NACCHO Aboriginal Health and Communities #CoronaVirus News Alerts March 13- 16 : Contributions from our CEO Pat Turner, Prime Minister Scott Morrison, Dr Mark Wenitong, Dr Norman Swan and Marion Scrymgour

In this special Corona Virus edition

1.Pat Turner NACCHO Appearance on The Drum

2.Prime Minister Scott Morrison’s press conference

3.Department of Health download videos

4.Dr Norman Swan

5.DR Mark Wenitong

6.Marion Scrymgour CEO NLC

Read all previous Aboriginal Health and Corona Virus articles published by NACCHO since January

1.Pat Turner NACCHO Appearance on The Drum

Pat Turner, CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO), warned tonight that if the novel coronavirus gets into Aboriginal communities, “it will be absolute devastation without a doubt”.

In particular, she urged state and local governments to lift their games, but acknowledged that some local governments, like those in Alice Springs and Halls Creek, were acting.

Turner also called for action to address “the national disgrace” of inadequate Aboriginal housing given the implications for infection control, and for screening of communities in vulnerable areas, stating that the docking of a cruise ship in Broome today had caught health authorities unawares.

The ACCHO sector had been working very hard to get out information to communities and clinics, but needed the Government to fund their services at a realistic level, she told ABC TV’s The Drum program.” 

Urgent calls for more resources to protect Aboriginal and Torres Strait Islander communities from COVID-19 From Croakey Read HERE in full 

Watch the full episode of The Drum on IView (Available till 20 March )

2.Prime Minister Scott Morrison’s press conference

 “Today, I now want to move to the decisions that we have taken that were consistent with the plan that I’ve outlined to you.

First of all, the National Security Committee met before the National Cabinet today and we resolved to do the following things; to help stay ahead of this curve we will impose a universal precautionary self-isolation requirement on all international arrivals to Australia, and that is effective from midnight tonight.

Further, the Australian government will also ban cruise ships from foreign ports from arriving at Australian ports after an initial 30 days and that will go forward on a voluntary basis. The National Cabinet also endorsed the advice of the AHPPC today to further introduce social distancing measures.

Before I moved to those, I just wanted to be clear about those travel restrictions that I’ve just announced. All people coming to Australia will be required, will be required I stress, to self isolate for 14 days.

This is very important. What we’ve seen in recent, in the recent weeks is more countries having issues with the virus.

And that means that the source of some of those transmissions are coming from more and more countries.

Bans have been very effective to date. And what this measure will do is ensure that particularly Australians who are the majority of people coming to Australia now on these flights, when they come back to Australia, they’re self-isolation for 14 days will do an effective job in flattening this curve as we go forward.

And there are major decisions that were taken today that reflect changing where we are heading.

The facts and the science, the medical advice will continue to drive and support the decisions that we are making as a National Cabinet, as indeed as a federal Cabinet at the Commonwealth level.

But the truth is that while many people will contract this virus that it’s clear, just as people get the flu each year, it is a more severe condition than the flu, but for the vast majority, as I said last week, for the majority, around 8 in 10 is our advice, it will be a mild illness and it will pass. “

 Prime Minister Scott Morrison press conference 15 march : Download full Transcript here 

PM Scott Morrison press conference full transcript

Download PM Press Release

Prime Ministers Press Release

3.Department of Health campaign download videos 

Download Videos

Coronavirus video – Help Stop The Spread

Coronavirus video – Recent Traveller

Coronavirus video – Stay Informed

Coronavirus video – Good Hygiene Starts Here

Dr Norman Swan provides some simple advice regarding Coronavirus.

– Wash your hands regularly with soap and water; or with hand sanitiser.

– Try to keep your distance from other people; and avoid physical contact

– If you need to sneeze or cough, do it into a fresh tissue which you then discard; or into your elbow.

– If you have a cough or a cold, it’s most likely that you have just a cough or a cold; but talk to your Doctor about it before turning up to a surgery.

For more information visit http://www.abc.net.au/coronavirus or http://www.health.gov.au

5. Dr Mark Wenitong

Dr Mark speaks with Black Star Radio about Coronavirus and the simple steps you can take to protect yourself.

“If you’re not sure, give the clinic a call and we’ll tell you what to do.” Dr Mark

 

6.Marion Scrymgour CEO NLC

“The NLC has received many calls from community members asking that we do all we can to ensure the safety and protection of Aboriginal people in their communities who are very concerned about the spread of COVID-19.

Should this virus break out in our communities, we don’t have the manpower to deal with this.

The NLC will be launching an information campaign in Indigenous languages to inform people about hygiene, testing for coronavirus and for them to avoid travel outside communities.

NLC staff have also cancelled their non-essential travel to communities including its regional council meetings.

“Somebody could come out and they could get infected and then go back into the community.

“The position we’re taking is if we can push back that virus taking hold in our communities, that’s a good thing. It means we can work at getting better prepared.”

The decision comes after the Northern Territory Government decided it will stop its employees from making non-essential travel to remote communities.

The NLC has received many calls from community members asking that we do all we can to ensure the safety and protection of Aboriginal people in their communities who are very concerned about the spread of COVID-19 “

Chief executive officer Marion Scrymgour said the move was to protect Aboriginal people in the communities who already faced issues like chronic health conditions, lack of resources and overcrowded housing.

Read in full HERE

NACCHO Aboriginal Mental Health News : Download @MenziesResearch and @orygen_aus A practice guide for ‘Improving the Social and Emotional Wellbeing of Young Aboriginal and Torres Strait Islander people

 ” Menzies Research and Orygen Australia have developed & just published a practice guide for ‘Improving the Social and Emotional Wellbeing of Young Aboriginal and Torres Strait Islander people’.

Little is known about how best to practically meet the social and emotional wellbeing (SEWB) needs of young Aboriginal and Torres Strait Islander people, particularly those with severe and complex mental health needs.

Yet, there is an urgent need for health programs and services to be more responsive to the mental health needs of this population.

Based on recent statistics, 67 per cent of Aboriginal and Torres Strait Islander young people aged 4-14 years have experienced one or more of the following stressors:

  • death of family/friend;
  • being scared or upset by an argument or someone’s behaviour; and
  • keeping up with school work. “

Download the Report HERE ( See PDF for all research references )

orygen-Practice-Guide-to-improve-the-social-and-emotional-wellbeing-of-young-Aboriginal-and-Torres-Strait-Islander-people

Read over 250 Aboriginal Mental Health articles published by NACCHO over past 8 Years

It is well documented that there are:

  • high rates of psychological distress, mental health conditions, and suicide noted among Aboriginal and Torres Strait Islander young people when compared to non-Aboriginal young people;
  • a lack of evidence-based and culturally informed resources to educate and assist health professionals to work with this population; and
  • notable gaps between knowledge and practice, which limits opportunities to improve the SEWB of young Aboriginal and Torres Strait Islander people.

This promising practice guide draws on an emerging, yet disparate, evidence-base about promising practices aimed at improving the SEWB of Aboriginal and Torres Strait Islander young people. It aims to support service providers, commissioners, and policy-makers to adopt strengths-based, equitable and culturally responsive approaches that better meet the SEWB needs of this high-risk population.

Rationale

The Australian Government appointed Orygen to provide Australia’s 31 Primary Health Networks (PHNs) with expert leadership and support in commissioning youth mental health initiatives.

Orygen has subsequently commissioned Menzies School of Health Research to identify and document promising practice service approaches in improving SEWB among young Aboriginal and Torres Strait Islander people with severe and complex mental health needs. This promising practice guide is an output of that work.

What do we know about the social and emotional wellbeing of Aboriginal and Torres Strait Islander young people?

It is recognised that Aboriginal and Torres Strait Islander societies provided the optimal condition for their community members’ mental health and social and emotional wellbeing before European settlement.

However, the Australian Psychological Society has acknowledged that these optimal conditions have been continuously eroded through colonisation in parallel with an increase in mental health concerns.2

There is clear evidence about the disproportionate burden of SEWB and mental health concerns experienced among Aboriginal and Torres Strait Islander people. The key contributors to the disease burden among Aboriginal and Torres Strait Islander young people aged 10-24 years are:1 suicide and self-inflicted injuries (13 per cent), anxiety disorder (eight per cent) and alcohol use disorders (seven per cent).3

Based on recent statistics, 67 per cent of Aboriginal and Torres Strait Islander young people aged 4-14 years have experienced one or more of the following stressors:

  • death of family/friend;
  • being scared or upset by an argument or someone’s behaviour; and
  • keeping up with school work.4

The stressors have a cumulative impact as these children transition into adolescence and early adulthood. Another study has shown that Aboriginal and Torres Strait Islander young people are at higher risk of emotional and behavioural difficulties.5

This is linked to major life stress events such as family dysfunction; being in the care of a sole parent or other carers; having lived in a lot of different homes; being subjected to racism; physical ill-health of young people and/or carers; carer access to mental health services; and substance use disorders. These factors are all closely intertwined.

Relevant national frameworks and action plans

The Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013-2023 (2015) was developed by the Australian Government Department of Health in close consultation with the National Health Leadership Forum. It has a strong emphasis on a whole-of-government approach to addressing the key priorities identified throughout the plan.

The overarching vision is to ensure that the strategies and actions of the plan respond to the health and wellbeing needs of Aboriginal and Torres Strait Islander people across their life course. This includes a focus on young people.6

The National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023 provides more specific direction by highlighting the importance of preventive actions that focus on children and young people.7 This includes:

  • strengthening the foundation;
  • promoting wellness;
  • building capacity and resilience in people and groups at risk;
  • provide care for people who are mildly or moderately ill; and
  • care for people living with severe mental illness.

