NACCHO Aboriginal Health News: Embedding cultural determinants of health in policy

feature tile text ' Lowitja Institute report offers blueprint for embedding cultural determinants of health in policy & practice

Embedding cultural determinants in health policy

A new report published by Lowitja Institute provides a blueprint for placing culture at the core of policies affecting Aboriginal and Torres Strait Islander peoples, showing how the cultural determinants of health can be implemented into policy and practice.

Lowitja institute CEO Dr Janine Mohamed said the report Culture is key: towards cultural determinants-driven health policy outlines how culture is a protective factor for health and wellbeing and needs to be integrated and valued within health policy frameworks and programs, and also in broader government policies. “For Aboriginal and Torres Strait Islander peoples, the cultural determinants are an essential part of our identity and are protective factors of health and wellbeing, anchored in ways of knowing, doing and being that have continued for tens of thousands of years,” she said. “However, this holistic concept of health is often neglected in government approaches to our health and wellbeing because it does not align with dominant culture or western perspectives and is not understood or fully appreciated by policymakers,” she said.

Dr Mohamed said the new Closing the Gap National Agreement and the National Aboriginal and Torres Strait Islander Health Plan refresh offer a unique window of opportunity for the government to invest in cultural determinant-driven whole-of-government policy.

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

Lowitja Institute is hosting a webinar on Thursday 29 April 2021 to support the release of the report. For more details or to register for the webinar, click here. For more information about the report or to arrange an interview with Dr Janine Mohamed, please contact Amy Hofman on 0405 114 930.

young Aboriginal girl Allorah Saunders with face paint, wearing t-shirt with Aboriginal flag, hanging from a bar, head half concealed by her arm

Allorah Saunders, whose health care is provided by the Tharawal Aboriginal Corporation Medical Service in western Sydney. Photo: Steven Siewert. Image source: Oxfam Australia.

Mental health & suicide prevention interim report

The House Select Committee on Mental Health and Suicide Prevention (the Select Committee) has released its interim report. The Committee’s interim report includes an update on the Committee’s activities to date, and emerging themes identified through recent reports into Australia’s mental health system and engagement with the Productivity Commission, National Mental Health Commission and Department of Health.

Chair of the Committee, Dr Fiona Martin MP, said ‘The interim report provides a snapshot of the breadth of work underway on mental health and suicide prevention. It also identifies some areas that the Committee feels need further examination as the inquiry progresses. These areas include the divide between public and private mental healthcare, coordination and funding of mental health services, affordability, the growth of telehealth and digital services in response to COVID-19, and the role of professional bodies in advocating for, regulating and supporting the workforce.’

To view the media release in full click here.

drawing of a bust sliced into 7 sections, inside of slices is red, outside of slices are white, reflected on black surface, dark grey background

Image source: The Medical Journal of Australia.

The Hon David Coleman MP, Assistant Minister to the Prime Minister for Mental Health & Suicide Prevention delivered a speech at the Suicide Prevention Australia Symposium 2021 earlier today in which he released the National Suicide Prevention Adviser’s final advice.

pile of 4 lots of paper with dog clips on desk, potted plant blurred in background

Image source: The Mandarin.

Change makers create future they want

“We can all be superheroes, we can save the world, we’ve just got to care enough to do it,” says JK-47, the 23-year-old rising star of Australian rap on what he is trying to communicate through his music. He is one of the passionate change makers who answered the call the ABC put out for young people to tell them how they are coping with a world that is increasingly scary.

It is hard not to feel disempowered in the face of stories about climate change, racism, new wars, and now global pandemics — particularly when you are young. However, the teenagers and 20-somethings featured in the article have discovered a way to create the future they want to grow into.

To view the full ABC News article click here.

black & white photo of rapper JK-47's face with white paint lines, fingers raised to face against trunk of a gum tree

JK-47’s debut album Made For This features lyrics about the daily injustices First Nation people face. Photo: Kiarney Mulyono. Image source: ABC News website.

Healthy sexual relationships campaign

WA’s new HealthySexual campaign is all about preventing, testing, treating and talking to minimise the personal and social impact of sexually transmitted infections (STIs). With outbreaks of infectious syphilis occurring in metropolitan, regional and remote parts of the state and notifications rising over the past five years, it’s a timely reminder to be aware of and talk about sexual health.

In 2020, notifications of infectious syphilis in WA were 26% higher than the previous year. The Department of Health’s Sexual Health and Blood-borne Virus Program Manager, Lisa Bastian said outbreaks of STIs over much of the state had placed populations at risk and prompted a more mainstream prevention campaign for the general community. She said an outbreak that started in the Kimberley region in June 2014 had spread to the Pilbara in February 2018 and the Goldfields in January 2019.

To view the Government of WA Department of Health’s media release click here.

banners from WA Healthy Sexual Campaign text 'anyone can be a Healthy Sexual, Talk, Test, Protect, When you look after yourself, you look after all of us' talk has a photo of a girl with glasses & very broad smile, test has a photo of a man with eyeshadow with hands holding rainbow coloured braces, protect has bald man with goaty beard & hawaiian shirt, last slide has a young smiling woman with long wavy golden hair

Image source: Government of WA Department of Health.

Deaths in custody, every family has a story

A detective visited the parents of a young Aboriginal man; a warrant had been issued for their son’s arrect. ‘We’re going to get your son; he’s going to be locked up,’ the detective told them. ‘But if you get him to come around now, I can guarantee you that the arrest will be a non-eventful process. He won’t be harmed; we’ll put him into custody, he’ll serve his time and then he can get on with his life.’

The request went against their instincts, but the parents agreed. When their son arrived, however, the promise fell through. ‘They grabbed him, ruffed him up and smashed him into the fence, causing a head injury,’ Professor Peter O’Mara, a Wiradjuri man and Chair of RACGP Aboriginal and Torres Strait Islander Health, told newsGP. ‘That young man then went into the system. Approximately one week later, he died.’

To view the newsGP article in full click here.

Aboriginal flag billowing in the wind

On average, one Aboriginal life is lost in custody every three weeks. Image source: newsGP.

Stan Grant has written an in-depth analysis of the reasons for Aboriginal deaths in custody in his article Aboriginal deaths in custody reflect the poor health of Australia’s democracy. His article begins with some frightening statistics ‘3% of the population comprise nearly 30% of those behind bars. Look closely and it becomes even more alarming. In WA, 40% of prisoners are Indigenous. In the NT, it is more than 80%. Among youth it is even worse. Half of all children in detention nationally are Indigenous. In the NT, more than 90% of all juveniles detained are black.’

‘Despite the recommendations of the royal commission, we are going backwards. The number of Indigenous people imprisoned has increased 100% in the past three decades. Since 1991, more than 400 Indigenous people have died in custody. Thirty years after the royal commission, things are worse.’

To read Stan Grant’s article click here.

white banner with text in red '30th anniversary' text in black 'roayl commission into Aboriginal deaths in cutody' red text '1991:99 lives; 1991-2021: 500 lives' yeallow text on black separate placard ' Australia is a crime scene under the crown'

Banners at the black deaths in custody Photo: Mitch Abram. Image source: ABC News website.

Young people staying away from jail

Corrie Bell didn’t think he’d make it to his 28th birthday. He’d been taken away from his parents at the age of 15 and didn’t have a lot of hope. “All my life I’ve been living in prison… mentally and emotionally, you know feeling caged in and trapped,” he said. Corie’s a Ngunnawal Kamilaroi man from Campbelltown in south-west Sydney. He told Triple J Hack he had a really rough childhood. “Drugs, alcohol, crime, domestic violence… was very frequent within my family home,” Corie said.

Corie says what he really needed as a kid to keep him out of trouble was stability and guidance from positive role models. Instead he had cops following him, dealers for mates and a bunch of trauma he was trying to drown out. By 18, Corie was sent to jail for robbery and reckless wounding. He says he was so drunk he didn’t even realise where he was.

To view the Triple J HACK article What do young people need to stay away from jail? in full click here.

Uncle Glen from The Glen Centre with white face paint standing in front of 9 men, 8 with faces & chests painted with white paint & one with a black t-shirt & white paint on his forehead

Uncle Glenn (front) says ‘The Glen Centre’ adopts a holistic approach to rehabilitation, with a focus on integrating Indigenous culture and spirituality. Image source: ABC News website.

In a related story, Amnesty International Australia have expressed disappointment that the Committee charged with investigating the proposed youth justice amendments in Queensland has recommended the amendments pass, despite its own report being full of evidence that they will do nothing to address youth crime. The youth justice amendments seek to take a punitive approach to young children who often have complex needs the justice system is ill equipped to address, and which ultimately condemn these kids to life in the quagmire of the criminal justice system. Amnesty International Australia Indigenous Rights Campaigner Maggie Munn gave evidence at the committee hearings.

To view Amnesty International Australia’s media release click here.

two Aboriginal youths in Darwin Don Dale Juvenile Prison

Youth detained in a Darwin prison. Image source: ABC News website.

NACCHO Aboriginal Health News: acceleration of efforts to reduce overincarceration

feature tile text 'Joint Council agrees to accelerate collective efforts to reduce overincarceration of Aboriginal and Torres Strait Islander people' & photo of an Aboriginal man's hands through prison bars

Acceleration of efforts to reduce overincarceration

The Joint Council on Closing the Gap met today and acknowledged the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody and agreed that joined up work between all governments in partnership with Aboriginal and Torres Strait Islander representatives is critical to reducing the rate at which Indigenous people are incarcerated, and thereby reduce deaths in custody. Given the urgency and enduring nature of this issue Joint Council agreed to the high priority of accelerating the critical work to establish a Policy Partnership on Justice with the aim of reducing youth and adult incarceration.

Patricia Turner AM, Lead Convener of the Coalition of Peaks said “It’s vital that governments, in partnership with Aboriginal and Torres Strait Islander representatives, are taking urgent and decisive steps to address the overincarceration of our peoples. For the first time, Aboriginal and Torres Strait Islander representatives will be at the table with Ministers, Attorneys’-General, government officials, corrections, policing, housing and health under a formal shared decision making arrangement.”

To view the Coalition of Peaks media release click here.

protest march with placard of Aboriginal flag overlaid with text 'most incarcerated people on earth'

Photo: Getty. Image source: BBC News website.

Aboriginal people still dying in custody

Aboriginal man David Dungay Jr died in a Sydney prison cell in 2015 after officers restrained him to stop him eating biscuits. During the struggle, he was pinned face-down by guards and jabbed with a sedative. Video later shown at his inquest captured his final moments: his laboured breathing and muffled screams under the pack of guards. “I can’t breathe,” he yelled repeatedly.

His case has parallels to that of African-American man George Floyd, whose death triggered global protests against racism and policing in the US. The Black Lives Matter movement also threw a spotlight on Australia’s own incarceration of indigenous people and their deaths in custody.

This week marks 30 years since a landmark inquiry into Aboriginal deaths in custody. The royal commission made hundreds of recommendations to address the crisis. But three decades on, the situation has worsened. Central to the problem is overrepresentation. Indigenous people are about 12 times more likely to be in custody than non-indigenous Australians.

That reality, a product of systemic problems and disadvantage faced by Aboriginal people, has prompted fresh anger over a lack of action. “The system is continuing to kill us and no one’s doing anything about it,” Paul Silva, the nephew of David Dungay Jr, said at a rally this week.

To view the BBC article in full click here.

2 young Aboriginal women BLM protestors, one with t-shirt Always Was Always Will Be holding up hands covered in red paint to indicate blood, other woman holding Aboriginal flag behind her with raised arms, t-shirt with text black' and Aboriginal flag broken into 4 horizontal rectangular segments

Photo: Getty: Image source: BBC News website.

Deaths in custody & intergenerational healing

The Healing Foundation CEO Fiona Cornforth spoke with Dan Bourchier, ABC Radio 666 Canberra ‘Afternoons’ yesterday about the 30-year anniversary of the Royal Commission into Aboriginal Deaths in Custody and intergenerational healing.

Fiona Cornforth said “it is an important time to do that reflecting. Though it’s something we carry every day, I think, as Aboriginal and Torres Strait Islander peoples. Unfortunately, we’re at a point now where we’ve lost hope in recommendations being fully implemented, despite all our voices being in these reports over time and people being generous and courageous to put forward their stories, time and time again. Where the solutions are in community, the solutions are given up as important by those with lived experience. But the powers that be and the complex system, the incarceration system, and all the service providers, the big web just can’t seem to get these recommendations out of the too hard basket.”

You can view a transcript of the interview here.

Aboriginal adult hand with small Aboriginal child's hand holding one of the fingers

Image source: Parks Australia website.

NDIS independent assessments on hold

The Morrison government has decided to delay introducing mandatory independent assessments (IAs) for the National Disability Insurance Scheme (NDIS), in a move strongly welcomed by disability groups.

New NDIS Minister Linda Reynolds said earlier this week that she would not be making any decisions around in IAs legislation until an IA trial was finished and the government could examine the feedback. While people currently need to get reports from multiple health providers of their choosing to assess their NDIS eligibility, the new mandatory assessments will be conducted by NDIS-appointed healthcare professionals using standardised tools.

The decision to introduce IAs has been met with overwhelming opposition from disability advocates, who say the process does not adequately capture the complexity of a person’s support needs and will lead to unfair outcomes for people with disability. Reynolds acknowledged the “significant feedback” IAs have already received, and said she would be consulting across the country with as many stakeholders as she could. Disability groups – who feared people would disengage from the scheme entirely because of their unwillingness to engage with IAs – strongly welcomed the minister’s comments.

To view the Pro Bono Australia article in full click here.

rear view of seat and wheel of a wheelchai

Image source: Pro Bono Australia News website.

The more that have the vaccine, the safer we’ll be

NACCHO CEO and lead convenor of the Coalition of Peaks, Pat Turner and NACCHO Deputy CEO, Dr Dawn Casey received their first AstraZeneca vaccines at Winnunga Nimmityjah Aboriginal Health and Community Services last week. “The more people have the vaccinations, the safer we will be,” said Pat. “We’ve managed to keep our community free of any deaths from COVID-19 to date and we want to continue that outstanding record.”

Contact your local Aboriginal Community Controlled Health Organisation or GP to find out when you can receive your vaccine and to ask any questions you may have. To view the  Pat Turner’s video click here.

photo of Pat Turner receiving vaccine, text 'NACCHO CEO & Lead Convenor of the Coalition of Peaks PAT TURNER'

Review of kidney transplant wait-listing

Research has confirmed poor access to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians from the NT. The study found causes of delays to wait-listing included: failure to attend appointments due to competing priorities and communication barriers, access and navigating complex pathways to specialist services, transport, co-morbidities requiring multiple tests and multiple specialty services, and pressures on dialysis and hospital bed capacity.

The study concluded that barriers to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians are complex and can be addressed by redesigning healthcare provision, including increasing the Aboriginal and Torres Strait Islander workforce to provide education and patient navigation of the healthcare system and improve communication, streamlining investigations and coordinating specialist services.

To view the full research paper here.

health professional in green gown, green rubber gloves holding white box with red text ' HUMAN ORGAN FOR TRANSPLANT' against surgical theatre background

Image source: Renal and Urology News.

Lessons from subsidised spectacles scheme

A study has been undertaken to determine what lessons can be learned from the Victorian Aboriginal Spectacles Subsidy Scheme (VASSS). The VASSS, which started in July 2010 and has operated continually since, aims to improve access to visual aids and eye care for Aboriginal and Torres Strait Islander Victorians.

