Welcome to the tenth edition of Gwalwa-Gai, the newsletter for the CRC for Aboriginal Health.

Gwalwa-Gai is an expression used by Larrakia people to call other members of the Larrakia nation to meet. It is used to call clan groups together.

 

 

 

 

Dr Chris Sarra

The guest editorial writer for this edition of Gwalwa-Gai is Queensland educator, Dr Chris Sarra.

Dr Sarra is the 2004 Suncorp Queenslander of the Year; 2004 QUT Chancellor's Outstanding Alumnus and Faculty of Education Outstanding Alumni Award Winner; and NAIDOC 2006 Scholar of the Year.

The youngest of 10 children Dr Sarra is from Bundaberg and has had an extensive career in education with a particular focus on pursuing his main passion; more positive and productive educational outcomes for Indigenous children.

He was the first ever Aboriginal principal of Cherbourg State School in south-east Queensland where he facilitated many positive changes that saw increasing enthusiasm for student learning through dramatically improved school attendance and increased community involvement in education. Under Chris's leadership the school became nationally acclaimed for its pursuit of the ‘Strong and Smart' philosophy.

Dr Sarra is currently Director of the Indigenous Education Leadership Institute, based in Cherbourg, and designed to pursue stronger, smarter, student outcomes for Indigenous children throughout Australia……..

As an educator who has spent eight years working directly with Aboriginal children in a very complex Aboriginal community I welcome any intervention to ensure their wellbeing. If the challenge is to be attended to properly we must invest substantially and seriously in this national crisis that sees Australia's most vulnerable children exposed to harm. They didn't ask to be exposed to this. They don't ask to be continually subjected to this, yet they remain confused and hurting. They definitely deserve to be set free from this!

Let's understand this hurt and confusion; then let's just get on with the task of addressing the challenge, without feeling the need to score political points along the way.

Most of us know, as well as the Prime Minister knows, that political parties do not win votes by fixing things in Aboriginal communities. We know that political parties even run the risk of losing votes by doing so. This brings me to what I think lies at the most fundamental core of this challenge.

In order for this challenge to be seriously addressed in Australia, much of the electorate has a need for this to be done so in a way that sees Aboriginal people portrayed as completely hopeless or completely despicable. It has to be in an election year; and the government must be staring down the barrel of electoral defeat.

This need to ensure that Aborigines are thought of as a hopeless, pitiable, or despicable form of 'other', is what makes it okay for a political party to announce dramatic intervention into child abuse in Aboriginal communities.

If the electorate can have it confirmed that Aboriginal people in communities are so despicable and hopeless, then it is okay for the Prime Minister to announce such dramatic intervention, and be seen as the 'big man on the job'.

This same need is that which has made it acceptable for Aboriginal communities to wallow in third world conditions.

This same need makes it acceptable to deliver second rate education, health, and justice outcomes to Aboriginal communities.

This is the need which validates the hypocrisy with which some say ‘lest we forget', but forget about Australia 's black history.

This need allows Australian Governments and their bureaucrats to treat Aboriginal voices of outrage and expectation with contempt.

This phenomenon is so sophisticated, it even recruits Aboriginal voices to satisfy this insatiable need to see 'my' proud people typecast as helpless, pitiable, or despicable.

Notwithstanding, and sadly, this is the same need that furnishes the desire of many Aboriginal people, not all, to cling to an undignified 'victim status' as a means of survival.

Decent Australians know that we are not hopeless, pitiable, despicable and evil people.

Clearly, there are challenges for all of us here. I won't pretend for a moment that this is an easy challenge to attend to or that many Aboriginal people in communities are without blame here. But show me an Aboriginal man who says it is okay to have sex with a child, and then I will show you a man who should be in jail. I can also show you white police and white magistrates who lack the courage or commitment to deal with such matters in a way that they would in a regular community. I could also probably show you some flash white lawyer trying to sniff out some legal loophole to pretend that there is some cultural dimension to child sexual abuse.

Let me make it abundantly clear there is no cultural dimension to child sexual abuse!

