – beverages theme 6
Attachment
SHOP@RIC activity sheet – fruit and veg theme 1
Attachment
SHOP@RIC activity sheet – fruit and veg theme 2
Attachment
SHOP@RIC activity sheet – fruit and veg theme 3
Attachment
SHOP@RIC activity sheet – fruit and veg theme 4
Attachment
SHOP@RIC activity sheet – fruit and veg theme 5
Attachment
SHOP@RIC activity sheet – fruit and veg theme 6

NACCHO Aboriginal Health @AHPC_VU #AusHealthTracker report outlines growing health divide between the have and have nots

 ” Australia’s Health Tracker by Socio-Economic Status, a new report from the Australian Health Policy Collaboration at Victoria University, shows close links between socio-economic disadvantage and poor health as the gap widens between the have and have not’s.

Ten million Australians in low socio-economic brackets are at high risk of dying early from chronic disease, an alarming snapshot of the nation’s health shows

Australians sitting in the lowest SES bracket are:

  • Four times more likely to die from diabetes
  • Three times more likely to die from a respiratory disease
  • Two and a half times more likely to die from cardiovascular disease
  • Seventy per cent more likely to suicide and
  • Sixty per cent more likely to die from cancer.

People in lower SES brackets have higher risks of diabetes, heart disease, cancer, and depression.  

AHPC Director Rosemary Calder said the health divide in relation to chronic disease and risk factors is stark.

Download the Report

australias-health-tracker-by-socioeconomic-status

Chronic disease claimed the lives of 49,227 people before the age of 75 in lower socio-economic groups in the past four years – more than the capacity of the Sydney Cricket Ground.

“This is the story here, we are seeing working families struggle due to skyrocketing costs of housing, utilities and food and this is having a significant effect on their health outcomes,” she said.

Those often referred to as the working poor are at much greater risk of poor health, more likely to be obese, less likely to do exercise and much more likely to smoke, Professor Calder said.

Australia’s Health Tracker by Socio-Economic Status is not just about the health of communities who are most disadvantaged it alarmingly shows that the health of 40 per cent of Australians with low incomes – the working poor – is in jeopardy.”

“Being socially and economically disadvantaged is not only bad for your health it’s also much more likely to kill you,” Professor Calder said. “Our report shows not everyone has a fair go at living a long, healthy and prosperous life.”

But it’s not just the disadvantaged at risk. Australia’s Health Tracker data also shows alcohol is being consumed at risky levels in higher socio-economic groups. High cholesterol is another risk factor that affects the advantaged while rates of high blood pressure is evenly spread across all socio-economic groups.

Part 2 Public Health Association of Australia (PHAA)

This week Public Health Association of Australia (PHAA) co-hosted the launch of Australia’s Health Tracker by Socio-Economic Status (SES), a new report by the Australian Health Policy Collaboration at Victoria University.

The report highlights the growing health disparities in Australia which correlate closely with socio-economic status. Those in the lowest SES bracket experience significantly poorer health compared to those in the middle and highest brackets.

Michael Moore, CEO of the PHAA said, “One of the key principles underpinning the work of the PHAA is the social determinants of health.

The Health Tracker is a clear illustration of these determinants at work. Those who experience social and economic disadvantage also experience a much higher risk of non-communicable disease such as diabetes, respiratory disease, heart disease and cancer. They are also much more likely to experience serious mental health issues.”

“These health conditions are often long-term and eventually result in an earlier death. This research illustrates that disadvantaged Australians are indeed more likely to die from one of these diseases. The report paints a stark picture of how one’s place on the social and economic ladder has a direct impact on life expectancy,” Mr Moore said.

The report shows that 40% of Australians on low incomes are currently experiencing decreased health.

Such poor health outcomes can be attributed to multiple factors including lack of access to healthcare, poor nutrition, high rates of obesity, and high smoking rates. The rising cost of living from the increasing prices of housing, utilities and food is also manifesting in poorer health outcomes in the population.

