NACCHO National News: Indigenous issues address by Minister Nigel Scullion to Nationals Federal Council

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“This is a mighty dream, full of risks, but we should never allow our expectations to lower because that would create two Australia’s – one with high expectations for a child’s future and another with low expectations.

That inequity is wrong. Indigenous Australians should have the same expectations that non-indigenous Australians have: a proper education for their children, a decent job and safety in their home and community.

Everything flows from meeting these three objectives.”

THE NATIONALS’ FEDERAL COUNCIL CANBERRA 30TH AUGUST 2014

ADDRESS BY THE MINISTER FOR INDIGENOUS AFFAIRS

THE NATIONALS’ SENATE LEADER SENATOR THE HON NIGEL SCULLION

I begin by acknowledging the traditional owners of the land on which we meet.

Today I will make a few remarks on the state of the Senate and the contributions of my Senate colleagues. Then I will take you on the journey that is Indigenous policy and pay a visit to constitutional recognition

For Senate text see LINK

Indigenous Affairs

I would now like to take you on a journey into Indigenous affairs. This is important because so much is happening – and the Nationals have always taken a keen interest in Indigenous affairs because they share many of the rural and remote challenges and opportunities.

Like a few in this room I’m sure, I didn’t really think that the Apology we made in 2008 would matter.

I couldn’t see the apology helping at all to close the vast gap on vital issues such as Indigenous life expectancy, remote children’s education, housing, decent work for adults and community safety.
All the symbolic trumpeting was wonderful, but I could not see what difference it could make.

How wrong I was.

The changes to the way Aboriginal people as individuals and as communities saw themselves after that apology were extraordinary. Clearly, those who would diminish the importance of symbolism as something that doesn’t have a role to play in practical outcomes are quite wrong.

Symbolic change must happen if practical changes are to succeed.

They go hand in hand. The government’s response to the Forrest Report will give us the practical policy future while constitutional recognition of our Indigenous peoples will give the matching symbolic change. They are twin engines in a plane that we must bring in to land together.

The case for recognition is very clear. Imagine there is a race and the winner is never acknowledged as having crossed the line first. In fact the second place getter gets all the accolades. The winner doesn’t even get to stand on the podium. That is quite wrong, obviously. And it is quite wrong for our Indigenous peoples to be left off the constitutional podium as well.

We started on the first day we were elected to change the future of Indigenous Affairs in the biggest shake-up of the bureaucracy in decades. One of the first acts of the new government was to bring the administration of more than 150 Indigenous programs and services from eight different government departments into the department of the Prime Minister and Cabinet.

The Prime Minister effectively became the overall Minister for Indigenous Affairs, as well as having me as a Cabinet Minister dedicated to Indigenous Affairs and a Parliamentary Secretary. As for Labor, they gave the shadow portfolio to Shayne Neumann. The Member for Ipswich also has to shadow the large portfolio of Ageing. Following criticism of Neumann by aboriginal elders, the editor in chief of The Australian described Shayne Neumann as having “no idea what he is talking about”. The picture is of a Shadow Minister who is not across his brief and has lost both the support of elders, communities and the national media.

We faced dealing with 150 different programs and services. We inherited a structural mess. A former community organisation in Yuendumu had 34 separate funding agreements requiring a report on average once a week. There has been far too much waste for far too long in Indigenous Affairs.

Billions have been spent on housing under Labor but overcrowding remains chronic.

We turned those 150 lines of funding into five streamlined areas with total funding of $4.8 billion and named it the Indigenous Advancement Strategy.

The five areas are 1) jobs, land and economy; 2) children and schooling; 3) safety and wellbeing; 4) culture and capability; and 5) remote Australia strategies.

From this we distilled the essence of Coalition action, our mantra, which is: to get children into school – which is our number one priority, adults into work and the creation of safe communities.

They are the core of everything. We are already implementing the $46.5 million Remote School Attendance Strategy across 73 schools in 69 communities. Over 500 local indigenous jobs are also created in terms of School Attendance Supervisors and Officers. A key part of the Forrest Review is effectively already at work via our $45 million Vocational Training and Employment Centres (or VTECs) training for jobs model. These VTECs have guaranteed jobs for the people who undergo the right training. So it’s goodbye to training or training’s sake which has been the problem in many communities. Now we’ve linked up employers, trainers and Indigenous job seekers in a demand driven model. 4,074 jobs have already been created this way with another thousand expected by the end of the year. Indigenous people are entering the workforce in a range of industries – hospitality, tourism, construction, mining and transport.

Safer communities are essential for Indigenous families to be happy and healthy. We will continue to support the efforts of Indigenous communities to combat alcohol fuelled violence so all community members, particularly women, children and the elderly can live peacefully and safely. The government is helping end petrol sniffing by expanding the roll out of low aromatic fuel across Northern Australia and building storage tanks in Darwin. The government is also investing $54.1 million in police infrastructure so there is a 24 hours police presence for the first time in some remote communities. There is also $2.5 million for Community Engagement Police Officers and $3.8 million towards the ongoing Northern Territory’s Child Abuse Taskforce.

Already we are seeing these practical measures make significant inroads. But it’s a long and winding road, this highway to better lives for Indigenous peoples. Many have tried and failed despite major investments. The only way to succeed is to involve the Indigenous people at the decision making level. The Government committed to provide $5 million to support a nine month design phase of the Empowered Communities initiative. Indigenous leaders report encouraging outcomes, particularly in relation to community acceptance of the need to take increased responsibility in key areas such as school attendance and employment. Significant consultation with Indigenous groups across all eight Empowered Communities regions has been occurring.  I look forward to receiving the final Empowered Communities proposal from the Indigenous leaders later this year.

Unless Indigenous people own the reforms nothing will change. Engaging Indigenous people in delivering solutions and services is critical to empowering communities and doing business in the new way. So it’s a mindset thing on both sides. And they don’t happen overnight. But I believe that we have started well. We have a Prime Minister who believes passionately in improving the lives of Indigenous people on a practical level – children to school, guaranteed jobs for adults after training and communities where families have decent housing and the option to buy their own home, where substance abuse and domestic violence have disappeared.

This is a mighty dream, full of risks, but we should never allow our expectations to lower because that would create two Australia’s – one with high expectations for a child’s future and another with low expectations. That inequity is wrong. Indigenous Australians should have the same expectations that non-indigenous Australians have: a proper education for their children, a decent job and safety in their home and community. Everything flows from meeting these three objectives.

As The Nationals look to private enterprise as the solution to a healthy economy, so too is it the solution to Indigenous employment. Corporate Australia is offering many opportunities for Indigenous employment. The first example is that of Andrew Forrest who has just completed a report for the government on employment and training. Before this he established the Australian Employment Covenant that attracted over 60,000 job pledges from 338 employers. Over 15,000 of these jobs have been filled. A real breakthrough in pioneering a demand-driven approach where the employer provides the job and the job seeker is trained to do it. The Business Council of Australia membership placed 3,500 Indigenous people in jobs and traineeships in a year. Some of Australia’s best known companies are also engaged in providing real jobs and training, such as Woolworths, Coles, the Commonwealth Bank, Transfield and the CopperChem mine in Cloncurry. Then there are the business opportunities being built up by local Indigenous people. I tell you this because it’s important to get the message out that there are positive stories happening and lessons being learnt on how to make real jobs which is the ultimate solution to welfare dependency.

