NACCHO Aboriginal & Torres Strait Islander Health News: Portal to assist with impact of Voice debate

feature tile image of young ATSI girl with white body paint, with Aboriginal flag in background; text 'NACCHO’s new online portal to assist with negative impact of Voice debate'

The image in the feature tile is from the article Indigenous recognition is more than a Voice to Government – it’s a matter of political equality published in The Conversation on 26 February 2021. Photo: Darren England, AAP.

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

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

Portal to assist with impact of Voice debate

As experiences of racism and violence both online and in person continue to increase for Aboriginal and Torres Strait Islander people in the lead up to the referendum, NACCHO CEO, Pat Turner, a Gudanji-Arrente woman and Senior Advisor on the Voice to Parliament, flagged concern about the adverse consequences of the debate within communities.

In an effort to address the concern, the NACCHO together with the Australian Indigenous HealthInfoNet have joined forces to create an online portal of helpful health resources. “We are witnessing first-hand the adverse consequences of this debate within our communities, manifesting as heightened psychological distress, an increased demand for assistance, and a rise in the utilisation of social and emotional wellbeing and mental health services,” Ms Turner said. “The resources we’ve developed are not the answer but are critical tools to help keep our Community safe and well”.

First Nations people, organisations and communities now have access to an extensive online portal, available here, complete with essential resources for supporting and reducing social and emotional harms to Aboriginal and Torres Strait Islander people in the period prior and post the Voice referendum. “These resources have tools and tips on managing stress for self, family and community and managing increased misinformation,” Healing Foundation acting CEO Shannan Dobson said. All experts in the field of wellbeing and mental health are urging community members to reach out to ACCHOs for assistance.

To view the National Indigenous Times article NACCHO’s new online portal to assist with negative impact of Voice debate in full click here.

tile with text '6 ways to look after yourself and mob during The Voice referendum debate'

Image source: Australian Indigenous HealthInfoNet website.

Welfare checks urged as abuse skyrockets

The head of a First Nations crisis support service has urged Indigenous people to keep welfare tabs on each other after an influx of abuse was reported in the lead-up to the Voice to Parliament referendum. 13YARN national program manager, Aunty Marj Anderson, said the Voice debate was having widespread impact on Indigenous people’s mental health and appealed for a more respectful debate ahead of the October 14 referendum.

She has urged people to check on one another after the 13YARN crisis helpline reported a record number of calls from people experiencing racism and abuse online. “We all need to be taking care of each other in the community,” Ms Anderson said. “If you see someone being sad in the community, go up and say ‘you right or what? How can I help you?”

The crisis support service was established in March 2022 by the former Coalition government to provide 24/7 help to First Nations people in distress. Lifeline, the provider of 13YARN, said data from the service showed the increase in reported abuse or trauma coincided with the start of the Voice referendum proposal. 13YARN counsellors were expected to field about 40 to 60 cases per day, but the service recently reported a 108% increase in calls, with 7,573 taken from October to December last year.

To view the National Indigenous Times article Welfare checks urged as Indigenous abuse skyrockets during Voice debate in full click here.

13YARN National Program Manager Aunty Marj Anderson standing at edge of an oval

13YARN National Program Manager Aunty Marj Anderson. Image source: National Indigenous Times.

Being an effective ally for self-determination

Joanne Bolton, Director (Acting), Curriculum Lead, Collaborative Practice Centre, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne has reflected on the word “Self-determination” which she said entered her vocabulary about 10 years ago, while she was learning more about what it means to be an Indigenous ally. Ms Bolton said that looking at the definition from the Australian Human Rights Commission – “in a practical sense, self-determination means that we have the freedom to live well, to determine what it means to live well according to our own values and beliefs” – it felt to her like something most people living in Australia would say is a good thing for a country to aspire to.

Ms Bolton said the phrase “Aboriginal health in Aboriginal hands” is the perfect example of self-determination; supporting the freedom to live well – specifically to receive high-quality healthcare experiences – according to communities’ values and beliefs. She said since the first ACCHO in Redfern in 1971, ACCHOs have grown to meet the need for culturally responsive and self-determined healthcare across Australia, and have excellent health, social and cultural outcomes, that benefit everyone.

Ms Bolton cited lawyer and constitutional law researcher  Dr Shireen Morris, who said “The only risk in giving Indigenous people a voice, and allowing better debate and discussion in Indigenous affairs, is that Indigenous policy and outcomes might be improved. This would be good for Indigenous people, and good for the nation”.

To view the University of Melbourne’s Pursuit article Being an effective ally for self-determination in full click here.

tin wall with pealing posted of Aboriginal flag & word 'RESPECT'

Photo: Loren Elliott, Reuters. Image source: The Guardian.

Accolade for outstanding leadership in mental health

Megan Krakouer is the winner of a 2023 Australian Mental Health Prize which recognises and celebrates outstanding Aboriginal or Torres Strait Islander mental health leadership at a national or community level. Ms Krakouer is considered a First Nations rights beacon involved in reshaping laws and advocating for the marginalised. Megan Krakouer’s far-reaching impact is visible across Australia as she passionately advocates at events and in her written work.

Ms Krakouer said “I’ve seen too many life support machines turned off young ones before their time! We are not put on this earth to bury our children! We can’t ignore the underlying causes: the crushing weight of poverty, the poison of discrimination, and the barriers to education that push these young souls to such desperation. What’s needed is unshakable support systems and taking decisive action. Concrete steps and direct assistance is what’s needed. It’s on all of us to step up, shield these vulnerable lives, and nurture them with care and urgency.”

Especially poignant is her call to action on the devastating rates of First Nations youth suicide, with a staggering 80% of Australian child suicides occurring among First Nations children aged 12 and below. Megan’s urgent plea for change resonates as she addresses the root causes – poverty, discrimination, and limited access to education – and emphasises the dire need for robust support systems, psychosocial interventions, and affirmative measures to prevent further loss of life.

To listen the the NITV Radio podcast episode Megan Krakouer wins accolade celebrating outstanding leadership in mental health for First Nations people in full click here.

Megan Krakouer on bench with 3 young children

Megan Krakouer traverses the expanse of Australia to effect positive change. She speaks at events and writes articles advocating for better outcomes for First Nations Australians. In particular, she draws attention to the distressing rates of suicide among Indigenous youth, specifically those aged 12 and below. Image source: NITV Radio.

Health leader shares reasons for ‘Yes’ vote

Scott Willis is a proud Palawa man from Burnie, who has lived and worked in northern lutruwita/Tasmania for more than 30 years. He is the first Indigenous National President of the Australian Physiotherapy Association and a former Clinical Council Member of Primary Health Tasmania. On 14 October, Mr Willis said he “will drive to my local polling station in northern Tasmania and vote ‘Yes’ to a proposed law: to alter the Constitution to recognise the First Peoples of Australia by establishing an Aboriginal and Torres Strait Islander Voice. I will vote with confidence in the knowledge that self-determination and cultural safety are determinants of health, and that a Voice, Truth and Treaties, will move this nation toward closing the gap and reconciliation.”

“I know this as a health practitioner, I know it as Palawa, and I know it as someone who has dug deep and waded through many other people’s opinions and arguments to form my own, very personal view. Every day, in my clinic, I experience racism. I often hear that ‘Indigenous people get everything for free and just want more and more’, or ‘we don’t want to work, and our priorities are not worthy of any more funding or power, as they will inevitably be abused’.

“The barriers and prejudices that divide us, the inequities they lead to, will not stop on October 14. We will not wake up the next day and find that the one in three First Nations people who don’t access healthcare when they need to because of discrimination, suddenly trust the health system. Recognition, consultation and the building of respectful dialogue and trust is how we get to better health outcomes for First Nations people in Australia. It’s the right direction, and we know it. If we don’t, we haven’t been listening.”

To view the Croakey Health Media article After more than 30 years in clinical practice, this health leader shares his reasons for a ‘Yes’ vote in full click here.

Scott Willis, proud Palawa man, Burnie, TAS

Proud Palawa man, Scott Willis. Image source: Croakey Health Media.

Health checks reaching women most in need

University of Queensland (UQ) research has found general practitioners are proactively providing preventative health checks to women in mid-life who need it most, possibly due to sufficient Medicare rebates. The research analysed data from the Australian Longitudinal Study on Women’s Health to determine whether preventative health checks were being carried out on women in mid-life with the greatest need.

Clinical Research Fellow, Professor Jenny Doust from UQ’s School of Public Health said researchers also wanted to know if a patient’s economic position might be also a barrier to accessing preventative health care. “The types of preventative health checks generally available for women aged between 40-49 years are checks for those at risk of type 2 diabetes and chronic disease, as well as a heart health check,” Professor Doust said.

“The research found that women were more likely to have had health checks if they had risk factors for chronic disease, which was in contrast to previous research which found that fewer GP practitioner services are provided to people with unhealthy lifestyles.” The findings were mirrored in a recent study looking at the uptake of health checks for Aboriginal and Torres Strait Islander people, which found these went to those who had the greatest healthcare needs. “Our work shows that, in Australian primary care, people who need preventive care the most are more likely to receive it,” Professor Doust said. “We often hear about the inverse care law, that is the ability to access healthcare varies inversely with need. Our study shows that the inverse care law doesn’t seem to apply here.”

To read the SCIMEX article Preventative health checks reaching women most in need in full click here.
male GP taking blood pressure of elderly ATSI woman

Image source: Wellington Aboriginal Corporation Health Service website.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Voice to Parliament resource portal

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

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

Voice to Parliament resource portal

The referendum to constitutionally enshrine an Aboriginal and Torres Strait Islander Voice to Parliament is critically important for health and wellbeing. Croakey Health Media has compiled a valuable list of articles and resources surrounding the Voice to Parliament.

Croakey Health Media reports: “The voices of the health sector have not been loudly heard in mainstream media coverage of the Aboriginal and Torres Strait Islander Voice to Parliament.

“It’s probably a fairly safe bet that most Australians (and perhaps also most journalists) would not realise the breadth of the sector’s support for the Voice, with Croakey’s portal recording more than 35 health and medical organisations have issued statements of support.”

To provide a platform for collective health discussions, Croakey is hosting two online #CroakeyLIVE webinars – from 5-6pm AEST on Monday 25 September, and 5-6p, AEDT on Monday 9 October.

See the full Voice to Parliament portal here.

Croakey Health Media Voice to Parliament portal.

13YARN supporting mob through Voice racism

An influx of racism on social media amid the Voice debate is having an impact on Aboriginal and Torres Strait Islander people’s mental health. 13 YARN program manager, Majorie Anderson spoke to ABC News about the impact the referendum is having on community wellbeing.

“I’m sad really, the level of debate has been personal attacks instead of just sticking to the facts and it’s having an impact on the community.”

“People are feeling overwhelmed so they’re ringing 13 Yarn to talk about that.”