Mr Moore said, “Every year chronic disease is claiming the lives of thousands of Australians under 75 in lower socio-economic groups at an alarming rate. However, this is not adequately accounted for in our national health policy and programs. Instead of prioritising our most vulnerable, we are applying one-size-fits-all health policies.”

“Ultimately, the focus ought to be significantly increased funding in preventive health, as this is the simplest, most effective and economically sound solution. Currently, Australia invests a pathetic 1.5% of its health budget on preventive health measures and programs.

It really needs to be 5% of health spending as a bare minimum, and we are unlikely to see a meaningful reduction of chronic disease without this investment,” Mr Moore added.

“At present, one in two Australians have a chronic disease, and many have more than one condition. The good news is that almost a third of this could be entirely prevented with greater investment in public health initiatives designed to reduce obesity, smoking, and alcohol consumption as well as increasing physical activity,” Mr Moore concluded.

Part 3 Are we dooming our children to a darker health future?

Latest figures on the diet and lifestyle of Australia’s children signal a troubling future for their health unless governments implement an effective national response , the Consumers Health Forum says.

“The Australia’s Health Tracker statistics released today should disturb us all as they indicate that many children now have higher risk factors for poor health than their parents,” the CEO of the Consumers Health Forum, Leanne Wells, said. “In many instances the risk factors are even worse for Indigenous children.

“The danger signals for our children are showing that in crucial aspects children are already following less healthy lifestyles and diets than their parents, in areas like physical activity and consumption of junk food and too much sugar.

“For instance, 70.8 per cent of children aged 5 – 11 years are not meeting physical activity recommendations and that compares with 44.5 per cent of adults. A brighter feature in the otherwise bleak picture for Indigenous children is that fewer, 40.5 per cent, do not meet the physical activity target.  But when it comes to children who are overweight or obese, 32.8 per cent of Indigenous children are in this category compared to 25.6 per cent for children overall in this age group.

“More than 70 per cent of children aged 9 – 13 years consume too much sugar compared to 47.8 per cent of adults.

“Is Australian society dooming its children too shorter, less healthy lives by failing to take the steps now that we need to take to encourage more physical activity and discourage unhealthy food and drink consumption?

“The picture portrayed in the Health Tracker data compiled by the Australian Health Policy Collaboration highlights the need for a systemic national approach to focus on common risk factors, tackling health inequities and disparities.

“Both medical leader, Dr Mukesh Haikerwal, and financial guru Alan Kohler, told the National Press Club launch of the new report today that stronger preventive health measures would save our society billions in reducing illness and early death and avoidable hospital costs.  As Mr Kohler said, “sugar in my view needs to be more expensive” to reflect its cost to health care.

“Currently Australia dedicates only 1.5 per cent of its health expenditure to prevention which could help reduce the widespread incidence of chronic disease that afflicts one in every two Australians.  What is needed now would not bankrupt the budget. But it would represent a healthy investment in Australia’s future,” Ms Wells said.

“We need to rethink prevention and take a longer-term view about where we should be investing in health.”

 

 

 

NACCHO Aboriginal Health and #Alcohol : New review explores the harmful effects of alcohol use in the Aboriginal and Torres Strait Islander context

 ” The review highlights that alcohol use among Aboriginal and Torres Strait Islander people needs to be understood within the social and historical context of colonisation, dispossession of land and culture, and economic exclusion.

While Aboriginal and Torres Strait Islander people are around 1.3 times more likely to abstain from alcohol than non-Indigenous people, those who do drink alcohol are more likely to experience health-related harms than their non-Indigenous counterparts.

 Furthermore, the evidence presented in this review suggests that effective strategies to address the problem of harmful alcohol use include: alternative activities, brief interventions, treatment and ongoing care; taxation and price controls and other restrictions on availability; and community patrols and sobering up shelters “

The Australian Indigenous Alcohol and Other Drugs Knowledge Centre (Knowledge Centre) has published a new Review of the harmful use of alcohol among Aboriginal and Torres Strait Islander people.