I’ve outlined what I believe to be a realistic way through the years of mismanagement and waste in Indigenous affairs. The key is relationships with people at the grass roots. The Nationals have always been good at that and naturally understand it because they too have experience in being a long way from decision makers. The Nationals’ seats are generally the poorest seats and contain significant numbers of Indigenous people. If we can stand up and say ‘Yes’ to constitutional recognition then we are saying ‘yes’ to recognising people who we’ve grown up with or worked beside or gone to school with.

Aboriginal and Torres Strait Islander peoples are the first inhabitants of this country, and recognising them in our Constitution presents an historic opportunity to acknowledge their unique culture and history, and their enormous contribution to this nation.

The vote of conservatives is of vital importance in the debate on constitutional recognition. It will only succeed with bipartisanship.

Our own former Nationals’ Party Leader John Anderson has been recruited to head a panel to conduct a review into public support for Indigenous constitutional recognition.

The review panel will work with the Joint Select Committee on Constitutional Recognition of Aboriginal and Torres Strait Islander Peoples to progress the government’s commitment towards a successful referendum.

The joint select committee, chaired by Ken Wyatt, the first Indigenous member of the House of Representatives, was formed to work towards a parliamentary and community consensus on referendum proposals, and report on how to achieve a successful referendum.

The review panel is required to provide a report to me by September 28.  When the time is right and informed by these two reports, the government will release a draft amendment. We must get it right because if the referendum fails, it would be a body blow to our fellow Indigenous Australians. Indeed, the whole nation would falter, would be diminished.

When you leave this Council, I would like you to ask yourself this question:- Is it honourable to support Indigenous recognition in Australia’s founding document? If it is, (and I strongly believe it is), then I will do everything possible to see that it succeeds in my local community.

It will quite literally take a ‘National’ sense of honour to see this through.

If we get this right as a nation, we will be able to work together to write a new story for all of us.

Thank you.

NACCHO Aboriginal health news: Action plan to increase the number of Aboriginal Health Practitioners

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Pictured above AMSANT CEO John Paterson along with Aboriginal Medical Services Alliance NT chair Marion Scrymgour  and Central Australian Aboriginal Congress CEO Donna Ah Chee who will sit on the Back on Track taskforce

Minister for Health Robyn Lambley has today announced the Back On Track taskforce that will lead an action plan to increase the number of Aboriginal Health Practitioners in the Northern Territory.

“It was wonderful to see that the Country Liberals Government’s Aboriginal Health Practitioners Back on Track plan received support from all sides of politics in Parliament today,” Mrs Lambley said.

“In July I announced that we would boost the number of Aboriginal Health Practitioners across the Territory by 10 per cent a year.

“We are also committed to working with five key communities including Wadeye and Papunya to reach specific targets of Aboriginal Health Practitioners working in health clinics

“Today I am pleased to announce that I have so far asked Aboriginal Medical Services Alliance NT chair Marion Scrymgour, AMSANT CEO John Paterson and Central Australian Aboriginal Congress CEO Donna Ah Chee to sit on the Back on Track taskforce.

“I will chair the Taskforce and together we will concentrate on reaching these targets.

“We will work closely with community leaders, health managers and current Aboriginal Health Practitioners.

“I am committed to ensuring that representatives from the Department of Health visit communities that have been left without an Aboriginal Health Practitioner for years, to work with the community to encourage people to train as Aboriginal Health Practitioners.

“We need to know the barriers to successful outcomes. We need to find ways through those barriers, because as far as I am concerned, the result is too important to too many Territorians and their communities.

“We cannot afford to let this fall by the wayside and fail our remote areas as the previous Labor Government did, if we are to see real progress in Indigenous health outcomes and economic opportunity in our remote communities.

“Encouraging more Aboriginal Health Practitioners into health clinics across all areas of remote Australia is an important national health issue for Indigenous people.

“I’m looking forward to standing up in Parliament next year and reporting to the Assembly that we are well and truly back on track in the Territory.”

 

 

NACCHO smoke free news: Aboriginal smoking program cuts risk widening the gap

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Tobacco use is the leading cause of preventable disease and early death among Indigenous Australians, with smoking responsible for about one in every five deaths.

FROM THE CONVERSATION subscribe here

Among Indigenous Australians, tobacco use contributes to 80% of all lung cancer deaths, 37% of heart disease, 9% of all strokes and 5% of low birth-weight babies. And in central Australia, rates of pneumonia among children are reported to be the highest in the world, reaching 78.4 cases per 1,000 children every year.

Although we are seeing reductions in smoking rates across Australia, 42% of Aboriginal and Torres Strait Islander (TSI) people are daily smokers, compared to 16% in the non-Indigenous population. In some remote communities this estimate is as high as 83%.

Smoking is also higher among vulnerable groups: up to two-thirds of Indigenous women continue to smoke during pregnancy, and around 39% of young people aged 15 to 24 years are smoking daily.

You’d think governments would be redoubling their efforts to address the problem. Not so. In fact, the Australian government has recently announced funding cuts of A$130 million over five years to the Tackling Indigenous Smoking program, which amounts to more than one-third of the program’s annual funding.

Tackling Indigenous Smoking funds teams of six health workers to run tailored anti-smoking programs. Each is designed with input and involvement from each community and employ local quit-smoking role models who help other smokers quit by offering advice and support.

Benefits of quitting

We know that quitting smoking reduces the risks of heart disease, lung cancer and other smoking-related issues.

But there are also significant benefits for the health-care system and Australian longer-term budget’s. A recent South Australian study led by Professor Brian Smith, for instance, helped smokers to quit while in hospital and found a direct saving to the hospital budget of A$6,646 per successful quitter within just 12 months.

Another study estimated that the economic impact from just an 8% reduction in the prevalence of tobacco smoking in Australia would result in 158,000 fewer incident cases of disease, 5000 fewer deaths, 2.2 million fewer lost working days and 3000 fewer early retirements. Overall, an 8% reduction in smoking would reduce health sector costs by AU$491 million.

Assessing and funding what works

One of the complicating factors is that the success of Indigenous anti-smoking programs has been patchy. A review I recently published in the Cochrane Collaboration found significant shortcomings for Indigenous quit smoking and youth tobacco prevention programs.

Only one quit smoking study, which was performed in the Northern Territory by Dr Rowena Ivers, met the quality criteria. Dr Ivers’ study found that free nicotine patches might benefit a small number of Indigenous smokers. But none of the study participants completed the full course of nicotine patches and only seven people from the original total of 111 reported that they had quit smoking at six months.

This study suggests programs using nicotine patches can help Indigenous smokers to quit. But much more evidence is needed to determine what options really are the most effective.

Likewise, another review of tobacco prevention programs among young people found potentially harmful results, with one of the three identified studies showing lower smoking rates in the control population. This means that children who received the tailored tobacco prevention program did worse than the youth in the control group who received nothing at all.