In addition, the National Action Plan for the Health of Children and Young People 2020-2030 identifies building health equity, including principles of proportionate universalism, as a key action area and identifies Aboriginal and Torres Strait Islander children and young people as a priority population.8

Social and emotional wellbeing frameworks relating to Aboriginal and Torres Strait Islander people

 

Over the past decades, multiple frameworks have been developed to support the SEWB of Aboriginal and Torres Strait Islander people in Australia.4-8 These have identified some common elements, domains, principles, action areas and methods.7, 9-12

One of the most comprehensive frameworks is the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023, which has a foundation of development over many years.13

It has nine guiding principles:

  1. Health as a holistic concept: Aboriginal and Torres Strait Islander health is viewed in a holistic context that encompasses mental health and physical, cultural and spiritual health. Land is central to wellbeing. Crucially, it must be understood that while the harmony of these interrelations is disrupted, Aboriginal and Torres Strait Islander ill-health will persist.
  2. The right to self-determination: Self-determination is central to the provision of Aboriginal and Torres Strait Islander health services and considered a fundamental human right.
  3. The need for cultural understanding: Culturally valid understandings must shape the provision of services and must guide assessment, care and management of Aboriginal and Torres Strait Islander peoples’ health problems generally and mental health concerns more specifically. This necessitates a culturally safe and responsive approach through health program and service delivery.
  4. The impact of history in trauma and loss: It must be recognised that the experiences of trauma and loss, a direct result of colonialism, are an outcome of the disruption to cultural wellbeing. Trauma and loss of this magnitude continue to have intergenerational impacts.
  5. Recognition of human rights: The human rights of Aboriginal and Torres Strait Islander peoples must be recognised and respected. Failure to respect these human rights constitutes continuous disruption to mental health (in contrast to mental illness/ill health). Human rights specifically relevant to mental illness must be addressed.
  6. The impact of racism and stigma: Racism, stigma, environmental adversity and social disadvantage constitute ongoing stressors and have negative impacts on Aboriginal and Torres Strait Islander peoples’ mental health and wellbeing.
  7. Recognition of the centrality of kinship: The centrality of Aboriginal and Torres Strait Islander family and kinship must be recognised as well as the broader concepts of family and the bonds of reciprocal affection, responsibility and sharing.
  8. Recognition of cultural diversity: There is no single Aboriginal or Torres Strait Islander culture or group, but numerous groupings, languages, kinship systems and tribes. Furthermore, Aboriginal and Torres Strait Islander people live in a range of urban, rural or remote settings where expressions of culture and identity may differ.
  9. Recognition of Aboriginal strengths: Aboriginal and Torres Strait Islander people have great strengths, creativity and endurance and a deep understanding of the relationships between human beings and their environment.13

While the principles outlined above are not specific to young Aboriginal and Torres Strait Islander people, they are considered to be appropriate within the context of adopting a holistic life-course approach.

What’s happening in practice?

This promising practice guide attempts to collate disparate strands of evidence that relate to enhancing youth mental health; improving Aboriginal and Torres Strait Islander SEWB; and strategies for addressing severe and complex mental health needs.

It has been well documented that there are significant limitations in the evaluation of Aboriginal and Torres Strait Islander health programs and services across Australia.22-24 The Australian Governments’ Productivity Commission Inquiry into

Mental Health and the Lowitja Institute are, at the time of producing this document, looking at ways to strengthen work in this space.24, 25

In the absence of high-quality evaluation reports, the term ‘promising practice’ is used throughout this guide.

This is consistent with the terminology used by the Australian Psychological Society through its project about SEWB and mental health services in Australia (http://www.sewbmh.org.au/).

It adopts a strengths-based approach26 which acknowledges and celebrates efforts made to advance work in this space in the absence of strong practice-based evidence.

This is achieved through the presentation of five active case studies.

These reflect organizational, systems and practice focused service model examples. The principles included in the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023 have been mapped against each case study to illustrate how these privilege Aboriginal and Torres Strait Islander ways of knowing, doing and being.

Each case study includes generic background information to provide important contextual information; key messages or lessons learned, and reflections from staff involved in the project.

They have been developed in consultation with both the commissioning PHN and the service/organisation funded to develop and/or deliver the framework, program and service. Where possible, Aboriginal and Torres Strait Islander stakeholders were consulted during the development of the case studies.

Need help ?

Contact your nearest ACCHO or

If the situation is an emergency please call 000
If you wish to speak to someone immediately who can help call:

Kids Help Line

1800 55 1800
www.kidshelpline.com.au

Lifeline Australia

13 11 14
www.lifeline.org.au

NACCHO Aboriginal Health and #HearingAwarenessWeek A/Prof @KelvinKongENT is working to #closethegap in ear health for Aboriginal and Torres Strait Islander kids by finding better treatments and preventative approaches so kids are not limited by their hearing.

I aim to make a national profile of the problem of ear disease and hearing loss. It is an important issue for all Australian levels of government, policy makers and health service providers.

The severe impact imposed by hearing loss needs greater acknowledgement, especially in communities where a majority of people are affected, such as the Aboriginal and Torres Strait Islander communities.

We are also seeing too many children in our urban, regional and rural communities being affected and waiting too long for access to specialist care.

This is a health problem that costs our nation a great deal of money, not just in medical treatments but in the social cost of people not receiving enough education to get a good job and provide security for themselves and their families in the future.

Associate Professor Kelvin Kong : Read interview full BIO Part 2

Read over 40 Aboriginal Health and Ear Hearing articles published by NACCHO

 “ Up to nine in every ten Aboriginal and Torres Strait Islander children under the age of three in the Northern Territory, suffer from otitis media, or “glue ear”, in one or both ears. If left untreated this can have a devasting impact on a child’s entire life trajectory.

The Hearing for Learning Initiative will increase early detection of otitis media, by training local community members to become ear experts that support on the ground health and education services. This will decrease the need for fly-in fly-out specialists, reduce the treatment waiting period and create employment opportunities for up to 40 community-based workers in the Northern Territory. ” 

Download Menzies Press Release 

Media release Hearing for learning a focus on Bathurst Island

World Hearing Day was on 3 March 2020. The theme this year is “Don’t let hearing loss limit you”.

World Hearing Day coincides with Hearing Awareness Week in Australia (1 to 7 March).

This year’s theme is “Don’t let hearing loss limit you”. This theme highlights how timely and effective interventions can help people with hearing loss reach their full potential.

World Hearing Day coincides with Hearing Awareness Week in Australia (1 to 7 March).

Hearing loss in Australia

In Australia, almost 4 million people have some form of hearing loss. This continues to grow as our population ages.

The most common causes of hearing loss are:

  • age-related
  • excessive exposure to loud noise

Hearing loss caused by exposure to loud noise is preventable. The best interventions for hearing loss are early interventions, no matter how old you are.

If you or someone you know is worried about hearing loss, we encourage you to have your hearing checked.

The Healthdirect website provides more information on the signs of hearing loss and ways to help prevent hearing loss.

Hearing Services Program

The Australian Government is working to reduce hearing loss and the consequences of hearing loss in Australia.

The Government’s $581 million Hearing Services Program provides high quality hearing services and devices to some of our most vulnerable people.

In 2018-19, the program delivered services to over 785,000 clients, including:

  • older Australians
  • veterans
  • young children
  • Aboriginal and Torres Strait Islander people
  • people living in rural and remote areas

The Australian Government has also committed $4 million in funding for up to 600,000 free online hearing tests for children. Parents of children aged between four and 17 can visit the Sound Scouts website for more information.

Find out more about hearing and hearing loss on the Hearing Services Program website.

Part 2 Interview with Associate Professor Kelvin Kong

From HERE

Ear disease in Australian Indigenous populations is deplorable. I am working to closing the gap in ear health to bring all Indigenous Australian children to the same level of well-being and health care access as their non-Indigenous counterparts.

The rates of ear disease are higher for Aboriginal and Torres Strait Islander children across Australia, with some communities having 90% of young children affected. This causes hearing loss leading to massive disadvantage in early learning and development of language and social skills, which can have devastating repercussions throughout life.

Our Newcastle ear research team works to understand the pathophysiology of chronic ear disease in Australian Indigenous and non-Indigenous sufferers to understand the nature of ear infections and find better treatments and preventative approaches in early childhood.

Unfortunately, some babies will acquire infections within the first months of life and go on to have recurrent infections that impact upon their ability to hear and learn. Importantly missing on hearing the voices (and stories) of their family members at this vitally important period of early development.

I aim to make a national profile of the problem of ear disease and hearing loss. It is an important issue for all Australian levels of government, policy makers and health service providers.

The severe impact imposed by hearing loss needs greater acknowledgement, especially in communities where a majority of people are affected, such as the Aboriginal and Torres Strait Islander communities. We are also seeing too many children in our urban, regional and rural communities being affected and waiting too long for access to specialist care.

This is a health problem that costs our nation a great deal of money, not just in medical treatments but in the social cost of people not receiving enough education to get a good job and provide security for themselves and their families in the future.

The journey of solving the ear health issues must be community led and translated into models of care that have a holistic approach. Our research must also have capacity and ensure any solutions are sustainable.

 

Why did you get into research?

It was heartbreaking growing up in the Worimi community enduring the health disparities first hand. I have always had a passion to help address the inequality and have been lucky enough to be afforded the opportunities to allow me to complete the full circle and be a care giver.

As an ENT surgeon I have treated people all across Australia, including people in Newcastle (Awabakal country), with terrible states of ear disease.

The lack of access to health care and the escalation of a problem that should have been addressed long ago, is a driver to increase the momentum of a solution.

The impact of research into the causes and interventions, cannot be overestimated, so that young babies will not progress to the stage where surgery is desperately needed to restore some hearing so they can participate in a normal childhood and have aspirations and dreams not limited by their hearing.

What would be the ultimate goal for your research?

The ultimate goal is for all Australian children, both Indigenous and non-Indigenous, to have the same chance of having healthy ears, no matter where they reside in Australia.

We need everyone to have enough awareness of the problems, to put the time and resources into finding treatments and interventions, so that no child should expect to go through life suffering the loneliness, loss of self-esteem and lack of education that many children experience with ear disease and as adults in later life.

Biography

Kelvin graduated from the University of NSW in 1999. He embarked on his internship at St. Vincent’s Hospital in Darlinghurst and pursued a surgical career, completing resident medical officer and registrar positions at various attachments. Along the way, he has been privileged in serving the urban, rural and remote communities.

He was awarded his fellowship with the Royal Australasian College of Surgeons in 2007. Once completed he pursued further training in Paediatric ENT surgery, being grateful and honored by his fellowship at The Royal Children’s Hospital, Melbourne in 2007-8. He is now practising in Newcastle (Awabakal Country) as a Surgeon specializing in Paediatric & Adult Otolaryngology, Head & Neck Surgery (Ear, Nose & Throat Surgery).

He has joined an outstanding group of surgeons at Hunter ENT and together they provide a varied comprehensive practice. He has a very broad adult and paediatric Otology, Rhinology and Laryngology practice, whilst having special interests in Paediatric Airway, Adult and Paediatric Cochlear Implantation, Voice and Swallow disorders and Head & Neck Cancer management.

He is an active member of RACS and ASOHNS, serving on the Indigenous Health and Fellowship Services Committees. He has published articles and presented on a variety of ear, nose and throat conditions as well as Indigenous health issues both nationally and internationally.  He is active in reviewing articles for publication, lecturing and teaching allied health professional, medical students at several universities and both unaccredited and advanced medical and surgical trainees. His commitment and professionalism was recognised in July 2017 when he was appointed the Secretary of the Australian New Zealand Society of Paediatric Otolaryngology. He was also honored to have won the Australian Indigenous Doctor of the year in 2017.

