NACCHO Aboriginal Health scholarships: Puggy Hunter Memorial Scholarship Scheme close 15 January

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Puggy Hunter Memorial Scholarship Scheme

Applications open now; close 15 January 2017

The Puggy Hunter Memorial Scholarship Scheme (PHMSS) is available to Aboriginal and/or Torres Strait Islander people who are studying a course in ATSI health work, allied health, dentistry/oral health, medicine, midwifery or nursing.

It is an Australian Government initiative designed to encourage and assist Aboriginal and Torres Strait Islander undergraduate students in health-related disciplines to complete their studies and join the health workforce.

The scheme was established in recognition of Dr Arnold ‘Puggy’ Hunter’s significant contribution to Aboriginal and Torres Strait Islander health and his role as Chair of the National Aboriginal Community Controlled Health Organisation.

Dr Puggy Hunter – NACCHO Chairperson 1991-2001 BIO

Dr. Arnold “Puggy” Hunter was a pioneer in Australian Aboriginal health and recipient of the 2001 Australian Human Rights Medal.

Puggy was the elected chairperson of the National Aboriginal Community Controlled Health Organisation, (NACCHO), which is the peak national advisory body on Aboriginal health. NACCHO has a membership of over 150 Aboriginal Community Controlled Health Services and is the representative body of these services. Puggy was the inaugural Chair of NACCHO from 1991 until his death.[1]

Puggy was the vice-chairperson of the Aboriginal and Torres Strait Islander Health Council, the Federal Health Minister’s main advisory body on Aboriginal health established in 1996.

He was also Chair of the National Public Health Partnership Aboriginal and Islander Health Working Group which reports to the Partnership and to the Australian Health Ministers Advisory Council.

He was a member of the Australian Pharmaceutical Advisory Council (APAC), the General Practice Partnership Advisory Council, the Joint Advisory Group on Population Health and the National Health Priority Areas Action Council as well as a number of other key Aboriginal health policy and advisory groups on national issues.[1]

Puggy had a long and passionate role in the struggle for justice for Aboriginal people. He was born in Darwin in 1951, where his parents had fled Broome and Western Australian native welfare policies.[1]

Numerous Australian scholarships are named in his honour.

He was quoted in Australian Parliament as saying: “You white people have the hearing problems because you do not seem to hear us

Application form

Online application form 

Applications are open now; close on 15 January 2017.

Eligibility criteria

Applications will be considered from applicants who are:

  • of Aboriginal and/or Torres Strait Islander descent
    Applicants must identify as and be able to confirm their Aboriginal and/or Torres Strait Islander status.
  • enrolled or intending to enrol in an entry level or graduate entry level health related course.
    Courses must be provided by an Australian registered training organisation or university. Funding is not for postgraduate study.
  • intending to study in the academic year that the scholarship is offered.

ACN receives high volume of applications; meeting the eligibility criteria will not guarantee applicants a scholarship offer.

Eligible health areas

  • Aboriginal & Torres Strait Islander health work
  • Allied health (excluding pharmacy)
  • Dentistry/oral health (excluding dental assistants)
  • Direct entry midwifery
  • Medicine
  • Nursing; registered and enrolled

Value of scholarship

Funding is provided for the normal duration of the course. Full time scholarship awardees will receive up to $15,000 per year and part time recipients will receive up to $7,500 per year. The funding is paid in 24 fortnightly instalments throughout the study period of each year.

Selection criteria

These are competitive scholarships and will be awarded on the recommendation of the independent selection committee whose assessment will be based on how applicants address the following questions:

  • Describe what has been your driving influence/motivation in wanting to become a health professional in your chosen area.
  • Discuss what you hope to accomplish as a health professional in the next 5-10 years.
  • Discuss your commitment to study in your chosen course.
  • Outline your involvement in community activities, including promoting the health and well-being of Aboriginal and Torres Strait Islander people.

The Puggy Hunter Memorial Scholarship scheme is funded by the Australian Government Department of Health and administered by the Australian College of Nursing.

Important links

Links to Indigenous health professional associations

Contact ACN

e scholarships@acn.edu.au
t 1800 688 628

 

NACCHO Aboriginal Health #RHD : AMA Report Card on Indigenous Health highlights need for Aboriginal community controlled services

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With Aboriginal and Torres Strait Islander Australians still 20 times more likely to die from RHD, the AMA’s call for firm targets and a comprehensive and consultative strategy is welcome. We encourage governments to adopt these recommendations immediately.

“As noted by the AMA, it is absolutely critical that governments work in close partnership with Aboriginal health bodies. Without strong community controlled health services, achieving these targets for reducing RHD will be impossible.

While this is a long term challenge, the human impacts on Aboriginal and Torres Strait Islander communities are being felt deeply right now. Action is required urgently.

NACCHO is standing ready to work with the AMA and governments to develop and implement these measures. We have to work together and we have to do it now.”

National Aboriginal Community Controlled Health Organisation (NACCHO) Chairperson Matthew Cooke pictured above at Danila Dilba Health Service NT with AMA President Dr Michael Gannon (right ) and the Hon Warren Snowdon MP Shadow Assistant Minister for Indigenous Health (left )

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” RHD, which starts out with seemingly innocuous symptoms such as a sore throat or a skin infection, but leads to heart damage, stroke, disability, and premature death, could be eradicated in Australia within 15 years if all governments adopted the recommendations of the latest AMA Indigenous Health Report Card.

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AMA President, Dr Michael Gannon see full AMA Press Release below

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 ” We have many of the answers, we just need commitment from Govt to help implement necessary changes

Ms Olga Havnen is the CEO of Danila Dilba Biluru Binnilutlum Health Service in Darwin

NACCHO Press Release

The peak Aboriginal health organisation today welcomed the release of the Australian Medical Association’s Report Card on Indigenous Health as a timely reminder of the importance of community controlled services.

The 2016 Report Card on Indigenous Health focuses on the enormous impact that Rheumatic Heart Disease (RHD) is having on Aboriginal and Torres Strait Islander people in Australia with a ‘Call to Action to Prevent New Cases of RHD in in Indigenous Australia by 2031’.

DOWNLOAD the Report Card here :

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AMA RELEASES PLAN TO ERADICATE RHEUMATIC HEART DISEASE (RHD) BY 2031

AMA Indigenous Health Report Card 2016: A call to action to prevent new cases of Rheumatic Heart Disease in Indigenous Australia by 2031

The AMA today called on all Australian governments and other stakeholders to work together to eradicate Rheumatic Heart Disease (RHD) – an entirely preventable but devastating disease that kills and disables hundreds of Indigenous Australians every year – by 2031.

AMA President, Dr Michael Gannon, said today that RHD, which starts out with seemingly innocuous symptoms such as a sore throat or a skin infection, but leads to heart damage, stroke, disability, and premature death, could be eradicated in Australia within 15 years if all governments adopted the recommendations of the latest AMA Indigenous Health Report Card.

The 2016 Report Card – A call to action to prevent new cases of Rheumatic Heart Disease in Indigenous Australia by 2031 – was launched at Danila Dilba Darwin  Friday 25 November

Dr Gannon said the lack of effective action on RHD to date was a national failure, and an urgent coordinated approach was needed.

“RHD once thrived in inner-city slums, but had been consigned to history for most Australians,” Dr Gannon said.

