NACCHO Aboriginal Health and #refreshtheCTGrefresh : New @HealthInfoNet publication supports the need for #ClosingtheGap Refresh initiatives for Aboriginal and Torres Strait Islander people

“ The Overview is our flagship knowledge exchange resource as we summarise information from many publications into one document, ensuring those working in the sector receive a comprehensive update that is both accessible and timely’.

HealthInfoNet Director, Professor Neil Drew

” On the floor of Parliament , the Prime Minister spoke of a change happening in our country: that there is a shared understanding that we have a shared future- Indigenous and non-Indigenous Australians, together. But our present is not shared. Our present, and indeed our past is marred in difference, in disparity. This striking disparity in quality of life outcomes is what began the historic journey of the Closing the Gap initiatives a decade ago.

But after ten years of good intentions the outcomes have been disappointing. The gaps have not been closing and so-called targets have not been met. The quality of life among our communities is simply not equal to that of our non-indigenous Australian counterparts.

Yes change must come from within our communities, but change must also come from the whole of Australia. We must change together.

The time has come for our voices to be heard and for us to lead the way on Closing the Gap. We are ready for action. ”

Pat Turner AM is the CEO of the National Aboriginal Community Controlled Health Organisation. Read HERE 

 

The most recent indicators of the health of Aboriginal and Torres Strait Islander people are documented in the Australian Indigenous HealthInfoNet’s authoritative publication, the Overview of Aboriginal and Torres Strait Islander health status

Download

Overview+of+Aboriginal+and+Torres+Strait+Islander+health+status,+2018 (1)

The annual Overview contains updated information across many health conditions.

It shows that despite some improvements, there are still significant health disparities between Aboriginal and Torres Strait Islander people and other Australians, which supports the need for the broader refresh of the Closing the Gap targets.

The Overview also includes a strengths based approach and highlights areas where improvements have been achieved or positive outcomes realised. It provides a comprehensive summary of the most recent indicators of the health and current health status of Aboriginal and Torres Strait Islander people.

As part of the HealthInfoNet’s commitment to knowledge exchange, there are other tools and resources to access this information including:

A plain language Summary version of the Overview

Summary+of+Aboriginal+and+Torres+Strait+Islander+health+status+2018

PowerPoints that can be used as a teaching resource

https://healthinfonet.ecu.edu.au/key-resources/publications/36501/

The Australian Indigenous HealthInfoNet is based at Edith Cowan University in Western Australia. The HealthInfoNet is a massive web resource that informs practice and policy in Aboriginal and Torres Strait islander health by making up to date research and other knowledge readily accessible via any platform.

For over 21 years, working in the area of knowledge exchange with a population health focus, the HealthInfoNet makes research and other information freely available in a form that has immediate, practical utility for practitioners and policy-makers in the area of Aboriginal and Torres Strait Islander health, enabling them to make decisions based on the best available evidence.

www.healthinfonet.ecu.edu.au

NACCHO #ClosingTheGap Aboriginal Health : @congressmob and #RedfernStatement Alliance leaders express dismay over last minute changes to high-level #Aboriginal peak body meeting for @pmc_gov_au #CTGRefresh consultations

 ” National Congress and Redfern Statement Alliance leaders meeting in Canberra yesterday  have expressed dismay over last minute changes to a high-level Aboriginal peak body meeting for the Closing the Gap Refresh consultations.

Co-Chair Rod Little expressed his frustration, saying ‘it is critical that the government respects the need for Aboriginal peak bodies to share their expert views without having to accommodate other powerful voices such as NGOs.”

Download full Press Release : National Congress – Closing the Gap Refresh Rejigged – Final pdf Media Release Final 4th April 2018 (1)

The Closing the Gap Refresh agenda stated: ‘Australian governments acknowledge they need to work differently with Aboriginal and Torres Strait Islander Peoples.