It is important to continue evaluating Tackling Indigenous Smoking programs so we know whether or not they work and can direct funding to programs that make a difference. So it’s concerning that part of the funding that is being cut from the budget relates to reviewing these programs.

A long way to go

Five years into the Tackling Indigenous Smoking project, the government has invested a substantial amount of time and money into developing these culturally-tailored programs. Preliminary data released by the government in April found a 3.6% fall in Indigenous daily smoking rates between 2008 and 2013 and a reduction in smoking during pregnancy of 3%.

But cutting resources will make it impossible to meet the program’s ambitious goal of halving Indigenous smoking rates by 2018.

There is still a long way to go. Research shows many health-care workers and some doctors who treat smokers do not believe they have the skills or ability to offer effective preventive health advice. Worryingly, they also admit to the attitude of “even if I did, it’s not going to work, so why bother”.

This response tells us that much more work and subsequently funding is needed to really address the health gaps that remain between Indigenous and non-Indigenous Australians. Tobacco use will remain a problem within our society for as long as we continue to allow it to be one.

NACCHO Close the Gap day :The Portrayal of Aboriginal Health in Selected Australian Media

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One of the factors impacting on the relationship of Indigenous Australians with mainstream society is the way in which the media portray Indigenous people and issues. There is growing research that suggests negative media portrayals in relation to Indigenous Australians perpetuates racist stereotypes among the wider population and that this type of racism has a major impact on the health of Indigenous Australians

Portrayal of Indigenous Health in Selected Australian Media Melissa J. Stoneham Curtin University

Aboriginal and Torres Strait Islanders (herein referred to as Indigenous Australian) comprise three percent of the Australian population (Australian Government, 2013). Distributed across the continent, Indigenous Australians are one of the most linguistically and culturally diverse populations in the world. It is commonly acknowledged that health outcomes for this group are lower than those of non-Indigenous Australians.

DOWNLOAD THE REPORT HERE  : The Portrayal of Indigenous Health in Selected Australian Media Melissa J. Stoneham Curtin University

NACCHO Aboriginal health and racism: Marcia Langton the nature of my Q and A apology to Andrew Bolt

Photograph above Australia Day Canberra 2012 Colin Cowell

Although progress has been made in closing the gap, Indigenous Australians continue to experience a lower life expectancy with the current gap between Indigenous and non-Indigenous estimated at 11.5 years for males and 9.7 years for females (Australian Bureau of Statistics, 2010). Traditionally, the responsibility for tackling ill health has fallen to the health sector. While delivering health to those in need is one of the social determinants of health, the high burden of illness in many cases is due to the poor environmental conditions in which people are born, grow, live, work, and age.

These unequal conditions are, in turn, a product of bad politics, poor social policies and programs, and unfair economic arrangements (World Health Organisation, 2008).

According to Calma (2013), the poor health of Indigenous Australians is a result of a failure to realise the right to health for Indigenous Australians. Indigenous Australians have not had the same opportunities to be as healthy as other Australians or been able to take effective action to remedy long-standing and substantial health inequalities due to the relationship with mainstream society and services.

Making sense of the cultural health status of Australian Indigenous peoples requires an understanding of the relationship between the colonisation process, trauma, and its impact on health. The trauma, grief, pain, and anger that have resulted from the assimilation, segregation, and protectionist policies of the past are still present in the lives of Australian Indigenous people (Hearn & Wise, 2004).

A parallel consideration is the definition that Australian Indigenous peoples have of health. The Social and Emotional Wellbeing Framework, developed by the Australian Government, acknowledges that wellbeing is part of a holistic understanding of life, integrating the life-death-life cycle. It recognises this whole-of-life view of health is essential to achieve positive life outcomes for Australian Indigenous peoples (Department of Health and Ageing, 2004).

Although not recognised as a specific wellbeing factor within the above document, land has a powerful and persuasive underlying influence on Australian Indigenous wellbeing (Garnett & Sithole, 2007). The dispossession of Australian Indigenous people from their land and the subsequent loss of social, cultural, and financial capital has had a devastating effect on the health of Indigenous people worldwide (Hearn & Wise, 2004).

One of the factors impacting on the relationship of Indigenous Australians with mainstream society is the way in which the media portray Indigenous people and issues. There is growing research that suggests negative media portrayals in relation to Indigenous Australians perpetuates racist stereotypes among the wider population and that this type of racism has a major impact on the health of Indigenous Australians (Coffin, 2007; Larson, Gillies, Howard & Coffin, 2007; Sweet, 2009).

Similarly, in New Zealand, a number of mass media studies identified that Mãori health is often framed in the deficit model (Robson & Reid, 2001); the media are routinely reporting that the Mãori peoples are over-represented in national disease statistics (Rankine et al., 2008) and are persistently constructed as sicker and poorer than members of the dominant cultural group (Moewaka Barnes et al., 2005). Nairn, Pega, McCreanor, Rankine, and Barnes (2006) also looked at media representation of Māori peoples in New Zealand and highlighted a number of examples where the media perpetuated racist discourse by using language that framed stories in a particular way (e.g. Stoneham: Portrayal of Indigenous Health Published by Scholarship@Western, 2014 needy, passive objects of settler help), using only selective facts while leaving out crucial information, and excluding or conforming Mãori stories to fit a certain ideology.

This study aimed to examine the media portrayal of Indigenous Australians’ public health issues in selected media over a 12-month period. The objective was to determine the extent to which the portrayal was negative, positive, or neutral.

You can hear more about Aboriginal health and Close the Gap at the NACCHO SUMMIT

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The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

REGISTRATIONS NOW OPEN

SUMMIT WEBSITE FOR MORE INFO

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NACCHO Close the Gap Day : Will Government funding of $800 M be enough to Close the Aboriginal health Gap ?

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Updated at 7.00 Pm 18 March 2014 the above heading should read

Will Government funding of $1.3 billion  be enough to Close the Aboriginal health Gap ?

See Official Press Release below after the SBS interview

The government is responding to the call to Close the Gap with around $800 million in grant funding to organisations for Indigenous specific primary health and allied health care, the majority of which are Aboriginal and Torres Strait Islander Community Controlled Health Organisations (ACCHOs).

ACCHOs deliver culturally appropriate and sustainable primary health care services to Aboriginal and Torres Strait Islander communities.

Many communities have different cultures and histories so different needs may need to be addressed by locally developed, specific strategies,” .

Says Assistant Minister for Health Senator Fiona Nash  talking with SBS this week (refer official press release below for funding details)

This is Justin Mohamed statement about the need to Close the Gap

Unless the critical social issues of housing, education and self-determination that contributed to Aboriginal and Torres Strait Islander health inequality were adequately addressed, along with health funding, then it could take many generations to Close the Gap.

“In many rural, remote and urban areas we have many generations of a family living under one roof with high unemployment ,low income, no food in the fridge and the kids unable to attend school or do their homework because of the overcrowded living conditions.

The Aboriginal community controlled health services operate on multiple levels, and contribute significantly not just to cutting edge primary health care services, but to addressing some of the key social determinants as well, such as meaningful, employment, training, and leadership development.

