Category Sexual Health

Dec 6 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Steven Oliver: HIV Awareness Week Trivia host!

feature tile: comedian Steven Oliver tuxedo sprawled on chair, grand piano in backdrop, red confetti; text: 'Comedian Steven Oliver to host NACCHO’S HIV Awareness Week Trivia 2023 TOMORROW!!'

The image in the feature tile is of comedian Steven Oliver – Bigger & Blacker: Steven Oliver, My Life in Cabaret, SBS OnDemand September 2021. Photo: Dylan Evan Photography.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Steven Oliver: HIV Awareness Week Trivia host!

NACCHO HIV Awareness Week 2023 Trivia tile

NACCHO is beyond excited to announce the 2023 HIV Awareness Week Trivia host is the hilarious and wonderful STEVEN OLIVER! 🤩

Don’t miss out TOMORROW Thursday 7 December!!!! Join us for a hilarious time, and you might learn a thing or two… You can register here.

This outrageously fun event is open to individuals and teams, with generous PRIZES on offer for the winners.

Costumes and props are HIGHLY encouraged (just wait till you see what we are wearing). There will be prizes for best dressed and ‘innovative props.’ BE CREATIVE!

Get in early, as registrations are limited – ACCHOs will be given priority to join.

We can’t wait 🎉🍆

For all questions and queries please contact the Communicable Diseases team at NACCHO by email here.

You can find more information about HIV Awareness Week on the NACCHO website here.

Navigating the path the health justice

A year ago, at the Law Society’s Annual Members’ Dinner and Awards Night, Anthony Levin was elated to be the recipient of the John Hennessy Legal Scholarship. This award is made to a public sector solicitor interested in undertaking a research project on legal systems in another jurisdiction. “I’ve been working on prison health issues for about 10 years,” says Levin, who is Manager and Senior Solicitor in Legal Aid NSW’s Human Rights team.

He was researching on how the unmet health needs of Aboriginal and Torres Strait Islander people contribute to the cycle of incarceration, and how effective, culturally safe continuity of care could address health inequalities – for the benefit of both prisoners and the public.

Levin’s research led him to discover a new initiative in Prince George, British Columbia (BC), Canada. This is a patient navigator system for Indigenous prisoners, Levin explains, where each Indigenous patient navigator (IPN) “has the job of helping Indigenous people navigate the health system inside and also potentially on their return to the community outside, depending on the location of the navigator and the jail that they’re working in.

“So in some locations and prisons, the IPNs work almost exclusively with people inside, spending time with them to build rapport during cultural activities and culturally safe spaces that were purpose built in the prison. It struck me this could be useful for our justice system,” Levin adds. “I think there are certain universal principles that can be applied to addressing health inequalities.”

To read the Law Society Journal article Nudges, not earthquakes: Navigating the path to health justice in full click here.

Anthony Levin with Erin Patterson and Jennifer Isaac

Anthony Levin with two of the people he consulted in BC, Erin Patterson and Jennifer Isaac. Both work with Gladue reports – reports that give the court a complete picture of an Aboriginal person facing a bail or sentencing hearing. Image source: Law Society Journal.

Boosting sexual health engagement in rural areas

Young Aboriginal and Torres Strait Islander people in rural and remote regions are significantly more likely to be diagnosed with chlamydia, gonorrhoea and infectious syphilis than their non-Indigenous peers – but an innovative health information project is looking to change these statistics.

The Walkabout Barber Bus is a built for purpose barber shop on wheels. Recently, it travelled to Kempsey, a regional town on the traditional lands of the Dunghutti people, 423km north of Sydney, to provide free haircuts to young Aboriginal men in the area, and to open a judgement-free space for them to talk and learn about mental and sexual health.

Robert Monaghan, Manager of Aboriginal and Torres Strait Islander Health Research at the Kirby Institute, says awareness and engagement, particularly among young men, are crucial to drive down sexually transmissible infections (STIs). “We need to find new ways to engage young men, because what’s been done isn’t working,” says Mr Monaghan. “That’s where the Walkabout Barber comes in. We wanted to pilot an integration of sexual health information into the Walkabout Barber services. In this way, we can normalise conversations about sexual health.”

To read the University of NSW article ‘It’s about the conversation’: improving engagement in sexual health services in rural Aboriginal communities in full click here.

Rotavirus study aims to reduce child hospitalisation

Researchers in the NT are conducting a study to determine if an additional vaccination would better protect Indigenous infants from rotavirus. A highly infectious gastrointestinal disease which causes vomiting, diarrhoea and dehydration, rotavirus is the leading cause of paediatric diarrhoea deaths worldwide.

Since the global introduction of oral rotavirus vaccines in 2006, early childhood deaths due to the virus have dropped significantly having almost eliminated severe rotavirus disease for most Australian children. However according to the Royal Australasian College of Physicians (RACP) Foundation, hospitalisations of Aboriginal and Torres Strait Islander children in rural and remote northern Australia remain more than 20 times higher than for non-Indigenous children in southern states and territories.

The research project into whether Indigenous children six to 12 months old should receive a third booster dose of rotavirus vaccine is being headed by paediatrician and Royal Australasian College of Physicians Fellowship award recipient, Dr Bianca Middleton, who says clinicians are urgently seeking new ways to better protect Aboriginal and Torres Strait Islander children from diarrhoea illness. “Right now, the rotavirus vaccine is not fully protecting Aboriginal and Torres Strait Islander children against severe rotavirus disease, and we still see young children being admitted to hospital with rotavirus infection,” Dr Middleton said.

To view the National Indigenous Times article World first rotavirus study aims to reduce hospitalisation rates of Indigenous children in full click here.

ATSI child with Menzies School of Medical Research researcher

Indigenous infants in the NT have been participating in the study since 2018. Image source: National Indigenous Times.

What’s needed to fix NDIS for mob

The federal government is this week expected to release the long-awaited National Disability Insurance Scheme (NDIS) review, laying out a suite of recommendations to improve the system and participant experience as the scheme buckles under surging costs.

Among those hoping for change are many in First Nations communities, where disability is more prevalent and complex, but the system is harder for some to access.

In an interview on ABC Rational National Breakfast yesterday, Scott Avery, Worimi man and Professor of Indigenous Health at the University of Technology Sydney spoke about what’s needed to fix the NDIS for Aboriginal and Torres Strait Islander people with disability.

You can listen to the ABC Rational National Breakfast interview What’s needed to fix the NDIS for First Nations people? in full here.

Policy and Research Director at First Peoples Disability Network, Scott Avery in ABC RN studio

Policy and Research Director at First Peoples Disability Network, Scott Avery. Image source: ABC Radio National.

Seatbelts saving lives in remote WA

This December saw the launch of an important campaign to encourage Aboriginal people living in the Kimberley, Pilbara and Goldfields to ‘buckle up’. The radio campaign, voiced in Kimberley Kriol, Martu, Ngaanyatjarra, Plain English and Yindjibarndi will run on popular local radio stations. The sad truth is that Aboriginal people are more likely to die or suffer serious injury because of vehicle crashes compared to other Australians.

NACCHO’s 2021 submission to the Australian Parliament’s Joint Select Committee on Road Safety, available here, found that First Nations people are 2.7 times more likely to die and 1.4 times more likely to suffer serious injury in vehicle crashes than other Australians.

Why this is the case is difficult to establish but we know seatbelts save lives. Between 2018 and 2022 in the Kimberley, Pilbara and Goldfields, 25% of motor vehicle occupants killed or seriously injured in a crash were not wearing a seatbelt. The script for the radio advertisements was written and voiced by Aboriginal staff at the Aboriginal owned business, Aboriginal Interpreting WA.

To view the WA Government news article Putting on seatbelts and saving lives in the Kimberley, Pilbara and Goldfields in full click here.

young ATSI child helping younger ATSI child put on seatbelt

Image source: WA Government website.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Dec 5 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Huge prizes up for grabs in the HIV Awareness Week Trivia ON THIS WEEK!

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Huge prizes up for grabs in the HIV Awareness Week Trivia ON THIS WEEK!

A friendly reminder the fourth annual HIV Awareness Week Virtual Trivia is on this week, Thursday 7 December with some great prizes up for grabs!

Promised loads of laughs, participants will also be in the running for a significant amount of funding towards sexual health resources for ACCHOs.

Prizes:

  • First place: $3,000 towards sexual health resources for your ACCHO.
  • Second place: $2,000 towards sexual health resources for your ACCHO.
  • Third Place: $3,000 towards sexual health resources for your ACCHO.

Sexual Health costumes are highly encouraged, with additional prizes for Best Dressed, Best Props and People’s Choice.

HIV Awareness Week provides an opportunity to engage our communities, as well as HIV researchers, doctors, health workers and policy-makers.

There are two types of registrations available:

  • Individual registration and
  • Group registration: only one member will need to register per team. During the quiz your group members will need to be in front of the one screen so we can see you all.

Once you have registered, the NACCHO team will confirm your participation and will send you out a Zoom link with instructions. For all questions and queries please contact the communicable diseases team at NACCHO: bbvsti@naccho.org.au

Times:

  • 12 pm – WA
  • 1.30 pm – NT
  • 2 pm – QLD
  • 2.30 pm – SA
  • 3 pm – NSW, ACT, TAS, VIC

 To register go here.

NACCHO would like to acknowledge Prof. James Ward, University of Queensland’s Poche Centre for Indigenous Health and SAHMRI, creators of Aboriginal and Torres Strait Islander HIV Awareness Week. HIV Awareness Week will continue to build on the successes of the previous programs for years to come. For more information on the original program and the history, please visit: https://www.atsihiv.org.au/

COVID-19 is spreading in the NT: ACCHOs say the Top End is unprepared

The Top End’s peak Aboriginal health body has warned that the region is dangerously under-prepared for the wave of COVID-19 infections currently sweeping the continent. The Aboriginal Medical Services Alliance Northern Territory (AMSANT) says low vaccination rates, little public messaging, and a lapse in communication between hospitals and health organisations leave the population vulnerable to the latest outbreak.

Dr John Paterson, AMSANT chief executive says a new communication drive spruiking vaccinations for the latest variants is critical.

“There isn’t as much of that public messaging … that had previously been done in the recent pandemic that we experienced,” he told NITV.