An estimated 10,853 VASSS cofunded visual aids were delivered over the first 6 years of the scheme. During that time the mean annual number of comprehensive eye examinations provided within services using VASSS grew 4.6-fold faster compared with the 4 years preceding the VASSS. VASSS achievements were attained through collaborations, flexibility, trust and communication between organisations, all facilitated by funding resulting from evidence-based advocacy.

Access to visual aids and eye examinations by Aboriginal Victorians has improved during the operation of the VASSS, with associated direct and indirect benefits to Aboriginal health, productivity and quality of life. The success of the VASSS may be replicable in other jurisdictions and provides lessons that may be applicable in other fields.

To view the full research paper click here.

Aboriginal man wearing eye test equipment spectacles

Image source: Optometry Australia website.

NACCHO Aboriginal Health News: 30 years on, deaths in custody a national shame

feature tile text '30 years on from Royal Commission report Aboriginal deaths in custody a national shame' transparent Aboriginal flay overlaying Aboriginal hands holding jail bars

30 years on, deaths in custody a national shame

Today marks the 30th anniversary of the of the Report of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC) and numerous stakeholder organisations have released statements condemning the continued failure of governments to implement all of the report’s recommendations.

The Partnership for Justice in Health (P4JH) said it stands in solidarity with the grieving families and communities of loved ones who have died in custody due to a failure of governments to effectively implement the clear and comprehensive recommendations outlined in the RCIADIC report. The P4JH said all levels of government must reflect on the loss and grief that could have been prevented had they acted on the recommendations as a matter of priority in 1991 and in the years since. “We are sending our strength to those families and friends whose grief and trauma is compounded by that continued failure of Australian governments to act with resolve and commitment,” said the P4JH co-chairs Dr Janine Mohamed, CEO of the Lowitja Institute and Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP). To view P4JH’s media release click here.P4JH logo

Indigenous Allied Health Australia (IAHA) released a statement acknowledging the deep loss and grief of families and friends whose loved ones have passed away while in custody, both before and since the RCIADIC report. IAHA said ‘we are at our best when we go beyond empathy and act to reduce the causes of that grief and loss. We must do that now.’ IAHA called for the full implementation of the RCIADIC report’s recommendations. To view the IAHA’s media release click here.IAHA logoThe Australian Indigenous Doctors’ Association (AIDA) said that ‘Aboriginal deaths in custody continue to occur to this day – and the over-representation of our people in custody – is a national travesty. This is an abject failure of Australian governments. Aboriginal and Torres Strait Islander people suffer unacceptably high levels of physical illness, mental illness and suicide. There is ample evidence that grief, stress and trauma make us sick and incidents such as ongoing deaths and over-representation – further add to the burden of health and disadvantage. Racism and unconscious bias – institutional, systemic and individual – is an unacceptable fact of life for Aboriginal and Torres Strait Islander people. Culturally safe services can support service providers to confront and understand cultural difference and deliver effective and safe services to our people.’ AIDA called on all governments to accept, and to address racism and unconscious biases that are embedded in police, prison, legal and health systems. To view AIDA’s media release click here.AIDA logoThe National Native Title Council (NNTC) similarly said that three decades on from the RCIADIC report the rate of Indigenous incarceration and deaths in custody continues to be one of our country’s greatest shames. The NNTC referred to research from The Guardian that found Indigenous peoples who died in custody were “more likely to not have been charged with any crime” and were “three times more likely to not receive all required medical care, when compared to non-Indigenous people”. The Royal Commission made 339 recommendations, of which more than one hundred have not been implemented. To view the NNTC’s media release click here.National Native Title Council logo

Change the Record says it is a national shame that in the three decades since the RCIADIC report, state, territory and Commonwealth governments have failed to implement the majority of the report’s recommendations – and as a result ‘our people are still dying at horrendous rates.’ To view the Change the Record’s media release click here.Change the Record logo

Human Rights Watch agreed that the Australian government’s continued failure to address Indigenous deaths in custody tarnishes the country’s rights record and global standing. To view the Human Rights Watch article click here.

Oxfam Australia Chief Executive Lyn Morgain said: “Today is a historic and shameful day for our nation. Thirty years ago, the landmark report of the RCIADIC revealed the full extent of the danger that our justice system presents to First Peoples, and laid out the path we needed to take to make things right. Thirty years on, and things are much worse – with incarceration rates of Aboriginal and Torres Strait Islander people more than doubling in relative terms. Our leaders have been missing in action on this issue. They have failed to implement many of the report’s 334 recommendations, and they have failed to show care and compassion for First Peoples by changing an unfair and unjust system.” To view Oxfam Australia’s media release click here.OXFAM Australia logo

Thirty years ago Robert Tickner AO, the Aboriginal Affairs Minister in the Hawke government, presented the RCIADIC report to the national Parliament. Now as the Chair of the Justice Reform Initiative he said “It is to our great shame that 30 years later, we have progressed so little. We cannot wait another 30 years for real change.” The report made 339 recommendations, including that imprisonment should only occur as a last resort. This recommendation was adopted by all Australian Governments including by every State and Territory Government from all political persuasions. This support was given on the back of incontestable evidence that jailing was failing Aboriginal people. To view the media release click here. Justice Reform Initiative logo

Cairns ACCHO gives students a strong start

Commencing on 22 April, six students in Year 11 from Bentley Park College and Trinity Bay State High School, will start a school-based traineeship at Wuchopperen Health Service (Wuchopperen) to kickstart their health career with 100% Indigenous owned and operated Group Training Organisation, Australian Training Works Group (ATW), leading the recruitment drive.

The Aboriginal and Torres Strait Islander Traineeship Program, ‘Strong Start’, will give Indigenous youth a head start, achieving a nationally recognised qualification and on the job training while completing year 11 and 12. “By allowing students to gain work skills while completing school, they’re able to work towards a goal, whether that be higher education or transition to work,” says Rachael Ham, Deputy CEO at Wuchopperen. To view the media release in full click here.

photo L–R: Tony Marten (owner & Managing Director at ATW), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen) standing in front of Wuchopperen banner

L–R: Tony Marten (owner & Managing Director at Australian Training Works), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen).

Health sector’s role in deaths in custody

As Australia marks the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC)  the health sector has been urged to reflect on whether it is part of the problem or offering solutions. Associate Professor Megan Williams, Wiradjuri justice health researcher and educator, has identified multiple areas where the sector has failed to address the health needs of prisoners.

Professor Williams says ‘justice is essential for health, for all people in Australia. How we disregard the Royal Commission recommendations is as sick as how we treat First Peoples. $40 million, three years of testimony and evidence about 99 Aboriginal deaths in custody in the 1991 final report and 339 recommendations. But what about deaths since? More than 474. Barely a family have not been affected by Aboriginal deaths in custody, police brutality, poverty or racism. It’s time to make a list of all the government frameworks that overlook, minimise, forget, ignore, exclude, tokenistically mention or silence Aboriginal and Torres Strait Islander people in prison, and all people in prison.’

To view the full Croakey article click here.

End Black Deaths In Dustody rally in Naarm Melbourne to mark 30th anniversary of the Roayl Commission into Aboriginal Deaths in Custody - crowd carrying photos, signs, placards

End Black Deaths In Custody rally in Naarm Melbourne to mark 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody. Photo by Marie McInerney. Image source: Croakey.

Raising criminal responsibility age urged

National Children’s Commissioner, Anne Hollonds and Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO have urged all Australian governments to raise the age of criminal responsibility as a matter of priority. A report commissioned by a meeting of Attorneys-General in July last year recommended that all jurisdictions raise the age and ensure younger teenagers are not held in detention. Recent reports have suggested that Australian Attorneys-General are considering raising the age from 10 to 12. The UN Committee on the Rights of the Child recommends raising the age of criminal responsibility to 14-years-old as a minimum. As we mark 30 years since the Royal Commission into Aboriginal Deaths in Custody handed down its report, it’s important to acknowledge that Indigenous children account for 58% of young people being held on remand and 48% of young people in sentenced detention.

To view the Australian Human Rights Commission media release in full click here.

spray painted image of an Aboriginal child on a brick wall overlaid with white chalk lines representing jail bars

Image: Chris Devers, Flickr. Image source: newmatilda.com.

Mega prison raises fears for prisoner health

Governments often hail the economic benefits that new or expanded prisons bring to regional communities. But what are their health and social impacts? These issues are investigated as part of Croakey’s new Rural Health Justice series. In the feature article launching the series, journalist Linda Doherty explores how Australia’s newest mega jail, the Clarence Correctional Centre (CCC), near Grafton, NSW is affecting the health and wellbeing of prisoners, their families and the local community.

Around 60% of the 155 women prisoners in CCC have dependent children and one-third are Aboriginal women, according to SHINE for Kids which advocates for the human rights of children with a parent in prison, transports children to jail visits, runs evidence-based parenting, cultural and education courses in 27 jails in NSW, Queensland, Victoria, ACT and WA, and funds tutors for primary school children.

Like many of the 339 recommendations of the 1991 Royal Commission into Aboriginal Deaths in Custody that have been ignored by governments, recommendation 168 resonates for the parents in the new CCC facility. It says: “…where possible, an Aboriginal prisoner should be placed in an institution as close as possible to the place of residence of his or her family.”

To view the full article in Croakey click here.

photo of Storytime book called 'Tracks my Country' created by parents in prison for their children

One of the Storytime books created by parents in prison for their children. Image source: SHINE for Kids.

Increasing vaccine take-up in remote NT

In East Arnhem Land, the Miwatj Health Aboriginal Corporation said only 129 of about 5,600 eligible people had received the AstraZeneca vaccine since the rollout began in the region at the start of April. Chief executive Eddie Mulholland told the ABC he expected that number to be higher, but people were now becoming even more reluctant because people are hearing reports of rare blood clotting among recipients of the AstraZeneca vaccine.

The NT’s peak Aboriginal health service is working on a plan to improve the take-up of COVID-19 vaccines after reports of growing reluctance in remote areas. A spokeswoman for the Aboriginal Medical Services Alliance NT said details will be released early next week.

To view the article in full click here.

photo of 9 Aboriginal adults, one holding a baby around table at Miwatj Health indicating they have had a COVID-19 vaccine

All adults in remote communities are eligible for vaccination under phase 1b of the rollout. Photo supplied by: Miwatj Health Aboriginal Corporation. Image source: ABC News website.

COVID-19 radio ads in language

The Australian Government Department of Health has produced a collection of translations of the radio ad, ‘Living the new normal’, in Aboriginal and Torres Strait Islander languages. To access the collection click here.DoH banner text 'Keep Our Mob Safe' Coronavirus (COVID-19) Help Stop the Spread and Stay Healthy' against Aboriginal dot art painting in black, gold, pink, light blue, tan

Health system needs to learn from patient experience

The health system in Australia would benefit significantly by paying more attention to the lessons learned from patient experience, the Consumers Health Forum (CHF) says. This is a key message from the latest edition of the Health Voices ejournal which covers the recent Shifting Gears Australasian summit conference of the CHF.

“The value of learning from experience was given fresh power at the inaugural Australasian summit last month,” the CEO of CHF, Leanne Wells, said. “As the conference heard more than once, health consumers, particularly those with chronic conditions are more likely to have deeper knowledge of their overall care than any one health professional dealing with a single aspect of their care. There is much to learn, including from such community-centred programs as the National Aboriginal Community Controlled Health Organisation success in countering COVID-19.”

To view the Consumes Health Forum of Australia media release click here.

5 stacked wooden blocks, top two & bottom two with black arrows to left, middle with red arrow to the right

Image source: Australian College of Nursing.

NACCHO Aboriginal Health News: NDIS Ready Indigenous Business Support Funding grant round opening soon

Feature tile text 'NDIS Ready Indigenous Business Support Funding Grant Round Opening Soon' & image of tile with same text & logo artwork

Hi there

You may have accidently received the previous blog post that went out earlier today. Our WordPress site had a ‘whoops’ moment and it was published by mistake.

We apologies for the error! This is the final version of today’s NACCHO Aboriginal Health News.

Thank you.

NDIA Ready IBSF grant round opening soon

Attention NACCHO members!

We are excited to announce that the NDIS Ready Indigenous Business Support Funding (IBSF) grant round will be opening soon!

IBSF offers funding to eligible ACCHOs to help address:

  • basic establishment costs, and/or
  • business and technical challenges in registered and delivering services under the NDIS.

Grants of $20,000 will be available for up to 100 member ACCHOs. ACCHOs will be contacted shortly via email with information about the grants and how to apply.

image of wheelchair wheel & seat overlaid with Aboriginal dot painting gold, red, blue white tones

Image source: AbSec website.

Outcry over fifth death in custody in a month

The fifth Indigenous death in custody in a month has provoked an outcry by Aboriginal leaders after a 45-year-old maximum security inmate died in a WA prison. The prisoner from WA’s Casuarina Prison, who has not been publicly identified was taken to the secure wing of Fiona Stanley Hospital in southern Perth where he underwent a medical procedure and was placed in intensive care where he died.

Among the outcry from Indigenous leaders, Victoria’s first Aboriginal politician, Greens Senator Lidia Thorpe posted on Twitter that the man was “the 5th Aboriginal person to die in this country’s criminal legal system since the start of March. The pain is never ending! No justice, no peace!!,” she wrote. Since 1991, almost 500 Indigenous Australians have died in prison or in the custody of police.

To read the full article click here.

Indigenous Senator Lidia Thorpe holding Aboriginal flag & wearing hat with the word Deadly at an Invasion Day rally in January 2021

Indigenous Senator Lidia Thorpe (above at an Invasion Day rally in January) has protested at the fifth death in custody in a month. Picture: Darrian Traynor. Image source: news.com.au

Fears new NDIS assessments not culturally safe

Submissions to a parliamentary inquiry have raised concerns that controversial proposed changes to the NDIS will not serve people from Indigenous and culturally and linguistically diverse backgrounds. A parliamentary committee examining controversial independent assessment reforms under the NDIS has been warned about the potential impact of changes on Indigenous and culturally diverse communities.

The inquiry is looking into the proposed changes intended to overhaul the evaluation process for determining an individual’s eligibility for support and funding under the disability support scheme. Currently, people with disability are required to submit evidence from their own experts such as specialists for evaluation by the National Disability Insurance Agency (NDIA).

The reforms would instead see participants undergo an “independent assessment” from an allied health professional employed by contracted providers – paid for by the Australian government. Critics claim the move is a cost-cutting exercise that will leave participants worse off and undermine their control over the support they receive – a claim strongly denied by the government.

To view the full SBS News article click here.

portrait photo of SA artist Jackie Saunders with her artwork in the background

Ngarrindjeri Wirangu woman and artist Jackie Saunders lives with FASD. Image source: SBS News website.

Funding boost for Indigenous healthcare provider

FIRST Peoples’ Health and Wellbeing has received nearly $2 million to expand its services. The Frankston-based Indigenous healthcare provider’s CEO, Karinda Taylor, said the funding would “ensure that first nations’ people are provided with culturally safe services that meet the health and wellbeing needs of local communities”. The funding was secured through the federal government’s Indigenous Australians’ Health Programme. and is expected to fund service expansion and minor capital costs until 2023.