“RHD is a disease of poverty, and it is preventable, yet it is still devastating lives and killing many people here in Australia – one of the world’s wealthiest countries.

“In fact, Australia has one of the highest rates of RHD in the world, almost exclusively localised to Indigenous communities.

“Indigenous Australians are 20 times more likely to die from RHD than their non-Indigenous peers – and, in some areas, such as in the Northern Territory, this rate rises to 55 times higher.

“These high rates speak volumes about the fundamental underlying causes of RHD, particularly in remote areas – poverty, housing, education, and inadequate primary health care.

“The necessary knowledge to address RHD has been around for many decades, but action to date has been totally inadequate.

“The lack of action on an appropriate scale is symptomatic of a national failure. With this Report Card, the AMA calls on all Australian governments to stop new cases of RHD from occurring.”

RHD begins with infection by Group A Streptococcal (Strep A) bacteria, which is often associated with overcrowded and unhygienic housing.

It often shows up as a sore throat or impetigo (school sores). But as the immune system responds to the Strep A infection, people develop Acute Rheumatic Fever (ARF), which can result in damage to the heart valves – RHD – particularly when a person is reinfected multiple times.

RHD causes strokes in teenagers, and leads to children needing open heart surgery, and lifelong medication.

In 2015, almost 6,000 Australians – the vast majority Indigenous – were known to have experienced ARF or have RHD.

From 2010-2013, there were 743 new or recurrent cases of RHD nationwide, of which 94 per cent were in Indigenous Australians. More than half (52 per cent) were in Indigenous children aged 5-14 years, and 27 per cent were among those aged 15-24 years.

“We know the conditions that give rise to RHD, and we know how to address it,” Dr Gannon said.

“What we need now is the political will to prevent it – to improve the overcrowded and unhygienic conditions in which Strep A thrives and spreads; to educate Indigenous communities about these bacterial infections; to train doctors to rapidly and accurately detect Strep A, ARF, and RHD; and to provide culturally safe primary health care to communities.”

The AMA Report Card on Indigenous Health 2016 calls on Australian governments to:

Commit to a target to prevent new cases of RHD among Indigenous Australians by 2031, with a sub-target that, by 2025, no child in Australia dies of ARF or its complications; and

Work in partnership with Indigenous health bodies, experts, and key stakeholders to develop, fully fund, and implement a strategy to end RHD as a public health problem in Australia by 2031.

“The End Rheumatic Heart Disease Centre of Research Excellence (END RHD CRC) is due to report in 2020 with the basis for a comprehensive strategy to end RHD as a public health problem in Australia,” Dr Gannon said.

“We need an interim strategy in place from now until 2021, followed by a comprehensive 10-year strategy to implement the END RHD CRC’s plan from 2021 to 2031.

“We urge our political leaders at all levels of government to take note of this Report Card, and to be motivated to act to solve this problem.”

The AMA Indigenous Health Report Card 2016 is available at https://ama.com.au/article/2016-ama-report-card-indigenous-health-call-action-prevent-new-cases-rheumatic-heart-disease

TIME TO TAKE HEART

Labor calls on the Turnbull government to take heart and address Rheumatic Heart Disease, an entirely preventable public health problem which is almost exclusively affecting First Nation Peoples.

Labor welcomes the release of the Australian Medical Association’s 2016 Aboriginal and Torres Strait Islander Health Report Card, A Call To Action To Prevent New Cases Of Rheumatic Heart Disease In Indigenous Australian By 2031.

Poor environmental health conditions, like overcrowded housing remain rampant in Aboriginal and Torres Strait Islander communities, devastating families and the lives of young people.

As the AMA’s report card suggests, we must build on the success of the 2009 Commonwealth Government Rheumatic Fever strategy, established to improve the detection and monitoring of Acute Rheumatic Fever and Rheumatic Heart Disease.

Funding under the Rheumatic Fever strategy is uncertain after this financial year,” Ms King said.

The Productivity Commission’s report Overcoming Indigenous Disadvantage [OID] released last week found 49.4% of Aboriginal and Torres Strait Islander peoples in remote communities live in overcrowded housing. Additionally, the report details no significant improvement in Aboriginal and Torres Strait Islander Peoples access to clean water, functional sewerage and electricity.

“We know Rheumatic Heart Disease is a disease of poverty and social disadvantage, which is absolutely preventable. Aboriginal and Torres Strait Islander communities, especially in the Top End of the Northern Territory, suffer the highest rates of definite Rheumatic Heart Disease,” Mr Snowdon said.

Labor applauds the work of the Take Heart Australia awareness campaign, and their work to educate and advocate putting Rheumatic Heart Diseases on the public health agenda.

“Like always, Aboriginal and Torres Strait Islander communities need to be front and centre in taking action. The most positive outcomes will come through communities working with Aboriginal and Community Control Health Organisations to design and deliver programs tailored to their needs,” Senator Dodson said.

The National Aboriginal and Torres Strait Islander Health Plan 2013-2023 noted more than three years ago the association of RHD with ‘extremes of poverty and marginalisation’, these conditions remain and are almost exclusively diseases of Indigenous Australia.

If we are serious about closing the gap, we must take heart, and address this burden of Rheumatic Heart Disease facing First Nation Peoples.

ACTION TO END RHEUMATIC HEART DISEASE (RHD) IN 15YRS

The Heart Foundation has today supported the Australian Medical Association (AMA) call for governments to work together to eliminate Rheumatic Heart Disease (RHD) in 15 years, by 2031.

Heart Foundation National CEO, Adjunct Professor John Kelly (AM) said RHD was an avoidable but widespread disease that kills and harms hundreds of Indigenous Australians every year.

“Considering how preventable RHD is, it is a national shame that our Indigenous population are left languishing.

“The Heart Foundation has strongly advocated from the RHD strategy. We continue to call on the government to fund the National Partnership Agreement on Rheumatic fever strategy and Rheumatic Heart Disease Australia (RHD Australia) with a $10 million over 3 years’ commitment, “Adj Prof Kelly said.

With the AMA predicting that RHD could be eradicated in Australia within 15 years if all governments adopted its recommendations, the time to act is now.

“We need to boost funding for the national rheumatic fever strategy. New Zealand is allocating $65 million over 10 years. A robust approach can put an end to RHD as a public health issue within 15 years,” Adj Prof Kelly said.

This call to action was part of the release of the AMA’s 2016 Indigenous Report Card – A call to action to prevent new cases of Rheumatic Heart Disease in Indigenous Australia by 2031.

“We want a strong and robust strategy to tackle this challenge. We will be working with the AMA to support and advocate for these recommendations which include:

  • A commitment to a target to prevent new cases of RHD among Indigenous Australians by 2031, with a sub-target that, by 2025, no child in Australia dies of ARF or its complications; and
  • Working in partnership with Indigenous health bodies, experts, and key stakeholders
  • to develop, fully fund, and implement a strategy to end RHD as a public health problem in Australia by 2031.

 

NACCHO Aboriginal Health Debate : # A sugary drinks tax could recoup some of the costs of #obesity while preventing it

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Personal responsibility, not the Australian Tax Office, should determine how much sugar Australians consume, says Barnaby Joyce. Often as not, Barnaby’s recovery program involves half a packet of Marlboros, which he calls bungers.