“Our vaccination numbers are well down … There are new vaccines that are out now that will [reduce] hospitalisation and severe infections for those most at risk.”

“We need to ensure that [messaging] is consistent, and it’s done with appropriate language.

“English might be a third or fourth part of their language, so we need to ensure that that messaging is done in language.”

Read the full National Indigenous Times article here.

Image source: NITV.

Lowitja Institute at COP28

Adjunct Professor Janine Mohamed, Lowitja Institute CEO spoke at COP28 about how the deficit discourse impacts Aboriginal and Torres Strait Islander peoples and how tackling climate change requires eliminating the deficit discourse. According to the Lowitja Institute, deficit discourse refers to disempowering patterns of thought, language and practice that represents people in terms of deficiencies and failures.

The Lowitja Institute shared on Facebook: Since colonisation, this disempowering discourse has placed responsibility for problems onto Aboriginal and Torres Strait Islander peoples, instead of the larger socio-economic structures in which they are embedded. When Aboriginal and Torres Strait Islander peoples’ strengths are recognised and communities are empowered to lead their own action, this is proven to be effective. Ultimately, empowering communities means knowing one’s power and sharing it. This is vital for an effective response to climate change.

At COP28, Lowitja Institute leaders advocated for urgent actions in response to the health issues caused by the changing and changed climate through the establishment of a Coalition on Climate and Health and for the full implementation of the UNDRIP.

Adjunct Professor Janine Mohamed, Lowitja Institute CEO speaking at COP28.

New Medicare Urgent Care Clinic opens in Alice Springs

The Alice Springs new Medicare Urgent Care Clinic, operated by the Central Australian Aboriginal Congress (CAAC), started seeing patients with urgent needs as of Monday 4 December. The clinic will be open seven days a week and offers bulk billed, walk-in care. A government statement said almost half of presentations to the emergency department in Alice Springs during 2021-22 were for non-urgent or semi-urgent care. The centre aims to ease pressure on local emergency departments and provide convenient medical care for the community.

“I’ve heard from people across Alice Springs how difficult it can be to access medical care when they have a pressing health concern, but they can’t get in to see a GP,” Marion Scrymgour, member for Lingiari said.

“Most people in this situation end up in the emergency department, or, worse, they simply go without care.”

Malarndirri McCarthy, NT Senator and proud Yanyuwa woman said the Alice Springs (Mparntwe) Medicare UCC will make health care in the Red Centre more accessible and affordable.

“Congress has a proud history of providing exceptional medical care and it’s exciting to see this new bulk-billed service open to the people of Alice Springs,” Ms McCarthy said.

“Patients can walk in without an appointment, see a doctor or nurse and access imaging and pathology services.

“The clinic will ease pressure on the Alice Springs Hospital, so that their hard-working doctors and nurses can focus on higher priority emergencies.”

Read the National Indigenous Times article here.

Image source: National Indigenous Times.

WA doctors call for urgent climate change action, stressing health risk

Doctors in WA’s north say the state government needs to strengthen its climate policies or risk a health disaster in the Kimberley. The calls come after the WA government introduced its Climate Change Bill into parliament last week, the proposed legislation receiving criticism regarding a non-existent 2030 target and a failure to address resource sector emissions. Dr Penny Wilson, Broome GP obstetrician was one of 15 Kimberly health professionals and experts who gathered in Broome to protest for strong action on Friday.

“More than just being about weather and weather events, it is about the health of our communities,” Dr Wilson said.

“The Kimberley is where we see these impacts in our patients as we live and work here.”

The total number of days with maximum temperatures over 35 degrees Celsius in Broome was projected to increase from 56 to 87 by 2030. Dr Wilson said the key challenges facing the Kimberley’s health system – namely access to healthcare and a higher burden of chronic disease – would be worsened by a changing climate.

“People have chronic kidney disease, worsening heart disease, worsening respiratory disease,” she said.

“We also see people presenting with direct heat injuries like heat stroke and heat stress.”

The WA government acknowledged urgent action was needed to reduce emissions, but defended its current approach.

Read the full ABC News article here.

The once-in-a-century Kimberley floods earlier this year cut off communities and displaced hundreds of people. (ABC News: Andrew Seabourne).

“I hope other Aboriginal and Torres Strait Islander people feel comfortable seeking help when they see people like me”

Queensland Ambulance Service (QAS) is hosting a first of its kind forum in Townsville, aiming to bridge health gaps in Aboriginal and Torres Strait Islander communities. Held between Monday 4 December and Wednesday 6 December, the focus of the forum is to champion cultural and organisational leadership for positive change in communities. Caleb, a proud Gangalidda man, shared his journey from growing up in Mount Isa to becoming a participant in the QAS Indigenous Paramedic Program. Now also a member of QAS’ leadership committee, Caleb emphasised the important role it had in fostering representation and engagement within the health system.

“Being able to relate to patients on a cultural level, and them being able to relate to me, has made a real difference in my ability to best care for the people in my community if they get sick,” he said.

“I’m proud to be giving back and representing my people, and I hope other Aboriginal and Torres Strait Islander people feel comfortable seeking help when they see people like me.”

Read the full article here.

Image source: Queensland Ambulance Service.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Jul 21 2023

NACCHO Aboriginal & Torres Strait Islander Health News: HIV prevention strategies must encompass all

feature tile: image of HIV virus under microscope; text 'Eliminating HIV needs increased focus on prevention strategies that encompass all populations'

The image in the feature tile is an HIV micrograph from the article HIV diagnoses in Australia remained low in 2022: new data published yesterday (20 July 2023) on the UNSW Sydney Newsroom webpage.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

HIV prevention strategies must encompass all

Despite disruptions to testing and risk behaviour during COVID-19, the latest data from University of NSW (UNSW) Sydney’s Kirby Institute shows Australia is tracking well towards the elimination of HIV transmission. HIV diagnoses in Australia have halved over the last decade, and have remained stable over the past year, according to new data by the Kirby Institute at UNSW Sydney.

Dr Skye McGregor, head of the Surveillance Innovation Research Group at the Kirby Institute said, “We can see the impact of prevention strategies like increasing HIV testing, treatment as prevention, and pre-exposure prophylaxis particularly among gay and bisexual men, for whom new diagnoses have been dropping significantly since 2014. These data suggest that to eliminate HIV, there needs to be increasing focus on prevention strategies that encompass all populations.”

HIV diagnoses among Aboriginal and Torres Strait Islander peoples have increased over the past year, with 25 diagnoses in 2022. Robert Monaghan, Manager of Aboriginal and Torres Strait Islander Health research at the Kirby Institute says although numbers are low compared to the general population, any increase among this population is concerning. “We know that Aboriginal and Torres Strait Islander people face additional barriers to accessing prevention and care. People in rural and remote communities were also more likely to have their regular health activities impacted by the COVID-19 pandemic. Co-designed campaigns rolled out in partnership with local community organisations are needed, focused on testing, treatment, and PrEP,” he says.

To view the Kirby Institute | UNSW Media article HIV diagnoses in Australia remained low in 2022: new data in full click here.

Wirraka Maya to celebrate 30 years

Wirraka Maya Health Service Aboriginal Corporation (WMHSAC) is an ACCHO designed to ensure our clients’ journey through the health system meets their medical, health, social and cultural needs. WMHSAC originated from the efforts of Aboriginal people to establish a health service that addressed the unmet needs of Aboriginal people in the Port Hedland, South Hedland areas and surrounding communities.

WMHSAC has over 7,000 Aboriginal people registered and are actively engaged and regularly receiving primary care, wellbeing and prevention services and programs. WMHSAC has an experienced team of health professionals, including AHWs and AHPs, GPs and nurses as well as visiting Specialists and Allied Health Practitioners. WMHSAC’s mission is to provide evidence-based and best practice primary health care services, social and emotional wellbeing services, as well as a recognised educational and training service.

This year WMHSAC is celebrating 30 years. You can view the invitation to WMHSAC’s 30 Year Celebrations Gala Dinner being held on Friday 11 August 2023 here and a flyer for a ‘Celebrating 30 years of Wirraka Maya’ community event from 3.30–6.30pm on Thursday 10 August 2023 to be held at the South Hedland Town Square, here.

For further information, you can access the Wirraka Maya Health Service website here.

First to gain PhD and stand for federal parliament

If anyone could be held up as an inspiration for The Voice for Australia’s Indigenous people, it would be Gordon Briscoe, born in the most inauspicious circumstances in Alice Springs in 1938.

His father, a white man, Ron Price, who was a telegraph station manager, died shortly after his birth. When his mother went to work at a station, the boy was mostly left in the care of two teenage girls at the Old Telegraph Station. Briscoe was picked up in a cattle truck and evacuated to the south with other Aboriginal people during World War II. In his words, it was the “evacuation of the half-castes from the half-caste institutions in and around the NT”.

For a time, he was placed in a SA internment camp for “aliens”. He failed to make progress at school and left barely able to read and write, and was obliged to make his way in a racially bigoted society. From those beginnings, he moved on to become a leading light for his people, helping them to organise, establish services to cater for basic needs, and he led the fight for recognition.

Briscoe eventually resumed his education, went to university and became the first Indigenous Australian to become a PhD, stood as a candidate for federal parliament and otherwise devoted himself to the advancement of his people.

To read Malcolm Brown’s obituary of Gordon Briscoe published yesterday in WAtoday click here.

Dr Gordon Briscoe

Dr Gordon Briscoe at the launch of his book Counting, Health and Identity. Photo: Fairfax. Image source: WAtoday.

Have your say: pancreatic cancer care 

Aboriginal and Torres Strait Islander people are more likely to develop and die from pancreatic and other upper gastro-intestinal (GI) cancers than other Australians. It’s time to change that. Cancer Australia has developed the National Pancreatic Cancer Roadmap and identified five priority areas for implementation. Priority 5 is to develop a culturally responsive and appropriate model of care for Aboriginal and Torres Strait Islander people.

The University of Queensland is working with Cancer Australia to identify key implementation factors and important barriers and enablers to the uptake of suitable models of care through consultations with key stakeholders. UQ want to hear from you if you or your organisation supports, advocates, has cared for or is caring for:

  • Aboriginal and Torres Strait Islander cancer patients
  • Cancer patients in regional and remote areas
  • People affected by pancreatic and/or other GI and complex cancers

You can have your say before Wednesday 9 August 2023 by clicking here.