She said racism on social media is causing the overwhelm and Aboriginal and Torres Strait Islander people are “not feeling heard at the moment.”

“They talk about feeling overwhelmed, they talk about racism on social media, and they talk about just needing to vent somewhere that’s culturally safe and somewhere without judgement and that’s why they ring 13 Yarn.”

“Often at the end of the call they say, ‘I just feel better that I’ve been heard,” she said.

NACCHO and the Australian Indigenous HealthInfoNet have launched ‘Voice Referendum: Social and Emotional Wellbeing Resources and Information’ – a webpage that provides a collection of information and resources to help you to inform and care for yourself and your community in the lead up to and after the Voice Referendum.

It features a selection of Aboriginal and Torres Strait Islander-specific resources developed with Aboriginal and Torres Strait Islander people to support our mob, our communities and our Aboriginal and Torres Strait Islander health workforce keep safe and well.

If you are feeling stressed, not sleeping well, or have increased anxiety and depression you can seek immediate help, 24 hours a day, 7 days a week from:

– 13 Yarn (13 92 76)

– Brother-to-brother (1800 435 799)

– Lifeline (13 11 14)

– Kids Helpline (1800 55 1800)

Watch the ABC News video here.

Image source: 13YARN.

New Urgent Care Clinics for the NT

The Central Australian Aboriginal Congress is set to deliver Urgent Care Clinics at its Northside Clinic. Medicare Urgent Care Clinics are designed to allow community to find the care they need when they are unable to wait to get into their GP, but do not need to visit the emergency department.

At a press conference in Alice Springs Minister for Health and Aged Care, Mark Butler announced two new Urgent Care Clinics for the NT.

“Think about your kid falling off the skateboard and busting their arm, they don’t need to go to a fully equipped hospital. They can be adequately cared for out in the community in a clinic like the one we’re announcing here at Northside,” Minister Butler said.

Read more here.

Senator Malarndirri McCarthy, Marion Scrymgour MP – Member for Lingiari, Ebony Abbott McCormack – Chair, Central Australian Aboriginal Congress, Minister for Health and Aged Care, Mark Butler, Dawn Ross – Acting CEO Central Australian Aboriginal Congress outside Medicare Urgent Care Clinic Northside. Image source: AMSANT.

Blood test could predict Alzheimer’s disease 20 years before symptoms appear

Aboriginal and Torres Strait Islander people are three to five times more likely to develop dementia compared to the general population. Researchers at The Australian National University (ANU) have developed an innovative blood test which could predict the onset of Alzheimer’s disease up to two decades before symptoms manifest. The technology uses nanotechnology and artificial intelligence (AI) to analyse proteins taken from a small blood sample, searching for signs of early neurodegeneration that could indicate Alzheimer’s.

Co-author Professor Patrick Kluth said it could be particularly useful for people living in remote or regional areas, offering a more accessible method compared to traditional, more invasive tests.

“The quick and simple test could be done by GPs and other clinicians, eliminating the need for a hospital visit,” she said.

Researchers are optimistic that the screening technique could be made available within the next five years.

Read the full article here.

Image source: Unsplash.

Safe drinking water for Irrkerlantye

Ten new hydro panels have been installed in the central Australian community of Irrkerlantye to provide safe drinking water. Installers of the hydro panels Children’s Ground and Source Global said the remote community have campaigned for decades for improved amenities including power, sewage services, and drinking water.

Irrkerlantye Elder, Felicity Hayes said life was tough in her community, and despite the new panels, connection to town water supply was needed so they can meet all their water needs and are calling of the federal and territory governments for support.

“We live just 3km from the centre of Alice Springs. You can turn a tap on and drink the water at houses down the road from us, less than a kilometer away,” she said.

“The installation of Source hydro panels changes everything regarding safe drinking water for our families. The fact we can access our own high-quality drinking water right here makes a huge difference.”

Read the full article here.

Image source: Independent NT.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Creating supportive communities for alcohol-free pregnancies

The image in the feature tile is from the FASD Awareness Month and Red Shoes Rock Campaign launch at Parliament House.

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

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

Creating supportive communities for alcohol-free pregnancies

On Tuesday 7 September NACCHO, Fare Australia, NOFASD, FASD Hub, and lived experience advocates were joined by Health Minister Mark Butler, Indigenous Australians Minister Linda Burney, and other parliamentarians and their staff for the launch of FASD Awareness Month at Parliament House. The event provided an opportunity for attendees to learn more about Fetal Alcohol Spectrum Disorder (FASD) and the importance of creating supportive communities for alcohol-free pregnancies. Attendees wore red in support of the Red Shoes Rock Campaign which encourages Australians to wear red shoes or socks throughout September, to spark conversations and create an understanding about this largely invisible and preventable disability.

NACCHO Executive Director, Monica Barolits-McCabe spoke at the event, highlighting the significant impact of the Strong Born Campaign, which includes strength-based communications resources, culturally appropriate health information for women and families, and educational materials for the ACCHO workforce.

“The campaign also supports opportunities to bring communities together to create safe places to yarn about the impacts of alcohol and pregnancy… led by the ACCHO sector.”

“As challenging as some of these conversations are, unless we’re having them in an intelligent and culturally safe way, we are never going to make a dent in this issue,” Ms Barolits-McCabe said.

Also speaking at the launch, Minister Butler said, “We know this is important work and we know, given this is a wholly preventable disability, that this is something we can tick off.”

As part of Red Shoes Rock, more than 50 landmarks across Australia will be lit up red and community events will be held throughout the month.

NACCHO Executive Director, Monica Barolits-McCabe at the FASD Awareness Month launch.

Protecting Aboriginal and Torres Strait Islander peoples’ knowledges

Pakana woman and Vice-President, Aboriginal and Torres Strait Islander of the Public Health Association of Australia, Dr Alana Gall says amid a global focus on the importance of traditional medicines, stronger protections are needed for Indigenous knowledges in Australia. While the use of natural products as a basis for pharmaceuticals is somewhat well known, a lesser-known fact is around the exploitation of First Nations traditional medicine knowledge in Australia. For example, the commercial production of a drug made from Duboisia myoporides (commonly known as corkwood), a hybrid of Australian native shrubs used by Aboriginal and Torres Strait Islander people as a sedative and painkiller, is now the backbone of a lucrative multi-million-dollar industry in Australia.

Are First Nations knowledges acknowledged as the basis for this? Do First Nations peoples gain any benefit from sharing their knowledge?

Speaking at a virtual dialogue with Dr Tedros Adhanom Ghebreyesus and a group of WHO senior officials about Indigenous traditional medicines from a global perspective, Dr Gall highlighted:

  • The urgent need for the protection of Indigenous knowledges through appropriate legislation.
  • The importance of including respectful approaches to the integration of Indigenous traditional medicines into each country’s health policies.
  • The need for the WHO to hold a regular forum that brings Indigenous voices together globally on these issues.

Read the full Croakey Health Media article here.

Dr Alana Gall, pictured at first World Health Organization Traditional Medicine Global Summit held in India. Dr Michael Kyeremateng (L) and Professor Professor Jon Wardle (R). Image source: Croakey Health Media.

I Pledge to Champion a Respectful Referendum

Aboriginal and Torres Strait Islander mental health advocates have launched the Respectful Referendum Pledge, a set of principles to encourage respectful conversations in the lead-up to the referendum. Developed by the Australian Indigenous Psychologists Association (AIPA), Indigenous Allied Health Australia (IAHA), Gayaa Dhuwi (Proud Spirit) Australia, and the Black Dog Institute the principles aim to reduce social and emotional harm to Aboriginal and Torres Strait Islander people in the period prior and post-referendum.

Advocates have warned the government the referendum would have negative impacts on Aboriginal and Torres Strait Islander peoples’ mental health. Early evidence has shown the racial tone of the debate has had a negative impact on the mental health of First Nations people. Gamilaroi/Gomeroi man and Director of First Nations Partnership and Strategy at the Black Dog Institute, Dr Clinton Schultz said the impacts are already showing.

“We know the tonality of the debate has a significant effect on mental health impacts. The more divisive the debate, the greater the impact; the more respectful and inclusive, the lesser the impact,” he said.

The Respectful Referendum Pledge asks politicians to:

  • Listen to First Nations people
  • Elevate First Nations voices
  • Provide a safe space for First Nations advocates
  • Build common ground through shared goals
  • Set the standard for respectful debate
  • Use culturally appropriate language
  • Build trust through action

Read the full NITV article here. You can also view Referendum Resilience resources here.

Respectful Referendum Pledge.

Blood cancer booklets

For Blood Cancer Awareness Month (September) a descendant of the Muruwari people, Matthew Doyle will unite with the Leukemia Foundation as a voice for Aboriginal and Torres Strait Islander people. Matthew lost both of his twin sons, Shawn and Jeremy to blood cancer at the ages of one and two years old. On losing his boys, Matthew says, “There’s not a day that goes past that I don’t think about my children. I think it’s important that people tell their stories.”

Matthew hopes that by joining forces with the Leukemia Foundation as the national ambassador for First Nations people, that he can raise much-needed awareness of blood cancer and the support available to this impacted by the disease. Matthew has designed information booklets written specifically for Aboriginal and Torres Strait Islander blood cancer patients and harness a rich storytelling culture to help them better understand their diagnosis and what to expect from blood cancer treatment.

“I want to encourage fellow Indigenous Australians experiencing the devastation of blood cancer, to reach out to the Leukemia Foundation to access their support and services,” Mr Doyle said.

“I want people to know that they are not alone. The Leukemia Foundation has a range of resources to help them and their loved ones through this dark time.”

Read more here and find the First Nations blood cancer booklets here.

Page from the Leukemia Foundation First Nations blood cancer booklet.

Let’s Yarn about Sleep

The Let’s Yarn About Sleep (LYAS) program, led by the University of Queensland, combined Western science with Indigenous cultural teachings to improve sleep health in young Aboriginal and Torres Strait Islander people. The aim of the program is to give kids the tools and knowledge about the spiritual, mental, and physical importance of sleep and encourage them to put it into practice. First to graduate from the LYAS, John aged 14 said it had a life-changing impact.

“I chuck my phone on the desk on the other side of the room.

“I’ve started passing my grades at school and getting Bs and As and it’s pretty good,” he said.

Waanyi Garawa Gangalidda woman Karen Chong, who is Australia’s first qualified Indigenous sleep coach, has been educating program participants in Mount Isa. She said empowering young people with tools such as an actigraphy device worn on the wrist to track sleeping and waking routines and easy tips and tricks on how to get a good night’s sleep had resulted in high engagement in the program.

“Sleep is important for Aboriginal people because it is a time when we connect with our Dreaming, with our ancestors, and when we draw inspiration and creativity for the expression of our culture,” Ms Chong said.

Read the full ABC article here.

Sleep coach Waanyi Garawa Gangalidda woman Karen Chong. Image Source: ABC News.