Our Redfern Statement called for the government to ‘commit to better engagement with Aboriginal and Torres Strait Islander peoples through their representative national peaks.’ More specifically, the recommendation focused on ‘convening regular high level ministerial and departmental meetings and forums with the National Congress and the relevant peak organisations and forums.’

Read 15+ NACCHO articles about the Redfern Statement

National Congress has only recently learnt that no longer will Aboriginal peak bodies be given the much-anticipated exclusive opportunity to voice their views on the Refresh project.

Now we understand that the government organisers have opened the doors to a range of non-indigenous NGOs to participate on the same day.

Whilst these organisations have valuable contributions to make, this may not be the appropriate forum.

The consultation process is already compressed enough without our organisations having to abbreviate our important contributions.”

What is potentially being overlooked by consultation organisers is how having NGOs present might impact on critical evaluations of the influence of NGOs themselves on Aboriginal and Torres Strait Islander affairs.

It should not be taken for granted that NGOs and Aboriginal peak bodies see eye to eye on a range of issues, and the sensitive issue of setting targets for Closing the Gap may well be such an issue.

National Congress reminds the government that the Redfern Statement Alliance is an excellent framework with which to engage Aboriginal peak bodies.

No member of this alliance wants to see its perspectives on Closing the Gap Refresh watered down or diminished by competing organisations.

Our peak organisations are calling for the full attention of the government and an exclusive opportunity to have our voices heard.

The government is not meeting its own expectations and working ‘differently’ by having powerful NGO representatives share this key consultation.

We would like this to be addressed as a matter of urgency.

Background to #CTGRefresh

Another step in this process is to consider how governments can improve program implementation. Six implementation principles have been developed to guide the new Closing the Gap agenda.

The principles are:

  • Funding prioritised to meet targets
  • Evidence-based programs and policies
  • Genuine collaboration between governments and communities
  • Programs and services tailored for communities
  • Shared decision-making
  • Clear roles, responsibilities and accountability

How you can get involved ?

We want your views on the future of Closing the Gap. What is important, what worked and how can we do better?

“We have to be there to be part of the conversation, so let’s get with it.” – Chris Sarra, Co-Chair Indigenous Advisory Council, and Founder and Chair, Stronger, Smarter Institute

We’re interested in getting your thoughts on a few questions below. You don’t need to answer every question.

Alternatively, you may prefer to upload a submission.

Once you’ve completed your response, click ‘Next’ and we will ask you a few questions about yourself.

Read the discussion paper for more information on the Closing the Gap Refresh.

Submissions close 5pm AEDT 30 April  2018.

NACCHO Aboriginal Health : Your Guide to #ClosetheGap Week Includes #ClosingtheGap #CtGRefresh @KenWyattMP ” Better #Indigenous Health ” @AusHealthcare Editorial

Understanding and respecting Aboriginal and Torres Strait Islander cultures—our strengths, traditions and our family, kinship, values and knowledge—is a fundamental foundation for better Indigenous health.

Consideration of the social and cultural determinants of health is vital, because a strong connection to culture correlates with good health, through strengthened identity, resilience and social and physical wellbeing.

In the words of the Prime Minister, we are committed to doing things with Aboriginal and Torres Strait Islander people, not to them, empowering local community solutions and better personal choices.

This will require the involvement of individuals, families, communities and Aboriginal organisations at all levels, in shaping the future and achieving improved health.

The Closing the Gap refresh and the next Implementation Plan will be important opportunities to build on what we have learned, and help ensure our people live better, longer and healthier lives and are able to achieve their full potential.”

Extract from Minister Ken Wyatt’s ” Better Indigenous Health ” overview in this weeks the AHHA’s  #ClosetheGap Magazine Read in Full Part 4  below

Download a copy HERE : AHHA CTG 2018 Feature

Part 1 Your #ClosetheGap Week Guide

Thursday 8 th February the #ClosetheGap Campaigns Parliamentary Breakfast 7.00 AM event and the launch of a ten-year review: the #ClosingtheGap Strategy and Recommendations for Reset.

