Mar 31 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Telehealth review shows we could do better

Telehealth review shows we could do better
NT-specific solution to health staff shortages
Emerging leaders hope to make communities better
World-first framework for remote nursing
Fewer kids in detention but more support needed
GRAMS launch competition for No Tobacco Day
Sector Jobs

The image in the feature tile is from an article Telehealth a game changer: closing the gap in remote Aboriginal communities published in The Medical Journal of Australia on 31 March 2019.

Dr Angus Turner assessing an ultra widefield retinal scan at the Northwest Eye Hub in the Kimberleys.

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

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

Telehealth review shows we could do better

Telehealth has been a game changer for many First Nations people globally, including in Australia. It has allowed First Nations people to access health care close to home – whether that’s screening for health issues, diagnosing illness or monitoring existing conditions. It has done this while minimising exposure to COVID. Telehealth uses information and communication technology to deliver health care at a distance. In Australia, this is mainly via phone and video consultations. Telehealth can be delivered by any health-care provider including doctors, nurses, and allied health or ancillary health providers. Telehealth is not a complete replacement for in-person care. But it can be used instead of some face-to-face appointments.

ACCHOs have traditionally provided primary (initial) health care and some specialist care for First Nations people in Australia. Telehealth allows them to provide a greater range of specialist services. So, this allows First Nations people access to care close to home, with optional support from an Indigenous health worker.

A recent review of telehealth for First Nations people – in Australia, Canada, NZ and the US – shows we could do better. Unreliable internet access, services designed without meaningful First Nations’ input, and concerns about establishing rapport with health workers were some of the concerns.

To view The National Tribune article Telehealth has much to offer First Nations people. But technical glitches and a lack of rapport can get in the way in full click here.

stethoscope on wooden surface wrapped around mobile phone with vector stethoscope on its screen

Image source: The University of Queensland Australia, UQ News webpage.

NT-specific solution to health staff shortages

Finding solutions to the dire challenges facing the health workforce in rural and remote areas to better support Territorians, particularly First Nations people, is the focus of the Better Health Futures Symposium being held in Alice Springs today. The Symposium will bring together the diverse perspectives and experience of influential leaders, rural and remote health experts, educators and researchers to address health challenges spanning the NT.

For instance high staff turnover, high job vacancy rates and low staff retention resulting in critical staff shortages. Plus a decline in Aboriginal health practitioners and international medical graduates, clinic closures, clients not visiting a GP and lacking care plans for chronic conditions. The Symposium is presented by Charles Darwin University (CDU) in partnership with Menzies School of Health Research, Central Australian Aboriginal Congress (CAAC), Aboriginal Medical Services Alliance Northern Territory (AMSANT) and NT Health.

AMSANT Acting Chief Executive Officer Dr Donna Ah Chee said the Symposium will help address major health issues, such as the life expectancy of First Nations people in the NT. “While the life expectancy gap in the Northern Territory is still unacceptable there has been substantial improvement over the past two decades, with a nine-year improvement in life expectancy for men and almost five years for women,” Dr Ah Chee said. “Our sector has been critical in leading these gains. However the progress we have made will stall if we do not urgently address the workforce crisis we are now facing. Many of our services are facing severe shortages of health professionals, leading to reduced services and temporary clinic closures.”

To view the CDU article Health workforce lift for NT in Alice Springs in full click here.

3 ATSI participants (2 young females, 1 male) at 2023 Better Futures Symposium, Alice Springs

The 2023 Better Health Futures Symposium in Alice Springs aims to build a robust rural and remote health workforce in, and for, the NT. Image source: CDU Australia News webpage.

Emerging leaders hope to make communities better

Emerging Indigenous leaders from across the Big Rivers region are among a group of 24 participants of the 2023 First Circles Leadership Program. The program aims to build leadership skills and bring new voices from remote communities to the Territory conversation on matters affecting Aboriginal Territorians.

This year, education, health services, infrastructure, housing and telecommunications will be among the topics discussed at the regional workshops, which take place in Darwin, Katherine, Nhulunbuy and Alice Springs until November. The year-long series of intensive workshops culminate in the group addressing all Ministers in the Northern Territory Government Cabinet, presenting ideas on policies, projects and initiatives that could positively impact their communities.

Minister for Aboriginal Affairs, Selena Uibo, a First Circles graduate herself, said he had learned firsthand how important this program was in “fostering the next generation of Aboriginal leaders. The program gave me an invaluable opportunity to hone my leadership skills and to work with Government at a grassroots level,” she said. “I look forward to supporting new voices to join the conversation about how to improve lives in remote communities.”

To view the Katherine Times article Emerging leaders hope to ‘make communities better for everyone’ click here.

2023 First Circles Leadership Program participant Leon Kinthari from Wadeye

Leon Kinthari from Wadeye said he joined the 2023 First Circles Leadership Program in a bid to build his skills. Image source: Katherine Times.

World-first framework for remote nursing

The National Rural Health Alliance (the Alliance) congratulates the Government, the National Rural Health Commissioner and all the professional bodies that have worked together to release the National Rural and Remote Nursing Generalist Framework 2023–2027. This Framework supports registered nurses to work to their full ability in rural and remote healthcare settings.

“We see this as a step in the right direction in building a multidisciplinary model of care in rural and remote settings,” said Alliance Chief Executive Susanne Tegen. “We would like to congratulate and we appreciate the work of Minister Emma McBride and Assistant Minister Ged Kearney in working with grassroots nurses, medical and allied health professionals – including dentists, paramedics and pharmacists – to bring sustainable solutions to the healthcare inequities seen in rural Australia,” said Ms Tegen.

The Alliance advocates for the Primary care Rural Integrated Multidisciplinary Health Services (PRIM-HS) model, which is an evidence-based and community-led policy and funding solution to support primary care where markets are failing or communities are without medical and healthcare services. It aims to overcome the professional, financial and social barriers to working rurally. The Framework aligns with the Alliance’s advocacy efforts to bring this multidisciplinary model of care to rural communities and we seek government funding and support to promote PRIM-HS nationwide.

You can view the NRHA media release More support for nurses under world-first framework for rural and remote nursing in full click here.

Fewer kids in detention but more support needed

The number of young people coming into contact with the criminal justice system has fallen in the past five years. However, Aboriginal and Torres Strait Islander children continue to be over-represented under youth justice supervision in every state and territory, according to data released by the Australian Institute of Health and Welfare (AIHW).

Indigenous people aged 10-17 are about 24 times more likely to be in detention than other young people. On an average day in 2021-22, almost two-thirds (60%) of people aged 10-17 in detention were Indigenous compared with almost one-third (32%) of adults in prison, the report found. Palawa elder and Amnesty International Australia Indigenous advisor Rodney Dillon said the underlying causes of poverty and inequality needed to be addressed.

Arrernte/Luritja woman Catherine Liddle is the CEO of SNAICC – National Voice for our Children, the peak body that represents Indigenous children in out-of-home care. Ms Liddle said research has consistently shown Indigenous children were more likely than other Australian children to be in out-of-home care, which is a major contributing factor to coming into contact with the criminal justice system. “What we need to do is be putting the dollars into early intervention and looking at ways that we strengthen families so that children don’t hit child protection systems, but rather have the supports that they and their families need,” she said.

To view The Islander article Fewer kids in detention but more support needed click here.

children's hands on bars - one set of hands are Aboriginal

Image source: Law Society of NSW Journal Online.

GRAMS launch competition for No Tobacco Day

As World No Tobacco Day approaches, the Geraldton Regional Aboriginal Medical Service (GRAMS) has thought of a unique approach to tackle smoking in the community with a recipe competition and free cookbook. GRAMS has launched the recipe competition to coincide with this year’s World No Tobacco Day theme of We Want Food Not Tobacco, and are seeking the community’s best recipe entries.

The competition began on Tuesday 7 March and will end on Friday 21 April, with a Tackling Indigenous Smoking Cookbook to be released on Wednesday 31 May during World No Tobacco Day. GRAMS is asking the community to ditch the smokes and get their recipes into the competition, with weekly prizes for the winning recipe. Recipes include family favourites, healthy snacks, sauces and traditional food.

Tackling Indigenous Smoking acting co-ordinator Brent Walker said anyone could submit a recipe and he hoped to see a variety of healthy, traditional food from the local area such as bush fruits, herbs and spices. Mr Walker said GRAMS took up the idea to raise awareness that cigarettes were not that important and to send a message to give up smoking. “It’s making parents and adults aware that providing food for their kids is more important than buying smokes, they’re getting expensive and kids are going to school hungry,” he said.

To view The West Australian article Geraldton Regional Aboriginal Medical Service launch recipe competition for World No Tobacco Day in full click here.

GRAMS employees Brent Walker, Levi Thorne and Neau Simpson. Photo: Tamati Smith, Regional Hub. Image source: The West Australian.

Sector Jobs

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

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

Mar 29 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Better online experiences for young mob

Better online experiences for young mob
Senate backs inquiry into ADHD care
Culturally safe resources for kids with disability
Eye health data shows decrease in trachoma
Sistergirl helps others to find their voice
Tahnee helps mob achieve better health
Sector Jobs

The image in the feature tile is of Wyonna Palmer (Telegraph Station, Alice Springs) looking at her phone as her 6-year-old daughter, Lakayla, and her sister, Anna Maria, look on. Photo: Matt Rogers/The World. Image source: Petchary’s Blog, 28 December 2020.

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

Better online experiences for young mob

Minister for Communications Michelle Rowland said the Albanese Government is supporting better online experiences for First Nations people as new research shows that more young Aboriginal and Torres Strait Islander people are turning to technology for cultural expression and engagement. Findings released earlier this week by the eSafety Commissioner reveal First Nations youth are collectively using the internet in greater than average numbers to explore the world, make new friends, connect with people from different backgrounds, and discuss social or political issues.

eSafety’s research, Cool, Beautiful, Strange and Scary: the online experiences of Aboriginal and Torres Strait Islander children and their parents and care givers, available here, shows that First Nations youth are almost twice as likely as young Australians overall to post original video or music online, and more than twice as likely to post their own story or blog.

The Hon Linda Burney MP – Minister for Indigenous Australians said “Technology can be a great tool to build connection, support identity and boost civic engagement. “But today’s research from the eSafety Commissioner is a reminder it also carries risks, with young Indigenous Australians more likely to be exposed to harmful content or hate speech attacks. “As with so many other areas where disadvantage undermines health and wellbeing, more work is needed to ensure equal protections and access to the good things the internet can provide. This is especially so as we begin the referendum process to enshrine an Aboriginal and Torres Strait Islander Voice to the Australian Constitution.”

To view the joint media release (The Hon Michelle Rowland MP – Minister for Communications, The Hon Linda Burney MP – Minister for Indigenous Australians and Julie Inman Grant – eSafety Commissioner) Culture, connection and creativity: better online experiences for First Nations people in full click here.

Senate backs inquiry into ADHD care

Senator Jordon Steele-John, Australian Greens spokesperson on Disability Services, Health and Mental Health, says the Australian Senate has formally backed a proposal from Australian Greens Senator Jordon Steele-John to hold a Senate inquiry into attention deficit hyperactivity disorder (ADHD) assessment and support services in Australia.

Senator Jordon Steele-John proposed the inquiry in the hope of addressing common barriers to adequate ADHD assessment and care, as well as establishing possible policy interventions to improve accessibility and outcomes in this space. Around a million Australians are directly impacted by ADHD, a widely misunderstood neurodevelopmental disability that can cause significant impairment and dysfunction in people’s lives.

To view Senator Jordon Steele-John’s media release Senate Backs Greens Proposal for Senate Inquiry into ADHD Care in full click here.

youth ATSI girl & boy both with their hands behind their heads

Image from the Sparkles playgroup – Fact Sheet webpage. Intereach website.