COVID-19 vax competition offering HUGE prizes

6 ACCHOs and 15 creative people can win return flights, accommodation, and tickets for up to 3 ACCHO staff members to attend the NACCHO’s Members’ Conference in Perth this October.

Enter the COVID-19 Vaccination promotion competition by submitting a deadly video advertisement/promotion that represents the theme: Getting a COVID-19 vaccination is looking after yourself, for your chance to win! Entries will be judged on the following criteria:

  • Relevance to the theme: Getting a COIVD-19vaccination is looking after yourself
  • Composition
  • Creativity
  • Originality
  • Appropriateness for the target age group: Category 1 – kids 5–12 years (in the ACCHO community), Category 2 – teens and adults 13–49 years (in the ACCHO community), Category 3 – older adults 50+ (in the ACCHO community).

There are 3 amazing prizes up for grabs:

Category 1

  • First Prize includes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 3 staff members
  • Second Prizeincludes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 2 staff members

Category 2

  • First Prizeincludes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 3 staff members
  • Second Prizeincludes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 2 staff members

Category 3

  • First Prizeincludes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 3 staff members
  • Second Prize includes return flights, accommodation, and tickets to NACCHO’s 2023 Conference in Perth for 2 staff members

This is an opportunity for you to really show who and what your community is like, and the best ways to communicate with them.

We encourage teams to be creative with the theme. Is the best way to get your mob interested, through humour? Being strong and serious? Telling a story? Addressing negative stereotypes?

Be open to the possibilities of what ‘self-care’ looks like. Self-care could be 30-year-olds discussing the importance of getting the vaccination; or 70-year-olds spinning around the basketball courts because they’re fit and healthy and vaccinated; or tie your promotion to building community strength and vitality.

The more original and community-oriented, the better.

You can access a competition Entry Form here.

The Terms and Conditions for the competition are available here.

Sector Jobs

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

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

Key Date – Women’s Health Week

The theme for this year’s Women’s Health Week (4-8 September) is ‘Grow your knowledge.’ It is all about supporting women to make informed decisions about their health with information that is easy to understand.

Derbarl Yerrigan Health Service Aboriginal Corporation held a Women’s Health Expo to celebrate, with stalls to encourage discussions and education around Women’s health.

On Facebook, Aboriginal and Torres Strait Islander Community Health Service Brisbane said, “This week, encourage your sisters, mothers, aunties, daughters, and friends to priorities their health and well-being by booking in for a health check.

“Through regular health checks you can identify and prevent chronic health issues early.”

Learn more about Women’s Health Week here.

NACCHO Aboriginal & Torres Strait Islander Health News: Gayaa Dhuwi (Proud Spirit) Australia Conference

The image in the feature tile is of NACCHO CEO, Pat Turner at the Gayaa Dhuwi (Proud Spirit) Australia Conference.

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

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

Gayaa Dhuwi (Proud Spirit) Australia Conference

Day 1 of the Gayaa Dhuwi (Proud Spirit) Australia conference kicked off today, Tuesday 29 August. Speakers included NACCHO CEO Pat Turner, Professor Tom Calma AO, Tania Rishniw, and Professor Pat Dudgeon AM. The theme for this year’s conference is ‘Ways Forward.’ A reflection on the policy development in Aboriginal and Torres Strait Islander social and emotional wellbeing, mental health, and suicide prevention. Drawing on the significance of the 1995 Ways Forward Report as a milestone in Australia’s mental health history, marking a pivotal moment of collective action and community engagement in shaping the future of mental health care.

“By choosing this theme, we aim to honour the courage and resilience of those who participated in the first national mental health consultation for Aboriginal and Torres Strait Islander peoples’, and to recognise the lasting impact of their contributions.

“…This conference theme presents an opportunity to reflect on the progress made since the release of the report, to critically examine the gaps that still exist, and to explore innovative approaches and solutions for the future.”

Learn more here.

Puggy Hunter Memorial Scholarships Scheme

Applications for the 2024 Puggy Hunter Memorial Scholarships Scheme (PHMSS) open tomorrow, Wednesday 30 August. Offering up to 300 scholarships, PHMSS encourages and assists Aboriginal and Torres Strait Islander undergraduates in health-related disciplines to complete their studies and join the health workforce. The Australian Government established PHMSS as a tribute to the late Dr Arnold ‘Puggy’ Hunter and his outstanding contribution to Aboriginal and Torres Strait Islander health and his role as Chair of NACCHO.

“[PHMSS] means more First Nations nurses, midwives, doctors, dentists, and allied health workers in the health system and directly helping patients in their own local communities in many cases,” said Australian College of Nursing CEO, Professor Kylie Ward.

“The scholarships are deservedly very popular and prestigious. Over the years, we have received more than 7,500 applications,” Professor Ward said.

Applications close Tuesday 10 August. More details are available here.

Ashleigh Ryan. Previous PHMSS recipient. Image source: Australian College of Nursing.

Healing Right Way

More than 100 Aboriginal and Torres Strait Islander people who have experienced a stroke or traumatic brain injury in WA have engaged in the Healing Right Way initiative. A collaboration between ACCHOs, hospitals, and the Stroke Foundation, researchers successfully introduced and tested the program, aimed at improving rehabilitation. During the study, Aboriginal brain injury coordinators engaged with patients during their hospital stays, providing both in-person and telephone support for up to six months. The study also delivered cultural training to hospital staff.

“Aboriginal Australians experience stroke and traumatic brain injury at significant rates and a culturally appropriate response to rehabilitation and recovery has been really lacking,” said chief investigator, Professor Beth Armstrong.

Before the Healing Right Way initiative, Aboriginal people who had experienced strokes communicated to Professor Armstrong’s team that their care experience could have been improved through increased cultural sensitivity. This included communication with healthcare providers and higher involvement of Aboriginal healthcare experts in their treatment.

Healing Right Way was the direct result of these recommendations, and the Aboriginal Brain Injury Coordinator role was developed. It is the first such role and nine Coordinators were employed across WA,” said Professor Armstrong.

Read the full National Indigenous Times article here.

Aboriginal Brain Injury Coordinators Rebecca Clinch & Renee Speedy celebrating NAIDOC 2020 with colleagues at Neurological Council of WA. Image Source: National Indigenous Times.

kidney disease on the rise

Kidney disease is on the rise in Australia, with Kidney Health Australia reporting that two million people have kidney disease and 1.8 million are unaware they have the disease. The prevalence of kidney disease in Australia is one in ten, and for Aboriginal and Torres Strait Islander people it is one in five. Kidney Health Australia Clinical Director, Dr Karen Dwyer said underneath the statistics is a huge wave of people with less advanced kidney disease, who if left untreated may reach kidney failure.

Dr Dwyer said the high prevalence of kidney disease amongst Aboriginal and Torres Strait Islander people can be attributed to the impact of “the social determinants of health, such as access to health care, fresh healthy foods and education, lower birth weights and recurrent childhood infections play into a lot of long-term conditions.”

Indigenous Elder, Ronald Morgan said as well as receiving dialysis and the logistics of travel, his diagnosis has also had a large emotional toll.

“[receiving the diagnosis] was very disheartening to have that put on you, especially when you’re in the middle of all these good stuff, you got planned for your life, you know with kids and your wife, stiff like that,” he said.

Dr Dwyer pointed to the implementation Kidney Australia’s guidelines for Culturally Safe and Clinical Kidney Care for First Nations Australians to increase prevention. The guidelines recommend:

  • Addressing institutional racism and cultural safety.
  • Ensuring community and family involvement.
  • Improving access to transportation and accommodation.
  • Supporting and developing an Indigenous health workforce.
  • Screening for kidney disease and referring early for specialist treatment.
  • Promoting self-management through education and public awareness.
  • And exploring alternative models of care that meets the need of Aboriginal and Torres Strait Islander peoples.

Read the full article here.

Dr Janet Kelly and Nari Sinclair at the launch of Kidney Health Australia’s Guidelines to tackle kidney disease. Image source: National Indigenous Times.

NT GP shortage

According to the Menzies School of Health Research, just 14 people have enrolled in GP vocational training in the NT this year. It comes as the NT is suffering an 80% drop in new GPs in just seven years. A recent summit in Alice Springs saw Federal and local ministers, and stakeholders develop a plan where ‘no patients anywhere in the territory are left behind.’

The summit resulted in a seven-point plan aimed at increasing GP numbers through:

  • Tax relief incentives for GPs.
  • A ‘Portability of entitlement’ scheme allowing doctors to retain employment entitlements when changing locations.
  • A gradient for Aboriginal health salary support, recognizing remoteness through a higher rate.
  • A two-year structured training pathway in the territory for GPs in training.
  • An injection of funds for capital expenditure to upgrade existing housing and build new facilities.
  • Funding for international medical graduates who are not yet registerable as a GP in Australia to train in remote areas.
  • Recruiting up to 10 GPs in training from interstate to work in the NT.

Read more here.

Image source: The Medical Republic.

BRAMS Wear It Purple.

Broome Regional Aboriginal Medical Service (BRAMS) staff showed off their purple clothes to celebrate Wear It Purple Day on Friday 25 August, to raise awareness on LGBTIQA+ for young people in Australia. Staff participated in a questionnaire survey on questions around LGBTIQA+ and information sessions.

The aim of Wear It Purple is:

Awareness – We provide support and resources for Schools, Universities, Gender & Sexuality Alliances (GSA’s) and Youth Organisations to assist them in creating inclusive experiences for rainbow young people. We act as a source of resources to support the effective delivery of Wear It Purple Day in Schools, Universities, workplaces, and the broader community.

Opportunity – We provide meaningful opportunities for rainbow young people to develop their skills, expand their network and contribute to the inclusivity of their communities.

Environment – We provide supportive and safe spaces (digital and physical) and contribute to a world where young rainbow people feel proud of who they are.

Collaboration – We collaborate and unite with other organisations to further the inclusion of rainbow young people. Through partnerships, we support the effective delivery of Wear It Purple Day in Schools, Universities, workplaces, and the broader community.

For more information about Wear it Purple Day click here.

An Australian Human Rights Commission article Brotherboys, Sistergirls and LGBT Aboriginal and Torres Strait Islander peoples, available here, describes how Brotherboys, Sistergirls and other LGBT Aboriginal and Torres Strait Islander peoples experience a number of significant and intersecting points of discrimination and marginalisation in Australia.

BRAMS Staff Wear it Purple Day. Image source: BRAMS Facebook.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: The Voice Edition

The image in the feature tile is the Uluru Statement from the Heart.

The Voice Edition is to acknowledge the significance of the upcoming referendum and what might be achieved through a collective Voice enshrined in the constitution. It is also to acknowledge the tension and challenges being experienced by our community.

Today’s edition is a curated list of top resources that may be useful in your individual and collective referendum journey.

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

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

What would a Voice do? And what happens if the referendum passes?

The Voice will give independent advice to the Parliament and Government.