For further information you can view the UQ flyer here. A related video from the Australian Government Cancer Australia Culturally safe communication skills – Staging and treatment webpage, available here, provides an overview of the key considerations when communicating with Aboriginal and Torres Strait Islander people during staging and treatment.

LGBTIQ+ mob face extra hurdles

Among First Nations people who identify as LGBTIQA+ are faced with extra barriers to tertiary education and corporate opportunities, new data has shown. Research from The Pinnacle Foundation, which provides scholarships and mentoring programs for young LGBTQIA+ people, has laid bare the complex experiences of those living at the intersection of being of First Nations heritage and part of the LGBTIQA+ community.

More than 40% of those surveyed believed First Nations LGBTQIA+ people faced extra hurdles accessing tertiary education, while 46% said it was harder for them to launch post-graduate careers. More than a quarter of respondents who were employed had left their jobs due to discrimination or feeling isolated. The new research supports findings in a landmark 2021 survey of healthcare professionals and 63 Indigenous LGBTIQ+ members in WA by Edith Cowan University’s Centre for Indigenous Australian Education and Research.

Its report called for effective responses to mental health issues First Nations LGBTIQ+ communities across Australia faced, after 73% of respondents said they were discriminated against in the 12 months prior. While a third of participants felt “invisible” within their First Nations communities due to their sexual or gender identity, elders engaged in the research were very supportive of promoting their acceptance. Pinnacle Foundation alumni and proud Cammeraigal man Benjamin McGrory, an arts and law student at the University of Sydney, said Elders were crucial to building confidence in LGBTQIA+ people and fostering their acceptance.

To view the National Indigenous Times article Indigenous LGBTIQ+ community face extra hurdles to career success in full click here.

Pinnacle Foundation alumni and proud Cammeraigal man Benjamin McGrory

Pinnacle Foundation alumni and proud Cammeraigal man Benjamin McGrory. Photo: University of Sydney. Image source: National Indigenous Times.

Pregnancy and postnatal care survey

From July 2023, Monash University will supporting the development and updating of Living Evidence for Australian Pregnancy and Postnatal Care (LEAPP) Guidelines, available here, to start updating the current guidance on pregnancy care and developing new guidance on postnatal care.

They have opened a prioritisation survey, which aims to capture the opinions, ideas and diverse experiences of Australian healthcare practitioners and others who provide pregnancy and/or postnatal care or guidance. The prioritisation survey, available here, asks respondents to think about care during and after pregnancy – but not during labour and delivery. Key focus areas include:

  • topics that pose the largest clinical uncertainty;
  • topics that are likely to have the greatest impact on patient outcomes; and
  • topics where evidence is emerging or the context is changing, requiring new or different guidance.

They are especially interested in areas that have the highest uncertainty and cause the most angst for clinicians. Your collective responses will help them shape the prioritisation process over the months and years ahead. The survey takes 5-10 minutes to complete and closes on Friday 4 August 2023. To help the team gather as many views as possible, you are being asked to complete the survey and also share it with your members/networks.

Aboriginal Family Birthing Program participant having blood pressure taken

Aboriginal Family Birthing Program participant. Image source: Women’s and Children’s Hospital website.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Jun 30 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Podcast tackles healthcare inequity

feature tile image of physiotherapist Cameron Edwards & text 'The Deadly Physios podcast returns aiming to promote allyship and amplify leading voices in the field'

The image in the feature tile of proud Kamilaroi man and physiotherapist Cameron Edwards is from the Australian Physiotherapy Association webpage Cameron Edwards and the bridge crossing to Reconciliation published on 15 March 2022.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health, focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Podcast tackles healthcare inequity

In an effort to address healthcare inequity, the Australian Physiotherapy Association (APA) is launching the third season of The Deadly Physios podcast during the 2023 NAIDOC Week. With the theme ‘For Our Elders’, the podcast aims to promote allyship and amplify leading voices in the field. Hosted by proud Kamilaroi man Cameron Edwards, the podcast features a lineup of esteemed guests, including former Brisbane Broncos rugby league player Nick Kenny, who is now a practice director and physiotherapist with experience in remote Indigenous communities.

The new season of The Deadly Physios podcast offers valuable insights for allied health practitioners to become better allies and improve their interactions with Aboriginal and Torres Strait Islander patients. Edwards expressed his pride in the quality of conversations featured this season, which provides practical examples of allyship through skill and leadership development exercises, cultural reflection and responsiveness training, and engagement with local Indigenous health services and communities.

According to Mr Edwards, the podcast is relevant for physiotherapists working in various areas, including private practice, community practice, and education and contributes to the ongoing dialogue surrounding allyship with Aboriginal and Torres Strait Islander people in allied health.

You can view the Inside Ageing article Indigenous podcast tackles healthcare inequity through allyship: The Deadly Physios Season 3 launches during NAIDOC Week in full here and listen to the Season 3 trailer here.

tile text ' The Deadly Physios Podcast Services - Australian Physiotherapy Association'

Image source: Inside Ageing.

Ageing forum: putting Elders at heart of work

In May 2023, the inaugural Ageing at the Centre: Putting Elders and older people at the heart of our work forum brought together Aboriginal Elders, local service providers and other stakeholders to share their knowledge, skills and insights to improve the experience of ageing in Aboriginal and Torres Strait Islander communities.

Across the country, Aboriginal and Torres Strait Islander populations are ageing at a faster rate than the rest of Australia’s population. For Aboriginal people, health includes physical, social, emotional, cultural and spiritual wellbeing. Health is also related to each person’s environment and circumstances. As such, key determinants of health and wellbeing in Aboriginal individuals and communities include cultural identity and activities, language, family and kinship, knowledge and beliefs, Country and caring for Country, and access to traditional lands.

There is a clear need for inclusive and culturally appropriate aged care services for older Aboriginal and Torres Strait Islander peoples and Elders. These services depend on genuine respect of local, cultural, spiritual and community knowledges, and open collaboration with people willing to share their knowledge and expertise.

To view the Australian Ageing Agenda article Update from inaugural ATSI ageing forum in full click here.

Participants at the inaugural Ageing at the Centre forum in Mpartwe (Alice Springs)

Participants at the inaugural Ageing at the Centre forum in Mpartwe (Alice Springs). Image source: Australian Ageing Agenda.

Tackling STIs among mob

Professor James Ward, Director of the University of Queensland Poche Centre for Indigenous Health, Brisbane and his team are attempting to accelerate improvements in health, especially sexually transmitted infections (STIs) and other infectious diseases among these populations, the most disadvantaged of all Australians. While acknowledging Australia has made progress in Indigenous health, Ward says the country “hasn’t come anything like as far as it could or should have”

Professor Ward, a Pitjantjatjara and Nukunu man,  says “despite me being as passionate as hell about bringing down STI prevalence in this population, rates have remained stubbornly high over the past 25 years”. He says the Indigenous Australian population is unique in that HIV rates are low among a population where STI rates are extremely high. “This unique situation is partially attributable to limited sexual mixing between remote community residents and the rest of Australia. Despite the success of low HIV rates, there are major challenges still, syphilis notifications are around 5–8 times higher in Indigenous Australians compared with the general population”.

Today, Ward’s team is planning a precision public health study focused on STI control. “In this study we are combining social determinants data, health services data, qualitative data collected by peers, and genomics data typing both gonorrhoea and syphilis, and then we will map everything at a local level to generate a precision public health approach in shaping our interventions and where best to scale them up”, he explains. “Working with the communities we will then present them with multiple interventions that fit best with their data, so they can decide how to proceed—this could include education, increased access, testing and incentives to encourage young Indigenous Australians at the highest risk of STIs to engage with health services. This will link multiple areas together and remove the traditional silos of criminal justice, housing, and education and health”.

To view The Lancet Infectious Diseases article James Ward—tackling STIs in Indigenous Australians in full click here and a transcript of the article here.

portrait Professor James Ward, Director UQ Poche Centre

Professor James Ward, Director of Poche Centre for Indigenous Health, University of Queensland (UQ). Image source: UQ website.

Roundtable discusses health of kids in care

Members of the Australian Medical Association’s (AMA) Public Health team attended the Royal Australasian College of Physicians’ (RACP) Child Health roundtable on 21 June 2023. The roundtable event, held at Parliament House, discussed many important issues impacting the health of children in care and protection services. It brought together doctors, policy makers, stakeholders and politicians to discuss policy approaches to improve health care service delivery models for children in out-of-home care.

RACP President, Dr Jacqueline Small also launched the Health Care of Children in Care and Protection Services Australia 2023 Position Statement, available here, which contains 28 recommendations on how to centre child health and mental and emotional wellbeing in policy making and health care service design.

A panel of experts, which included Ms Elizabeth Harnett, Professor Frank Oberklaid, Professor Jonathon Carapetis, Professor Ngiare Brown and Professor Sharon Goldfield, shared expertise and insight to set the tone of discussion for the day. Presentations were also given by Dr Kim Isaacs and CEO Tracey Brand from Derbarl Yerrigan Health Service in WA, Dr Niroshini Kennedy, Dr Karen McLean, Professor Elizabeth Elliott and Dr Paul Hotton. 

To view the AMA article AMA attends RACP child health roundtable in full click here.

Minister for Indigenous Australians, Linda Burney addressing RACP child health roundtable

Minister for Indigenous Australians, Linda Burney addressing RACP child health roundtable

Exhibition of homeless on Perth streets

An Indigenous-owned corporation is using film and photography to help combat homelessness among Aboriginal and Torres Strait Islander people. The Birdiya Maya Homelessness Research Project is a series of photos and short films taken by the participants, giving an insight into the jarring reality of living on Perth’s streets. It is on display at Curtin University until July 9 2023 and led by the Wungening Corporation — and it’s the first time an ACCO has led a research project of this nature.

The exhibition is backed by research by the Wungening Corporation and the National Drug Research Institute, with Aboriginal and Torres Strait Islander people leading the groundwork to make “housing policy and services work better for them.” The study incorporates ongoing engagement with Elders and those with lived experience on the streets of Perth. It aims to address the historical overrepresentation of Indigenous Australians accessing homelessness and social housing services.