Culturally safe resources for kids with disability

There’s a movement afoot to provide more culturally safe resources to Aboriginal children with disability. Called the I Am, Movement it came from one mother’s quest to better support her son in his diagnosis and focuses on grassroots conversations and Indigenous experiences to create a more supportive and appropriate environment for these children.

Founder Tanika Davis found there was a lack of culturally appropriate information when her son Slade began his autism diagnosis journey. “We had a lot of information about what autism was, but essentially not much [was] culturally safe or appropriate,” she explained.

But because of her background in Indigenous health promotion, she knew what she was looking for and what others would need. “And one of the first things that we ever did as a family after his diagnosis was basically [say] how can we support our son better and maintain his culture throughout this journey?” Davis knew there was a gap that needed to be filled, and in 2019 she started the I Am, Movement.

To view the Pro Bono Australia article Moving towards cultural safety for Aboriginal children with disability in full click here.

Tanika Davis speaking with microphone to audience with HEYWIRE Trail Blazer banner in the background; The I Am, Movement flashcards for letters & numbers

Ms Davis’s background in Aboriginal health promotion helped her develop The I Am, Movement. Photo: Mark Graham, ABC Heywire. Examples of The I Am, Movement flashcards.

Eye health data shows decrease in trachoma

Annual eye health data for Aboriginal and Torres Strait Islander people shows a decrease in active trachoma in children and an increase in the number of Indigenous Australians having eye checks. The Australian Institute for Health and Welfare (AIHW) has released its sixth annual report to update the eye health measures for Aboriginal and Torres Strait Islander people. The report said the overall prevalence of active trachoma among children aged 5–9 in at-risk communities fell from 15% in 2009 to 3.3% in 2021.

Trachoma is a highly infectious disease of the eye and repeated infections can result in scarring, in-turned eyelashes (trichiasis), and blindness. In 2021, the overall treatment coverage of active trachoma cases in at-risk communities was 71%—that is, 1,666 community members identified as having trachoma received treatment. This included children with active trachoma, along with their household contacts and other community members.

Between 2010–11 and 2020–21, the proportion of Indigenous Australians who had an eye health check as part of a health assessment increased from 11% to 29%, based on age-standardised rates.

To view the mivision article Indigenous Eye Health Data in full click here.

NT Health nurse Imogen McLean flips the eyelids of kids to see if there are any traces of trachoma. Photo: Stephanie Boltje, ABC News.

Sistergirl helps others find their voice

Ever since she was a kid, Jo’s known she was “different from the others”. You can’t tie a neat bow around the nuances of her life — it’s just “me being me”, she explains. “I just love being myself, you know?” Jo is a sistergirl — a term used by some Aboriginal and Torres Strait Islander people to describe gender-diverse people that have a female spirit. At its most simple “it’s another way of saying a trans woman”, she says. While she found strength in the support of those around her, her journey “wasn’t always easy”.

Through her own experiences, Jo is now determined to become an “outspoken advocate for Indigenous queers” in her community. “Because I see none of them that have voices,” she says. “I want to be there and talk up for them and help them build their confidence and courage so they can be able to talk.”

Dr Farrell, a queer-identified Wodi Wodi descendant from Jerrinja Aboriginal community on the South Coast of NSW, says that means LGBTQIA+ Indigenous people continue to be discriminated against “in places that stand to close the gap for Indigenous people”, and their needs aren’t taken into account when formulating health and other policies. It renders trans communities, queer communities broadly, as invisible in those services and in resources.”

To view the ABC News article Jo always knew she was a sistergirl. She wants to help others find their voice in full click here.

Sistagirl Jo looking at mirror surrounded by light bulbs

Jo wants to be an advocate for the Indigenous LGBTQIA+ community. Image source: ABC News.

Tahnee helps mob achieve better health

TAFE Queensland’s Toowoomba Indigenous Student of the Year, Tahnee Hooper, has been recognised for her outstanding achievements during her studies and in her role within a Aboriginal and Torres Strait Islander health organisation, as she guides clients towards a healthier tomorrow.

The Diploma of Aboriginal and/or Torres Strait Islander Primary Health (HLT50113) graduate received the special award in front of her family and friends, and more than 600 students celebrating the completion of their studies, at a recent TAFE Queensland Darling Downs and South West Graduation Ceremony for the graduating class of 2022.

Putting into practice the advanced community health skills and knowledge she gained during her course, complemented by her existing experience in the health sector, Tahnee is leading the delivery of holistic, whole-of-life care programs for Aboriginal and Torres Strait Islander people in Toowoomba and the wider Darling Downs region. “I want to make a difference in people’s lives and to help our mob and communities achieve better health outcomes,” Tahnee explained.

To view the TAFE Queensland article Tahnee is empowering people to achieve better health outcomes in full click here.

Tahnee Hooper in graduate robes holding wooden goanna plaque for winning TAFE QLD Toowoomba Indigenous Student of the Year award; text 'Congradulations - tafe - make great'

Tahnee Hooper. Image source: TAFE Queensland website.

Sector Jobs

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

Mar 28 2023

NACCHO Aboriginal & Torres Strait Islander Health News: SA first state to establish Voice to Parliament

SA first state to establish Voice to Parliament
CAAC supports vision loss prevention resources
AMA: ‘crumbling’ health system needs urgent funding
Mob drastically overrepresented in homeless deaths
Inaugural Pilbara Aboriginal Health Alliance newsletter
Alternative to Custody Program sets women on better path
Sector Jobs

The image in the feature tile is taken from an article South Australia becomes the first state to establish an Indigenous Voice to Parliament published in the National Indigenous Times on 26 March 2023. Photo: Matt Turner (AAP).

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

SA first state to establish Voice to Parliament

SA has become the first Australian jurisdiction to establish an Indigenous Voice to parliament, with premier Peter Malinauskas declaring it a “momentous” event. The SA government’s legislation passed the House of Assembly and was immediately given assent by Governor Frances Adamson in a public ceremony before a large crowd who had gathered to witness the event outside parliament house in Adelaide on Sunday.

Premier Peter Malinauskas said that “…the way we pay our respects…is not with our words, but in our deeds. And there are no more powerful deeds than SA becoming the first place in our nation to pass a law enshrining an Indigenous voice to our parliament.” The premier also lamented that while “almost all of us” had experienced Australian prosperity, the Bill marked just one a step towards addressing the gross inequalities faced by First Nations people.

“It is an even more remarkable Australian tragedy, that the one group of people that have been left most behind for the last 200 years, are the very people, who for over 65,000 years have provided great care and custodianship to the land we stand on today,” he said. He later wrote on social media: “Put simply, our First Nations people deserve the right to have a say on the issues that affect their lives. They will now have the opportunity to speak directly to decision makers at the highest levels of in this State.”

To view the National Indigenous Times article South Australia becomes the first state to establish an Indigenous Voice to Parliament in full click here.

SA Premier Peter Malinauskas addressing crowd at lectern after the establishment of SA's Voice to Parliament

SA Premier Peter Malinauskas speaks after the establishment of SA’s Voice to Parliament. Photo: Matt Turner (AAP). Image source: National Indigenous Times.

CAAC supports vision loss prevention resources

Anmatyerre artist Curtis Haines sees a lack of hope in his community among people who have low vision or are blind. “I feel bad because I can see,” he said. “I want others to see too, what I see.” Indigenous Australians suffer from low vision or blindness at three times the rate of non-Indigenous Australians. Now, Haines is part of a collaboration between Vision Australia and the Central Australian Aboriginal Congress (CAAC) to create artwork and help close the gap.

Ellie Hudson is a vision loss specialist with Vision Australia, working with Congress, which is based in Alice Springs. She said the artworks were an important way of reducing the stigma around poor vision in First Nations people. “People don’t talk up much about eyes,” Ms Hudson said. “We want to say it’s alright, you can talk about it, and you can get help.”

The artworks will feature information on how to maintain eye health, as well as steps to seek help and receive treatment. They will also feature images showcasing connection to country, like hunting and connecting with family — aimed at demonstrating what can still be done if vision loss is prevented, or when treatment is completed.

To view the ABC News story Alice Springs Aboriginal artist develops health promotion material for vision loss prevention in full click here.

Ellie Hudson & Curtis Haines, Vision Australia

Ellie Hudson and Curtis Haines. Photo: Lara Stimpson, ABC Alice Springs.

AMA: ‘crumbling’ health system needs urgent funding

Expectations are growing that the upcoming May federal budget will be a ‘health budget’ after a slew of reports indicating that the Australian health system is “crumbling beyond repair”. The Australian Medical Association (AMA) President, Professor Steve Robson, said the health system requires urgent funding now after being in crisis for years, with cracks starting to show even before the pandemic.

He released AMA’s analysis, delivered in a report Australian Public Hospitals in Logjam, that reveals only three of the 201 Australian public hospitals analysed are delivering care within recommended timeframes. The AMA’s report is not the only one to highlight the dire state of the public health system. Also in February, were two reports: one from the Health Services Union (HSU) by Impact Economics and Policy on the NSW health system, entitled Reform Critical – A Fragmented Health System at Breaking Point; the other from independent public policy think-tank The Grattan Institute.

The HSU report called for a Royal Commission into NSW state’s “chronic misallocation of resources and warped priorities” around health. The Grattan Institute report meanwhile indicated that Australia was “sleepwalking into a sicker future that will condemn millions of Australians to avoidable disease and disability”.

To read the mivision The Ophthalmic Journal article Eyes on Federal Budget to Address ‘Crumbling’ Health System in full click here.

bandaid over cracks in concrete wall / path

Image source: mivision The Ophthalmic Journal.

Mob drastically overrepresented in homeless deaths

New research presented at an inquiry into homelessness services has revealed at least 107 homeless or recently homeless people died in Perth in 2022, with 31% of those who died being Aboriginal people. The people were homeless at the time of their deaths or had recently experienced homelessness. The average age of death was 50 years.

The inquiry also heard that well over half of the public housing tenancies terminated in “no grounds evictions” last year were Aboriginal families. House the Homeless WA campaigners Dr Betsy Buchanan OAM and Jesse Noakes gave evidence at the WA Parliamentary Inquiry into the Financial Administration of Homelessness Services explaining how WA housing policy continues “to trap Aboriginal people in the system and makes Closing the Gap impossible”.

House the Homeless WA presented to the inquiry previously unreported data showing the WA housing crisis has “dramatically worsened” in recent years, and unfairly impacts Aboriginal families at “wildly disproportionate rates”; including that more than 50% of all public housing evictions in WA every year under the McGowan government having been Aboriginal tenancies.

To read the National Indigenous Times article Research reveals Indigenous people drastically overrepresented in Perth homeless deaths and evictions in full click here.

homeless person lying on pavement Perth CBD

Homeless person in the Perth CBD. Photo: Graeme Powell, ABC News.

Inaugural Pilbara Aboriginal Health Alliance newsletter

Pilbara Aboriginal Health Alliance (PAHA) Chair, Richard Ansey, says he is proud to introduce readers to the Inaugural Newsletter for PAHA. Mr Ansey goes on to explain the PAHA is a partnership between the three ACCHOs based in the Pilbara, Mawarnkarra Health Service, Wirraka Maya Health Service and Puntukurnu Aboriginal Medical Service, with the purpose of the PAHA being is to provide strong advocacy and support to improve health outcomes for Aboriginal and Torres Strait people, families and communities in the Pilbara Region.

Mr Ansey said the Boards and CEOs of the three ACCHOs have worked closely together over the past few years to secure funding to see their vision become a reality and today the PAHA is an established organisation working at a regional, state and federal level.

