As Australia finds its way out of the COVID-19 pandemic, the lessons learned about our health systems must not be lost. The Australian Government must use next week’s Federal Budget to commit to measures that ensure our health systems are resilient and effective now and beyond COVID-19. “We know areas of our health system are failing Australians, and we cannot continue the business as usual approach to funding,” AMA President, Dr Omar Khorshid, said today.
“There continues to be unmet need for health services in the community, and the ongoing need for further investment in our health care system to ensure services are accessible and affordable for patients is only going to increase.” The AMA has identified key areas that need immediate funding commitments in the upcoming Budget – permanent telehealth; public hospitals; aged care; general practice; private health insurance; and Indigenous health. Dr Khorshid continued, “The COVID-19 pandemic revealed how crucial our front line health workers and health services are, and how vital it is for them to be properly resourced and supported.”
Dr Simon Quilty has specialist skills in a range of fields so he can treat patients with complex conditions. Photo: Stephanie Zillman. Image source ABC News.
Your Health 2030 project
What would need to happen for all Australians to enjoy good health by 2030?
A team of public health experts across the country have put together a project answering this question, in collaboration with VicHealth, and they have published the results in a supplement in the Medical Journal of Australia.
Ray Lovett, Aboriginal epidemiologist at ANU and director of the Mayi Kuwayu Study of Aboriginal and Torres Strait Islander Wellbeing spoke with Hilary Harper on ABC Radio National Life Matters about how culture is key in the health and wellbeing of Aboriginal and Torres Strait Islander people.
The Australian Government Department of Health has released a COVID-19 vaccination – Fact sheet – Side effects of COVID-19 vaccines (Aboriginal and Torres Strait Islander peoples). This easy-to-read fact sheet outlines the side effects of COVID-19 vaccines and what to do if you feel them.
Globally, an estimated 23 million miscarriages occur every year. Despite the personal toll involved, many miscarriages are managed in relative isolation. Private grief and misconceptions can lead to women and their partners feeling at fault or managing alone.
Similarly, in the health-care system and broader society, the continuing conviction that miscarriages are unavoidable and the requirement, enshrined in many national guidelines, that women must have recurrent miscarriages before they are eligible for investigation or intervention has created a pervasive attitude of acceptance of miscarriage, urging women to “just try again”.
For too long miscarriage has been minimised and often dismissed. The lack of medical progress should be shocking. Instead, there is a pervasive acceptance. Not all miscarriages could be avoided, but the insidious implication that miscarriage, like other women’s reproductive health issues, including menstrual pain and menopause, should be managed with minimal medical intervention is ideological, not evidence based. Miscarriage should be a major focus for the medical research community, for service providers, and for policy makers. The era of telling women to “just try again” is over.
The early closure of the Voluntary Dental Graduate Year Program and the Oral Health Therapy Graduate Year Program by the Australian Government adversely impacted NSW Aboriginal Community Controlled Health Organisations (ACCHOs). This led to the co-design of a small-scale oral health therapy graduate year program for ACCHOs known as the Dalang Project. This project has enabled oral health therapists to engage with local Aboriginal communities and implement culturally competent, practical and evidence-based oral health promotion activities.
For an overview of the Dalang Project and its evaluation click here.
Image source: The Conversation.
New 715 Health Check resources
A range of community resources, including flyers, posters, animation, podcasts, social tiles, video stories, templates and more have been developed to support organisation promoting 715 Health Checks.
Amnesty International Australia and Balunu Healing Foundation have called on the NT government to give kids a chance at breaking the cycle of disadvantage and crime by diverting them into culturally appropriate programs that address the underlying intergenerational trauma which too often leads to crime, instead of condemning them to the quicksand of the youth justice system.
Amendments to the youth justice act due to be debated this week in Parliament will prevent kids from accessing Indigenous-led diversion programs which are highly effective in addressing recidivism. The NT’s own statistics show that more than 70% of children who complete a diversion program do not reoffend within 12 months of completion.
To view Amnesty International Australia’s media release in full click here.
Children in the Don Dale juvenile detention centre in Darwin. Photo: Helen Davidson. Image source: The Guardian.
World Hand Hygiene Day 2021
ThemSAVE LIVES: Clean Your Hands global campaign was launched in 2009 and is celebrated annually on 5 May (World Hand Hygiene Day). The campaign aims to maintain global promotion, visibility and sustainability of hand hygiene in health care and to ‘bring people together’ in support of hand hygiene improvement around the world.
For World Hand Hygiene Day 2021, WHO calls on health care workers and facilities to achieve effective hand hygiene action at the point of care. The point of care refers to the place where three elements come together: the patient, the health care worker, and care or treatment involving contact with the patient or their surroundings.
Yesterday proud Yorta Yorta woman Dr Summer May Finlay, Public Health Association of Australia Vice President for Aboriginal and Torres Strait islander Health Lecturer at the University of Wollongong spoke with Dr Norman Swan on the ABC Radio National On Health Report about the importance of Aboriginal Community Controlled Health Organisations (ACCHOs) being run by and for Aboriginal people. Dr Finlay said this element was often missing in mainstream health settings with policy being developed at the Primary Health Network, state or commonwealth level by non-Aboriginal people who don’t know Aboriginal and Torres Strait Islander communities or culture.
Dr Finlay said “what we actually need is Aboriginal and Torres Strait Islander people leading the way in this space like we’ve got with the Coalition of Peaks around the Closing the Gap framework – the new Closing the Gap Framework has strong Indigenous leadership right at the top, and that needs to be emulated throughout the entire health system if we are to take a true cultural determinants of health approach. We need to make sure ACCHOs and other Aboriginal organisations are appropriately resourced to meet the needs of their communities and also trusted to be able to deliver to their communities, because they know their communities best.”
Image in feature tile sourced from Australian National Audit Office website.
What is our path to health for all?
Yesterday a supplement to the Medical Journal of Australia called Australia in 2030: what is out path to health for all? was released. The authors claim Australia has a ‘once-in-a-lifetime’ opportunity to create a healthy, sustainable, equitable and prosperous future by taking bold action to build back better, fairer and greener following the COVID-19 pandemic.
Dr Finlay who co-authored chapter 2: Aboriginal and Torres Strait Islander connection to culture: building stronger individual and collective wellbeingof Australia in says “Aboriginal and Torres Strait Islander people have long understood the role that culture plays in health and wellbeing. All programs and policies aimed at Aboriginal and Torres Strait Islander people need to take a cultural determinants approach. This can only be done through Aboriginal and Torres Strait Islander leadership.
All organisations funded to deliver services to Aboriginal and Torres Strait Islander people need to be resourced to engage Aboriginal and Torres Strait Islander communities and their representative bodies in the development of the programs and policies. When the cultural determinants of health become core to policy and programs, trauma and racism will likely decline, and we will see a significant shift in the health and wellbeing of Aboriginal and Torres Strait Islander people. Without acknowledgement of the cultural determinants of health, we will probably never see justice or ‘close the gap’.”
Improving cultural safety for Aboriginal and Torres Strait Islander health care users can improve access to, and the quality of health care. This means a health system that respects Indigenous cultural values, strengths and differences, and also addresses racism and inequity.
The Australian Institute of Health and Welfare (AIHW) has released a two page summary of the key findings of the Cultural safety in health care for Indigenous Australians: monitoring framework (the Framework). The Framework aims to measure progress in achieving cultural safety in the Australian health system. For this purpose, cultural safety is defined with reference to the experiences of Indigenous health care user, of the care they are given, their ability to access services and to raise concerns.
Image source: General Practice Training Queensland website.
High rates of preventable hospitalisations
The Australian Commission on Safety and Quality in Health Care’s recently published Fourth Atlas of Healthcare Variation has raised questions about the equity and quality of our health system with significant differences in the services provided across geographic and socio-economic areas. The report found a high rate of potentially preventable hospitalisations among people living in remote and socioeconomically disadvantaged areas, and among Aboriginal and Torres Strait Islander peoples. These high rates occurred in all five conditions examined in the Atlas: chronic obstructive pulmonary disease (COPD), kidney infections and urinary tract infections, cellulitis, heart failure, and diabetes complications.
The Commission’s Acting Chief Medical Officer Professor Anne Duggan said many of these hospitalisations could be prevented by the implementation of evidence-based care plans that ensure earlier intervention, better disease management and better coordination of care.
Targeted early years support essential
The national peak body for Aboriginal and Torres Strait Islander children, SNAICC (the Secretariat of National Aboriginal and Islander Child Care), has welcomed the Australian Government’s recent announcement to increase investment in early childhood education and care. Early years services are critical to improving outcomes for children before they start school and set them on a journey for success throughout their lives. The promise of increased subsidies for families with two or more children in childcare will help to make early education more affordable and accessible for many families.
The Australian Medical Association (AMA) and the Australian Nurses and Midwifery Federation have joined forces to call for the fast tracking of one of the key recommendations from the royal commission into aged care, and that is the provision of around the clock nursing care. The Federal Budget next week is expected to contain an extra $10 billion for aged care, over a four-year period. But that’s far short of the sector’s call for an extra $20 billion a year. Dr Omar Khorshid, President of the AMA spoke to Fran Kelly on RN Breakfast earlier today about wanting the Government to put in place legislation that would enforce ratios of registered nurses at aged care facilities.