  • A Voice to Parliament will be a permanent body to make representations to the Australian Parliament and the Executive Government on legislation and policy of significance to Aboriginal and Torres Strait Islander peoples.
  • It will further the self-determination of Aboriginal and Torres Strait Islander peoples by giving them a greater say on matters that affect them.

The Voice will be chosen by Aboriginal and Torres Strait Islander people based on the wishes of local communities.

  • Members would serve on the Voice for a fixed period of time, to ensure regular accountability to their communities.
  • Members of the Voice would be Aboriginal and/or Torres Strait Islander. Members would be chosen from each of the states, territories, and the Torres Strait Islands.
  • Members of the Voice would be expected to connect with – and reflect the wishes of their communities.

The Voice will be accountable and transparent.

  • The Voice would be subject to standard governance and reporting requirements to ensure transparency and accountability.
  • Voice members would fall within the scope of the National Anti-Corruption Commission.
  • Voice members would be able to be sanctioned or removed for serious misconduct.

The Voice will work alongside existing organisations and traditional structures.

  • The Voice would respect the work of existing organisations.
  • The Voice would be able to make representations about improving programs and services, but it would not manage money or deliver services.
  • The Voice will not have a veto power.

What happens if the referendum passes?

  • After the referendum, there will be a process with Aboriginal and Torres Strait Islander communities, the Parliament and the broader public to settle the Voice design.
  • Legislation to establish the Voice will then go through standard parliamentary process to ensure adequate scrutiny by elected representatives in both houses of Parliament.

Read more here.

Australian Government Voice to Parliament factsheet.

Frequently asked questions answered by the Uluru Statement from the Heart

What is the Uluru Statement from the Heart and how is it linked to the Voice?

The Uluru Statement from the Heart is the culmination of 13 Regional Dialogues with First Nations people which arrived at a consensus about what constitutional recognition should look like. The Statement is an invitation from First Nations people to all Australians. One of its key features is to ask Australians to support meaningful constitutional recognition through providing a First Nations Voice.

Why do we need to change the Constitution? Why can’t it be an ordinary act of Parliament?

Since 1967 federal governments have required a mechanism like a voice to support its work in the Indigenous policy space. The government needs to know who to talk to on issues that affect First National people. Each of the five previous mechanisms which have been set up by parliamentary processes for this purpose have been abolished by successive governments cancelling programs, policies, and investment with the stroke of a pen. This chopping and changing according to election cycles has contributed to the ongoing disadvantage experienced by many First Nations people. If the Voice was enshrined in the Constitution, it could not be abolished without significant public scrutiny, giving the government of the day a strong incentive to work with First Nations people and ensure their advice and input is heard.

Why is the Voice needed when there are already First Nations members of Parliament?

First Nations members of parliament are elected to represent their electorates – this is the fundamental basis of our representative democracy. They speak for their constituents and represent the political party under which they are elected. Those who participated in the Regional Dialogues do not want to join political parties, they do not want to be politicians. They devote their lives to improving outcomes in their communities and they want a say in matters that impact them.

Read more here and the full Uluru Statement from the Heart here.

The Uluru Statement from the Heart

How to report false and misleading information about the Voice

RMIT University has established a FactLab which aims to ensure the historic Voice referendum is not derailed by false and misleading information.

RMIT has signed an MOU with SBS who, along with the public, commercial and community media across Australia, join the online CrossCheck hub. CrossCheck pre-emptively identifies false claims, provides prebunks, give daily alerts and reports to its media hub so journalists can better inform their audiences.

A key initiative is the creation of a tipline for the public to report information they have doubts about. Members of the public can email factlab.tipline@rmit.edu.au to report possible false and misleading information they see in social media feeds, are sent in chat apps, or receive in letter boxes.

Find out more here. You can also read 7 common confusions about Voice to Parliament and racial equality in Australia, explained here.

Image source: RMIT University.

Are your electoral roll details up to date?

Are you enrolled to vote?

To vote in referendums, like the Voice to Parliament, or any federal election, you need to be enrolled in the Australian Electoral Commission (AEC).

If you’re not enrolled, go here to find out what you need to do: https://www.aec.gov.au/enrol/.

You will need identification documents which can include a driver’s license, Australian passport number, Medicare care number, Australia citizenship number, or have someone who is enrolled confirm your identity.

If you are already on the electoral roll for federal elections, you DO NOT need to enrol again to vote in a referendum. You DO need to have your details, i.e., your current address, accurate and up to date ahead of the referendum.

You can check your details, including where you’re enrolled to vote on the Australian Electoral Commission (AEC) website. It’s important to have the details of your current address accurate and up to date ahead of the referendum.

You can also fill in physical forms which are available online or from an AEC office and return them to the AEC office.

Image Source: ABC Perth.

6 ways to look after yourself and mob during the Voice referendum debate

13-Yarn and Anti-Discrimination NSW collaborated to produce a ‘referendum resilience resource’ called 6 ways to look after yourself and mob during the Voice referendum debate:

  1. Create safe boundaries

You don’t need to be an expert on the Voice. Encourage people to visit voice.gov.au to get the facts.

  1. Use your voice

You can report race discrimination or racial vilification to the Australian Human Rights Commission.

  1. Look out for others

Have a yarn with someone who might be struggling.

  1. Get outdoors

Get some fresh air. Go for a walk. Go on Country.

  1. Mute the noise

You don’t have to watch every ad or read every news story. Remember you can mute, unfollow, or hide social media posts.

  1. Reach out

If you are feeling worried or no good, connect with family and community. Or phone 13 YARN on tel:139276 (24 hours/7 days) and talk with an Aboriginal or Torres Strait Islander Crisis Supporter.

You can also see your local ACCHO, AMS, GP, or social and emotional wellbeing service for mental health support. See below for more services and support.

Read the referendum resilience resource here.

6 ways to look after yourself and mob during the Voice referendum debate poster

Self-determination in action.

What is self-determination?

Self-determination is an ongoing process of ensuring Aboriginal and Torres Strait Islander peoples are able to make decisions about matters that affect their lives. Essential to the exercise of self-determination is choice, participation, and control.

The United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) confirms that Indigenous peoples have the right to self-determination under international law. This means Australia is obliged to ensure that Aboriginal and Torres Strait Islander people have a say about their social, political, cultural, and economic needs.

Mainstream health services have consistently failed to effectively engage Aboriginal people and communities. ACCHOs have been established and proven to deliver holistic, comprehensive, and culturally safe primary healthcare services for Aboriginal and Torres Strait Islander peoples. ACCHOs provide flexible and responsive services to address the socio-economic determinants of health that are specific to their region. They support the social, emotional, physical, and cultural wellbeing of Aboriginal and Torres Strait Islander peoples, families, and communities, far beyond the mainstream definitions of ‘health.’

ACCHOs demonstrate that community-control over services, activities and programs is essential to self-determination.

Read more here. For the Australian Human Rights Commission full Voice Referendum Resource Kit go here.

NACCHO members map.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Oodnadatta welcomes safe drinking water

feature tile ATSI male hands holding water; text 'Oodnadatta welcomes safe drinking water however provision of other basic services still severely lacking'

The image in the feature tile is from the article Something in the water published by ABC News Online on 20 August 2023. Photo: Che Chorley.

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

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

Oodnadatta welcomes safe drinking water

The scorched lands of Oodnadatta, in the far north of SA, are some of the most remote in Australia. The desert town, marooned by rusty dirt reminiscent of moonscape, tips 50 degrees Celsius in summer. In the 1980s the state government began issuing warnings to locals about the dangers of drinking and using tap water in the town. After years of community campaigning, the town has a lifeline in the form of safe, clean, drinking water, plumbed straight to residents’ homes.

Until recently, the SA government operated a bore that plumbed groundwater straight from the basin and into Oodnadatta homes, charging locals as much as $300 each year for the service. But it came with a potentially life-threatening illness known as Primary Amoebic Meningoencephalitis (PAM). Authorities started issuing warnings about the potentially-lethal bug some 40 years ago.

CEO of Aboriginal Health Council of SA (AHCSA) Shane Mohor says he first started asking questions about Oodnadatta’s water supply in 2019. He travelled from Adelaide to listen to locals’ concerns. “I was shocked and started asking the question, ‘how long has this been going on for?’ and the community were saying, ‘we don’t know anything different’,” he says. Shane then started asking questions of government ministers and departments. “The frustration started to mount significantly,” he says. “There were multiple elements of basic human rights being denied. “I was just so surprised nobody had taken it as a major health risk and taken it further.”

In 2020, the state government finally acted. It committed $9m for a new desalination plant at Oodnadatta, to filter water from the Great Artesian Basin. Last month, SA Water flicked the switch. While Oodnadatta locals have welcomed the change, they say the provision of other basic services is still severely lacking. Getting to and from medical appointments. for example, is a big challenge for those without a car, as the closest hospital is a three-hour drive away in Coober Pedy.

To read the ABC News article Something in the water in full click here.

AHCSA CEO Shane Mohor & aerial view of Oodnadatta SA

AHCSA CEO Shane Mohor and aerial view of Oodnadatta, SA. Photos: Che Chorley. Image source: ABC News.

CEO leadership program strengthening sector

The National Health Executive Leaders’ Program is a three-day residential program aimed at strengthening the Aboriginal and Torres Strait Islander health sector by bringing together CEOs and Deputy CEOs (or equivalent) to support high level leadership across the ACCHO sector.

The National Health Executive Leaders’ Program is a three-day residential program aimed at strengthening the Aboriginal and Torres Strait Islander health sector by bringing together CEOs and Deputy CEOs (or equivalent) to support high level leadership across the ACCHO sector.

Last week, the second cohort to join the program met in Gimuy (Cairns) from 16-18 August, which saw a lot of networking, fun, and sharing of new and innovative ideas. The leadership participants were pleased with the event, with one participant stating, “It’s been the perfect opportunity to reflect, rest and reset with other like-minded people.” Another leader in the group commented,  “Building peer networks has been an absolute highlight for me. I really enjoyed the collegiality and authentic way that everyone participated in what was a really safe space. Great stuff.”

A fun and engaging activity resulting in some inventive concepts included, a ‘Shark Tank’ style ideas pitching session with judges comprising, NACCHO Chairperson – Donnella Mills; NACCHO Deputy CEO – Dr Dawn Casey and Acting First Assistant Secretary of the First Nations Health Division, Department of Health and Aged Care – Mel Turner.

Other testimonials from participants in the National Health Executive Leaders’ Program include:

  • “Proved to me I am a leader even if I don’t realise it.”
  • “This has been the greatest benefit for me. The knowledge within this group, the expertise, the passion.”
  • “OMG we are truly blessed to work in our sector – what amazing kind, caring, intelligent resilient mob we are. Thank you.”

The National Health Executive Leaders’ Program was identified through the Joint Council approved Health Sector Strengthening Plan and is funded through National Indigenous Australians Agency (NIAA).