The newsletter includes:

Chair Report – Richard Ansey
CEO Report – Chris Pickett
Good News – Culture Care Connect program
Member Highlights
Prime Minister’s visit to Hedland
Global Health Challenge

You can view the APHA Newsletter Issue #01 March 2023 by clicking on this link.

L–R: Robby Chibawe CEO PAMS, Joan Hicks CEO MHS, June Councillor WMHSAC, Minister Mark Butler, Chris Pickett CEO PAHA. Image source: PAHA Newsletter Issue #1 March 2023.

Alternative to Custody Program sets women on better path

Selina Newcastle knows what captivity feels, smells and sounds like — what an unairconditioned cell in the Central Australian desert does to a person. Taking in a deep breath of air, the 47-year-old Warlpiri woman and ex-prisoner said: “Freedom, it opens your eyes”. Ms Newcastle shared her story to a crowd of legal experts, politicians and government officials at the launch of the Smarter Justice campaign on Monday this week.

After participating in a six-month Alice Springs based diversion program in 2022, Ms Newcastle is now showing the Territory’s leaders what a new approach to crime can look like. Ms Newcastle is one of 20 women who have completed the Mparntwe/Alice Springs Alternative to Custody Program over the past two years.

“I needed some help because I didn’t want to go back to drinking alcohol again,” she said. “I got so much support when I was there. I could talk to them about my problems and share stories, and I learned how to manage myself and look after myself better. I want to get a job now and keep busy. I feel like I have a second chance at life.”

The above has been extracted from The Weekly Times article Mparntwe, Alice Springs Alternative to Custody Program setting women on better path. You can find out more information about the Alternative to Custody Program here.

Warlpiri woman Selina Newcastle took part in the Mparntwe/Alice Springs Alternative to Custody (ATC) Program in 2022. Photo: Sierra Haigh. Image source: The Weekly Times.

Sector Jobs

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

Mar 23 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Australia’s first endometriosis clinics rolled out

Australia’s first endometriosis clinics rolled out
Strategy to improve rural and remote health workforce
Aboriginal scientist appointed to CSIRO board
Newly developed flu vaccination resources for mob
Counting the toll of COVID
Sector Jobs
Key Date – Dietitians Week 2023

The image in the feature tile is from the Health Central website’s Endometriosis 101 webpage published on 17 August 2022. Photo: Getty Images / Shidiovski.

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

Australia’s first-ever endometriosis clinics rolled out

Australia’s first-ever specialised endometriosis and pelvic pain clinics are being rolled out in metro and regional areas across the country. The 20 clinics, will offer expert and multidisciplinary services for women suffering from endometriosis and pelvic pain and operate out of existing general practitioner clinics and health centres.

Persistent pelvic pain affects one in five women or people assigned female at birth, with one in nine affected by endometriosis. Endometriosis is a disease of the uterus, which causes the shedding and production of uterine tissue outside of the uterus and can cause devastating effects on the female reproductive system, as well as chronic pain and scar tissue. On average, an endometriosis diagnosis can take up to seven years. Assistant Minister for Health and Aged Care Ged Kearney said the new centres will hopefully help shorten diagnosis times by gathering expertise under one roof, fostering that knowledge to improve diagnosis and services, and having referral pathways in place.

One of the four Queensland clinics will operate from Moreton Aboriginal and Torres Strait Islander Community Health Service (Moreton ATSICHS), Morayfield. Moreton ATSICHS a member of the Institute for Urban Indigenous Health Ltd, one of NACCHO’s 145 members.

To view the ABC News article New pelvic pain and endometriosis clinics are opening across Australia. Where will they be? in full click here. The below video EndoZone: Understanding Pain In Endometriosis is from The University of Adelaide’s Endometriosis Adelaide Endometriosis Research Group webpage, available here.

Strategy to improve rural and remote workforce

The National Rural Health Alliance (NRHA) says it is pleased to be a founding member of the National Alliance for Regionalisation initiative to ‘Rebalance the Nation’ and has congratulated the Regional Australia Institute (RAI) for their historic strategy. The National Alliance for Regionalisation aims to better position the nation’s regions to reach their potential in economic, educational and social spheres, for a stronger Australia.

“Improving the health and medical workforce in rural, regional and remote Australia underpins all aspects of the aim to achieve a better balance and equity in healthcare access and deliver economic and social benefits to all Australians,” said NRHA Chief Executive Susanne Tegen.

In the Regional Australia Institute’s Regionalisation Ambition 2032 – A Framework to Rebalance the Nation document, available here, the authors stated “In developing the Framework and its targets, we also acknowledge the important work of the Joint Council in leading the nation’s actions to achieving the targets set out in the National Agreement on Closing the Gap. This Agreement seeks to accomplish equality in life outcomes for all Australians, centered on ‘Closing the Gap’ of inequality for Aboriginal and Torres Strait Islander people. At the forefront of the design of the Framework is the importance of not contradicting the targets set out in the National Agreement, but ensuring the Framework can support Closing the Gap.”

To view the NRHA media release National Rural Health Alliance pledges support for rebalancing the nation in full click here.

cover of Regional Australian Institute Regionalisation Ambition 2032 A Framework to Rebalance the Nation - Rebalance the Nation; 4 photos rural settings, vector image of lightbulb, house, education, people

Image source: Rebalance the Nation website.

Aboriginal scientist appointed to CSIRO board

Professor Alex Brown has been appointed to the CSIRO board of directors, becoming the first Indigenous scientist to serve on the national science agency’s board. A leader in Aboriginal health and public health services, Professor Brown commenced in the role on 16 March and will serve on a part-time basis for five years.

A member of the Yuin Nation, he is also Professor of Indigenous Genomics at the Telethon Kids Institute and was recently appointed as the director of the National Centre for Indigenous Genomics at the Australian National University. His research has centred on health inequalities experienced by Aboriginal and Torres Strait Islander Australians, particularly with chronic conditions like heart disease and diabetes.

Industry and Science minister Ed Husic announced the appointment during his address to the National Press Club saying Professor Brown’s had mentioned the influence his sister’s career had on his decision to embark on research in health. “Your sister, Professor Ngiare Brown was one of the first Indigenous medical graduates in Australia and is now the first female and first Indigenous Chancellor of James Cook University. Quite a family.” Mr Husic also thanked Professor Brown for “the path you are setting, for all the Indigenous and non-Indigenous researchers and scientists who will follow you”.

To view the InnovationAus.com article Indigenous scientist Alex Brown appointed to CSIRO board in full click here.

Professor Alex Brown, CSIRO board member

Professor Alex Brown has been appointed to the CSIRO board by the Albanese government. Photo: ANU. Image source: InnnovationAus.com.

Newly developed flu vaccination resources for mob

In Australia, seasonal influenza is the most common vaccine-preventable disease contributing to hospitalisation, aside from COVID-19. Aboriginal and Torres Strait Islander people are more likely to experience severe influenza disease that could be prevented with vaccination. Since 2019 influenza vaccine has been provided under NIP to all Aboriginal and Torres Strait Islander people over 6 months of age, however the uptake has been sub-optimal.

Health providers have an important role in strongly recommending and opportunistically offering influenza vaccination to all Aboriginal and Torres Strait Islander people over 6 months of age, however earlier research indicated that some providers may miss opportunities to offer influenza vaccination at any appointment, and to strongly recommend influenza vaccination to all Aboriginal and Torres Strait Islander people over 6 months of age. To help address this gap the National Centre for Immunisation Research and Surveillance (NCIRS) have a range of newly developed resources available on the NCIRS website, including:

Resource for Aboriginal and Torres Strait Islander communities to support decision making around influenza vaccination.

The webpage Influenza vaccination information for Aboriginal and Torres Strait Islander people, available here, is for Aboriginal and Torres Strait Islander communities. This page is suitable to share as a resource with the community (and a conversation starter between providers and families) and includes the printable Flu Vaccine Information Sheet, available here.

Resources for immunisation providers to support vaccination conversations with Aboriginal and Torres Strait Islander people (with focus on influenza vaccination).

The webpage Supporting conversations about vaccinations with Aboriginal and Torres Strait Islander people, available here is for immunisation providers (GPs, nurses, pharmacists) providing influenza vaccination to Aboriginal and Torres Strait Islander families. The purpose of the provider webpage is to explain the importance of influenza vaccination for Aboriginal and Torres Strait Islander people of all ages; highlight providers’ role in supporting and strongly recommending influenza vaccination to families; and support providers in having culturally appropriate vaccination conversations with Aboriginal and Torres Strait Islander families. While the focus is on influenza vaccination, the conversation principles can be applied to other vaccinations.

The provider webpage includes:

a downloadable summary table of resources, available here, of publicly available communication resources designed in recent years to support influenza and COVID-19 vaccinations among Aboriginal and Torres Strait Islander people
a conversation guide for providers Talking about flu vaccination with Aboriginal and Torres Strait Islander families, available here here to help providers to have culturally appropriate and supportive vaccination conversations with Aboriginal and Torres Strait Islander families. The resource gives an example of an actual influenza vaccination conversation, informed by Sharing Knowledge About Immunisation conversation principles.

photo of ATSI man, woman & 2 kids hugging; text 'Supporting conversations about vaccinations with ATSI people'

Image source: National Centre for Immunisation Research and Surveillance (NCIRS) website.

Counting the toll of COVID

Experts recently called on Australian governments to re-set COVID policy, warning that unmitigated transmission of the virus in the community has a substantial impact on priority populations including the elderly and immunocompromised. In addition, concerns were raised about the impact on health services, particularly for Aboriginal health services in the NT, Long COVID prevalence and an increase in overall mortality.

The World Health Organization also recently urged governments to remain vigilant and strengthen systems for surveillance, clinical care, testing, sequencing, infection prevention and control, treatments and vaccinations. Meanwhile, the latest analysis of excess deaths by Australia’s Actuaries Institute’s COVID-19 Mortality Working Group suggests the high toll of COVID-19 is set to continue.

In 2022, mortality was 12% higher than our pre-pandemic expectations; that is, there were around 20,000 more deaths than expected across Australia. Around half of these were caused by COVID-19, and another 15% had COVID-19 as a contributing factor. COVID-19 was the third most prevalent cause of death in 2022, after heart disease and dementia and above stroke and lung cancer. Research has shown that there is an increased risk of death from certain conditions after a COVID-19 infection. These include heart disease, stroke, diabetes and dementia, most of which saw significantly higher than expected mortality in 2022, even after excluding deaths where COVID-19 was listed as a contributory factor.

COVID-19 shows no sign of going away or becoming less serious. It is a new major cause of illness and death in the Australian population, which reduced life expectancy in Australia by around one year of life in 2022.

To view the Croakey Health Media article Counting the toll of COVID in full click here.

As political interest in COVID has diminished, excess deaths have increased. Photo: Fusion Medical Animation on Unsplash. Image source: Croakey Health Media.

Sector Jobs

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

Dietitians Week 2023

Today is the fourth day of Dietitians Week 2023 and as part of raising awareness of the role and value of dietitians, today we are sharing a another case study published on the Indigenous Allied Health Australia website.

Amelia Mckenzie, is a proud Adnyamathanha and Arabana woman, from Port Augusta, SA, currently based in Adelaide, studying Nutrition and Dietetics at Flinders University. Amelia said she decided to pursue Dietetics, firstly, because she is a foodie, enjoys cooking and eating a wide variety of foods, and is incredibly passionate about health. Amelia has witnessed the impact that diet can have on health, especially in Aboriginal communities, which made her determined to enter this field so she can provide best, culturally safe care to mob. Amelia wants to work in community settings to promote healthy lifestyles and prevent diet-related chronic diseases like Type 2 Diabetes or heart disease.