Dunkley MP Peta Murphy said, “the City of Frankston is home to one of the fastest growing indigenous populations in Victoria. This funding will allow First Peoples’ Health and Wellbeing to continue their crucial work and expand their local services. I’m proud to have lobbied the federal government for this additional funding”.

To view the full article click here.

FIRST Peoples’ Health and Wellbeing’s Naaz Stojkova and Karinda Taylor with MPs Peta Murphy & Paul Edbrooke standing outside FPH&WS shopfront

FIRST Peoples’ Health and Wellbeing’s Naaz Stojkova & Karinda Taylor with MPs Peta Murphy & Paul Edbrooke. Image source: Bayside News.

Crusted scabies NT study

Scabies is listed as a neglected tropical disease by the World Health Organization. Crusted scabies affects vulnerable and immunosuppressed individuals and is highly contagious because of the enormous number of Sarcoptes scabiei mites present in the hyperkeratotic skin. Undiagnosed and untreated crusted scabies cases can result in outbreaks of scabies in residential facilities and can also undermine the success of scabies mass drug administration programs.

Crusted scabies became a formally notifiable disease in the NT in 2016. A 2-year prospective study of crusted scabies cases notified between March 2016 and February 2018, with subsequent follow up for 22 months has been conducted. Demographics, clinical and laboratory data, treatment and outcomes were analysed, with cases classified by severity of disease.

The study concluded that crusted scabies can be successfully treated with aggressive guideline-based therapy, but high mortality remains from underlying comorbidities. Reinfection on return to community is common while scabies remains endemic.

To view the research article in full click here.

crusted scabies manifestation on feet & sarcoptes scabiei mite under the microscope

Sarcoptes scabiei mite under a microscope. Image source: Managing Crusted Scabies in Remote Communities 2017 Edition.

The Lucky Country – but not for all

Australia’s lack of action on climate change, treatment of Indigenous people and the ongoing detention of refugees have been singled out for criticism in Amnesty International’s annual report into the state of human rights around the world: Amnesty International Report 2020/21 – The State of the World’s Human Rights. The report highlighted widespread public support for raising the age of criminal responsibility from 10 to 14, and Australian law makers reluctance to move on an important reform which would have a significant impact on the health and wellbeing of Indigenous children. “Australians like to see ourselves as living in the lucky country, and that’s true for the privileged among us, but there are swathes of our community who are unable to access justice and the basic rights to which we’re all entitled,” Amnesty International Australia National Director, Samantha Klintworth, said.

To view Amnesty International Australia’s media release in full click here.

remote Aboriginal community with multiple beds in the open outside a dwelling

Image source: Street Smart Action Against Homelessness website.

Check yourself, before you wreck yourself

A major push to improve the health of the Indigenous community was launched by the Australian Government last month, with a focus on increasing Annual health checks. Backed by a new radio advertising campaign delivered in five Aboriginal languages: Kriol, Yolngu Matha, Warlpiri, Arrernte and Burarra, the Government is encouraging Aboriginal and Torres Strait Islander people to see their GP and have a 715 health check.

The health check, listed as item 715 on the Medicare Benefits Schedule, is tailored specifically to support Aboriginal and Torres Strait Islander people of all ages. It is free and available every nine to twelve months. Minister for Health and Aged Care, Greg Hunt said the health checks are an opportunity for early intervention, prevention and chronic disease management for all age groups.

In one of the campaign’s latest resources comedian Sean Choolburra urges mob to get a regular 715 health check. After completing his 715, Sean says there’s nothing to be afraid of. “It was what I expected – I had my hearing checked, my eyesight checked, and I thought my eyesight has been getting worse, but apparently Dr. Prabash says I have great eyes. No joke, I do have great eyes,” says Sean. “I’d love to bring my kids in because they seem to not hear me. And they don’t seem to see their clothes all over the floor and their empty cups. I think they’re the ones who need their eyes and hearing checked!” Sean jokes.

Further information, including resources for patients and health practitioners is available here.

To view the Minister for Health’s media release click here and to view the Sean Choolburra case study click here.

Aboriginal comedian Sean Choolburra getting ear check by health professional - Sean's mouth is wide open

Comedian Sean Choolburra. Image source: Department of Health.

Suicide rises linked to disasters

NSW suicide deaths data released today highlights the need for immediate action to address distress in our community and future-proof against disasters. According to the NSW Suicide Monitoring and Data Management System there have been 104 suspected or confirmed suicide deaths reported in NSW from 1 January to 31 January 2021. This is significantly more than the number of deaths reported within the same period in 2019 (75) or 2020 (81). Suicide Prevention Australia, CEO, Nieves Murray said, “Any increase in deaths by suicide is a tragedy. The ripple affect across families, workplaces and communities is unfathomable. “The past year has presented many trying circumstances across NSW communities including droughts, bushfires and COVID-19. This has increased risk factors for suicide such as financial distress and unemployment.

To view the Suicide Prevention Australia media release click here.

split image of a tree, half green & lush, half bare branches grey skys

Image source: Psychiatric Times.

COVID-19 vaccine priority groups

In this video, Professor James Ward explains why Aboriginal and Torres Strait Islander people will be some of the first to receive the COVID-19 vaccine. Professor Ward says he’s heard some concerns regarding which vaccine people will get and why the vaccine is being rolled out to our mob first. Aboriginal and Torres Strait Islander people, like other Indigenous peoples around the world, will be some of the first to receive the vaccines. This is solely to protect our Elders and those in our communities with underlying health conditions. Without the vaccine, our population will remain susceptible to COVID-19. When it’s your turn to be vaccinated, you’ll have access to whichever vaccine is available at that time. There’ll be enough vaccine doses for everyone in Australia.

VIC or ACT – Melbourne or Canberra – Australian Physiotherapy Association (APA) 

Senior Advisor – Aboriginal and Torres Strait Islander Health  x 1 PT (4 days/week)- Melbourne or Canberra

The Australian Physiotherapy Association (APA) is the peak body representing the interests of over 28,000 physiotherapists in Australia. It does so by advocating for access to quality physiotherapy services, providing leadership in the wider health landscape, creating lifelong learning opportunities for members, and promoting the value of physiotherapy to the community.

The Senior Advisor – Aboriginal and Torres Strait Islander Health (ATSIH) is responsible for the development and implementation of our Aboriginal and Torres Strait Islander Health policy and advocacy initiatives, including the implementation of our Reconciliation Action Plan (2021-23), Physiotherapy Cultural Safety Action Plan and our involvement in the Close the Gap (CtG) Campaign.

To view the job description and to apply click here. Applications close Wednesday 14 April 2021.logo: text 'Australian Physiotherapy Association' & triangular blue shape with cursive letters APA, all in blue & white

NSW – Sydney – The University of Sydney 

Senior Ad (identified) x 1 FT (Fixed Term) – Sydney – CLOSING DATE EXTENDED

The Centre for Kidney Research are seeking a Research Assistant (Identified) to work on a project alongside a team of researchers and educators. This project aims to develop clinical practice guidelines on the management of chronic kidney disease in Aboriginal and Torres Strait Islander people in the management of kidney stones.

You will join the project at an interesting stage and will be responsible for actively contributing to research activities for the project including, building relationships and engaging with Aboriginal people and communities to ensure that the clinical guidelines are incorporating community needs and promoting awareness of the guidelines to improve the management and prevention of kidney disease.

This role is primarily located at The Children’s Hospital at Westmead in Sydney but will be required to spend short periods in rural and regional Australia.

To view position descriptions and to apply click here. Applications close midnight Sunday 18 April 2021.

drawing of cross-section of kidney & kidney stones

Image source: Kettering Health Network website.

NACCHO Aboriginal Health News: St Vincent’s Hospital transforms delivery of care

feature tile text 'St Vincent's Hospital transforms delivery of care for Aboriginal & Torres Strait Islander people'; image of a empty gurney being pulled through hospital emergency foyer

St Vincent’s Hospital transforms delivery of care

In the latest episode of the Australian Healthcare and Hospital’s Association (AHHA) podcast, The Health Advocate, AHHA Strategic Programs Director, Dr Chris Bourke, speaks with St Vincent’s Health Network Sydney, Emergency Department Director, Dr Paul Preisz and Aboriginal Health Manager, Scott Daley, to discuss how St Vincent’s Health Network Sydney has improved health outcomes for Aboriginal and Torres Strait Islander patients. While the hospital’s staff knew there was a problem in the Emergency Department with the delivery of care and the outcomes, for Aboriginal and Torres Strait Islander patients, NSW Health data highlighting the unacceptable treatment rates for Aboriginal and Torres Strait Islander patients was the final straw. This promoted a mandate from executives to improve results.

‘St Vincent’s work in improving health outcomes for Aboriginal and Torres Strait Islander patients is a great example of how organisations can transform the delivery of care and offers many lessons for other organisations wanting to follow a similar path,’ said Dr Bourke.

You can view the AHHA press release here and listen to the podcast here.

St Vincent's Hospital Sydney Aboriginal Health Manager Scott Daley sitting at hospital bed of 49-year-old Aboriginal male patient

Aboriginal Health Manager Scott Daley with a patient in St Vincent’s Hospital Emergency Department. Image source: ABC News website.

Wirraka Maya leads way in better patient management

An Aboriginal community health service in WA has produced record results in the use of technology to ensure better connected care for local patients. Senior Medical Officer at Wirraka Maya Health Service in Port Hedland, WA, Dr Yolande Knight said: “We rely on My Health Record to keep us updated on patient pathology, imaging, medication, dispensing and history records. “We find it helpful because a lot of our patients are transient, moving from one region to another, so it can be difficult to get their comprehensive files.  We can see what other doctors have requested and performed, overcoming the delays waiting for records requested from other practices and providers.” Australian Digital Health Agency Consumer Advocate, Aboriginal and Torres Strait Islander Champion and Co-Chair of the Agency’s Reconciliation Working Group and national Medicines Safety Program, Steve Renouf, congratulated Wirraka Maya for its commitment to digital health.

To view the media release click here.logo 'Wirraka Maya Health Service Aboriginal Corporation' circle fish, goanna, blue ochre

Building a more robust medicine supply

The Therapeutic Goods Administration (TGA) is seeking feedback on proposals to help ensure ongoing, reliable supply of important medicines.

Medicine shortages have been of particular concern during the COVID-19 pandemic and the TGA have been reviewing ways in which they can better assist affected Australian patients and their healthcare providers. Specifically, the TGA is seeking feedback on possible reforms that would:

  • prioritise the evaluation and registration process for certain important generic prescription medicines, to reduce the risk of shortages
  • encourage registration of more generic versions of medicines known to be affected by shortages, to mitigate the impact of those shortages
  • support a more reliable supply of overseas-registered medicines imported into Australia as substitutes when the Australian medicine is in longstanding or repeated shortage.

The TGA’s Consultation paper – Building a more robust medicine supply gives further details about proposed mechanisms to prevent and mitigate medicine shortages. For further details about the public consultation and to access the online survey click here.

The consultation will close on Monday 17 May 2021.

multiple coloured pills in a pile on grey glass surface & plastic pill bottle on side with yellow tablets spilling out

Image source: Newsbook website.

Resources for First Peoples with Disability

A range of new accessible, culturally appropriate resources for Aboriginal and Torres Strait Islander people with disability have been released by the peak body First Peoples Disability Network (FPDN).

“Our community urgently needs information about the vaccine, so we have created a poster with culturally relevant information and artwork to let people know about what is happening and why,” said Damian Griffis, CEO of FPDN.

“During the pandemic, Aboriginal and Torres Strait Islander people with disability found it hard to get the right information about what was happening, and it looks like those lessons haven’t been learnt when it comes to the vaccine roll out.”

To view FPDN’s media release click here and to download FPDN’s resources click here.text 'Get the COVID Jab and help keep our mob safe First Peoples Disability Network Australia' drawing of syringe, 9 virsus cells & one large circles with Aboriginal art in orange with meeting symbols

Gaps in Aboriginal aged care project

Little is known about how older Aboriginal adults access and engage with aged care services. A project has been initiated by the Port Augusta Community to address gaps in Aboriginal aged care and research is being conducted for the broader Aboriginal Eyre Peninsula Communities in partnership with the Adelaide Rural Clinical School Aboriginal research unit.

The lead researcher Kym Thomas, from Port Augusta, is an Aboriginal person, providing and ensuring that spirit and integrity are at the forefront of all community and stakeholder engagement and activities. Communities involved in the research include Port Augusta, Port Lincoln, Ceduna and Whyalla. Kym has been supported in his work by Associate Professor Pascale Dettwiller and Emma Richards.

To read the full article click here.

photo of Associate Professor Pascale Dettwiller & Kym Thomas standing either side of Yadu Health Aboriginal Corporation banner

Associate Professor Pascale Dettwiller & Kym Thomas. Image source: Partyline website.

Disadvantaged neighbourhoods can shape adolescent brains

Growing up in a poor or disadvantaged neighbourhood can affect the way adolescents’ brains function, according to new research. It can alter the communication between brain regions involved in planning, goal-setting and self-reflection. These brain changes can have consequences for cognitive function and wellbeing. But the good news is that positive home and school environments can mitigate some of these negative effects.

A “disadvantaged neighbourhood” is one in which people generally have lower levels of income, employment, and education. Growing up in these conditions can cause stress for children, and is associated with cognitive problems and mental health issues in young people.

It is not yet known exactly how this link between neighbourhood disadvantage and poor mental outcomes works, but it is thought that social disadvantage alters the way young people’s brains develop.

To view the story in full click here.

vector of brain wrapped in yellow tape with text 'UNDER CONSTRUCTION'

Image source: Momentous Institute website.

Better cardiac care measures report

The fifth national report on the 21 Better Cardiac Care measures for Aboriginal and Torres Strait Islander people, with updated data available for 15 measures. The level of access for cardiac-related health services is improving for Indigenous Australians. While the mortality rate from cardiac conditions is falling among the Indigenous population, it is still higher than among non-Indigenous Australians. The incidence of acute rheumatic fever among Indigenous Australians continues to be much higher than in non-Indigenous Australians.

To view the report click here.

 Indigenous Pride Heart Studs Flag: Aboriginal Torres Strait Island One of each Flag

Image source: Haus of Dizzy website.

Mental health challenges & disability

The prevalence of mental health issues is higher in people with a disability than in the general population. This means that often, a person who has both a physical, intellectual or neurological disability is also dealing with mental health challenges.  There can be complexities in distinguishing mental health issues from intellectual or neurological disability and this can lead to mental health challenges not being recognised or identified.  Participants will explore concepts of recovery, trauma and strength- based approaches to working with people with complex needs. They will use a recovery and biopsychosocial approach to meet their client’s needs.

Kimberley Aboriginal Medical Services (KAMS) are promoting a training course being delivered by the WA Association for Mental Health. For more details click here.

young Aboriginal man sitting on a headland looking out to sea

Image source: SBS News website.

Vaccinations being in regional SA AHS

Indigenous health workers in Mount Gambier have been among the first in SA to receive the AstraZeneca vaccine in Phase 1b of the national roll-out. 10 staff at Pangula Mannamurna Aboriginal Corporation were selected to receive the vaccine on Monday this week.

Outreach worker Catherine Bulner was the first of the group to roll up her sleeve and get the jab. She said she felt privileged to be the first South East Indigenous community member to get vaccinated. “I’m pretty fortunate to have it done in an Aboriginal community-controlled health service. “I think it’s really good that we can instil confidence in our community to get it done to protect not only ourselves, but our family and our community.”