Barnaby was much agitated on Wednesday about the suggestion by the Grattan Institute that a tax on high-sugar fizzy drinks might go some way towards alleviating Australia’s obesity problem.

“This is one of the suggestions where right at the start we always thought was just bonkers mad,” he declared, adding his party would not be supporting a sugar tax.

This shouldn’t knock you cold with surprise. Barnaby is the leader of the Nationals. Name a sugar-growing area and you’ll find a Nationals or a Liberal National Party member at the local school fete knocking back a mug of raw sugar-cane juice and proclaiming it God’s food.

But Barnaby wasn’t simply stopping at political solidarity with his northern MPs.

He had some Barnaby-advice on how you might lose weight without taxing sugar.

“People are sitting on their backside too much, and eating too much food and not just soft drinks, eating too many chips and other food,” he lectured.

“Well, so the issue is take the responsibility upon yourself. The Australian Taxation Office is not going to save your health, right. Do not go to the ATO as opposed to go to your doctor or put on a pair of sandshoes and walk around the block and…go for a run.

The ATO is not a better solution than jumping in the pool and going for a swim.

The ATO is not a better solution than reducing your portion size.

“So get yourself a robust chair and a heavy table and halfway through the meal, put both hands on the table and just push back. That will help you lose weight.”

Barnaby Joyce, living miracle, offers a health plan : Pictured above David Gillespie Assistant Minister for Rural Health and Member for Lyne

Note 1: The Federal electorates of Lyne which takes in Taree and Port Macquarie has been identified at the Number One stroke ‘hotspot’ in Australia.Refer

Note 2 : The Minister is not to be confused with David Gillespie Author of How Much Sugar and Sweet Poison : Why Sugar makes us fat .

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In the wake of the progress report on Closing the Gap, the Indigenous Affairs Minister Nigel Scullion has declared sugary soft drinks are “killing the population” in remote Indigenous communities.

Key points:

  • Closing the Gap report found worst health outcomes found in remote communities
  • One remote community store drawing half of total profits from soft drink sales, Senator Scullion says
  • Senator Scullion says he thinks attitudes to soft drink are changing

According to evidence provided to Senate estimates today, at least 1.1 million litres of so-called “full sugar” soft drink was sold in remote community stores last financial year.

NACCHO Health News Alert : Scullion says sugary soft drinks ‘killing the population’ in remote Aboriginal communities

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Grattan Institute report

 ” Obesity is a major public health problem  In Australia more than one in four adults are now classified as obese, up from one in ten in the early 1980s.

And about 7% of children are obese, up from less than 2% in the 1980s.

The sugary drinks tax  revenue could be spent on obesity programs that benefit the disadvantaged, reducing the regressivity of the tax.

While the beverage and sugar industries are strongly opposed to any tax on sugar, their concerns are overblown.

A sugar-sweetened beverages tax will reduce domestic demand for Australian sugar by around 50,000 tonnes, which is only about 1% of all the sugar produced in Australia. And while there may be some transition costs, this sugar could instead be sold overseas (as 80% of Australia’s sugar production already is).

A tax on sugary drinks is a public health reform whose time has come.

The Conversation

A sugary drinks tax could recoup some of the costs of obesity while preventing it

In our new Grattan Institute report, A sugary drinks tax: recovering the community costs of obesity, we estimate community or “third party” costs of obesity were about A$5.3 billion in 2014/15.


Obesity not only affects an individual’s health and wellbeing, it imposes enormous costs on the community, through higher taxes to fund extra government spending on health and welfare and from forgone tax revenue because obese people are more likely to be unemployed.

In our new , A sugary drinks tax: recovering the community costs of obesity, we estimate community or “third party” costs of obesity were about A$5.3 billion in 2014/15.

We propose the government put a tax on sugar-sweetened beverages to recoup some of the third-party costs of obesity and reduce obesity rates. Such a tax would ensure the producers and consumers of those drinks start paying closer to the full costs of this consumption – including costs that to date have been passed on to other taxpayers. There is the added benefit of raising revenue that could be spent on obesity-prevention programs.

The scope of our proposed tax is on non-alcoholic, water-based beverages with added sugar. This includes soft drinks, flavoured mineral waters, fruit drinks, energy drinks, flavoured waters and iced teas.

While a sugary drinks tax is not a “silver bullet” solution to the obesity epidemic (that requires numerous policies and behaviour changes at an individual and population-wide level), it would help.

Why focus on sugary drinks?

Sugar-sweetened beverages are high in sugar and most contain no valuable nutrients, unlike some other processed foods such as chocolate. Most Australians, especially younger people, consume too much sugar already.

People often drink excessive amounts of sugary drinks because the body does not send appropriate “full” signals from calories consumed in liquid form. Sugar-sweetened beverages can induce hunger, and soft drink consumption at a young age can create a life-long preference for sweet foods and drinks.

We estimate, based on US evidence, about 10% of Australia’s obesity problem is due to these sugar-filled drinks.

Many countries have implemented or announced the introduction of a sugar-sweetened beverages tax including the United Kingdom, France, South Africa and parts of the United States. The overseas experience is tax reduces consumption of sugary drinks, with people mainly switching to water or diet/low-sugar alternatives.

There is strong public support in Australia for a sugar-sweetened beverages tax if the funds raised are put towards obesity prevention programs, such as making healthier food cheaper. Public health authorities, including the World Health Organisation and the Australian Medical Association, as well as advocates such as the Obesity Policy Coalition, support the introduction of a sugar-sweetened beverages tax.

What the tax would look like

We advocate taxing the sugar contained within sugar-sweetened beverages, rather than levying a tax based on the price of these drinks, because: a sugar content tax encourages manufacturers to reduce the sugar content of their drinks, it encourages consumers to buy drinks with less sugar, each gram of sugar is taxed consistently, and it deters bulk buying.

The tax should be levied on manufacturers or importers of sugar-sweetened beverages, and overseas evidence suggests it will be passed on in full to consumers.

We estimate a tax of A$0.40 per 100 grams of sugar in sugary drinks, about A$0.80 for a two-litre bottle of soft drink, will raise about A$400-$500 million per year. This will reduce consumption of sugar-sweetened beverages by about 15%, or about 10 litres per person on average. Recent Australian modelling suggests a tax could reduce obesity prevalence by about 2%.



Author provided/The Conversation, CC BY-ND

Low-income earners consume more sugar-sweetened beverages than the rest of the population, so they will on average pay slightly more tax. But the tax burden per person is small – and consumers can also easily avoid the tax by switching to drinks such as water or artificially sweetened beverages.

People on low incomes are generally more responsive to price rises and are therefore more likely to switch to non-taxed (and healthier) beverages, so the tax may be less regressive than predicted. Although a sugar-sweetened beverages tax may be regressive in monetary terms, the greatest health benefits will flow through to low-income people due to their greater reduction in consumption and higher current rates of obesity.

The revenue could also be spent on obesity programs that benefit the disadvantaged, reducing the regressivity of the tax.

While the beverage and sugar industries are strongly opposed to any tax on sugar, their concerns are overblown. Most of the artificially sweetened drinks and waters, which will not be subject to the tax, are owned by the major beverage companies.

A sugar-sweetened beverages tax will reduce domestic demand for Australian sugar by around 50,000 tonnes, which is only about 1% of all the sugar produced in Australia. And while there may be some transition costs, this sugar could instead be sold overseas (as 80% of Australia’s sugar production already is).