Amelia believes dietitians have a crucial role in health, providing individuals and communities with specialised diet support that can; reduce or manage chronic disease; encourage the enjoyment of food, and its connection to culture, family and personal preference or values; be suited to socioeconomic status and day-to-day importance’s; support other areas of health, like promoting exercise and physical and mental wellbeing. All Aboriginal and Torres Strait Islander communities, Amelia said, should have adequate access to dietetics services, education, and related resources, to support good health.

To view the IAHA’s article Celebrating 2023 Dietitians Week with IAHA Member Amelia Mckenzie in full click here.

Mar 22 2023

NACCHO Aboriginal & Torres Strait Islander Health News: AI helps detect heart disease in remote Australia

AI helps detect heart disease in remote Australia
Closing health gap needs more than booze, crime control
Community Hubs based on ACCHO model
New oral health education resources for mob
Medicare cards coming soon to the myGov app
‘Harmony Day’ obscures need for systemic change
Sector Jobs
Key Date – Dietitians Week 2023

The image in the feature tile is of a man in the Alice Springs Hospital undergoing an echocardiogram with the aid of artificial intellegience. Photo: Steven Schubert. Image source: the article ABC News article How artificial intelligence is helping to detect heart disease in remote Australia published by ABC News earlier today.

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

AI helps detect heart disease in remote Australia

In a small room in the Alice Springs Hospital, Rhonda O’Keefe is giving a man an ultrasound on his heart, despite having no formal training to do so. Ms O’Keefe is not a sonographer, she’s an Aboriginal Health Practitioner. She has some medical training, but not the two years of post-graduate study it takes to become a qualified sonographer. Instead, Ms O’Keefe is being guided by artificial intelligence (AI) as she performs the echocardiogram, the ultrasound of the heart. The AI software prompts Ms O’Keefe on where she needs to hold the ultrasound probe, and how much pressure to apply, depending on what the echocardiogram is looking for. Her first attempt at performing the procedure was just two weeks ago, but already she is obtaining pictures that cardiologists can use for diagnosis.

It’s a remarkable achievement, according to Dr Angus Baumann, the only full-time cardiologist at the Alice Springs Hospital. Dr Baumann, who has been observing Ms O’Keefe’s training, said when he learned to conduct echocardiograms it took him months of practice to get usable images — despite already working as a specialist in the field after years of medical school. “With this technology, someone’s able to get usable images on their first go,” he said.

The images are uploaded to a cloud-based server, and then downloaded and analysed by cardiologists. who may be hundreds of kms away from the patient. Dr Baumann said he could see an enormous potential for the technology to be used in remote Indigenous clinics to try to screen more people and catch heart ailments earlier.

To view the ABC News article How artificial intelligence is helping to detect heart disease in remote Australia in full click here. You can also read a previous story, here, about the trial of this AI technology being run from the Walgett Aboriginal Medical Service.

Aboriginal health practitioner Rhonda O’Keefe performs an echocardiogram as cardiologist Dr Angus Baumann observes

Closing health gap needs more than booze, crime control

In a letter to the Alice Springs News Editor, Dr Simon Quilty, who was formerly based at Alice Springs Hospital and is currently working with Purple House said: “While there is a lot of focus on alcohol, crime and violence in communities such as Alice Springs, it is the long-term, underlying issues that are the real problem here. We are definitely experiencing difficulty in attracting, retaining and housing health professionals right across the NT, addressing this issue in isolation of the greater social disparity only makes the problem worse.

When our patients do not have adequate housing, and are living in conditions that are extremely detrimental to the health, education and basic safety of their residents, this provides fertile grounds for youth disengagement, domestic violence and social disharmony. There is a pervasive sense of hopelessness that is a key contributing factor to the issues affecting these communities and this has been exacerbated by the social fallout after COVID which has resulted in the cessation of many social programs that previously supported many people, particularly youth, in these communities.

How does it look to our patients when doctors and nurses are provided with accommodation, when they are sleeping in shifts so they can fit in the increasing number of people needing basic shelter? Extreme disparity exists even within our Aboriginal health workforce. Alice Springs Hospital Aboriginal Liaison Officers, who provide interpreting services essential to the delivery of health care to our patients, are the lowest paid interpreters in the country. These are essential health workers, who speak many dialects, and the value of their skills must be equitable with interpreter salaries for government services for immigrants to Australia.

To view the Closing health gap needs more than booze, crime control article published in the Australian Rural & Regional News in full click here.

Dr Simon Quilty checking female ATSI women with stethoscope

Dr Simon Quilty with patient in Alice Springs. Image source: Stephanie Zillman, ABC News.

Community Hubs based on ACCHO model

Genuine community engagement is required to deliver equitable outcomes for people living in rural and remote Australia, according to Mark Burdack, CEO of the Healthy Communities Foundation Australia (the Foundation). The Foundation has a proposed policy for Community Hubs in rural areas, which Mr Burdac describes as “a one-stop-shop for services that are engaged in addressing the social determinants of health”.

Similar to the Aboriginal Community Controlled Health (ACCHO) model, Community Hubs would be funded by both state and commonwealth governments, and led and governed by communities, he says. The ACCHO sector has shown us how we can effectively support communities and merge health promotion, prevention and intervention using multi-jurisdictional funding models. We have the capacity and models to do things differently in rural and remote health if there is a will to do so.

But this requires decision makers to recognise that rural and remote people have the knowledge, skills and capacity to create more equitable access to healthcare, and more equitable health outcomes, if they receive the right support and investment needed to lead that change.

To view the Croakey Health Media article How Community Hubs could contribute to better health for rural and remote Australians in full click here.

Image source: The Healthy Communities Foundation Australia website.

New oral health education resources for mob

For the last three years, the FDI World Dental Federation has used World Oral Health Day on 20 March to campaign for everyone around the world to ‘Be Proud of Your Mouth’. However, Aboriginal and Torres Strait Islander children and adults continue to have poorer oral health than non-Indigenous Australians. Due to the poorer oral health outcomes of First Nation peoples, the Australian Dental Association (ADA) embarked on the development of the culturally appropriate oral health education resources. On World Oral Health Day this week the ADA was pleased to launch these resources as part of its new Mob Smiles initiative.

According to Indigenous dental practitioners the available resources for use with children and adults in Australia do not resonate with this target population. The goal of the Mob Smiles resources is to develop oral health education kits purposely developed for Aboriginal and Torres Strait Islander children and adults. Poor oral health can affect individual quality of life and exacerbate chronic health conditions. Unfortunately access to affordable, and culturally appropriate dental care is difficult for many Indigenous Australians. The resources aim to provide education and oral health information in a culturally safe manner.

The suite of oral health resources consists of posters, flyers and factsheets for various ages including toddlers, teenagers, pregnant women and the elderly. The multiple resources provide education in caring for oral health and details on hygiene, diet and scheduling dental visits.

To view the Australian Dental Association article ADA Mob Smiles released on World Oral Health Day in full click here. You can also find more information about Mob Smiles here and World Oral Health Day here.

Medicare cards coming soon to the myGov app

Australians will soon be able to add their Medicare card to the digital wallet in the myGov app.

The new myGov app, available here, was released last year. The app has a digital wallet where people can securely store some government digital cards and certificates. People can already use the wallet to store their Centrelink concession and health care cards.

The new digital Medicare card in the myGov app will look similar to Medicare cards in the Express Plus Medicare app, available here and physical cards.

The myGov app has features to protect against fraud and theft of all items in the myGov wallet. Medicare cards and Centrelink concession and health care cards have:

an animated hologram to show the card is not a screenshot
a QR code that can be scanned to confirm the card is genuine and valid
the date and time of when the card was last updated at the bottom of the screen.

If a person is no longer eligible for Medicare, the card will be automatically removed from their myGov app.

When a person’s Medicare card expires, it’ll be replaced automatically in their myGov wallet if they’re still eligible.

Accepting a digital Medicare card and scanning the QR code is optional, you don’t have to accept it if you don’t want to. You can still verify a Medicare card in the same way you do now.

Scanning QR codes

You scan the code using the myGov app on your device. You don’t need to sign in to the app to scan the QR code.

You can find more information and instructions on how to scan the QR code on the myGov website here.

Further information will be provided when the Medicare card becomes available in the myGov app.

hand holding mobile phone with Australian Government myGovID

Image source: The Sydney Morning Herald.

‘Harmony Day’ obscures need for systemic change

International Day for the Elimination of Racial Discrimination (IDERD) is observed around the world on 21 March, yet in Australia it’s called ‘Harmony Day’. The change came about in 1999 at the order of the Howard government who sought to replace the IDERD and portray a unified multicultural society, one that did not need to actively combat racism. This aligned with the personal views of the PM John Howard, who always maintained that racism was not an inherent problem in Australia.

But critics have said the positively framed ‘Harmony Day’ intentionally obscures the need for systemic change. “It’s absurd,” said Professor Chelsea Watego. “[It’s] quite telling that this country still insists on erasing the reality of racial violence in this place. We have a health system that makes aspirations [to be] free of racism, without a strategy for achieving that. We have a Race Discrimination Act which successive governments have suspended specifically in relationship to Indigenous people, on multiple occasions. The parameters for prosecuting a race discrimination case in this country are so narrow, that so few get through. The name Harmony Day tells us about the ways in which this country and all of its institutions have refused to deal with the reality of racial violence.”

To view the NITV article It’s the International Day of Eliminating Racial Discrimination. Why does Australia call it ‘Harmony Day’? in full click here.

black & white photo of 1960 Sharpeville massacre protestors & 4 silhouettes jumping holding letters of the word 'harmony'

While the International Day for the Elimination of Racial Discrimination commemorates the 1960 Sharpeville massacre, critics say Australia’s ‘Harmony Day’ obscures the need to fight systemic racism. Image source: NITV.

Sector Jobs

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

Dietitians Week 20–26 March 2023

Today is the third day of Dietitians Week 2023 and as part of raising awareness of the role and value of dietitians, today we are sharing a case study of Jenna Perry, a Graduate Accredited Practising Dietitian. Jenna is originally from Lutriwata (Tasmania), where she has Aboriginal ancestry on her father’s side of the family. Although there was a disconnect with culture growing up, Jenna says she was always passionate about Aboriginal and Torres Strait Islander health and advocating for health care that Aboriginal and Torres Strait Islander people delivered in a way that strengthened cultural identity and cultural beliefs of health and wellbeing.

A Bachelor of Dietetics wasn’t offered in Jenna’s home state, so she decided to move away to the Sunshine Coast on Gubbi Gubbi/Kabi Kabi country. There she started a Bachelor of Nutrition before transferring over into the Bachelor of Dietetics. While Jenna says she loved studying for a Bachelor of Dietetics, there was minimal education on cultural humility or Aboriginal and Torres Strait Islander health through a strength-based lens. Because of this Jenna was very grateful to attend the Indigenous Allied Health Australia (AIHA) Health Fusion Challenge and complete a placement at the Institute for Urban Indigenous Health (IUIH).

To view the Indigenous Allied Health Australia (IAHA) article My Journey into Dietetics Jenna Perry in full click here.

portrait shot of Jenna Perry & text 'My Journey into Dietetics Jenna Perry'

Image source: IAHA website.

Mar 21 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Birthing service reduces preterm births by 38%

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Birthing service reduces preterm births by 38%
Disproportionate impact of diabetes on mob
Jury is in on harms of vaping – time for action
RACGP says international medical graduates needed
Sector Jobs
Key Dates – International Day for the Elimination of Racial Discrimination; World Down Syndrome Day; Dietitians Week

The image in the feature tile is from an article Indigenous-led birthing program gains international recognition published in the National Indigenous Times on 1 April 2021.