Participants of Cairns Aug 2023 National Health Executive Leaders' Program (NHELP) & NHELP logo

Cohort 2 participants of National Health Executive Leaders’ Program held in Cairns 16–18 August 2023.

How a driver’s licence links to better health

For young people living in regional and remote Australia, a driver’s licence isn’t just important to their growing need for independence — it’s a necessity. But some people struggle to clock up the mandatory learner hours because no one in their family can teach them as they don’t have licences either. That’s the reality for many Indigenous people in rural and regional Australia who are disproportionately affected by licensing adversity.

A new community-led program in SA’s Riverland is hoping to change that and improve young Indigenous peoples’ employment and social outcomes as well. Experts say the programs can help end the cycle of licence adversity among Aboriginal and Torres Strait Islander Australians. A 2021 study published in the peer-reviewed BMC Public Health journal suggested respondents who participated in driving licence programs had improved job outcomes.

Health outcomes of an individual and their communities were also closely linked to employment status, and the influence that had on improving economic and social circumstances.

To view the ABC News article Nunga Driving program helps Riverland Indigenous drivers get their licences in full click here.

18 year old Bundjalung woman Breah Cooper & David Binney, Nunga Driving

David Binney says Nunga Driving was borne out of conversations with young Indigenous people. Photo: Sophie Holder, ABC Riverland.

Wellbeing programs and health outcomes

Empowerment is an internationally recognised concept commonly incorporated in First Nations and Aboriginal and Torres Strait Islander health and wellbeing programs. The Family Wellbeing Program (FWB) is an empowerment program developed in partnership with Aboriginal and Torres Strait Islander peoples that has been widely delivered to Aboriginal and Torres Strait Islander communities across Australia for close to 30 years. To date, there has been limited quantitative analysis of how this program is linked to health and empowerment outcomes.

There are significant associations between Family Wellbeing exposure and organisation and community level empowerment outcomes, but only for some individual level empowerment outcomes. There is a lower reporting of health risk factors including increased physical exercise, reduced alcohol use and smoking; and educational attainment among FWB participants compared to non-FWB participants. The results suggest individual, community and organisational empowerment needs to be explored further with more robust study designs that can attribute causality and direction of association.

To read the BMC Public Health article Exposure to the Family Wellbeing program and associations with empowerment, health, family and cultural wellbeing outcomes for Aboriginal and Torres Strait Islander peoples: a cross-sectional analysis in full click here.

IUIH health worker with mother & baby

Image source: Moreton Aboriginal and Torres Strait Islander Community Health Service Family Wellbeing Service webpage.

New housing for PAMS healthcare workers

Last Friday, 18 August 2023, WA Health Minister Amber-Jade Sanderson joined the Puntukurnu Aboriginal Medical Service (PAMS) in Jigalong to officially open contemporary new staff housing in the remote community. The State Government provided $3.5m to PAMS to construct the new housing, delivering on a 2017 election commitment. The six two-bedroom houses feature a modern design tailored to conditions in Jigalong. The modular buildings replace four aging houses previously used by healthcare workers at PAMS.

Essential to the East Pilbara community, PAMS is an ACCHO that provides culturally appropriate and comprehensive primary health care in Jigalong, Parnngurr, Punmu, Kunawarritji and Newman.

Minister Sanderson said, “The Puntukurnu Aboriginal Medical Service does a fantastic job supporting communities throughout the East Pilbara and I am so pleased we have been able to assist them with new housing for their staff. Not only are the new houses more modern and functional than those that were there before, but PAMS now also has an extra two houses at its disposal for healthcare workers.”

To view Minister Sanderson’s media release New housing for Jigalong healthcare workers opened in full click here.

WA Health Minister Amber-Jade Sanderson joined PAMS in Jigalong to officially open contemporary new staff housing

Last week, WA Health Minister Amber-Jade Sanderson joined PAMS in Jigalong to officially open contemporary new staff housing in the remote community. Image source: AHCWA website.

Sector Jobs

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

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

Key Date – Brain Injury Awareness Week 21–27 August 2023

Brain Injury Awareness Week is held annually to raise awareness of brain injury and its impact in Australia. Brain injury is an invisible disability, as there is often no physical evidence of the injury. Despite not being seen, its impact is felt every day. After suffering a brain injury it’s common to act, feel and respond differently to situations as well as experience changes in your behaviour, personality and thinking. These changes can make it difficult to return to work, sport or activities you enjoyed before. It can also put pressure on your relationships with family, friends, co-workers and other people in your life – but Synapse is here to support, and we can help you navigate living with a brain injury.

Over the weekend ABC News ran a story Why isn’t the brain injury crisis in our homes causing as much concern as concussion in sport? In the article they say contact sports like football have played an important role in raising awareness of concussion and brain injury, but there’s another group who suffer brain injuries at staggering rates but whose suffering too often goes unreported, untreated, unseen: family violence victims. Brain injury in women — and especially family violence victims — is disturbingly understudied, with the majority of concussion research focused on young male athletes

Brain Injury Awareness Week tile

NACCHO Aboriginal & Torres Strait Islander Health News: Plans to end violence against women and children

feature tile image of cover of ATSI Action Plan 2023-2025; text 'First dedicated plan to address violence against women and children in Aboriginal and Torres Strait Islander communities'

The image in the feature tile is of the cover of the Aboriginal and Torres Strait Islander Act Plan 2023–2025 from the article The government has released its action plans to end violence against women and children. Will they be enough? published in The Conversation yesterday, Wednesday, 16 August 2023.

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

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

Plans to end violence against women and children

Yesterday, 16 August 2023, the Australian government released the First Action Plan 2023–2027 and the Aboriginal and Torres Strait Islander Action Plan under the National Plan to End Violence against Women and Children 2022–2032. These long-awaited plans detail what the Commonwealth, state and territory governments have agreed to do to progress their ambitious target to eliminate domestic, family and sexual violence.

In the first 32 weeks of 2023 alone, 44 women have been killed allegedly by violence. These action plans come at a critical time when advocates, academics and practitioners have been calling for more funding and clearer actions to counter domestic, family and sexual violence.

The action plans set out the national and state-based commitments across prevention, early intervention, response, recovery and healing. The Aboriginal and Torres Strait Islander Action Plan, available here, is the first dedicated plan to address violence against women and children in First Nations communities. It was developed with the Aboriginal and Torres Strait Islander Advisory Council and in consultation with First Nations communities. It provides a road map for addressing the disproportionately high rates of violence First Nations women and children experience.

To view The Conversation article The government has released its action plans to end violence against women and children. Will they be enough? in full click here.

Minister Linda Burney at lectern at release of the ATSI Action Plan 2023-2025

Minister Linda Burney at the release of the Aboriginal and Torres Strait Islander Action Plan. Image source: The Conversation.

Healthcare AI requires robust rules

The Australian Medical Association (AMA) says medical care delivered by human beings should never be replaced with Artificial Intelligence (AI), but AI technology can potentially achieve improved healthcare. The AMA’s first Position Statement on the use of AI in healthcare outlines a set of ethical and regulatory principles based on safety and equity which should be applied to the application of AI technologies in healthcare. The position statement covers the development and implementation of AI in healthcare and supports regulation which protects patients, consumers, healthcare professionals and their data.

AMA President Professor Steve Robson said with appropriate policies and protocols in place, AI can assist in the delivery of improved healthcare, advancing our healthcare system, and the health of all Australians, “The AMA sees great potential for AI to assist in diagnosis, for example, or recommending treatments and at transitions of care, but a medical practitioner must always be ultimately responsible for decisions and communication with their patients. There’s no doubt we are on the cusp of big changes AI can bring to the sector and this will require robust governance and regulation which is appropriate to the healthcare setting and engenders trust in the system.”

“Decisions about healthcare are the bedrock of the doctor-patient relationship and these will never be replaced by AI but AI can assist and supplement this work. We need to get ahead of any unforeseen consequences for patient safety, quality of care and privacy across the profession. The AMA’s position statement shows doctors are engaging with this rapidly evolving field and laying down some guiding principles. If we can get the settings right, so that AI serves the healthcare needs of patients and the wider community, we think it can enable healthcare that is safe, high quality and patient centred”, Professor Robson said.

You can read the AMA’s media release AI can improve healthcare for Australians, but with robust rules in place here and the AMA’s Artificial Intelligence in Healthcare Position Statement here.

graphic of blue brain made up of triangles overlaid with letters, numbers & dot to dot pathways

Image source: AMA AI in Healthcare webpage.

Trial could revolutionise medicine safety

Rather than managing adverse events after the fact, a new data-powered system has been designed to proactively tackle medicine-related problems before they arise. The Activating pharmacists to reduce medication related problems (ACTMed) stepped wedge trial – co-led by University of Queensland’s Professor Lisa Nissen FPS and Dr Jean Spinks – is set to launch across 42 Queensland-based primary care practices next month, following a successful 6-month pilot at three sites. The pharmacist-led quality improvement initiative uses an interactive real-time dashboard to alert pharmacists embedded in GP practices about potential medicine safety risks. “It’s a really positive way for pharmacists and GPs to collaborate, and for pharmacists to apply their clinical knowledge in a meaningful way,” Dr Spinks.

When a GP practice closes its doors for the night, the ACTMed system gets to work. A data-extraction tool works in conjunction with decision-support software to run patient records through a set of algorithms. When anyone meets certain criteria flagged in the algorithm, their information comes up into a dashboard for pharmacists to triage, said Dr Spinks. It’s up to the pharmacist to triage the appropriateness of recommendations so GPs are left with a refined list of patients with potentially pressing problems.

Aboriginal and Torres Strait Islander patients have higher hospitalisation, morbidity and mortality rates than non-Indigenous Australians, so systems that proactively identify potential medicine-related problems can be hugely beneficial. Amanda Sanburg, a pharmacist who works across two ACCHOs, for example, identified several patients with an atrial fibrillation diagnosis through the ACTMed pilot who weren’t taking an oral anticoagulant. The ACTMed system is complementary to the broader ACCHO pharmacist activities including Integrating Pharmacists within Aboriginal Community Controlled Health Services to Improve Chronic Disease Management (IPAC Project) trialled in 22 ACCHOs in 2020.

To read the Australian Pharmacist article The trial that could revolutionise medicine safety in full click here.

Yolngu mental health tool unveiled

Gundirr, a new mental health tool was recently introduced during the NT’s Garma Festival. It aims to empower mental health service providers, aiding Yolngu patients in adopting patient-centered strategies, encompassing culturally sensitive and informed practices. Crafted through a partnership involving researchers from Charles Darwin University (CDU), the Yothu Yindi Foundation, and Yolngu Traditional Owners, a website and app will supply mental health experts and patients with user-friendly materials.