Dr Khorshid said “it’ll change everything about how our nursing homes operate. I think most Australians would be very surprised to hear that you don’t necessarily need to have a nurse present in a nursing home, looking after the needs of significant numbers of elderly Australians with significant health needs. We saw so many terrible examples during the royal commission of where care was unable to be provided due to the lack of staff. Now, the only way to ensure that the facilities with Australians with high needs do have enough nurses is to mandate ratios of staff to nurses, including the highest trained nurses in that sector which are the registered nurses. And we are calling on Government to make a commitment in the budget to make that a reality as soon as possible for elderly Australians in nursing homes.”
Image source: Industry Skills Advisory Council NT website.
Push back against NT youth bail crackdown
Indigenous members of the NT Labor Party have urged their own government to reconsider proposed changes to youth bail laws, telling Chief Minister Michael Gunner his team is stoking “racist community attitudes” by using tough-on-crime rhetoric. Labor last month flagged what it described as “tougher than ever” consequences for alleged offending, in the face of continued pressure over property crime and a fresh push by the Country Liberal Party opposition to wind back changes made after the youth detention royal commission.
The government’s changes have been backed by NT Police and the police union, but condemned by the youth detention royal commissioners, human rights organisations and Aboriginal legal and health services. In a letter obtained by the ABC and addressed to the Chief Minister, the Indigenous Labor Network of the NT calls for a stop on what it says are “regressive changes” that would disproportionately affect Aboriginal young people. The letter says the government’s plans contradict royal commission recommendations as well as parts of Labor’s own draft Aboriginal Justice Agreement, which is aimed at reducing reoffending and the imprisonment rate of Indigenous Territorians.
Indigenous Labor Network chairperson Thomas Mayor wants the Labor Party to reconsider the proposed youth bail changes. Photo: Mitchell Woolnough. Image source ABC News website.
International Day of the Midwife
International Day of the Midwife is celebrated each year on 5 May. This is a chance for midwives to celebrate their profession and for all of us to recognise their work and contribution to maternal and newborn health. Midwives put women and the family at the centre of care and at the heart of every decision, empowering them to be genuine partners in their care and improving their care experience. The significance and importance of providing women, their partners and families with compassionate care cannot be underestimated.
The Fred Hollows Foundation, ANTaR National, the Royal Australian and New Zealand College of Ophthalmologists (RANZCO), the Diversity Council Australia (DCA) and Australia’s first Aboriginal ophthalmologist Associate Professor Kris Rallah-Bakerare are together calling for the government to commit to a referendum on a constitutionally enshrined First Nations Voice to Parliament (the Voice) once the model for the Voice has been settled. The call comes after The Foundation, ANTaR, RANZCO and DCA made submissions to the Australian Government’s Indigenous Voice co-design process.
The Fred Hollows Foundation CEO Ian Wishart said “Fred Hollows believed ‘inequity diminishes us all’ and this couldn’t be more glaring than when it comes to Aboriginal and Torres Strait Islander Peoples. More than 50 years after being granted the right to vote, Australia’s First Nations still do not have a constitutionally enshrined Voice to Parliament which would give them a say in laws and policies that affect them. A Voice to Parliament designed by Aboriginal and Torres Strait Islander Peoples is a vital step towards social justice reform. A constitutionally enshrined Voice would ensure First Nations Peoples will always be able to provide frank and fearless advice to the government.”
Image source: UNSW Sydney Newsroom. The image in the feature tile is from the SBS NITV News website.
Prevention key to health crisis
The AMA has made a submission in response to the Department of Health’s draft National Preventive Health Strategy, welcoming many parts of the draft strategy while also calling for strengthening specific measures targeting social determinants of health. The National Preventive Health Strategy, due to be finalised mid-year, forms part of the third pillar for mental health and preventive health as outlined in Australia’s Long Term National Health Plan.
Currently only 1.7% of the health budget is invested in preventive health. The AMA supports the draft Strategy’s proposal to increase that to 5% of health funding by 2030. “The AMA welcomes the draft Strategy as a leading example of collaborative, evidence-based policy work and is pleased to be involved in genuine engagement with the Government during its development,” AMA President Dr Omar Khorshid said.
“We know a person’s health is shaped by social, economic, cultural and environmental conditions in which they live. Prevention is key. Investing just 1.7% of the health budget in preventive measures is woefully inadequate and far below the example set by similar countries in the OECD. The AMA’s submission calls on the Government to implement a tax on sugar-sweetened beverages and a volumetric tax on alcohol to source revenue for increased funding, rather than taking from other areas of the already-stretched health budget.”
It was “very, very scary” being pregnant at 16 years old for Mackapilly Sebasio. The Torres Strait Islander Erubian woman felt she would be judged if she went to her local hospital. “It’s really hard to ask for help or get that support you need, when you’re with a [non-Indigenous] different organisation,” Mackapilly says. “You feel you’re being judged, or you’re not speaking proper. But when you’re around other Indigenous mothers and people that understand how you feel, it just makes you feel a lot better.”
It was thanks to the Birthing in Our Community program, which provides Indigenous-led birthing programs and support services for women who are pregnant with an Aboriginal or Torres Strait Islander baby, that “changed everything” for Mackapilly.
Mackapilly Sebasio with her three children, Seini, Melanie-Ann and Sunni. Image source: ABC News website.
Childhood immunisation rates break records
Australian parents continue to show their confidence in vaccinations, with record rates of childhood immunisations in the first quarter of 2021. For the fourth consecutive quarter, the coverage rate for five year olds has increased to a historic 95.22%. This surpasses the national aspiration of 95%, and gives Australia the herd immunity needed to stop the spread of vaccine-preventable diseases.
It is also well above the estimated World Health Organization international average immunisation coverage rate of 86% for five year olds, making Australia a world leading vaccination nation. The highest coverage ratecontinues to be Aboriginal and Torres Strait Islander children at five years of age – an impressive 97.26%. The vaccination rate for two year old Aboriginal and Torres Strait Islander children increased to 91.73%t, while for one year olds it was 93.7%.
Queensland Health’s Chief Nurse and Midwifery Officer, Adjunct Professor Shelley Nowlan, has taken on a new role as Deputy National Rural (NRH) Health Commissioner, which will see her play a key role in the Federal Government’s agenda to increase access to rural health services and address rural workforce shortages.
Federal Rural Health Minister, Mark Coulton, and NRH Commissioner Professor Ruth Stewart welcomed the engagement of Professor Nowlan, as a second NRH commissioner. “By engaging two Deputy Commissioners to provide expert advice on allied health, nursing, and Indigenous health disciplines and making the National Rural Health Commissioner a permanent office, we are ensuring rural challenges receive the attention and the expertise they deserve.
The Select Committee on the effectiveness of the Australian Government’s Northern Australia agenda, Final Report, tabled 28 April 2021 has recommended:
investment in an Aboriginal and Torres Strait Islander health workforce to continue development strategies, including in innovative community roles and in leadership positions.
continued expansion of Aboriginal Community Controlled Health Service models of community governance.
Ms Marion Scrymgour, CEO, Northern Land Council, emphasised that development in Northern Australia ‘cannot be successful unless it properly acknowledges Aboriginal rights and interests, engages fully with Aboriginal people as partners rather than just another stakeholder’. Ms Scrymgour stated that Aboriginal people must be placed ‘at the centre of the policy framework in regional and remote areas’.
To view the final report of the Select Committee on the effectiveness of the Australian Government’s Northern Australia agenda click here.
Image source: Austrade.
Is it really the end for Dan Murphy’s?
After a five-year saga involving court challenges and political twists, the Woolworths has abandoned its plan to set up its first Dan Murphy’s store in Darwin. Woolworths is now in the process of a demerger with Endeavour Drinks Group, the company that oversees the Dan Murphy’s portfolio.
While Woolworths says it won’t pursue a large-scale liquor outlet at the same location, it’s CEO Brad Banducci, says there’s no guarantee its subsidiary won’t propose an alternative Darwin site, if and when it becomes an independent entity, “As to whether there’s a future Dan Murphy’s in Darwin, that would be up to the Endeavour Group.”
Helen Fejo-Firth was fiercely opposed to the Dan Murphy’s proposal. Photo: Emilia Terszon. Image source: ABC News website.
Lung Health Awareness Month
Since 1990, Lung Foundation Australia (LFA) has beenpromoting lung health and early diagnosis, advocating for policy change and research investment, raising awareness about the symptoms and prevalence of lung disease and championing equitable access to treatment and care.
May is Lung Health Awareness Month. With 1 in 3 Australians affected by lung disease, LFA is asking the community to start taking their lung health seriously and know the early signs and symptoms. Early diagnosis is critical and the LFA wants you to encourage your community to take two minutes to complete its new Lung Health Checklist.
In its latest submission to the National Preventive Health Taskforce in response to the Draft National Preventive Health Strategy, The Healing Foundation is recommending that the impacts of intergenerational trauma be recognised and addressed across all parts of the health system. It is one of six key recommendations that underpin The Healing Foundation’s view that strategies that support those impacted by intergenerational trauma – conservatively, a third of Aboriginal and Torres Strait Islander peoples – can inform all strategies for First Nations peoples and lead to better outcomes for all. The Healing Foundation CEO Fiona Cornforth said that the continuing impact of trauma requires genuine steps to be undertaken to address trauma as an underlying cause of poor health.
To view The Healing Foundation’s media release click here.
Image source: AbSec website. Image in the feature tile is from The Conversation.
NDIS IBSF grant applications close SOON
Attention NACCHO members! NDIS Ready Indigenous Business Support Funding (IBSF) grant applications are CLOSING SOON!