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) to Close the Gap is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits

Justin Mohamed NACCHO chair will be speaking at the National Press Club 2 April

“Investing in Aboriginal Community Controlled Health makes economic sense

PRESS CLUB BOOKINGS

For a country rich in resources and opportunity, the Indigenous people of Australia do not share the same fortune when it comes to health.

Aboriginal and Torres Strait Islanders can expect to live 10-17 years less than non-Indigenous Australians. The babies of Aboriginal mothers are twice as likely to die as other Australian babies, and in general Indigenous Australians experience higher rates of preventable illness such as heart disease and diabetes.

These are startling statistics from a country that enjoys the privilege of having one of the highest life expectancies in the world. For a country rich in resources and opportunity, the Indigenous people of Australia do not share the same fortune when it comes to health.

The reasons for the gap in Indigenous health are complex. Decades of discrimination, inaccessible health services, a misrepresentation of Indigenous Australians working in the health industry and failure to address root causes such as substandard education, housing and infrastructure all contribute.

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Oxfam’s National Close the Gap day is March 20, a day designed to create awareness, spark conversation and remind politicians on the inequality of health care that exists in our own country.

Close the GAP WEBSITE for events

Last year 145,000 people registered to support the campaign by holding a small event, like a morning tea, to discuss Indigenous health with family, friends and colleagues.

Oxfam Australia’s Indigenous Rights Policy Advisor Andrew Meehan says support of the campaign has helped put Indigenous health back on the agenda with government officials. “Registered events this year have now hit a record of 1060, showing an undeniable groundswell of support from everyday Australians expecting governments to keep their promise to invest in Indigenous health. It’s clear Australians care about this issue and expect our leaders to act,” Meehan said.

In 2008 The Council of Australian Government set a series of goals to decrease the general gap between Indigenous and non-Indigenous Australians. Earlier this year the progress of these goals were reviewed. In the areas of health, the goal of closing the life expectancy gap by 2031 has seen little improvement. Only the Northern Territory looks set to achieve this goal. More optimistic though is the goal of halving the gap in Indigenous mortality rates in children under five. If the current rate of improvement continues this goal is set to be achieved by 2018.

A number of aid organisations and humanitarian groups are working tirelessly to do their bit to close the gap, One Disease at a Time is a not for profit organisation with the vision to systematically target and eliminate one disease at a time. Currently in its sights is scabies, a highly contagious skin disease which affects seven out of ten children Indigenous children before their first birthday. Left untreated, scabies can lead to chronic disease and even death.

It can be disfiguring, children are forced to miss school and employment and personal relationships can be impacted. “Recognising the importance in giving kids the best start in life, one of our core program goals is to reduce scabies rates in children under five years old. Among children living in households with crusted scabies, we have seen an 88 per cent reduction in their time spent in hospital for scabies,” says founder of One Disease at a Time Dr Sam Prince.

One Disease at a Time work closely within communities to achieve their goals, something Meehan says is a critical element in closing the gap. “We’re pushing the government to invest in community controlled health. These are the people better placed to identify the services that are actually required. Focusing on this area is also an investment in jobs, giving these people an opportunity into a health career path,” he says.

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The PM Tony Abbott recently released at the Closing the Gap Report in Canberra with Tom Calma and Justin Mohamed above

DOWNLOAD PM 2014  REPORT

DOWNLOAD THE CLOSE THE GAP CAMPAIGN REPORT

Assistant Minister for Health Senator Fiona Nash says the government is responding to the call with around $800 million in grant funding to organisations for Indigenous specific primary health and allied health care, the majority of which are Aboriginal and Torres Strait Islander Community Controlled Health Organisations (ACCHOs). “ACCHOs deliver culturally appropriate and sustainable primary health care services to Aboriginal and Torres Strait Islander communities.  Many communities have different cultures and histories so different needs may need to be addressed by locally developed, specific strategies,” she says.

Further to this, a $1.3 billion dollar investment in 2013-14 has been pledged for health projects including child and maternal health and the management of chronic diseases with specific focus on reducing the factors that create risk for disease including smoking and diet.

Dr Prince believes the secret to success in closing the gap is sharing stories of hope. “These will serve to ignite change in Indigenous communities, amongst the next generation of medical practitioners, and Australians as a whole.”

OFFICIAL PRESS RELEASE From Senator Nash’s Office

What current government initiatives are in place to tackle the gap in Indigenous health care?

As most parents will know, healthy children are happier and more responsive, both at home and at school.
We are committed to getting kids into school, adults into work and ensuring the ordinary rule of law applies in communities.
This is important and cannot be achieved without a continued focus on good health.
In order to contribute to closing the gap in health outcomes the Government is providing around $1.3b in 2013-14 for Aboriginal and Torres Strait Islander healthactivities including:
·   child and maternal health services to give children a great start to their life, education and employment opportunities;
·   effective approaches to preventing and managing chronic disease especially in relation to reducing the factors that create risk for disease including smoking, healthy food and lifestyle;
·    ensuring a well-functioning and culturally appropriate health system and specific strategies and approaches to combat areas of concern such as trachoma, STIs, eye health and ear health.
The Government will provide around $800m in grant funding to organisations for Indigenous specific primary health and allied health care, the majority of which are Aboriginal and Torres Strait Islander Community Controlled Health Organisations (ACCHOs).
ACCHOs deliver culturally appropriate and sustainable primary health care services to Aboriginal and Torres Strait Islander communities.  Many communities have different cultures and histories so different needs may need to be addressed by locally developed, specific strategies.
The Government is working with Aboriginal and Torres Strait Islander people and organisations, and with state and territory governments, to implement programmes to reduce the disparities in life expectancy and health outcomes between Aboriginal and Torres Strait Islanders and non-Indigenous Australians.
We are seeking change – improved access and outcomes across the breadth and depth of the health sector.

ON CLOSE THE GAP DAY March 20 show your support

by changing your Facebook or Twitter profile to CLOSE THE GAP

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You can hear more about Aboriginal health and Close the Gap at the NACCHO SUMMIT

summit-2014-banner

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO

NACCHO Aboriginal Health :Record number of Australians speak up for National Close the Gap Day

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It’s clear that Australians care about this issue and expect our leaders to act, Progress is starting to be made on Indigenous health, as outlined by Prime Minister Tony Abbott last month in his closing the gap speech to Parliament.

“The target to halve the gap in child mortality within a decade is on track to be met, and smoking rates amongst Aboriginal and Torres Strait Islander peoples are going down.

“But there’s still a long way to go, which is why we need Federal and State Governments to take a coordinated approach and continue funding Indigenous health initiatives in order to build on the progress already made.”

Indigenous Rights Policy Advisor Andrew Meehan

More than 100,000 Australians will hold or attend a record number of events around the country next Thursday (20 March) to remind politicians of their commitment to close the gap on health inequality between Indigenous and non-Indigenous Australians.

Community groups, health services, businesses, schools, universities, government offices and individuals around Australia are registering online to hold a Close the Gap event in homes, workplaces, schools and communities.

MORE INFO HERE

Oxfam Australia’s Indigenous Rights Policy Advisor Andrew Meehan said registered events had now hit a record 1060; this showed an undeniable groundswell of support from everyday Australians expecting governments to keep their promise to invest in Indigenous health.

