” The Deadly Choices program’s intent is to provide a measurable difference in addressing Aboriginal health issues.
“Aboriginal people have far higher mortality rates than the average population and die at much younger ages. Despite government intentions to ‘close the gap’, the problem isn’t getting any better,
Chronic disease and preventable health conditions are taking a toll on our communities and we need to find innovative ways to move the dial toward better health outcomes.
We hope, with support from the Port Adelaide Football Club, our Deadly Choices initiative will encourage our young people to take responsibility and stop smoking, stay active and look after their own wellbeing, and that of their families.”
Aboriginal Health Council of SA chairperson John Singer
Port Adelaide has signed a memorandum of understanding (MOU) with the Aboriginal Health Council of South Australia Ltd (AHCSA) to deliver Deadly Choices – a program that will build awareness of healthy lifestyle choices and encourage regular health checks.
‘Deadly’ is a common term used to express positivity or excellence within Aboriginal communities, and Deadly Choices is designed to help improve the excellent health choices made by Aboriginal people in South Australia.
The program is based on a successful model used in Queensland since 2009 with the Brisbane Broncos, developed by Adrian Carson and his team and staff at the Institute for Urban Indigenous Health.
That program led to a 1300 per cent increase in Aboriginal and Torres Strait Islander people undergoing health checks.
Deadly Choices provides participants with limited edition merchandise in exchange for taking part in educational programs and undergoing regular health checks.
The merchandise is provided as a ‘money can’t buy’ incentive, with revenue from undergoing health checks used to fund subsequent stages of the program.
Port Adelaide players will support the promotion of the program and encourage participants to take part in the eight-week education program to receive their Deadly Choices footy guernsey.
As part of the program:
Education programs will be launched in the Anangu Pitjantjatjara Yankunytjatjara Lands (APY Lands) in collaboration with the Nganampa Health Council in June, in support of Port Adelaide’s WillPOWER program.
Curriculum will cover leadership, chronic disease, tobacco cessation, nutrition, physical activity, harmful substances, healthy relationships, access and health checks.
Health checks will be provided in the first stage of Deadly Choices by AHCSA-aligned members, which already provided comprehensive primary health care in SA.
Long-term partnerships with the South Australian Health and Medical Research Institute (SAHMRI) are being explored to established metropolitan clinics to provide health check services.
Port Adelaide chief executive officer Keith Thomas said the decision to partner with AHCSA is a continuation of Port Adelaide’s commitment to helping forge tangible outcomes for Aboriginal communities in South Australia.
The chair of NACCHO Justin Mohamed today congratulated the partnership of Nunkuwarrin Yunti of South Australia Inc,the Aboriginal Health Council of SA, Port Lincoln Aboriginal Health Service, and the Cancer Council SA for the Rewrite Your Story campaign that was honoured with the Excellence in Health Through the Promotion of Healthy and Smoke Free Lifestyles Award at the 19th Deadlys®
The Rewrite Your Story campaign, developed by the Puiyurti team at Nunkuwarrin Yunti of South Australia Inc, embraces the culture of story-telling and yarning through the power of film and social media.
Rewrite Your Story is a community development campaign aiming to raise awareness of smoking’s harmful effects on your body and community.
The campaign featured the real-life smoking stories of 16 local ambassadors to inspire Adelaide’s Aboriginal communities to rewrite their stories and give up smokes for good.
The campaign doesn’t preach the ‘don’t smoke message’, but encourages the community to come together, share their stories and support one another to break the smoking cycle.
It was supported by the South Australian Government’s Give Up Smokes for Good campaign in partnership with the Aboriginal Health Council of SA, Port Lincoln Aboriginal Health Service, and the Cancer Council SA.
The campaign has been well received by the Aboriginal community of Adelaide and has been widely covered in media, as well as being picked up by NITV who have committed to showing these stories over the next three years.
This is the first year the Excellence in Health Through the Promotion of Healthy and Smoke Free Lifestyles has beenawarded and it is proudly supported by the Wellington Aboriginal Corporation Health Service (WACHS). Wellington Aboriginal Corporation Health Service (WACHS) aims to empower Aboriginal and Torres Strait Islander people to take control of their individual, family and community health needs through the Aboriginal community controlled health service model.