IBSF offers funding to eligible ACCHOs to help address:
basic establishment costs, and/or
business and technical challenges in registering and delivering services under the NDIS
Grants of $20,000are available for up to 100 member ACCHOs.
ACCHOs have been contacted via email with information about the grants and how to apply. Applications close on Friday 14 May 2021.
Please contact the NDIS Ready team firstname.lastname@example.org if you have any questions.
More GPs in rural areas
Increasing numbers of doctors are training to become GPs in regional, rural and remote areas, which will deliver significant benefits to patients and communities in the bush. The Australian Government’s 2021 Australian General Practice Training (AGPT) Program selection process has seen the largest number of acceptances – 1,434 doctors – in several years, more than 100 additional doctors than last year’s intake. Of these, the Australian College of Rural and Remote Medicine is allocated 150 training places, and the Royal Australian College of General Practitioners (RACGP) is allocated 1,350. Federal Regional Health Minister, Mark Coulton said almost 700 of these doctors will undertake their training in regional, rural and remote locations across the country.
A unique national GP training program that enables doctors to gain their specialist qualification in General Practice – while living and working as a doctor in a First Nations, rural or remote community – has assisted the recruitment of an additional much-needed doctor for St George in Queensland.
Additional funding is enabling a key element of the program to be expanded to recruit more doctors to communities with significant medical workforce shortages. Funded by the Australian Government, Remote Vocational Training Scheme (RVTS) delivers General Practice and Rural Generalist training for medical practitioners in First Nations, rural and remote communities throughout Australia.
Today paediatricians, clinicians, lawyers and human rights experts have joined forces to condemn the NT Government’s plans to introduce some of the most punitive youth justice laws in the country and to re-open parts of Don Dale that were shut down after the Royal Commission. The NT Government’s proposal to make it harder for children to get bail, reduce access to diversion and impose electronic monitoring on young people prior to conviction has been condemned by medical and legal experts as dangerous and ineffective. The changes actively take a significant step back, bringing the Northern Territory back to the pre-Royal Commission days. John Paterson, CEO of Aboriginal Medical Services Alliance NT: “Continuing to detain children in Don Dale, a decommissioned adult prison that the Royal Commission recommended be shut, is a disgrace. It is inhumane, expensive and ineffective.”
To view the North Australian Aboriginal Justice Agency (NAAJA) , Change The Record, AMSANT and Danila Dilba Health Service joint media release click here.
Image source: ABC News.
CATSINaM focus on racism in healthcare
As Aboriginal and Torres Strait Islander nurses and midwives gathered on Kaurna country in Adelaide this week, the focus was firmly on the importance of addressing racism in healthcare. It was the third event in the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) national conference series.
Gamilaroi man Dr Chris Bourke, Strategic Programs Director of the Australian Healthcare and Hospitals Association, presented the work he led (together with Professor Adrian Marrie), auditing SA’s Local Health Networks for institutional racism. This important work, done on behalf of the Health Performance Council, demonstrated high levels of institutional racism across South Australian state health services. Nine out of ten local health networks showed very high levels of institutional racism based on publicly available information.
A new release from the Australian Institute of Health and Welfare: The Cultural safety in health care for Indigenous Australians:monitoring framework brings together available data to assess progress in achieving cultural safety in the health system for Indigenous Australians. The framework includes measures on culturally respectful health care services; Indigenous patient experience of health care; and access to health care services. The data are presented at the national, state and regional levels.
In Australia, violence perpetrated by an intimate partner is the cause of more illness, disability and death than any other factor for women aged 25–44 (AIHW, Family, domestic and sexual violence in Australia, 2018). Domestic and Family Violence Prevention Month is an annual event held each May to raise community awareness of the social and personal impacts of domestic and family violence and the support available to those affected. The key aims of the month are to:
raise community awareness of domestic and family violence and its impacts;
promote a clear message of no tolerance of domestic and family violence in Queensland communities;
ensure those who are experiencing domestic and family violence know how to access help and support;
encourage people who use abuse and/or violence to take responsibility for their abusive behaviour and seek support to change.
For more information about Domestic and Family Violence Prevention Month click here.
One third of Australian women who give birth report their experience as traumatic, whether through physical injury or psychological effects. But many women suffer in silence. A recent SBS Insight episode, Giving Birth Better, explored the impacts of birth trauma and what can be done to ensure better outcomes for women and their families.
This episode of SBS Insight features Melanie Briggs, a descendant of the Dharawal and Gumbaynggirr people, and a senior midwife at Waminda, a women’s health and welfare service on the NSW South Coast on Yuin Country. In June 2020 Melanie became the first endorsed Aboriginal midwife in NSW and only the second in Australia.
Melanie provides antenatal care in a community setting and explained the importance of continuity of care in reducing stillbirth, premature birth, the requirement to be induced or have a caesarean section. Melanie also explained how intergenerational trauma can play out for Aboriginal and Torres Strait Islander women in their reluctance to access mainstream services due to racism and fear their children will be removed. To view the SBS Insight Giving Birth Better episode click here.
Image in the feature tile from Wiyanga: A Guide for Mothers and Families.
Midwife Melanie Briggs holds newborn Talekai during a special cultural ceremony. Photo: Naomi Locke Photography. Image source: ABC News.
The National Rural Health Alliance (NRHA) has released a new podcast for rural health called Build ‘Em Up. The podcast showcases upbeat rural health stories from communities and towns around Australia. The monthly podcast raises the voice of great people building the health and wellbeing of local communities. Telling positive stories is part of journey of creating a level playing field where people in rural and remote Australia can access affordable, quality health care.
Episode 1 is an interview with Torres Strait Islander, Elsie Seriat. Elsie grew up on Thursday Island and returned home after an incredible journey that saw her run the New York Marathon in 2014. Elsie achieved this incredible success only six months after joining up with Rob de Castella’s Indigenous Marathon Foundation. Since completing several marathons and being awarded an OAM, Elsie continues to inspire her family, friends, community and people around Australia to get moving. To hear these great stories head to the Build ‘Em Up podcast here.
Sexual Health Conference abstracts DUE
The Joint Australasian HIV&AIDS and Sexual Health Conferences will be hosted in a virtual format between 6 to 9 September 2021.
There are multiple prizes available for those who submit abstracts to the conferences.
But you need to be QUICK, the abstract submission deadline is this Sunday 2 May 2021. To submit an abstract click here.
Mornington Island health & welfare crisis
The Mayor of Mornington Shire Council is calling for an independent audit of health and welfare services delivered to Mornington Island as he seeks urgent help to address a health and social welfare crisis affecting his community. Mayor Kyle Yanner met with Minister for Aboriginal and Torres Strait Islander Partnerships Craig Crawford to ask for help to address high rates of chronic disease, death, poverty and crime being experienced by his community. He said the State Government was taking his calls for an independent audit seriously with Minister Crawford agreeing to strongly advocate on council’s behalf.
Current data for the Shire shows that 40% of the 634 First Nation patients of the island’s major health provider, Gidgee Health, are suffering from chronic disease, with many suffering from two or more serious health issues including diabetes, heart disease, mental health and renal impairment. The death rate for Mornington Shire was 40% higher than the average for Queensland in 2019, with residents dying younger than non-indigenous Queenslanders. “It is my responsibility to ensure that health and welfare services delivered to my community on Mornington Island are working successfully. When they are not, things must change,” Cr Yanner said.
To view the full The North West Star article click here.
Arial photo of the main township of Mornington Island. Image source: ABC News website. Mornington Shire Mayor Kyle Yanner. Image source: Mornington Shire Council website.
NT cancer treatment accessibility
A recent study, Accessibility of cancer treatment services for Indigenous Australians in the Northern Territory: perspectives of patients and care providers has looked at the reasons for the poorer cancer outcomes of Indigenous Australians in Australia’s NT compared with their non-Indigenous counterparts. The study found accessibility of health care is a multidimensional construct, including physical, logistical, psychosocial and cultural dimensions and concluded that while previous research has identified specific areas of reduced access to CTS for Indigenous Australians, the higher burden of cancer borne by Indigenous Australians warrants a more comprehensive understanding of access to CTS in the NT. The purpose of the study was to explore and map the accessibility of CTS for Indigenous Australians in the NT and to identify key access barriers.
Alcohol is the most common drug of concern for clients of publicly funded specialist alcohol and other drug treatment services, according to a new report by the Australian Institute of Health and Welfare (AIHW). The report, Alcohol and other drug treatment services in Australia 2018–19, provides information on just under 220,000 closed treatment episodes provided to an estimated 137,000 clients of publicly funded specialist alcohol and other drug treatment services.
‘Alcohol was the principal drug of concern in 36% of treatment episodes. It was the main or an additional drug of concern in 48% of cases,’ said AIHW spokesperson Dr. Gabrielle Phillips. ‘In one-third (33%) of treatment episodes where alcohol was the principal drug of concern, the client also reported other drugs of concern—most commonly cannabis or nicotine.’ While alcohol remains the number one drug for which Australians seek help, specialist treatment for amphetamine use has grown over the past decade.
To view the AIHW AOD treatment services in Australia: key findings webpage click here.
AMA is urging all Australians to get their seasonal flu vaccination now, with general practices across the country having recently received stock ahead of the upcoming flu season. “Winter is coming, and influenza remains a very serious illness, particularly for the vulnerable members of our community,” AMA President Dr Omar Khorshid said.
“Thousands of Australians are admitted to hospitals with influenza complications each year. Last year we saw record flu vaccinations, which was fantastic. We need to do the same again this year. The message is simple: get your flu vaccine now.