“Just as parliamentarians on all sides put aside their differences and came together last month in Canberra, next Thursday Australians will come together as one in support of ending the disgrace that sees Indigenous people die up to 17 years earlier than their non-Indigenous counterparts,” Mr Meehan said.

He said the diverse range of events ranged from a school in Nowra creating a mural wall and running a photobooth for students to record their hopes for closing the gap, to the NSW Ambulance Service running events at all of their sites throughout the state.

Meanwhile, politicians in WA will create hand prints on a banner outside Parliament House, a public event in Sydney’s Alfred Park will include a bush tucker picnic, music and speakers, and Aboriginal community controlled health services are hosting events throughout the country.

Oxfam is inviting high school students to take part in a Photo Challenge on Instagram from 17 – 21 March for a chance to win prizes including a signed football and poster from Australian of the Year Adam Goodes.

“It’s clear that Australians care about this issue and expect our leaders to act,” Mr Meehan said. “Progress is starting to be made on Indigenous health, as outlined by Prime Minister Tony Abbott last month in his closing the gap speech to Parliament.

“The target to halve the gap in child mortality within a decade is on track to be met, and smoking rates amongst Aboriginal and Torres Strait Islander peoples are going down.

“But there’s still a long way to go, which is why we need Federal and State Governments to take a coordinated approach and continue funding Indigenous health initiatives in order to build on the progress already made.”

Oxfam is part of the Close the Gap campaign, Australia’s biggest public movement for health equality. It is a coalition of Australia’s leading Indigenous and non-Indigenous health and human rights organisations.

National Close the Gap day launched in 2008.

Each year has seen it grow even bigger, with 970 events held last year. Go to oxfam.org.au for more information or to register.

Melbourne

Oxfam, ANTAR & VACCHO will be hosting the perfect event to have learn more about ways to close the gap with Jill Gallagher, the CEO of the Victorian Aboriginal Community Controlled Health Organisation (VACHO) and Bruce Francis, the Associate Director of Australia Programs. This event will also feature a film and some lunch!

Taking place at 11.45am -145pm at University Square, CARLTON, corner of Leicester and Pelham Street.

Contact Josh Cubillo from Oxfam on 0392 899 495 for more information.

Another wonderful event will also be taking place in Melbourne hosted by the Royal Australian College of General Practioners at 10am till 12.30pm at The John Murtagh Centre.

 As a proud member of the Close the Gap campaign steering committee, the RACGP will be hosting a NCTGD event at the East Melbourne office from 10am-12.30pm. The RACGP is committed to supporting all Close the Gap efforts and sees that primary care provides opportunities to make a real difference in this campaign.

The RACGP is hosting an awareness raising event for staff and members, with guest speakers, launch of Oxfam CTG photographic exhibition, special documentary screening over lunch, Welcome to Country and smoking ceremony.

Please visit their website for more information or contact Mary Lin on 0386 990 357.

Sydney

ANTaR & Oxfam will be hosting their annual National Close the Gap Day picnic in Prince Alfred Park in Surry Hills, Sydney, between 12pm and 2pm on March 20th. Local organizations and members of the public will have the opportunity to engage in the issues surrounding health inequality with prominent speakers and music from Leah Flanagan. It will be a fun occasion with everybody invited to contribute something to the picnic as well as the cause.

Please visit our Facebook event or contact Jane Powles on 0292 800 060 for more information.

Brisbane

Queensland Aboriginal & Islander Health Council (QAIHC), CheckUP, Oxfam & ANTaR are holding a public morning tea at 10am on level two of 55 Russell Street, West End, 4101. There will be a variety of their representatives that will speak about the progress that the campaign has made and things that still need to be done to achieve health equality amongst all Australians. Following this discussion, everybody will get involved by putting on a bright Close The Gap t-shirt and walk together to join ANTaR QLD’s picnic from midday in the nearby Musgrave Park!

Everybody is welcome to bring their own lunch!

If you need any information on the day please contact: Rubena Anderson & Troy Combo from QAIHC on 0401 512 067.

Perth

To precede the rest of our national event happening on National Close the Gap Day,  Oxfam and the Aboriginal Health Council of Western Australia will be asking the public to put their Hands up to Close the Gap at Parliament House on Wednesday 19th March. From 11am there will be a combination of guest speakers present to talk about the Close The Gap campaign and politicians who will show their support to Close The 10-17 year Gap in Aboriginal and Torres Strait Islander Peoples’ health and life expectancy by putting their handprints on a close the gap banner from 11am to 2pm.

For more information please visit our Facebook page or contact paddyc@oxfam.org.au or Lauren.Walker@ahcwa.org.

Mount Gambier

Another event to take place before the 20th March will be hosted by the South East Aboriginal Community Controlled health organisation Pangula Mannamurna in Mt Gambier on Tuesday March 18th between 10am and 2pm. A number of local health and Aboriginal organisations will be holding stalls on the day, all focusing on how it is possible to have fun while still being healthy.  The event will include a healthy lunch (wraps), traditional dancers, jump for heart and tai chi.  There will be a strong focus on schools, with all local schools being invited to participate. The local Mayor, state and federal MPs have all been invited.

The event will be at Pangula Mannamurna, 191 Commercial St West, Mt Gambier, SA.

Call 8724 7270 to arrange transport (local clients) or to register your school (registrations close March 14th 2014).

Darwin

An amazing number of organisations have come together in Darwin to put on an outdoor event in the beautiful Jingili Water Gardens under the shade of its wonderful trees from 10am – 2pm. The Danila Dilba Health Service, City of Darwin, Pharmacy Guild of Australia, NTML, Flinders University, CAAPS, Fred Hollows Foundation, General Practice Education NT and the Heart Foundation invite you to join them for a BBQ serving up kangaroo burgers and a healthy salad!

For a refreshing drink you’ll be able to have a go on their smoothie bike where you can make fruit smoothies whilst you cycle. Entertainment will include a didgeridoo workshop alongside some local dance performances from the one Mob dancers, the Bagot Victory Dancers and the Groovy Grans Line dancers.

In a great effort to make sure that National Close the Gap Day is about improving Indigenous health, there will be health checks provided by the local mobile outreach team from Danila Dilba. Plus, there will be some pharmacists on hand from a few local pharmacies to assist with any medication queries or information.

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You can hear more about Aboriginal health and Close the Gap at the NACCHO SUMMIT

summit-2014-banner

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO

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NACCHO Aboriginal health : Radical rethink of housing is key to a healthy future in remote communities: Scullion

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Opinion article by NIGEL SCULLION Minister for Indigenous Affairs

As published in The Australian March 2014

PICTURE ABOVE from THE STRINGER TONY ABBOTT MUST DO  :Inspection of Strategic Indigenous Housing and Infrastructure Programme work in Santa Teresa, Northern Territory, April 2011. Tony Abbott with Adam Giles, Alison Anderson and Nigel Scullion.

The National Partnership Agreement on Remote Indigenous Housing initiated by the former government in 2008, has not delivered on the promise of being a ‘long-term fix to the emergency’ in remote Indigenous housing.