The Prime Minister has established a group of 10 Aboriginals to inform governments this week on the next phase of the #ClosingtheGap agenda. #CTGRefresh

The Aboriginal panel will meet from 7th – 8th February.

Ministers will join the Indigenous group on the afternoon of Thursday 8th.

Friday 9th February , The 10 Indigenous participants will formally present the gathering’s proposals to the Council of Australian Governments #COAG meeting.

Monday 12 Feb, the PM provides his #ClosingtheGap report to Parliament 11.00 am

Tuesday 13 February several key events to mark 10 years since the Apology, including the public concert on the lawns of Parliament House – hosted by The Healing Foundation. #Apology10

Read 454 NACCHO Aboriginal Health #ClosetheGap articles last 6 years

NACCHO This week Monday #WorldCancerday #CloseTheGap

Tuesday Aged Elder Care #CloseTheGap

Wednesday Aboriginal Children’s Health #ClosetheGap

Part 2 #ClosingTheGap #RefreshCTG

From NACCHO Post

This is a great opportunity for people to share their ideas and opinions”

Andrea Mason, Co-Chair Indigenous Advisory Council and CEO of NPY Women’s Council

Share your views

Submissions close 5pm 31 March 2018

 ” The Australian Government, on behalf of the Council of Australian Governments (COAG), is asking all Australians for their views to help construct the next phase of the Closing the Gap agenda and has released a COAG discussion paper to support ongoing consultations that have been held this year and will continue into 2018.

Over the past decade, important progress has been made in improving health, employment and education outcomes for First Australians since Australian governments agreed to a Closing the Gap framework to address Indigenous disadvantage.

However, it is clear that the Closing the Gap agenda can be better designed and more effectively delivered. This is a view shared among Aboriginal and Torres Strait Islander people, governments and the broader community.”

Download the Discussion paper

ctg-next-phase-discussion-paper

Part 3 #Refresh CTG Example from NACCHO Member Congrees Alice Springs

Congress Alice Springs notes the Council of Australian Government’s (COAG’s) commitment in their meeting of 9 June 2017 to refreshing the Closing the Gap (CtG) agenda, “focussing on a strength-based approach that supports Indigenous advancement, working in partnership with Aboriginal and Torres Strait Islander peoples”.

As a leading Aboriginal community controlled health service with over forty years of experience in delivering improvements in services and outcomes for Aboriginal people1 in Central Australia, Congress is submitting this paper to the Taskforce that has been established in the Department of the Prime Minister and Cabinet to progress this important work.

The paper is framed around five key structural reforms to the CtG process and on eight specific social and cultural determinants of health and well being

Download HERE

Congress-input-to-CtG-Refresh-Process-FINAL-24-January-2018

 Part 4 Minister Ken Wyatt’s ” Better Indigenous Health ” overview in this weeks the AHHA’s  #ClosetheGap Magazine

Download a copy HERE : AHHA CTG 2018 Feature

The February 2018 issue was released today. It focuses on ‘Close the Gap’ and features articles including:

  • Better Indigenous health—Ken Wyatt see in full below
  • Aboriginal patient journey mapping tools—Flinders University, University of Adelaide, Port Augusta Hospital and Regional Health Unit, Royal Adelaide Hospital
  • Walk with us—Janine Mohamed, CATSINaM
  • Nutrition from first foods—Dympna Leonard
  • Check today, see tomorrow—Hugh Taylor and Mitchell Anjou, University of Melbourne

Understanding and respecting Aboriginal and Torres Strait Islander cultures—our strengths, traditions and our family, kinship, values and knowledge—is a fundamental foundation for better Indigenous health.

The Turnbull Government understands that significant factors contributing to higher rates of premature death and chronic illnesses among our people lie largely outside the traditional health system.

Consideration of the social and cultural determinants of health is vital, because a strong connection to culture correlates with good health, through strengthened identity, resilience and social and physical wellbeing.