“There were significant social distancing measures in place last year that not only helped keep COVID-19 at bay, they also meant that cases of influenza were down significantly from previous years. Influenza has not gone away and with life now largely returning to normal, we mustn’t become complacent.”
Image source: Australian Government Department of Health.
WA Young Person of the Year, AHCWA employee
A Nollamara resident’s dedication to strengthen young people’s connections to Aboriginal culture has been recognised. Whadjuk Noongar man Derek Nannup, 23, was named WA’s Young Person of the Year at the 2021 WA Youth Awards last week.
Mr Nannup is working in sexual health education at the Aboriginal Health Council of WA and is on the Mirrabooka Police District Youth Advisory Group and the Youth Educating Peers Reference Group. He also worked as a support worker for children in care at Wungening Aboriginal Corporation and was the Indigenous Cultural Program Coordinator at Wesley College.
Mr Nannup also established the Boorloo Indigenous Youth Yarning Circles, a space for young people to practice traditional healing, discuss culture and community issues. The Nollamara resident said the award was not just about him but a recognition for his people and the Noongar community. “I’m really honoured to have been acknowledged as WA Young Person of the Year … that means a lot,” he said. “A lot of the mob have said ‘you’ve got leadership quality’ but all I’m really doing is listening to my Elders, doing and practicing my responsibility and obligations as a Whadjuk Noongar. It shows how far we’ve come together, we’re still a long way to go but hopeful.”
To read the full article in the Stirling Times click here.
Derek Nannup, 23, WA’s Young Person of the Year. Image source: Stirling Times.
Healthy ageing study for older Aboriginal people
Are you an NSW-based service that works with older Aboriginal people?
Would your service like to be part of research that shows how important community programs are for older Aboriginal people?
The Ironbark Project is a healthy ageing study for older Aboriginal people (45 years+). NSW-based services that work with groups of older Aboriginal people are invited to be part of this study involving Aboriginal-led community programs that improve social and emotional wellbeing, strength, mobility and independence, and prevent falls. Funding and training are provided to run the weekly community program with Elders.
Join an online information session 11 AM – 12 PM Monday 26 April 2021 to find out how you can be involved in the Ironbark Project.
Minister for Indigenous Essential Services Chansey Paech said a $28 million Territory Labor Government investment will help to shore up water security in Aboriginal communities across the NT. Tailored projects in ten remote communities will improve water quality and supply infrastructure, prioritising areas of critical need. The funding, $7 million per year for four years, will support initiatives to manage immediate problems and a long-term plan to tackle complex water supply issues. These include new bores, network upgrades, improved water disinfection systems, and the installation of meters to monitor and reduce water usage. The identified projects, tailored to address community-specific issues, will begin in Laramba, Engawala, Yuendumu, Epenarra, Imanpa, Atitjere, Warruwi and Numbulwar in the first year of the program; with works in Angurugu and Beswick to follow.
Priority Reform One of the National Agreement on Closing the Gap is about building and strengthening structures to ensure the full involvement of Aboriginal and Torres Strait Islander people with governments on Closing the Gap at every level.
We want to see new formal partnerships established across the country at state and territory and regional levels between Aboriginal and Torres Strait Islander representatives and governments on closing the gap which reflect elements consistent with the Partnership Agreement.
Where there are existing partnerships, we want them strengthened to ensure that representatives of Aboriginal and Torres Strait Islander people are chosen by those communities and are properly supported to share decision making about closing the gap in their locations.
You can view a new video animation for Priority Reform One here.
Mental health care – like hunting for unicorns
Numerous inquiries have analysed the barriers of cost and access to receiving mental health care, but these problems persist. This is particularly the case for people who experience the ‘missing middle’ – their case is too complex for a GP but not severe enough for hospital admission. One reader told Guardian Australia: ‘Finding a good psychologist or psychiatrist who bulk-bills and has appointments available is like hunting for unicorns while blindfolded.’
To view The Guardian article ‘Like hunting for unicorns’: Australians on the search for adequate, affordable mental healthcareclick here.
Image source: VentureBeat website.
SA – Adelaide – Flinders University
PhD scholarship x 1 (3 years) – Adelaide
Flinders University is seeking an outstanding candidate for a PhD scholarship for an Australian Research Council Project entitled: Contemporary lessons from a history of Aboriginal, women’s and generalist community health services in Australia 1970-2020. This exciting project is a partnership between Flinders University, the University of Sydney, La Trobe University, the National Aboriginal Community Controlled Health Organisation (NACCHO), The Sydney Local Health District, Paul Laris and Associates and Tony McBride and Associates.
Any area of study relevant to the project will be considered, including one with a focus on the emergence of Aboriginal Community-Controlled health organisations as part of the broader community health movement. Aboriginal and Torres Strait Islander candidates are strongly encouraged to apply for this aspect of the project.
For further details about the position, including how to apply click here.
Food, most effective weapon against chronic disease
Dietitians Australia have released a response to the Draft National Preventive Health Strategy (NPHS). Dietitians Australia strongly agree with the visions of the draft NPHS: ‘To improve the health of all Australians at all stages of life, through early intervention, better information, targeting risk factors, and addressing the broader causes of poor health and wellbeing’ saying it is essential that all life stages are included and determinates of health outside an individual’s control are acknowledged and addressed.
The Dietitians Australia response specifically mentions the need for:
improved cultural safety across the Australian health system to improve access to appropriate and responsive health care for Aboriginal and Torres Strait Islander peoples and the prioritisation of care through ACCHOs
health and health care information to be tailored and translated for all Australians, including Aboriginal and Torres Strait Islander communities and people with disability
prioritisation of partnership research and interventions in specific population groups, including Aboriginal and Torres Strait Islander people
reviews of the Australian Dietary Guidelines, including Dietary Guidelines for Older Australians and the Aboriginal and Torres Strait Islander Guide to Healthy Eating
To view the Dietitians Australia response click here.
Image source: NPY Women’s Council website.
Burn victims from the bush face financial stress
Living away from community and country, Aboriginal families of children with severe burns also face critical financial stress to cover the associated costs of health care and treatment, a new study shows. A recent study by Flinders researchers Dr Courtney Ryder and Associate Professor Tamara Mackean found feelings of crisis were common in Aboriginal families with children suffering severe burns, with one family reporting skipping meals and others selling assets to reduce costs while in hospital.
The economic hardship was found to be worse in families who live in rural areas—some households traveling more than five hours for treatment, creating undue financial strain. Participants of the study included families from SA, NSW and QLD who are already part of the larger-Australia-wide Coolamon study on burns injuries in Aboriginal and Torres Strait Islander children.
Image source: The George Institute for Global Health.
Funding boost for Australian Cancer Plan
The Minister for Health and Aged Care, Greg Hunt, said the Australian Government is investing an additional $6.7 million to support and improve outcomes for all Australians affected by cancer. In 2020, an estimated 150,000 new cases of cancer were diagnosed in Australia, with around 50,000 Australians tragically passing away. As part of this investment; $4.7 million to support strengthening supportive and primary cancer care and genomic cancer clinical trials in Australia; national leadership in Aboriginal and Torres Strait Islander cancer control, and the development of an Optimal Care Pathway for Neuroendocrine Tumours (NETs). $2 million to investigate children’s brain cancer, breast cancer, melanoma and lymphoma, and other important areas of cancer research through Cancer Australia’s Priority-driven Collaborative Cancer Research Scheme (PdCCRS).
Minister Hunt said “While Australia is a world leader in cancer control and we have made great strides in improving cancer mortality and survival rates, cancer still has significant impacts on individuals, families, communities and the health system. We must continue to take action to address the multifaceted challenge of tackling cancer and in particular the disparities in outcomes among cancer types and many population groups including Aboriginal and Torres Strait Islander peoples.”
Intimate partner violence affect’s children’s health
Childhood should be a happy and carefree time, but often it doesn’t work out that way. Children are exposed to all the stresses and strains that affect the families and communities in which they grow up. Recent research shows this can have lifelong implications for health with children exposed to intimate partner violence by age 10 being 2–3 times more likely to have a psychiatric diagnosis and/or emotional and behavioural difficulties and also 2–3 times more likely to have impaired language skills, sleep problems, elevated blood pressure and asthma.
Studies consistently show there are many barriers women have to overcome, including shame, fear of judgement, and cost and availability of health care and other support services in regional communities. For women whose first language isn’t English, and Aboriginal women, there are extra cultural, language and systems-level barriers. Systems-level barriers include the persistence of cultural stereotypes, limited availability of language services, and experiences of discrimination when seeking care and support.
To view The Conversation article in full click here.
Image source: Giving Compass website.
Remote PHC Manuals project update
The Remote Primary Health Care Manuals are currently being reviewed and updated. Monthly updates are being provided to keep health services and other organisations up-to-date during the review process. You can find the April 2021 update here.
KAMS Suicide Prevention Plan consultations
The SEWB Team at KAMS, on behalf of the WA Mental Health Commission, would like to invite you to attend a consultation on the development of a regional suicide prevention plan for Aboriginal people in the Kimberley for the period of 2021–2025.
The Western Australian Suicide Prevention Framework 2021-2025 recommends the development of a WA Aboriginal Suicide Prevention Strategy, informed by dedicated regional plans prioritising culturally secure approaches to social and emotional wellbeing and suicide prevention.