While such justice service providers think they do good things to keep harmony and good relations with communities by basically ignoring or passively condoning such dysfunction, they leave communities to endure a level of dysfunctionality that would never be tolerated in a mainstream community, and worst of all; they leave Australia 's most vulnerable children exposed.

If we are to have any chance of making significant progress to eradicate such disturbing degrees of dysfunction in Aboriginal communities, then we must purge the dysfunctional mindsets of those with real authority to make change and develop real capacity to attend directly with the challenges that we contemplate. We must purge our country of the need to see Aboriginal people as hopeless, pitiable and despicable.

I am not talking here about systems, bureaucracies and policies. I am talking about the mindsets and actions of all of us as individuals that are a part of those structures and processes. Each of us must realise the power and potential for change when an individual, armed with the right mindset, decides that things can be better, and rejects absolutely, the notion that second or third rate is good enough for Aboriginal children.

For more information on the Indigenous Education Leadership Institute: www.strongersmarter.eq.edu.au

Pat Anderson honoured with public health medal

CRCAH Chair Pat Anderson has been awarded the Public Health Association of Australia's prestigious Sidney Sax Medal for her work in Indigenous health.

Pat Anderson with Professor Fran Baum and Stephanie Bell at the PHAA Conference (Photo courtesy of PHAA - Paul Kowalski)

Pat was recognised as a vociferous advocate who has:

  • criticised the short-term one-off funding that Government programs often bring to Indigenous health and well being
  • sought bipartisan approaches to improving Indigenous public health
  • promoted the need for governments, communities and individuals to address the underlying socio-economic determinants of health for Indigenous people
  • passionately lobbied politicians from all levels of government
  • encouraged public awareness of public health issues and measures in the research and political arenas and within local communities, and
  • perhaps most importantly, brought her experience of the health issues in Indigenous populations learnt at the ‘coalface' to more distant policy makers and program service providers.

The awarding of the Sidney Sax Medal is an acknowledgement that Pat has been a powerful and well-known voice for Aboriginal health at conferences and in the media, and has provided inspiration to young Indigenous people.

Pat said that she was deeply honoured by being awarded the Sidney Sax Medal.

“ Over the years I have worked with a wide variety of people who have been dedicated to relieving health problems suffered by Indigenous Australians,” she said accepting the medal at the PHAA annual dinner. “While there have been gains, and these should be celebrated, there is still so much to do.

“We will only achieve substantial outcomes by working together – Aboriginal Health Services and Aboriginal Health Workers, Aboriginal Health Workers and communities, communities and governments, governments and services providers, service providers and research institutions, health and non-health services, policy makers and researchers – black and white. We must work as teams if we are to achieve acceptable levels of Indigenous health.”

Professor Mike Daube, in presenting Pat with the Medal said “This year's winner is unique in the pantheon of Sidney Sax Medal Winners. For over two decades she has been involved in public health in Australia , working at all levels, within and outside government. She has often taken up courageous positions, all aimed at protecting and improving the health of Australia 's Indigenous people.”

The CRCAH is proud and fortunate to have such a powerful and passionate advocate for Aboriginal health as its chairperson.

Congratulations Pat Anderson.

Developing Aboriginal health leadership

Erin Lew Fatt (front row 2nd from right) with other young Indigenous workshop attendees.

CRCAH executive support officer, Erin Lew Fatt, recently attended a workshop in Darwin for young Indigenous people aged between fifteen and thirty.

Erin has an abiding interest in leadership and governance within the Aboriginal health sector and earlier this year helped organise a similar workshop in the NT for leaders in the Aboriginal community controlled health sector.

The Darwin workshop was hosted by the National Indigenous Youth Movement of Australia (NIYMA) in partnership with Reconciliation Australia recently and aimed to provide a “safe space” for young Indigenous people to discuss issues that are important to them.

Attended by thirty young people and three observers the workshop dealt with a range of issues including culture, leadership, education, employment, health, voting and abuse (drugs, alcohol, domestic violence, sexual).