As Australia’s first Indigenous surgeon, Assoc. Prof. Kong is committed to improving the ear health of Indigenous children and has often participated in news articles and television interviews to bring the attention of the Australian public to the disparity in Indigenous and non-Indigenous child health. He makes regular trips to Australia’s remote regions to provide ear health services that would otherwise not be available.

Kelvin hails from the Worimi people of Port Stephens, north of Newcastle, NSW, Australia. Being surrounded by health, he has always championed for the improvement of health and education. Complementing his practice as a surgeon, he is kept grounded by his family, who are the strength and inspiration to him, remaining involved in numerous projects and committees to help give back to the community.

Future Focus

Being able to hear is such a privilege often taken for granted. The quality of life through the enjoyment if sound and education is a human right. I want everyone to understand the importance of ear disease in childhood and particularly how vital it is that we stop this problem from affecting so many Australian Indigenous children. We need to work together to raise the standards of living and access to medical care so that our First people are not living from one generation to the next in sub-standard circumstances.  We need to see our children finishing their education, able to gain employment and live alongside non-Indigenous Australians with the same opportunities and the same quality of life. We need see them to strive toward their dreams.

Specialised/Technical Skills

  • Consultant ear, nose and throat surgeon
  • Causes of ear infections
  • Paediatric Airway
  • Adult and Paediatric Cochlear Implantation
  • Voice and Swallow disorders
  • Head & Neck Cancer management
  • Randomised controlled trials
  • Aboriginal and Torres Strait Islander health
  • Educator
  • Policy development
  • Mentor
  • Father, Husband, Brother, Worimi man

Affiliations

 

NACCHO Aboriginal Health Resources Alert : Download @HealthInfoNet Overview of Aboriginal and Torres Strait Islander health status 2019 : Continuing to show important positive developments for our mob

In the Overview we strive to provide an accurate and informative summary of the current health and well-being of Aboriginal and Torres Strait Islander people.

In doing so, we want to acknowledge the importance of adopting a strengths-based approach, and to recognise the increasingly important area of data sovereignty.

To this end, we have reduced our reliance on comparative data in favour of exploring the broad context of the lived experience of Aboriginal and Torres Strait islander people and how this may impact their health journey “

HealthInfoNet Director, Professor Neil Drew

The Overview of Aboriginal and Torres Strait Islander health status (Overview) aims to provide a comprehensive summary of the most recent indicators of the health and current health status of Australia’s Aboriginal and Torres Strait Islander people.

Download HERE 

Overview+of+Aboriginal+and+Torres+Strait+Islander+health+status+2019

The annual Overview contains updated information across many health conditions.

It shows there has been a range of positive signs including a decrease in death rates, infant mortality rates and a decline in death rates from avoidable causes as well as a reduction in the proportion of Aboriginal and Torres Strait Islander people who smoke.

It has also been found that fewer mothers are smoking and drinking alcohol during pregnancy meaning that babies have a better start to life.

The initial sections of the Overview provide information about:

  • the context of Aboriginal and Torres Strait Islander health
  • social determinants including education, employment and income
  • the Aboriginal and Torres Strait Islander population
  • measures of population health status including births, mortality and hospitalisation.

The remaining sections are about selected health conditions and risk and protective factors that contribute to the overall health of Aboriginal and Torres Strait Islander people.

These sections include an introduction and evidence of the extent of the condition or risk/protective factor. Information is provided for state and territories and for demographics such as sex and age when it is available and appropriate.

The Overview is a resource relevant for the health workforce, students and others requiring access to up-to-date information about the health of Aboriginal and Torres Strait Islander people.

This year, the focus will be mainly on the Aboriginal and Torres Strait Islander data and presentation is within the framework of the strength based approach and data sovereignty (where information is available).

As a data driven organisation, the HealthInfoNet has a publicly declared commitment to working with Aboriginal and Torres Strait Islander leaders to advance our understanding of data sovereignty and governance consistent with the principles and aspirations of the Maiam nayri Wingara Data Sovereignty Collective (https://www.maiamnayriwingara.org).

As we have done in previous years, we continue our strong commitment to developing strengths based approaches to assessing and reporting the health of Aboriginal and Torres Strait Islander people and communities.

It is difficult to make comparisons between Aboriginal and Torres Strait Islander people and non- Indigenous Australian populations without consideration of the cultural and social contexts within which people live their lives.

As in past versions, we still provide information on the cultural context and social determinants for the Aboriginal and Torres Strait Islander population.

However, for the selected health topics and risk/protective factors we have removed many of the comparisons between the two populations and focused on the analysis of the Aboriginal and Torres Strait Islander data only.

In an attempt to respond to the challenge issued by Professor Craig Ritchie at the 2019 AIATSIS conference to say more about the ‘how’ and the ‘why’ not just the ‘what’ where comparisons are made and if there is evidence available, we have provided a brief explanation for the differences observed.

Accompanying the Overview is a set of PowerPoint slides designed to help lecturers and others provide up-to-date information.

  • In 2019, the estimated Australian Aboriginal and Torres Strait Islander population was 847,190.
  • In 2019, NSW had the highest number of Aboriginal and Torres Strait Islander people (the estimated population was 281,107 people, 33% of the total Aboriginal and Torres Strait Islander population).
  • In 2019, NT had the highest proportion of Aboriginal and Torres Strait Islander people in its population, with 32% of the NT population identifying as Aboriginal and/or Torres Strait Islander.
  • In 2016, around 37% of Aboriginal and Torres Strait Islander people lived in major cities.
  • The Aboriginal and Torres Strait Islander population is much younger than the non-Indigenous population.

Download the PowerPoint HERE

Overview+of+Aboriginal+and+Torres+Strait+Islander+health+status+2019_+key+facts

NACCHO Aboriginal Health and the #ClosingtheGap debate : Professor Ian Ring  “  For actual progress to occur  I suggest 7 steps fundamental shifts in policy and practice  to turn around the efforts to #closethegap “

The good news is that the lack of progress in Closing the Gaps can be turned around, but this requires capitalising on the opportunities presented by the COAG partnership and a fundamental shift in the way programs are run.

I am encouraged that First Peoples and government are finally in the one forum where funding and policy can be aligned and jurisdictional and Indigenous responsibilities assigned and monitored – through the Partnership Agreement with the Coalition of Peak Aboriginal and Torres Strait Island Organisations and the Council of Australian Governments(COAG).

This is a historic development, but one which enables but does not necessarily, of itself, guarantee progress.

For actual progress to occur, there needs to be some fundamental shifts in policy and practice.

I suggest the following 7 steps to turn around the efforts to close of the gap “

Professor Ian Ring AO, Hon DSc see full CV part 2 below : Original published ANTAR 

Read over 600 Aboriginal and Close the Gap articles published by NACCHO over past 8 years

Read all the Coalition of Peaks Closing the Gap articles published by NACCHO 

Noting the Prime Minister Scott Morrison will deliver his governments Closing the Gap report Wednesday 12 February

Close the Gap, Coalition of Peaks and Closing the Gap what is the difference ?

Close the Gap is a public awareness campaign focused on closing the health gap. It’s run by numerous NGOs, Indigenous health bodies and human rights organisations.

The campaign was formally launched in 2007, after the release of the social justice report by the Aboriginal and Torres Strait Islander social justice commissioner, Dr Tom Calma.

Close the Gap gained support from state and federal governments when the Council of Australian Governments (Coag) set two health aims among their six targets in 2008: achieving health equality within a generation and halving the gap in mortality rates for children under five within a decade.

In 2008 then prime minister Kevin Rudd and then opposition leader Brendan Nelson also signed the Close the Gap statement of intent.

The Coalition of Peaks is a representative body comprised of around fifty Aboriginal and Torres Strait Islander community controlled peak organisations that have come together to be partners with Australian governments on closing the gap, a policy aimed at improving the lives of Aboriginal and Torres Strait Islander people.

In 2016, Australian governments wanted to refresh the closing the gap policy which had been in place for ten years.  During this refresh process, many Aboriginal and Torres Strait Islander organisations told governments that we needed to have a formal say on the design, implementation and evaluation of programs, services and policies that affect us.

In March 2019, the Coalition of Peaks entered an historic formal Partnership Agreement on Closing the Gap with the Council of Australian Governments (COAG) which sets out shared decision making on Closing the Gap.

View the Coalition of Peaks Website HERE 

Closing the Gap

Closing the Gap is the name given to Coag’s 2008 national strategy to tackle Indigenous inequality, which includes the Indigenous Reform Agreement, a commitment to closing the gap between Indigenous and non-Indigenous Australians within a specific timeframe, with six key targets

View the latest Closing the Gap Website HERE

” Everyone deserves the right to a healthy future and the opportunities this affords.

However, many of Australia’s First Peoples are denied the same access to healthcare that non-Indigenous Australians take for granted.

Despite a decade of Government promises the gap in health and life expectancy between Aboriginal and Torres Strait Islander peoples and other Australians is widening.

The Close the Gap Coalition — a grouping of Indigenous and non-Indigenous health and community organisations — together with nearly 200,000 Australians are calling on governments to take real, measurable action to achieve Indigenous health equality by 2030.” 

National Close the Gap Day March 17 Campaign website

Ian Ring suggests the following 7 steps to turn around the efforts to close of the gap 

1.Target Setting

Firstly, target setting is not simply a process of setting out what results would be desirable but needs to take into account what actual services and resources would be required to achieve the targets – and how long it would take to both measure and achieve them. Targeting and budgeting must go hand in hand, and targeting without budgeting is simply a recipe for failure and disappointment.

2.Needs-Based Funding

Secondly, it is a cardinal principle behind government social policy that service provision should be related to need. For example, no one questions the fact that far more is spent on health care for the elderly than on the young who enjoy much better health.

However, while in broad terms the level of need for health care in Aboriginal and Torres Strait Islander people, based on the Burden of Disease studies is approximately 2.3 times higher than for the rest of the population, though the jurisdictions spend $2 approximately pc (87% of needs based requirements) on health for every $1 spent on the rest of the population, the Commonwealth only spends $1.21pc on Aboriginal and Torres Strait Islander people for every $1 spent on the rest of the population (barely half [53%] of the needs based requirements).

This is particularly important as the Commonwealth is largely responsible for the out-of-hospital services required to bring down preventable admissions and deaths. It is utopian and unrealistic to believe that gaps can be closed by spending relatively less on people with worse health.

This is not a plea for some kind of special deal for First Peoples but rather for a level of expenditure that anyone else of the population with equivalent need would receive.

Funds are required to address market failure, particularly with the underuse of Commonwealth funding schemes (MBS/PBS) and to fill current service gaps with services that work and particularly, services designed by and for Aboriginal people (ACCHS). Similar principles apply to other areas of government policy and service provision eg housing, education, welfare etc.