A draft of the Kimberley Aboriginal Suicide Prevention Regional Plan 2021–2025 will undergo face to face consultations to ensure it is responsive to, and respectful of, the needs of Aboriginal people in the Kimberley region.
To view the consultation dates and community visits click here.
Image source: The University of WA.
Call for abstracts – Aboriginal & Torres Strait Islander health conference
The University of Melbourne, Department of Rural Health are pleased to advise that abstract submissions for their 6th Annual Aboriginal and Torres Strait Islander Health Conference are now open that address our conference theme ‘Aboriginal and Torres Strait Islander Health and Wellbeing’.
The Aboriginal and Torres Strait Islander Health Conference is an opportunity for sharing information and connecting people that are committed to reforming the practice and research of Aboriginal and Torres Strait Islander health and celebrates Aboriginal knowledge systems and strength-based approaches to improving the health outcomes of Aboriginal communities.
This is an opportunity to present evidence-based approaches, Aboriginal methods and models of practice, Aboriginal perspectives and contribution to health or community led solutions, underpinned by cultural theories to Aboriginal and Torres Strait Islander health and wellbeing.
For further information and details of how to submit an abstract click here.
NSW – Sydney – Sydney Morning Herald
Indigenous Affairs Journalist x 1 FT (Identified) – Sydney
The Sydney Morning Herald (SMH) is looking to hire an Indigenous journalist who will be responsible for putting Indigenous voices at the centre of the publication’s coverage of Indigenous issues influencing and impacting our world today.
The SMH looking to build upon the success of the project, which launched last year and resulted in:
More than 60 pieces of independent journalism featuring across The Sydney Morning Herald, The Age, Brisbane Times and WA Today;
Stunning longform feature pieces in our flagship magazine Good Weekend;
Hugely popular five-episode podcast series, Relieving History;
Overall digital content achieving almost 1.5 million page views.
The audience response and engagement highlights just how valuable this content is to our readers, who want The Sydney Morning Herald and The Age to be covering Indigenous Affairs regularly and engage with the issues affecting our First Nations people. The role, based in Sydney, will focus on coverage of and commentary on Indigenous issues including news, features and multimedia projects.
To view the job description and to express interest in this position click here.
Image source: Agenda 360.
Patient Experience Week 2021
Patient Experience Week(April 26-30) is a nationally recognized week designed to celebrate all those who provide excellent patient experience at all levels of an organisation.
Patient Experience Week is an initiative of the Beryl Institute inspired by members of the Institute community. The week provides a focused time for organisations to celebrate accomplishments, re-energise efforts and honour the people who impact patient experience every day. From nurses and physicians, to support staff and executive professionals, to patients, families and communities served, the Institute hopes to bring together healthcare organisations across the globe to observe Patient Experience Week.
Today marks the 30th anniversary of the of the Report of the Royal Commission into Aboriginal Deaths in Custody(RCIADIC) and numerous stakeholder organisations have released statements condemning the continued failure of governments to implement all of the report’s recommendations.
The Partnership for Justice in Health (P4JH) said it stands in solidarity with the grieving families and communities of loved ones who have died in custody due to a failure of governments to effectively implement the clear and comprehensive recommendations outlined in the RCIADIC report. The P4JH said all levels of government must reflect on the loss and grief that could have been prevented had they acted on the recommendations as a matter of priority in 1991 and in the years since. “We are sending our strength to those families and friends whose grief and trauma is compounded by that continued failure of Australian governments to act with resolve and commitment,” said the P4JH co-chairs Dr Janine Mohamed, CEO of the Lowitja Institute and Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP). To view P4JH’s media release click here.
Indigenous Allied Health Australia(IAHA) released a statement acknowledging the deep loss and grief of families and friends whose loved ones have passed away while in custody, both before and since the RCIADIC report. IAHA said ‘we are at our best when we go beyond empathy and act to reduce the causes of that grief and loss. We must do that now.’ IAHA called for the full implementation of the RCIADIC report’s recommendations. To view the IAHA’s media release click here.The Australian Indigenous Doctors’ Association (AIDA) said that ‘Aboriginal deaths in custody continue to occur to this day – and the over-representation of our people in custody – is a national travesty. This is an abject failure of Australian governments. Aboriginal and Torres Strait Islander people suffer unacceptably high levels of physical illness, mental illness and suicide. There is ample evidence that grief, stress and trauma make us sick and incidents such as ongoing deaths and over-representation – further add to the burden of health and disadvantage. Racism and unconscious bias – institutional, systemic and individual – is an unacceptable fact of life for Aboriginal and Torres Strait Islander people. Culturally safe services can support service providers to confront and understand cultural difference and deliver effective and safe services to our people.’ AIDA called on all governments to accept, and to address racism and unconscious biases that are embedded in police, prison, legal and health systems. To view AIDA’s media release click here.The National Native Title Council(NNTC) similarly said that three decades on from the RCIADIC report the rate of Indigenous incarceration and deaths in custody continues to be one of our country’s greatest shames. The NNTC referred to research from The Guardian that found Indigenous peoples who died in custody were “more likely to not have been charged with any crime” and were “three times more likely to not receive all required medical care, when compared to non-Indigenous people”. The Royal Commission made 339 recommendations, of which more than one hundred have not been implemented. To view the NNTC’s media release click here.
Change the Record says it is a national shame that in the three decades since the RCIADIC report, state, territory and Commonwealth governments have failed to implement the majority of the report’s recommendations – and as a result ‘our people are still dying at horrendous rates.’ To view the Change the Record’s media release click here.
Human Rights Watch agreed that the Australian government’s continued failure to address Indigenous deaths in custody tarnishes the country’s rights record and global standing. To view the Human Rights Watch article click here.
Oxfam Australia Chief Executive Lyn Morgain said: “Today is a historic and shameful day for our nation. Thirty years ago, the landmark report of the RCIADIC revealed the full extent of the danger that our justice system presents to First Peoples, and laid out the path we needed to take to make things right. Thirty years on, and things are much worse – with incarceration rates of Aboriginal and Torres Strait Islander people more than doubling in relative terms. Our leaders have been missing in action on this issue. They have failed to implement many of the report’s 334 recommendations, and they have failed to show care and compassion for First Peoples by changing an unfair and unjust system.” To view Oxfam Australia’s media release click here.
Thirty years ago Robert Tickner AO, the Aboriginal Affairs Minister in the Hawke government, presented the RCIADIC report to the national Parliament. Now as the Chair of the Justice Reform Initiative he said “It is to our great shame that 30 years later, we have progressed so little. We cannot wait another 30 years for real change.” The report made 339 recommendations, including that imprisonment should only occur as a last resort. This recommendation was adopted by all Australian Governments including by every State and Territory Government from all political persuasions. This support was given on the back of incontestable evidence that jailing was failing Aboriginal people. To view the media release click here.
Cairns ACCHO gives students a strong start
Commencing on 22 April, six students in Year 11 from Bentley Park College and Trinity Bay State High School, will start a school-based traineeship at Wuchopperen Health Service (Wuchopperen) to kickstart their health career with 100% Indigenous owned and operated Group Training Organisation, Australian Training Works Group (ATW), leading the recruitment drive.
The Aboriginal and Torres Strait Islander Traineeship Program, ‘Strong Start’, will give Indigenous youth a head start, achieving a nationally recognised qualification and on the job training while completing year 11 and 12. “By allowing students to gain work skills while completing school, they’re able to work towards a goal, whether that be higher education or transition to work,” says Rachael Ham, Deputy CEO at Wuchopperen. To view the media release in full click here.
L–R: Tony Marten (owner & Managing Director at Australian Training Works), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen).
Health sector’s role in deaths in custody
As Australia marks the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC) the health sector has been urged to reflect on whether it is part of the problem or offering solutions. Associate Professor Megan Williams, Wiradjuri justice health researcher and educator, has identified multiple areas where the sector has failed to address the health needs of prisoners.
Professor Williams says ‘justice is essential for health, for all people in Australia. How we disregard the Royal Commission recommendations is as sick as how we treat First Peoples. $40 million, three years of testimony and evidence about 99 Aboriginal deaths in custody in the 1991 final report and 339 recommendations. But what about deaths since? More than 474. Barely a family have not been affected by Aboriginal deaths in custody, police brutality, poverty or racism. It’s time to make a list of all the government frameworks that overlook, minimise, forget, ignore, exclude, tokenistically mention or silence Aboriginal and Torres Strait Islander people in prison, and all people in prison.’
End Black Deaths In Custody rally in Naarm Melbourne to mark 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody. Photo by Marie McInerney. Image source: Croakey.
Raising criminal responsibility age urged
National Children’s Commissioner, Anne Hollonds and Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO have urged all Australian governments to raise the age of criminal responsibility as a matter of priority. A report commissioned by a meeting of Attorneys-General in July last year recommended that all jurisdictions raise the age and ensure younger teenagers are not held in detention. Recent reports have suggested that Australian Attorneys-General are considering raising the age from 10 to 12. The UN Committee on the Rights of the Child recommends raising the age of criminal responsibility to 14-years-old as a minimum. As we mark 30 years since the Royal Commission into Aboriginal Deaths in Custody handed down its report, it’s important to acknowledge that Indigenous children account for 58% of young people being held on remand and 48% of young people in sentenced detention.
To view the Australian Human Rights Commission media release in full click here.
Image: Chris Devers, Flickr. Image source: newmatilda.com.