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

Birthing service reduces preterm births by 38%

A birthing service established by three SE Queensland health organisations has reduced preterm birth rates for Aboriginal and Torres Strait Islander babies by 38% and demonstrated significant cost savings to the health system. Results published in the Lancet Regional Health – Western Pacific this week highlighted improved outcomes for women having a baby through the Birthing in Our Community (BiOC) service. The reduction in preterm birth rates meant that women accessing the program required fewer costly interventions, procedures and neonatal admissions, resulting in savings of $4,810 per mother/baby pair. Additionally, the BiOC service reduced two thirds of women’s out of pocket costs by bringing the service closer to home.

The cost-effectiveness study concluded that replication of the BiOC service across Australia has the potential to reduce the number of Aboriginal and Torres Strait Islander babies born preterm by 965 each year, thereby potentially saving the Australian health system $86,994,021 per annum. The BiOC service and model of care was established in 2013 by the Institute for Urban Indigenous Health (IUIH), the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane and Mater Health in Brisbane in response to a need for women who are pregnant with an Aboriginal and Torres Strait Islander baby to access culturally and clinically safe care throughout their pregnancy and at birth.

Ms Renee Blackman, ATSICHS Brisbane CEO, said that “the success of the BiOC service shows what can be achieved when partners work together with a shared vision and a commitment to Aboriginal-led models of care”.

You can view the medianet. article Improved birthing outcomes for Aboriginal and Torres Strait Islander families generates savings to the health system in full here and the The Lancet Regional Health Western Pacific research paper (The Lancet Regional Health Western Pacific article Birthing on country service compared to standard care for First Nations Australians: a cost-effectiveness analysis from a health system perspective) in full click here.

IUIH tile Birthing In Our Community, ATSI mum and baby

Image source: Birthing in Our Community North Facebook page.

Disproportionate impact of diabetes on mob

Diabetes WA is calling for greater recognition of the disproportionate impact of diabetes on Aboriginal Communities in WA. Aboriginal West Australians are at far greater risk of diabetes and diabetes-related complications than any other community in the State. Aboriginal West Australians are nearly 40 times more likely to have major lower limb amputation. Aboriginal people living in remote areas have 20 times the incidence of end-stage renal disease compared with the national average. Cataract and diabetic retinopathy continues to be the leading causes of vision loss in Aboriginal people in WA. The diabetes gap is also generational. Type 2 diabetes in children, once rare, is on the rise.

Gestational diabetes, also more common in Aboriginal Communities, is the fastest growing type of diabetes in WA, with many women remaining undiagnosed while diabetes silently impacts their unborn baby. In some remote communities, 60–70% of people over the age of 65 have type 2 diabetes. Too many older Aboriginal people are living with preventable disabilities as a result of diabetes and its silent damage.

Project Lead for Diabetes WA, Natalie Jetta, is an experienced Aboriginal Health Professional. She says training Aboriginal Health Professionals will make diabetes education more accessible and more culturally safe for Aboriginal West Australians. “We know that Aboriginal Health Professionals are best placed to talk to people within their own Community, because they already have the respect, trust, knowledge and connection they need to nurture their clients,” Natalie says. “We have now trained 20 Aboriginal Health Professionals employed by the Aboriginal Community Controlled Health sector to deliver the Diabetes Education Self Yarning (DESY) program. This will improve the cultural security of this diabetes education program and enable it to be delivered on Country across WA.”

To view the News Medical Life Sciences article Diabetes WA calls for greater recognition of diabetes impact on Aboriginal Communities in full click here.

6 Aboriginal female graduates of the Diabetes WA Diabetes education program - Diabetes Education Self Yarning (DESY)

Graduates of the Diabetes WA Diabetes education program – Diabetes Education Self Yarning (DESY). Image source: News Medical Life Sciences.

Jury is in on vaping – time for action

The jury is in on the harms of vaping, with a new study published in the Medical Journal of Australia today providing the most comprehensive review yet on the health impacts of e-cigarettes. Australian Medical Association (AMA) President Professor Steve Robson said the findings of the study leave zero room for confusion about the dangers of e-cigarettes and vaping. “It’s time for stronger, strictly enforced regulations so we can avoid another public health crisis like tobacco,” Professor Robson said.

“Vaping is not harmless, it is not safe, it is not part of tobacco control. It has become a scourge in our schools, with parents and educators reporting that it has got out of hand. And we are seeing adults and children alike suffering as a result of vaping.” Risks identified in the review include addiction, poisoning, especially in small children, seizures and loss of consciousness caused by nicotine overdose, headache, cough, throat irritation, and burns and injuries, largely caused by exploding batteries.

Another major risk identified by the study was that young non-smokers who use e-cigarettes are around three times as likely to go on to smoke regular cigarettes, compared to young people who did not use e-cigarettes. “Vaping products are a gateway to smoking for young people and there are significant risks from vaping that warrant much stronger regulation. For example, we know many products marketed as not containing nicotine have been found to contain nicotine and products have also been found to contain prohibited chemicals that can cause serious harm, like vitamin E acetate and diacetyl, which can cause serious damage to the lungs.”

To view the AMA’s media release Jury is in on vaping and associated harms – time for action in full click here.

cloud of vape smoke obscuring most of man's face

Image source: ABC News.

RACGP says international medical graduates needed

As Australia’s health system faces a crisis, amid a growing shortage of GPs and mounting pressure on both primary and secondary care services, the RACGP is calling on the Federal Government to support international medical graduates (IMGs). College President Dr Nicole Higgins said the workforce shortage is a significant part of the crisis, and that it is widespread, from general practice to pharmacy and nursing.

She said IMGs could help to address the issue in the short-term, and that many are eager to work in Australia, but are being held back and becoming disillusioned by red tape and a lack of support. “Rural and remote communities are particularly affected,” Dr Higgins said. “But there is a simple solution to boost the number of GPs in the short-term: we can and should be doing much more to attract IMGs to Australia, and to support and retain them as valuable community members. This includes cutting red tape and making the application process easier for doctors who want to work in areas of need.”

To view the RACGP newsGP article IMGs a ‘simple solution’ to boost GP numbers: RACGP in full click here.

RACGP President Dr Nicole Higgins says barriers to overseas doctors wanting to work in Australia make no sense amid crisis. Photo: Jono Searle/AAP Photos. Image source: Bunbury Mail.

Sector Jobs

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

International Day for the Elimination of Racial Discrimination

Minister for Immigration, Citizenship and Multicultural Affairs, Andrew Giles, says every year in March, Australians come together to mark Harmony Week, culminating in the observance of the United Nations International Day for the Elimination of Racial Discrimination on the 21 March. Australia is one of the world’s most successful multicultural nations. We are home to the world’s oldest continuous cultures as well as migrants from nearly 200 countries.

This week schools, workplaces and community groups will reflect on this diversity by participating in events across the country and nearly 7000 people from more than 120 countries will become new citizens. Multiculturalism is integral to our national identity- but we cannot take it for granted. This International Day for the Elimination of Racial Discrimination marks 75 years since the adoption of the Universal Declaration of Human Rights and focuses on the urgent need to combat racism and racial discrimination.

To view Minister Giles’ media release Harmony Week and International Day for the Elimination of Racial Discrimination in full click here. You can find more information about International Day for the Elimination of Racial Discrimination on the United Nations website here.

tile text International Day for the Elimination of Racial Discrimination March 21

Image source: Ontario Nurses’ Association website 14 March 2023.

World Down Syndrome Day

Today, Tuesday 21 March 2023, is World Down Syndrome Day. World Down Syndrome Day aims to celebrate the progress that has been made over the last 50 years and, in particular, over the last 10 years. Progress is often made in small steps, sometimes pausing to review our journey, but always aware of how far we have come and the difference that our small steps make to the day-to-day life of people living with disability.

As part of the worldwide celebrations, World Down Syndrome Day lights up buildings of significance. This is referred to as ‘Light up a Landmark’. Buildings that have been lit up previously, include: Palais des Nation – UN Geneva; The Empire State Building – NY; Eiffel Tower – Paris; Tower 42 – London and Belfast City Hall – Ireland. Once the buildings are lit up, images are taken and shared on Social Media to build awareness and engagement throughout the world. This year the iconic Canberra Grammar School Quad will be the first in Australia to take part in this international event!

Dietitians Week 20–26 March 2023

Today is Day 2 of Dietitians Week 2023. When it comes to managing health through food and nutrition, a dietitian should be your first port of call. Ongoing and specialised education ensures dietitians are the reliable choice for life-changing food and nutrition support. Because we all have our own unique goals, challenges and lifestyles, Accredited Practising Dietitians understand that our health is not a one-size fits all approach. They are trained to offer personalised health advice that is fine-tuned to a person’s specific needs. Dietitians Australia has an Indigenous nutrition role statement, available here, which listed the knowledge and skills of an APD working in the area of Indigenous nutrition.

Mar 16 2023

NACCHO Aboriginal & Torres Strait Islander Health News: 2023 CTG report calls for greater and faster change

2023 CTG report calls for greater and faster change
Early Years Strategy must focus on equity and justice
First podcast for mob with disability
Culture + Kinship program has positive outcomes
Scholarship helps Palm Is health worker follow dream
Pioneering Cape ear health program gaining traction
Sector Jobs

The image in the feature tile is a photo taken by Lukas Coch/AAP published in The Guardian on 8 October 2020.

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

2023 CTG report calls for greater and faster change

This years 2023 Close the Gap (CTG) Campaign Report was launched earlier today at the Aboriginal Health and Medical Research Council (AH&MRC) in Little Bay Sydney. The theme this year is, ‘Strong Culture, Strong Youth: Our Legacy Our Future’ which highlights the essential role of Aboriginal and Torres Strait Islander-led decision-making and self-determination in shaping a vision of health and wellbeing built upon a strong cultural foundation.

You can download the report here and watch a video of the launch using this link. You can also watch a short ABC News video Close the Gap report calls for greater and faster change here.

A bit of history. . .

The CTG Campaign is an independent, Indigenous-led campaign that calls on political leaders from all levels of government to take action on health and life expectancy equity for Aboriginal and Torres Strait Islander communities. It is separate to Closing the Gap, which is an Australian Government strategy.

The CTG Campaign, launched in 2006 to address the unacceptable gap in life expectancy and other health indicators between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians, helped influence the establishment of the Joint Council on Closing the Gap, and the formation of the National Agreement on Closing the Gap in July 2020.

The Campaign is made up of 52 Aboriginal and Torres Strait Islander and non-Indigenous health, NGO and human rights organisations. More than 200,000 Australians have signed a pledge supporting the Campaign.

Early Years Strategy must focus on equity and justice

Experts in child and family health are developing submissions for the Federal Government’s new Early Years Strategy, which it says will “shape its vision for the future of Australia’s children and their families”. Among a number of groups who have shared their concerns and priorities the Australian College of Nursing (ACN) is concerned the early focus of the strategy “does not demonstrate a health equity lens”. We note the verdict on that is mixed. The ACN points to the Discussion Paper’s aim that a national Strategy “will seek to ensure that all children, wherever they live, enjoy the same opportunities to learn, develop and thrive.”

The ACN says “this is not a health equity lens. Instead, it assumes all children, irrespective of class, culture and context, require the same opportunities. This ignores some of the children who need this most, like those children that have different abilities or grow up in specific cultural contexts like First Nations children.”

Maybe the Federal Government should also be turning a sharp eye on all the policies, programs and, of course, politics that are currently causing major harm to young people in Australia, particularly Aboriginal and Torres Strait Islander children, and/or threaten to further entrench inequity.

To view the Croakey Health Media article As governments entrench disadvantage, will Australia’s Early Years Strategy focus on equity and justice? in full click here.