Read over 188 NACCHO Aboriginal Health and Alcohol Articles published over the past 5 years

https://nacchocommunique.com/category/alcohol-and-other-drugs/

The review explores the harmful effects of alcohol use in the Aboriginal and Torres Strait Islander context examining: patterns of use; health impacts; underlying causal factors; policies and interventions to address these impacts; and ways to further reduce harm.

View in Full Here

This review will help to inform, support and educate those working in Aboriginal and Torres Strait Islander health in Australia.

Ah 99

Key facts

The Australian context

  • Harmful use of alcohol is a problem for the Australian community as a whole. It is estimated that in 2011, alcohol caused 5.1% of the total burden of disease in Australia.
  • The social cost of all drug use in Australia in 2004–05 was estimated at $55.2 billion ($79.9 billion in 2016 dollars), with alcohol alone contributing 27.3%, and alcohol combined with illicit drugs adding a further 1.9%.

Extent of alcohol use among Aboriginal and Torres Strait Islander people

  • Alcohol use among Aboriginal and Torres Strait Islander people needs to be understood within the social and historical context of colonisation, dispossession of land and culture, and economic exclusion.
  • Aboriginal and Torres Strait Islander people are about 1.3 times more likely to abstain from alcohol than non-Indigenous people.
  • Aboriginal and Torres Strait Islander people are at least 1.2 and 1.3 times more likely to consume alcohol at levels that pose risks to their health over their lifetimes and on single drinking occasions than non-Indigenous people.
  • Aboriginal and Torres Strait Islander men are more than twice as likely as Aboriginal and Torres Strait Islander women to consume alcohol at risky levels.

Health impacts of alcohol use among Aboriginal and Torres Strait Islander people

  • Excessive alcohol consumption poses a range of health risks – both on single drinking occasions and over a person’s lifetime, including alcoholic liver disease, behavioural disorders, assault, suicide and transport accidents.
  • In NSW, Qld, WA, SA and the NT from 2010–2014 Aboriginal and Torres Strait Islander males and females died from conditions solely caused by alcohol more frequently than non-Indigenous males and females (4.7 and 6.1 times respectively).
  • The overall rate of suicide among Aboriginal and Torres Strait Islander people in 2015 was 2.1 times higher than among non-Indigenous people. For the period 2011–2015, 40% of male suicides and 30% of female suicides were attributable to alcohol use.
  • There is strong qualitative evidence linking alcohol and other drug (AOD) use and poor mental health among Aboriginal and Torres Strait Islander people.
  • Age standardised rates of hospitalisation for Aboriginal and Torres Strait Islander people in the years 2012–13, 2013–14 and 2014-15 were 2.7, 2.3 and 2.4 times those of non-Indigenous people.
  • In 2011, alcohol accounted for an estimated 8.3% of the overall burden of disease among Aboriginal and Torres Strait Islander Australians; a rate 2.3 times higher than among non-Indigenous people.
  • In addition to harms to health, high levels of alcohol use can contribute to a range of social harms, including child neglect and abuse, interpersonal violence, homicide, and other crimes.