3.Focus on Services

Thirdly, there seems to be a widespread belief that targets are somehow self-fulfilling, that all that is required is to set targets, measure them and that somehow or other the targets can be achieved.

This is of course nonsense, but indicative of the need for skills training in health planning and related fields (see below). Having set targets, it is absolutely necessary to consider what services are required to achieve the targets, what services are available and what services are missing, and the investment required to fill the service gaps. For services that are available, it is fundamentally important to have evaluation as a mandatory routine to see if the services are accessible, and effective – and if not, why not, and then take the necessary management decisions to improve service delivery (see management below).

4.Training

There is clear evidence across a range of fields (health, education, housing, justice etc) that significant progress is possible using methods that are tried and tested.

But Aboriginal health and related issues are not so simple that anyone can tackle them effectively. They are complex and require considerable skills and service delivery experience for effectiveness.

Throwing staff in at the deep end is inefficient, and not fair either to the staff or to Indigenous people. Health planning, for example, is a defined skill and requires specific training and a manifest lack of planning skills lies at the heart of suboptimal service delivery A fundamental understanding of culture is an absolute necessity as is a very solid grounding in service delivery experience. The need for training extends right across the board and applies to clinicians, health service administrators  and public servants.

For each individual the question needs to be asked – what training does this person require in order to fulfil their role with maximum effectiveness? It is time for amateur hour to come to an end and for the development and implementation of a National Training Plan to ensure all involved are adequately equipped  for their individual roles – and it will not be possible to adequately realise on the investments involved in Indigenous service provision without appropriate staff training.

5.Management

For many, the concept of management is little better than sitting around and hoping that somehow, miraculously, next year’s results will be better. That is not how Gaps are Closed.

A formal, integrated, multilayered management system is required – supported by appropriate information and evaluation systems.

At the service delivery level there needs to be formal review processes, at least mid-year and annually, to consider both process and outcome measures in relation to the specified targets – with a timeframe that is based on trajectories which set out what results can and should be expected at different points of time.These measures need to be replicated at regional and jurisdictional levels in the context of a wider consideration of staffing, training and resourcing issues. At the national level the focus needs to be on both resourcing and policy issues. At every level, the question needs to be how well are we doing, and what needs to be done to achieve better results – and then to take the appropriate management decisions required to achieve the targets.

6.Continuous Quality Improvement

There is incontrovertible evidence that sizeable and rapid gains are possible in both chronic disease  and in the health of mothers and babies. But those gains require high quality services and are not achieved without proper systems for measuring, monitoring and improving the quality of services.

Such approaches are standard throughout industry and need to be a formal component of health service delivery and other areas of social policy. CQI processes have been used for some services but need to be mandated and funded as a national requirement so that everyone involved in Indigenous service provision lives and breathes service quality enhancement and participates in the formal processes involved.

7.Learning from national and international experience

There are many fine examples of Indigenous Health service delivery – and some of the best health services in the country are provided by the Aboriginal Community Controlled Health Services.

The Institute of Urban Indigenous Health in South-East QLD (IUIH) is an outstanding example of how to integrate Primary Health Care services, both Indigenous and mainstream, under Aboriginal and Torres Strait Islander leadership. in achieving the desired results in term of Closing the Gap.

It is just one of a number of examples around the country, but such examples need to become systematic, comprehensive and national throughout Australia. There are similar examples of services for mothers and babies which reduce low birth weight rates and lower perinatal mortality. In the important field of chronic disease, it has been demonstrated that systematic application of current knowledge can achieve dramatic reductions in mortality in short time periods.  We know what to do, have shown that impressive results can be achieved but nationally, progress in both child health and chronic disease falls a long way short of what is required. There needs to be formal support programs, to replicate successful models of these services, adapted as needed to meet local needs, right throughout Australia.

Similarly, successful programs like Housing for Health, developed for the Commonwealth (and subsequently dropped [!] but picked up by the NSW government) have improved housing and consequently health, and doing so by training and employing local Aboriginal people. It beggars belief that programs of such obvious worth are not universally delivered across Australia, and that needs to be rectified as a matter of urgency.

In other fields, child development and justice reinvestment programs have been shown to be effective and cost effective, both in Australia and overseas, but implemented on a piecemeal and patchy basis in Australia. That cannot continue.

Government budgets tend to focus on outlays rather than investment – and more importantly, return on investment. This is inefficient and, in the end, wasteful. The recent NZ Wellbeing budget shows a different approach and needs careful consideration.

Conclusion

None of the measures above are radical or untested or impossible to implement. Indeed, they are standard throughout much of the world. Not implementing them has proved costly in terms of poor results and suboptimal returns on investment.

The time for amateurism is over and Australia needs to lift its game. and these standard measures, under First Peoples leadership, and in the context of the COAG partnership, we can make a significant contribution to the achievement of Australia’s national Goals to Close the Gap.

The Gaps can and should be closed – but not by fine words and good intentions.

Much progress is possible in relatively short periods of time and Australia could and should be the world leader in Indigenous affairs.

Part 2 Professor Ian Ring AO, Hon DSc

Professor Ian Ring AO, Hon DSc is a Professorial Visiting Fellow, School of Public Health and Community Medicine, University of New South Wales, Adjunct Professor in the School of Indigenous Australian Studies, James Cook University and Honorary Professorial Fellow in the Research and Innovation Division at Wollongong University.

He was previously Head of the School of Public Health and Tropical Medicine at James Cook University, Principal Medical Epidemiologist and Executive Director, Health Information Branch, at Queensland Health, and Foundation Director of the Australian Primary Health Care Research Institute at the Australian National University.

He has been a Member of the Board of the Australian Institute of Health, Member of the Council of the Public Health Association and the Australian Epidemiological Association.

He is an Expert Advisor to the Close the Gap Steering Committee and a member of the International Indigenous Health Measurement Group, Aboriginal and Torres Strait Islander Demographic Statistics Expert Advisory Group, Scientific Reference Group Indigenous Clearinghouse, Australian Indigenous HealthInfoNet Advisory Board, and AMA Taskforce on Indigenous Health.

NACCHO Aboriginal Children’s Health #BacktoSchool : What our kids eat can affect not only their physical health but also their mood, mental health and learning

“When kids eat a healthy diet with a wide variety of fruit and vegetables in that diet, they actually perform better in the classroom.​     

They’re going to have better stamina with their work, and at the end of the day it means we’ll get better learning results which will impact on them in the long term.”

Marlborough Primary School principal

We know that fuelling children with the appropriate foods helps support their growth and development.

But there is a growing body of research showing that what children eat can affect not only their physical health but also their mood, mental health and learning.

The research suggests that eating a healthy and nutritious diet can improve mental health¹, enhance cognitive skills like concentration and memory²‚³ and improve academic performance⁴.

In fact, young people that have the unhealthiest diets are nearly 80% more likely to have depression than those with the healthiest diets

Continued Part 1 Below

Aboriginal and Torres Strait Islander people suffer increased risk of chronic disease such as type 2 diabetes and heart disease.

Eating healthy food and being physically active lowers your risk of getting kidney disease and type 2 diabetes, and of dying young from heart disease and some cancers.

Being a healthy weight can also makes it easier for you to keep up with your family and look after the kids, nieces, nephews and grandkids. “

Continued Part 2 Below

Part 1

Children should be eating plenty of nutritious, minimally processed foods from the five food groups:

  1. fruit
  2. vegetables and legumes/beans
  3. grains (cereal foods)
  4. lean meat and poultry, fish, eggs, tofu, nuts and seeds, and legumes/beans
  5. milk, yoghurt, cheese and/or their alternatives.

Consuming too many nutritionally-poor foods and drinks that are high in added fats, sugars and salt, such as lollies, chips and fried foods has been connected to emotional and behavioural problems in children and adolescents⁵.

In fact, young people that have the unhealthiest diets are nearly 80% more likely to have depression than those with the healthiest diets¹.

Children learn from their parents and carers. If you want your children to eat well, set a good example. If you help them form healthy eating habits early, they’re more likely to stick with them for life.

So here are some good habits to start them on the right path.

Eat with your kids, as a family, without the distraction of the television. Children benefit from routines, so try to eat meals at regular times.

Make sure your kids eat breakfast too – it’s a good source of energy and nutrients to help them start the day. Good choices are high-fibre, low-sugar cereals or wholegrain toast. It’s also a good idea to prepare healthy snacks in advance for them to eat in between meals.

Encourage children to drink water or milk rather than soft drinks, cordial, sports drinks or fruit juice drinks – don’t keep these in the fridge or pantry.

Children over the age of two years can be given reduced fat milk, but children under the age of two years should be given full cream milk.

Why are schools an important place to make changes?

Schools can play a key role in influencing healthy eating habits, as students can consume on average 37% of their energy intake for the day during school hours alone!6

A New South Wales survey found that up to 72% of primary school students purchase foods and drinks from the canteen at least once a week7. Also, in Victoria, while around three-quarters (77%) of children meet the guidelines for recommended daily serves of fruit, only one in 25 (4%) meet the guidelines for recommended daily serves of vegetables8; and discretionary foods account for nearly 40 per cent of energy intake for Victorian children9.

It’s never too late to encourage healthier eating habits – childhood and adolescence is a key time to build lifelong habits and learn how to enjoy healthy eating.

Get started today

You can start to improve students’ learning outcomes and mental wellbeing by promoting healthy eating throughout your school environment.

Some ideas to get you started:

This blog article was originally published on Healthy Eating Advisory Service . 

Part 2

Aboriginal and Torres Strait Islander people suffer increased risk of chronic disease such as type 2 diabetes and heart disease.

Eating healthy food and being physically active lowers your risk of getting kidney disease and type 2 diabetes, and of dying young from heart disease and some cancers.

Being a healthy weight can also makes it easier for you to keep up with your family and look after the kids, nieces, nephews and grandkids.

Aboriginal and Torres Strait Islander people may find it useful to chose store foods that are most like traditional animal and plant bush foods – that is, low in saturated fat, added sugar and salt – and use traditional bush foods whenever possible.

The Healthy Weight Guide provides information about maintaining and achieving a healthy weight.

It tells you how to work out if you’re a healthy weight. It lets you know up-to-date information about what foods to eat and what foods to avoid and what and how much physical activity to do. It gives you tips on setting goalsmonitoring what you dogetting support and managing the challenges.

There are also tips on how to eat well if you live in rural and remote areas.

The national Live Longer! Local Community Campaigns Grants Program supports Indigenous communities to help their people to work towards and maintain healthy weights and lifestyles. For more information, see Live Longer!.

Part 3 Parents may not always realise that their children are not a healthy weight.