 The byzantine national agreement arrangement is unwieldy and does not reflect the very different environments that need to be dealt with across the country.  Bilateral agreements with states and the Northern Territory may be a better way to go.

In very remote Australia, housing is central to meeting our priorities of getting kids to school, encouraging adults into work and providing for safe communities where the rule of law applies.

More than $2.5 billion was spent by the Rudd/Gillard government from 2008 through the national agreement.  Indigenous Australians tell me that they have not got value for money.

Delivery of housing in remote communities has been marked by delays, cost blowouts and bureaucracy.

New houses can cost more than $600,000 and have an average lifespan of only 10 to 12 years.  There have been poor standards of construction, unsatisfactory rental payment arrangements and sub-standard tenancy management.

Despite this massive expenditure there can be no argument that overcrowding remains chronic in remote Australia where there is no regular, functional housing market. There are no private rental options and no home ownership opportunities in most of these places. Most of these communities are dependent on Commonwealth funded public housing and this has been badly managed.

Residents of remote communities need to have the option, as others in Australia enjoy, of private rental and home ownership. Any strategies that we adopt must work towards that goal.

A radical rethink is overdue.

The states and Northern Territory governments must manage remote Indigenous housing just as they do other public housing.  Rental agreements should be in place and enforced; rents should be collected; any damage caused by occupants should be paid for by occupants; and, municipal services should be delivered to acceptable standards by the jurisdictions.

This is how social housing operates in non-remote areas.  Why should it be any different in remote Indigenous communities?

Why have we come to expect lower standards from housing authorities and residents in remote areas? Is it another layer of passive racism to accept less for Indigenous people in remote Australia?

Why are we building houses in places where land tenure arrangements prevent people from ever buying the house?

One aspect that I will be focusing on is how we can offer housing in a way that encourages mobility for those who want to move to areas with better employment opportunities.

I will be working with the states and Northern Territory governments to reform the current arrangements that are clearly failing residents of Indigenous communities.

In negotiations, I will want to set some conditions that might include:

  • moving relatively quickly towards building social housing only in those places that have appropriate land tenure arrangements in place for home ownership;
  • attractive mobility packages for remote residents, including portability of special housing and home ownership eligibility for those who want to move to areas with stronger labour markets;
  • ensuring rents are set at mainstream social housing rates and requirements of tenants are specified, understood and complied with;
  • a requirement for states and territories to apply their usual sale of social housing policy, as occurs in urban and regional areas, based on realistic market values; and
  • priority for the allocation of social housing to families in employment or where children are regularly attending school.

We also need to ensure that people in social housing are not adversely affected when taking up employment opportunities. This however is mainly an issue for mainstream social housing rather than remote Indigenous housing.

I know that a number of jurisdictions are focused on reform and I look forward to working with them.

However, if a state or territory is not up to the task, the Commonwealth might have to step in and take over delivery of social housing or contract providers with significant Indigenous and community involvement to do the job.

 

You can hear more about Aboriginal health and social determinants at the NACCHO SUMMIT June Melbourne Convention Centre

summit-2014-banner

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO

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NACCHO Aboriginal Health : Senator Nova Peris pushes campaign on alcohol-related domestic violence

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Senator Peris said in the Northern Territory an indigenous woman is 80 times more likely to be hospitalised for assault than other Territorians.

“I shudder inside whenever I quote that fact because it makes me picture the battered and bloodied women we see far too often in our hospitals.

“Every single night our emergency departments in the Northern Territory overflow with women who have been bashed.”

Picture above :Senator Nova Peris along with Opposition colleagues  addressing the NACCHO board at Parliament House Canberra this week

LABOR’S first indigenous MP Nova Peris has challenged the Australian Medical Association to advocate for more action in tackling alcohol-related domestic violence.

In a powerful speech, Senator Peris said alcohol-related domestic violence was on the rise and ruining the lives of Aboriginal women.

She told the launch of the AMA’s national women’s health policy that the AMA must use its high standing in the community to “advocate for more action in tackling alcohol-related domestic violence”.

Report from PATRICIA KARVELAS   The Australian

SEE AMA Position Statement on Women’s Health below

“Today I call on the AMA to formally adopt a policy position that supports the principle that people who have committed alcohol-related domestic violence be banned from purchasing alcohol at the point of sale.

“The technology to implement point-of-sale bans exists; it is cost effective and has been proven to work.”

Senator Peris said in the Northern Territory an indigenous woman is 80 times more likely to be hospitalised for assault than other Territorians.

“I shudder inside whenever I quote that fact because it makes me picture the battered and bloodied women we see far too often in our hospitals.

“Every single night our emergency departments in the Northern Territory overflow with women who have been bashed.”

In 2013, domestic violence assaults increased in the Northern Territory by 22 per cent, she said.

She criticised the incoming NT government’s August 2012 decision to scrapped the banned drinker register.

“For those of you who may not be familiar with the banned drinker register, or BDR as it is also known, it was an electronic identification system which was rolled out across the Northern Territory.

“This system prevented anyone with court-ordered bans from purchasing takeaway alcohol — including people with a history of domestic violence.

“Around twenty-five hundred people were on the banned drinker register when it was scrapped. “Domestic violence perpetrators were again free to buy as much alcohol as they liked. As predicted by police, lawyers and doctors, domestic violence rates soared.”

Senator Peris said she had met with doctors, nurses and staff from the emergency department in Alice Springs and they confirmed these statistics represent the true predicament they faced every day.

“Every night the place is awash with the victims of alcohol fuelled violence, with the vast majority of victims being women.”

She said the Northern Territory faces enormous issues with foetal alcohol spectrum disorder.

“We have such high rates of sexually transmitted infections, especially and tragically, with children.

“Rates of smoking are far too high, and diets are poor and heart disease is widespread.”

Senator Peris’s speech was well received by the AMA, which committed to taking on her challenge.

AMA SHINES LIGHT ON VIOLENCE AGAINST WOMEN AND THE HEALTH NEEDS OF DISADVANTAGED AND MINORITY GROUPS OF WOMEN

AMA Position Statement on Women’s Health 2014

The AMA today released the updated AMA Position Statement on Women’s Health.

The Position Statement was launched at Parliament House in Canberra by the Minister Assisting the Prime Minister for Women, Senator Michaelia Cash, Senator for the Northern Territory, Nova Peris, and AMA President, Dr Steve Hambleton.

Dr Hambleton said that all women have the right to the highest attainable standard of physical and mental health.

“The AMA has always placed a high priority on women’s health, and this is reflected in the breadth and diversity of our Position Statement,” Dr Hambleton said.

“We examine biological, social and cultural factors, along with socioeconomic circumstances and other determinants of health, exposure to health risks, access to health information and health services, and health outcomes.

“And we shine a light on contemporary and controversial issues in women’s health.

“There is a focus on violence against women, including through domestic and family violence and sexual assault.

“These are significant public health issues that have serious and long-lasting detrimental consequences for women’s health.

“It is estimated that more than half of Australian women have experienced some form of physical or sexual violence in their lifetimes.