Ms Bulner encouraged others to do the same to allow life to return to normal. “It’s unknown, but there’s plenty of information out there that can tell you all about it, if you need to make an informed decision before,” she said. “It’s not mandatory, but arm yourself with the information I did and you will be really confident to get it.” Transport worker Peter Brennan was also vaccinated and said it would provide him with a lot more confidence when conducting his work duties.

To view the full article click here.

Indigenous transport worker Peter Brennan receiving COVID-19 vaccine

Indigenous transport worker Peter Brenna. Image source: ABC News website.

Keeping the momentum on eye health equity

The Aboriginal and Torres Strait Islander eye health sector entered 2020 with high hopes. The equity gap was still evident in measures of access to services and outcomes, but there was a continued positive trajectory towards the gap for vision being closed, with a strong sector driving change through collaborations on regional and state levels. 2020 was a target year for the elimination of trachoma, as well as to achieve equity and close the gap for vision.

The COVID-19 pandemic impacted the work of the sector in a number of ways. Many communities closed or reduced non-urgent visiting services, suspensions to elective surgery and reductions in permitted surgical loads and lockdowns in different parts of Australia to stop outbreaks, while necessary, meant that the already-existing waitlists for eye care became longer. The stronger impact on public hospitals, for example through lower caps on elective surgeries compared with private, has a disproportionate impact on population groups with the stronger reliance on the public system.

The impact on the sector’s work also includes the interruption to the positive momentum of change. Across Australia, regional and state-level groups of stakeholders involved with the provision of eye care services to Aboriginal and Torres Strait Islander Peoples have been driving improvements in pathways and outcomes. The community-controlled sector has been key in leading this change.

To view the full article click here.

person dressed as Milp the trachoma goanna at AFL game in Alice Springs surrounded by Aboriginal children

Milpa the trachoma goanna supporting ‘Clean Faces, Strong Eyes’ health promotion messaging at an AFL game in Alice Springs NT. Image source: Partyline.

WA – Broome – University of WA

Research Fellow x 1 FT (Fixed Term) – Broome

The University of WA are seeking a skilled health researcher to conduct statistical analysis of real world health services data from current and future projects. This position will be based in the Kimberley where Rural Clinical School of WA (RCSWA) sites conduct collaborative research with health services into improving Aboriginal health and building research capacity. Under limited directions from Principal Research Fellow, Associate Professor Julia Marley and in close collaboration with the Kimberley Medical Services, you will provide impetus and capacity to research initiatives in the Kimberley region of WA.

Aboriginal and Torres Strait Islander researchers are encouraged to apply.

To view the job advertisement, including the Position Description click here position descriptions and to apply click here. Applications close Monday 16 April 2021.Uni of WA & Rural Clinical School of WA logos

World Health Day 2021 – Building a fairer, healthier world

April 7 of each year marks the celebration of World Health Day. From its inception at the First Health Assembly in 1948 and since taking effect in 1950, the celebration has aimed to create awareness of a specific health theme to highlight a priority area of concern for the World Health Organization.

Over the past 50 years this has brought to light important health issues such as mental health, maternal and child care, and climate change. The celebration is marked by activities which extend beyond the day itself and serves as an opportunity to focus worldwide attention on these important aspects of global health.

To celebrate World Health Day the Australian Global Health Alliance is hosting a special online event where a line-up or expert guest speakers will share their reflections on this year’s theme ‘Building a fairer, healthier world’.

For more information about the event from12:00–1:00 PM AEST Wednesday 7 April 2021 and to register click here.

banner text 'World Health Day April 7, pink wooden wall with stethoscope around plasticine world in blue & green

NACCHO Aboriginal Health News: First Australians urged to get vaccinated

feature tile text 'First Australians urged to protect themselves, family & community by getting vaccinated' - image of COVID-19 vaccine vials

First Australians urged to get vaccinated

This week marks the second phase of the national COVID-19 vaccine rollout which is targeting over six million higher-risk Australians. NACCHO CEO, Pat Turner say last week on ABC The Drum that “While the focus remains on those at highest risk – people over 55 or with chronic medical conditions – ACCHOs can also vaccinate family members and household members of those at high risk. A remote vaccine working group is considering a whole of community strategy – including all non-Indigenous and Aboriginal and Torres Strait Islander adults in the community.”

Minister for Indigenous Australians, the Hon Ken Wyatt AM, MP, Shadow Minister for Indigenous Australians, Linda Burney MP and Professor Tom Calma AO made time this morning to attend Winnunga Nimmityjah Aboriginal Health and Community Service to receive their first dose of the COVID-19 vaccine.

Minister Wyatt said “We have done a remarkable job so far in the fight against the COVID-19 virus, we cannot now become complacent. Vaccines are an important tool in our strategy and I urge all Aboriginal and Torres Strait Islander people to come forward and get vaccinated when they are able to. It will help protect themselves, their family and their community.”

To view the Minister Ken Wyatt’s media release click here and to read a transcript of Linda Burney’s doorstop interview click here.

Ken Wyatt, Linda Burney & Tom Calma in waiting room at WNAHS ACT to receive vaccine 24.3.21

Ken Wyatt, Linda Burney and Tom Calma were among Indigenous leaders to receive their first vaccine dose in Canberra this morning at Winnunga Nimmityjah Aboriginal Health Service.

ACCHO’s first vaccine day incredibly successful

The first words from the first Aboriginal elder in Campbelltown to get his COVID-19 vaccine on Monday this week were those of love and gratitude for his people and those who kept them safe during the pandemic. “I love you, I love the work you do, and the people you serve,” elder Uncle Ivan Wellington told Darryl Wright, the chief executive of the Tharawal Aboriginal Corporation and the staff of its Aboriginal Medical Service (AMS) after he got the jab.

During the pandemic, the first priority at Tharawal was protecting elders. Tharawal health workers visited homes to deliver flu shots and do health checks, telephoned frequently and arranged for deliveries of food and vegetables. “If we lose our elders, we lose our entire library [of knowledge],” said Leonie Murdoch, 62, who was also vaccinated on Monday.

Dr Heather McKenzie, who is coordinating the vaccine roll-out at Tharawal, was excited about getting her injection because it would protect the community she serves. To prepare people before today’s injections Dr McKenzie had run a Q and A session about what to expect. Despite that, some were nervous, including Uncle Ivan who had heard about the rare blood clots experienced by some people. But Ms Murdoch reassured him, “They can treat that [blood clots], but they can’t treat COVID.”

When the medical service texted the community offering the first round of vaccinations on Monday, it was inundated. Every appointment was taken within 10 minutes, Mr Wright said. Dr Tim Senior, a doctor with Tharawal’s AMS, said nearly all the service’s 5,000 patients would qualify to be vaccinated during this phase because of problems with chronic disease and other health issues. “It would be a struggle to find people who aren’t eligible under 1B,” he said.

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

Tharawal elder Uncle Ivan Wellington receives his first AstraZeneca vaccine from Tharawal Aboriginal Corporation GP Heather MacKenzie

Tharawal elder Uncle Ivan Wellington receives his first AstraZeneca vaccine from Tharawal Aboriginal Corporation GP Heather MacKenzie. Photograph: Tharawal Aboriginal Corporation. Image source: The Guardian.

The Guardian also reported on the second phase of Australia’s vaccine rollout. It said Aboriginal community health services across Australia have overcome major challenges including floods and wild weather to deliver their first Covid-19 vaccines to Aboriginal elders. “Our elders are our leaders and during the pandemic they continue to show us the way forward by proudly getting vaccinated first,” Dr Heather Mackenzie, from Tharawal Aboriginal Corporation, said.

Aboriginal and Torres Strait Islander peoples have the highest rate of immunisation among the Australian population, according to NACCHO medical advisor, Dr Jason Agostino, who said “The Aboriginal health sector is extremely equipped in delivering large-scale immunisation programs and has been working hard to support communities during the pandemic.”

To view The Guardian’s article Aboriginal health sector overcoming major challenges to deliver first Covid vaccine jabs click here.

photo of Cecil Phillips, 63, receiving AstaZeneca vaccine by registered nurse, Sam Parimalanathan at AMS Redfern

‘I didn’t even feel it,’ says Cecil Phillips, 62, receiving his AstraZeneca vaccination by registered nurse, Sam Parimalanathan, at the Aboriginal Medical Service in Redfern. Photograph: Isabella Moore. Image source: The Guardian.

Community-based COVID-19 responses among best

The Consumers Health Forum (CHF) has welcomed the start of the 1b phase of the COVID vaccination rollout to older people and other vulnerable groups, urging the importance of the need for community patience and two-way communication between health authorities and consumers. The success of Australia’s response so far in keeping the spread of COVID to relatively low levels should not make us complacent about the priority of prompt vaccination of all Australians in the interests of our health and of the economy.

It is vital that people get the facts about the vaccine and the rollout from authoritative and readily accessible sources, including government websites and their GPs who, from this week, will be scaling up vaccination availability. The CHF CEO, Leanne Wells, said “A convincing example of just how effective community-based responses can be, has been the success in countering pandemic infections achieved by the member groups of NACCHO. The 107 NACCHO groups achieved among the best results in preventing COVID compared to similar entities anywhere in the world and that was because of the strong community engagement and leadership.”

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

Aboriginal flag with COVID-19 virus cell shooting across image with flames coming from it

Image source: The Medical Journal of Australia.

COVID-19 information for Victoria’s mob

The Victorian Government has developed a very useful COVID-19 information for Aboriginal and Torres Strait Islander communities webpage.

The site says there are a couple of reasons why, for Aboriginal and Torres Strait Islander people, the risk of COVID-19 transmission is higher and it can cause more severe symptoms. Aboriginal and Torres Strait Islander people over the age of 50 years, or who have a pre-existing health condition, such as diabetes, asthma, heart and lung conditions, or immune problems, are at higher risk of developing a severe illness associated with COVID-19. Younger Aboriginal and Torres Strait Islander people can also get COVID-19 and infect family, friends and elders. As a lot of mob often live under the same roof, it’s also harder to practise physical distancing and isolation, which increases the risk of spreading the disease within the community.

The webpage says that in order to slow the spread of COVID-19 in Victoria, we must all do our part. We know it’s tough, but together we can keep our families, mob and ourselves safe, strong and well. Aboriginal and Torres Strait Islander community sector partners are working closely with government to coordinate response plans and ensure communities have the necessary information, resources and support they need.

close up photo of face of Victorian Senator Lidia Thorpe wearing cap with the word 'Deadly' & black face mask, blurred image of crowd in the background

Victorian Senator Lidia Thorpe. Image source: BBC News.

Updated health check templates survey

The Commonwealth Department of Health has endorsed recently updated Aboriginal and Torres Strait Islander health check templates developed in a partnership between NACCHO and the RACGP.

The NACCHO-RACGP Partnership Project Team is keen to hear your feedback on the templates by:

  • participating in this 10 minute survey open until 1 April 2021
  • expressing interest to be one of 10 primary healthcare teams testing the templates between 12 April and 11 June 2021 by contacting the Team at aboriginalhealth@racgp.org.au

Your feedback will support the team to understand what it takes to get these health check templates into practice and what other innovations can support quality health checks and primary healthcare for Aboriginal and Torres Strait Islander people.

Aboriginal Health Worker smiling at Aboriginal man lying on examination bed in a clinic

Image source: NT PHN & Rural Workforce Agency NT webpage.

Remote PHC Manuals update

The Remote Primary Health Care Manuals review process in underway. Monthly updates will be available to health services and other organisations to provide updates on the review process.

What’s new: new Acute Assessment Protocols are being developed to guide practitioners to assess emergencies and guide differential diagnoses.

Coming up next: Expert Advisory Groups have been working to update protocols.

This flyer provides further information about the RPHCM project, including what you need to do to become a reviewer or provide feedback on the new manuals.Remote Primary Health Care Manaulas (RPHCM) logo - Aboriginal painting, path, footprints, blue green pink purple petal flower and horseshoe shapes x 5

Aboriginal-led ways to foster mental health

A report Balit Durn Durn – strong brain, mind, intellect and sense of self: report to the Royal Commission into Victoria’s Mental Health System was developed by the Victorian Aboriginal Community Controlled Health Organisation (VAACHO) to support the final report for the Royal Commission into Victoria’s (Vic) Mental Health System. The report outlines five Aboriginal-led ways to build strength, resilience, connectedness and identity in Aboriginal and Torres Strait Islander people and communities to create essential pathways for fostering positive mental health and wellbeing.

The report aims to provide an overview of Aboriginal communities’ experience with the current mental health system and offers innovative solutions that have the potential to dramatically transform the Victorian mental health system to better meet the needs of Aboriginal communities.

To view the report click here.cover of VACCHO Balit Durn Durn Storng brain, mind, intellect & sense of self Report to the Royal Commission into Victoria's Mental Health System report

What ‘healing’ means

The Healing Foundation has been working with Aboriginal and Torres Strait Islanders in Queensland to co-design and develop the state’s first healing strategy. The Dreaming big process identified community issues and themes by the number of times keywords were mentioned in surveys and yarning circles.

The report outlines what over 400 Aboriginal and Torres Strait Islander people from 80 different cultural groups in over 50 locations in Queensland, said when asked what healing means and what happy and strong feels like. The aim being to help transcend the divide between deficit-based solutions and strength-based outcomes.

To view the report Dreaming big – voices we heard: informing the Queensland Aboriginal and Torres Strait Islander Healing strategy click here.cover of Healing Foundation Dreaming big Voices we hear informaing the Qld A&TSI Healing Strategy October 2020

Healthier smiles in Loddon Mallee

Minister for Health Martin Foley says the Andrews Labor Government is ensuring Aboriginal children in the Loddon Mallee region have strong and healthy teeth. “The $360,000 Loddon Mallee Fluoride Varnish program will help protect 600 Aboriginal children in schools, Aboriginal-specific early years services and Aboriginal childcare organisations at heightened risk of tooth decay. Fluoride varnish applications reduce tooth decay in young children by 37% by providing a protective covering. The varnish also prevents an existing tooth decay from progressing further. The preventive oral health program provides including twice-yearly fluoride varnish applications, oral health promotion and free tooth packs to Aboriginal children across the Loddon Mallee region. The expanded program builds on a successful pilot in 2018/20, which reached 200 Aboriginal children aged up to 18 across the region.”

To view the Victoria State Government media release click here and to view a related article Bendigo and District Aboriginal Cooperative to deliver Fluoride Varnish program click here.

close up photo of gloved dentist's hands inspecting teeth of an open mouth

Image source: Bendigo Advertiser.

Proposed NT youth justice changes flawed

Australia’s only national First Nations-led justice coalition has warned that the NT Gunner Government’s proposed youth justice reforms will see the number of Aboriginal children behind bars skyrocket. The reforms are highly punitive and will disproportionately drive Aboriginal kids into police and prison cells. Change the Record has highlighted that the proposed law changes fly in the face of the Royal Commission recommendations to invest in supporting children outside of the criminal justice system and move away from the ‘tough on crime’ policies that have been proven to fail. Change the Record, Co-Chair Cheryl Axleby said “If the NT Government goes ahead with these youth justice reforms it will take the Northern Territory back to the dark days before the Royal Commission when Don Dale was full of Aboriginal children being subjected to the most  horrendous abuse.”