Policies and strategies

  • Initial responses to the concerns about harmful alcohol use among Aboriginal and Torres Strait Islander people in the 1970s were driven not by governments but by Aboriginal and Torres Strait Islander people themselves who recognised that non-Indigenous mainstream responses were non-existent or largely culturally inappropriate.
  • The level of harm caused by alcohol in any community is a function of complex inter-relationships between the availability of alcohol, and levels of individual wellbeing and social conditions that either protect against or predispose people or groups to harmful levels of consumption.
  • As well as addressing the consequences of harmful levels of alcohol consumption, policies and intervention strategies must also address the underlying causal relationships. In the case of Aboriginal and Torres Strait Islander people this means addressing social inequality.
  • As part of the current Australian Government’s Indigenous advancement strategy (IAS), a number of programs are in place that aim to address social inequality and the broad social determinants of harmful alcohol use.
  • Government policy documents most directly relevant to the minimisation of alcohol-related harm among Aboriginal and Torres Strait Islander people are the National drug strategy 2017–2026 (NDS) and the National Aboriginal and Torres Strait Islander peoples’ drug strategy 2014–2019 (NATSIPDS).
  • The National drug strategy 2017–2026 provides a tripartite approach to reducing the demand for and supply of alcohol, and the immediate harms its causes.
  • There is a strong evidence base for the effectiveness of a range of interventions including: alternative activities, brief interventions, treatment and ongoing care; taxation and price controls and other restrictions on availability; and community patrols and sobering-up shelters.
  • Government programs to address Aboriginal and Torres Islander inequality have been in place since the 1970s – what is now the National Drug Strategy was introduced in 1985. While there have been some improvements, as evidenced by various Government reports, progress has been slow and while there have been increases in funding these have not been sufficient to meet need.
  • There is evidence that – provided with adequate resourcing – the culturally safe services provided by community-controlled organisations result in better outcomes. Aboriginal and Torres Strait Islander people should be key players in the design and implementation of interventions to address harmful alcohol use in their own communities, with capacity building within Aboriginal community-controlled organisations a central focus.
  • The way forward is for Australian Governments to honour the commitments made in the NATSIPDS to work with Aboriginal and Torres Strait Islander people and to resource interventions on the basis of need.

HealthInfoNet Director, Professor Neil Drew says ‘The latest review, written by Professor Dennis Gray and colleagues from the National Drug Research Institute (NDRI) in Western Australia, is a vital new addition to our suite of knowledge exchange resources.

It makes the large body of evidence available in a succinct, evidence-based summary prepared by world renowned experts.

This delivers considerable time savings to a time poor workforce striving to keep up to date in a world where the sheer weight of new information can often seem overwhelming.

I am delighted to release this important new resource to support the Aboriginal and Torres Strait Islander alcohol and other drug (AOD) sector.’

The review highlights that alcohol use among Aboriginal and Torres Strait Islander people needs to be understood within the social and historical context of colonisation, dispossession of land and culture, and economic exclusion.

While Aboriginal and Torres Strait Islander people are around 1.3 times more likely to abstain from alcohol than non-Indigenous people, those who do drink alcohol are more likely to experience health-related harms than their non-Indigenous counterparts.

Furthermore, the evidence presented in this review suggests that effective strategies to address the problem of harmful alcohol use include: alternative activities, brief interventions, treatment and ongoing care; taxation and price controls and other restrictions on availability; and community patrols and sobering up shelters.

http://aodknowledgecentre.net.au/aodkc/alcohol/reviews/alcohol-review

This review will help to inform, support and educate those working in Aboriginal and Torres Strait Islander health in Australia.

 

NACCHO Aboriginal Children’s Health :Boosting early learning for Indigenous children

Nov 15

“There’s no doubt there’s a high level of adversity in remote communities,”

There are multiple risk factors for children, including parental wellbeing, alcohol and drug use, mental health issues, poverty and overcrowding.

Cumulatively these all contribute to the poorer social-emotional, health and economic outcomes experienced by far too many Aboriginal people.

There is an opportunity to lay down neural pathways in that critical period under three, when we see the most prolific brain development.

It’s a real opportunity not just to promote optimal development, but also to ameliorate some of the risks disadvantaged children face.”

Early childhood learning is one obvious area for investment but governments need evidence says Dr Anita D’Aprano from the University of Melbourne’s Graduate School of Education.

Originally Published HERE   By Catriona May, University of Melbourne

NACCHO has published over 270 articles Aboriginal Children’s Health in the past 5 years

And yet, despite overwhelming evidence of the benefits of early childhood education and intervention, some Indigenous children have missed out on the developmental tools used routinely with the rest of the population.