“The AMA wants all Australian governments to work together on a coordinated, effective, and appropriately resourced national approach to prevent violence against women.

“We need a system that provides accessible health service pathways and support for women and their families who become victims of violence.

“It is vital that the National Plan to Reduce Violence against Women and their Children is implemented and adequately funded.”

Dr Hambleton said the updated AMA Position Statement also highlights areas of women’s health that are seriously under-addressed.

“This includes improving the health outcomes for disadvantaged groups of women, including Aboriginal and Torres Strait Islander women, rural women, single mothers, and women from refugee and culturally and linguistically diverse backgrounds,” Dr Hambleton said.

“We also highlight the unique health issues experienced by lesbian and bisexual women in the community.”

Dr Hambleton said that the AMA recognises the important work of Australian governments over many years to raise the national importance of women’s health, including the National Women’s Health Policy.

“There has been ground-breaking policy in recent decades, but much more needs to be done if we are to achieve high quality equitable health care that serves the diverse needs of Australian women,” Dr Hambleton said.

“Although women as a group have a higher life expectancy than men, they experience a higher burden of chronic disease and tend to live more years with a disability.

“Because they tend to live longer than men, women represent a growing proportion of older people, and the corresponding growth in chronic disease and disability has implications for health policy planning and service demand.”

The Position Statement contains AMA recommendations about the need to factor in gender considerations and the needs of women across a range of areas in health, including:

  •  health promotion, disease prevention and early intervention;
  •  sexual and reproductive health;
  •  chronic disease management and the ageing process;
  •  mental health and suicide;
  •  inequities between different sub-populations of Australian women, and their different needs;
  •  health services and workforce; and
  •  health research, data collection and program evaluation.

Background:

  • cardiovascular disease – including heart attack, stroke, and other heart and blood vessel diseases – is the leading cause of death in women;
  •  for women under 34 years of age, suicide is the leading cause of death; and
  • in general, women report more episodes of ill health, consult medical practitioners and other health professionals more frequently, and take medication more often than men.

The AMA Position Statement on Women’s Health 2014 is at

https://ama.com.au/position-statement/womens-health

NT alcohol crackdown makes gains, but questions over mandatory rehabilitation remain

By Michael Coggan NT ABC

It appears that stationing police officers outside bottle shops in regional towns in the Northern Territory has had a significant impact on alcohol consumption.

The latest figures show consumption has dropped to the lowest level on record, but the statistics do not include the impact of the mandatory rehabilitation policy or punitive protection orders.

The ABC has investigated the situation as a new federal parliamentary inquiry is promising to test the evidence.

On a weeknight in Darwin’s city centre, locals and tourists mingle at Monsoons, one of the pub precinct’s busy watering holes.

Less than a block away, six women have found their own drinking place under the entrance of an office building, sheltered from monsoonal rain.

Most of them are visiting from Indigenous communities on Groote Eylandt in the Gulf of Carpentaria. They’re “long-grassing” – living rough on the city streets.

Northern Territory Labor Senator Nova Peris is here to talk to them.

One of the women, from the Torres Strait Islands, tells the Senator how she is trying to get through a catering course while struggling with homelessness and alcoholism.

“I am doing it. I’m trying to get up and I’m finding it hard,” she said.

In an interview after talking to the “long-grassers”, Senator Peris emphasised how homelessness makes alcohol abuse among Aboriginal people more obvious than alcohol use in the non-Indigenous community in Darwin.

“Those ladies, they weren’t from Darwin, they were from communities that came in, so they’re homeless and they drink when they come into town and it’s easy to get alcohol [in town].”

Senator Peris also blames alcohol abuse for much of the poor health in Aboriginal communities.

“When you look at alcohol-related violence, when you look at foetal alcohol syndrome, when you look at all the chronic diseases, it goes back to the one thing and it’s commonly known as the ‘white man’s poison’,” she said.

Alcohol-related hospital admissions increase, senator says

The Northern Territory has long grappled with the highest levels of alcohol abuse in the country, but figures released recently by the Northern Territory Government show the estimated per capita consumption of pure alcohol dropped below 13 litres last financial year for the first time since records started in the 1990s.

Territory Country Liberals Chief Minister Adam Giles believes a more targeted response by police has made a difference.

But Senator Peris says data released last week tells a different story.

Senator Peris has quoted figures showing an 80 per cent increase in alcohol-related hospital admissions over the past 14 months as evidence that the previous Labor government’s banned drinker register was working.

The Territory Government scrapped the BDR when it won power in September 2012.

Alice Springs-based associate professor John Boffa from the Peoples Alcohol Action Coalition wants to see the consumption figures verified.

“If it’s true, it’s very welcome news and it would reflect the success of the police presence on all of the takeaway outlets across the territory,” he said.

Parties, police association at odds

In regional towns where alcohol-fuelled violence is high, police have been stationed outside bottle shops to check identification.

Anyone living in one of the many Aboriginal communities or town camps where drinking is banned faces the prospect of having their takeaway alcohol seized and tipped out.

Northern Territory Police Association president Vince Kelly believes police resources are being concentrated on doing the alcohol industry’s work.

Mr Kelly has also questioned the will of the two major political parties to introduce long-term alcohol supply reduction measures since it was revealed that the Australian Hotels Association made $150,000 donations in the lead-up to the last Territory election.

“No-one I know gives away $150,000 to someone and doesn’t expect something back in return,” he said.

But Mr Giles dismisses Mr Kelly’s view.

“I don’t respond to any comment by Vince Kelly from the Police Association, I think that he plays politics rather than trying to provide a positive outcome to change people’s lives in the territory,” he said.

Giles stands by alcohol rehab program

The Federal Indigenous Affairs Minister has asked a parliamentary committee to investigate the harmful use of alcohol in Indigenous communities across the country.

The committee is expected to examine the application of new policies in the Territory, including mandatory alcohol treatment that was introduced in July 2013.

People taken into police protective custody more than three times in two months can be ordered to go through a mandatory three-month alcohol rehabilitation program.

The figures showing a drop in consumption pre-date the introduction of mandatory rehabilitation but Mr Giles believes the policy is making a difference.

So far there is not enough evidence to convince Professor Boffa that mandatory treatment is making any difference.

“We just don’t have publically available data on the numbers of people who have completed treatment, [or] how long people who have completed treatment have remained off alcohol,” he said.

One of the women from Groote Eylandt explained how she had been locked up to go through the mandatory treatment program but was now back on the grog.

“I was there for three months and we didn’t like it,” he said.

The Chief Minister’s political stablemate, Indigenous Affairs Minister Nigel Scullion, has commended the Territory Government for using a mix of police intervention and mandatory rehabilitation, but says jail is not the solution.

“We can’t keep treating people who are sick as criminals. However annoying they might be, people who are alcoholics are ill,” he said.

Alcohol Protection Orders seen to criminalise alcoholism

Police were given the power to issue Alcohol Protection Orders to anyone arrested for an alcohol-related offence, attracting a jail sentence of six months or more.

Aboriginal legal aid services have criticised the orders for criminalising alcoholism.

Priscilla Collins from the North Australian Aboriginal Justice Agency says the orders are predominantly being handed out to Aboriginal people, threatening jail time if they are breached.