Project consultant and Noongar Elder Aunty Millie Penny said she was driven by Indigenous women and children at risk of homelessness. “Children are voiceless,” she said. “They are so disempowered within the family structure that they don’t have a voice to say ‘we don’t want this’.” The corporation was recently recognised in an Indigenous health and wellbeing conference by the Lowitja Institute for its work “elevating the voices of Aboriginal people experiencing homelessness”.

To view The West Australian article Exhibition paints picture of being homeless on streets of Perth in full click here.

Birdiya Maya Homelessness Exhibition is on display at John Curtin Gallery

Birdiya Maya Homelessness Exhibition is on display at John Curtin Gallery. Image source: PerthNow – Central.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Key Date – Coming of the Light – Saturday 1 July 2023

The Coming of the Light is a holiday celebrated by Torres Strait Islanders annually on 1 July. The Coming of the Light recognises the adoption of Christianity through island communities during the late nineteenth century. Torres Strait Islanders living on the islands or on the mainland come together to honour this anniversary every year. Islanders of all faiths celebrate the Coming of the Light in a festival like no other in Australia.

In the video below, you can watch Nancy Bamaga, a Curtin University graduate with links to the Thabu/Samu Clan from Saibai Island in the Torres Strait, discuss the importance of the Coming of the Light to Torres Strait Islander people, with Diane Moon, Curator, Indigenous Fibre Art, Queensland Art Galley | Gallery of Modern Art (QABOMA) Brisbane. Nancy Bamaga is regarded as one of Australia’s leading Community Management and Cultural Development Practitioners.

May 4 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Funding to eliminate HIV transmission

feature tile, HIV under microscope; text 'Additional $19.7m to improve access to HIV, BBV and STI testing, treatment, information and care'

The feature tile includes a colourised transmission electron micrograph image showing HIV particles (in blue) budding from a white blood cell. Image source: Australian Academy of Science webpage Zero HIV transmissions in Australia by 2020.

The NACCHO Aboriginal and Torres Strait Islander Health News is platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly.

Funding to eliminate HIV transmission

The Australian Government is delivering on its commitment to eliminate HIV transmission in Australia, and address the health disparities experienced by LGBTIQA+ people. An additional $19.7m in the 2023–24 Budget will ensure better access to HIV testing, treatment and information, including support for the HIV workforce and to continue to address other Blood Borne Virus (BBV) and Sexually Transmissible Infections (STI).

The Government will:

  • expand access to HIV treatment for people who are ineligible for Medicare to ensure no one is left behind
  • extend the HIV testing vending machine pilot to increase access to HIV testing for students in South Australia
  • fund the Emen8 website, a critical information hub for sharing HIV information for members of the LGBTIQA+ community
  • fund the HIV Online Learning Australia program to provide up-to-date education and training for the HIV workforce
  • provide additional support for BBV and STI peaks ($2.9 million) including for the Australian Federation of AIDS Organisations (AFAO) and National Association of People with HIV in Australia (NAPWHA) to drive the national response
  • provide funding to ACCHOs for BBV and STI testing, treatment and care services for First Nations Australians ($5.0 million).

This investment continues the implementation of the Eighth National HIV Strategy (2018–2022), and provides a platform for the important work of the HIV Taskforce, announced by the Government in December 2022, encompassing the development of the Ninth National HIV Strategy. It will bring Australia closer to its goal of ending HIV transmission by 2030.

The Government is also developing the 10 Year National Action Plan for the Health and Wellbeing of LGBTIQA+ people and will establish an LGBTIQA+ Health Advisory Group to break down barriers to accessing health care.

To view Minister Butler’s media release Eliminating HIV transmission and ensuring health equity for LGBTIQA+ Australians in full click here.

blue gloved hand holding 4 vials of blood with labels HCV,HBV, Syphilis & HIV

Image source: PHN North Western Melbourne website.

$15m+ to improve health infrastructure

Ten new major capital works projects will improve health infrastructure in Aboriginal and Torres Strait Islander communities across the country. Projects include building and renovating clinics, constructing houses for health workers, improving ventilation and cooling in clinics and building the overall capacity of Aboriginal Community Controlled Health Services (ACCHS). More than $15m will be provided to successful applicants through today’s announcement of Round 1 of the Indigenous Australians’ Health Programme – Closing the Gap – Major Capital Works (MCW) program. These projects are the first of the 52 grants which were announced at the Joint Council on Closing the Gap last December, totalling more than a $120m investment.

The existing stock of ACCHS infrastructure is between 20–40 years old and in significant need of repair, reconstruction and/or enhancement. Ongoing rounds of capital works will provide better care for First Nations patients and attract and retain essential health workers in some of the most remote communities in Australia.

Deteriorating and inadequate infrastructure can compromise service delivery, pose safety risks for patients and staff, and inhibit efforts to attract workers. Best practice clinical care can also be compromised by the inability to accommodate an increase in patients and deliver multidisciplinary integrated care. The grants have been co-designed in partnership with NACCHO on behalf of the ACCHS sector. Once completed, the projects will provide First Nations people with culturally safe care in quality surroundings, particularly in remote and very remote locations.

To view Minister Burney’s media release $15.45 million for major capital works in First Nations communities in full click here.

old Armajun Health Service building & new health clinic completed June 2021

Armajun Aboriginal Health Service (AAHS) moved into a new building in June 2021. Image source: AAHS website.

Study highlights success of youth program

Minister for Police and Corrective Services, Mark Ryan, says a State Government funded youth program involving a partnership between Queensland Police and the Johnathan Thurston Academy has been proven to significantly reduce juvenile offending among its participants.

The University of the Sunshine Coast (UniSC) conducted an independent review into the JT Academy initiative, You Got This, developed in 2021 and sponsored by the QPS. The program is designed to boost the courage and self-belief of disadvantaged young people aged between nine and 16 years. The study found significant reductions in criminal offending by at-risk teenagers taking part in the You Got This program in Cairns.

17 You Got This programs have been delivered across Queensland, including Cairns, Mareeba, Mount Isa, Townsville, Logan, Zillmere and Brisbane City. Jonathan Thurston said he is “so proud of the young people who are showing up to this program and keep showing up
for themselves.” He said, “This is an amazing group of young adults with so much potential. To see the changes they’re making in themselves and their commitment to take a different direction in life just blows my mind.”

To view the Minister for Police and Corrective Services and Minister for Fire and Emergency Services, the Hon. Mark Ryan’s media release Study finds success in Far North youth program in full click here.

Johnathan Thurstan at Yarrabah PCYC last week for YouGotThis Program

Johnathan Thurstan at Yarrabah PCYC last week for YouGotThis Program. Image source: Cairns Post.

ALOs linked to drop in hospital self-discharges

Dr Morgan Berman, an orthopaedic registrar at the hospital, said prior to the introduction of liaison officers a high percentage of Indigenous patients were self-discharging before their treatment had concluded, and in some cases even before surgeries. “Risk factors for self-discharge were younger in age, pensioners or unemployed. They were more likely to be residents of Alice Springs town camps or live in communities within 51–100km of Alice Springs Hospital,” he said. “Some Indigenous men and women are sceptical of Australia’s health care system. The ALOs played a key role brokering appropriate treatment and insured significantly fewer Indigenous patients self-discharged before they had concluded treatment.”

As part of his research, which was unveiled at the Royal Australasian College of Surgeons Annual Scientific Congress in Adelaide this week, Dr Berman analysed patients who had been admitted to the hospital in the nine months prior to the ALOs introduction, and in the nine months following. He found there had been a 37% reduction in self-discharge among Indigenous patients.

The above has been extracted from the article Self-discharges drop by more than a third at Alice Springs Hospital published earlier today in The Chronicle.

main entrance to Alice Springs Hospital at night

Alice Springs Hospital. Image source: The Daily Telegraph.

Adequate health support in jail not a given

Aboriginal organisations are “fighting for scraps” and prisoners are crying out for better health support while authorities funnel millions into a $1.1b jail sitting idle in Victoria. The decision to build Western Plains Correctional Centre was made pre-COVID-19 when detainee numbers were increasing, Corrections Victoria Commissioner Larissa Strong explained yesterday. Inquiry commissioner Travis Lovett suggested the same amount of money could have made a huge difference to the land’s traditional owners, the Wadawurrung people. Aboriginal organisations were missing out in the meantime, he said.

Commissioners also noted prisoners had to fight to get adequate health support in jail. Commissioner Sue-Anne Hunter said detainees were “crying out for mental health facilities, putting in form after form, not wanting to complain and not wanting to upset any prison guard because they know that their form won’t get through”. Officials conceded that while they were exploring whether there could be direct Aboriginal Health Service delivery within prisons, a recently signed primary health contract had a five-year lifespan.

Ms Strong accepted it could be of great benefit to Aboriginal prisoners if they were able to serve sentences in the community. As of Monday, more than 820 Aboriginal people were in adult prisons in Victoria, representing 12.5% of the state’s entire prison population, she said. Earlier, Youth Justice officials told the inquiry they were determined to achieve zero Aboriginal young people in custody, regardless of legislative change.

To view the Kyabram Free Press article Prisoner health neglected while $1.1b jail sits idle in full click here.

main entrance of Western Plains Correctional Centre

Image source: Community Safety Building Authority, Victoria State Government website.

Vaping crackdown draws global acclaim

In the most significant tobacco and vaping control reforms in years, the Albanese Government has announced a range of measures aimed at reducing the prevalence of tobacco use, its associated harms and reducing the risk of a new generation of people becoming addicted to nicotine. The Government will work with state and territory governments to restrict the import and sale of vaping products, increase minimum quality standards for e-cigarettes to make them less appealing, reduce allowed nicotine concentrations and ban all single use, disposable e-cigarettes.

Many public health leaders have welcomed the news, including the World Health Organization’s Director-General Dr Tedros Adhanom Ghebreyesus. Emeritus Professor Simon Chapman, a longstanding advocate for tobacco control, said in a statement: “Like plain packaging, countries around the world will be lining up to copy Australia. The Government has again stared down Big Tobacco. All companies wanted to be able to sell these products through cooperative retail outlets with years of form in selling tobacco and illegal vapes to kids.”

Dr Raglan Maddox, program lead of the Tobacco Free Program at the Australia National University, said: “We know that people who don’t smoke but use e-cigarettes are around three times as likely to take up smoking as those who don’t use e-cigarettes…these measures are a much welcome step toward accelerating reductions in tobacco use”.