WACHS is a non-for-profit organisation that provides specific health and specialist programs to support clients/ patients in addressing their health and well-being needs and issues in a culturally appropriate way. As well as providing these specific health related services, our service endeavours to provide self-determination and empower Aboriginal people to take control and responsibility for their health and well-being.
Vibe Australia produces the Deadlys®, Vibe 3on3®, InVibe, Deadly Vibe®, Deadly Sounds and Deadly TV. The Deadlys® 2013 will air on SBS ONE on Sunday 14 September at 9.30pm and repeated on NITV on Wednesday 18 September at 9.30pm.
You can keep up to date with all the Deadlys® news at facebook.com/vibeaustralia and through Twitter @Deadly_Vibe #deadlys. You can also head to www.deadlys.com.au and subscribe to Deadly Vibe Wire at www.vibe.com.au
“This paper describes the development of a statewide study in South Australia that aims to invite approximately 300 women giving birth to an Aboriginal baby to talk about their experiences of using services during pregnancy, labour and birth, and the first 4–12 months after having a baby
We are delighted to confirm that the final versions of your manuscript have been published on the International Journal for Equity in Health website, “
Mary Buckskin, CEO , Aboriginal Health Council of SA (pictured above)
Title: Aboriginal Families Study: a population-based study keeping community and policy goals in mind right from the start
Authors: Buckskin Mary, Ah Kit Jackie, Glover Karen, Mitchell Amanda, Miller Roxanne, Weetra Donna, Wiebe Jan, Yelland S Jane, Newbury Jonathan, Robinson Jeffrey, Brown J Stephanie,
Journal: International Journal for Equity in Health
The study has been developed by researchers based at the Murdoch Children’s Research Institute and the University of Adelaide, in partnership with the Aboriginal Health Council of South Australia Inc.
Background: Australian Aboriginal and Torres Strait Islander women are between two to five times more likely to die in childbirth than non-Aboriginal women, and two to three times more likely to have a low birthweight infant.
Babies with a low birthweight are more likely to have chronic health problems in adult life.
Currently, there is limited research evidence regarding effective interventions to inform new initiatives to strengthen antenatal care for Aboriginal families.
The Aboriginal Families Study is a cross sectional population-based study investigating the views and experiences of Aboriginal and non-Aboriginal women having an Aboriginal baby in the state of South Australia over a 2-year period.
The primary aims are to compare the experiences and views of women attending standard models of antenatal care with those accessing care via Aboriginal Family Birthing Program services which include Aboriginal Maternal Infant Care (AMIC) Workers as members of the clinical team; to assess factors associated with early and continuing engagement with antenatal care; and to use the information to inform strengthening of services for Aboriginal families.
Women living in urban, regional and remote areas of South Australia have been invited to take part in the study by completing a structured interview or, if preferred, a self-administered questionnaire, when their baby is between 4–12 months old.
Discussion: Having a baby is an important life event in all families and in all cultures. How supported women feel during pregnancy, how women and families are welcomed by services, how safe they feel coming in to hospitals to give birth, and what happens to families during a hospital stay and in the early months after the birth of a new baby are important social determinants of maternal, newborn and child health outcomes.
The Aboriginal Families Study builds on consultation with Aboriginal communities across South Australia. The project has been implemented with guidance from an Aboriginal Advisory Group keeping community and policy goals in mind right from the start. The results of the study will provide a unique resource to inform quality improvement and strengthening of services for Aboriginal families.
Keywords: Antenatal care, Health inequalities, Indigenous health, Maternal health, Participatory research, Perinatal health outcomes.
Australian Aboriginal and Torres Strait Islander women are between two to five times more likely to die in childbirth than non-Indigenous women, and two to three times more likely to have a low birthweight infant .