If you think your child is underweight, the following information will not apply to your situation and you should seek advice from a health professional for an assessment.

If you think your child is overweight you should see your health professional for an assessment. However, if you’re not sure whether your child is overweight, see if you recognise some of the signs below. If you are still not sure, see your health professional for advice.

Overweight children may experience some or all of the following:

  • Having to wear clothes that are too big for their age
  • Having rolls or skin folds around the waist
  • Snoring when they sleep
  • Saying they get teased about their weight
  • Difficulty participating in some physically active games and activities
  • Avoiding taking part in games at school
  • Avoiding going out with other children

Signs that a child is at risk of becoming overweight, if they are not already, include:

  • Eating lots of foods high in saturated fats such as pies, pasties, sausage rolls, hot chips, potato crisps and other snacks, and cakes, biscuits and high-sugar muesli bars
  • Eating take away or fast food meals more than once a week
  • Eating lots of foods high in added sugar such as cakes, biscuits, muffins, ice-cream and deserts
  • Drinking sugar-sweetened soft drinks, sports drinks or cordials
  • Eating lots of snacks high in salt and fat such as hot chips, potato crisps and other similar snacks
  • Skipping meals, including breakfast, regularly
  • Watching TV and/or playing video games or on social networks for more than two hours each day
  • Not being physically active on a daily basis.

For more information:

References for Part 1

1 Jacka FN, et al. Associations between diet quality and depressed mood in adolescents: results from the Australian Healthy Neighbourhoods Study. Aust N Z J Psychiatry. 2010 May;44(5):435-42. https://doi.org/10.3109/00048670903571598571598
2 Gómez-Pinilla, F. (2008). Brain foods: The effects of nutrients on brain function. Nature Reviews Neuroscience, 9(7), 568-578. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805706/
3 Bellisle, F. (2004). Effects of diet on behaviour and cognition in children. British Journal of Nutrition, 92(2), S227–S232
4 Burrows, T., Goldman, S., Pursey, K., Lim, R. (2017) Is there an association between dietary intake and academic achievement: a systematic review. J Hum Nutr Diet. 30, 117– 140 doi: 10.1111/jhn.12407. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jhn.12407
5 Jacka FN, Kremer PJ, Berk M, de Silva-Sanigorski AM, Moodie M, Leslie ER, et al. (2011) A Prospective Study of Diet Quality and Mental Health in Adolescents. PLoS ONE 6(9): e24805. https://doi.org/10.1371/journal.pone.0024805
6 Bell AC, Swinburn BA. What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr2004;58:258–63
7 Hardy L, King L, Espinel P, et al. NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010: Full Report (pg 97). Sydney: NSW Ministry of Health, 2011
8 Department of Education and Training 2019, Child Health and Wellbeing Survey – Summary Findings 2017, State Government of Victoria, Melbourne.
9 Department of Health and Human Services 2016, Victoria’s Health; the Chief Health Officer’s report 2014, State Government of Victoria, Melbourne.

 

 

NACCHO Aboriginal Children’s Health and @TAPPCentre #ChildSafety : @Walgett_AMS #PoolDay Community-led solutions will improve Aboriginal child safety promote community-building, togetherness, health and wellbeing and health promotion activity

“A Prevention Centre project looking at Aboriginal child injury launched its first community event on Saturday 30 November at Walgett Swimming pool. Focusing on water safety, nearly 400 people gathered at the pool to swim, talk, play and focus on the wellbeing of their young people.

A Prevention Centre project promoting Aboriginal child injury prevention held its first community event on Saturday 30 November at Walgett Swimming Pool.

The Walgett Pool Day was led by local Aboriginal community-controlled organisations as a fun and positive day for families to be together and safely enjoy the pool.”

Originally published by the Prevention Centre HERE

Read over 370 Aboriginal Children’s Health articles published by NACCHO over past 7 Years 

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Almost 400 people attended, with free entry to the pool for a day of yarning, talking about what Walgett Aboriginal Medical Service (WAMS) Goonimoo Mobile Children’s Services will be delivering next year, barbecue, salad, fruit, iced water and the chance to win a family pool season pass.

Injury is the leading cause of death in Australian children. Programs targeting parents of young children offer an opportunity for engagement and improving health literacy around injury prevention throughout children’s lives.

Programs also need to target community-level factors that affect injuries like the physical environment and policies. Change at this level requires community buy-in; relationship-building and events like the pool day build good will and positive associations with the program.

“Parents are really keen to get involved to keep their kids safe. They have ideas about what can be done at a community level and they’re also keen to learn more about what they can do to prevent injuries.” Tara Smith, Goonimoo Child Injury Prevention Educator.

Community-led

Working closely with local community groups, the Child Injury Prevention Program (CHIPP) has been developed as a community-led project and will be delivered through the existing supported playgroup Goonimoo run by WAMS which works with other local children’s services. This leverages existing knowledge and expertise about local service delivery and the relationships with Walgett families attending this well-established organisation.

“We’ve been having lots of informal yarns with parents during playgroup about the sorts of activities they want to do. We also held some formal research yarning groups with Nellie and Mel from UNSW at Goonimoo, with WAMS health personnel and other local children’s services,” said Amy Townsend Manager of Walgett Aboriginal Medical Service’s Goonimoo Mobile Children’s Services.

“We asked parents what sorts of injury issues they are concerned about and the topics they’d be interested in covering next year,” said Amy.

Parent involvement key to child safety

The involvement of parents is key to the success of the program and research shows it’s an effective route to reducing child injury.

“Parents are really keen to get involved to keep their kids safe. They have ideas about what can be done at a community level and they’re also keen to learn more about what they can do to prevent injuries,” said Tara Smith, Goonimoo Child Injury Prevention Educator.

“They also want to learn first aid – things like CPR and first aid for choking and snake bites – because we’re often a long way from help out here. Snake bites are a big issue in our community, so this is a priority area. Parents are keen, and always encouraged to have a say about the sorts of activities they want to do at Goonimoo’s playgroup ,” said Tara.

Tara has been working with Goonimoo for several years as a qualified educator, prior to which she was an Aboriginal Health Worker at Walgett Aboriginal Medical Service. Tara’s focus in 2020 is on delivering and refining the CHIPP program. Tara is currently studying to become an Aboriginal Health Practitioner.

“I’m learning a lot about child injury. For example, I’ve just been to Sydney to start the Austswim Teacher of Swimming and Water Safety course so we can do ‘parents and bubs’ water familiarisation play sessions at the pool next year. Aboriginal families don’t really have access to these sort of water activities in Walgett at the moment,” said Tara.

Tara also co-presented about CHIPP with Dr Melanie Andersen at the Australasian Injury Prevention Network Conference in Brisbane in November.

Walgett Pool Day

Walgett is situated at the junction of the Barwon and Namoi rivers, and the community has a healthy respect for the importance of water safety. CHIPP’s focus on water safety in term one was the result of community consultation.

Walgett’s pool has always been a strong focus for the community to come together, exercise and get some welcome respite from its long, dry summers, particularly now that the rivers are very depleted due to the drought.

“The CHIPP team has yarned with parents about what they’d like from the program, and about injury prevention in general, over the past few months. The Walgett Pool Day was a great opportunity to reach families to promote Goonimoo and the CHIPP program. We also had a few good yarns with the pool manager about water safety, existing and previous swimming programs at Walgett and the pool-based playgroup next year” said Dr Melanie Andersen from UNSW,  a key investigator on the Prevention Centre project.

“The turnout was great and we think that was a result of a long period of promotion by Goonimoo and combining forces with Yuwaya Ngarra-li and Dharriwaa Elders Group so families had transport to and from the pool. The pool was packed with children and families having a ball and cooling down on the 38oC day. We spoke to many people about the program and we’re looking forward to seeing them at the parents and bubs swimming sessions in 2020,” said Dr Andersen.

Community organisations key to success

The success of the Walgett Pool Day is down to the strong local Aboriginal community-controlled organisations who collaborated to bring people together.

“Yuwaya Ngarra-li – the partnership between Walgett’s Dharriwaa Elders Group (DEG) and UNSW, were doing their annual community data gathering day with children and young people. Because the CHIPP program was introduced to Walgett through the Yuwaya Ngarra-li partnership, we decided to combine our resources,” said Wendy Spencer, Project Manager with Dharriwaa Elders Group and Yuwaya Ngarra-li (Dharriwaa Elders Group’s formal research partnership with UNSW Sydney).

“WAMS, DEG, Yuwaya Ngarra-li and the CHIPP team all contributed resources including staff time, food, accommodation, transport, sun-safety giveaways like hats and sunscreen and other resources to make the day a success. We were also pleased that Mission Australia kindly ran the barbecue and the Police Citizens Youth Club provided the music. I was really pleased with the happy good vibe of the day where we had the opportunity to provide some good food, free entry and a fun family time at the pool to cap off a difficult year for everyone in Walgett,”said Wendy.

The day was such a success that Walgett Aboriginal Medical Service will hold two additional community pool days this summer to promote community-building, togetherness, health and wellbeing and as a forum for health promotion activity.

“CHIPP will begin again in earnest next year at Goonimoo, aiming to start off in term one at the pool with parents and bubs water play sessions. The program will focus around activity and play,” said Dr Mel Andersen.

“So, for example, while Goonimoo staff teach parents water familiarisation activities to do with their kids that build water skills, staff will also yarn about drowning prevention. Each school term will have a different injury prevention focus, including sport and physical activity, home safety and road safety.”

Walgett community tips for child water safety

  • Close and constant active adult supervision is the key, even in shallow water
  • Drowning is quick and silent
  • Teach swimming and water safety as early as possible
  • Talk to your children, explain the potential for danger but have fun

Read more

All images © 2019 Dharriwaa Elders Group

Story by Helen Loughlin, Senior Communications Officer

Published: 17 December 2019

NACCHO Aboriginal Health and Remote Communities News : I. @SenatorDodson The Need to empower remote Communities 2.@abcnews Empowering Young Leaders’ in the Kimberley call for change to curb suicides

Indigenous people living in remote communities are still betrayed. The truth of this nationally is seen in the government’s “duck, dive” approach to entrenching a voice in the Constitution.

On the first day of parliament sittings next year, the Prime Minister will present the annual Closing the Gap report, an index of the disadvantage experienced by First Nations people.

It will be another recitation of government failures to improve their lives — lives that in remote communities end many years shorter than elsewhere.

Not only do they die younger, their existence also is miserable. It’s not just a matter of poor service delivery, it’s that their lives are not their own. Governments, unwilling to trust First Nations people to take charge of their own lives, continue to intrude and manage.