First podcast for mob with disabilities

Having to learn how to walk and talk again after an incident left him in an induced coma, Bernard Namok, a proud St Paul, Badu, and Erub Torres Strait Islander man, is now advocating for Indigenous people living with disabilities in the Far North. Mr Namok is teaming up with the First Peoples Disability Network (FPDN) to help empower Aboriginal and Torres Strait Islanders with a focus on giving a voice to the voiceless. Today, on National Closing the Gap Day, Mr Namok and the FPDN launched a first-ever podcast dedicated to Aboriginal and Torres Strait Islander people living with disabilities.

Mr Namok said one of the barriers facing people with disabilities from Indigenous communities is simply knowing what help is out there and how to access it. “Creating the podcast was about finding a way to get information to people who may be living in remote areas in places like Thursday Island where I grew up, as well as telling their stories,” he said

The Australian Bureau of Statistics has found that almost a quarter (24%) of Aboriginal and Torres Strait Islander people in Australia living in households lived with a disability with 8.8% living with a profound or severe limitation.

The above story featured in the Herald Sun article First podcast for First Nations people with disabilities launches published earlier today.

Bernard has been working in disability advocacy in Cairns after previously working in radio broadcasting in the NT.

Culture + Kinship program has positive outcomes

Yesterday the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) launched the groundbreaking Culture + Kinship program evaluation report in the lead up to today’s National Close the Gap Day. VACCHO noted that last year’s Closing The Gap report data and the Coroners Court of Victoria suicide Report in February this year provided “unmistakable evidence” that the devastating gaps in health and wellbeing outcomes between Aboriginal and Torres Strait Islander people and non-Indigenous Victorians continue to blight health equality in Victoria.

VACCHO said its Culture + Kinship Report demonstrates that by focusing on the cultural determinants of health, “there are constructive approaches that can be taken to close the gaps in health and wellbeing disadvantage”. The report notes that through the Culture + Kinship program, Aboriginal and Torres Strait Islander communities have been able to re-connect with Community, Culture and Country.

VACCHO said “The Culture + Kinship program was uniquely Community driven with a flexible funding model that empowered Communities to lead the way with their own solutions in the form of self-determined, locally led programs.” VACCHO also said a social return on investment analysis showed the program “produced significant value for its stakeholders, with Community Members benefiting especially through reconnecting with Community, Culture and Country, and in doing so, experiencing a range of positive health and wellbeing outcomes”.

To view the National Indigenous Times article Aboriginal-led Culture + Kinship program makes breakthroughs in health and wellbeing in full click here.

Budja Budja Yarning Circle

Scholarship helps Palm Is AHW realise dream

A young Indigenous woman awarded a scholarship to study nursing at Mater Private Hospital Townsville is realising a dream to follow in her family’s footsteps. “My grandma is a twin and she and her sister worked at Mater for many years as registered nurses,” said Tehanna Tanerau-Love, who works part-time as a health worker on Palm Island.

Ms Tanerau-Love, 20, a Yorta Yorta woman with Māori ties, said she had a number of great role models. “My other grandma is a CEO of an Aboriginal community-controlled health organisation and my sister is a social worker,” she said.

Ms Tanerau-Love said the Indigenous scholarship to study a Diploma of Nursing at Mater would help her connect with her community and provide the opportunity to give back to her mob. “My ultimate goal is to work in remote and rural Aboriginal communities to have a meaningful impact on people’s lives,” she said.

The above story featured yesterday in the Cairns Post article Palm Island health-worker Tehanna Tanerau-Love to become nurse at Mater Townsville.

Young North Queensland woman Tehanna Tanerau-Love has been awarded an Indigenous scholarship to study a Diploma of Nursing at Mater Private Hospital Townsville. Image source: Cairns Post.

Pioneering Cape ear health program gaining traction

The Torres and Cape Hospital and Health Service Integrated Ear, Nose and Throat (ENT) program, launched as a pilot in 2021 to target hearing problems in Cape York and the Torres Strait, is seeing exponential growth, with the number of patients seen almost doubling within 12 months.

The team includes a GP with specialist ENT training, a senior ENT nurse, an Aboriginal and Torres Strait Islander Health Worker, an audiologist and a speech pathologist who travel to 13 remote communities across the region. They treat both children and adults, predominantly for hearing issues, but also with other ear, nose and throat conditions. The team saw more than 1,300 patients during 2022, well up from the 861 seen in 2021.

A further $1.6m of state government funding has been committed to the program over 18 months which will allow for additional staff to support the huge growth. Senior audiologist Kristen Tregenza said she believed the project’s success was due to the culturally-appropriate service they were providing, with patients now seeking them out instead of learning about them via referral. She said most of the hearing conditions being seen and treated were caused by treatable ear infections. “It is well documented that remoteness, lower socio-economic living and all the things that come with that – access to nutritious foods, housing conditions, exposure to passive cigarette smoke – significantly increase the number of ear infections, severity and recovery time,” she said. “It is all preventable.”

To view the Cape York Weekly article Pioneering program launched in Cape gaining traction in full click here.

Kowanyama’s Naveen Accoom getting his ears tested by Dr Stephen Johnston as part of the successful ENT program. Image source: Cape York Weekly.

Sector Jobs

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

Mar 15 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Genuine engagement needed over consultation

Genuine engagement needed over consultation
$32m+ for First Nations health research projects
Program to help teens get a good night’s sleep
Conference to examine rural health challenges
Scholarship opportunities for First Nations nurses
Sector Jobs
Key Date – Close the Gap Day

The image in the feature tile has been extracted from a YouTube video of NACCHO Chair Donnella Mills sharing her message on COIVD-19 and the vaccines in early 2021.

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

Genuine engagement needed over consultation

The Australia and NZ School of Government’s (ANZSOG’s) 2023 First Nations Public Administration Conference, held earlier this month, focused on the importance of genuine engagement rather than consultation. Delegates supported a strengths-based approach to policy and programs which recognised First Nations knowledge and culture. The conference was divided into four sessions based around the priority reforms of the National Agreement on Closing the Gap. These were: formal partnerships and shared decision-making; building the First Nations community-controlled sector; transforming Government organisations, and shared data and access to information.

Chair of the NACCHO, Donnella Mills told the conference that Governments needed to recognise they did not have the answers, and that Indigenous people would “work harder than anyone else to take care of our people”. She said structural reform was needed to change the way power was distributed. “If the National Agreement on Closing the Gap isn’t on your desk; if you can’t rattle off the priority reforms, if your Agency hasn’t resourced it — you need to lean in, and quickly. We are now in a new way of operating,” Ms Mills said.

The conference featured more than 20 First Nations speakers who discussed the transformation that was happening in First Nations policy. They outlined how approaches that included First Nations knowledge, perspectives and values could serve the wider public and First Nations interests — and how Governments needed to change to better serve First Nations communities.

To view the PS News article ANZSOC conference backs PS Indigenous in full click here.

portrait shots of John Paterson, AMSANT CEO & Robert Skeen, AH&MRC CEO

AMSANT CEO John Paterson and AH&MRC CEO Robert Skeen, were both speakers on Day Two of the conference. Image sources: ANZSOG website and AH&MRC website.

$32m+ for First Nations health research projects

Through the Medical Research Future Fund (MRFF), nearly 200 ground-breaking medical research projects will share in more than $382m in grants, including more than $32m to improve First Nations health. The projects will help Australia’s outstanding medical researchers, including clinician researchers, discover new ways to diagnose, treat and care for people with a variety of health conditions. They will also support early and mid-career researchers and give more Australians access to clinical trials.

Research projects on cardiovascular disease, primary and preventive health care, respiratory diseases, maternal health, mental health and First Nations health, will receive funding to progress important work.

Two innovative First Nations-led projects to receive funding are:

University of Newcastle – $2m – Gulibaa (Coolamon) Project
This will be a co-designed model of care supporting Aboriginal mothers across NSW to be smoke-free in pregnancy and beyond. The project will co-design, embed in Aboriginal Community Controlled Health Services, and evaluate a group-based smoking cessation program.

The Sax Institute – $1.5m – Healthy Ageing for Aboriginal people
This project will evaluate the implementation and uptake of prevention programs to support healthy ageing amongst Aboriginal people. The Institute will collaborate with Aboriginal Community Controlled Health Services which run holistic and culturally safe preventive healthy ageing programs for their communities.

Of the 193 projects funded, 19 grants worth more than $32.3m are related to First Nations health and a further 13 grants worth more than $16.9m are related to mental health.

To view the Hon Mark Butler MP, Minister for Health and Aged Care’s media release Nearly $400 million for exceptional medical research projects including projects to improve First Nations health in full click here.

Image sources: SBS; Aged Care Online website; Australian Government Department of Health and Aged Care.

Program to help teens get a good night’s sleep

Karen Chong is the world’s first Indigenous sleep coach. “We are the people of the Dreamtime with the oldest continuing culture shaped by dreams, which is why I became a sleep coach and I want to train others,” she said. Mother of seven and grandmother of 10 Ms Chong, a Waanyi Garawa Gangalida woman, knows all too well how much harder parenting can be if your kids aren’t sleeping properly. “If they weren’t having a proper night’s sleep, they were waking up cranky and moody and it affects their eating too,” she said. “The biggest issue I’ve had with my two girls is that they want to stay up all night on their phones – if you’re a parent you’ll know what kids are like.”

The University of Queensland and Beyond Blue have partnered to deliver culturally responsive sleep health services to Aboriginal and Torres Strait Islander adolescents in Queensland. Project lead Associate Professor Yaqoot Fatima from UQ’s Poche Centre for Indigenous Health said Indigenous teens experience up to twice the rates of poor sleep as other adolescents. “Poor sleep can be caused by medical conditions like sleep apnoea and restless leg syndrome, or behavioural issues such as an irregular bedtime, late nights, and not getting enough sleep,” she said.

“Indigenous adolescents sleep better when they feel connected to their culture, which is why this program is important.” The 10-week Sleep for Strong Souls program is holding workshops with more than a hundred 12-18-year-olds in north and western Queensland communities.

To view the Kyabram Free Press article Indigenous sleep coach wants a score of 40 winks all in full click here.

ATSI teenage school kids looking at table of Sleep for Strong Souls program resources with coach

The Sleep for Strong Souls program is aiming to help Indigenous teenagers get a good night’s sleep. Image source: Kyabram Free Press.

Conference to examine rural health challenges

The challenges facing the rural health system are well-documented and well-known: difficulty attracting and retaining staff, fewer resources, lack of access to services, and building capacity and resilience in times of disaster and emergency. The 2023 Shoalhaven Rural Health Research Conference aims to unpack many of these issues, and more, while focusing on how to improve rural health services through collaboration, research and innovation.

The inaugural, nation-wide conference will be held at the University of Wollongong’s (UOW) Shoalhaven Campus on Saturday 18 March 2023 with a theme of Connection and Capacity Building. Associate Professor Marlene Longbottom ,a proud Yuin woman from Roseby Park (Jerrinja) Mission in the Shoalhaven, will deliver the keynote address, titled ‘Connection and Country’.

As Principal Research Fellow at the Ngarruwan Ngadju First Peoples Health and Wellbeing Research Centre at UOW, Associate Professor Longbottom has worked extensively in the health and human services sector with Aboriginal and Torres Strait Islander communities from urban, regional and remote areas of New South Wales, Queensland and the Northern Territory. The keynote address will be followed by a series of workshops on the rural health and research landscape, hosted by UOW academics and primary healthcare professional across the fields of dietetics and nutrition, nursing, medicine and Indigenous health.

To view the University of Wollongong Australia article Inaugural conference to examine acute challenges facing rural health system in full click here.

portrait of Associate Professor Marlene Longbottom, University of Wollongong

Associate Professor Marlene Longbottom. Image source: LinkedIn.