The NT Council of Social Service and Amnesty International Australia have also expressed concerns about the proposed changes to the NT’s youth justice system. “This is a callous, racist legislative crackdown in search of a problem,” Amnesty International Australia Indigenous Rights Advocate, Rodney Dillon, said. “Chief Minister Gunner has picked up the Royal Commission report and thrown it in the bin. Let’s be clear: no one wants youth crime. But cracking down on Indigenous kids – because all the kids in the NT justice system are Indigenous – who have complex needs, by throwing them in jail fixes nothing. What it does is condemn young kids to the quicksand of the youth justice system, and it entrenches recidivism, which is what all the politicians say they want to address,” Dillon said.

You can view the Change the Record media release here, the NTCOSS media release here and the Amnesty International Australia media release here.

painting of 7 Aboriginal youth with text 'free our future'

Image source: Change the Record website.

NSW – Sydney – The University of Sydney

Research Assistant (Identified) x 1 FT (Fixed Term) – Sydney

The Centre for Kidney Research are seeking a Research Assistant (Identified) to work on a project alongside a team of researchers and educators. This project aims to develop clinical practice guidelines on the management of chronic kidney disease in Aboriginal and Torres Strait Islander people in the management of kidney stones.

You will join the project at an interesting stage and will be responsible for actively contributing to research activities for the project including, building relationships and engaging with Aboriginal people and communities to ensure that the clinical guidelines are incorporating community needs and promoting awareness of the guidelines to improve the management and prevention of kidney disease.

To view position description and to apply click here. Applications close midnight Monday 5 April 2021.

vector image of kidneys, one sliced showing kidney stones

Image source: Kettering Health Network.

Purple Day

Purple Day (Friday 26 March 2021) is a global initiative dedicated to raising epilepsy awareness. Purple Day was founded in 2008, by nine-year-old Cassidy Megan of Nova Scotia, Canada. Motivated by her own struggles with epilepsy, Cassidy started Purple Day to get people talking about the condition and to let those impacted by seizures know that they are not alone. She named the day, Purple Day after the internationally recognised colour for epilepsy, lavender.

Purple Day has grown into a well-known and supported national awareness day with thousands of people across Australia gathering within their community, education and corporate sectors to raise much needed awareness and funds for those affected by epilepsy. You can access epilepsy information for Indigenous communities here.World epilepsy day. Purple ribbon on bright dark violet background. Epilepsy solidarity symbol. Vector illustration

NACCHO Aboriginal Health News: Health sector racism a key barrier to medical care

feature tile: RACISM is a key barrier to Aboriginal & Torres Strait Islander people's access medical care; image Aboriginal flag colours black top half, red bottom half, yellow map of Australia is words 'No Room for Racism'

Racism a key barrier to health care

Racism within the NSW public health service has been identified as a key barrier for Aboriginal people trying to access medical care. A state parliamentary inquiry into remote, rural and regional healthcare has been given examples of Aboriginal residents who say they have been mistreated and disrespected. The submissions state that this is the reason why Aboriginal people do not always trust or feel safe in the public health service.

The CEO of the Orange Aboriginal Medical Service (OAMS), Jamie Newman and the spokeswoman, Ariane Dozer for the civil rights and legal service, National Justice Project say there are still racist attitudes among some staff, despite the rollout of cultural sensitivity programs, awareness campaigns and training. “What we would like to see is health services dedicated to working with the local Aboriginal communities to develop strong localised models for culturally safe care because not all Aboriginal communities are the same,” said Ms Dozer.

The way Aboriginal health services are funded is also a key issue. “The levels of funding have to change, the length of funding has to change,” said Mr Newman. He said that unlike the public health system, Aboriginal medical services in NSW have a three-year funding cycle. “We can’t recruit GPs, specialists, allied health services when we only guarantee a three-year contract based on the funding arrangements. We’re not going to get health outcomes in the next three years. We’re talking about generational change over 10–15 years and if we don’t have that approach we will fail in the next three years to Close the Gap.”

To view the ABC News article in full click here.

doctor having consult with Aboriginal man

Image source: Fred Hollows Foundation website.

A related article says the state parliamentary inquiry has been told racist attitudes within the NSW public health system are stopping Indigenous people from seeking medical help. The Aboriginal Health and Medical Research Council says figures show Indigenous patients are five times more likely to discharge themselves early from hospital. Ariane Dozer from the National Justice Project says First Nations people did not trust the public health service, which they said had provided them with “derogatory” and “degrading” treatment. [They are] essentially dismissed and turned away without proper assessment,” she said. “People’s individual concerns and views of their concerns and their suffering can be ignored.”

To view this article click here.

emergency hospital entrance

Image source: ABC News website.

BLM spurs Linda Burney to change Australia

Thousands of protesters took to the streets chanting “Black Lives Matter” in June last year, exasperated at high incarceration rates and deaths in custody. But this was 10,000 miles from New York, Washington and Los Angeles, on the other side of the globe – in Australia. While conservative PM Scott Morrison claimed the protests Down Under showed there was a risk of “importing the things that are happening overseas,” for Linda Burney, the first Indigenous woman elected to the nation’s lower house, the anger was justifiable.

Mirroring the U.S., where the Black imprisonment rate is more than five times than that of Whites, Aboriginal and Torres Strait Islander people make up just 2% of the population but 29% of all prison inmates in Australia. “The Black Lives Matter movement very seriously resonated here because Australia has had such a denial of its history,” Burney, 63, said in an interview. “It clicked because of the extraordinary large numbers of Aboriginal people incarcerated and the hundreds of deaths in custody.”

To view the full article click here.

Linda Burney in house or representatives during Morrison's CtG ministerial statement 14.2.19

Linda Burney during Morrison’s Closing the Gap ministerial statement at Parliament House in Canberra, on 14 February 2019. Photo: Tracey Nearmy. Image source: Bloomberg Equality.

NDIS independent assessments

The National Disability Insurance Agency (NDIA) has released a joint paper with the Department of Social Services about independent assessments. The paper is the Government’s submission to the Joint Standing Committee (JSC) on the National Disability Insurance Scheme (NDIS) inquiry on independent assessments. The NDIA’s submission sets out a picture of the planned reforms and why they are necessary to deliver a simpler, faster, fairer and more flexible NDIS that will benefit all Australians. The paper released provides a summary of the background, the key reasons independent assessments are being introduced and clarifies the intent of independent assessments.

The concerns raised in the recent reforms consultation process indicate that there are misconceptions and misunderstandings about the details of independent assessments and how they will be implemented. The submission paper is the Government’s clear statement of independent assessments and is an opportunity for us to clarify details about the planned reforms.

The NDIA says it is committed to actively seeking feedback on independent assessments and other reform proposals through an ongoing and comprehensive consultation program and encourages you to read the joint submission paper here.

torso of a person in a wheelchair view from side

Image source: Disability Insider website.

Second lowest COVID-19 case rate in OECD

The Government will invest more than $1.1 billion to extend its national COVID-19 health response and suppression strategy until 31 December 2021. Australia is leading the world out of the global COVID-19 pandemic and recession. As COVID-19 vaccines roll out across the nation, protecting Australians from the ongoing threats of the pandemic remains a priority. This $1.1 billion is in addition to more than $22 billion spent in these areas to date, including more than $6 billion to support the COVID-19 vaccine rollout. Australia’s suppression strategy has been extremely successful to date, particularly when compared with the devastation caused by the virus in many places overseas. Australia’s remarkable performance in saving lives is evident – we have the second lowest case rate and third lowest mortality rate amongst countries in the OECD.

To view the media release click here.

gloved hands holding pink piece of paper with text 'COVID-19'

Image source: AMA website.

Vaccine rollout to include more Aboriginal Australians

Just over a week out from the beginning of the COVID-19 vaccinations for the phase 1b priority group, the Australian government has quietly changed the parameters to include more Aboriginal and Torres Strait Islander people and remote residents. The ABC understands the decision has been made to assist the logistics of delivering the vaccines to remote communities.

It would mean vaccination teams who head to remote Aboriginal communities can immunise all adults over the age of 18 who want the vaccine, rather than just people over 55 or those who met the previous criteria for phase 1b. The changes would not be targeting, for instance, young Aboriginal people living in urban areas.

The federal Department of Health website has changed its phase 1b category to say, “beginning to vaccinate Aboriginal and Torres Strait Islander people”. A spokeswoman from the department confirmed the change would also include non-Indigenous remote residents. “All remote and very remote residents [inclusive of both the Aboriginal and Torres Strait Islander population and the non-Indigenous population] over the age of 18 will be considered a priority group, due to logistical requirements,” she said. “This will limit the need to transfer workforce and relevant materials and will assist with issues associated with distribution and access.”

Previously it was “Aboriginal and Torres Strait Islander people aged over 55” or who met other phase 1b criteria, like having an underlying medical condition, being a healthcare worker, critical or high-risk worker. There was no change to this for people living in urban and regional locations.

To view the media release in full click here.

medical tray of COVID-19 vaccine syringes

Image source: Surf Coast Times.

Countering vaccine misinformation

The Australian Government is ramping up its campaign against misinformation on the COVID-19 vaccines, as the vaccination program ramps up moving into Phase 1B. Australians can get all their questions answered on the health website to find out what they want – and need – to know about the COVID-19 vaccines. The new material on the website, called Is it true? will help answer questions people may have about the vaccine, and respond to vaccine misinformation they may have heard. This new function will provide trusted, credible information on COVID-19 vaccines for everyone in Australia. It will sort the fact from the fiction. The information on the website will be clear, accurate and timely. This will help reassure Australians about the safety and effectiveness of the vaccine and answer commonly asked questions and misinformation relating to the COVID-19 Vaccination program.

To view the media release in full click here.

blackboard with arrow to left & word myths, arrow to right & word facts

Image source: The Irish Times.

Self-identification sufficient for vaccine

The AMA has received advice from the Aboriginal and Torres Strait Islander COVID-19 Advisory Group that for Aboriginal and Torres Strait Islander people seeking vaccination in the 1b and 2a rollout, self-identification is sufficient proof of Indigenous status – no other documentation in required.  The advisory group re-affirmed that no proof beyond self-identification is required and this is consistent with the RACGP standards. While there is the potential for non-indigenous people to take advantage of this system, it was thought the greater harm was in potential racism towards Aboriginal and Torres Strait Islander people seeking vaccination and of having to prove one’s identity.

To view the full article click here.

gloved hand administering vaccine to upper arm

Image: SBS website.

Cancer research priorities survey

Are you interested in contributing to cancer in primary care research?

PC4, the Primary Care Collaborative Cancer Clinical Trials Group, is undertaking a prioritisation study that aims to explore the views of different stakeholders to identify their perspective on what the top research priorities should be in the field of cancer in primary care research. PC4 is funded by Cancer Australia to support the development of cancer in primary care trials.

The survey should take less than 10 minutes to complete and will give you an opportunity to advocate for the areas of cancer in primary care research you feel should be addressed most urgently.

You can access the link to survey for health care professionals, researchers etc. here and the link to the consumer survey here.

This survey is being distributed nationally and is set to close on Friday 16 April 2021.
PC4 banner text 'help rank the top 10 research priorities for cancer in primary care research' photo of a woman at a table, man writing on whiteboard & woman running brain-storming session, text 'Have Your Say with arrow to box containing words Priority 1, Priority 2., priority 3'

National Bowel Cancer Screening Program promotion

Bowel cancer is the third most common cancer for Aboriginal and Torres Strait Islander people. If found early, up to 90% of cases can be treated successfully. Bowel cancer often has no obvious early warning signs. The good news is, a bowel screening test can detect changes in the bowel long before your patient notices any problems.

The National Bowel Cancer Screening Program provides free bowel screening kits for eligible people aged 50–74. So, have the bowel screening chat with your patients. An A4-sized poster (for display in staff only access areas) encouraging health professionals to talk to Aboriginal and Torres Strait Islander people about bowel screening as well as other resources can be accessed here.

poster text 'bowel screening can save lives have you discussed bowel screening with patients?'

JobSeeker cuts will widen health gaps

The Federal Government’s failure to provide a liveable income through JobSeeker payments will harm the health of many Aboriginal and Torres Strait Islander people and contribute to widespread distress as people and families struggle to afford healthy food and housing. Health groups have also warned that the new base rate for JobSeeker will contribute to growing health inequalities and have consistently highlighted evidence of the link between poverty and sickness.

More than 500 submissions were made to the Senate inquiry into the Social Services Legislation Amendment (Strengthening Income Support) Bill 2021, with many testimonials of hardship from families and individuals choosing between food and medications, and forced into homelessness. Economic modelling by The Grattan Institute predicts that 40,000 more jobs will be lost when the Government axes the Coronavirus Supplement (currently $75 a week) at the end of March and replaces it with a $25 a week increase to JobSeeker payments.

To view the full article in Croakey click here.

platter of fruit & vegetables, lettuce, apples, ginger, cucumber, broccoli, celery

Demand soared for fresh fruit and vegetables when Aboriginal communities received the Coronavirus Supplement. Photo by k15 on Unsplash. Image source: Croakey.

Innovative post suicide support program

An innovative trial will give children and young people access to community-based, non-clinical support following an attempted suicide, thanks to a $3.8 million investment from the NSW Government. Minister for Mental Health Bronnie Taylor said the service will be designed by young people with lived experience of suicide alongside families and carers, youth mental health and suicide prevention experts. “Growing evidence tells us that following up and increasing community support for people after a suicide attempt can reduce the likelihood of a further attempt,” Mrs Taylor said. “We know that young people are often reluctant to reach out for help and don’t always engage well with clinical services – what works well for adults often doesn’t work well for young people.

To view the NSW Government media release in full click here.

young Aboriginal girl's hands with chipped nail polish holding another Aboriginal child's hands

Image source: Amnesty International website.

Close The Gap Report Launch 2021

The Close the Gap Campaign aims to close the health and life expectancy gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians within a generation. The campaign is built on evidence that shows significant improvements in the health status of Aboriginal and Torres Strait Islander peoples can be achieved by 2030.

The Australian Institute is delighted to invite you to the launch of the 2021 Close the Gap Campaign report “Leadership & Legacy Through Crises: Keeping Our Mob Safe”, written by the Lowitja Institute. 

The report will be launched via webinar, on National Close the Gap Day from 12:00 PM (AEDT) Thursday 18 March 2021 – hosted by the Australia Institute in support of the Close the Gap Campaign.

The webinar is free, but registration is essential. To book click here.

You can also view an invite to the Close the Gap & Mental Health Awareness Event here.banner 'close the gap report launch 2021 leadership & Legacy Through Crises: Keeping Our Mob Stafe' June Oscar AO, Karl Briscoe, Dr Janine Mohamed, Sir Michael Marmot

NACCHO Aboriginal Health News: First Nations COVID-19 vaccine implementation plan released

feature tile text 'Australian Government releasesCOVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander People', photo of purple gloved hands injecting person's arm

First Nations COVID-19 vaccine implementation plan released

The Australian Government has released its COVID-19 Vaccination Program – Aboriginal and Torres Strait Islander Peoples Implementation Plan. This Implementation Plan is for the COVID-19 vaccination program for all Aboriginal and Torres Strait Islander peoples over 18 years of age. This plan has been developed in consultation with the Aboriginal and Torres Strait Islander health sector, and with state and territory governments.