“Alcohol protection orders are really being issued out like lolly paper out on the streets. You can be issued one just for drinking on the street, for drink driving. We’ve already had 500 handed out this year,” she said.

Mr Kelly has welcomed the introduction of APOs as a useful tool but has questioned what they will achieve.

“The community and the Government and everybody else needs to ask itself what the end game is,” he said.

“Are we going to end up with even fuller jails? No matter what legislation we introduce we’re not going to arrest our way out of alcohol abuse and Aboriginal disadvantage in the Northern Territory.”

Do you know more? Email investigations@abc.net.au

 

 

 

You can hear more about Aboriginal women’s health  at the NACCHO SUMMIT

summit-2014-banner

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO

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NACCHO political alert: ‘Cut the cash and we won’t close the gap’ says Dr Ngiare Brown

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“I know that it has been said within the Coalition that health and education will have to take some funding hits,” Dr Brown said. “We cannot possibly progress this nation unless we are investing more in health and education, public health and education, so that we all have an equal opportunity at what that represents. I will absolutely be pushing the health bandwagon.”

Dr Ngiare Brown, Warren Mundine’s deputy on the government’s indigenous council, says ‘it’s often the layers of red tape and bureaucracy that suck up the resourcing’. Source: News Corp Australia Exclusive: Patricia Karvelas Photo: Ray Strange

ABORIGINAL doctor Ngiare Brown and  NACCHO  Executive Research Manager has vowed to use her new role as deputy head of Tony Abbott’s indigenous council to argue that cuts to indigenous health or education would be detrimental to efforts to close the disadvantage gap.

Dr Brown, who was in one of the first groups of Aboriginal medical graduates in Australia and previously an indigenous health adviser to the Australian Medical Association, was yesterday appointed as Warren Mundine’s deputy after receiving the backing of council members and the Prime Minister.

In an interview with The Australian, Dr Brown said she supported the priorities of the new council to boost school attendance and enhance economic independence. Given her background in health, she would also articulate the need for better health for indigenous people.

Mr Mundine said Dr Brown was a fantastic choice for deputy.

“I’m glad that all the council members and the PM support this move,” he said. “She’s very well experienced and she’s a great asset as deputy chair.”

In January, Mr Mundine said it was unrealistic to expect indigenous affairs spending to be immune from expected budget cuts and that, despite being the head of Mr Abbott’s indigenous advisory council, he could not cast a “force field” to exempt Aborigines from the broader budget agenda.

Dr Brown said she believed existing funding could be better spent, with less on bureaucracy, but urged that there be no net reduction in health and education.

“It is about school attendance but also performance and successful completion, pathways into opportunities into employment and further education,” she said.

“Being economically stable, too, all of those things we can’t do unless we are healthy. And the best model that we have for health service delivery in this country and comprehensive primary care are the Aboriginal community control health services.”

She said she was “absolutely” worried about cuts.

“I know that it has been said within the Coalition that health and education will have to take some funding hits,” Dr Brown said. “We cannot possibly progress this nation unless we are investing more in health and education, public health and education, so that we all have an equal opportunity at what that represents. I will absolutely be pushing the health bandwagon.”

She said if targets were to be achieved, cuts should not come from indigenous affairs.

“They should not be coming from Aboriginal and Torres Strait Islander health,” she said. “They should not be coming from the public health system in particular nor the public education system. Because every child, every individual, every citizen has a right to those systems and they should be supported by government.”

She said waste on bureaucracy was concerning. “I am all about effectiveness and efficient spend,” she said. “But I am also about investment and if you look at community-based services they are extraordinary exemplars of how we can do it well and, in many instances, it’s often the layers of red tape and bureaucracy that suck up the resourcing.”

You can hear Dr Ngiare Brown speak at the NACCHO SUMMIT

summit-2014-banner

The importance of our NACCHO member Aboriginal community controlled health services (ACCHS) is not fully recognised by governments.

The economic benefits of ACCHS has not been recognised at all.

We provide employment, income and a range of broader community benefits that mainstream health services and mainstream labour markets do not. ACCHS need more financial support from government, to provide not only quality health and wellbeing services to communities, but jobs, income and broader community economic benefits.

A good way of demonstrating how economically valuable ACCHS are is to showcase our success at a national summit.

SUMMIT WEBSITE FOR MORE INFO

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NACCHO political alert:Federal inquiry into the harmful use of alcohol in Aboriginal and Torres Strait Islander communities

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The House of Representatives Standing Committee on Indigenous Affairs has announced an inquiry into the harmful use of alcohol in Aboriginal and Torres Strait Islander communities.

NACCHO Chair Justin Mohamed said the NACCHO secretariat will be working closely with its 150 members to make sure the role of Aboriginal Community Controlled health is recognised in any future long-term plans and recommendations as identified in NATSIHP the National Aboriginal and Torres Strait Islander Health plan 2013-2023

NACCHO ALCOHOL AND OTHER DRUGS NEWS ALERTS

The Chair of the Committee, Dr Sharman Stone, said that ‘The Committee is not singling out Aboriginal and Torres Strait Islander people as the only group that have problems with alcohol.

We know that Aboriginal and Torres Strait Islander people are more likely to abstain from alcohol than non- Aboriginal and Torres Strait Islander people. However we are concerned that Aboriginal and Torres Strait Islander people, who do consume alcohol, drink at riskier levels which has a greater impact on their health.’

Dr Stone said ‘while there is no doubt that alcohol abuse has a significant impact on families and communities right across Australia, Aboriginal and Torres Strait Islander people are between four and five times more likely to be hospitalised, and between five and eight times more likely to die as a result of harmful alcohol use

‘Statistics such as these are of great concern. The Minister has supported the Committee’s determination to identify the social and other determinants of high risk alcohol consumption. We will also identify the strategies and programs which may have had some beneficial outcomes, comparing international experience. The prevalence and impacts of FASD and FAS will also be given a particular focus. We wish to hear from specialists and communities about what is working and why and submissions are now being called for.’

The Committee will inquiry into and report on:

Terms of Reference

The Committee will inquire into and report on the harmful use of alcohol in Aboriginal and Torres Strait Islander communities, with a particular focus on:

• Patterns of supply of, and demand for alcohol in different Aboriginal and Torres Strait Islander communities, age groups and genders

• The social and economic determinants of harmful alcohol use across Aboriginal and Torres Strait Islander communities

• Trends and prevalence of alcohol related harm, including alcohol-fuelled violence and impacts on newborns e.g. Foetal Alcohol Syndrome and Foetal Alcohol Spectrum Disorders

• The implications of Foetal Alcohol Syndrome and Foetal Alcohol Spectrum Disorders being declared disabilities

• Best practice treatments and support for minimising alcohol misuse and alcohol-related harm

• Best practice strategies to minimise alcohol misuse and alcohol-related harm

• Best practice identification to include international and domestic comparisons

Interested persons and organisations are invited to make submissions addressing the terms of reference by Thursday 17 April 2014 .

SUBMISSIONS AND MORE INFO

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NACCHO needs to improve how we  connect, inform and engage into the Ifuture.

SURVEY LINK