Aboriginal Health and #prevention : New report : @Prevention1stAU health : How much does Australia spend and is it enough?

 ” The verdict is in: Prevention is better than cure when it comes to tackling Australia’s chronic disease burden, but is Australia pulling its weight when it comes to tackling the nation’s greatest public health challenge?

A new economic report looking at what Australia invests in preventive health has found Australia ranks poorly on the world stage and has determined that governments must spend more wisely to contain the burgeoning healthcare budget.

Treating chronic disease costs the Australian community an estimated $27 billion annually, accounting for more than a third of our national health budget.

Yet Australia currently spends just over $2 billion on preventive health each year, or around $89 per person.

One in two Australians suffer from chronic disease, which is responsible for 83 per cent of all premature deaths in Australia, and accounts for 66 per cent of the burden of disease.”

The report, Preventive health: How much does Australia spend and is it enough? was co-funded by the Heart Foundation, Kidney Australia, Alzheimer’s Australia, the Australia Health Promotion Association and the Foundation for Alcohol Research and Education.

Download the report HERE


Produced by La Trobe University’s Department of Public Health, the report examines trends in preventive health spending, comparing Australia’s spending on preventive health, as well as the funding models used, against selected Organisation for Economic Co-operation and Development (OECD) countries.

The report also explores the question: ‘how much should Australia be spending on preventive health?’

Treating chronic disease costs the Australian community an estimated $27 billion annually, accounting for more than a third of our national health budget.

Yet Australia currently spends just over $2 billion on preventive health each year, or around $89 per person. At just 1.34 per cent of Australian healthcare expenditure, the amount is considerably less than OECD countries Canada, New Zealand and the United Kingdom, with Australia ranked 16th out of 31 OECD countries by per capita expenditure.

Michael Thorn, Chief Executive of the Foundation for Alcohol Research and Education (FARE), a founding member organisation of the Prevention 1st campaign, says that when looking at Australia’s spend on prevention, it should be remembered that one third of all chronic diseases are preventable and can be traced to four lifestyle risk factors: alcohol and tobacco use, physical inactivity and poor nutrition.

“We know that by positively addressing and influencing lifestyle factors such as physical activity, diet, tobacco and   alcohol consumption, we will significantly reduce the level of heart disease, stroke, heart failure, chronic kidney disease, lung disease and type 2 diabetes; conditions that are preventable, all too common, and placing great pressure on Australian families and on Australia’s healthcare systems,” Mr Thorn said.

Report co-author, Professor Alan Shiell says we should not simply conclude that Australia should spend more on preventive health simply because we spend less than equivalent nations, and instead argues that Australia could and should spend more on preventive health measures based on the evidence of the cost effectiveness of preventive health intervention.

“The key to determining the appropriate prevention spend is to compare the added value of an increase in spending on preventive health against the opportunity cost of doing so.

“If the value of the increased spending on preventive health is greater than the opportunity cost, then there is a strong case to do so,” Professor Shiell said.

Professor Shiell says there is clear evidence that many existing preventive health initiatives are cost-effective.

“Studies suggest Australia’s health could be improved and spending potentially even reduced if government was to act on existing policy recommendations and increase spending on activities already considered cost-effective.

“We also suspect that the choice of funding mechanism, or how money is allocated to whom for prevention – is an important factor for the overall efficiency of health prevention expenditure,” Professor Shiell said.

The report highlights England’s efforts in evaluating and monitoring the cost effectiveness and success of its public health interventions and Mr Thorn believes Australia would do well to follow their lead.

“In the United Kingdom we have a conservative government no less, showing tremendous leadership to tackle chronic disease, with bold policy measures like the recently introduced sugar tax and broad-based physical activity programs, all of which are underpinned by robust institutional structures,” Mr Thorn said.

The report will be launched at a Forum at Parliament House in Canberra today, where public health experts, including the World Health Organization’s Dr Alessandro Demaio will explain how they would invest in preventive health if given $100 million to spend.




NACCHO Aboriginal Health and #Alcohol : Draft terms of reference for a another comprehensive review of alcohol policy in the #NT

 ” The Northern Territory has the second highest alcohol consumption in the world. Misuse of alcohol has devastating health and social consequences for NT Aboriginal communities.

APO NT believes that addressing alcohol and drug misuse, along with the many health and social consequences of this misuse, can only be achieved through a multi-tiered approach.

APO NT supports evidence based alcohol policy reform, including:

  • Supply reduction measures
  • Harm reduction measures, and
  • Demand reduction measures.

To address alcohol and drug misuse within Aboriginal and Torres Strait Islander communities, the social and structural determinants of mental health must be addressed,

Parliamentary Inquiry into the Harmful use of Alcohol in Aboriginal Communities

On 17 April 2014, APO NT submitted their written evidence to the House of Representatives Standing Committee on Indigenous Affairs on the Inquiry into the harmful use of alcohol in Aboriginal and Torres Strait communities.