Mega prison raises fears for prisoner health
Governments often hail the economic benefits that new or expanded prisons bring to regional communities. But what are their health and social impacts? These issues are investigated as part of Croakey’s new Rural Health Justice series. In the feature article launching the series, journalist Linda Doherty explores how Australia’s newest mega jail, the Clarence Correctional Centre (CCC), near Grafton, NSW is affecting the health and wellbeing of prisoners, their families and the local community.
Around 60% of the 155 women prisoners in CCC have dependent children and one-third are Aboriginal women, according to SHINE for Kids which advocates for the human rights of children with a parent in prison, transports children to jail visits, runs evidence-based parenting, cultural and education courses in 27 jails in NSW, Queensland, Victoria, ACT and WA, and funds tutors for primary school children.
Like many of the 339 recommendations of the 1991 Royal Commission into Aboriginal Deaths in Custody that have been ignored by governments, recommendation 168 resonates for the parents in the new CCC facility. It says: “…where possible, an Aboriginal prisoner should be placed in an institution as close as possible to the place of residence of his or her family.”
One of the Storytime books created by parents in prison for their children. Image source: SHINE for Kids.
Increasing vaccine take-up in remote NT
In East Arnhem Land, the Miwatj Health Aboriginal Corporation said only 129 of about 5,600 eligible people had received the AstraZeneca vaccine since the rollout began in the region at the start of April. Chief executive Eddie Mulholland told the ABC he expected that number to be higher, but people were now becoming even more reluctant because people are hearing reports of rare blood clotting among recipients of the AstraZeneca vaccine.
The NT’s peak Aboriginal health service is working on a plan to improve the take-up of COVID-19 vaccines after reports of growing reluctance in remote areas. A spokeswoman for the Aboriginal Medical Services Alliance NT said details will be released early next week.
All adults in remote communities are eligible for vaccination under phase 1b of the rollout. Photo supplied by: Miwatj Health Aboriginal Corporation. Image source: ABC News website.
COVID-19 radio ads in language
The Australian Government Department of Health has produced a collection of translations of the radio ad, ‘Living the new normal’, in Aboriginal and Torres Strait Islander languages. To access the collection click here.
Health system needs to learn from patient experience
The health system in Australia would benefit significantly by paying more attention to the lessons learned from patient experience, the Consumers Health Forum (CHF) says. This is a key message from the latest edition of the Health Voices ejournal which covers the recent Shifting Gears Australasian summit conference of the CHF.
“The value of learning from experience was given fresh power at the inaugural Australasian summit last month,” the CEO of CHF, Leanne Wells, said. “As the conference heard more than once, health consumers, particularly those with chronic conditions are more likely to have deeper knowledge of their overall care than any one health professional dealing with a single aspect of their care. There is much to learn, including from such community-centred programs as the National Aboriginal Community Controlled Health Organisation success in countering COVID-19.”
To view the Consumes Health Forum of Australia media release click here.
Important Update from CMO to COVID-19 Vaccine Delivery Partners
Dear Australian COVID-19 Vaccine Delivery Partner
By now you will be aware of advice provided by the Australian Technical Advisory Group on Immunisation (ATAGI) in light of the evolving evidence of a rare but serious side effect involving thrombosis with thrombocytopenia following receipt of the AstraZeneca vaccine.
This ‘thrombosis with thrombocytopenia syndrome’ (TTS) is a newly described serious condition, with unusual blood clots in the brain (cerebral venous sinus thrombosis) or in other parts of the body, associated with low platelet levels and can cause serious long term disability or death.
The evidence that connects TTS to receipt of the AstraZeneca vaccine has been reviewed by ATAGI and the Therapeutic Goods Administration (TGA) and subsequently, ATAGI has recommended new changes to the Australian COVID-19 Vaccine Program including a preference for the use of the Comirnaty (Pfizer) vaccine in adults aged under 50 years.
The ATAGI statement (found here) provides further information on the key considerations that went into formulating this advice. Amongst these were the following:
TTS remains an extremely rare event among vaccine recipients. Experience in Europe has shown approximately 4 – 6 people in every one million people develop TTS in the 4-20 days after the first dose of vaccine. However higher rates have been reported in some countries, and among younger people. One person in Australia developed the syndrome after receiving the AstraZeneca vaccine.
While Australia currently has very low or no community transmission of COVID-19, this could change. The risk of serious disease and death in Australia remains, even as border controls and other measures continue.
The individual benefit-to-risk balance of vaccination with COVID-19 vaccine AstraZeneca in Australia varies with age. The risk of ongoing health issues and death from COVID-19 is highest in older age groups, particularly rising from 50 years of age. By comparison, the rate, and so possibility of disability and death from TTS may be higher in younger people.
Please note that ATAGI has further recommended that:
The AstraZeneca vaccine should only be used in adults aged under 50 where the benefits clearly outweigh the risk for that individual and the person has made an informed decision based on an understanding of the risks and benefits.
People who have had the first dose of COVID-19 Vaccine AstraZeneca without any serious adverse effects can be given the second dose, including adults under 50 years.
The Australian Government places safety above all else, as it has done throughout the pandemic, and will continue to follow the medical advice in protecting Australians. On this basis, the Government has accepted ATAGI’s recommendations and will move swiftly to ensure Australia’s vaccination program and advice to patients is adjusted accordingly, as per the TGA’s and Department of Health Secretary and Chief Medical Officerstatements.
In the short term, and in line with ATAGI’s recommendations, you may want to contact any patients under 50 who are currently booked to receive their first dose of the AstraZeneca COVID-19 vaccine and cancel in cases where the benefit clearly does not outweigh the risk.
As per the previous ATAGI statement on 2 April (found here), please remain alert for warning signs of TTS in those who have received the AstraZeneca COVID-19 vaccine. So far these have included as either central venous sinus thrombosis (CVST) or thrombosis in other sites, such as intra-abdominal venous systems. These presentations have occurred between 4 and 20 days following receipt of the AstraZeneca COVID-19 vaccine. CVST may present as a new onset persistent headache not settling with analgesia, features of raised intracranial pressure (including acute severe headache, vomiting, confusion), focal neurological deficits, and/or seizures. Thrombosis in the intra-abdominal venous system may present as abdominal pain.
I appreciate that this change in direction is sudden, and may cause additional stress and difficulty over the next period. It is also likely to contribute to an increase in vaccine hesitancy amongst your patients. GPs are key to managing this risk in their roles as trusted advisors, and we expect that you will be called upon to assist your patients to make an informed decision based on their individual circumstances. I suggest you reiterate to your patients:
the risk of developing this side-effect following receipt of the AstraZeneca vaccine is extremely rare;
the new age-based recommendations are made out of an abundance of caution and the benefits of the COVID-19 AstraZeneca vaccination outweigh the risks for the vast majority of people; and
that if you have received your first dose of the vaccine with no major adverse reaction, you are strongly encouraged to receive the second dose as planned.
The Department is further developing and refining resources for informed consent that clearly convey the benefits and risks of vaccination for both providers and consumers, and we will continue to provide you with advice and patient resources in coming days and will be sent directly to you. The attached script has also been developed to assist your practice to respond to patients who may call with questions about the AstraZeneca vaccine. Please continue to check www.health.gov.aufor the most up to date information.
ATAGI and the TGA will continue to review the evidence on a regular basis, and as with everything during this pandemic, it is possible that there may be further changes to this advice as new evidence emerges or the epidemiological situation changes. The Department will be working with states and territories to determine how those under the age of 50 in phase 1 can access the Pfizer (Cominarty) vaccine in a timely fashion. We will keep you updated with this process as it continues, and will come back in coming days with further resources and information.
I want to take this opportunity to again thank you for your flexibility, commitment and resilience during the pandemic.
The Department of Health acknowledges the Traditional Custodians of Australia and their continued connection to land, sea and community. We pay our respects to all Elders past and present.
Ministerial Media Release: AstraZeneca COVID-19 Vaccine
The Australian Government received advice from the vaccine expert taskforce, the Australian Technical Advisory Group on Immunisation (ATAGI). The Government accepts the advice from Australia’s medical experts and will move swiftly to ensure Australia’s vaccination program and advice to patients is adjusted accordingly.
The Australian Government places safety above all else, as it has done throughout the pandemic, and will continue to follow the medical advice in protecting Australians. The ATAGI advice is clear that the AstraZeneca COVID-19 vaccine is highly effective in preventing severe disease caused by COVID-19. The medical advice to the Government is that the risk of blood clotting side effects from the Astra Zeneca vaccine is four to six in one million people, in the first four to 20 days post the vaccine. This is a rare but serious side effect.
The South West Aboriginal Medical Service (SWAMS) has been recognised for its outstanding work in the public health sector at the 2021 WA Rural Health Awards. The organisation’s Kaart Darabiny ‘What are you thinking?’ Mental Health Team was successful in the Building Healthy Country Communities category at the awards, which were held last month. The program is designed to support young people at risk and using culture to promote a holistic view on wellness as well as working with clients who have experienced trauma.
Seven doctors from the South West, more than ever before, were also recognised at the ceremony for 40 years of service to rural health. Mary Collins, Ronald Jewel, Michael Peterkin, Frederik Pretorius, Phil Reid, David Robinson and Allan Walley all received recognition and were thanked for their service by Rural Health West chief executive Tim Shackleton. “We are extremely pleased to shine a light on the work undertaken by these outstanding health professionals and sincerely thank them on behalf of their patients and the rural communities they serve,” he said.
SWAMS’ Kaart Darabiny Mental Health Team. Image source: South Western Times.