These resources aim to dismantle cultural and linguistic obstacles frequently encountered while operating in the remote East Arnhem region. The Yolngu community’s involvement in crafting these tools also involved the naming process. The website and app were named “Gundirr” by local Yolngu Elder Djapirri Mununjjurritj. She explained the name is derived from termite mounds, symbolising the depth and complexity of relationships. “You have to dig deeper to understand our people and have a holistic view, we must find that sweet spot of where relationships are formed and connections are made,” Ms Mununjjurritj said.

CDU Alumni and contributor Holly Supple-Gurruwiwi described the new resource as a true collaboration of two-way learning, that will change the experience for Yolngu people who access the mental health system. “This resource is a powerful tool that will help people work together to form relationships so they can connect and understand their mental health journey,” Ms Supple-Gurruwiwi said. “By using examples of lived experience, recognisable people and different age groups we hope that it can create the change we need to see in our communities and improve Yolgnu people’s engagement with mental health treatments and prolong practitioners time working remote.”

To view the National Indigenous Times article Yolngu mental health tool unveiled at Garma Festival in full click here.

2 Charles Darwin Uni non-Indigenous men & 1 ATSI woman each holding iPhones showing mental health app, Gundirr

Launch of new mental health app, Gundirr. Image source: Garma Festival Facebook page 6 August 2023.

Deadly Runners visit Mutitjulu community

The Deadly Runners program is a 100% Indigenous owned and operated community focused running initiative, which since its conception in 2014, is rapidly growing with numbers and support among First Nations communities. This life changing, transformational program is an inclusive community, seeing runners as young as four and up to 68 years of age participating on a regular basis. The driving force behind the Deadly Runners program is accomplished marathon runner and former Canberra-Queanbeyan local hero who is now based in Narooma, Georgia Weir.

The Deadly Runners program already has extensive support from Indigenous communities, with the business establishing new partnerships with Indigenous Business Australia (IBA) and Tali Katu Program, Karunpa Kunpu. Through these partnerships, they are now launching the first ever Deadly Runners: Connect, Culture, Community Program (DRCCC) at Uluru. The DRCCC program will take 12 outstanding Indigenous women who have become leaders and role models within their respected communities to Pitjantjatjara and Yankunytjatjara Country, where they will become immersed in culture, whilst undertaking nationally accredited training in Mental Health First Aid and fitness.

Ms Weir said the original concept behind the program was to train leaders in each group so participants who demonstrated an eagerness to upskill were given an opportunity to learn and gain running qualifications. However, when you become a leader within a community, you then become a safe person and people can open up and share personal matters and existing trauma. “That’s where the idea of the Mental Health First Aid came in, just making sure that people who were leading these groups, were equipped with all aspects of it,” Ms Weir said.

To view the National Indigenous Times article Deadly Runners set to participate in empowerment program during six-day Uluru camp in full click here.

Deadly Runners creator Georgia Weir with river & city in background

Deadly Runners creator Georgia Weir. Photo: Jess Whaler. Image source: National Indigenous Times.

2023 Medical Training Survey now open

The Medical Training Survey (MTS), run by the Medical Board of Australia and Aphra, is a longitudinal study that tracks the quality of medical training over time. MTS data from past years is being used across the health sector to drive improvements in medical training. As comparison are important, survey questions are consistent year on year and each year the format and layout is streamlined to make the MTS quicker and easier to do. After three years, the questions about the pandemic are being retired and the 2023 MTS is asking more about flexible working and training arrangements.

Evidence links flexible work and training with a boost to equal opportunity, increase in workforce diversity and high-quality patient care and medical training. Given the serious challenges MTS results have exposed in the culture of medicine, there is a need to generate data that can be used in future to support positive cultural change. Medical Board of Australia Chair, Dr Anne Tonkin AO, urged doctors in training to do the MTS and use their voice to keep improving training, “You can pay it forward to future trainees – just by doing the 2023 MTS and sharing your feedback about training.”

MTS results are collated, published online and can be accessed by anyone. There are strict controls in place to assure the privacy of doctors in training. They form a robust evidence base being used by educators, employers and other health sector agencies to continuously improve training. Case studies showing how MTS results are being used to improve training are published on the MTS website and are available here.

You can find more information about the MTS on the Ahpra & National Boards website here including a link to the survey.

Ahpra & National Boards tile text 'Medical Training Survey - Survey now open'

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: VACCHO CEO recognised with university’s highest honour

The image in the feature tile is of VACCHO CEO, Jill Gallagher AO.

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

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

VACCHO CEO recognised with university’s highest honour

Gunditjmara woman and VACCHO CEO, Jill Gallagher AO has been conferred an Honorary Doctorate by the University of Melbourne. Ms Gallagher has been VACCHO’s CEO since 2003 and has been influential in raising awareness of health issues and improving access to dedicated services, including the establishment of the Koori Maternity Service and the National Aboriginal and Torres Strait Islander Ageing and Aged Care Council.

As well as being an advocate for self-determination outcomes for the Aboriginal and Torres Strait Islander people, Ms Gallagher has led consultations with community for the development of the first piece of Treaty Legislation in Australia, now an Act of the Victorian Parliament. She was honoured alongside disability advocate, Keran Howe OAM and marine science and conservation expert, Professor Emma Johnston AM.

University of Melbourne Vice-Chancellor Professor Duncan Maskell congratulated the three recipients of the University’s highest honour.

“Honorary doctorates recognise the outstanding contributions and distinguished community service of people like Ms Gallagher, Ms Howe and Professor Johnston.

“In different ways, they have made major and lasting impressions on society, and it is very fitting that the University recognises them in this way,” Professor Maskell said.

Read more here.

Jill Gallagher AO, Keran Howe OAM, Professor Emma Johnston AM. Image source: The University of Melbourne.

Health Minister visits AHCSA

On Tuesday 15 August, Health and Aged Care Minister Mark Butler visited the Aboriginal Health Council of South Australia (AHCSA). The minister spoke about the influence the Voice to Parliament would have on closing the health gap; He said health is a key policy area where the Voice would deliver better outcomes for Aboriginal and Torres Strait Islander people.

“…for years and years now, the community, the Parliament, health ministers of both political persuasions, have been confronted time and time again, the appalling statistics of the yawning hap in health outcomes and life expectancy between First Nations Australians and non-Indigenous Australians.

“The truth is, we need a new approach, and the Voice allows us to turn a new page as a government and as a parliament in listening to Aboriginal and Torres Strait Islander people about solutions that will actually shift the dial,” said Minister Butler.

AHCSA and the health minister also discussed the challenge of vaping for Aboriginal and Torres Strait Islander children. The health minister said it is a challenge right across the country, however, community-controlled health organisations are in discussions with government on how to best address adolescent vaping.

“There’s a program delivered out of this building by AHCSA as well, but it is now having to come to grips with the very new recent challenges of vaping. We’ve been talking about how best to do that,” said Minister Butler.  

Read the full doorstop transcript here.

AHCSA staff member. Image source: AHCSA Facebook.

CAHS celebrates 15 years

Coonamble Aboriginal Health Service (CAHS) celebrated 15 years of operation on Friday 11 August. More than 200 community members, as well as special guest speakers including Stan Grant came together at the Coonamble Bowling Club to mark the milestone. In a “strong” and “emotional” speech, Stan Grant paid tribute to the Elders and the founding members of the ACCHO for their dedication to improving health outcomes for Coonamble and the wider community.

CAHS CEO, Phil Naden said a highlight of the celebration was sitting down and yarning with mob and hearing about the legacy of such a wonderful organisation.

“I’m privileged to be the CEO of this wonderful organisation and I’m also privileged to know so many beautiful people,” he said.

Read more here.

Image source: Coonamble Aboriginal Health Service Facebook.

Combining curriculum with culture

A new way of learning which combines curriculum with culture is seeing high-school students once at risk of dropping out now excelling. The Wiradjuri-made school program Ngurang-gu Yalbilinya (NgY) is helping schoolboys connect to their identity and increasing school engagement by intertwining curriculum with cultural lessons. In the classroom they are taught the usual school subjects like maths and English, while also learning Wiradjuri language, traditional wood carving, ceremonial song and dance, and painting.

14-year-old student, Steven said before the program he struggled in school, “I was getting in a lot of fights and sometimes I would get a suspension warning or two. I’d be wagging.

“The teachers here really helped me… through the tough times,” he said.

Since the program began more than two years ago, attendance rates have almost doubled from 44% to 94%. Teacher Tim Bennett, said a key to its success is the wrap-around support students can access, which goes beyond the classroom. Teachers work closely with local ACCOs to ensure the students and their families receive the support they need, that includes the Orange Aboriginal Medical Centre providing regular health checks and encouraging healthy eating.

“It’s not just an academic need, if the child or the family suffered trauma that could also affect the student engaging in mainstream classes. So, we have to address that as well,” said Mr Bennett.

Read the full NITV article here.

Students of the Ngurang-gu Yalbilinya education program. Image source: NITV.

Input on National Housing and Homelessness Plan

The Federal Government has begun consultations for the new National Housing and Homelessness Plan. Community organisations are among those Housing and Homelessness Minister, Julie Collins wants to hear from for input on the national plan’s issue paper. Croakey Health Media said given the critical connection between housing and health, health organisations should be encouraged to submit their feedback.

The Australian Healthcare and Hospitals Association recently said, “having access to safe and affordable housing is a key social determinant of health, with many Australians currently facing poorer health outcomes as a consequence of the standard of their living conditions.”

Homelessness Australia and Aboriginal and Torres Strait Islander peak bodies are calling for a separate and self-determined First Nations National Housing and Homelessness Plan, to address the unique issues relating to the overrepresentation of Aboriginal and Torres Strait Islander people in homelessness.

Public consultations on the plan will be conducted via face-to-face community events in each State and Territory from Monday 28 August and submissions close Friday 22 September.

Read the full Croakey Health Media article Federal Government seeks input on long-awaited National Housing and Homelessness Plan here.

“It’s important to count the milestones”

Maari Ma Health Aboriginal Corporation CEO, Richard Weston says we are seeing improvements in areas of the health of the Aboriginal and Torres Strait Islander people in the Broken Hill region. In the interview with 2WEB – Outback Radio Mr Weston said while the region is a long way behind the rest of the state and the country and there’s “a lot more work to be done,” it’s important to count the milestones.

Mr Weston said they have seen some improvements in early childhood health and development, “which is really important for those future generations.”

“We [also] have very good programs for supporting people with chronic diseases… and also for preventing and intervening early in chronic diseases,” Mr Weston said.

Listen to the full radio interview here.

Image source: Intereach.

Sector Jobs

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

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

NACCHO Aboriginal & Torres Strait Islander Health News: Voice can deliver tangible health benefits

image CAAC CEO Donna Ah Chee holding hand of Sabella Turner as she receives COVID-19 vaccine; text 'Proponents confident the Voice can deliver tangible health benefits'

The image in the feature tile is of Central Australian Aboriginal Congress Aboriginal Corporation (Congress) CEO Donna Ah Chee (R) and Congress’ Cultural Lead, Sabella Turner (L). Image source: Congress Twitter post 31 March 2021.