The APO NT submission made 16 recommendations to the committee: SEE INFO Here

Read  NACCHO Alcohol and other drugs 164 Articles over 5 years HERE


A SAFER COMMUNITY :  NT Government Press Release 10 March 2017

The Health Minister Natasha Fyles today released draft terms of reference for a comprehensive review of alcohol policy in the Northern Territory.

Minister Fyles said the Government was determined to tackle the cost of alcohol abuse on our community and the review will give all Territorians an opportunity to have their voices heard.

“We recognise that, while everyone has the right to enjoy a drink responsibly, alcohol abuse is a significant cause of violence and crime in our community,” Ms Fyles said.

“All Territorians have the right to feel safe, to have their property, homes and businesses secure from damage and theft.

“They also have the right to access health, police and justice services, without having critical resources diverted by the crippling effects of alcohol abuse.

“That’s why Territory Labor has consistently advocated, and implemented, a range of policies to reduce the harm caused by alcohol abuse.

“When last in Government we implemented the Banned Drinker Register (BDR), described by Police as the best tool they had to fight violent crime.

“In Opposition we were clear we would reinstate the BDR and impose a moratorium on new takeaway licences.

“Since coming to Government we have:

  • worked efficiently across agencies to bring back the BDR by September 1
  • imposed a moratorium on new takeaway liquor licences (except in exceptional circumstances) – October 2016
  • strengthened legislation to ensure Sunday trade remains limited – November 2016
  • limited the floor space for take away alcohol stores – December 2016
  • introduced new Guidelines for liquor licensing to allow for public hearings – 2 February 2017

“While some of these policies aren’t popular, their effectiveness is backed by evidence.

“This review is an important chance for the community to have their say and to ensure that all facets of alcohol policy complement our determination to make the Territory safer.

“An expert panel will be commissioned to look at alcohol policies and alcohol legislation, reporting to government on:

  • evidence based policy initiatives required to reduce alcohol fuelled crime
  • ensuring safe and vibrant entertainment precincts
  • the provision of alcohol service and management in remote communities
  • decision-making under the Liquor Act
  • the density of liquor licences (concentration, type, number and location of liquor licences ) and the size of liquor outlets

“Broad public consultation will be undertaken as part of the review, with multiple avenues for interested people, groups and communities to put forward their views.

“I look forward to hearing from not only the loudest and most powerful voices in our community, but also the many women, children, families and communities who all too often bear the cost of alcohol abuse in the Northern Territory.”

The review will start in April with a report and recommendations delivered to government in late September 2017.

The government will then develop a response to the recommendations for the development of the Alcohol Harm Reduction Strategy and legislative reform agenda.

These will be released publicly along with the Expert Advisory Panel’s final report.

To view the draft terms of references go to: https://health.nt.gov.au/professionals/alcohol-and-other-drugs-health-professionals/alcohol-policies-and-legislation-review

Submissions are now being accepted at:  AODD.DOH@nt.gov.au

National Audit of communication resources on the Australian Alcohol Guidelines.

The Department of Health and Ageing (DoHA) has provided funding to the Foundation for Alcohol Research and Education (FARE) to promote the Australian Guidelines to Reduce Health Risks from Drinking Alcohol 2009 (Alcohol Guidelines).

FARE has commissioned the Ipsos Social Research Institute (Ipsos SRI) to conduct an Audit of existing resources.

We have already located many resources online, and via FARE and DoHA, but it is important that the audit is as comprehensive as possible.

Locating resources

We are therefore getting in touch to request your help in locating resources, aimed at health professionals and/or the public, that relate to the promotion or explanation of the Alcohol Guidelines (this might include leaflets, posters, handbooks, books, websites etc.

Effectiveness of existing resources

We are also collecting feedback to help us assess the effectiveness of existing resources relating to the Alcohol Guidelines. For example, this could include information on how the resource is distributed, the number of people who have used/had access to the resource, the impact of the resource in terms of change in attitude/behaviour etc.?

Monitoring/evaluation data

If you are aware of any monitoring/evaluation data to help us assess the effectiveness of any of the resources relating to the Alcohol Guidelines please could you provide this along with the resources themselves?  Alternatively, would we be able to speak with you about the effectiveness of these resources

As the timeframe for this part of the research is fairly tight we would be really grateful for any assistance you are able to provide in the next couple of days.

 If you are able to forward on any resources that you are aware of we would really appreciate it.

 The email address to send resources/information to is: claire.lister@ipsos.com

Please also feel free to contact Claire if there is anything you would like to discuss in more detail (02 9900 5138).

Thanks and best wishes,

Stuart Clark, Claire Lister (Research Manager, Ipsos SRI) and Christina Falsone (Director, Ipsos SRI).