To view the plan click here.cover of Australian Government Department of Health COVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander Peoples

Sydney hospital goes from worst to best

It’s one of the busiest and most esteemed emergency rooms in the country, but for decades some of the most vulnerable have slipped through the cracks. Located in the heart of Sydney’s nightlife district, St Vincent’s Hospital has saved thousands of lives — but it was considered the worst in the state when it came to caring for certain patients. “A high number of Aboriginal people were coming in through our emergency department and were leaving us, not completing their treatment,” said Pauline Deweerd, director of Aboriginal health at the hospital.

Some months, as many as one in three patients left the hospital before receiving the vital care they needed. “It was because of past bad experiences, they didn’t like waiting, and they didn’t like the way we treated them,” Ms Deweerd said. It was a persistent, hard to address problem, even for a hospital that has a reputation for providing top-notch emergency medicine.

But in the middle of a global pandemic the hospital found a solution, and doctors are certain the rest of the country can learn from it. “It’s our attempt at closing the gap for our small part of the health world; we not only brought it to the level of the general population, we made it a little better,” Dr Preisz said.

To view the full ABC News article click here.

Aboriginal Health Manager Scott Daley in scrubs sitting on patient bed at St Vincent's Hospital

Aboriginal Health Manager Scott Daley, St Vincent’s Hospital, Sydney. Photo: Brendan Esposito. Image source: ABC News website.

Former PM urges women to get COVID-19 vaccine

Julia Gillard has had her coronavirus jab, urging everyone – and particularly women – to get vaccinated. The former PM joined Health Minister Greg Hunt and Department of Health secretary Brendan Murphy to be among the first to receive the AstraZeneca COVID-19 vaccination at a Melbourne clinic on Sunday 7 March 2021. “Me being here today is a visible representation that no matter what side of politics you barrack for, no matter whom you intend to vote for, there is a united message,” Ms Gillard told reporters. “Please get the vaccine. And particularly to Australian women, can I say, please get the vaccine.

She understands that people might feel a little bit anxious, but recommended they get their information from reliable sources, such as the Australian government or from their local health practitioner. “Whether it’s smallpox, measles, mumps, rubella, whooping cough, influenza, and now COVID-19, vaccinations can save lives and protect lives,” Mr Hunt said.

AstraZeneca and Pfizer doses from overseas are being given to frontline health and hotel quarantine workers, as well as aged and disability care residents and staff, as part of phase 1a. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here and to listen to a Julie Gillard urging Australians to get the COVID-19 vaccine click here.

portrait photo of ex-PM Julia Gillard

Former Australian Prime Minister Julia Gillard. Image source: SBS News website.

Umoona Tjutagku frontline staff receive COVID-19 vaccine

“South Australia’s economic and health response to the COVID-19 threat has been world-leading, and we are focused on working with our health experts to deliver a safe and quick roll out of the vaccines,” SA Premier Marshall said. “This is the biggest peacetime operation in our state’s history, and a big plank in our plan to keep South Australia safe and strong. “The roll out is happening right across the State, with our three key hubs in the north, south and centre of Adelaide all operational, and our regional hubs also progressing .”

Minister Wade said the rollout continues to expand into regional areas with 240 doses of the vaccine arriving at Coober Pedy Hospital today.

“Frontline staff of the Coober Pedy Health Service, Umoona Tjutagku Aboriginal Health Service and Umoona Aged Care as well as aged care residents will receive their COVID-19 vaccine over the next four days.  It is an excellent example of cooperation across all sectors of Health and Aged Care in the Eyre and Far North Local Health Network, SA Minister for Health and Wellbeing Stephen Wade said.

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

two Aboriginal health workers at Umoona Tjutagku Health Service AC checking medicine box

Image source: Umoona Tjutagku Health Service Aboriginal Corporation website.

Over 55s in next phase of COVID-19 vaccine rollout

More GPs and health clinics will be involved in the vaccine rollout every week from March 22, as the mass COVID-19 vaccination program enters its next phase. Federal Health Department secretary Brendan Murphy says phase 1b of the vaccine rollout will include adults based on their vulnerability to getting COVID-19. “[It] will involve the over 80s who are most at risk as a general group, then the over 70s, and those who are immunocompromised. We will have our Indigenous Australians over 55 as well as frontline emergency service and defence workers.”

The staged commencement of general practices will be complemented by GP-led respiratory clinics and Aboriginal community controlled health services. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here.

Aboriginal woman and man both 50+ years

Image source: AbSec – NSW Child, Family and Community Peak Aboriginal Corporation website.

Professor Langton talks about the COVID-19 vaccine 

Professor Marcia Langton AO has warned of the ongoing dangers of COVID-19, the effectiveness of available vaccines and the importance of getting vaccinated as soon as possible.

You can view the short video and transcript here.

snapshot of Professor Marica Langton AO The Uni of Melbourne video for DoH on COVID-19 importance, standing in park with trees in background

Professor Marcia Langton AO, The University of Melbourne.

Pain treatment and opioid use – have your say!

NACCHO is working on a project to create some support materials for pain management and the use of opioid medicines, including for Aboriginal and Torres Strait Islander people and is looking for Aboriginal and Torres Strait Islander people consumers and health professionals to take part in group discussion to understand the important issues so that the materials made can be useful.

If you are a health consumer and experience pain and use opioids or are interested in pain management as a practitioner in your ACCHO we invite you to contribute to this project. NACCHO will provide financial compensation for your participation.

To apply or learn more please contact Fran Vaughan at NACCHO medicines@naccho.org.au.

bottles of tablets & blister packs

Image source: NPS Medicinewise website.

System must be held accountable for deaths in custody

Responding to news that two Indigenous people died in custody in NSW in the past week, Amnesty International Australia Indigenous Rights Lead Nolan Hunter said: “We’re coming up to the 30 year anniversary of the Royal Commission into Aboriginal Deaths In Custody (RCIADIC) and it feels as though very little has changed. For example, recommendation 165 called for the screening and removal of hanging points that could be used for self-harm; now nearly 30 years later, we hear of an Indigenous woman who used such a hanging point to tragically take her own life. Here we have two tragic deaths in custody and the Corrective Services Commissioner Peter Severin claims the system can be accountable, while not making these tragedies public.”

To view Amnesty International’s media quote in full click here. and a related article in The Sydney Morning Herald here.

crosses in row on grass with Aboriginal flag painted on them & words Black Deaths In Custody Cross For Loss

Image source: ABC News website.

World Kidney Day

Kidney disease is a non-communicable disease (NCD) and currently affects around 850 million people worldwide. One in ten adults has chronic kidney disease (CKD). Being diagnosed with kidney disease can be a huge challenge, both for the patient and those people around them. Its diagnosis and management, particularly in advanced stages of kidney disease, impacts severely upon their lives by reducing their, and that of family and friends, ability to participate in everyday activities like work, travel and socialising whilst causing numerous problematic side effects  – e.g. fatigue, pain, depression, cognitive impairment, gastrointestinal problems and sleep problems.

This year World Kidney Day continues to raise awareness of the increasing burden of kidney diseases worldwide and to strive for kidney health for everyone, everywhere. Specifically, the World Kidney Day Steering Committee has declared 2021 the year of “Living Well with Kidney Disease”. This has been done in order to both increase education and awareness about effective symptom management and patient empowerment, with the ultimate goal of encouraging life participation.

When compared to non-Indigenous Australians, Indigenous Australians

  • Are more than twice as likely to live with biomedical markers of chronic kidney disease – representing 1 in 5 Indigenous Australian adults
  • Experience an increased prevalence of significant medical co-morbidities
  • Have a median onset of ESKD around 30 years younger
  • Are almost 4 times as likely to die with CKD as a cause of death
  • Have incidence rates of renal replacement therapy (RRT) 8 – 9 times greater
  • Are less likely to receive dialysis in a home setting (either peritoneal or haemodialysis)
  • Are less likely to receive a kidney transplantation
  • Have worse outcomes from transplantation
  • Are more likely to live in very remote or remote areas which is associated with poorer health outcomes
  • Experience a greater psycho-social impact of their disease

For further information on World Kidney Day Thursday 11 March 2021 click here.

Aboriginal painting titled My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara Woman and kidney patient

My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara woman and kidney patient. Image source: World Kidney Day website.

2021 Indigenous Wellbeing Conference

The Australian & New Zealand Mental Health Association (ANZMHA) has announced details of its new conference, the 2021 Indigenous Wellbeing Conference to take place in Cairns from 7–8 October 2021.

Its theme will be “Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap” and will showcase a high calibre of keynote speakers and presenters, covering four vital topics: (1) Promoting Wellness, (2) Social, Emotional & Cultural Determinants, (3) Community Care & Social Recovery and (4) Service Care & Recovery.

With a vision to “shine light on the key challenges in Indigenous communities and address the past and present issues contributing to inequities in mental health treatment and care,” the conference is set to enlighten, educate, and share the hard truths amongst keynote speakers, presenters and attendees.

For more information about the conference and to register click here.

NACCHO Aboriginal Health News: First Nations women to celebrate on IWD 2021

Inspirational First Nations women celebrated on

First Nations women to celebrate on IWD 2021

The theme of International Women’s Day 2021 (Monday 8 March) ‘Choose to Challenge’, highlights the power of challenge in any environment, with an emphasis on calling out gender bias and equality. Celebrating all that is ‘girl power’, fierce females, and women who advocate for their people is what this day is all about. First Nations women are pioneers when it comes to advocating for equality — not just standing up against sexism and misogyny, but racism too.

To celebrate IWD 2021, journalist Jennetta Quinn-Bates made a list of First Nations women who are making waves in their chosen industries and professions, and definitely “Choose to Challenge” in their everyday lives and careers. Jennetta said they’re the ones we look to for inspiration to keep us going. The ones who’s pages we head to when there are important matters involving our communities, knowing they’ll be doing their best to use their voices. They’re the ones who aren’t afraid to speak up for the mob, to be proud, and to continue the journey our ancestors started.

To view the article in full click here.

L-R Senator Lidia Thorpe (Sydney Morning Herald), Fallon Gregory (Junkee), Taylah Gray (Canberra Times), Chloe Nunkeri-Lowana Quayle (Junkee).

L-R Senator Lidia Thorpe (Sydney Morning Herald), Fallon Gregory (Junkee), Taylah Gray (Canberra Times), Chloe Nunkeri-Lowana Quayle (Junkee).

Maningrida Health Centre now in Aboriginal hands

NT Minister for Health, Natasha Fyles, says Manayingkarirra Primary Health Centre in Maningrida has been handed over to Aboriginal control, as part of the Territory Labor Government’s commitment to local decision making. Mala’la Health Service Aboriginal Corporation are now overseeing the delivery of health care services for the community, and surrounding homelands in Central Arnhem Land. Maningrida is one of the Territory’s busiest remote health centres. It carries out 4,000 consultations per month for more than 2,700 residents.

To view the NT Minister for Health’s media release in full click here.

sign outside Manayingkarirra Primary Health Care Centre, Maningrida

Manayingkarirra Primary Health Care Centre, Maningrida. Image source: West Arnhem Regional Council website.

To view a statement from Charlie Gunabarra, Chairperson of Mala’la Health Service Aboriginal Corporation regarding the importance of this transition to the Maningrida community click here.

Charlie Gunabarra Chairperson Mala'la Health Service Aboriginal Corporation

Charlie Gunabarra, Chairperson Mala’la Health Service Aboriginal Corporation. Image source: West Arnhem Regional Council website.

Vaccine rollout to support Aboriginal & Torres Strait Islander peoples

The Australian Technical Advisory Group on Immunisation (ATAGI) have said that as Aboriginal and Torres Strait Islander peoples have an increased risk of acquiring and developing serious outcomes from communicable diseases due to multiple factors it is critical that the COVID-19 vaccine program is designed and delivered in a manner which is accessible, inclusive and culturally safe. This includes ensuring communications are developed and targeted for Aboriginal and Torres Strait Islander communities and that information and services are delivered in appropriate languages and formats and within appropriate facilities and locations.

A comprehensive vaccine implementation plan (the Plan) has been developed in consultation with the Aboriginal and Torres Strait Islander health sector through the Aboriginal and Torres Strait Islander Advisory Group on COVID-19, and with state and territory governments. This Plan has been built on principles aligned with the Management Plan for Aboriginal and Torres Strait Islander Populations, including shared decision-making between Governments and Aboriginal and Torres Strait Islander peoples; community control and cultural safety across the whole-of-population system.

To view the Minister for Health and Aged Care, Greg Hunt’s media release click here.

arm being vaccinated with glove hands

Image source: UNSW Sydney Newsroom website.

Indigenous groups want bigger role in aged care

The final report from the Aged Care Royal Commission found one major area of concern is the plight of elderly Aboriginal and Torres Strait Islander people. Indigenous-run service providers say they’re hopeful the government will act on a key recommendation from the report, to give them a more prominent role in running aged care for First Nations people.

You can listen to the segment on the ABC The World Today featuring Features Jody Currie from The Aboriginal and Torres Strait Islander Community Health Service Brisbane and Jayne Lawrence from Charles Sturt University here.

health care professional laughing with elderly Aboriginal woman, standing, hands held raised

Image source: Industry Skills Advisory Council NT website.

Doctors combat vaccine hesitancy in Aboriginal communities

Indigenous Australians are extremely vulnerable to COVID-19 and doctors fear vaccine hesitancy could increase the risks. There are more than 14,000 kms between Mparntwe (Alice Springs) and the Navajo Nation in the United States desert, but the regions have much more in common than red sand. Indigenous peoples in North America share many cultural and family values with the First Peoples of Australia and suffer similarly poor health outcomes from colonisation, a connection that has brought the two groups together for generations.

Now, one of the places in the US hit hardest by COVID-19 is playing an important role in helping combat vaccine hesitancy amongst First Nations folks in remote Australia. “The [Northern Territory has] had no direct experience of the devastation this virus causes. We’ve only had images from elsewhere,” said Dr John Boffa, chief medical officer at the Central Australian Aboriginal Congress. Indigenous Australians are extremely vulnerable to COVID-19 due to the prevalence of underlying health issues such as diabetes, rheumatic heart disease and kidney disease ― a burden they’ve been forced to bear since colonisation. Crowded living conditions can also increase risks.

This time last year Indigenous people over 50 were advised to stay home “to the maximum extent practical” and rural communities were locked down completely. At the start of the pandemic, many Aboriginal Community Controlled Health Organisations (ACCHOs) didn’t have enough PPE and there were fears a COVID-19 outbreak would rob Aboriginal and Torres Strait Islander people not only of their lives, but of their elders, language and cultural practices too. The biggest challenge ahead, according to Boffa, is convincing First Nations people it’s safe and still important to get inoculated. His team is planning a Zoom call with Navajo leaders so that local elders and community members can hear about the Americans’ experience with the jab.

To view the article in full click here.

silhouette of Aboriginal woman walking towards Uluru as sun is setting

Image source: Huffpost website.

Suicide prevention inquiry invites submissions

The House of Representatives Select Committee on Mental Health and Suicide Prevention recently launched an inquiry. The committee will examine the findings of the Productivity Commission Inquiry Report into Mental Health, the Report of the National Suicide Prevention Officer, the Victorian Royal Commission, the National Mental Health Workforce Strategy and other recent strategic reviews of the current mental health system, taking into account the 2019 bushfires and COVID-19 pandemic and the capacity of the mental health workforce to respond to such events. The Committee will also consider other matters not addressed by these recent reviews.

The Committee would welcome your organisation’s views and invites you to make a submission addressing any or all of the Terms of Reference.