Speaking ahead of his Douglas Gordon Oration at the Preventive Health Conference on Kaurna Country on Thursday, Emeritus Professor Mike Daube AO said the Government’s announcement on tobacco and vaping “is the best news the public health community has had in years”. While welcoming the vaping reforms, the Alcohol and Drug Foundation said that it is important for adequate support to be in place for people who developed a nicotine dependence through vaping.

To view the Croakey Health Media article Crackdown on vaping and tobacco industries draws global acclaim in full click here.

vapes sitting on wooden table top

Image source: Bowman Dental.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Mar 7 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Remote health centres move to ACCHO control

aerial view of Imanpa Community NT

The image in the feature tile is an aerial view of Imanpa Community. Image source: ResearchGate website.

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

Remote health centres move to ACCHO control

Central Australian Aboriginal Congress (Congress) has this month assumed operations of the primary health care clinics in Imanpa and Yulara. Congress already provides care at nearby Mutitjulu, an Aboriginal community adjacent to Uluru, as well as other communities. One of the most experienced services in the country in Aboriginal health, Congress is the largest Aboriginal Community Controlled Health Service (ACCHS) in the NT, a national leader in primary health care, and a strong advocate for the health of Aboriginal people.

Yulara will become a service hub for the region and, in Imanpa, NT Health will continue providing BreastScreen appointments along with other specialist outreach services. The Kaltukatjara (Docker River) Health Centre will also transition to Congress on 1 July, 2023. Evidence shows that increasing community involvement in the planning and delivery of local health services brings additional health benefits to local residents. This supports local communities with greater opportunities to influence the health care services offered, in particular, their cultural responsiveness.

Congress CEO, Donna Ah Chee said “Congress is proud to welcome Imanpa and Yulara communities to the Aboriginal community controlled health service model. ACCHS delivery is recognised as best practice for Aboriginal health, and the further development of the ACCHS sector is a key part of the Closing the Gap commitments that all governments have signed. This is because, for every dollar spent there is a greater return in health improvement for our people with this model of health care.”

To view the Chief Minister of the NT, Natasha Fyles and Chansey Paech, Member for Bwoja’s joint media release More Central Australian remote health centres set to transition to Aboriginal community control in full click here.

external view of Imanpa Health Centre

Imanpa Health Centre. Photo: Nick Hose. Image source: ABC News.

Maningrida PHC graduates make history

Last week the first-ever cohort to obtain formal health qualifications on-country in Maningrida made history, graduating with a Certificate II in Aboriginal Primary Health Care. The ceremony started with a beautiful welcome to Kunibidji Country from Traditional Owner, David Jones, followed by a welcome speech from Mala’la Health Service Aboriginal Corporation chairperson and Senior Aboriginal Health Practitioner, Charlie Gunabarra. David and Charlie are dedicated to bettering community health outcomes and have been proactive in guiding the Aboriginal community-control model of health service delivery.

Guest speaker, NT Chief Aboriginal Health Practitioner, Iris Raye welcomed the new graduates, Eileen Gunabarra, Fabian Smith, Jermaine Namanurki, Kurt Brown, Natasha Bond and Shannon Brown, to the health profession and imparted her passion for Aboriginal health care with the students.  On-country adult learning provided an accessible format that also ensured students could continue their family, cultural, work and community responsibilities whilst undertaking studies.

Support and funding for the place-based model of adult-learning course was received from NT PHN, the NT Department of Employment and Workplace Relations’ Foundation Skills for Your Future program and Industry NT and Ninti Training delivered engaging, fun and relatable learning.

To view the Mala’la Health Service Aboriginal Corporation Facebook post The End of a Journey. The Beginning of a Legacy. click here.
6 Maningrida (NT) graduates of Aboriginal PHC Certificate II

Certificate II in Aboriginal PHC graduates. Image source: Mala’la Health Service Aboriginal Corporation Facebook page.

Medicare changes could reduce deaths in custody

The federal government has been urged to make an immediate improvement to the lives of prisoners by providing Medicare in custodial settings, in a change that coroners have argued could reduce Indigenous deaths in custody. Advocates have argued for decades that Medicare should be available in custody. However, the change has not yet been made. Medicare is not available for prisoners because of a section of the Health Insurance Act that prohibits Medicare benefits from being paid when state funding has been provided.

Nadine Miles, principal legal officer of the NSW and ACT Aboriginal Legal Service, said her organisation had appeared at inquests where Indigenous men in their 20s, 30s, 40s and 50s died in custody from ailments including an asthma attack, organ failure, an ear infection, a clot in the lung, and coronary artery disease.

“Inadequate healthcare was an issue brought up for each of them,” Miles said. “We have seen far too many preventable deaths and far too many failures to provide a basic standard of healthcare for people behind bars. The result is that lives are lost too soon and whole families and communities are changed forever.”

To view The Sydney Morning Herald article The change to Medicare that could reduce deaths in custody in full click here.

Smoking Ceremony held at the NSW Coroners Court in July 2022 during the inquest for Mootijah Shillingsworth, who died from an ear infection

A smoking ceremonyat the NSW Coroners Court in July 2022 during the inquest for Mootijah Shillingsworth, who died from an ear infection. Photo: Dean Sewell. Image source: SMH.

Resources for health workers supporting mob with cancer

Ngununggula is a new package of resources, including a manual and quality improvement resources developed for ACCHOs in NSW to support best practice cancer care of Aboriginal and Torres Strait Islander people. The training materials are based on the work of the Illawarra Aboriginal Medical Service Cancer Care Team and feature work of other cancer care workers around the state.

The training resources are a result of a collaboration with the Aboriginal Health and Medical Research Centre of NSW (AH&MRC), the University of Sydney, the University of Wollongong, the Menzies School of Health Research and Coordinare and have been funded through Cancer Australia’s Supporting People with Cancer Grant Initiative.

The Ngununggula package of resources includes a series of webinars providing guidance on:

  • cancer prevention
  • investigations and treatment
  • cancer survivorship
  • end of life.
You can access the links to the webinars, including the one below, on the Australian Indigenous HealthBulletin website here.

How to save PHC in remote Australia

What happens when an area loses its GPs? Dr Sam Heard is witnessing the fallout, and has set out a treatment plan to combat the issue before it is too late. Dr Heard says there is a health workforce crisis in Central Australia and much of remote NT. The current social disruption and negative experiences of residents in Alice Springs mirrors the turmoil sometimes faced by remote health staff. But this is our country and remote Australians require healthcare to a level that many in the city do not.

Patients are having dialysis locally, there are emergencies that frequently require patients to be evacuated, along with housing, educational and environmental issues that desperately need advocacy. It was not always like this.

During more than 30 years as a GP and educator in the NT, Dr Heard says he has attempted to strengthen primary care and has been ably supported by motivated colleagues along the way: young doctors, nurses and Aboriginal Health Practitioners in training, and by older doctors who have moved to the area to contribute to the health of remote Australians. Over the past decade, however, Dr Heard says he has witnessed a worrying decline in primary care services and an unwillingness to tackle the issue until it is too late.

To read the RACGP newsGP article How to save primary care in remote Australia: RACGP NT Chair in full click here.

RACGP NT Chair Dr Sam Heard

RACGP NT Chair Dr Sam Heard. Image source: RACGP newsGP.

Language to be no barrier to HIV support

Hundreds of people from culturally and linguistically diverse communities living with HIV will be better able to understand vital education material as part of a national push to improve their quality of life. The non-profit organisation Living Positive Victoria is one of four HIV-focused community organisations nationally to have been awarded $200,000 in grants to help the nearly 30,000 Australians living with the disease access better healthcare.

Living Positive Victoria along with Positive Life NSW, the Bobby Goldsmith Foundation and the National Association of People Living with HIV Australia (NAPWHA) have established five projects that will receive funding. NAPWHA will unite Aboriginal and Torres Strait Islander people living with HIV from across Australia for a three-day residential workshop to promote healing.

To view the PerthNow article Language to be no barrier for accessing HIV support in full click here. Below is a Young Deadly Free animation explaining the basics of HIV.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Feb 20 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Pharmacist Scholarship Applications Open

Feature tile - NACCHO ATSI Pharmacist Scholarship applications open

The NACCHO Aboriginal and Torres Strait Islander Health News is a platform we use to showcase the important work being done in Aboriginal and Torres Strait Islander health focusing on the work of NACCHO, NACCHO members and NACCHO affiliates.

We also share a curated selection of news stories that are of likely interest to the Aboriginal and Torres Strait Islander health sector, broadly. The content included in these new stories are not necessarily NACCHO endorsed.

Pharmacist Scholarship Applications Open

NACCHO is excited to announce that applications are open for the 2nd year of the NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship* which provides subsidy and support for prospective or current Aboriginal and Torres Strait Islander pharmacy students.  

 

Each recipient will receive up to $10,000 per annum to contribute to university expenses. The scholarship also offers support and mentorship from Aboriginal and Torres Strait Islander health professionals and organisations to ensure ongoing integration and connection with the Aboriginal and Torres Strait Islander community controlled health sector.  

 

The scholarship program aims to build the Aboriginal and Torres Strait Islander pharmacist workforce and to raise the profile of the beneficial role that pharmacy and pharmacists can play in supporting appropriate and culturally safe care for Aboriginal and Torres Strait Islander peoples.  

 

For more information about the scholarship and how to apply, click here.

 

You can also contact Mike Stephens on 0408 278 204 or via email using this link.NACCHO ATSI pharmacist scholarship applications open tile

Scholarship opens door for speech pathology career

The art of being committed to your work at Victoria’s largest public health service while being a prominent advocate for First Nations wellbeing is all in a day’s work for CQ University alumnus Hannah Thompson. A proud Kara Kara woman from the Central Highlands, Hannah is an active member of five different Speech Pathology Australia groups and advisory committees, where she provides input on how Aboriginal and Torres Strait Islander culture relates to the organisation’s competency standards.

Ms Thompson received a BMA Indigenous Scholarship during her studies which she notes helped her embrace new career opportunities. “My goal is to combine my passion in speech pathology with my desire to help close the gap between First Nations and non-First Nations Australians in the healthcare and education sectors,” Ms Thompson said. “The experiences I had at CQ University, my BMA scholarship, and the connections I made throughout my studies opened doors for me post graduation.”