Patrick Dodson is the Labor senator for Western Australia writing in the Weekend Australian

See Part 1 Below

“The Empowered Young Leaders’ report, released last week, calls for more education for young people around social and emotional wellbeing and increased efforts to embed Indigenous culture in schools.

They also want a permanent forum for young people to voice their concerns.

It comes as the State Government considers a formal response to the WA coroner’s inquest into the suicides of 13 Indigenous young people in the remote region.” 

See Part 2 Below

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For historical and research purposes all posts 2012-2019 will remain on www.nacchocommunique.com

Your current email subscription will be automatically transferred to our new Aboriginal Health News Alerts Subscriber service that will offer you the options of Daily , Weekly or Monthly alerts

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Part 1 : The nation’s treatment of remote indigenous communities is an international scandal. We need a Marshall Plan to end the squalor.

Labor MPs Murray Watt, Linda Burney, Warren Snowdon, Sharon Claydon and Patrick Dodson on their indigenous road trip. Picture: supplied

In January 1994, then Labor senator Graham Richardson, health minister in Paul Keating’s government, toured remote Aboriginal communities in Western Australia and the Northern Territory.

Conditions in those communities, he said, were “miserable”. He “saw things … that would barely be tolerated in a war-ravaged African nation”.

In August, with a party of fellow federal Labor parliamentarians, I did a big sweep through remote communities in WA and the Territory. From Port Hedland we dropped in at Marble Bar, Jigalong, Newman, Meekatharra, Wiluna, Leonora,

More than 25 years after Richardson’s expedition, I can attest that conditions for Aboriginal people in those places are still miserable and intolerable.

Last month WA Aboriginal Affairs Minister Ben Wyatt visited remote communities in his jurisdiction and wrote in The Australian of their “institutionalised ghetto status”.

How many inquiries or reports will it take, how often can the UN Special Rapporteur on the Rights of Indigenous Peoples declaim against this tragedy, before Australia confronts the crisis that cripples these communities, and sets about fixing things?

The people out there did not choose to live in those places. By and large, those communities were artificially designed by bureaucrats and Aboriginal people were shepherded there — sometimes for their protection (from Woomera rockets, for example), sometimes as a consequence of assimil­ationist policies. But, having plonked them there, governments have failed to maintain adequate basic services.

Forget the trumped-up national emergency John Howard and Mal Brough declared across the Northern Territory in June 2007 (although Aboriginal people will never forget).

The real emergency was staring them right in the face and they never dealt with it: the parlous plight of thousands of Aboriginal people forced to live in squalor and denied basic rights of citizenship.

It’s interesting to recall that back in 1994 when Richardson pledged to “clear up that mess” he said: “I hope perhaps out of the social justice package we’ve promised for Mabo, there will be scope to address some of these wrongs.”

The Keating government’s response to the High Court’s Mabo decision had three elements: the Native Title Act, the land fund — out of which grew the (now) Indigenous Land and Sea Corporation — and a social justice package.

Robert Tickner, Keating’s Aboriginal and Torres Strait Islander affairs minister, told the 12th session of the UN Working Group on Indigenous Populations in 1994: “The social justice package presents Australia with what is likely to be the last chance this decade to put a policy framework in place to effectively address the human rights of Aboriginal and Torres Strait Islander people as a necessary commitment to the reconciliation process leading to the centenary of Federation in 2001.”

Hollow words. The justice package was doomed: the Keating government did not press its pro­gress and passed to the Aboriginal and Torres Strait Islander Commission the job of consulting with First Nations about what it should embrace.

Keating’s successor, John Howard, rejected ATSIC’s visionary report in 1996 and went off on his own “practical reconciliation” frolic. ATSIC itself was dispatched by Howard a few years later, but it’s worth restating a few words from the ATSIC report on the social justice package because they continue to resonate: “Indigenous people have been too often betrayed over the last two centuries by fine words that have soon withered in the grim drought of inaction and indifference.”

Indigenous people living in remote communities are still betrayed. The truth of this nationally is seen in the government’s “duck, dive” approach to entrenching a voice in the Constitution.

On the first day of parliament sittings next year, the Prime Minister will present the annual Closing the Gap report, an index of the disadvantage experienced by First Nations people. It will be another recitation of government failures to improve their lives — lives that in remote communities end many years shorter than elsewhere.

Not only do they die younger, their existence also is miserable. It’s not just a matter of poor service delivery, it’s that their lives are not their own. Governments, unwilling to trust First Nations people to take charge of their own lives, continue to intrude and manage.

Remote communities, especially those in the desert region straddling the Territory,WA and South Australia, have the foundations of their customary law, kinship relationships and knowledge of country pretty much underpinning their continuing survival. It is the world of art, sport and ceremonial obligations that makes their world partly tolerable.

But, as long as we view these places through the prism of reform­ing public sector outlays, we will continue to contribute to their demise. They must have a real say in their destiny, and governments have a duty to reorder ideological and biased views about their futures.

In the Territory, the federal government wants to foist its cashless debit card on 23,000 people deemed to be “beneficiaries”, who are already subject to income management (a hangover from the intervention). There is no choice being offered here and the policy will impact severely on First Nations people living remotely.

As the Central Land Council has pointed out, the transfer to the CDC will require people to have an email address, access to mobile phone coverage and a smartphone, the skills to navigate online card activation, and access to the internet. But access to the National Broadband Network is limited in remote communities, home computers are rare, and most internet access through mobile phones is intermittent and unreliable. CDC holders will need to receive an activation number by post, but the post in remote communities is slow or non-existent.

The federal government’s plan to introduce the CDC is yet another example of top-down policy, and recipients in remote communities have not been consulted.

So much for the government’s mantra it wants to do things with First Nations people, not to them.

How will this card help build the capacity of people in these remote communities? How will it help them manage their lives?

We need new frameworks that enable people in remote communities to determine their destiny, and for governments to treat them as sovereign peoples.

These remote communities must be helped to lift themselves out of “institutionalised ghetto status”. Relief is beyond the capacity of states and territories. The federal government has the remit to avert disaster — after all, what was the 1967 referendum all about?

It will require a Marshall Plan to correct the decades of neglect.

However, until we grasp that sort of commitment and empower remote Aboriginal communities, the lives of their residents will be further accursed.

Part 2

Aboriginal youth leaders in Western Australia’s far north have made sweeping recommendations to curb the chronic rates of suicide among their peers.

PHOTO: The Empowered Youth Leader delegates have proposed a set of recommendations. (Supplied: WA Primary Health Alliance)

Key points:

  • Suicide remains the leading cause of death for Aboriginal and Torres Strait Islander children
  • The Empowered Young Leaders’ report calls for more education for young people around social and emotional wellbeing
  • It also recommends increased efforts to embed Indigenous culture in schools, and a permanent forum for young people to voice concerns

From Here

The Empowered Young Leaders’ report, released last week, calls for more education for young people around social and emotional wellbeing and increased efforts to embed Indigenous culture in schools.

They also want a permanent forum for young people to voice their concerns.

It comes as the State Government considers a formal response to the WA coroner’s inquest into the suicides of 13 Indigenous young people in the remote region.

Too many lost’

In an impassioned statement, the delegates put policy makers on notice, saying they would no longer accept the “normalisation of suicide”.

“We have lost too many loved ones to suicide,” the statement read.

“Through our own lived experience, we bear witness to the heavy burden our families and communities endure in grappling with the never-ending cycle of grief and loss.

“We no longer choose to be disempowered by the issues that continue to impact on us as a result of intergenerational trauma. The lives of our children and grandchildren are in our hands.”

Jacob Smith, 23, has been working in suicide prevention for two years.

As a member of the Empowered Young Leaders, he spent 12 months working intensely with 10 youth delegates across the Kimberley.

He said the recommendations were the starting point for creating generational change.

“There’s endless possibilities, there’s a lot more focus now on young people stepping up and getting involved,” he said.

“Our hope is to amplify our voice and be at the forefront of these conversations with our leaders.

“If we can better consult with our youth they will be way more inclined to engage in these conversations and initiatives.”

Efforts to meaningfully reduce the amount of Aboriginal youth taking their lives have largely failed, despite dozens of reports, inquests and millions of dollars in funding.

It remains the leading cause of death for Aboriginal and Torres Strait Islander children.

In the Kimberley, the rate of youth suicide is among the highest in the world.

In the aftermath of coroner Ros Fogliani’s 2017 inquest into 13 suicides, young people had been given a bigger role in helping governments at both levels forge a solution.

Mr Smith said the top priority was to ensure youth were permanently involved in the design and delivery of policy.

He said this would be achieved by establishing local Aboriginal youth action committees in each town.

“We need to invest and build the skills of our young people … to build a real peer-to-peer network in the Kimberley,” he said.

“There’s a few of us young people working in this space but we don’t feel like we have a strong network.

“There’s no real structure around that at the moment.”

Calls for better education and resources

Education was another key area in which the group wanted improvement.

They called for more social and emotional wellbeing training for young local people so they could support their peers with mental health difficulties.

There was also a push to better involve youth in developing targeted programs.

Delegates raised concerns about the lack of after-hours services, and proposed to establish 24-hour safe houses and a youth-focused rehabilitation centre.

“Delegates expressed frustration at the lack of local training and employment opportunities for Aboriginal people in the youth services sector,” the report stated.

They also identified the poor “cultural and community connection” between mainstream services and local Aboriginal families.

Government to respond to coroner’s inquest

The report is being considered by the WA Government.

Minister for Aboriginal Affairs Ben Wyatt said the recommendations were valued and would be treated with respect.

“The report will have an important role to play in the Government’s understanding of the perspective of young Aboriginal people in the region,” he said.

Mr Wyatt also outlined the McGowan Labor Government’s efforts to improve education and skills training.

“In 2019, there were 60 WA public schools teaching one or more of 21 Aboriginal languages to 5,611 students,” the Minister said.

“WA public schools are increasingly teaching children local Aboriginal languages, benefiting students and helping to keep the languages alive in our communities.

“The Aboriginal Cultural Standards Framework supports all Department of Education staff to reflect on their approaches to the education of Aboriginal students.”

Mr Wyatt pointed to a “range of regional partnerships” that ensured Aboriginal people received adequate skills training.

“A great success story is one of North Regional TAFE’s alumni, Soleil White, who was named the WA Aboriginal and Torres Strait Islander Student of the Year at the 2018 WA Training Awards.”

The State Government is expected to hand down its formal response to the coroner’s inquest in the coming weeks.