Further information about the inquiry is available here. For detailed information on preparing a submission, including information about parliamentary privilege and requests for confidentiality, click here.

Submissions should be submitted to the Committee by 24 March.

face covered with hands, black background, low light

Image source: UNSW Sydney Newsroom website.

NT Generational Change Impact Report released

Minister for Youth and Children, Lauren Moss, said the Generational Change Impact Report released today marks the halfway point of the NT Government’s multi-targeted reform program. Keeping Territory children and families safe, thriving and connected are the cornerstones of the Report, with data indicating that we are heading in the right direction. Highlights include decreases in the rate of children in care and child protection notifications, including: A 39% decrease in the rate of Aboriginal children substantiated for child abuse and neglect – going from 63.5 per 1,000 children substantiated in the NT in 2016–17 to 38.6 per 1,000 children in 2018–19. The proportion of Aboriginal children in out-of-home care in the NT continues to be well below the Australian rate. In 2018–19, 36.6 per 1,000 Aboriginal children in the NT were in out of home care compared to 54.2 per 1,000 Aboriginal children Australia wide.

To view the Minister Moss’ media release click here.

torso of Aboriginal youth sitting on pavement leaning against a wall

Image source: Katherine Times.

Health literacy and equity research findings

Croakey have published a special edition with the title ‘Equity and health literacy: Using emerging evidence to inform the development of the National Preventive Health Strategy’. The authors note that ‘health literacy’ has multiple definitions that encompass individual, population and environmental health literacy – with the underlying tenet being that it is critical for health and health equity, and is a social determinant of health.

The literature on equity and health literacy is relatively diffuse, often lost across multiple sectors and with limited systematic research that provides clear, actionable processes by which health literacy can drive health equity forward, they say. Hence, emerging evidence is often inaccessible to policymakers and poorly utilised by health practitioners in clinical settings. This special edition aims to address “the knowledge deficit around equity and health literacy”.

This special edition resulted from a partnership between the journal and the NT Primary Health Network, and five guest editors. It led to an “overwhelming” response and 21 papers accepted for publication. “To our knowledge, this special issue is the largest collection of articles dedicated to the topic of equity and health literacy, ever published in an Australasian peer‐reviewed academic journal,” the authors say. “We encourage Minister for Health, Expert Steering Committee, senior bureaucrats and policy staff to actively engage with the content of this special issue and purposively embed key findings into the National Preventive Health Strategy.”

To view Croakey’s special edition click here.

wooden platter of tomatoes

Image source: Croakey.

Fear for pets – barrier to leaving family violence

A woman’s decision to leave a violent and abusive relationship is a complex process. She first needs to consider the risks to her and her children. Paradoxically, taking that step towards safety is also the time of greatest danger of homicide, sexual assault and increased violence. Pets and service animals are also a part of the lives of many families. This means they are an important part of the decision-making process when women consider leaving a violent situation.

The pets may be a critical source of therapeutic support, but they may also be at risk of harm and used to exert control over people (“you leave and you won’t see those animals again”). Animals’ central role in family life means many victim-survivors of family violence are reluctant to leave because they fear their pets will be harmed. To combat this, a family violence motion has been presented in the Victorian parliament that seeks to recognise animal abuse as a form of family violence. If all elements were adopted, it would increase the safety of women and children.

To view the full article in The Conversation click here.

kelpie cross dog asleep on a step

Image source: Warlukurlangu Artists of Yuendumu website.

International Women’s Day 2021

Yesterday (8 March 2021) was International Women’s Day 2021. June Oscar AO, Aboriginal and Torres Strait Islander Social Justice Commissioner released a statement saying “Today, my team and I, at the Australian Human Rights Commission, are celebrating the power and potential of all our deadly Aboriginal and Torres Strait Islander women and girls across Australia. This year’s International Women’s Day theme is, ‘Women in Leadership: Achieving an equal future in a Covid-19 world’.”

“This theme makes me think about all our women and girls who carry the determination, knowledge and wisdom from an ancient lineage of matriarchs. Our ancestral mothers—who walked this land for millennia—have always shown remarkable leadership in nurturing and growing our societies into the oldest living civilizations on earth. Throughout this span of time our women and peoples have led through and beyond crisis. We know how to survive and thrive.”

“That legacy and all our women and girls’ diverse strengths, expertise and lived experiences are held within the Wiyi Yani U Thangani (Women’s Voices) Report and Community Guide, which can be accessed here. It is the first report to hear from our women and girls as a collective since 1986. Wiyi Yani U Thangani was brought into being because of your voices. It belongs to you, to all our First Nations women and girls.”

To view June Oscar’s statement in full click here.cover of the AHRC 2020 Yiyi Yani U Thangani Women's Voices Securing our Rights Securing our Future report, puple orange green blue pink Aboriginal dot painting

In another article, University of Queensland academic, Associate Professor Chelsea Watego looked at the absence of Indigenous voices on International Woman’s Day 2021. She said the cancellation of a number of invitations for her sit on panels showed how Indigenous woman is only ever a subset of the category of woman when convenient. To read this article in full click here.

Associate Professor Chelsea Watego standing in front of UQ buildings with grey t-shirt & words 'did you forget whose land you're on?'

University of Queensland academic, Associate Professor Chelsea Watego. Image source: The Sydney Morning Herald.

AHW first in Kimberley to receive COVID-19 vaccine

An Indigenous health worker has become the first resident of northern WA to receive a COVID-19 vaccination as the rollout extends across the state. Nyikina Nyul Nyul woman Emily Hunter has been working on the frontline during the pandemic as a senior nurse at Broome Hospital. After receiving the Pfizer jab, she said she hoped to the be first of many residents in the region to be vaccinated. “I’m quite proud to be the first person in the Kimberley,” she said. “Twelve months ago everyone was terrified about what was going to happen and no one knew anything about COVID-19. I hope others follow suit as well.” To view the ABC News article in full click here.

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination.

Nyikina Nyul Nyul nurse Emily Hunter was the first Kimberley person to receive the COVID-19 vaccination. Photo: Erin Parke. Image source: ABC News website.

SA – Adelaide – CRANAplus – improving remote health

Registered Psychologist/Senior Psychologist x 1 PT or FT – Adelaide

CRANAplus is the peak professional body for health professionals working in remote and isolated areas across Australia. They exist to ensure the delivery of safe, high quality primary healthcare to remote and isolated areas of Australia. CRANplus is an affordable, grassroots, not-for profit, membership based organisation that has provided nearly 40 years of education, support and professional services for the multi-disciplinary remote health workforce. CRANAplus is a values-based organisation, that genuinely embraces diversity, flexibility, and innovation in everything they do.

CRANAplus has a vacancy for a Registered Psychologist/Senior Psychologist (Mental Health & Wellbeing Service) who will be responsible for the development and delivery of high-quality psychological and wellbeing support services to health professionals and their families, across rural and remote communities in Australia.

To view the position description and to apply click here. Applications close Sunday 28 March 2021.CRANAplus improving remote health logo & image of 4-wheel drive in the outback at dusk

National Day of Women Living with HIV

Today (Tuesday 9 March), the National Network of Women Living with HIV (Femfatales), celebrate the 6th National Day of Women Living with HIV. This year’s theme ‘Taking Control of Our Health’, reminds all women, regardless of our HIV status, to focus on our own health and wellbeing. The day is being hosted by the National Association for People with HIV Australia (NAPWHA), Australia’s peak non-government organisation representing community-based groups of people living with HIV across Australia. To view the NAPWHA Femfatales media release click here.

During the recent and ongoing COVID-19 pandemic, many of us have neglected or postponed our sexual and reproductive health checks. Now is the time to resume our crucially important health tests, such as blood pressure, cholesterol, cervical screening tests, breast checks and sexual health screens including a HIV test, said Ms Katherine Leane, Chair of Femfatales. Information about some of the key issues for women living with HIV can be accessed on the National Association for People with HIV Australia (NAPWHA) website here.

You can view a special HIV is: Just a Part of Me video release featuring Jane Costello (CEO of Positive Life NSW), Natasha Io (Board Member of Positive Life NSW), and Michelle Tobin (Aboriginal woman of the Yorta Yorta Nation who is also a descendant of the Stolen Generation) here.

slide from HIV is: Just a part of me - Michelle Tobin Yorta Yorta woman sitting on a stool talking to the camera

Michelle Tobin, Aboriginal woman of the Yorta Yorta Nation and descendant of the Stolen Generation.

National Day of Women Living with HIV NAPWHA banner - pink background vector image female doctor and patient

Kidney Health Week – 15–21 March

With 1 in 3 Australians adults at risk of kidney disease, this Kidney Health Week, Kidney Health Australia is calling out to all Australians, particularly those living with diabetes and/or hypertension, to get a Kidney Health Check. Last September Kidney Health Australia launched its early detection campaign, #nofilter, featuring Shane and his family. Shane was diagnosed with kidney disease following detection of high blood pressure. The campaign showed the impact dialysis had on his and his family’s life. Tragically, Shane passed away from a heart attack in December 2020, at just 48 years old.

As a tribute to him, his wife Jodie and five daughters will be featuring in the campaign during Kidney Health Week to carry on the fight in Shane’s name and get the message out about early detection. While the campaign does carry a heartbreaking message about Shane’s battle with kidney disease, it also carries a message of hope – that if caught early enough, Progression of kidney disease can be slowed down or even stopped.

For more information about Kidney Health Week 2021, Monday 15 March to Sunday 21 March click here.Kidney Health Australia logo on dark blue poster, with pop out of light blue & text 'you can lose 90% of your kidney function before symptoms appear.' & outside the kidney-shaped light blue pop out the text 'Don't risk life with #nofilter - Kidney disease prevention start at kidney.org.au/kidneyrisktest'

Pilbara Aboriginal Health Alliance launch

The Pilbara Aboriginal Health Alliance (PAHA) is a partnership between the three Aboriginal Community Health Organisations (ACCHOs) based in the Pilbara region of WA, namely, Mawarnkarra Health Service; Wirraka Maya Health Service; and Puntukurnu Aboriginal Medical Service (Member ACCHOs). The priority for PAHA and its Member ACCHOs is to improve the health outcomes for Aboriginal and Torres Strait Islander people, families and communities, in the Pilbara region.

The Member ACCHOs met in June 2019 to discuss the re-establishment of a Pilbara Aboriginal Health representative body. It was agreed that PAHA would be established to advocate for and represent the Members ACCHOs. An interim Coordinator was appointed in February 2020 to undertake the actions required to set up PAHA; coordinate PAHA meetings; and carry out the directions of the PAHA Directors. The greatest concerns to PAHA are the life expectancy of Aboriginal and Torres Strait Islander families in the Pilbara; the chronic diseases impacting families; providing access to holistic health services; the impact of grief and loss on families; and increasing the level of health services and programs available to the Aboriginal and Torres Strait Islander community. The launch of PAHA will take place on Friday 19 Marchflyer for the PAHA launch with address, timing etc

 

NACCHO Aboriginal Health News: Care for Elders must draw on culture

feature tile Fri 5.3.21 text 'Australia's aged care system required radical change - care for Elders must draw on culture' photo of elderly Aboriginal man's hand being held

Care for Elders must draw on culture

The Royal Commission into Aged Care Quality and Safety made several recommendations aimed at improving access to culturally safe aged care for Aboriginal and Torres Strait Islander people. Radical change is needed to provide appropriate aged care which draws on Aboriginal culture, says the National Advisory Group for Aboriginal and Torres Strait Islander Aged Care (NAGATSIAC). NAGATSIAC chair and CEO of the Victorian Aboriginal Community Controlled Health Organisation Jill Gallagher AO has urged the Federal Government to swiftly adopt all recommendations from the Royal Commission into Aged Care Quality and Safety Final Report.

“The Royal Commission’s recommendations call for radical change and acknowledge that Aboriginal and/or Torres Strait Islander people and organisations are best placed to serve Aboriginal Elders. Ms Gallagher said the aged care system had “profoundly failed Aboriginal and Torres Strait Islander people and these long overdue changes would enable Aboriginal and Torres Strait Islanders to access aged care that meets their needs. Elders are the keepers of Culture and the heart of our Communities.”

To view the full article in Croakey click here.

exterior of VACCHO building with mural Aboriginal artwork

Image source: The Conversation.

Video helps improve musculoskeletal health

A new health awareness video has been produced by registered Australian health charity Dragon Claw, with funding from the Federal Government, in response to research showing that our First Australians suffer disproportionately from musculoskeletal conditions. The video was developed in conjunction with the Dubbo and Coonamble Aboriginal Health Services and is focused on raising the awareness in the community of the support and treatment that is available for the debilitating impacts of musculoskeletal conditions in Aboriginal communities across Western NSW.

Unaware that seeking help for what, in many cases are treatable ailments, a significant number of our fellow Australians continue to accept their symptoms as the unavoidable ‘aches and pains’ of life – leading to needless suffering and physical impairment. The video features local Aboriginal people, in their own words, encouraging everyone, irrespective of age, to seek the help of their local healthcare providers and then to follow their treatment plan with the prescribed medications.

To view the video click here.

video slide drone over brown river, green vegetation on banks, photo of Aboriginal man with fishing hook, knee of Aboriginal footballer, Aboriginal woman's arthritic hands, text 'living with joint pain - go and see your doctor, they can help'

Image source: Dragon Claw.

Indigenous aged care must be community controlled

The Royal Commission into Aged Care Quality and Safety Report was tabled in Parliament this week. The final report, titled Care, Dignity and Respect, made 148 recommendations following a two-year investigation into the structural issues in governance and funding in the aged care sector. Commissioners Lynelle Briggs and Tony Pagone said the sector needs a significant boost in funding, a levy similar but separate to the Medicare levy and to bolster the role of an independent pricing authority for the sector. The commissioners recommended a new Aged Care Act be put in place by July 2023, recommending a system based on a “universal right to high quality, safe and timely support and care”.

Adrian Carson CEO of Institute for Urban Indigenous Health (IUIH) said it was clear that the commissioners listened to Indigenous Elders and Indigenous community-controlled providers of aged care services and their experiences. “Our Elders experience challenges attempting to navigate and access their entitlement to aged care,” he said. “The series of significant recommendations reflect what the sector has been saying for some time, the report called the system out on a few big things, including the complete silence around the new national Closing the Gap agreement, it didn’t pay attention to the needs of our Elders, it didn’t set targets or have health commitments for our Elders. It was a huge oversight and I commend the Royal Commission for calling that system out, we’re keen to ensure that not only the recommendations happen, but that the needs of our Elders are reflected in the broader conversation when talking about how we close the gap.”

Matthew Moore General Manager of Aged and Disability Services at the IUIH said the Aboriginal and Torres Strait Islander people are “underrepresented in a system where they should be overrepresented. Only 17% of Aboriginal eligible Elders that are over 50 access a part of the aged care system compared to the mainstream engagement that sits [at] over 27%.”

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

Germanus Kent House resident Aboriginal Elder Bertha Linty and care worker Victoria Gardener, who is leaning over the back of Bertha with her arms around Bertha's shoulders

Germanus Kent House resident Bertha Linty and care worker Victoria Gardener. Image source: Aged Care Guide website.

Vision 2020 Australia welcome Royal Commission recommendations

Vision 2020 Australia has welcomed the findings of the Royal Commission into Aged Care Quality and Safety and is strongly supportive of recommendations that would address some of the major issues the sector has raised around current arrangements for older Australians living with blindness and vision loss.