Upon graduating in 2018, Ms Thompson was employed at a Central Queensland therapy clinic before accepting an early career speech pathologist position in the public sector. “My current role has certainly changed my perspective of working in public healthcare,” she said. “Every day has its own challenges, especially being the primary speech pathologist on the COVID ward during the peak of the pandemic, however, the team around me are very supportive and uplifting. In the public space, you work alongside incredible people and learn so much on the job.”

To view the National Indigenous Times article Scholarship put young Kara Kara woman on the path to speech pathology career in full click here.

CQ Uni alumnus Hannah Thompson standing in front of Aboriginal and TSI flags

CQ University alumnus Hannah Thompson. Image source: National Indigenous Times – 18 February 2023.

Celebrating WorldPride with WSLHD’s Darren Lee

Just six weeks into his new role at Western Sydney Local Health District (WSLHD), Darren Lee already has a deep connection with the local community at Mount Druitt Hospital. Despite living in Darwin for over a decade, Darren has returned home. “I am born and bred in this area – all my family are here, I was born in Blacktown Hospital and went to the school just down the road; Plumpton High School, so it’s all really familiar to me,” he said. “This community is my home. I went to school here, my friends are now teachers here, I’ve got four or five friends who are now nurses and staff at Mount Druitt Hospital. It’s home. I’ve worked in other districts and I called Darwin home for 13 years but this is my home.”

Darren is an Aboriginal Sexual Health Promotion Officer at the WSLHD Aboriginal Health Hub, located at Mount Druitt Hospital. In the days leading up to Sydney WorldPride, and as a part of the LGBTQIA+ community, Darren is urging his mob to have a great time during WorldPride, but to prioritise their health by getting tested and partying safely. “Gay, straight, green or blue, we all like to have sex. Our job is to remind people to do it safely.

“Being an Aboriginal Health Promotion Officer, it’s about promoting to my mob who we are, where we are and what our services do, and to normalise it. If you’re going for your annual health check for your blood sugar levels, what’s wrong with peeing in a cup or doing a swab or taking a blood test to check your full health. It’s about not stereotyping or stigmatising people for what they do in their personal lives. As an Aboriginal man and a gay man myself, I’m proud of both of those things completely equally.”

To view The Pulse article in full click here.

Long COVID causing job losses and homelessness

The federal government is developing a national Long COVID strategy, with a parliamentary inquiry hearing the condition has resulted in job losses and homelessness among some sufferers. The chief medical officer, Professor Paul Kelly, said the federal health department had been tasked with developing a national Long COVID strategy that would cover prevention, immunisation, treatment and research into the condition.

“That is well under way,” Kelly said at a public hearing on Friday, although he went on to say the strategy would probably not be finalised until after the health department had received advice following the parliamentary inquiry into Long COVID and repeated COVID-19 infections. Speaking at the inquiry’s third public hearing on Friday, Labor MP Dr Michelle Ananda-Rajah said, “I think we’re going to probably land on a recommendation that we obviously need national guidelines … and perhaps living guidelines that keep evolving as the data keeps coming in.”

A lack of data about Long COVID in Australia was repeatedly raised as a concern during the hearing. Dr Jason Agostino, a senior medical adviser at NACCHO, told the inquiry that there was “no clear evidence on Long COVID cases among Aboriginal and Torres Strait Islander people – most jurisdictions have not shared data on presentations to their LONG COVID clinics by Indigenous status”.

To view The Guardian article Long COVID causing job losses and homelessness in Australia, inquiry hears in full click here.

4 COVID-19 Antigen test results - 2 negative 2 positive

Australian affected by long Covid told the parliamentary inquiry about months-long wait times to see specialists. Photo: Amer Ghazzal, Rex, Shutterstock. Image source: The Guardian – 17 February 2023.

Virtual reality part of mental health trial

Young people in the NT are stepping into the world of virtual reality (VR) as part of a new trial aimed at breaking down the barriers to mental health care. VR mental health sessions have started being trialled in parts of the NT’s Top End region, as part of a project from the NT’s Menzies School of Health Research and Aboriginal VR developer Brett Leavy.

By gamifying programs to address youth mental illness, cognitive disabilities and neurodiversity, the team hopes the project will help tackle major obstacles to care in the territory such as issues with remoteness and staffing. Mr Leavy, a Kooma man, said the project particularly took a new approach to the mental health of young First Nations people by connecting them to their culture and country through VR.

“It’s fun, it’s engaging, it’s a new technology,” he said. “It’s a new technology for an ancient culture.” The NT has the highest rate of suicide in the country, with young people and First Nations people particularly at risk.

To view the ABC News article Children explore virtual reality as part of trial for new NT youth mental health project in full click here.

Aboriginal teenager at Darwin school using virtual reality

Darwin school students test virtual reality software designed to improve mental health. Photo: Peter Garnish, ABC News.

Alice Springs alcohol rehabs desperate for support

Jocelyn Dhu has seen more desperation than most while working on the frontlines of alcohol addiction in Alice Springs. The Eastern Arrernte woman has watched people from all walks of life come through her door. Some for the first time, others for the tenth, but all battling shame, stigma and a sense they are “too far gone”. But Ms Dhu knows that’s never the case. “You have to see the person,” she said. “When you look at an individual, and you see their stories, and why alcohol or drugs became a problem for them — that’s what you need to fix.”

Alice Springs has attracted frenzied national attention in recent weeks amid a crime crisis. Liquor has been recognised as a major driver behind issues in the town. However, the NT’s peak drug and alcohol body said frontline addiction services had been chronically neglected by all levels of government.

Drug and Alcohol Services Australia, where Ms Dhu works as deputy chief executive, is just one Alice Springs service calling for help. It recently had to clear clients out of its ageing residential rehabilitation facility, Aranda House, because of a cockroach and bed bug infestation. Ms Dhu said it had sparked a waitlist of about 20 people. “I think the biggest issue is people’s level of motivation to change,” she said. “They might want to come in now, but having to wait, they change their mind and go, ‘Oh, no, I’m OK’.”

To view the ABC News article Alice Springs alcohol rehabs call desperately for support as liquor bans reinstated in full click here.

portrait shot of Jocelyn Dhu, Eastern Arrernte woman

Jocelyn Dhu says people can struggle with alcoholism for a wide range of reasons.Photo: Xavier Martin, ABC Alice Springs.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Dec 12 2022

NACCHO Aboriginal & Torres Strait Islander Health News: RACGP calls for QLD government to come clean

The image in the feature tile is from an RACGP newsGP article ‘Very disappointing’: UTI pharmacy prescribing pilot extended indefinitely published on 4 July 2022.

RACGP calls for QLD government to come clean

The Royal Australian College of General Practitioners (RACGP) has called on the Queensland Government to come clean on the North Queensland Retail Pharmacy Scope of Practice Pilot. It comes following the RACGP lodging a Right to Information Act 2009 (RTI Act) request to the Queensland Health Department on 28 March this year – 256 days ago. So far, no information has been forthcoming. The application sought access to meeting agendas, meeting papers (including notes and briefing papers), minutes, correspondence, budget documents and briefings relating to the pilot.

The college has previously cautioned that the pilot will fragment care and put patient safety and wellbeing at risk. In October this year, the RACGP doubled down on warnings that the experiment will result in poorer health outcomes for patients and much higher healthcare costs. Since then, several jurisdictions including Victoria and NSW, have forged ahead with their own pharmacy prescribing plans.

RACGP President and Mackay-based GP Dr Nicole Higgins said that scrutiny of the pilot was needed more than ever. “This is not rocket science, if due process has been followed then these documents exist, and it is in the public’s interest to know what they contain, especially as this pilot is the product of an election promise rather than responding to a demonstrable public need,” she said.

To view the RACGP media release What is the Queensland Government hiding on the controversial pharmacy prescribing pilot? in full click here.

Image source: The Conversation.

Concerns mob missing out on eating disorder treatment

To view the ABC News article Concerns Indigenous Australians missing out on eating disorder treatment in full click here.

Wiradjuri and Wotjobulak man AJ Williams battled bulimia for three years. Image source: ABC News.

Remote housing: holding government to account

Royal Darwin Hospital’s Dr Nerida Moore and paediatric registrar Dr Tasmyn Soller have co-authored an article about how overcrowding and poor-quality housing are significant driving forces of death and disease in remote communities of the NT, saying “As health care workers, we bear witness to the devastating impact that overcrowding and grossly substandard infrastructure brings. We see mothers who are desperate to find solutions to enable them to wash their children’s clothes, limited by access to washing machines, power and water. Likewise, we see families advocating to reduce overcrowding in their community who are told to wait patiently for nearly a decade for a new house to be built.”

Inadequate housing and overcrowding are at crisis level in many parts of the NT – a fact that has been established over many decades. In Australia, the highest levels of overcrowding occur in very remote communities. In 2019, it was estimated that 51% of Indigenous Australians living in very remote communities resided in overcrowded homes. Estimates suggest an extra 5,000 homes are needed by 2028 to reduce levels of overcrowding to an acceptable level.

It is therefore unsurprising that remote communities experience some of the highest rates of devastating and preventable diseases such as acute rheumatic fever (ARF), rheumatic heart disease (RHD), acute post streptococcal glomerulonephritis, chronic suppurative lung disease, skin infections and otitis media. These diseases, even though they have different pathophysiology, all have common links to the social determinants of health. This is further highlighted by the steep decline of these diseases globally as living conditions have gradually improved across the world.

To view the InSight article Remote community housing: holding government to account in full click here.

Gloria Chula lives in a three-bedroom house of 16 people in Wadeye, one of the Northern Territory’s poorest and most troubled Indigenous communities. Image source: The Islander.

Nine-year-old ‘doctors’ set to graduate

A group of primary school-aged “doctors” are set to graduate in Melbourne’s north and become life-long health ambassadors for themselves and their communities. The 30-odd students in grades three and four at Reservoir East Primary School are graduating from the 15-week Malpa Young Doctors for Life program this week.

The program is culturally derived and teaches both Aboriginal and non-Aboriginal children traditional ways of healing, along with modern ways of keeping communities healthy. Interstate, nine South Australian schools signed up in 2022, and three schools are also part of the program in NSW in Dubbo South, and in Smithtown and Kempsey West in the Mid North Coast region.