A tax on sugary drinks is a public health reform whose time has come.

NACCHO Aboriginal Eye Health Survey : Fred Hollows Foundation’s Indigenous Australia Program (IAP)

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The Fred Hollows Foundation’s Indigenous Australia Program (IAP) is conducting a survey of our partners.

As a valued partner of the IAP , we are keen to understand your views and use these to help us improve.

Completing the survey will take approximately 10 – 15 minutes. The survey is confidential and responses will not be attributed to any individual or organisation.

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The survey is open from Wednesday the 14th of November  to Wednesday the 30th of November 2016.

GO TO SURVEY

The survey consists of four short sections:

  • Section 1 asks you about your relationship with the IAP
  • Section 2 focuses on the IAP’s guiding principles
  • Section 3 asks you about our partnership approach
  • Section 4 focuses on our organisation, processes and people

Your input will be collated in a way that guarantees the anonymity of your responses. The results will help inform the IAP’s continuous improvement process. Depending on the feedback we receive, we expect to make specific program improvements and/or guide specific advocacy messages. Key survey results and how the IAP plans to address them will be disseminated to partners via email early next year.

Please contact myself jbarton@hollows.org  or Alison Rogers arogers@hollows.org if you have any questions.

Completing this survey can helps us make a positive impact on how the IAP works to increase access to eye health services for Aboriginal and Torres Strait Islander Australians.

GO TO SURVEY

Your participation is greatly appreciated.

Kind Regards,

Jaki Adams-Barton

Manager, Indigenous Australia Program | The Fred Hollows Foundation

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NACCHO Press Release : Self-determination needed to overcome Aboriginal disadvantage -NACCHO response to Overcoming Indigenous Disadvantage Report

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“It’s good news that we’re having success in improving mortality rates for mothers and babies,  But we owe these children a better future than one where they’re at higher risk of dislocation from Country and culture, poor mental health, suicide, family violence, imprisonment and poverty.

We owe them the same future as every other Australian child.

Political will was needed to address disadvantage and make more inroads into closing the gap between Indigenous and non-Indigenous Australians in health and well-being and social advantage.”

NACCHO Chair Matthew Cooke naccho-press-release

NACCHO Aboriginal Health What Works Part 7 : Overcoming Indigenous Disadvantage 2016 Productivity Commission Report shows some positive trends but…!

Overcoming Indigenous Disadvantage 2016 Report

Download PDF and Word copies of report here

Aboriginal health services must be given a greater front line role in overcoming Aboriginal disadvantage, Australia’s peak Aboriginal health body said today.

National Aboriginal Community Controlled Health Organisation (NACCHO) Chair Matthew Cooke said the Productivity Commission’s Overcoming Indigenous Disadvantage Report released today shows gains in some close the gap targets, but some areas of disadvantage are worse than the last report two years ago.

Mr Cooke said it was encouraging that child mortality rates have improved since 1998; more Aboriginal students are completing high school and university; and employment rates have increased.

However family violence rates, alcohol and substance use are unchanged; the mental health of Aboriginal communities is continuing to decline; and rates of juvenile incarceration have increased to 24 times the rate for non-Indigenous youth.

“Until governments show the political will to address all the determinants of health and well-being, we will not close these gaps,” he said.

“We’ve identified the disadvantage many, many times. The harder part is providing the services, the programs, and the changes to community attitudes that are need to overcome the disadvantage.

“It’s time to move beyond paper plans and strategies to action on the ground and that means real engagement with Aboriginal communities and empowering Aboriginal community controlled health services to take the lead.”

Matthew Cooke will keynote speakers at the  NACCHO Members Conference in Melbourne

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1. NACCHO Interim 3 day Program has been released -Download
2. The dates are fast approaching – so register today

NACCHO #NNW2016 Aboriginal Health and Nutrition : What works to keep our mob healthy and strong?

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” More effective action is urgently required in order to reduce the unacceptable health inequalities experienced by Aboriginal and Torres Strait Islander peoples.

During National Nutrition Week, 16-22 October 2016 NACCHO highlights food insecurity and nutrition-related chronic conditions are responsible for a large proportion of the ill-health experienced by Australia’s First Peoples who, before colonisation, enjoyed physical, social and cultural wellbeing for tens of thousands of years. Food and nutrition programs, therefore, play an important role in the holistic approach to improving health outcomes for Aboriginal and Torres Strait Islander peoples.

Key Recommendations

  1. Consistent incorporation of nutrition and breastfeeding advice into holistic maternal and child health care services.
  2. Creation of dedicated positions for Aboriginal or Torres Strait Islander people to be trained and supported to work with their local communities to improve food security and nutrition.
  3. Development of strategies which increase access to nutritious food, such as meal provision or food subsidy programs, should be considered for families experiencing food insecurity.
  4. Adoption of settings-based interventions (e.g. in schools, early childhood services and sports clubs) which combine culturally-appropriate nutrition education with provision of a healthy food environment.

The evidence suggests that the most important factor determining the success of Aboriginal and Torres Strait Islander food and nutrition programs is community involvement in (and, ideally, control of) program development and implementation.

Working in partnership with Aboriginal or Torres Strait Islander health professionals and training respected community members to deliver nutrition messages are examples of how local strengths and capacities can be developed. Incorporation of Aboriginal and Torres Strait Islander knowledge and culture into program activities is another key feature of strength-based practice which can be applied to food and nutrition programs.”

Food and nutrition programs for Aboriginal and Torres Strait Islander Australians: what works to keep people healthy and strong?

Download full report food-and-nutrition-programs-aboriginal-what-works

The authors would also like to acknowledge the National Aboriginal Community Controlled Health Organisation (NACCHO) for their contribution to this work.

Deeble Institute for Health Policy Research, Australian Healthcare and Hospitals Association (AHHA), Canberra.

Nutrition Australia, the country’s leading non-profit nutrition organisation and creators of the Healthy Eating Pyramid, is challenging all Australians to take the pledge to eat more veg during National Nutrition Week, 16-22 October 2016.

With an alarming 96% of Australians failing to eat their recommend daily intake of vegetables, Nutrition Australia’s Try For 5 theme encourages all Australians to discover new ways to add veg to their day.

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The recommended daily intake for people over 4 years of age is around 5 serves of vegetables and legumes a day (75g per serve), yet data from the Australia Bureau of Statistics shows that the average Australian eats around half that amount.

“It’s the food group that we eat the least, yet it’s the one we should eat from the most!” said Lucinda Hancock, Accredited Nutritionist and CEO of Nutrition Australia Vic Division.

“Whether they’re fresh, frozen or canned, eating a rainbow of vegetables every day is one of the easiest things we can do to improve our health and wellbeing.”

“Vegetables are full of vitamins, minerals, fibre and antioxidants which all help keep our minds and bodies working day-to-day, and reduce our risk of chronic disease in the future.”

President of Nutrition Australia, Rob Rees said “Our Healthy Eating Pyramid has been advising Australians to eat a diet of mostly plant foods, including vegetables and legumes, for over 30 years. Sadly, we know that most Australians don’t eat the balanced diet that’s recommended by the Pyramid, and this is why we’re seeing such high rates of diet-related diseases.”