Scholarship opportunities for First Nations nurses

As part of the Australian College of Nursing’s (ACN) commitment to advancing the nursing profession, the ACN Foundation has just released scholarships, grants and awards exclusively available to First Nations nurses to advance their nursing careers. Applications for the below scholarships are now open:

Graduate Certificate Nursing Scholarship, Sponsored by Johnson & Johnson Family of Companies – 20 scholarships are available for registered nurses to undertake selected ACN Graduate Certificate courses including Cancer Nursing, Community and Primary Health Care Nursing, Critical Care Nursing, Digital Health, Leadership and Management, Orthopaedic Nursing or Perioperative Nursing. Of the twenty available, five scholarships will be allocated to First Nations nurses and five will be allocated to nurses working in rural and remote areas of Australia.

Graduate Certificate Scholarships for First Nations nurses, Sponsored by HESTA – two scholarships are available for First Nations registered nurses to complete an ACN Graduate Certificate course of their choice out of ACN’s Graduate Certificate in Leadership and Management, Aged Care Nursing, Perioperative Nursing, Critical Care Nursing or Community and Primary Health Care Nursing, commencing in July 2023.

If you are not at a career stage to apply for a postgraduate nursing scholarship, discover ACN’s scholarships for undergraduates, nursing leadership courses, research and more on their website here.

Applications close 11:59 PM AEDT – Monday 3 April 2023. To apply click here.

Sector Jobs

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

National Close the Gap Day

National Close the Gap Day is being held tomorrow, Thursday 16 March 2023, to raise community awareness about health inequalities facing Aboriginal and Torres Strait Islander people. In the SBS News – News in Depth broadcast Health differences for First Nations people targets on Close the Gap Day,available here, Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP) said “we believe the Close the Gap campaign priority reform areas are the biggest areas that will get the better gains that are required to close the gap”. Mr Briscoe said First Nations people must have access to appropriate housing, he said that with “Rheumatic Heart Disease (RHD) a fix that can be done straight away is adequate housing, we know that overcrowding is a huge component of RHD being prevalent within Aboriginal and Torres Strait Islander communities and it is really quite solvable by having adequate housing.”

In this broadcast, Dr Thalia Anthony, University of Sydney Law Professor commented on the National Agreement on Closing the Gap target of Aboriginal and Torres Strait Islander adults and young people not being overrepresented in the criminal justice system.

banner SBS News, News in Depth, text: Health differences for First Nations people targeted on Close the Gap Day; image of Uni of Sydney Law Professor Thalia Anthony

University of Sydney Law Professor Thalia Anthony. Image source: SBS News.

Mar 14 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Closing the gap in preterm birth rates

Closing the gap in preterm birth rates
Karlie one of growing number of Aboriginal doctors
Healing walk to honour those lost to suicide
Healthy food in remote NT a priority
AMA urges action to save patients on PBS medicines
Breakthrough partnership to benefit remote communities
Sector Jobs

The image in the feature tile is from an article GLU test expands to benefit Aboriginal mothers published on the Women & Infants Research Foundation website.

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

Closing the gap in preterm birth rates

Rates of early birth continue to disproportionately impact Aboriginal and Torres Strait Island women and their newborns. Recent Closing the Gap data showed that the official target for healthy birthweights for babies has gone from being “on track” to “not on track”. Now, an innovative preterm birth prevention program led out of the NT is taking aim at this unacceptable disparity and the hope is that it will provide “a roadmap for improved outcomes” for all First Nations women and their children. Dr Kiarna Brown, Jess Murray and Marisa Smiler-Cairns are a team based in Garramilla (Darwin), on Larrakia Country, that make up the Top End chapter of the Australian Preterm Birth Prevention Alliance.

They note that preterm birth remains the leading cause of death in children up to five years of age. “The national average rate of preterm birth in Australia has remained relatively constant over the last 10 years (between 8.1 and 8.7%). Many of these babies lose their fight for life,” the Australian Preterm Birth Prevention Alliance noted in a statement. “In 2018, there were twice as many preterm live born babies born to First Nations mothers (17%) than to non-Aboriginal mothers (8%).” The biggest discrepancy is in the extremely preterm gestational age. First Nations women in the NT are four times more likely to lose a baby between 20 and 23 weeks gestational age: before the baby even gets a chance to survive.

Pregnancy can be a particularly vulnerable time for First Nations women, especially for those with pre-existing medical conditions such as diabetes and cardiac conditions like Rheumatic Heart Disease (RHD). Dr Kiarna Brown said there have been some key improvements in outcomes for First Nations women over the past decade. There has been a notable increase in the proportion of First Nations mothers attending an antenatal visit in the first trimester (from 49% in 2012 to 70% in 2020).”

To view the National Indigenous News article The First Nations health experts working to give Indigenous babies the best possible start in life in full click here.

Top End Alliance: Jessica Murray, Marisa Smiler-Cairns, and Dr Kiarna Brown. Image source: National Indigenous Times.

Karlie one of growing number of Aboriginal doctors

For most of Karlie James’s life, studying medicine was a “pipedream”. Then she grew up, started working full time and had kids of her own, and she felt that dream slipping away. “Part of the reason why I wanted to become a doctor when I was little was that my passion was science and learning and wanting to help people,” she said. Then, around the time the Gunaikurnai, Yorta Yorta and Kuku Djungan woman turned 30 and had her third son, she reached a turning point. Growing up between Darwin and Katherine in the NT, she realised becoming a doctor was something she had to do.

“It became more apparent as I got older in the workforce, how much of an impact it would [have] to create more Indigenous doctors, especially in the community,” she said. “And that was one of my driving motivators to pursue medicine.” Having graduated from the Flinders University NT medicine program late last year, Dr James is now among the 0.5% of doctors in Australia who identify as Aboriginal or Torres Strait Islander. But that figure, which is recorded each year by the Australian Health Practitioners Agency (AHPRA), is slowly shifting and is up from 0.3% in 2016.

Also shifting is the understanding that in order to close the gap in health outcomes between Indigenous and non-Indigenous Australians, Australia needs more First Nations doctors.

To view the ABC News article Karlie James is among the growing number of First Nations doctors working to tackle the health care gap in full click here.

Dr James completed her degree while caring for her four sons, as well as her nephews and nieces. Photo: Dane Hirst, ABC News.

Healing walk to honour those lost to suicide

This week, for the very first time, a group of First Nations and non-Indigenous people will take a walk along the Murrumbidgee River in memory of loved ones they have lost to suicide. The walk has been called Murra Yarra, which means ‘Speak Out, Speak Loud’ in Wiradjuri language. Organiser Jasmine Williams hopes it gives families with the chance to think of the good memories with those who have passed away.

“It’s the first time anything like this has ever been done in this community,” the Wiradjuri and Wolgalu woman said. “It’s an opportunity to have a positive spin on our grief and be able to really focus on the goodness, and the good memories of their lives instead of focusing on the way they passed.” Ms Williams is hosting Murra Yarra through the youth suicide prevention community action group Yamandhu Marang (‘Are You Well’), after Wiradjuri Elder Uncle Hewitt Whyman came to her with the idea. He said he had a vision of people coming together in their grief, and encouraged everyone experiencing similar losses to share with others in their sorrow.

When they heard about the walk Riverina Medical and Dental Aboriginal Corporation got involved and decided to sponsor the event. Practice manage Jane Kearnes said they’ve helped organise a barbecue at the end of the walk at the Wiradjuri Reserve, as well as bucket hats and water stations along the track. “I applaud Jasmine and the other committees for getting this up and running,” she said. “Something like this might encourage others to speak out more and not be silent.” According to data from the Australian Institute of Health and Welfare, Indigenous suicide were more than double that of non-Indigenous suicides in 2021.

For more information on the walk you can access the Yamandhu Marang Facebook page here.

Jasmine Williams, sitting on rock under tree on bank of river

Murra Yarra organiser Jasmine Williams says the healing walk is a chance for those grieving to remember their loved ones. Photo: Madeline Begley. Image source: The Daily Advertiser.

Healthy food in remote NT a priority

The NT government has a long way to go in their efforts to address obesity and create healthier food environments, according to the latest scorecard of government performance on food policy. The Food Policy Index, first developed and implemented in 2017, benchmarks Australian governments on their implementation of globally recommended policies to improve population diets. Professor Gary Sacks from Deakin University’s Institute for Health Transformation who compiled the most recent report said greater policy action was required by the NT government.

“Supporting efforts to establish a licensing and accreditation scheme for healthy food retail in remote Indigenous communities needs to be one of the top priorities for the NT government.” Professor Sacks said a key recommendation from the 2020 Parliamentary Inquiry into Food Pricing and Food Security in Remote Indigenous Communities was the need for a licensing and inspection scheme for all remote stores. “The Healthy Stores 2020 study showed that restrictions on price promotion and product placement of unhealthy foods and drinks resulted in 1.8 tonnes less sugar being sold from 10 stores over 12 weeks while not impacting store profits,” Professor Sacks said.

“If this was extrapolated out across all remote stores over a year, the reduction could be as much as 90 tonnes a year, which equates to the weight of 60 medium sized family cars. Modelling suggests that this reduction in sugar could result in a 10% risk reduction in mortality from cardiovascular disease.”

To view the Deakin University media release Healthy food retail in remote NT communities identified as top priority click here and the Joint Policy Statement of The Coalition for Healthy Remote Stores on the NT Government’s Community Stores Licensing program here.

Peppimenarti store, NT. Image source: C&I Media.

AMA urges action to save patients on PBS medicines

The AMA has urged all members of the Federal Parliament to support the AMA’s campaign to bring down out-of-pocket costs of medicines for patients and relieve cost of living pressures. It says implementation of a five-year-old recommendation of the Pharmaceutical Benefits Advisory Committee (PBAC) would save patients up to $180 a year on selected PBS medicines.

AMA President Professor Steve Robson has written to all MPs and Senators, calling on their support for the Federal Government to immediately implement a recommendation from the independent PBAC to increase the maximum dispensed quantities of selected PBS items from one month’s supply to two months’ supply per dispensing. This would also allow up to 12 months’ supply in total from a single script, saving patients an extra trip to their doctor.

Professor Robson said increasing out-of-pocket costs of medicines was a key reason many Australians delayed or failed to fill prescriptions. He said although the Government’s recent policy to lower co-payments for patients to $30 was a good move, many patients still faced significant costs and more needed to be done to lower PBS medicine costs for patients. “Pensioners and concession card holders would be among those to benefit, recognising the recent reduction in the PBS co-payment to $30 did not apply to them. It would free-up GP consultations with the possibility for GPs to write what is effectively a 12-month prescription for these particular medications. This is time GPs could spend with other patients who, we know, can benefit from the preventative health care GPs provide.”

To view the AMA’s media release AMA urges immediate action to save patients on PBS medicines in full click here.

AMA President Professor Steve Robson. Image source: The Age.

Breakthrough partnership to benefit remote communities

A breakthrough partnership between Hoops 4 Health and the Center for Healing and Justice through Sport will see some of the NT’s most remote communities benefit from access to trauma-informed and culturally-informed and healing-centred training. Founder of Hoops4Health, Timmy Duggan OAM, is the man behind the vision to re-empower young people and communities to improved their quality of life.

Mr Duggan has maternal ties with Tennant Creek mob from Warramungu and paternal ties to the Nykinya people of the Kimberley, and has been working with communities across the NT for two decades. He said the move to combine First Nations-led healing with trauma-informed care emerged through Hoops 4 Health staff receiving training under Dr Bruce Perry’s Neurosequential Network model.