We know that over one-third of the average health gap between Indigenous and non- Indigenous people is the result of social determinants—the implications of housing, employment, justice and education.

This rises to over 50% when combined with risky behaviours such as tobacco and alcohol use, poor diet and physical inactivity.

In 2017, the Government led the My Life My Lead consultations across the nation, listening to people, and government and non-Government agencies, sharing their experiences around the social and cultural determinants of health, with around 600 attending 13 forums.

We heard that to make significant overall improvements in Indigenous lives, including their health, we need to:

• recognise the importance of culture, family and country;

• partner with communities to build capacity;

• recognise and address the impacts of underlying trauma; and

• lift access to health, education, employment and social services.

There is a need to address systemic racism and enhance cultural competency.

The 2017 Aboriginal and Torres Strait Islander Health Performance Framework highlighted some areas of success: There has been a 44% decline in Aboriginal circulatory disease death rates between 1998 and 2015, and a 47% decline in kidney deaths; there has been a longer term 33% decline (1998–2015) in child mortality and a recent 9% drop in smoking rates.

However, we can, and must, do better.

Among my Aboriginal and Torres Strait Islander health priorities are:

• Renal health—reducing the incidence of kidney disease, with a strong focus on early intervention.

• Maternal and child health—making sure we give babies through to teenagers the best possible start in life by developing a 0–17 years approach to social, physical and emotional wellbeing.

• Men’s health—considering more of the social and cultural determinants of health.

• Eye and ear health—working on the causes of preventable blindness and hearing loss, including tackling otitis media.

• Preventable hospital admissions—with a strong focus on early intervention to keep people out of hospital.

Aboriginal and Torres Strait Islander men’s life expectancy is 10 years shorter than non- Indigenous males.

While smoking rates have improved significantly, they remain high and contribute to the largest burden of Indigenous ill health.

The $116.8 million (2015–16 to 2017–18) Tackling Indigenous Smoking program aims to further reduce these rates.

The gap in the blindness rate in Aboriginal and Torres Strait Islander people over 40, compared to non-Indigenous Australians, has halved between 2008 and 2016. The Australian Government is investing $76 million from 2013 – 14 to 2020–21 to build on this improvement.

A comprehensive approach to childhood hearing loss is combining prevention, early treatment and management of ear infections, supported by an investment of $76.4 million from 2012–13 to 2021–22.

In addition, providing a culturally safe and respectful environment within mainstream health services can help improve access to health care, as well as the effectiveness of that care.

Between July 2013 and June 2015, Aboriginal and Torres Strait Islander peoples were discharged from hospital against medical advice at seven times the rate of non-Indigenous people and were more likely to leave the emergency department without waiting to be seen.

I am pleased to be partnering with organisations including the National Aboriginal Community Controlled Health Organisation, the Australian Indigenous Doctor’s Association and the Council of Presidents of Medical Colleges to help reduce the barriers to accessing health care.

The initial focus includes improving how the health system works with Aboriginal and Torres Strait Islander peoples, ranging from enhanced cultural awareness and training for staff, through to reducing any forms of institutionalised racism.

The Cultural Respect Framework for Aboriginal and Torres Strait Islander Health 2016–2026, sponsored by the Australian Health Ministers’ Advisory Council, commits all state and territory governments to embedding the principles of cultural respect into the health system.

The next Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan, due in 2018, will recognise the importance of culture in finding solutions, and focus on the factors that promote resilience, foster a sense of identity and support good mental and physical health and wellbeing for individuals, families and communities.

In the words of the Prime Minister, we are committed to doing things with Aboriginal and Torres Strait Islander people, not to them, empowering local community solutions and better personal choices.

This will require the involvement of individuals, families, communities and Aboriginal organisations at all levels, in shaping the future and achieving improved health.

The Closing the Gap refresh and the next Implementation Plan will be important opportunities to build on what we have learned, and help ensure our people live better, longer and healthier lives and are able to achieve their full potential.