“In fact the average Australian gets over a one third of their daily kilojoules (energy) from ‘junk foods’, like biscuit and cakes, confectionery, take away foods, sugary drinks and alcohol,“ said Mr Rees .

Nutrition Australia is supporting the Try For 5 goal with 3 key strategies to boost vegetable intake:

 

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Eat a rainbow

Eating a variety of vegetables each day exposes us to a wide range of nutrients for better health. We should eat different coloured vegetables every day because each colour carries its own set of unique health-promoting properties called ‘phytochemicals’ that give vegetables their colour, flavour, taste and even smell.

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Try something new

Trying new things is a great strategy to boost your vegetable intake. Whether that’s trying new vegetables, a new recipe, or trying vegetables in a way that you normally don’t consume them like at breakfast or in a snack. Experimenting with vegetables and preparing foods can give you the knowledge, skills and confidence to easily prepare vegetables to suit your tastes, which makes you more likely to buy, cook and consume them.

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Love your legumes

2016 is International Year of the Pulse (another term for legumes) and they are a cheap and versatile source of fibre, protein plus many other important nutrients. We should have 2–3 serves of legumes a week for health benefits.

Sibylla Stephen is one half of children’s band, Teeny Tiny Stevies, who are ambassadors for National Nutrition Week 2016.

Mum-of-two Sibylla and her bandmate and sister, Beth, are releasing the animated video for their song “I Ate A Rainbow” during National Nutrition Week, which was written as a tool to help parents teach their children about why we should eat different coloured vegetables every day.

And it’s a perfect match with the storybook, I’m having a rainbow for dinner published by Nutrition Australia’s Queensland Division.

“I’m thrilled to be an ambassador for National Nutrition Week because I think we can all do with learning some new quick and easy ways to feed ourselves and our families with vegetables,” Sibylla said.

“My children are four and one, and their relationship with food changes as they get older. It can be incredibly frustrating to get them to eat their veggies, but I always encourage them to try different veggies cooked in different ways, and learn what they do and don’t like.

“As parents we try so hard to make sure our kids are well nourished, but the stats show that we’re not taking our own advice. I think ‘eating a rainbow’ is a great message for children and adults alike!”

Report continued

The National Aboriginal and Torres Strait Islander Health Plan takes a “whole-of-life” approach to improving health outcomes. Priority areas include maternal health and parenting; childhood health and development; adolescent and youth health; healthy adults and healthy ageing.

This Policy Issues Brief provides a synthesis of the evidence for food and nutrition programs at each of these life stages. It answers questions such as, what kind of food and nutrition programs are most effective for Aboriginal and Torres Strait Islander peoples? And, how should these food and nutrition programs be developed and implemented?

Nutrition research has been criticised for focusing too much on quantifying dietary risks and deficits, without offering clear solutions.

Increasingly, Aboriginal organisations are calling for strength-based approaches, which utilise community assets to promote health and wellbeing.

Evidence-based decision-making must consider not only what should be done, but also how food and nutrition policies and programs can be developed to support the existing strengths of Aboriginal and Torres Strait Islander communities.

National Nutrition Week runs from 16-22 October 2016. Click here for recipes, tips and resources to discover new ways to add veg to your day.

How you can share positive health messages and  stories about Aboriginal Community Controlled Health issues ? Closing this week for advertising and editorial

newspaper-promo

Editorial Opportunities : We are now looking to all our members, programs and sector stakeholders for advertising, compelling articles, eye-catching images and commentary for inclusion in our next edition.Maximum 600 words (word file only) with image

More info and Advertising rate card

Contact editor Colin Cowell 0401 331 251

or email nacchonews@naccho.org.au

agm

REGISTER HERE

 

NACCHO Save a Date List of Aboriginal Health Events next 2 months : Register #NACCHOagm2016

 Save

1.Indigenous Health Conferences next 2 months

4th National Indigenous drug and alcohol conference

The Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) International Indigenous Health Workforce Meeting

The Lowitja Institute International Indigenous Health and Wellbeing Conference 2016

Public Health Association of Australia (PHAA) National Primary Health Care Conference 2016

Indigenous Allied Health Australia National Forum and Awards

2. NACCHO Members Conference AGM: Registrations are open   : 6-8 December 2016  Melbourne

Attention NACCHO Member Organisations and Stakeholders

AGM 2016

As you are aware, the  2016 NACCHO Members’ Meeting and Annual General Meeting will be in Melbourne this year
The dates are fast approaching – so register today

The NACCHO Members’ Conference and AGM provides a forum for the Aboriginal community controlled health services workforce, bureaucrats, educators, suppliers and consumers to:

  • To support sustainable approaches to health care for continued health improvement and self determination
  • Present on innovative local economic development solutions to issues that can be applied to address similar issues nationally and across disciplines
  • Have input and influence from the ‘grassroots’ into national and state health policy and service delivery
  • Demonstrate leadership in workforce and service delivery innovation
  • Promote continuing education and professional development activities essential to the Aboriginal community controlled health services in urban, rural and remote Australia
  • Promote Aboriginal health research by professionals who practice in these areas and the presentation of research findings
  • Develop supportive networks
  • Promote good health and well-being through the delivery of health services to and by Indigenous and non-Indigenous people throughout Australia
The NACCHO Members’ Conference and AGM will be held at the
Grand Hyatt Melbourne,
123 Collins Street,
Melbourne VICTORIA

Which has 548 guest rooms & whilst a number of these rooms have currently been held for NACCHO delegates at a heavily discounted rate, these will be released for general sale to the public at scheduled intervals.

We highly recommend you book your accommodation early, which can be done via the unique online booking link.!

BOOK NOW

Ticket Registrations Available

Payment will be accepted through Event Brite on the registration form.

Invoices will be issued up to 28-days prior to the start of event. If you choose the “issue invoice” option, please note that invoices MUST be paid within 14-days of issue.

In the event that your invoice is not paid within 14-days, your registration will be cancelled.  However, this will be notified to you via e-mail.

If you are registering within 14-days of the event and require an invoice please call the NACCHO secretariat on 02 6246 9301 or

e-mail NACCHO-AGM@naccho.org.au

Registrations received on any day of this three day event will incur a late fee of $100 per registration: credit card payment will only be accepted – an invoice will not be issued. Late registrations are also not guaranteed the full conference kit, i.e. Program, bag, t-shirt etc.

Item Price (ex GST) Late registration fee (at event)Standard fee plus $100 (ex GST)
Voting Member (2 only per member service) $    890.00 $   990.00
Non-Voting Member $ 1,090.00 $1,190.00
Observer $ 1,290.00 $1,290.00
Day delegate $    450.00 $   550.00

 

REGISTER HERE


Notes on types of registration

  • NACCHO Voting Member – 2 per Member Service

    As a member of NACCHO you are entitled to two Voting Member registrations only. Therefore, only two delegates from your organisation can register as a Voting Member.

    NACCHO Non-Voting member

    If you have further delegates to register, please use the Non-Voting Member registration section.

    Non-Members (Observers)

    Non NACCHO members, register in this section.

    Day Delegate

    Please Note: One registration per delegate only – delegates are not to share one registration. Each person attending the Members’ Conference and/or AGM is required to purchase a Registration for either the full three days or, if not attending for all three days, pay a Registration Fee for each day of attendance at the “Day Delegate” rate.