“We have partnered with The Center for Healing and Justice Through Sport (CHJS) who offers training to help folks understand the impact of overwhelming stress, or trauma, on young people and equips them with skills to take action to support these young people,” Mr Duggan said. “This partnership just really solidifies that sometimes you’ve got to bring in an expert you know, we’ve got the First Nations knowledge. Blend that with the science around the neuroscience to address trauma in our communities and the places we work and we think we’ve got something pretty unique.”

To view the National Indigenous Times article Hoops 4 Health and The Center for Healing and Justice through Sport form partnership in full click here.

basketball star Nate Jawai with a young rising star shooting for goal

Basketball star Nate Jawai with a young rising star. Image source: National Indigenous Times.

Sector Jobs

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

Mar 10 2023

NACCHO Aboriginal & Torres Strait Islander Health News: Concrete action needed to address health disparities

Concrete action needed to address health disparities
FASD Communications and Engagement Grant
How to improve health equity for young men
Why members joined the Coalition of Peaks
VtP is a beginning, not an end
Unlocking hope for people with kidney disease
Sector Jobs

The image in the feature tile is of Francine Eades, Area Director of Aboriginal Health at WA’s East Metropolitan Health Service. Image source: article Minang Noongar health expert leads major health service’s mission to close the gap published in the National Indigenous Times on 9 March 2023.

Concrete action needed to address disparities

Health services need to take “rigorous action” to Close the Gap between Aboriginal and non-Aboriginal Australia, the new Area Director of Aboriginal Health at WA’s key East Metropolitan Health Service said yesterday. Minang Noongar woman Francine Eades, who took on the role after leading WA’s COVID-19 vaccine roll out in Aboriginal communities, said it was time for “uncomfortable discussions” about racism and other issues affecting Aboriginal Australia.

“We know what the epidemiology of Aboriginal health tells us – we know about those disparities that have existed for quite some time,” Ms Eades said. “We have to acknowledge it and take concrete action to address those disparities in a systemic and rigorous way. It’s time to have some of those uncomfortable conversations about racism and how we are going to address it.” Ms Eades was speaking at a ceremony in Perth to mark her appointment.

Ms Eades has more than 30 years’ experience in the health sector, including 20 years as a registered nurse, and has a Master of Public Health in Applied Epidemiology obtained under the supervision of now Australian Chief Medical Officer Professor Paul Kelly. Ms Eades is also a past chairperson of the Derbarl Yerrigan Health Service and worked as an academic at the Curtin University Centre for Aboriginal Studies and the Curtin Medical School.

To view the National Indigenous Times article Minang Noongar health expert leads major health service’s mission to close the gap in full click here. You can also view the video featuring Francine Eades in one of the videos developed by WA Health to assist WA Aboriginal and Torres Strait Islander Healthcare Workers in their roles.

FASD Communications and Engagement Grant

NACCHO is excited to announce the FASD Communications and Engagement Grant to support NACCHO members to develop and deliver highly-localised, place-based communications materials and engagement activities to enhance and extend the Strong Born communications campaign. Strong Born has been designed to raise awareness of FASD and the harms of drinking alcohol while pregnant and breastfeeding, among Aboriginal and Torres Strait Islander peoples in rural and remote communities.

NACCHO members located in MM4–MM7 are eligible to apply for Round 1 of the grant funding. NACCHO members located in MM1–MM3 will be eligible to apply for Round 2.

Eligible ACCHOs can apply for between $5,000–$60,000 (GST exclusive) of FASD Grant funding which can be used for activities such as:

Creation of locally relevant communications materials and resources raising awareness of FASD and the harms of drinking alcohol while pregnant and breastfeeding
Hosting community events and yarning circles
Running information sessions for staff members
Production of additional copies of the ‘Strong Born’ campaign materials
Translation or adaptation of the ‘Strong Born’ campaign materials and/or key messages into Aboriginal and Torres Strait Islander languages

You can register for the grant information session being held at 1:30 PM AEDT, Wednesday 15 March 2023 here.

For more information about the FASD Grant and how to apply, visit NACCHO’s FASD Communications and Engagement Grant webpage here.

Applications for Round 1 will close 11:00 PM AEDT Wednesday 22 March 2023. Applications for Round 2 will open in May.

You can also contact the NACCHO FASD Grants team at using this email link.

How to improve health equity for young men

Risky behaviour, particularly among younger men, sees shorter life expectancies and higher rates of premature mortality than in women. Flinders University Professor (Health and Social Equity) James Smith has partnered with colleagues at the University of Michigan and Georgetown University in the US, to co-edit a new book about innovative health promotion programs which tackle the complex social and structural barriers facing adolescent boys and young men of colour (BYMOC) in Australia, NZ, the US and Canada.

From alcohol and drug misuse, smoking, unsafe sex, reckless driving, violent confrontations, poor dietary habits and a tendency to avoid seeking help and using health services, their new book discusses positive steps which have helped address the problems compounded by social, economic, demographic and geographic disadvantage.

The book chapters describe how to reduce incarceration, improve educational and health outcomes, offer strategies to address mental health challenges, and ways to promote access and optimal usage of health and social services.

To view the Retail Pharmacy article Strategies for improving Health Equity Among Young Men of Colour in full click here.

vector image overlapping transparent male heads different colours

Image source: Retail Pharmacy.

Why members joined the Coalition of Peaks

In 2020 the Coalition of Peaks (CoP), all Australian governments, and the Australian Local Government Association signed the National Agreement on Closing the Gap (National Agreement), to change the way governments work with Aboriginal and Torres Strait Islander people. The National Agreement has been built around what Aboriginal and Torres Strait Islander people said is important to improve their lives. The CoP is made up of 80 Aboriginal and Torres Strait Islander community-controlled peak and member organisations across Australia.

The video below Why members joined the CoP features:

Donna Murray, CEO Indigenous Allied Health Australia (IAHA)
Robert Skeen, CEO Aboriginal Health and Medical Research Council NSW (AH&MRC)
Fiona Cornforth, CEO The Healing Foundation
Scott Wilson, CEO Aboriginal Drug and Alcohol Council SA

VtP is a beginning, not an end

Yorta Yorta woman Dr Summer May Finlay who is a Senior Lecturer (Indigenous Health) at the University of Wollongong has written an opinion piece about the forthcoming referendum on a constitutionally enshrined Voice to Parliament (VtP). Dr Finlay says that “with so much media attention and conversation on social media about the Uluru Statement and the VtP, many people are seeking to understand what it means now and in the future.” According to Dr Finlay “To understand the Uluru Statement, including the Voice, you need to be clear on what the Statement says and be aware of the history of Aboriginal and Torres Strait Islander representation in this Country.”

“There are many decisions, including legislation and policy, made by parliament. Currently, there is no systematic way Aboriginal and Torres Strait Islander people can provide their views on decisions impacting us. The Voice will be one way of ensuring our voices are heard. Consider how the 2007 NT National Emergency Response, otherwise known as the NT Intervention, would have looked if we had been able to provide advice on its development and implementation. Or would this damaging legislation never have gone ahead? The 2008 Closing the Gap targets, first developed in 2008 without the input of Aboriginal and Torres Strait Islander people, wouldn’t have needed to be revised 12 Years later in 2020 through a co-design process with the Coalition of Peaks (CoP).”

The Voice should, however, never undermine the capacity for each Aboriginal and Torres Strait Islander nation and community to have a say in what happens in their region. Local input is just as crucial as a coordinated national approach. Ultimately, there is much to consider when considering how you will vote in the Referendum. And for me, the most critical consideration is whether it will benefit Aboriginal and Torres Strait Islander people. I believe it will. It’s the first of many steps required. It’s a beginning.”

To read Dr Summer May Finlay’s article The Voice to Parliament is a beginning, not an end on the University of Wollongong Australia’s The Stand webpage click here.

Dr Summer May Finlay. Image source: Public Health Association Australia’s Intouch Public Health webpage.

Unlocking hope for people with kidney disease

For the first time in 20 years, two new classes of drugs have become available in Australia for the treatment of diabetic kidney disease, the most common cause of kidney failure. Both are extremely effective, safe, and relatively affordable. However, too few people with kidney disease are using these breakthrough drugs. We can only unlock these benefits if doctors, patients and the broader community have greater awareness of kidney disease, and the tools we have to fight it.

Chronic kidney disease (CKD) is a gradual loss of the kidneys’ ability to filter waste and excess fluid from the blood. It’s quite insidious. In Australia, kidney disease affects an estimated one in 10 people, but most won’t be aware they have it until it is quite advanced. At the point of diagnosis, many people are at risk of progressing to kidney failure.

For someone with kidney failure, their life expectancy is reduced by three quarters – equivalent to many cancers. Patients with CKD experience a dramatically reduced quality of life – they feel weak and tired, and they can’t think clearly. Not to mention they’re at greater risk of a whole range of other conditions including heart disease, heart failure and stroke.

To view Professor Vlado Perkovic’s article Unlocking hope for people with kidney disease published on the University of NSW’s Newsroom webpage in full click here.

tablets being poured from a bottle into the palm of a hand

Photo: iStock. Image source: UNSW Sydney Newsroom webpage.

Sector Jobs

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

NACCHO Aboriginal Health News Alerts

The national authority in Aboriginal primary health care – Aboriginal health in Aboriginal hands

Category Workforce

Telehealth review shows we could do better

NT-specific solution to health staff shortages

Emerging leaders hope to make communities better

World-first framework for remote nursing

Fewer kids in detention but more support needed

GRAMS launch competition for No Tobacco Day

Sector Jobs

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Better online experiences for young mob

Senate backs inquiry into ADHD care

Culturally safe resources for kids with disability

Eye health data shows decrease in trachoma

Sistergirl helps others find their voice

Tahnee helps mob achieve better health

Sector Jobs

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SA first state to establish Voice to Parliament

CAAC supports vision loss prevention resources

AMA: ‘crumbling’ health system needs urgent funding

Mob drastically overrepresented in homeless deaths

Inaugural Pilbara Aboriginal Health Alliance newsletter

Alternative to Custody Program sets women on better path

Sector Jobs

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Australia’s first-ever endometriosis clinics rolled out

Strategy to improve rural and remote workforce

Aboriginal scientist appointed to CSIRO board

Newly developed flu vaccination resources for mob

Counting the toll of COVID

Sector Jobs

Dietitians Week 2023

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AI helps detect heart disease in remote Australia

Closing health gap needs more than booze, crime control

Community Hubs based on ACCHO model

New oral health education resources for mob

Medicare cards coming soon to the myGov app

‘Harmony Day’ obscures need for systemic change

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Dietitians Week 20–26 March 2023

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Birthing service reduces preterm births by 38%

Disproportionate impact of diabetes on mob

Jury is in on vaping – time for action

RACGP says international medical graduates needed

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International Day for the Elimination of Racial Discrimination

World Down Syndrome Day

Dietitians Week 20–26 March 2023

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2023 CTG report calls for greater and faster change

Early Years Strategy must focus on equity and justice

First podcast for mob with disabilities

Culture + Kinship program has positive outcomes

Scholarship helps Palm Is AHW realise dream

Pioneering Cape ear health program gaining traction

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Genuine engagement needed over consultation

$32m+ for First Nations health research projects

Program to help teens get a good night’s sleep

Conference to examine rural health challenges

Scholarship opportunities for First Nations nurses

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National Close the Gap Day

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Closing the gap in preterm birth rates

Karlie one of growing number of Aboriginal doctors

Healing walk to honour those lost to suicide

Healthy food in remote NT a priority

AMA urges action to save patients on PBS medicines

Breakthrough partnership to benefit remote communities

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Concrete action needed to address disparities

FASD Communications and Engagement Grant

How to improve health equity for young men

Why members joined the Coalition of Peaks

VtP is a beginning, not an end

Unlocking hope for people with kidney disease