Call for radical mental health system reform
The Australian Association of Social Workers’ (AASW) submission to the House of Representatives Select Committee inquiry into Mental Health and Suicide Prevention has called for government to seize the opportunity to build a more cohesive system of mental health support that will radically reform Australia’s mental health system. AASW CEO, Cindy Smith, said the AASW’s extensive submission draws on decades of experience of its members working with some of the most vulnerable and marginalised people in our society and this submission and its recommendations for improvements to the mental health system are consistent with previous submissions. “Social workers have been talking about the failings of the mental health system for decades and here we are in 2021, still beset by long waiting lists to access publicly funded services, inadequate rebate amounts under Better Access, and a shortage of mental health professionals across the country.”
To view the AASW media release in full click here.
Artwork by Matt Davidson. Image source: The Sydney Morning Herald.
Rural and Remote health COVID-19 roundtable
Regional Health Minister, Mark Coulton MP, chaired the 12th special rural and remote health COVID-19 roundtable with members of the Rural Health Stakeholder group on 18 February 2021. A summary of the proceedings and decisions can be found here.
Image source: AJP.com.au.
Health professional kidney disease webinar
Kidney Health Australia are hosting a Health Professional Webinar discussing chronic kidney disease in Aboriginal and Torres Strait Islander Peoples. The webinar will be presented by Associate Professor Mark Thomas at 7:00 PM Tuesday 20 April 2021.
Registration is essential. You can register hereor via the link in this flyer.
Add your voice to family violence consultation
The Australian Government has opened public consultation on the next National Plan to reduce family, domestic and sexual violence in Australia. All Australians can add their views and voices to the consultation via an online questionnaire, available on the Engage website. Women who have experienced violence, family safety advocates, service providers and other stakeholders will also be invited to take part in a two-day National Women’s Safety Summit to be held on 29 and 30 July 2021. The Summit was agreed as part of the establishment of the Taskforce on Women’s Safety in December last year.
Wingara Mura Leadership Program Academic Fellow Carmen Parter has written a PhD thesis with the title Decolonising public health policies: Rightfully giving effect to Aboriginal and Torres Strait Islander peoples’ knowledges and cultures of ways of being, knowing and doing in public health policies.
In her thesis Carmen argues that ‘for the knowledges held by Indigenous people to be recognised and valued, the dominant western non-Indigenous culture must accept that Indigenous people’s cultural knowledges of ways of being, knowing and doing are relevant to policy production.’ Carmen goes on to say in her concluding remarks ‘As policy makers and all levels of government embark on a new National Closing the Gap Agreement (Australian Government, 2020), a continued and trusting co-design approach that is a genuine partnership with Aboriginal and Torres Strait Islander people and communities is paramount. A systems perspective is warranted to address the ingrained and invisible colonialist, imperialist and racialized paradigms – the native assumptions – that have dominated the Indigenous affairs and Indigenous public health policy environment for the last 31 years.’
COVID-19 an opportunity to build a better healthcare sector
The opportunities of the COVID-19 pandemic continue to represent an opportunity for Australia to do better in supporting the health of all, according to the Australian College of Nursing (ACN). Speaking on World Health Day, ACN Chief Executive Officer, Adjunct Professor Kylie Ward FACN, said that the World Health Organisation (WHO)’s annual report should be seen as an opportunity by governments to build a better health care sector as the world rolls out the COVID-19 vaccine.
“Many of the issues identified by the WHO are issues that we face not only in Australia, but in our Pacific region where we have a role to both lead and support local health systems,” Adjunct Professor Ward said. “We must use the pandemic as an opportunity to continue to support people most impacted by global inequality in health care, not just to aim to return to the previous status quo.”
Adjunct Professor Ward said the Australian Government must use World Health Day to look to support the most vulnerable members of our community, including Aboriginal and Torres Strait Islander peoples, Australians living in rural and remote areas and elderly Australians.
Fully-funded community data use course – BE QUICK!
After the successful launch of its Full-Time Data Analytics (the science of being able to tell an accurate story from a set of data) and Cloud Course, Goanna Education is offering a part-time course that you can fit around your work schedule.
This fully funded program has been developed in conjunction with Data Analysts working in the industry, educators and technical recruiters. This program will teach participants how to identify the right data, make sure that data is fit for analysis, analyse the data and then present it visually in order to better explain the results to other people. The course is designed specifically for Indigenous Australia and it is a requisite that students identify as Aboriginal or Torres Strait Islander to apply.
The part time Data Analytics course starts on Monday 12 April 2021.
It is made up of:
6–7 week self-study blocks with weekly online drop-ins, and
Health Outreach Worker x 1 PT (Fixed Term) – Mooroopna
The Outreach Worker plays a pivotal role in service coordination, advocacy and support for the Aboriginal and Torres Strait Islander community throughout the Integrated Team Care Goulburn Valley Primary Health Network Region. You will be required to provide culturally appropriate coordination of care for patients with complex needs/chronic disease including treatment, early intervention and prevention and associated services in the context of an Aboriginal Health Service.
To view the position description and to apply click here.
Applications close 4:00 PM Tuesday 13 April 2021.
Specialist Aboriginal Family Violence Team Leader (Orange Door) x 1 FT – Shepparton Office
The Aboriginal Family Violence Team Leader is a leadership position co-located in The Orange Door site and will have a significant role to work closely with other Orange Door partners as well as provide supervision to the Aboriginal Family Violence practitioners to lead high quality, culturally safe and effective responses to Aboriginal and Torres Strait Islander people seeking support and safety.
To view position description and to apply click here.
Applications close 4:00 PM Friday 16 April 2021.
Specialist Aboriginal Family Practitioner (Orange Door) x 1 FT – Shepparton Office
The Aboriginal Family Violence Practitioner will provide screening, assessment, triage and short-term response to all incoming referrals through the Orange Door Hub using an Integrated Practice Framework and ensuring the delivery of high quality, culturally safe and effective responses to Aboriginal and Torres Strait Islander people seeking support and safety.
To view position descriptions and to apply click here.
Applications close 4:00 PM Friday 16 April 2021.
Family Partnership Worker x 1 FT (identified) – Mooroopna
Culturally support delivery of The Australian Nurse-Family Partnership Program to clients, alongside the Nurse Home Visitor and Nurse Supervisor. Includes, promotional event planning and coordination, cultural connection and community networking.
To view position description and to apply click here.
Applications close 4:00 PM Tuesday 20 April 2021.
Nurse Home Visitor x 1 FT (fixed term) – Mooroopna
Deliver the Australian Nurse-Family Partnership Program to clients in a home setting, alongside the Family Partnership Worker and Nurse Supervisor. Includes, promotional event planning and coordination, maintaining stakeholder networks, improving pregnancy outcomes, improving child health and development and helping parents develop a vision for their own future.
To view position description and to apply click here.
Applications close 4:00 PM Tuesday 20 April 2021.
Kinship Case Manager x 1 FT – Mooroopna
Work with and support children and young people and carers to meet case contracted kinship targets. The role will work directly within case management and care teams ensuring a shared understanding of key issues related to theoretical frameworks including attachment theory, trauma theory, brain development, ages and stages of development, resilience theory, strength-based approach and the neurobiological development of maltreated children. The minimum qualifications required to be considered for these positions include: Tertiary qualification in Community Services, Social Work, Youth Work or related discipline.
To view position description and to apply click here.
Applications close 4:00 PM Friday 23 April 2021.
Team Leader Kinship Care, Better Futures Home Stretch x 1 FT – Mooroopna
Provide strong leadership to a team of workers, oversee and maintain the responsibility for the Better Futures, Home Stretch Programs, staff operating in this space to ensure young people are transitioning occurs from Kinship Care to Better Futures Home Stretch. Minimum qualifications required to be considered for these positions include: Tertiary qualification in Community Services, Social Work, Youth Work or related discipline.
To view position description and to apply click here.
Applications close 4:00 PM Friday 23 April 2021.
Family Preservation Worker x 1 FT – Mooroopna
To provide intensive support to Aboriginal families in a culturally respectful way and to support parents to maintain care or to resume care of their child/children who are referred to the Family Preservation Program by Child Protection. The Worker is responsible for the provision of all aspects of casework services to families referred to the Rumbalara Family Preservation Program Minimum qualifications required to be considered for these positions include: Diploma of Community Services and Welfare Studies or equivalent is preferred.
To view position description and to apply click here.
Applications close 4:00 PM Friday 23 April 2021.
Assessment Officer x 1 PT (3 days per week) – Shepperton
Undertake in home holistic assessments, for people wanting to access Aged Care and Disability related supports and then match the client or carer’s needs and goals to the most appropriate service. The position requires someone who is experienced with navigating funded supports such as the Home and Community Care Program for Younger People (HACC PYP), Commonwealth Home Support Program (CHSP), the National Disability Insurance Scheme (NDIS); has an understanding of the issues faced by Indigenous and Torres Strait Islander people; and has Tertiary qualifications in Aged Care, Community Services, Case management or equivalent.
To view position description and to apply click here.
Applications close 4:00 PM Friday 23 April 2021.
Support Worker x Casual (flexible as per demand) – Shepperaton
Assist members of the Aboriginal and Torres Strait Islander Community by providing direct support to clients and consumers in the delivery of services for Home and Community Care Program for Younger People (HACC PYP), Commonwealth Home Support Program (CHSP) and the National Disability Insurance Scheme (NDIS) offered by Rumbalara Aged Care and Disability Services. Minimum qualifications required to be considered for this position include: Qualifications in Certificate IV in Aged Care Work or equivalent, or willing to undertake such training.