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

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

Voice can deliver tangible health beneftis

Dr Norman Swan last week’s ABC Radio National Health Report episode, on Monday 7 August 2023, was the program’s first foray into the debate about the Voice referendum, the referendum on the Voice to Parliament. Dr Swan said that the debate on the Voice had become fraught, with some arguing that what’s been lost in the whole debate is that the Voice is actually a health issue, with evidence that we can confidently expect tangible benefits.

Dr Swan spoke to two people who are well qualified to speak about how the Voice can deliver positive health outcomes to Aboriginal and Torres Strait Islander people: Professor Fiona Stanley, a past Australian of the Year, founding director of the Telethon Institute for Child Health Research in WA, and a researcher into Aboriginal health for last 50 years, and Donna Ah Chee who heads one of Australia’s oldest and largest ACCHOs, Central Australian Aboriginal Congress Aboriginal Corporation (CAAC), and is a proud Bundjalung woman.

Ms Ah Chee said the NT is a case study that shows a Voice-like mechanism can be successful and show results. She said there was “a key turning point in the 1990s with the establishment of a strong Aboriginal leadership body in the NT. And we’d long advocated for a forum that would give us a voice, not just at the local community level through our Aboriginal community-controlled health services, but also at the table where big decisions on health were made. And we finally won this argument, and the NT Aboriginal Health Forum was established in 1998. And it’s a place where the Aboriginal health sector and governments meet together and plan how to improve the health of our communities. It really laid the groundwork for many of our health improvements in the NT that we’ve seen since. It’s not perfect, we don’t always agree, but it does demonstrate what we had always said; when you have structures that are based on genuine Aboriginal involvement and leadership, you get better outcomes.”

You can listen to the ABC RN Health Report episode Importance of The Voice for Aboriginal health in full and/or read the transcript in full here.

collage CAAC CEO Donna Ah Chee & Professor Fiona Stanley - both outdoor portrait shots against trees

CAAC CEO Donna Ah Chee, Image source: Off the Leash. Professor Fiona Stanley. Image source: ABC News.

ACCHRTOs attend resource mapping workshop

On Wednesday 9 and Thursday 10 August last week, NACCHO hosted a two-day workshop with our Aboriginal Community-Controlled Registered Training Organisations (ACCHRTOs) in Canberra. The aim of the workshop was to identify resource gaps and prioritise development of National Training Resources for the Aboriginal Health Worker and Health Practitioner qualifications and key skill sets.

The development of National Training Resources will support the capacity of our ACCHRTOs as part of the rollout of the First Nations Health Worker Traineeship Program which will deliver 500 new Aboriginal Health Workers and Health Practitioners over the next four years into our sector. Our ACCHRTOs will work with our ACCHOs to grow a highly qualified local workforce to progress Closing the Gap in Aboriginal and Torres Strait Islander health.

ACCHRTOs resource mapping workshop at NACCHO 10.8.23

Participants of ACCHRTOs resource mapping workshop at NACCHO, Canberra on 10 August 2023.

Western diet disastrous effect on kidney health

One of the drivers of health problems that disproportionately affect Indigenous people is the Western diet. Balgo, also known as Wirrimanu, in WA, is a community so remote it’s home to people who lived in the bush until the 1980s, and others who worked in cattle stations on rations. The strong contrast between eating bush turkey and kangaroo, and the introduction of white sugar and white flour is in living memory, and it’s had an impact on kidney health in the community.

When your kidneys fail, often from diabetes 2, dialysis machines do the kidneys’ job and remove water and toxins from the blood. You’ve got to get treated two to three times a week and it takes around five hours each time. It means people in communities like Balgo with no dialysis care have to leave home to get the treatment that will keep them alive. Indigenous people in remote communities have one of the highest rates of chronic kidney disease in the world.

In 2000, locals from Kiwirrkura were forced to leave their country and families for dialysis treatment. So artists from their communities, including the Pintubi Nine (a family group who remained unaware of European colonisation of Australia and lived a traditional desert-dwelling life in Australia’s Gibson Desert until 1984), made four enormous paintings, which were auctioned off at the Art Gallery of NSW. They raised enough money to start a remote dialysis care organisation called Purple House, and they’ve just got funding to bring dialysis to Balgo. The four-chair unit will be ready next year. But for locals it couldn’t come sooner.

You can listen to the ABC RN Health Report episode Balgo – I want my people to come back home in full and/or read the transcript in full here.

Eric Moora, Balgo WA

Eric Moora, Wirrimanu (Balgo), WA. Photo: Elsa Siberstein. Image source: ABC Radio National.

Aboriginal-led responses the ‘best way’

Professor Fiona Stanley AC is an epidemiologist and one of Australia’s most prominent health advocates. Professor Stanley has been awarded the Centenary Medal, was named Australian of the Year in 2003, is a Companion of the Order of Australia, and has more than ten honorary doctorates in Australia and abroad for her research into child and maternal health. She was also the first to identify the Gap in First Nations health and wellbeing using data.

“This is what’s has driven me in 50 years of research,” said Professor Stanley. “And I now have this wonderful information about why the [Indigenous Voice [to Parliament] will make a difference.” Professor Stanley said that she has seen Aboriginal community controlled health systems produce good outcomes for First Nations’ health, while she said programs without Aboriginal and Torres Strait Islander control do not close the gap. “There are two main reasons that we have failed to close the gap,” Professor Stanley said.

“The first is that successive governments have poured money into non-Indigenous bureaucratic programs without consultation, which at best haven’t had any impact, and at worst had a major negative impact. The second is the underfunding and defunding of the Aboriginal controlled services and organisations. And yet, when Aboriginal communities are called on to do the job, they do it better than anyone in the world,” she said, referring to the Aboriginal Community Controlled coronavirus disease 2019 (COVID-19) response, which was internationally recognised as global best practice. Voting Yes on the Voice is the most cost-effective thing we can do. But it will also have the extraordinary impact of increasing First Nations self-esteem,” Professor Stanley said.

To view the AMA InSight+ article Aboriginal-led responses the ‘best way’ for self-determination in full click here.

Professor Fiona Stanley speaking at panel discussion in Perth 10.7.23

Fiona Stanley says there were fewer COVID cases in the Indigenous community as they “had a voice”. Photo: Daryna Zadvirna. Image source: ABC News.

Deaths in custody just keep rising

Content warning: This article contains reference to suicide. Please refer to the services at the bottom of this article for support.

Two Indigenous men died in custody last week – one in NSW and the other in WA. In NSW, Wiradjuri man TJ Dennis died by suicide in his prison cell at Silverwater Correctional Complex last weekend. Reports suggest that the ACT Government transferred TJ Dennis against advice from the Winnunga Nimmityjah Aboriginal Health and Community Service. The health service was advocating for his transfer to a specialist forensic mental health facility where he could receive treatment for his complex mental health issues, which were related to childhood trauma, as well as be monitored carefully, because he had previously attempted suicide multiple times at AMC.

Winnunga Nimmityjah CEO Julie Tongs told media that in her opinion Mr Dennis’s death was “not only predictable, it was avoidable” had the ACT State Government heeded the service’s advice and provided Mr Dennis with care appropriate to his mental health condition. She is calling for a joint inquiry into TJ Dennis’ death (meaning an inquiry which will include both the ACT and NSW) and also a separate investigation into the AMC, which has been the subject of some serious complaints regarding human rights concerns.

National death in custody statistics (including those in youth detention centres) are recorded by the National Deaths in Custody Program (NDICP) which has kept records since 1980. Since the Royal Commission into Indigenous deaths in Custody in 1991, there have been 516 recorded deaths of Indigenous people who died in custody. Last year’s NDICP Annual Report showed that between July 2021 and June 2022  there was an increase of 23 deaths recorded in the previous year. Of the total of 106 recorded deaths in custody, 24 were deaths of Indigenous people. According to the national 2023 figures, 48 people have died in custody this year – 8 of them have been Indigenous. Deaths in custody are tragic, particularly when they are preventable, but they are only one part of the story. Australia’s history of systemic racism and human rights abuses of Indigenous people are also very serious issues across the spectrum of the justice system (and society as a whole) which need urgent attention and have done for way too long.

To read the Sydney Criminal Lawyers article Black deaths in custody continue decades after the Royal Commission in full click here.

banner 'Stop Black Deaths in Custody' image of black hands on jail bars

Photo: Jack Fisher, ABC News. Image source: Sydney Criminal Lawyers.

If this article brought up anything for you or someone you love, please reach out to, call or visit the online resources listed below for support:

13YARN – 13 92 76, 13yarn.org.au

Lifeline – 13 11 14, lifeline.org.au

Beyond Blue – 1300 224 636, beyondblue.org.au/forums

MensLine – 1300 789 978

Kids Helpline – 1800 551 800

Suicide Call Back Service – 1300 659 467

Economic development needs healthy people

The World Health Organisation defines ‘health’ as not merely the absence of disease or infirmity, but a state of complete physical, mental and social wellbeing. Health underpins the peace, security and prosperity of communities and nations. Remote northern Australia has among the highest rates of preventable deaths and potentially preventable hospitalisations in the country. Young Aboriginal and Torres Strait Islander people living in the north have among the highest reported rates of youth-onset type 2 diabetes in the world.

A healthy population underpins economic development. A 2020 situational analysis of health service delivery in northern Australia noted several strengths, such as the innovative service models led by AACCHOs that deliver culturally safe service models for comprehensive primary health care. It also identified challenges, including health workforce shortages and high rates of turnover, along with barriers to healthcare access and poor care continuity. Building up the region’s health workforce is pivotal. Better local training and support, tailored to local health needs and supplemented by attraction and retention strategies and improved liveability for families, are critical.

The second priority area is support for cross-sectoral approaches. Persisting inequities highlight the importance of the social, cultural, commercial and environmental determinants of health. These include housing, employment, education, healthy environments, climate change and nutrition. Culture and connection to Country are also key health determinants for many Aboriginal and Torres Strait Islander people. The ‘one health’ approach also recognises that interconnections between people, animals and the environment shape health outcomes and responses to global health threats such as COVID-19.

Social determinants are reflected in many government policies, but there are often gaps between policy intent and implementation. Connecting sectors to improve health requires joint planning and innovative governance models that support effective co-design and collaboration. The success of the northern Australia development agenda hinges most on governance models—they must be designed to allow policy intentions to be linked with evidence and action, building on learnings from past successes and failures.

To read The Strategist article Economic development requires healthy people and communities in full click here.

ATSI man receiving treatment at Mala'la Health Service Aboriginal Corporation, Maningrida, NT

Mala’la Health Service Aboriginal Corporation, Maningrida, NT. Photo: Felicity James. Image source: ABC News.