Spotting the gap

Dr D’Aprano, a paediatrician who works with children with developmental difficulties, first noticed the disparity while on sabbatical in the Northern Territory.

The ASQ-TRAK tool is empowering for parents, who report feeling proud of their children’s achievements. Picture: NT Department of Education

“The standard screening tool used predominantly by child health nurses to pick up developmental difficulties in young children was not being used for Aboriginal children living in remote settings,” she says.

One of the developmental screening tools commonly used in Australia is the Age and Stage Questionnaire (ASQ-3).

It helps understand how children under five are developing their communication skills, gross motor skills, fine motor skills, ability to interact socially and how they problem solve.

It is designed to detect developmental difficulties before they present at school, so children who need extra support receive it as early as possible.

“The available developmental screening tools were deemed inappropriate for Aboriginal children in remote communities – but nothing was being used in their place. So there was no formal way of identifying children in those communities who needed extra support,” says Dr D’Aprano.

Motivated to change the situation, Dr D’Aprano resigned from her job in Melbourne and signed on for a PhD at the Menzies School of Health Research in Darwin.

The result is the ASQ-TRAK – a culturally adapted version of the mainstream questionnaire, modified for Aboriginal children living in remote communities.

It is already being used in the Northern Territory and Western Australia and currently being trialled in South Australia.

Modifying the questionnaire

Working initially with two communities in central Australia and North East Arnhem Land, Dr D’Aprano consulted early childhood education specialists, child health practitioners, linguists, cultural experts and Aboriginal leaders to adapt each of the 210 items in the questionnaire.

While the intention of every item remains the same, the adapted questionnaire features very simple English, culturally relevant tasks and illustrations.

The ASQ-TRAK is tailored for Aboriginal people living in remote communities. Picture: Supplied

 

At the 12 month check up, for example, the mainstream questionnaire asks parents if their baby walks beside furniture while holding on with only one hand.

“But a lot of homes in remote communities do not have much furniture,” says Dr D’Aprano. “So we modified the question to ask parents whether their child walks beside chairs or beside people sitting on the ground, holding on with just one hand.”

Other simple modifications included asking families if their child uses a stick to draw in the sand (rather than a crayon), and showing that a threading task could be completed using seeds and string, rather than beads.

The adapted tool has been validated, and feedback from practitioners and parents has been overwhelmingly positive.

“The questionnaire is very practical. It’s not a test, it features everyday activities you would expect a lot of children to be able to do at home. It’s an opportunity for everyone to see the child achieving these skills and parents say they really value being able to see what their child can achieve. They feel proud”

An added benefit, says Dr D’Aprano, is the process empowers parents.

“It’s a way of starting a conversation with parents about how they can promote their own child’s development – rather than it being seen as something separate or only a role for so-called experts.”

Dr D’Aprano went on to collaborate with the Central Australian Aboriginal Congress and the Department of Education in the Northern Territory.

One of the programs now using the ASQ-TRAKthe Northern Territory Department of Education’s Families as First Teachers, an early learning and family support program for remote Aboriginal families, with 38 sites.

“They use the questionnaire as a way to understand each child’s developmental needs, and develop individualised learning plans to address those needs.”

Making the case for more investment

“There’s no doubt there’s a high level of adversity in remote communities,” says Dr D’Aprano.

“There are multiple risk factors for children, including parental wellbeing, alcohol and drug use, mental health issues, poverty and overcrowding.

“Cumulatively these all contribute to the poorer social-emotional, health and economic outcomes experienced by far too many Aboriginal people.”

Early childhood learning is one obvious area for investment, says Dr D’Aprano, but governments need evidence.

Her next step is to develop a culturally appropriate standardised tool that measures the effectiveness of early childhood development programs – both for individual children and programs as a whole.