TELEPHONE COUNSELLING

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NACCHO Affiliates and Members Deadly Good News : #National #QandA @NACCHOChair @SandraEades #VIC @VACCHO_org #Treaty @VAHS1972 #NSW @ahmrc #Bulgarr #NT @Kwhb_OneShield @MiwatjHealth #QLd @QAIHC_QLD @DeadlyChoices #ACT @nimmityjah #TAC

1.1 National : NACCHO Chair says National Aboriginal and Torres Strait Islander Health Survey outcomes confirm that the ACCHOs smoking cessation programs are working

1.2 National : Our CEO Pat Turner appears on final ABC TV Q and A for 2019 : Watch on IView

1.3.National : NACCHO Congratulates Professor Sandra Eades Australia’s first appointment of an Indigenous Dean to a medical school.

1.4 National : NACCHO Communique to generate off new platform in 2020

2.1 VIC : VACCHO : Self-determination and sovereignty inseparable from health and socio-cultural wellbeing says peak Aboriginal health body

2.2 VIC : VAHS acknowledges the legendary Dr. (Uncle) Bruce McGuinness by unveiling of the plaque of recognition

3.1 NSW : AH&MRC hosts the Deadly Doctors Forum as part of the Rural Doctors Network for our Member Services

3.2 NSW : Bulgarr Ngaru ACCHO Casino NSW develops the clinical skills of their Aboriginal Workforce

4.1 NT Katherine West Health Board ACCHO are in the middle of a SEWB community mural painting project.

4.2 : NT : Miwatj Health ACCHO values the commitment and dedication you have to your work, Rrapa Elizabeth Dhurkay.

5.1 QLD : QAIHC legend Aunty Mary Martin AM awarded QUT’s highest award – the Doctor of the University.

5.2 : QLD Deadly work by our DC Aboriginal & Torres Strait Islander Community Health Service ACCHO Brisbane team acknowledged for their dedication and support of Marsden State School

6. ACT : Winnunga ACCHO promotes and supports HIV awareness to clients through promoting and supplying condoms 

7.TAS : The Australian Digital Health Agency meets with representatives from state and territory Aboriginal and Torres Strait Islander health services at TAC

8.WA : Congratulations to our very own Keisha Calyun AHCWA Youth Committee Member winning the Hope Community Services Positive Achievement Award at the WA Youth Affairs Council annual WA Youth Awards

How to submit in 2020 a NACCHO Affiliate  or Members Good News Story ?

Email to Colin Cowell NACCHO Media 

Mobile 0401 331 251 

Wednesday 18 January 2020 by 4.30 pm for publication Friday 20 January 2020

 

1.1 National : NACCHO Chair says National Aboriginal and Torres Strait Islander Health Survey outcomes confirm that the ACCHOs smoking cessation programs are working

“The latest NATSIHS report demonstrates the ACCHO smoking cessation programs and health promotion activities are working.

It is encouraging to see fewer younger people are taking up smoking in the first place, with a decrease in people ages 15 years and over who smoked every day, falling from 41 per cent in 2012 – 13 to 37 per cent in 2018 – 19. 

“The results unfortunately also show an increase in many chronic diseases for Aboriginal and Torres Strait Islander peoples, with 46% reporting one or more chronic condition (up from 40% in 2012-13).

Thus, providing more evidence that additional funding is needed to Close the Gap in health outcomes as chronic diseases are the major contributors to the mortality gap between Aboriginal and Torres Strait Islander peoples and other Australians.

It is positive to see more than four in 10 people rated their health as excellent or very good, up from 39 per cent in 2012 – 13 to 45 per cent and more than half of children aged 2-17 years had seen a dentist or dental professional in the last 12 months.”

Donnella Mills NACCHO Chair

Read or Download the full NACCHO Press Release HERE

Read our full coverage of the ABS Health Report

1.2 National : Our CEO Pat Turner appears on final ABC TV Q and A for 2019 : Watch on IView

End of an Era : The 2019 finale of Q&A. Joining Tony Jones on the panel Former Prime Minister Malcolm Turnbull, Opposition Leader Anthony Albanese, Indigenous leader Pat Turner, author Sisonke Msimang and ANU Vice-Chancellor Brian Schmidt.

https://iview.abc.net.au/show/qanda

1.3.National : NACCHO Congratulates Professor Sandra Eades Australia’s first appointment of an Indigenous Dean to a medical school.

“Curtin has successfully expanded its healthcare and medical profile within Western Australia and nationally. I am honoured to be appointed as Dean and look forward to collaborating with colleagues, industry and students to ensure the Curtin Medical School continues to thrive,

From a leading public health academic and respected Noongar woman Professor Sandra Eades, who has been influential in improving the health of Aboriginal communities across Australia has been appointed the new Dean of the Curtin Medical School, commencing in March 2020.

Read full Report Here

1.4 National : NACCHO Communique to generate off new platform in 2020

After 2,800 Aboriginal Health Alerts over 7 and half years from www.nacchocommunique.com NACCHO media will cease publishing from this site as from 31 December 2019 and resume mid January 2020 with posts from www.naccho.org.au

For historical and research purposes all posts 2012-2019 will remain on www.nacchocommunique.com

Your current email subscription will be automatically transferred to our new Aboriginal Health News Alerts Subscriber service that will offer you the options of Daily , Weekly or Monthly alerts

For further info contact Colin Cowell NACCHO Social Media Media Editor

2.1 VIC : VACCHO : Self-determination and sovereignty inseparable from health and socio-cultural wellbeing says peak Aboriginal health body

VACCHO has long argued that self-determination and sovereignty is inseparable from health and sociocultural wellbeing, and welcomes treaty negotiations as another step forward in ensuring basic respect for the rights, dignity, and sovereignty of Aboriginal people, but as a fundamental determinant of health outcomes for the Aboriginal community.

“Establishing a Treaty process will be of benefit to all Victorians. It is a vital step in transforming the relationship and power dynamics between Aboriginal Victorians and non-Aboriginal Victorians.

Any change must embed values and actions that create equality for all, both Aboriginal and non-Aboriginal and not as colonised and coloniser. The culture of Victoria will be richer when Victoria embraces its entire history and not just parts here and there. “

Acting VACCHO CEO, Trevor Pearce

The inaugural meeting of the First Peoples’ Assembly for a Treaty and Treaties between the Aboriginal Community and Victorian Government which took place today is a watershed moment in Australian history and society concerning the relationship between Aboriginal and non-Aboriginal peoples said VACCHO, the peak body for Aboriginal health in Victoria.

Acting VACCHO CEO, Trevor Pearce said as an historic moment, it is comparable to the 1939 Cummeragunja Walk-Off, 1963 Yirrkala Bark Petitions, 1966 Wavehill Walk-Off by Gurindgi, 1967 Referendum and the 1992 Mabo v QLD case that challenged and overturned the concept of Terra Nullius, to name just a few.

VACCHO is the leading advocate for the health of Aboriginal peoples in Victoria and a peak organisation to its Membership with a membership of 30 Aboriginal Community Controlled Health Organisations. VACCHO also works closely with partner organisations, Government, non-Government Community sector organisations across Victoria and nationally.

“This next part of Australian history marks the first time an Australian Government will enter into treaty negotiations with any Aboriginal people. Australia is the last colony of Great Britain to start the process,” said Mr Pearce.

“As Victorians we must acknowledge the challenges experienced by our community and the tireless work of many generations of the Aboriginal community who have participated and contributed to standing up for our basic human rights since colonisation,” he continued.

“Truth-telling and not sanitising our shared history can lead to the first steps of healing our nation. We are optimistic that it will create momentum for the adoption of Treaty negotiations and truth-telling to begin at a national level,” said Mr Pearce.

2.2 VIC : VAHS acknowledges the legendary Dr. (Uncle) Bruce McGuinness by unveiling of the plaque of recognition


Plenty of the old warriors and many of the new and upcoming warriors attended the unveiling of the plaque of recognition

Dr. (Uncle) Bruce McGuinness a NAIHO/NACCHO pioneer

He has been described as the “ideological godfather of the Black power movement”, but he was also a pioneer in the development of a national network of Aboriginal “community-controlled health services”.

Bruce was also instrumental in the later emergence of the National Aboriginal and Islander Health Organisation (NAIHO) in the 1970s. NAIHO was ostensibly a national “umbrella organisation” established to represent the interests of the new national network of community-controlled health services.

Read More

3.1 NSW : AH&MRC hosts the Deadly Doctors Forum as part of the Rural Doctors Network for our Member Services

On the 28th of November 2019, the AH&MRC hosted the Deadly Doctors Forum as part of the Rural Doctors Network for our Member Services. A range of topics were presented by many wonderful speakers. The overarching objective of the Forum was to provide Aboriginal Community Controlled Health Services (ACCHSs) with a Forum to gain insight into what’s happening in the ACCHS sector and a chance to network with peers.

Member Services from throughout NSW gathered in Manly to hear about various topics in the health space from a range of speakers.

Kyla Wynn, Trish Levett and Dr Rowena Ivers discussed cancer and palliative care and how their team is assisting community members to attend appointments and grief counselling, as well as talking about some great initiatives from their Illawarra service.

Dr Clayton Spencer, Chief Medical Director of Western NSW Local Health District discussed the importance of accessing traditional healing practices from the Ngangkari Aboriginal healers and building career pathways using this scope of healing. Traditional approaches to healing are holistic taking into account the mind, body and spirit. In this sense, health is not just physical wellness but also connects kinship of the culture and community.

Dr Laila Tabassum provided an update on My Health Record, explaining the procedures behind providing better-connected care between patients and health organisations with the ability to upload clinical documents.

Donna Parks from the Agency of Clinical Innovation (ACI) spoke in detail about the use of Telehealth where clinically appropriate.

Ely Taylor from the Ministry of Health provided insights into the modification of the Influenza Season Preparedness toolkit, ensuring the document is culturally appropriate.

AMS Redfern’s Dr Kath Keenan discussed the effects, screening, diagnosis and treatment of Hepatitis C.

Dr Vlad Matic provided an informative presentation on Clinical Governance and the role of the GP, in which we discovered a continuing theme of W Edwards Deming quotes including the System of Profound Knowledge in relation to data collection and use.

Our Public Health Medical Officer (PHMO) Dr Kate Armstrong discussed the recently held PHMO meeting and introduced other PHMOs from around Australia.

Liz Moore from AMSANT in NT, Lucy Morris QAIHC in QLD and Sarah McLean VACCHO in VIC provided an update from their regions.

Nathan Taylor and Janeen Foffani presented on the Program of Experience in the Palliative Approach (PEPA), where they discussed their approach to education and training of the health workforce and delivery of programs to primary, secondary and tertiary health care provider groups.

The Your Health Your Future (YHYF) campaign was discussed by our Public Health Manager Lee Bradfield who spoke about member collaboration, the Ambassador program with the Deadly Ninja Jack Wilson, and Illawarra Hawks Tyson Demos, plus funding plans for 2020 and available resources.