The program “equips them with Indigenous and non-Indigenous knowledge which they end up sharing with others – I believe they are closing the gap for themselves,” Malpa leader Mel Harrison said. “At Reservoir, one of the main benefits is that it has dramatically improved school attendance. “The way the program is designed means that every child feels some form of success in Malpa.”

To view the Milton Ulladulla Times article Nine-year-old ‘doctors’ set to graduate in full click here.

Students from a primary school in Melbourne took part in the Malpa Young Doctors for Life program. Image source: Milton Ulladulla Times.

NT facing COVID-19 spike

COVID-19 cases have doubled in the NT in the past week, rising faster than anywhere else in the country. The NT Chief Minister Natasha Fyles says the NT has moved out of the COVID-19 emergency phase but Aboriginal health care providers say that call is premature. Angus Randall reports that health services are very worried about a Christmas peak. The NT recently recorded a worrying COVID milestone, 100,000 cases since the start of the pandemic. Experts say that is likely an undercount, but the trend in the official numbers shows a steeper rise in the NT right now than anywhere else in Australia.

John Paterson the CEO, of the Aboriginal Medical Services Alliance NT (AMSANT) said “Up until this year we’ve had 40 Aboriginal deaths in the NT, it’s killing Aboriginal people at younger ages, with the highest numbers of deaths in the 60-69 age group then the 50-59 age group compared to over 80 for the non-Aboriginal population, so you can see the Aboriginal population is at most risk.”

Mr Paterson is concerned about what will happen over the coming weeks as those in remote communities travel to the more populated centres during the Christmas season. “It is unfortunate and I think premature that governments are taking their foot off the pedal and not giving this issue the attention it deserves given we are now seeing a rise in COVID-19 numbers again. Our advice would have been to wait until after the Christmas New Year period to see what the numbers are like and reconsider any other public measures we might need to take during that period.”

You can listen to The World Today ABC broadcast NT facing COVID-19 spike in full here.

Photo: Steven Schubert, ABC News. Image source: ABC News – The World Today.

Australia’s annual sexual health check up

New data released last week by the Kirby Institute at UNSW Sydney reveals how the COVID-19 pandemic has impacted testing and diagnoses of sexually transmissible infections (STI) in Australia. The report titled HIV, viral hepatitis and sexually transmissible infections in Australia: Annual surveillance report shows that in 2021 there were 86,916 diagnoses* of chlamydia, 26,577 of gonorrhoea and 5,570 of infectious syphilis in Australia.

“Prior to the pandemic we were seeing increases in chlamydia and gonorrhoea, but in 2021 we recorded a small decline. We believe this reduction is a consequence of both reduced testing and reduced sexual activity with new or casual partners, due to social restrictions and lockdowns during 2020 and 2021,” says Dr Skye McGregor from the Kirby Institute, one of the report’s authors. “On the other hand, syphilis has been steadily increasing among women of reproductive age, gay and bisexual men and Aboriginal and Torres Strait Islander people. This reflects sustained and ongoing transmission across Australia, which is extremely concerning.”

To view the scimex article Australia’s Annual Sexual Health Check Up: STIs are mostly down, but reductions in testing could be the cause in full click here.

Sexually Transmitted Infections (STIs) webpage of 1800 My Options website.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Dec 6 2022

NACCHO Aboriginal & Torres Strait Islander Health News: NACCHO Deputy CEO talks about HIV

The image in the feature tile is of NACCHO Deputy CEO Dr Dawn Casey PSM.

NACCHO Deputy CEO talks about HIV

Yesterday NACCHO Deputy CEO Dr Dawn Casey spoke to Lola Forester on Blackchat, Koori Radio 93.7 FM about positive actions being taken to get the right information out to Aboriginal and Torres Strait Islander communities about HIV. Dr Casey said the community is tracking pretty well in terms of the numbers of Aboriginal and Torres Strait Islander people contracting HIV and cases being reported. She said there’s been a massive program, funded by the Commonwealth Department of Health and Aged Care, over the last couple of years where many of the ACCHOs are involved in running programs for overall blood borne viruses (BBV) and STIs. Communities have made significant headway in terms of creating awareness about BBVs and STIs and prevention. Stigma and shame around HIV however continues to be a problem.

Dr Casey said so much more awareness needs to happen so people understand HIV is not threatening like it was many years ago. An issue that needs to be improved considerably is partner notification and contract tracing. ACCHOs are doing an incredible job with prevention programs and awareness campaigns, in language where required, around BBVs, STIs and HIV. Dr Casey and Lola reflected on the very inventive and funny ways ACCHOs have been getting the message out about safe sex, including condom trees.

You can listen to the 10-minute Koori Radio Blackchat radio interview in full by clicking here.

Koori Radio 93.7 FM Blackchat presenter Lola Forester.

Calls to stop ‘pipeline’ of shattered children

The Yoorrook Justice Commission has called for the age of criminal responsibility to be raised from 10 to at least 14, to help stop vulnerable Indigenous children getting “lost in the pipeline” of child protection and criminal justice systems. The Standing Council of Attorneys-General – a group of attorneys-general from federal, state and territory governments that focuses on best practices in law reform – will review the age of criminal responsibility when it meets later this week.

Counsel assisting the Yoorrook Justice Commission Fiona McLeod, SC, urged the council to consider First Nations people, “the many, many reports into this issue” and the testimonies that would be heard at the commission’s public hearings this week. McLeod said the number of First Nations children in out-of-home care in Victoria was “heading in the wrong direction” and contributing to a high incarceration rate among First Nations people. “It appears the current system is failing in its fundamental object of child protection,” she said. “It appears it is broken. It is fuelling a pipeline of shattered children straight to our health services and our criminal justice system.”

To view the WAtoday article Call to raise age of criminal responsibility and stop ‘pipeline of shattered Indigenous children’ in full click here.

Kutcha Edwards and niece Eva Jo Edwards are survivors of the stolen generations. Photo: Simon Schluter. Image source: WAtoday.

Kids face higher rates of skin infections

Bacterial skin infections and atopic dermatitis may be underdiagnosed among urban Indigenous children, says a WA dermatologist and researcher. A systematic review, published in Pediatric Dermatology, assessed the burden of atopic dermatitis and bacterial skin conditions in Indigenous children and young people living in urban environments in high-income countries.

Researchers included 16 papers from Australia, NZ, Canada and Greenland spanning 26 years. “Atopic dermatitis is common among urban-living Indigenous children in high-income countries with current symptoms and current severe symptoms higher than their non-Indigenous peers,” the researchers wrote. “This may suggest under-treatment of atopic dermatitis, reflecting the socioeconomic disadvantage that disproportionately affects Indigenous people, creating financial barriers to primary and dermatologic care, prescription treatments, and costly skin care regimens.”

The researchers said S.aureus colonised the skin in atopic dermatitis, exacerbating the disease and increasing the risk of bacterial skin infections. “Untreated bacterial skin infections can lead to serious complications including sepsis, post-infectious glomerulonephritis, and rheumatic heart disease,” they wrote. Urban-living Indigenous children in Australia and other high-income countries shared a history of colonisation, displacement and negative impacts on health, said lead author and dermatologist, Dr Bernadette Ricciardo from the University of WA and the Telethon Kids Institute.

To read the Medical Republic article Kids face higher rates of infections click here.

Image source: Medical Republic.

Healthy Skin Week in Maningrida

Mala’la Health Service recently coordinated Healthy Skin Week to promote early identification and treatment of skin infections in a bid to lower long term health conditions such as Acute Rheumatic Fever, Rheumatic Heart and Kidney Disease. Over five days, the dedicated crew of Aboriginal Community Health Workers, Nurses and Volunteer Doctors assessed and treated more than 1,200 people in Maningrida and outstations. Outreach clinics through late night shops, child and family centre and public spaces around the community provided extra points of access for the community.

Natasha Bond was involved in leading the community response with home-to-home visits and workshops to provide health information and support. “Rheumatic Heart Disease (RHD) is a huge concern for our mob, we have the highest rates of RHD in the world. We want to encourage everyone to work on this together, get treatment straight away and stop further health complications”.

In the lead up to Healthy Skin Week, West Arnhem Regional Council coordinated hard-rubbish collections with Stedman’s also coming on board to provide Skip Bins at various sites. Maningrida College hosted multiple workshops with the school students from kindy to seniors’ cohorts. These Workshops were delivered by the Mala’la team of Aboriginal Health Workers in-training, Natasha Bond and Eileen Gunabarra alongside Jennifer Damsey in Burarra and English languages.

To view the West Arnhem Regional Council article Healthy Skin Week in Maningrida in full click here.

Image source: West Arnhem Land Regional Council website.

Informing National Health and Climate Strategy

Aboriginal and Torres Strait Islander knowledge and leadership will inform climate health policy and action at all levels under a discussion paper that is being circulated for feedback to inform development of a National Health and Climate Strategy. This is the first of six principles informing the paper, and “recognises the role of First Nations people in protecting and caring for Country, that Indigenous ecological knowledge should be considered in policy development, and that First Nations’ engagement will lead to better health outcomes for Aboriginal and Torres Strait Islander peoples”.

Other principles informing the paper are that:

  • a more sustainable healthcare system will improve public health outcomes
  • all Australians have equal access to a strong and climate-resilient health system, both now and in the future
  • evidence underpins strategies and actions
  • all levels of government and stakeholders work in partnership to implement agreed focus areas and actions
  • a health lens is applied to climate change policy.

The paper asks readers to consider whether other principles should be considered. “For example, should transparency, reporting and accountability also be included as a key principle underpinning the Strategy?” While the paper “acknowledges that some populations, including Aboriginal and Torres Strait Islander people, rural and remote communities, elderly Australians and Australians from lower socio-economic backgrounds, are more vulnerable to poorer health outcomes from the impacts of climate change”, it does not mention the term ‘health equity’. Nor does ‘climate justice’ rate a mention.

To read the Croakey Health Media article On the National Health and Climate Strategy, how’s it shaping up? in full click here.

Raylene Lenmardi and Sumayah Surprise, Ngurrara Rangers. Image source: WWF Australia.