“We haven’t had a culturally appropriate way of looking at outcomes from programs like Families as First Teachers, but we really need to invest in this area.

“When the health dollar has to be spread so thin we have an obligation to make the case for investment in early education, particularly for those children who need it the most.”

Nov 15

NACCHO Aboriginal Health #researchtranslation17 @NHMRC and @KenWyattMP announce $12 Million Investment Aiming to #ClosetheGap in #Indigenous Health

‘We hope it can improve the health of Aboriginal babies,’

Darwin mother Dianne Walker (pictured above )   entered her newborn daughter Rekeesha into the study 29 years ago to track her development, and is happy the project is getting more funding.

Hear ABC interview HERE

http://www.abc.net.au/radio/sydney/programs/pm/aboriginal-health-research/9139838

Menzies will also continue the nation’s longest cohort study of Aboriginal health which examines almost 700 children to identify disease risk factors.

“These nine important projects aim to improve and save lives and will provide more opportunities for health breakthroughs,

From diet improvement to vitamin supplements and antibiotics, this broad range of critical work will continue to increase our clinical knowledge.

I congratulate the Menzies School of Research for its work over more than 30 years, with health services and community partners, on people-focused projects to make a real difference on the ground.”

Indigenous Health Minister Ken Wyatt AM said medical research was critical to closing the gap on Indigenous life expectancy.

Indigenous Affairs Minister Nigel Scullion and Indigenous Health Minister Ken Wyatt AM last Friday  announced the National Health and Medical Research Council (NHMRC) funding for researchers at Darwin’s Menzies School of Medical Research, covering Indigenous-specific and broader health projects

The Turnbull Government will fund nine landmark Northern Territory medical research projects worth over $12 million, aiming to save children’s lives and help close the gap in Indigenous health.

“This research’s focus on child health and chronic disease will help address significant challenges in Aboriginal and Torres Strait communities,” Minister Scullion said.

“This demonstrates how the Coalition Government works closely with important Territory institutions like Menzies School of Medical Research to deliver better outcomes for Territorians.

“The funding includes major support for Menzies to undertake a trial of maternal immunisation to prevent pneumonia in infants and to continue a 30-year ground-breaking cohort study of 689 Aboriginal children born to mothers at the Royal Darwin Hospital.”

The grants continue the Turnbull Government’s commitment to world-leading medical research, with the NHMRC tasked with expending at least 5 per cent of its funding to Aboriginal and Torres Strait Islander Health research.

“Through NHMRC, the government is also developing Road Map 3 A Strategic Framework for Improving Aboriginal and Torres Strait Islander Health through Research,” Minister Wyatt said.

“This guide will communicate our objectives and investment in Aboriginal and Torres Strait Islander health research for the next decade.”

Menzies School of Health Research funding:

CIA NAME TITLE
BUDGET
Prof Anne Chang Preventing early-onset pneumonia in Indigenous infants through maternal immunisation: a multi-centre randomised controlled trial

 

$3,210,617.60
Dr Michael Binks Vitamin D supplementation to prevent respiratory infections among Indigenous children in the Northern Territory: a randomised controlled trial.

 

$3,164,378.55
A/Pr Gurmeet Singh Early life and contemporary influences on body composition, mental health, and chronic disease risk markers in the Aboriginal Birth Cohort

 

$3,117,044.30
Prof Anne Chang Prophylactic antibiotics to prevent recurrent lower respiratory tract infections in children with neurological impairment (PARROT) study

 

$1,193,515.70
A/Pr Julie Brimblecombe Healthy Stores 2020: Reducing retail merchandising of discretionary food and beverages in remote Indigenous community stores

 

$903,135.10
Dr Anna Wood Diabetes and cardiovascular risk among Indigenous women after pregnancy complicated by hyperglycaemia.