Sector Jobs

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

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

Quote

feature tile image Pat Turner, text ; Closing the Gap with Pat Turner - The upcoming referendum is the most important vote of our collective lifetimes

The image in the feature tile is of Pat Turner from a tile used on the University of Canberra’s Facebook page promoting the Voice to Parliament Lecture Series: Closing the Gap with Pat Turner.

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

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

Most important vote of our collective lifetimes

“Put simply, it (The Voice) says, we should have a say in the laws, policies and programs that have a significant effect on our lives and communities.”

Last night NACCHO CEO and Lead Convenor of the Coalition of Peaks, Pat Turner spoke at the University of Canberra Voice to Parliament Lecture Series. Ms Turner said although there have been strong individual advocates for Aboriginal and Torres Strait Islander people a collective voice is needed to reap significant change.

Dismayed at how the debate on the Voice has been hijacked by all sorts of nonsense and misinformation, Ms Turner stated, “We have a simple truth here. Believe it or not, Aboriginal people know what’s best for Aboriginal people. All we want is a say in our own affairs, not a veto, not an advantage over others. We want a fair go. And a Voice will help us get it.

“I will tell you what happens when we have a Voice. Lives are saved. The gaps will begin to close. We have a concrete example. And again, I am talking from first-hand experience. It is something I saw for myself as the CEO of NACCHO. It relates to the pandemic. Not much positive came out of COVID, but it did give us a great example of what happens when Aboriginal and Torres Strait Islanders are heard. When we have a voice.

“Based on government data, about 2,000 Aboriginal and Torres Strait Islander lives were saved during the pandemic. This was because our communities spoke up and designed and implemented urgent COVID responses for their own communities. We asked the Commonwealth to sit down with us and get an emergency plan in place. They agreed. They listened to us. We cut red tape, got funding out quickly and designed our own response. We were lucky that the Department of Health was listening to us.”

You can read Ms Turner’s speech The significance of the Voice in Closing the Gap speech in full on NACCHO’s website here.

Michelle Grattan, Chief Political Correspondent at The Conversation; Maree Meredith, Pro Vice-Chancellor Indigenous Leadership ; Pat Turner, CEO NACCHO on panel of UC VTP lecture series

Michelle Grattan, Chief Political Correspondent at The Conversation, Maree Meredith, University of Canberra Pro Vice-Chancellor Indigenous Leadership, and Pat Turner, CEO NACCHO. Image source: NACCHO.

Kowanyama patients travelling hours for dialysis

A dad and his young family had to pack up and move 100s of kms from the only home they have ever known, in order to save his life. Dale Josiah, who has four children aged between 12 months and seven years, moved to Cairns in October last year – about 600 kms south-east of his remote home in Kowanyama, on the far west coast of Cape York. The 40-year-old has severe kidney disease which requires dialysis but Kowanyama — a town of about 1,000 people — has no renal dialysis unit, forcing Mr Josiah and his family to move to Cairns, leaving friends and kin behind. Every Tuesday, Thursday and Saturday Mr Josiah is hooked up to a kidney dialysis machine for four hours each session to rid his blood of toxic wastes and excess fluid.

A planned four-chair, $4.5m dialysis unit in Kowanyama — expected to be operational by March next year — will allow some residents with kidney failure to receive their treatment closer to home, depending on the complexity of their condition. The Kowanyama unit will be the fifth dialysis centre of its kind in the Torres and Cape Hospital and Health Service region, after others were established on Thursday Island, Weipa, Cooktown, and Bamaga.

Project manager Daniel Winters-McAppion, a clinical nurse consultant, is training registered Aboriginal and Torres Strait Islander health practitioners to administer the medicines needed for kidney dialysis patients, a skill previously only in the realm of registered nurses. But a change in regulations under the Medicines and Poisons Act allows Indigenous health practitioners to increase their scope of practice to administer the medicines used during haemodialysis. Mr Winters-McAppion said “The dialysis community has been dreaming about [this] for many years, to be able to provide dialysis closer to home, dialysis that is leading to better outcomes for patients and certainly in terms of quality of life. In haemodialysis, I think we might be leading the way in terms of providing the governance and training and employment opportunities for the health practitioners, so it’s quite exciting.”

To view the ABC News article Kowanyama has higher rates of diabetes than average and patients are travelling hours for dialysis in full click here.

Dale Josiah having kidney dialysis Cairns & Hinterland Hospital and Health Service

Dale Josiah moved from Kowanyama to Cairns to have regular kidney dialysis. Photo supplied by: Cairns and Hinterland Hospital and Health Service. Image source: ABC News.

AMA welcomes successful 60-day dispensing vote

In just a matter of weeks, millions of Australian patients will be able to access half-price medicines after the Senate passed the federal government’s 60-day dispensing policy yesterday. The Australian Medical Association (AMA) said it thoroughly welcomes this outcome, ending the years-long wait for this policy to become a reality. AMA President Professor Steve Robson thanked the Senate for ensuring that patients, from 1 September 2023, can access cheaper medicines while making fewer trips to the pharmacy to refill scripts.

“We thank not only the government, but all the senators who stared down the negative scare campaign against this policy,” Professor Robson said. “This is an important day for Australian patients, who have been desperately waiting for much-needed financial relief amid this cost-of-living crisis. “The carrot had been dangled in front of patients for far too long. The former Coalition government decided not to implement this measure in 2019, disregarding the Pharmaceutical Benefits Advisory Committee recommendations in 2018.” Professor Robson said the final Senate vote followed years of advocacy by the AMA and other health and consumer groups.

The AMA called for Australia’s Senate to prioritise health policy that puts patients first, allowing them to access half-price medicines under the 60-day dispensing policy. “The AMA reignited the call for this policy in February this year and we have advocated for it every day since., [yesterday] it came down to the wire in the Senate, we were there to help ensure that it was successful.” Professor Robson thanked the many doctor, health and consumer groups that helped get 60-day dispensing over the line — including the Royal Australian College of General Practitioners (RACGP), Consumers Health Forum, NACCHO, Asthma Australia, Breast Cancer Network Australia and many more.

To view the AMA’s media release AMA welcomes successful 60-day dispensing vote in full click here.

torso of chemist in white lab coat holding medicine boxes

Image source: RACGP newsGP.

Study warns of air conditioning health fears

Darwin can be brutally hot and humid. Many of its 150,000 residents seek refuge from the tropical elements in air-conditioned homes, offices and cars. But research from the Australian National University (ANU) suggests that air-conditioning, which is often set at 21 degrees Celsius, is making people more vulnerable to heat-related death. Heatwaves are Australia’s deadliest natural hazard. They kill more people than bushfires, floods and storms put together. The ANU asserts that “climate change is increasing heat-associated mortality particularly in hotter parts of the world.”

Dr Simon Quilty from the ANU’s  National Centre for Epidemiology and Population Health, and the study’s lead author, says avoiding the heat and humidity may prevent people from adapting to the climate. “Being exposed regularly to the prevailing climate in which you live actually acclimatizes your body,” he said. “We know that acclimatisation takes roughly 14-days to occur for a human body and that changes the way that we sweat, it changes the way that we breathe, it changes our kidneys and it even changes the way that our hearts pump. What is happening now is that our entire lives are set at 21 degrees Celsius and so for people who are living in very hot climates like the NT that deacclimatisation is actually probably increasing heat vulnerability.”

Dr Quilty said the research also finds that First Nations communities in the NT are less vulnerable to heat because they are often less inclined or able to use air-conditioning. “Yes, it is very, very uncomfortable in really hot weather in Darwin and other places in the Tropics around the world, but we do not all need to live at 21 degrees Celsius,” Dr Quilty said. “And certainly, my experience of Aboriginal people is they really do not like over air-conditioned environments. They feel very uncomfortable in it.” Dr Quilty says that First Nations people have shown “extraordinary resilience to extreme weather” over thousands of years. The ANU study believes that “hot climate communities need to start considering socio-cultural means of adapting to hotter weather.” Indigenous Australians invariably stay out of the hot afternoon sun and reduce physical exertion in warmer parts of the day. The study recommends that housing in hot climates should also be designed to ensure passive cooling to reduce energy costs.

To view the Science and Health article Australian Study Warns of Air Conditioning Health Fears in full click here.

external view Yuendumu house boarded windows replaced with air con

Yuenduma, NT. Photo: Dr Simon Quilty. Image source: ANU News webpage.

Innovative program educates men about HIV

How do you educate people about difficult-to-talk-about, yet incredibly important, health topics? And which settings are ideal for such conversations? Those were the questions plaguing Cairns Sexual Health Service, whose providers sought to reach members of the Indigenous community in their area. The Indigenous community in Cairns has historically been disproportionally affected by HIV. In recent years, Aboriginal and Torres Strait Islander males have been diagnosed at a rate of almost three times that of their non-Indigenous peers. Complicating matters is the stigma around HIV and the community’s historical mistrust of healthcare professionals.

“If we just sit back and wait for the young men to come, they don’t arrive,” says Dr. Darren Russell, Program Director at the Cairns Sexual Health Service. “So we can’t teach them about sexual health and HIV prevention, and we can’t test them.” The team ultimately found the solution by connecting with Fresh Start Academy, a non-profit dedicated to teaching the barbering trade to young men. Recognizing that a barbershop could provide the type of safe environment needed to educate patrons about sexual health, the Cairns clinic collaborated with the organization to involve young local barbers in the HIV prevention effort.

“It was a lightbulb moment,” says Rob Hodge, founder of the academy. “We realised this could go a long way in normalizing the HIV conversation and demonstrating how straightforward the testing process is.”

To read the Gilead Science article A Cut Above the Rest: Innovative Barbershop Program Educates Indigenous Men About HIV in full click here.

IUIH $600k social isolation grant

The Institute for Urban Indigenous Health Ltd (IUIH) was one of 10 successful recipients, announced yesterday, of grant funding ($600,000) through the first round of the Queensland’s Government’s $4m Communities Innovation Fund. The Fund provides small grants of up to $50,000 for short-term initiatives and large grants of up to $200,000 per year for longer-term initiatives that create meaningful connections for Queenslanders experiencing social isolation and loneliness. Successful applicants span the breadth and width of Queensland and have developed a range of innovative and community-led projects, programs, services and supports. The Communities Innovation Fund is a flagship initiative of Communities 2032 – the Queensland Government’s ten-year plan for supporting vibrant, inclusive, safe and welcoming communities.

Minister Enoch said “From Napranum in Far North Queensland to the suburbs of Brisbane in the south east corner, we know that social isolation and loneliness are complex issues, with no simple, one-size-fits-all solution. That’s why we have established the Communities Innovation Fund, which is a critical part of our government’s response to the serious issues of social isolation and loneliness in Queensland. It recognises the vital role that communities play in supporting and empowering every person to connect, participate, contribute and thrive.”

To view Minister Enoch’s media statement Grants to support innovative responses to social isolation and loneliness across Queensland in full click here.

ATSI Elder & IUIH male worker

Image source: IUIH Mob Link webpage.

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