    3.NACCHO AGM edition Aboriginal Health Newspaper

    newspaper-promo

    Editorial Opportunities

    We are now looking to all our members, programs and sector stakeholders for advertising, compelling articles, eye-catching images and commentary for inclusion in our next edition.

    Maximum 600 words (word file only) with image

    Please Note: All submitted advertising and editorial content is subject to space availability and review by the NACCHO Newspaper editorial committee

    Advertising opportunities

    This 24-page newspaper is produced and distributed as an insert in the Koori Mail, circulating 14,000 full-colour print copies nationally via newsagents and subscriptions.

    Our audited readership (Audit Bureau of Circulations) is 100,000 readers!

    Our target audience also includes over 1,500 NACCHO member and affiliate health organisations, relevant government departments, subsidiary indigenous health services and suppliers, as well as the end-users of Australian Indigenous health services nationally.

    Your advertising support means we can build this newspaper to a cost-neutral endeavour, thereby guaranteeing its future.

    Rate Card

    Note: the earlier you book your ad or submit an article for consideration, the better placement we can offer in the printed newspaper. All prices are GST inclusive. Discounts are available to not-for-profits, NACCHO member organisations and industry stakeholders. All prices include artwork if required.

    More info and RATE CARD

    For further information contact:

    Colin Cowell – 0401 331 251
    Communications and Marketing Consultant

    Email nacchonews@naccho.org.au

4.National Conference: Closing the Prison Gap: Building Cultural Resilience

WHEN: 10-11 October 2016

WHERE: Mantra on Salt Beach, Gunnamatta Avenue, Kingscliff, NSW

WHO TO CONTACT: Meg Perkins mperkinsnsw@gmail.com Mobile 0417 614 135

The Closing the Gap: Building Cultural Resilience national conference will look closely at issues around changing the Australian criminal justice system while celebrating grassroots, community-led and unfunded activities being undertaken by First Nations People.

Australia has a long history of over-incarceration of First Nations peoples, beginning with the first Aboriginal Protection Act in Victoria in 1869, and culminating in the abuses at the Don Dale Juvenile Detention Centre in the Northern Territory in 2016.

It is obvious that we need to make changes in the Australian criminal justice system – studies on risk and protective factors have shown that cultural resilience is a major factor involved in protecting new generations from the trauma and disadvantage of the past.

Cultural resilience was first mentioned in the literature by Native American educators who noticed that their students on the reservation succeeded, in spite of poverty and exposure to substance abuse and lateral violence, when they were supported by traditional tribal structures, spirituality and cultural practices.

The theory of cultural resilience suggests that the practice of culture creates a psychological sense of belonging and a positive

5. Biennial National Forum from 29 Nov – 1 Dec 2016 Canberra ACT

IAHA

Indigenous Allied Health Australia (IAHA), a national not for profit, member based Aboriginal and Torres Strait Islander allied health organisation, is holding its biennial National Forum from 29 Nov – 1 Dec 2016 at the Rex Hotel in Canberra.

The 2016 IAHA National Forum will host  a diverse range of interactive Professional Development workshops and the 2016 IAHA National Indigenous Allied Health Awards and Gala Dinner.

The fourth IAHA Health Fusion Team Challenge, a unique event specifically for Aboriginal and Torres Strait Islander health students, will precede the Forum.

Collectively, these events will present unique opportunities to:

  • Contribute to achieving Aboriginal and Torres Strait Islander health equality
  • Be part of creating strengths based solutions
  • Build connections – work together and support each other
  • Enhance professional and personal journeys
  • Celebrate the successes of those contributing to improving the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

All workshop participants will receive a Certificate of Attendance, detailing the duration, aims and learning outcomes of the workshop, which can be included in your Continuous Professional Development (CPD) personal portfolio.

Register HERE

 

6. HealthinfoNET Conferences, workshops and events

Upcoming conferences and events.

Conferences, workshops and events

  • RHD
  • Acute Rheumatic Fever & Rheumatic Heart Disease Education Workshop – The workshop is designed for key health staff involved in the diagnosis and management of people with acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in the NT. Darwin, Northern Territory (NT) – Thursday 20 October and Friday 21 October 2016.
    Workshop – Acute Rheumatic Fever& Rheumatic Heart Disease Education Workshop (16 CME/CPD hours)
    Date: 20-21 October 2016
    Time: 08:00 – 16:30 (each day)
    Location: John Matthews Building (Building 58) Menzies, Royal Darwin Hospital Campus, Darwin
    Course overview: The rheumatic heart disease workshop is designed for key health staff involved in the diagnosis and management of people with acute rheumatic fever (ARF) and rheumatic heart disease (RHD) in the Northern Territory. This workshop will engage participants with a combination of objective driven information sessions, and consolidate that knowledge with a series of targeted clinical and practical case studies.
  • Hurting, helping and healing workshop – This workshop aims to bring attention to the mental health and wellbeing of individuals suffering from ‘at risk’ mental states. Perth, WA – Wednesday 23 November 2016.
  • Mental Health Assessment of Aboriginal Clients – This workshop aims to improve the cultural competencies of participants. The workshop will be delivered across Australia. Please refer to the link for the locations and dates.
  • National Aboriginal Community Controlled Health Organisation member’s conference 2016 – This conference is planned to take place in Melbourne,

Health Planning and Evaluation Course
10-11 October, Brisbane
QUT Health is delivering a new course for individuals seeking to develop skills and knowledge in the planning of health services and the translation of health policy into practice. Delivered over two block periods, each block consisting of two days, this new course has been developed and will be delivered by experts in health planning, policy and evaluation. AHHA members are entitled to a 15% discount on the course fees. Read more.

RACMA – Harm Free Health Care Conference
10-11 October, Brisbane
The theme for the Royal Australasian College of Medial Administrators conference this year is “Harm Free Health Care”. This conference is designed to challenge and debate whether health care can be Harm Free and what practical approaches can be considered. As one of their flagship events, the RACMA Annual Scientific Meeting is expected to attract around 250 delegates to Brisbane who will be a mixture of senior managers, clinical specialists with management roles, researchers, educators, policy makers, and health ministry and health provider executives. This year they have an international keynote speaker, Samuel Shem M.D who is also a renowned author sharing his experience at the conference. Find out more here.

Sidney Sax Medal Dinner
19 October, Brisbane
The Sidney Sax Medal is awarded to an individual who has made an outstanding contribution to the development and improvement of the Australian healthcare system in the field of health services policy, organisation, delivery and research. Join us celebrate the awarding of the 2016 Sidney Sax Medal at a networking dinner following the AHHA AGM. The dinner will also feature Sean Parnell, Health Editor at The Australian as the guest speaker. Find out more here.

Stepped Care Models for Mental Health Workshop
28 October, Sydney
Primary Health Networks have been funded by the Commonwealth to facilitate implementation of stepped care models in  Australian mental health services. Effective implementation will require partnerships, resources, new and redefined models and services. With no clear national guideline or agreement on what stepped care models should look like, and the need for a strong coalition across jurisdictions and providers to drive implementation, PHNs do not have a clear road map. This workshop will bring together key players to understand what has been learned to date in the development and implementation of stepped care models and the way forward to effective implementation in the Australian health care system. Find out more here.