A key recommendation contained in the final report was establishing tailored pathways for Aboriginal and Torres Strait Islander people who need aged care support, an important part of the broader work done to ensure that all Australians can access culturally safe care and support.

In its recent submission to the 2020–21 Federal Budget Vision 2020 Australia is calling for $37.38 million over 4 years for enhancements to the current aged care system to make it simpler, quicker and more affordable for older Australians who develop or live with permanent vision loss to get the technology and supports they need.

To view the Vision 2020 Australia media release click here and to access their recent submission to the 2020–21 Federal Budget click here.

health professional removing eye bandage from elderly Aboriginal man

Image source: Fred Hollows Foundation website.

Aboriginal healthy ageing – the Ironbark Project

Would your service like to be part of research that shows how important community programs are for older Aboriginal people?

The Ironbark Project compares the health impacts of two programs: Standing Strong and Tall program (a weekly exercise and yarning circle) and Healthy Community program (a weekly social program) among groups of Aboriginal people aged 45 years and older.

Services that work with groups of older Aboriginal people (45 years and older) are invited to participate in the study. Services will be funded and trained to run one of these programs weekly for 12 months

For more details about the Ironbark Project click here and to view a flyer for the project click here.

Interested NSW services can register for the 30 minute webinar being held from 2:00– 2.30 PM on Thursday 18 March 2021 by clicking here.text 'The Ironbark Project' & painting of tree without leaves covered in Aboriginal dot paintings

Mental health report a template for the nation

The report of the Royal Commission into Victoria’s Mental Health System aligns in many ways with the recent report of the Productivity Commission, strengthening the impetus for more effective and equitable care and support Australia-wide, the Consumers Health Forum of Australia says. “The Victorian report shares with the Productivity Commission’s mental health report a blueprint for a fresh standard of support and access to care for mental health. The direction of both reports conquers the habitual barriers that have previously consigned mental health care to second class status compared to what’s routinely available for people with physical illness,” the CEO of CHF, Leanne Wells, said.

To view the CHF media release click here.

Aboriginal flag with text 'Mental health does not discriminate'

Image source: Dandenong and District Aborigines Co-operative Limited website.

Only 10% of remote NT kids have healthy ears

In remote communities across the NT, only one in 10 Aboriginal children younger than three years have healthy ears, a new report in the Medical Journal of Australia (MJA) has found. Five have otitis media (OM) with effusion (OME) or ‘glue ear’, and four have suppurative OM – acute OM (AOM) with or without perforation, or chronic suppurative OM (CSOM) ‘The level of ear disease in Aboriginal [and Torres Strait Islander] children is defined by the World Health Organization [WHO] as meeting a public health emergency,’ the study’s lead author Professor Amanda Leach told newsGP.

According to Professor Leach, leader of the Ear Health Research Program at the Child Health Division of Menzies School of Health Research, any rate of OM above 4% is considered a public health emergency. The rate of chronic suppurative OM in Aboriginal and Torres Strait Islander children in the NT currently sits between 12–15%. ‘We started off here with around 24%, so it’s definitely come down,’ she said. ‘But we’re a long way away from that target.’

NT Minister for Education, Lauren Moss, says the Territory Labor Government is investing $1.65 million in acoustic upgrades in Territory schools to support high-quality and inclusive education for students. “Improving the acoustic quality of the classrooms makes it easier for our children to learn and hear. 75 classrooms across the Territory are set to receive these works. This funding comes in addition to the $5.2 million Building for Inclusion funding announced in January 2020, where 21 urban classrooms were fitted with specialist amplification systems, designed to support students with hearing difficulties and those who need additional support to focus in class.

To view the full article in newsGP click here and to view Minister Moss’ media release about the acoustic infrastructure upgrades for NT schools  click here.

Aboriginal Health Worker examining ear of Aboriginal youth

Image source: newsGP.

Yarning towards life after stroke

Two new studies, focused on speaking and listening from the heart, will seek to empower Aboriginal and Torres Strait Islander people living with stroke to self-manage their stroke recovery. Dr Heidi Janssen and Dr Di Marsden from the Hunter New England Local Health District each received $50,000 grants to kick-start their projects as part of the 2021 Stroke Foundation Research Grants round..

Stroke Foundation Research Advisory Committee Chair Professor Amanda Thrift said Dr Janssen and Dr Marsden will partner with the community to gain knowledge and develop new supports to help survivors of stroke live well. “Sadly, too many Aboriginal and Torres Strait Islander people are being affected by stroke,” Professor Thrift said. “Due to recognised disadvantage, the average age of onset of first-ever stroke is 54, 17 years younger than the non-indigenous population and the burden of stroke is 2.3 times as high.

To view the Stroke Foundation article in full click here.

Coral Toomey leaning over her husband Bill Toomey who has had a stroke & in a wheelchair

Coral Toomey cares for her husband Bill Toomey who suffered a stroke. Image source: The Northern Daily Leader.

CARE for Rural Australia comes to Queensland

OzHelp Foundation (OzHelp) with the support of Perpetual Trustees, has partnered with Dr Meg Perceval, Be Health, and the Australian Institute for Suicide Research and Prevention (AISRAP) through Griffith University to deliver CARE for Rural Australia. With the initial goal of reaching 300 people across Queensland’s rural and farming communities, a total of 18 CARE for Rural Australia workshops are available free of charge, through both face-to-face and online workshops during March.

CARE© is a four-hour evidence-based wellbeing and suicide prevention program that addresses the health needs of people living and working in regional, rural, and remote communities, particularly those working in farming, agribusiness, and other agricultural industries.

To view the OzHelp media release click here.

three Aboriginal men harvesting spinifex grass on outskirts of Camooweal, Qld

Dugalunji Aboriginal Corporation employees harvest spinifex grass on the outskirts of Camooweal, Qld. Image source: The University of Queensland website.

COVID-19 vaccine for people affected by cancer

Following from the COVID-19 Vaccines and Cancer virtual roundtable in Mid-February, Cancer Australia has released a new webpage with dedicated information on the COVID-19 vaccines for people affected by cancer. This information will supplement the broader information provided to clinicians and the community as part of the Australian Government’s national COVID-19 vaccine rollout strategy.

The new COVID-19 vaccines and cancer page includes links to key resources to inform and support people affected by cancer, including:

The information is available to view here and the FAQs can be viewed here.

Over the coming weeks, Cancer Australia will release, in collaboration with our Indigenous colleagues, tailored information for Aboriginal and Torres Strait Islander people affected by cancer. Cancer Australia will also be translating the FAQs into different languages to support culturally and linguistically diverse populations affected by cancer. In order to address the ongoing information needs of people affected by cancer, Cancer Australia will be regularly updating the FAQs as new information emerges about COVID-19 vaccines and cancer. Cancer Australia would also appreciate any further information or feedback you may have on the FAQs.

close up image of Aboriginal woman's hands resting on her knees, floral dress

Image source: The Guardian.

Legal challenge launched over proposed Dan Murphy’s store

Danila Dilba Health Service has launched legal proceedings over the decision to approve a large Dan Murphy’s store in Darwin. In the legal action filed in the NT Supreme Court, the Darwin-based Aboriginal community organisation is asking for the liquor licence approval to be set aside. The court document names the Director of Liquor Licensing and Woolworths Group – which owns Dan Murphy’s – as the defendants to the action. Maurice Blackburn’s Social Justice Practice is running the case. Danila Dilba CEO Olga Havnen said the decision to approve the liquor licence failed to properly weigh up the risks and benefits of the new store.

To view Danila Dilba’s media release here.

Someone else who is opposed to the Dan Murphy’s store is psychologist Dr Damien Howard. Dr Howard has provided counselling services at Bagot Community in Darwin for over 10 years. He has seen the attempts of the dry community to keep thee damaging effects of alcohol out of the community. He has seen the havoc alcohol causes in family life and is dismayed that Woolworths wants to place a Dan Murphy’s alcohol megastore nearby the community, against the strong wishes of the Bagot community. The Dan Murphy grog megastore in Darwin is being pursued by Woolworths and is opposed by local dry Aboriginal communities as it will cause more:

  • Foetal Alcohol Syndrome
  • vehicle accidents
  • pedestrian accidents
  • multiple diseases
  • alcohol related violence, including family violence

Dr Howard says while espousing reconciliation Woolworth’s actions are carving a place for themselves in corporate infamy.Woolworths logo superimposed over red bloody handprints, text 'Woolworths'

Hearing loss and dementia research

In December 2020, the Hearing Care Industry Association (HCIA) commissioned Mark Laureyns of the Thomas More University College in Antwerp, to write a paper examining the rapidly evolving research linking the treatment of midlife hearing loss and the prevention of dementia in later life. In doing this, Mark had the brief to only utilise research that had appeared in peer reviewed journals over the past 4 years.

Dementia, Hearing Loss and Hearing Care: Saving Australia’s Minds provides compelling, peer-reviewed evidence for early hearing care intervention to prevent dementia. A key finding of the latest research finds that hearing loss in mid-life is the largest modifiable risk factor for age-related dementia.

Dementia is the second leading cause of death amongst Australians and the leading cause of death amongst Australian women. The Royal Commission into Aged Care Quality and Safety, whose report was recently released, made 148 recommendations. Of those, 14 related to dementia. With an ageing population and increasing costs of providing aged care, now is the time to seize the opportunity for a preventative hearing health strategy that will address the link between age-related hearing loss and dementia.

To view the paper click here.orange cover of HCIA Dementia, Hearing Loss and Hearing Care: Saving Australia's Minds - The compelling peer-reviewed evidence for early hearing care intervention to prevent dementia - White Paper March 2021'

NSW – Narooma – Katungul Aboriginal Corporation

Chief Executive Officer x 1 FT – Narooma

Katungul Aboriginal Corporation is  seeking a dynamic, forward-thinking CEO to lead the delivery of health and wellbeing services to the Aboriginal and Torres Strait Islander communities in southern NSW.

Katungul Aboriginal Corporation Regional Health and Community Services works in partnership with local health services to ensure that their clients receive culturally appropriate medical, dental, social and emotional wellbeing services. Their vision is “for Aboriginal people to live healthy lives enriched by a strong living culture, dignity and justice and for Katungul’s work to be recognised as a driving force in achieving this.

The CEO is accountable to the Board and is responsible for the delivery of the objectives outlined in the strategic plan.

You will be responsible for strengthening partnerships with local health providers, expansion of the current operating areas and development of a community engagement strategy to ensure that services on offer remain relevant and in line with their client’s needs.

The CEO has the support of an Executive Officer and leads the four main organisational areas of Community Services, Health Services, Business Services and Governance, and Finance.

The role is based in Narooma, with additional offices and clinics in Bega and Batemans Bay. Katungul covers a wide operational base, and travel throughout the region is essential.

We are looking for a person who is decisive, proactive and results-oriented who likes to achieve excellence, is innovative and can communicate to customers and team members with flair and style.  A natural leader who is enthusiastic and good at seeing the big picture whilst focusing on results.

This is an Aboriginal and Torres Strait Islander identified position. Applicants must be of Aboriginal or Torres Strait Islander descent (pursuant to Section 14 (d) of the Anti-discrimination Act and Confirmation of Aboriginality will be required.

For full details of the requirements of the role and the selection criteria, please refer to the position description attached below or contact Natalie on 0439 626 393 or nataliec@bloomhr.com.au for a confidential discussion.

To view the position description click here. Katungul ACCHO logo black duck flying across curved Aboriginal brown yellow black art, inside ochre circle with golden yellow fill, silhouette of man, woman, girl & boy at bottom of the circle, text 'Health Care for Aboriginal & Torres Strait Islander Communities

NSW – Newcastle – University of Newcastle

Post Doctoral Research Fellow x 1 FT (fixed term for 2 years) – Newcastle

The School of Medicine and Public Health College of Health, Medicine and Wellbeing, The University of Newcastle has a vacancy for a Post Doctoral Research Fellow. In the position you will collaborate with influential Professors and research leaders within Aboriginal health research to lead Aboriginal health ethics projects nationally.

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

Applications close Wednesday 31 March 2021.external view of the University of Newcastle

NSW – Sydney – University of Sydney

Research Assistant x 1 FT (fixed term) – Sydney – The Children’s Hospital at Westmead

The University of Sydney’s Centre for Kidney Research is seeking a Research Assistant to work on a project alongside a team of researchers and educators. This project aims to undertake research and develop clinical practice guidelines on the management of chronic kidney disease in Aboriginal and Torres Strait Islander people in the management of kidney stones.

To view the position description click here.

Applications close midnight Sunday 14 March 2021.

model of a kidney showing inside of the kidney

Image source: Technology Networks website.

Hearing Awareness Week – 1–7 March

During Hearing Awareness Week, it is important to remember that Aboriginal Australian children have one of the highest rates of chronic otitis media (middle ear infection) in the world. They are three times more likely than non-Aboriginal children to experience permanent hearing loss associated with ear disease.
Children living in regional and remote communities are particularly at risk of long-term hearing problems due to environmental determinants such as poor housing and infrastructure, overcrowding, and exposure to pollutants such as tobacco smoke.

In Australia, some Aboriginal communities report that up to 40% of their children suffer from chronic otitis media. Early diagnosis and management of otitis media, as well as measures aimed at improving environmental health conditions, are key elements in avoiding hearing loss, and the consequent effect on a child’s language, education and psychosocial development.

The Aboriginal Community-Controlled Health Organisation (ACCHO) model of holistic, comprehensive primary care is best suited to provide this early intervention and to address environmental determinants of poor ear health. ACCHOs are embedded within communities and can provide regular education, screening and treatment for children in a culturally secure, family-oriented environment.

To view the Aboriginal Health Council of WA’s We’re all Ears for Hearing Awareness Week media release click here.AHCWA green banner, text 'We're all Ears for Hearing Awareness Week' AHCWA's blue logo

2021 Close the Gap Campaign report launch

The Close the Gap Campaign aims to close the health and life expectancy gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians within a generation. The campaign is built on evidence that shows significant improvements in the health status of Aboriginal and Torres Strait Islander peoples can be achieved by 2030.

The Australia Institute is delighted to invite you to the launch of the 2021 Close the Gap Campaign report “Leadership & Legacy Through Crises: Keeping Our Mob Safe”, written by the Lowitja Institute. Speakers include:

June Oscar AO
Co-Chair, Close the Gap Campaign
Aboriginal and Torres Strait Islander Social Justice Commissioner, Australian Human Rights Commission

Karl Briscoe
Co-Chair, Close the Gap Campaign
CEO of National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners

Dr Janine Mohamed
CEO, Lowitja Institute

and special guest

Sir Michael Marmot
Chair, WHO Commission on Social Determinants of Health

The report will be launched via webinar, on National Close the Gap Day – Thursday 18 March – hosted by the Australia Institute in support of the Close the Gap Campaign.

Noon AEDT (ACT, VIC, NSW, TAS)

11:30 AM ACDT (SA) / 11 AM AEST (QLD)

10:30 AM ACST (NT) / 9.00 AM AWST (WA)

The webinar is free, but registration is essential – to register click here.flyer text 'National Close the Gap Day 2021 18 March - Leadership and LEgacy through crises: Keeping our MOb safe, bullet points: Get involved, Register an activity, Take the pledge, Join the Report launch' photo of Aboriginal man, partner young girl & baby against red flowering bush