 

$126,437.00
Dr Simon Smith A prospective study of the aetiology, associations, clinical features and outcomes of community-acquired pneumonia in children and adults in tropical Australia

 

$126,437.00
Ms Jemima Beissbarth Vaccine and antibiotic selective pressures on the microbiology of otitis media in Aboriginal and Torres Strait Islander children in northern Australia

 

$87,302.00
Ms Christina Spargo 2017 Equipment Grant
$84,491.50

NACCHO Aboriginal Health @KidneyHealth : Download @MenziesResearch Indigenous Australians travelling 1000 kilometres for kidney dialysis: report

 

 

” Remote Aboriginal Australians with kidney disease have demanded equitable access to life-saving treatment closer to home to prevent the removal of people from their traditional homelands.

In a new Menzies School of Health Research report, patients and carers from across northern and central Australia called on state, territory and federal government health ministers to overhaul the system to provide more holistic care.”

Download Report Here

Menzies IPV_REPORT_FINAL_09112017

Report lead author Dr Jaquelyne Hughes says the current model meets medical needs, but missed the mark in helping indigenous people feel connected to their country, families and culture.

“We heard, overwhelmingly, of how people felt lonely, distressed and isolated following relocation to access treatment,” Dr Hughes said.

Some patients reported homelessness and desperation because of this disconnect, describing having to stay in the long grass when Darwin hostels are booked out.

A Torres Strait Islander said many sick people are forced to travel up to 1000 kilometres to Cairns and Townsville to receive dialysis.

“And they cry, their tears are running, because they want to go back home, they miss their families, they miss the lifestyle of the islands, because they are islanders,” the patient said.

Many noted the disease can fracture communities as elders become ill and are relocated together with their relatives, who miss out on cultural obligations and suffer disruptions to education and employment.

“We want them (the elders) to stay in communities. They are the old people; they have to hold country and family together for us,” one patient said.

“Families living in Darwin (for dialysis) are missing out on ceremonies, funerals and other important stuff,” another person said.

Dr Hughes said the only type of care available to most indigenous renal failure sufferers was designed by and for people in cities at the expense of those in the bush.

MENZIES Press Release

Indigenous people with kidney disease living in remote and rural Australia as well as their support networks have made a resounding call for equitable health care closer to home in a report released today by Menzies School of Health Research (Menzies).

In the ‘Indigenous Patient Voices: Gathering Perspectives, Finding Solutions for Chronic and End-Stage Kidney Disease’ 2017 symposium report, renal patients and carers from across northern and central Australia highlighted the need for more holistic care and services to be made available closer to home.

Report lead author Dr Jaquelyne Hughes said current health care systems met medical care needs, but missed the mark in helping Indigenous people feel connected to their country, communities and culture while they received treatment.

“We heard, overwhelmingly, of how people felt lonely, distressed and isolated following relocation to access treatment,” Dr Hughes said.

“Some patients reported homelessness and desperation because of this disconnect. They are not rejecting the desire to live well; they are rejecting the only model of care available to them.

“The care available to kidney patients was designed by and for people who live close to cities. This automatically excludes people who live further away and in the bush.”

The report follows the Indigenous Patient Voices Symposium held during September in Darwin in conjunction with the 53rd Annual Scientific Meeting of the Australia and New Zealand Society of Nephrology (ANZSN).

Dr Hughes is one of many health practitioners urging the Australian state, territory and federal government health ministers to respond to this call to action.

“Consumer engagement is a national priority of Australian health services, and the symposium showed many Aboriginal and Torres Strait Islander people are willing to provide feedback to support the necessary health care transformation,” she said.

“We’ve highlighted the patient-reported barriers to accessing quality services for chronic and end-stage kidney disease, how and where services are delivered, how information is communicated and developing pathways and career opportunities for Indigenous Australians within the renal health care workforce.”

The report is available via the Menzies website at http://bit.ly/2znSx7d.

The Indigenous Patients’ Voices Symposium was supported by Kidney Health Australia, Astellas Pharma Australia and Novartis Pharmaceuticals Australia.