Connect with NACCHO

Improving NACCHO communications to members and stakeholders

To reduce the number of NACCHO Communiques we now  send out on Mondays  an executive summary -Save the date on important events /Conferences/training , members news, awards, funding opportunities :

Register and promote your event , send to

nacchonews@naccho.org.au

NACCHO #SNAICC News : It is the responsibility of the Government to not widen the extreme gap in disadvantage Aboriginal children

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” I urge the Senate Committee – and all Senators – to think through the realities of how this package would work in very diverse communities across Australia, and particularly how it would meet the developmental needs of the children that require our support most.

What looks workable in the Parliament Halls of Canberra is very far from the day-day realities for our people.

“It is the responsibility of the Government to not widen the extreme gap in disadvantage Aboriginal and Torres Strait Islander children currently experience.

How Aboriginal and Torres Strait Islander children fare will be a litmus test for the Jobs for Families Child Care Package. Now is the time to ensure we have the details right.”

SNAICC Deputy Chairperson Geraldine Atkinson

Picture SNAICC Social Justice and Human Rights

Over 166 NACCHO Health Articles about Aboriginal children

Also read : Health sector urged to step up and engage with welfare reform debate and processes Editor: Melissa Sweet Author: Alison Verhoeven, Michael Moore, Frank Quinlan, Pat Turner and Leanne Wells

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SNAICC – National Voice for our Children has lodged a second submission to the Senate Committee considering the Jobs for Families Child Care Package, following the first enquiry in February this year.

This submission again outlines several concerns with the bill in its current state, recommending several changes to ensure the safety and well-being of Aboriginal and Torres Strait Islander children is not compromised.

As per SNAICC’s previous submission, which was tendered alongside significant research by Deloitte Access Economics that examined the potential impacts the Bill would have on Aboriginal and Torres Strait Islander children, this submission again highlights the ways in which the Jobs for Families Child Care Package will lead to a systemic failure of early childhood outcomes for a generation of Aboriginal and Torres Strait Islander children.

All modelling presented to the government has shown the new system will cause a decrease in participation for our children, particularly those experiencing vulnerability, and that the services set up to serve their unique needs may face closure.

Of significant concern to SNAICC are two key elements of the Jobs for Families Child Care Package:

  • The Budget Based Funding (BBF) Program – the specific program designed for areas where a user-pays model is not viable – will be abolished. 80% of services in this program that support over 19,000 children are for Indigenous children.
  • Access to subsidised early childhood education and care (ECEC) services will be halved for children whose families earn less than around $65,000 per annum (which applies to an estimated 78% of Aboriginal and Torres Strait Islander children participating in the BBF Program) and who don’t meet the activity test.

Additionally there is also a call for an Aboriginal and Torres Strait Islander specific program within the Child Care Safety Net and an attuned funding model for other rural and remote services, as well as calls for provision of at least two full days (or 20 hours) of subsidised quality early learning to all children to support their development, regardless of their parents’ activities.

This submission also details key recommendations designed to ensure that Aboriginal and Torres Strait Islander children are not pushed deeper into an entrenched cycle of inter-generational disadvantage through lack of access to quality early years support services.

Strong and enabled Aboriginal and Torres Strait Islander designed, managed and delivered early childhood services not only provide high quality early childhood services to Indigenous children, but also support vulnerable families to access an array of integrated services.

By threatening the viability of these services, the Jobs for Families Child Care Package shows a fundamental disconnect from the needs of Aboriginal and Torres Strait Islander children and their families.

 

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                   Get your Message Across to our 302 Clinics and  our 100,000 readers of the Koori

 

NACCHO #Health Press Release : #AIHW reveals the extent of the health crisis facing Aboriginal communities

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“In a wealthy country such as Australia, I am appalled by the unacceptable gap in the health of Aboriginal people and non-Aboriginal people.  More than one-third (37%) of the diseases or illness experienced by Aboriginal people are preventable.

“We need to act before another generation of young Aboriginal people have to live with avoidable diseases and die far too young.

If we are serious about turning this crisis around we need sustained investment in evidence-based programs for Aboriginal people, by Aboriginal people, through Aboriginal community controlled health services –  a model we know works.

Matthew Cooke Chair of NACCHO pictured above with Vice Chair Sandy Davies 

New figures show that Aboriginal and Torres Strait Islander people experience ill health at more than double that of non-Indigenous Australians.

The peak Aboriginal health organisation, the National Aboriginal Community Controlled Health Organisation (NACCHO) said the report highlights the urgent need for a rethink on actions to address the already known and growing crisis in Aboriginal health.

The report from the Australian Institute of Health and Welfare (AIHW) released today shows Aboriginal Australians experience a burden of disease at 2.3 times the rate of non-Indigenous Australians.

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Download the report aihw-australian-burden-of-disease-study

NACCHO Chair, Matthew Cooke, said it is the first ever in-depth study of the scale of disease in Indigenous communities.

See AIHW Press Release

“It’s given us a clearer picture of the real impact for Aboriginal communities of poor health in terms of years of health lives lost, quality of life and wellbeing and what the risks factors really are,” Mr Cooke said.

“It’s shown that we still have a massive challenge to address the overwhelming level of non-fatal burden in mental health in particular – which makes up 43 per cent of non-fatal illness in men and 35 per cent of these conditions in women.

The AIHW report found that injuries, including suicide, heart disease and cancer are the biggest causes of death in Aboriginal people. Levels of diabetes and kidney disease are five and seven times higher in Aboriginal people than non-Aboriginal people.

Mr Cooke said the report must trigger a rethink on how health programs are funded and delivered to Aboriginal people.

“The risk factors causing health problems include tobacco use, alcohol use, high body mass, physical inactivity, high blood pressure, high blood glucose and dietary factors – all of which can be addressed with the right programs on the ground and delivered by the right people.

“All levels of government should urgently act on this evidence; we need to see these findings translated into programs, policies and funding priorities that are proven to work. Too many programs aimed at addressing Aboriginal health are still fragmented, out of touch with local communities, unaffordable or inaccessible.

“If we are serious about turning this crisis around we need sustained investment in evidence-based programs for Aboriginal people, by Aboriginal people, through Aboriginal community controlled health services –  a model we know works.”

How you can share positive good news stories about Aboriginal Community Controlled Health ?

image11-copy-350x350

Editorial Opportunities

We are now looking to all our members, programs and sector stakeholders for advertising, compelling articles, eye-catching images and commentary for inclusion in our next edition.

Maximum 600 words (word file only) with image

More info and Advertising rate card

agm

REGISTER HERE

NACCHO #AIHW Aboriginal Health Report released : Significantly higher disease burden for Indigenous Australians—but improvements made

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” While the gap in disease burden between Indigenous and non-Indigenous Australians remains significant, the report shows some improvements among the Indigenous population in recent years.

Between 2003 and 2011, total burden of disease in the Indigenous population fell by 5%, with an 11% reduction in the fatal burden, ”

Dr Al-Yaman from AIHW

A large proportion of the burden is preventable

” Around 37% of the burden of disease in Indigenous Australians was preventable by reducing exposure to the modifiable risk factors included in this study (which does not include the social determinants of health).

The risk factors causing the most burden were tobacco use (12% of the total burden), alcohol use (8%), high body mass (8%), physical inactivity (6%), high blood pressure (5%) and high blood plasma glucose (5%). Dietary factors were also important, together accounting for almost 10% of the total burden.”