Babies with a low birth weight are more likely to die in infancy , more likely to be admitted to neonatal intensive care , and may be more likely to have serious health problems (e.g. cardiovascular disease, diabetes) in adult life . Recent data suggest that in some Australian states, including South Australia, the proportion of low birth weight babies born to Aboriginal mothers may be increasing [5,6].
The Australian Government has set agreed targets for closing the gap in Indigenous disadvantage outlined by the Council of Australian Governments (COAG) in the National Indigenous Reform Agenda .
Under the terms of this agreement, federal, state and territory governments have committed to closing the gap in life expectancy between Aboriginal and non-Aboriginal Australians within a generation, and halving the gap in mortality rates for Aboriginal children under five within a decade.
Key performance indicators for the National Indigenous Reform Agenda include: an increase in the proportion of Aboriginal and Torres Strait Islander mothers receiving antenatal care in the first trimester of pregnancy (≤13 weeks’ gestation) and in the proportion of Aboriginal and Torres Strait Islander mothers attending five or more antenatal visits; and a reduction in the proportion of Aboriginal and Torres Strait Islander infants with a low birthweight (<2,500 grams).
New funding made available under the COAG National Partnership Agreement on Indigenous Early Childhood Development has facilitated a range of new programs and initiatives to strengthen antenatal care and child and maternal health services for Aboriginal families in all Australian states and territories .
Currently there is a dearth of research evidence regarding effective intervention strategies to inform these initiatives [9-12].
Most of the available evidence comes from small-scale local evaluation studies, predominantly undertaken in regional and remote locations [13-20]. The roll out of COAG funding under the National Partnership Agreement has in effect created an Australia wide ‘natural experiment’ in seeking to improve maternal and perinatal outcomes for Aboriginal and Torres Strait Islander women and children. It is vital that lessons learned fromthe range of programs being developed and implemented with COAG funding are captured by concurrent evaluation at a state and territory level.
However, there is still no complete national perinatal data for Aboriginal mothers and babies. State and territory based perinatal data collections vary in their capacity to ascertain Aboriginal and Torres Strait Islander status of mothers and infants, and steps have only recently been taken to include information regarding status of the infant in the minimum data set for most state jurisdictions .
This paper describes the development of a statewide study in South Australia that aims to invite approximately 300 women giving birth to an Aboriginal baby to talk about their experiences of using services during pregnancy, labour and birth, and the first 4–12 months after having a baby.
The study has been developed by researchers based at the Murdoch Childrens Research Institute and the University of Adelaide, in partnership with the Aboriginal Health Council of South Australia Inc. (AHCSA). The project arose in the context of planning for a population-based postal survey of recent mothers in South Australia and Victoria.
In 2006, the researchers planning this survey approached the AHCSA about working in partnership on a project to provide avenues for Aboriginal women’s voices to be included in the research. At our initial meeting we discussed the idea of seeking funding to facilitate consultations with Aboriginal community organisations and communities in South Australia as a way to seek input into development of the research. The Aboriginal Families Study is the name given to the project that grew out of these discussions. South Australia where the project is based is one of six Australian states, and covers a geographic area four times the size of the UK.
Often when researchers approach Aboriginal community organisations and/or communities, they already havea fairly well developed research question and study protocol in mind. We did not. This paper charts the social history of the project, and outlines the steps we took to get from our initial discussions in 2006 to the stage of developing the study protocol, governance arrangements, and procedures for carrying out the study.
These include: obtaining ‘in principle’ support from the Board of Management of the AHCSA for the conduct of consultations with Aboriginal communities about the project; development of a project agreement between MCRI and the AHCSA; establishment of an Aboriginal Advisory Group to guide the consultations, and subsequently, the development of the study protocol, and conduct of the research; statewide consultations with Aboriginal communities, policy makers and service providers preceding development of the study design and methods; a lengthy pilot study phase that tested different versions of the study questionnaire and recruitment procedures; obtaining ethics approval from a variety of institutional ethics committees; development of a Research Agreement covering governance arrangements for the research phase of the study signed by all partner organisations and study investigators; appointment and training of the fieldwork team; through to recruitment and interviewing of women in urban, regional and remote areas of South Australia.