To view position description and to apply click here.
In the latest episode of the Australian Healthcare and Hospital’s Association (AHHA) podcast, The Health Advocate, AHHA Strategic Programs Director, Dr Chris Bourke, speaks with St Vincent’s Health Network Sydney, Emergency Department Director, Dr Paul Preisz and Aboriginal Health Manager, Scott Daley, to discuss how St Vincent’s Health Network Sydney has improved health outcomes for Aboriginal and Torres Strait Islander patients. While the hospital’s staff knew there was a problem in the Emergency Department with the delivery of care and the outcomes, for Aboriginal and Torres Strait Islander patients, NSW Health data highlighting the unacceptable treatment rates for Aboriginal and Torres Strait Islander patients was the final straw. This promoted a mandate from executives to improve results.
‘St Vincent’s work in improving health outcomes for Aboriginal and Torres Strait Islander patients is a great example of how organisations can transform the delivery of care and offers many lessons for other organisations wanting to follow a similar path,’ said Dr Bourke.
You can view the AHHA press release here and listen to the podcast here.
Aboriginal Health Manager Scott Daley with a patient in St Vincent’s Hospital Emergency Department. Image source: ABC News website.
Wirraka Maya leads way in better patient management
An Aboriginal community health service in WA has produced record results in the use of technology to ensure better connected care for local patients. Senior Medical Officer at Wirraka Maya Health Service in Port Hedland, WA, Dr Yolande Knight said: “We rely on My Health Record to keep us updated on patient pathology, imaging, medication, dispensing and history records. “We find it helpful because a lot of our patients are transient, moving from one region to another, so it can be difficult to get their comprehensive files. We can see what other doctors have requested and performed, overcoming the delays waiting for records requested from other practices and providers.” Australian Digital Health Agency Consumer Advocate, Aboriginal and Torres Strait Islander Champion and Co-Chair of the Agency’s Reconciliation Working Group and national Medicines Safety Program, Steve Renouf, congratulated Wirraka Maya for its commitment to digital health.
The Therapeutic Goods Administration (TGA) is seeking feedbackon proposals to help ensure ongoing, reliable supply of important medicines.
Medicine shortages have been of particular concern during the COVID-19 pandemic and the TGA have been reviewing ways in which they can better assist affected Australian patients and their healthcare providers. Specifically, the TGA is seeking feedback on possible reforms that would:
prioritise the evaluation and registration process for certain important generic prescription medicines, to reduce the risk of shortages
encourage registration of more generic versions of medicines known to be affected by shortages, to mitigate the impact of those shortages
support a more reliable supply of overseas-registered medicines imported into Australia as substitutes when the Australian medicine is in longstanding or repeated shortage.
The consultation will close on Monday 17 May 2021.
Image source: Newsbook website.
Resources for First Peoples with Disability
A range of new accessible, culturally appropriate resources for Aboriginal and Torres Strait Islander people with disability have been released by the peak body First Peoples Disability Network (FPDN).
“Our community urgently needs information about the vaccine, so we have created a poster with culturally relevant information and artwork to let people know about what is happening and why,” said Damian Griffis, CEO of FPDN.
“During the pandemic, Aboriginal and Torres Strait Islander people with disability found it hard to get the right information about what was happening, and it looks like those lessons haven’t been learnt when it comes to the vaccine roll out.”
Little is known about how older Aboriginal adults access and engage with aged care services. A project has been initiated by the Port Augusta Community to address gaps in Aboriginal aged care and research is being conducted for the broader Aboriginal Eyre Peninsula Communities in partnership with the Adelaide Rural Clinical School Aboriginal research unit.
The lead researcher Kym Thomas, from Port Augusta, is an Aboriginal person, providing and ensuring that spirit and integrity are at the forefront of all community and stakeholder engagement and activities. Communities involved in the research include Port Augusta, Port Lincoln, Ceduna and Whyalla. Kym has been supported in his work by Associate Professor Pascale Dettwiller and Emma Richards.
Disadvantaged neighbourhoods can shape adolescent brains
Growing up in a poor or disadvantaged neighbourhood can affect the way adolescents’ brains function, according to new research. It can alter the communication between brain regions involved in planning, goal-setting and self-reflection. These brain changes can have consequences for cognitive function and wellbeing. But the good news is that positive home and school environments can mitigate some of these negative effects.
A “disadvantaged neighbourhood” is one in which people generally have lower levels of income, employment, and education. Growing up in these conditions can cause stress for children, and is associated with cognitive problems and mental health issues in young people.
It is not yet known exactly how this link between neighbourhood disadvantage and poor mental outcomes works, but it is thought that social disadvantage alters the way young people’s brains develop.
The fifth national report on the 21 Better Cardiac Care measures for Aboriginal and Torres Strait Islander people, with updated data available for 15 measures. The level of access for cardiac-related health services is improving for Indigenous Australians. While the mortality rate from cardiac conditions is falling among the Indigenous population, it is still higher than among non-Indigenous Australians. The incidence of acute rheumatic fever among Indigenous Australians continues to be much higher than in non-Indigenous Australians.
The prevalence of mental health issues is higher in people with a disability than in the general population. This means that often, a person who has both a physical, intellectual or neurological disability is also dealing with mental health challenges. There can be complexities in distinguishing mental health issues from intellectual or neurological disability and this can lead to mental health challenges not being recognised or identified. Participants will explore concepts of recovery, trauma and strength- based approaches to working with people with complex needs. They will use a recovery and biopsychosocial approach to meet their client’s needs.
Kimberley Aboriginal Medical Services (KAMS) are promoting a training course being delivered by the WA Association for Mental Health. For more details click here.
Image source: SBS News website.
Vaccinations being in regional SA AHS
Indigenous health workers in Mount Gambier have been among the first in SA to receive the AstraZeneca vaccine in Phase 1b of the national roll-out. 10 staff at Pangula Mannamurna Aboriginal Corporation were selected to receive the vaccine on Monday this week.
Outreach worker Catherine Bulner was the first of the group to roll up her sleeve and get the jab. She said she felt privileged to be the first South East Indigenous community member to get vaccinated. “I’m pretty fortunate to have it done in an Aboriginal community-controlled health service. “I think it’s really good that we can instil confidence in our community to get it done to protect not only ourselves, but our family and our community.”
Ms Bulner encouraged others to do the same to allow life to return to normal. “It’s unknown, but there’s plenty of information out there that can tell you all about it, if you need to make an informed decision before,” she said. “It’s not mandatory, but arm yourself with the information I did and you will be really confident to get it.” Transport worker Peter Brennan was also vaccinated and said it would provide him with a lot more confidence when conducting his work duties.
Indigenous transport worker Peter Brenna. Image source: ABC News website.
Keeping the momentum on eye health equity
The Aboriginal and Torres Strait Islander eye health sector entered 2020 with high hopes. The equity gap was still evident in measures of access to services and outcomes, but there was a continued positive trajectory towards the gap for vision being closed, with a strong sector driving change through collaborations on regional and state levels. 2020 was a target year for the elimination of trachoma, as well as to achieve equity and close the gap for vision.
The COVID-19 pandemic impacted the work of the sector in a number of ways. Many communities closed or reduced non-urgent visiting services, suspensions to elective surgery and reductions in permitted surgical loads and lockdowns in different parts of Australia to stop outbreaks, while necessary, meant that the already-existing waitlists for eye care became longer. The stronger impact on public hospitals, for example through lower caps on elective surgeries compared with private, has a disproportionate impact on population groups with the stronger reliance on the public system.
The impact on the sector’s work also includes the interruption to the positive momentum of change. Across Australia, regional and state-level groups of stakeholders involved with the provision of eye care services to Aboriginal and Torres Strait Islander Peoples have been driving improvements in pathways and outcomes. The community-controlled sector has been key in leading this change.
Milpa the trachoma goanna supporting ‘Clean Faces, Strong Eyes’ health promotion messaging at an AFL game in Alice Springs NT. Image source: Partyline.
WA – Broome – University of WA
Research Fellow x 1 FT (Fixed Term) – Broome
The University of WA are seeking a skilled health researcher to conduct statistical analysis of real world health services data from current and future projects. This position will be based in the Kimberley where Rural Clinical School of WA (RCSWA) sites conduct collaborative research with health services into improving Aboriginal health and building research capacity. Under limited directions from Principal Research Fellow, Associate Professor Julia Marley and in close collaboration with the Kimberley Medical Services, you will provide impetus and capacity to research initiatives in the Kimberley region of WA.
Aboriginal and Torres Strait Islander researchers are encouraged to apply.
To view the job advertisement, including the Position Description click here position descriptions and to apply click here.Applications close Monday 16 April 2021.
World Health Day 2021 – Building a fairer, healthier world
April 7 of each year marks the celebration of World Health Day. From its inception at the First Health Assembly in 1948 and since taking effect in 1950, the celebration has aimed to create awareness of a specific health theme to highlight a priority area of concern for the World Health Organization.
Over the past 50 years this has brought to light important health issues such as mental health, maternal and child care, and climate change. The celebration is marked by activities which extend beyond the day itself and serves as an opportunity to focus worldwide attention on these important aspects of global health.
To celebrate World Health Day the Australian Global Health Alliance is hosting a special online event where a line-up or expert guest speakers will share their reflections on this year’s theme ‘Building a fairer, healthier world’.
For more information about the event from12:00–1:00 PM AEST Wednesday 7 April 2021 and to register click here.