From summary see below Part 2

Download the AIHW report here

aihw-australian-burden-of-disease-study

Advising the AIHW on the Indigenous component of the Australian Burden of Disease Study was a group of experts and representatives from a range of organisations, including the Australian Government Department of Health, the Department of the Prime Minister and Cabinet, jurisdictional health departments, and the National Aboriginal Controlled Community Health Organisation (NACCHO).

Please Note : NACCHO will be responding to this report shortly

While Indigenous Australians face a substantially higher disease burden than non-Indigenous Australians, improvements have been seen, with more possible, according to a new report released today by the Australian Institute of Health and Welfare (AIHW).

The report, Australian Burden of Disease Study: Impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011, analyses the impact of diseases and injuries in terms of the number of years of healthy life lost through living with an illness or injury (the non-fatal burden) and the number of years of life lost through dying prematurely from an illness or injury (the fatal burden).

‘Indigenous Australians experienced a burden of disease that was more than twice that of non-Indigenous Australians,’ said AIHW spokesperson Dr Fadwa Al-Yaman.

THE HEAVY TOLL OF CHRONIC DISEASE:

* 64 per cent of the total diseases affecting indigenous Australians are chronic diseases

* Those chronic diseases are:

– 19% mental and substance use disorders

– 15% injuries (including suicide)

– 12% cardiovascular diseases

– 9% cancer

– 8% respiratory diseases

* Males are most likely to have cardiovascular disease

* Females have more blood and metabolic disorders

* Infant and congenital conditions are the main cause of disease in infants.

Just over half (53%) of the overall burden was fatal burden, and males accounted for a greater share of the total than females (54% compared with 46%).

While the gap in disease burden between Indigenous and non-Indigenous Australians remains significant, the report shows some improvements among the Indigenous population in recent years.

‘Between 2003 and 2011, total burden of disease in the Indigenous population fell by 5%, with an 11% reduction in the fatal burden,’ Dr Al-Yaman said.

‘However, over the same period, there was a 4% increase in non-fatal burden. This suggests a shift from dying prematurely to living longer with disease.’

The non-Indigenous population experienced a 16% decrease in fatal burden and a 4% decrease in non-fatal burden over this period.

The largest reduction in the Indigenous rate of total disease burden was for cardiovascular diseases. There were also falls in the burden caused by high blood pressure, physical inactivity and high cholesterol.

The Northern Territory and Western Australia had higher rates of Indigenous burden of disease than New South Wales and Queensland (the 4 jurisdictions for which estimates are reported). Large inequalities were also seen across remoteness areas, with Remote and Very remote areas having higher rates of disease burden than non-remote areas.

The report shows that a significant portion of the overall disease burden was preventable.

‘By reducing risk factors such as tobacco and alcohol use, high body mass, physical inactivity and poor diet, over one-third of the overall burden for Indigenous Australians could be avoided,’ Dr Al-Yaman said.

These risk factors—and the associated health conditions—are profiled in the AIHW’s most recent biennial health report, Australia’s health 2016.

Summary

This report presents the results of the Indigenous component of the Australian Burden of Disease Study 2011. It provides estimates of the total, non-fatal and fatal burden of disease and injuries for the Aboriginal and Torres Strait Islander population for 2011 and 2003 using the DALY (disability-adjusted life years) measure. It also provides estimates of the burden attributable to 29 risk factors, and estimates of the gap in disease burden between Indigenous and non-Indigenous Australians.

The results presented here are for the year 2011 unless otherwise stated. For any comparisons between populations or years, adjustments have been made where necessary to account for differences in population size and age structure.

Indigenous Australians experience a burden of disease that is 2.3 times the rate of non-Indigenous Australians

There were 284 years lost due to premature death or living with illness for every 1,000 Indigenous people in Australia in 2011, equivalent to 190,227 DALY. Indigenous Australians experienced a burden of disease that was 2.3 times the rate of non-Indigenous Australians. Rates of fatal and non-fatal burden for Indigenous Australians were 2.7 and 2.0 times those for non-Indigenous Australians, respectively.

Most of the burden is from chronic diseases and injuries

Chronic diseases as a group accounted for almost two-thirds (64%) of the total disease burden. The disease group causing the most burden among Indigenous Australians was mental & substance use disorders (19% of the total). This group includes conditions such as anxiety and depressive disorders, alcohol use disorders, drug use disorders and autism spectrum disorders. Other major contributors to the total burden were injuries (which includes suicide) (15%), cardiovascular diseases (12%), cancer (9%), respiratory diseases (8%) and musculoskeletal conditions (7%). Disease groups varied in their contribution to the fatal and non-fatal burden.

Coronary heart disease (CHD), suicide & self-inflicted injuries, anxiety disorders, alcohol use disorders and diabetes were the leading specific diseases, together contributing 24% of the total burden.

These are also the main causes of the gap in disease burden

Chronic diseases were responsible for more than two-thirds (70%) of the gap in disease burden between Indigenous and non-Indigenous Australians. This group includes conditions such as cardiovascular diseases (19% of the gap), mental & substance use disorders (14%), cancer (10%), chronic kidney disease (CKD), diabetes, vision loss, hearing loss and certain respiratory, musculoskeletal, neurological and congenital disorders.

Injuries were responsible for 14% of the overall gap (15% of the gap in fatal burden and 11% of the gap in non-fatal burden). Indigenous Australians experienced rates of disease burden due to injuries 3 times those for non-Indigenous Australians.

Disease burden differs across state/territory, remoteness and socioeconomic groups

The Northern Territory and Western Australia had higher rates of Indigenous burden of disease than New South Wales and Queensland (the 4 jurisdictions for which estimates are reported). In Western Australia, Indigenous Australians experienced rates of disease burden 2.8 times those for non-Indigenous Australians.

Large inequalities were also evident across remoteness areas, with Remote and Very remote areas having higher rates of disease burden than non-remote areas. Burden of disease rates were highest in areas where the Indigenous population was most socioeconomically disadvantaged and fell with decreasing level of disadvantage.

There has been a decrease in the fatal burden since 2003

There was a 5% reduction in the rate of total burden in the Indigenous population between 2003 and 2011 (equivalent to 25 DALY per 1,000 people). Most of this improvement came from decreases in the rate of fatal burden (11%), by preventing or delaying deaths from particular diseases or injuries. Large reductions were evident in rates of fatal burden due to cardiovascular diseases.

There was, however, a 4% increase in the rate of non-fatal burden for Indigenous Australians between 2003 and 2011 (equivalent to 7 YLD per 1,000 people). This was mainly due to increases in people living with chronic diseases such as diabetes, anxiety and depressive disorders, and asthma; and from the non-fatal effects of injuries such as falls.

A large proportion of the burden is preventable

Around 37% of the burden of disease in Indigenous Australians was preventable by reducing exposure to the modifiable risk factors included in this study (which does not include the social determinants of health). The risk factors causing the most burden were tobacco use (12% of the total burden), alcohol use (8%), high body mass (8%), physical inactivity (6%), high blood pressure (5%) and high blood plasma glucose (5%). Dietary factors were also important, together accounting for almost 10% of the total burden.

Together, the 29 risk factors included in the study accounted for half (51%) of the gap in disease burden between Indigenous and non-Indigenous Australians. Tobacco use was the biggest contributor to this, accounting for almost one-quarter (23%) of the overall gap.