Information regarding Chronic Obstructive Pulmonary Disease (COPD) and Pulmonary Rehabilitation was provided by Dr Jennifer Alison and David Meharg. Details on guidelines, GP action plans and upskilling on medication use were discussed in detail.

Dr Karin Jodlowski-Tan from the Remote Vocational Training Scheme (RVTS) highlighted the model of training their organisation provides. Susan Anderson presented on the NSW Aboriginal Cancer Scoping Project, with statistics to be released in 2020.

Overall the day was highly informative, and we look forward to future Deadly Doctor Forums.

For more information about future Deadly Doctors Forums, please don’t hesitate to contact AH&MRC Public Health Officer Imran Mansoor IMansoor@ahmrc.org.au

Author – Zoe Mead, AH&MRC Public Health Team

3.2 NSW : Bulgarr Ngaru ACCHO Casino NSW develops the clinical skills of their Aboriginal Workforce.

This week Bulgarr Ngaru partnered with the University Centre for Rural Health (UCRH) and the NSW Rural Doctors Network to run the first workshop of a series to further develop the clinical skills of our Aboriginal Workforce.

This weeks workshop focused on Health Assessments (715s) and Triage.

4.1 NT Katherine West Health Board ACCHO are in the middle of a SEWB community mural painting project.

So far we have done a community mural at Timber Creek, Yarralin and Lajamanu communities. All are painted over a week with KWHB Board Directors, community members and staff involved in designing the mural, the message behind the mural and assisting with the painting.

The Kalkaringi communities mural will be completed early next year.

The results of the community mural project have been fantastic – both the community participation and awareness of SEWB and the results of the painting.

“The Lajamanu #SpeakUp mural week would have to be the most amazing week I’ve had in my 10 years at KWHB!

It was a pleasure working with the community, the program and clinic team as well as Andrew, Georgie & Cal, the artists.

Everyone pitching in and working as a team is what makes these projects successful. Shout out to KWHB Directors and all the community members who assisted with painting of the mural as well as the CDEP mob, without them the mural would not have been finished. We are all very blessed to have community members share their culture and stories with us.” KWHB Health Promotion Coordinator

Feedback for one community member – “It’s good to have ‘Share your worries’ written on the front of the clinic because it is a place to go and share your worries and get help.”

4.2 : NT : Miwatj Health ACCHO values the commitment and dedication you have to your work, Rrapa Elizabeth Dhurkay.

Congratulations on all your inspiring achievements! Thanks also to ALPA for sharing this wonderful story. #MiwatjHealth

 

 

5.1 QLD : QAIHC legend Aunty Mary Martin AM awarded QUT’s highest award – the Doctor of the University.

“Introducing Dr Mary Martin AM.

An honour to attend the 2019 QUT Graduation Ceremony at QPAC today to watch Aunty Mary Martin AM be awarded QUT’s highest award – the Doctor of the University.

Aunty Mary is a Health trailblazer training as a Registered Nurse in the 1970’s before dedicating over 40 years of her life to improving the lives of Aboriginal and Torres Strait Islander people.

A QAIHC employee for over 22 years; and a strong advocate for community control and better health outcomes, we congratulate Aunty Mary.

We also congratulate QUT for acknowledging Aunty Mary and awarding her this prestigious Doctorate.”

REPOST – QAIHC CEO Neil Willmett ( Pictured Above )

5.2 : QLD Deadly work by our DC Aboriginal & Torres Strait Islander Community Health Service ACCHO Brisbane team acknowledged for their dedication and support of Marsden State School

Congrats to our Browns Plains staff and the Deadly Choices team who were recognised for their dedication and support to Marsden State School. Bree, Skye, Brandon, Ray and Brenton attended a VIP Breakfast of Champions to receive the community partnership award. Well done!! #deadly

6. ACT : Winnunga ACCHO promotes and supports HIV awareness to clients through promoting and supplying condoms 
Thanks team Winnunga for promoting and supporting HIV awareness to our clients through promoting and supplying condoms
And big thanks also to Sarah Martin and the team at the Canberra Sexual health clinic for the care you provide for clients with HIV and other STI’s #you and me can stop HIV#

7.TAS : The Australian Digital Health Agency meets with representatives from state and territory Aboriginal and Torres Strait Islander health services at TAC 

“It’s vital that Aboriginal health services are involved in the work of the Digital Health Agency as our holistic approach to the health of our people ensures those who will benefit most from engaging with digital health have the information to enable them to do so.”

Heather Sculthorpe, CEO of the Tasmanian Aboriginal Centre.

The Australian Digital Health Agency met with representatives from state and territory Aboriginal and Torres Strait Islander health services on 4 December to support improvements in digital health literacy.

Read More

8.WA : Congratulations to our very own Keisha Calyun AHCWA Youth Committee Member winning the Hope Community Services Positive Achievement Award at the WA Youth Affairs Council annual WA Youth Awards

The Hope Community Services Positive Achievement Award

Keisha Calyun

Keisha was born the eldest of five with cultural heritage mix of English, Dutch and Ballardong Noongar. Her family life has been difficult. With her father rarely present, her mother fought breast cancer twice in ten years, unfortunately losing her battle when Keisha was just 23. After stays with extended family, Keisha and her 20-year-old sister decided to become guardians for their three younger siblings.

Alongside her family responsibilities, Keisha works at the Aboriginal Health Council of WA, where she is helping to develop an online mapping platform that shows availability of health services for regional and remote communities. She is also a Youth Representative on the WA Aboriginal Health Ethics Committee.

She ensures that her family continue to embrace their Aboriginal culture through involvement in cultural groups and activities.

NACCHO Aboriginal Children’s Health Resources : Download report : Why we need to rethink Aboriginal childhood #obesity ? Q and A with @SaxInstitute @simonesherriff

 
“Rates of obesity are high among Aboriginal children, but there’s a lack of policies, guidelines and programs to tackle the issue. Now a new paper published this week in the December issue of Public Health Research & Practice is calling for more meaningful engagement with Aboriginal communities to better address childhood obesity.

Here, lead author Simone Sherriff, a Wotjobaluk woman, PhD student and project officer with the Study of Environment on Aboriginal Resilience and Child Health (SEARCH) at the Sax Institute talks about the paper and her take on the obesity challenges facing Aboriginal communities.

Download Copy of Paper 

ATSI Childhood Obesity

Read over 70 Aboriginal Health and Obesity articles published by NACCHO over the past 7 Years 

Q: Childhood obesity is a national concern, but as your paper points out, Aboriginal children are far more profoundly affected than non-Aboriginal children. What’s going on?

A: I think it’s complicated, but in order to better understand Aboriginal childhood obesity we need to look beyond general individual risk factors, and consider how colonisation has impacted and continues to impact on the health and wellbeing of our people and communities today.

For example, Aboriginal people were forced off Country, unable to access traditional foods and made to adopt unhealthy western diets whilst living on missions and reserves.

Another thing that should be considered is the exclusion of Aboriginal people in Australia from education, health, politics and all systems, so it’s no wonder we see a gap between our health and the rest of the Australian population and continue to see a lack of relevant policies and programs from state and national governments.

These bigger structural and systemic issues are like a waterfall flowing on to affect communities, families and individuals. And until these issues are addressed, it’s going to be very difficult to close the gap on childhood obesity.

Q: What’s currently being done to address childhood obesity among Aboriginal children?

A: There are many great healthy lifestyle programs for preventing childhood obesity within our Aboriginal Community Controlled Health Service (ACCHS) sector, but generally there’s a lack of investment and funding into these services by government.

This is unfortunate because I think the rest of Australia could learn a lot from the model of healthcare that the ACCHS sector provides for our people. As Darryl Wright, the CEO of Tharawal Aboriginal Medical Corporation always says – our ACCHSs are like one-stop shops catering for all parts of a person’s health and wellbeing. So rather than looking at childhood obesity and thinking only about healthy eating and exercise, this kind of model considers a more holistic approach and the range of things that could be impacting on a person’s health and the community.

As mentioned in our paper, there are also a number of government and mainstream programs targeting healthy weight that have been culturally adapted for Aboriginal children and families. One example is the NSW Go4Fun program, which is designed for 7- to 13-year-olds who are above a healthy weight. When they did an evaluation of the mainstream Go4Fun program, they noticed that there were quite a few Aboriginal children who came into the program, but they had very low completion rates.

This evaluation led Go4Fun to consult with Aboriginal organisations and communities to understand how to improve the program to be more culturally appropriate. And as a result, organisers changed the way they were running the program and also set up Aboriginal advisory groups at local health districts. It’ll be interesting to see if this has positive impacts for the local participating communities.

Q: What are the biggest challenges for these existing programs?

A: There are a few, but the biggest challenge is that these programs are created and developed by non-Aboriginal people for Aboriginal children, meaning that they’re not always relevant, or they don’t consider the holistic approach that’s required to address childhood obesity.

Another important challenge is that some mainstream childhood obesity programs haven’t collected information on Aboriginal children separately, so even though there might be Aboriginal children participating in these programs, they tend not to report those separately.

We also need to consider the focus of these programs, which are currently targeting childhood obesity with healthy eating, education and physical activity. Although these are really important, lots of Aboriginal families are food insecure – which means they’re running out of food and can’t access food or afford to buy more. Recent data shows that 1 in 4 Aboriginal people are food insecure. I believe these rates are underestimated and the rates of Aboriginal families who are food insecure would actually be much higher than this data shows. This is compared with fewer than 1 in 20 people in the general population.

So how are programs that target healthy eating meant to be effective if people can’t even afford to buy food or can’t access it? Again, it’s going back to those bigger issues.

Q: How can Australia begin closing the gap on childhood obesity?

A: I think one thing that could be done is there needs to be more funding and resources put into the Aboriginal Community Controlled Health Service sector, as they’re run by their community for their community, so they’re best placed to design, implement and evaluate childhood obesity programs. And currently there are no specific policies for Aboriginal childhood obesity – we’re just mentioned as a target group within the general childhood obesity policies. That could be another good place to start.

The Study of Environment on Aboriginal Resilience and Child Health (SEARCH) team.

 

 

 

 

 

 

 

 

 

Q: Why is it so important to have locally-informed, culturally appropriate programs?

A: There is evidence that programs led and delivered by Aboriginal communities lead to better health outcomes for their community. I think it’s so important to have Aboriginal people in leadership and key decision-making roles with a proper seat at the table within all of these systems. And it’s also important to ensure that local Aboriginal voices are heard and they are leaders and drivers of local programs.

If not, I think it’s impossible for government and non-Aboriginal service providers to deliver programs and policies that are going to have a positive impact on the health of our mob. To see real gains, we need all government policies and programs to value self-determination, and these systems need to decolonise for all Australians to be able to have good health.

Find out more