Winnunga Nimmityjah health centre opens

The Winnunga Nimmityjah health centre opened in a formal ceremony on Saturday 3 December 2022 is the first purpose-built facility of its type in the ACT. CEO Julie Tongs said “This building is a huge game-changer in many ways and is a true testament to Aboriginal self-determination.” She said it was needed because the life expectancy of Aboriginal people and Torres Strait islanders was still far behind that of the wider community.

The elegant purpose-built building in Narrabundah will serve about 5,000 people a year in about 60,000 visits. “We’ve got so many people who are vulnerable,” she said. “Here, in Canberra, people think it’s the land of milk and honey but it’s not for a lot of people.”

At a cost of $20 million, it will provide a wide range of medical facilities for Aboriginal people in the territory. There are six GPs, three nurse practitioners and 14 nurses. Physical and mental health will be dealt with at the centre. Julie Tongs is clearly very proud. “This is a huge deal because it’s what our community deserves,” she said.

To read The Canberra Times article Winnunga Nimmityjah health centre, the ACT’s first Aboriginal-run health centre, to open in full click here.

Winnunga Nimmityjah Aboriginal Health and Community Services chief executive Julie Tongs at the new centre. Photo: Keegan Carroll. Image source: The Canberra Times.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Dec 5 2022

NACCHO Aboriginal & Torres Strait Islander Health News: Pharmacist Scholarship recipient Bryony Forrest

The image in the feature tile is of NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship recipient Bryony Forrest during an interview at the 2022 NACCHO Members’ Conference in Canberra.

Pharmacist Scholarship recipient Bryony Forrest

Bryony Forrest (Darumbal / Kanolu), an aspiring deadly pharmacist and a recipient of the NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship was interviewed at the recent NACCHO Members’ Conference following the Medicines and Pharmacy stream session.

In February 2022, NACCHO announced applications were open for the inaugural NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship, proudly supported by a grant from Sanofi Australia. The scholarship provides subsidy and support for prospective or current Aboriginal and Torres Strait Islander pharmacy students and aims to build the pharmacist workforce among Aboriginal and Torres Strait Islander people. It includes tailored mentoring from Aboriginal and Torres Strait Islander health leaders.

In April 2022 NACCHO was pleased to announce the five successful recipients. Though the scholarship was initially established to support two applicants, the quality and number of applicants led to the expansion of the program:

  • Bryony Forrest, Royal Melbourne Institute of Technology (RMIT)
  • Jai-ann Eastaughffe, James Cook University
  • James Sowter, RMIT
  • Jason Coleman, University of SA
  • Louis Emery, Queensland University of Technology (QUT)

Dr Dawn Casey, NACCHO Deputy CEO said, ‘NACCHO was impressed with the calibre and volume of applicants we received, especially in this first year of the scholarship’s implementation. We are proud to provide opportunities that help build leadership and skills amongst Aboriginal and Torres Strait Islander health professionals, who are significantly underrepresented in the pharmacy profession.’

Karen Hood, Sanofi’s Country Lead said, ‘As members of Australia’s healthcare community we know how important it is to listen to, and work in partnership with, Aboriginal and Torres Strait Islander communities to improve health outcomes and support meaningful steps toward a more fair, equal and just society. ‘Recognising the crucial role pharmacists play in our health system and the clear need for greater Aboriginal and Torres Strait Islander participation in this field of study, we are delighted to be supporting the inaugural NACCHO scholarship as another step toward improving health and economic participation as determined by Australia’s First Peoples.’

Bryony Forrest said ‘I have always had a passion for pharmacy from when I started as a pharmacy assistant in 2018, which only deepened as time went on and I gained more experience in this field. Connecting with my community is extremely important to me and forming these meaningful connections with individuals in the context of health showed me how powerful being a pharmacist is, and what a unique opportunity it holds for health interventions and long-term health solutions in improving the lives of others. I look forward to practising as a pharmacist and making a difference for other Aboriginal and Torres Strait Islander peoples.’

You can find further information about the NACCHO Aboriginal and Torres Strait Islander Pharmacist Scholarship on the NACCHO website here and listen to Bryony Forrest’s interview below.

Winnunga Health and Wellbeing Service at AMC

Winnunga has been operating the standalone Winnunga Health and Wellbeing Service in the AMC (Alexander Maconochie Centre, ACT adult prison) since January 2019, within its own model of care. This is an Australian first and one Winnunga believes will prove to be one of the most significant advances in the care and rehabilitation of Aboriginal detainees. Development of this service required meeting the RACGP Standards for health services in Australian prisons with infrastructure, staffing, equipment and policies. The service provides high quality holistic care for Aboriginal and Torres Strait Islander peoples in prison and continuity upon a client’s release from prison.

A client satisfaction survey of the Winnunga prison health and wellbeing service was published in the Journal of the Australian Indigenous HealthInfoNet in February 2022. Participant responses indicated a high quality of care across all five aspects of
care that were evaluated (participation in care; care design; care planning and self management; care coordination; follow up and respectful care). At least three-quarters of respondents indicated that they had received the specified aspects of care ‘Most of the time’ or ‘Always’. The provision of respectful care was rated particularly high, with all respondents indicating that they always had things explained in a way they could understand, had their concerns listened to, and felt that they and their beliefs were respected by Winnunga staff. Clients were also highly satisfied with the care provided to them and their families through Winnunga.

The most common suggestions for improvement in the client survey related to Winnunga not yet having an opioid replacement pharmacotherapy program so some clients could not be transferred to Winnunga care. This has now been addressed and more detainees have access to the Winnunga prison health and wellbeing service

The above information about the AMC Health and Wellbeing Service Survey was published the Winnunga News November 2022 edition here. You can read the Evaluating Patient Experience at a Novel Health Service for Aboriginal and Torres Strait Islander Prisoners: A Pilot Study article here.

Winnunga Health Clinic at Alexander Maconochie Centre. Image source: The Canberra Times.

HIV and sexual health webinar this WEDNESDAY

The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM), the Australian Federation of AIDS Organisations (AFAO) and NACCHO are partnering to deliver a webinar during Aboriginal and Torres Strait Islander HIV Awareness Week 2022, to discuss available HIV resources and support that we can offer to the sexual health sector. The purpose of the HIV Toolkit Webinar is to provide ACCHOs and the HIV and Sexual Health Sector with culturally appropriate, evidence informed, and effective training for workers to build the capacity and confidence to support and educate their Aboriginal and Torres Strait Islander clients around HIV and sexual health.

The webinar also aims to increase the uptake and utilisation of AFAO’s recently published ‘Healthcare Workforce Toolkit: HIV and Sexual Health for Aboriginal and Torres Strait Islander people tool kit‘ as an ongoing resource with comprehensive information, including to help improve rates of HIV and sexual health testing, and to increase the awareness and uptake of HIV treatment, and prevention tools including condoms, PrEP (Pre-Exposure Prophylaxis) and PEP (Post-Exposure Prophylaxis).

The webinar is from 12:00 pm to 1:00 pm (AEST) Wednesday 7 November 2022. To REGISTER click here.

ACCO literacy campaign linked to crime reduction

Researchers from Literacy for Life Foundation, the Lowitja Institute and the University of NSW have authored a report about the beneficial impacts of a First Nations community-controlled adult literacy campaign. The most significant quantitative finding was a 50% reduction in reported serious offences in a sample of 162 campaign participants. Qualitative data from interviews found an increased use of legal assistance services following the campaign. These findings are contextualised through the lived experiences and perceptions of First Nations campaign staff and participants, community leaders and government and non-government agency personnel.

This study demonstrates the potential benefits of an adult literacy campaign in reducing the incidence of negative justice system outcomes in rural and remote NSW Indigenous communities with low levels of English literacy. By drawing on linked administrative data to corroborate self-reported and observer reported data, this study has shown that participation in a community-controlled Aboriginal adult literacy campaign correlates with reductions in the average number of total offences, especially those related to traffic and justice procedures.

Of particular note, serious offences were halved in our study group, especially in women and in relation to assault. The analysis of qualitative data indicates that improved literacy may lead to greater degrees of self-control, among other positive impacts. If efforts to reduce the overrepresentation of Indigenous adults in the criminal justice system are to be successful, further research into and resourcing of adult literacy interventions is urgently required. Such research can assist in moving beyond simplistic law-and-order agendas by acknowledging that ‘building of positive futures for communities relies on building a foundation of well addressed non-criminal needs’.

You can read the International Journal for Crime, Justice and Social Democracy article Impact of a Community-Controlled Adult Literacy Campaign on Crime and Justice Outcomes in Remote Australian Aboriginal Communities in full here.

Image source: Literacy for Life Foundation website.

What’s next for our kids? asks Chris Bin Kali

Deputy Chairperson, Aboriginal Health Council of WA (AHCWA) Chris Bin Kali has written an opinion piece published in the National Indigenous Times last Friday about Premier Mark McGowan announcement of a $63m plan to address conditions for youth in detention. Bin Kali said while it is clear that additional funding is desperately needed, so is clarity around what is next for our young people in detention.

Bin Kali said a single funding announcement is not enough to make lasting change, ‘We know that in Australia, Aboriginal youth are disproportionately represented in youth detention. A large majority of the youth detainees currently at Banksia Hill are Aboriginal.  Under the National Agreement on Closing the Gap, the WA Government has committed to partnerships and shared decision-making with Aboriginal people about issues impacting our lives, and to improving the accountability and responsiveness of government to the needs of Aboriginal and Torres Strait Islander people.”

“To honour these commitments, the WA Government must listen to Aboriginal people and partner with us to find solutions to these issues. We know that these problems are complex and will require long-term changes across a range of areas. We know how troubled some of our young people are and the healing they need. We don’t pretend these things can be fixed overnight. But we are certain that they won’t be fixed without prioritising Aboriginal voices.”

To view the NIT article What next for our kids, Premier? in full click here.

Chris Bin Kali. Photo supplies by AHCWA. Image source: National Indigenous Times.

NDIS Ready videos and social media tiles

At the end of 2021 NACCHO delivered over $1.25m in grants to 57 Aboriginal Community Controlled Organisations (ACCOs) to support the delivery of culturally safe and appropriate National Disability Insurance Scheme (NDIS) services to their communities. The grants were delivered through the NDIS Ready program which is funded by the Department of Social Services.

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

Some of the funding has been used by NACCHO affiliates to produce the following videos:

AHCWA

AH&MRC

AHCSA (no videos)

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.