Participants highlighted the positives, negatives, opportunities and possible actions needed to address the various issues considered and a full report on the workshop is being drafted by the participants.

Erin told Gwalwa-Gai that problems identified during the health discussion included lack of education on the effects of alcohol and other drugs and on healthy eating, a lack of sporting programs and facilities and a need for counseling services in remote and urban communities. Although there were a wide range of issues identified, leadership was identified as a need across all areas in working towards some solutions for those issues.

Counseling services and better promotion in the media were desperately needed to counter growing incidences of depression.

“The great thing about this workshop is the opportunity next year to link up with other Indigenous youth around Australia who attended their local NIYMA workshop,” Erin said. “I believe it is important to bring young Indigenous people from all over Australia together to discuss the issues we face today and in the future and work together to create solutions.”

For more information: www.niyma.org

Call to end health cost and blame shifting

The recent two-day 2007 National Health Reform Summit has issued a communiqué criticising Australian governments for failing to end the poor coordination of care, wasteful duplication of services, and lack of accountability in health care spending that “sees billions of dollars wasted each year.”

The 43 member organisations of the Australian Health Care Reform Alliance (AHCRA), a collaboration between health consumers and over 500,000 people working within the health sector, also expressed strong disappointment that the health system is “currently not sustainable, integrated, equitable or safe.”

The AHCRA communiqué condemned the third world health outcomes of Indigenous Australians and the fact that largely preventable chronic illnesses are continuing to create a burden for the acute health system.

“People in rural and remote areas, people with a disability and those with mental illness are among those experiencing poorer health outcomes,” said the communiqué.

“AHCRA calls on State, Territory and Federal governments to stop the cost and blame shifting that has characterised the last decade of Australian health politics, and commit to a program of reform that will provide all Australians with a sustainable, equitable health system able to meet the needs of the community into the future,'' said AHCRA Chair, Kerren Clark.

The Summit agreed that essential health reform must involve:

  • Universal access – all Australians should have access to an appropriate service on the basis of health needs, not the ability to pay. Health care should be tax funded, enabling the Australian community to provide health insurance to each other.
  • Equity of health outcomes irrespective of socio-economic status, race, cultural background, disability, mental illness, age, gender or location.
  • A shift in focus and funding towards a primary healthcare system that is focused on health promotion and illness prevention. In this integrated primary health care system, health professionals will deliver care in a multi-disciplinary team-based environment.
  • Additional funding on a sustained basis to address the health of Indigenous Australians and to help meet the target of equal health for Aboriginal and Torres Strait Islander Australians within a generation.

For more information: http://www.healthreform.org.au

School is cool!

The connection between education levels and health is well documented and iimproving educational opportunities for Aboriginal kids is a major challenge to those seeking improvements in Aboriginal health outcomes.

In an effort to increase school attendance at their own school a group of Aboriginal kids from the remote community of Aurukun on the west coast of Cape York have developed their own music clip.

Aurukun's Triple A Crew have written, performed and filmed a school attendance promotional video clip called “All the Kids go to School”.

Produced with the support of Croc Festivals by award winning documentary film maker, David Vadiveloo, the music clip is part of a range of strategies being used by the Western Cape College to encourage school attendance.

Western Cape College Director, Ian Mackie, told Gwalwa-Gai that the College, an amalgam of three campuses from four communities in western Cape York (Napranum, Mapoon, Weipa and Aurukun), has tried to consolidate attendance by students who already have a good attendance record.

“Our overall attendance rates wax and wane but the number of students attending 100% of the time has increased dramatically,” said Ian Mackie.

The CRCAH is supporting a new research project out of the Victoria University investigating the impact of boarding school attendance on the health and wellbeing of young Aboriginal people. See story below.

For more info on the Western Cape College : http://www.westerncapecollege.eq.edu.au/

To view the video: Click Here

Image taken from music clip

Justin takes out Wurreker Award

Justin Mohamed with his Wurreker award

CRCAH Program leader and Director for the Academy of Sport, Health and Education Justin Mohamed recently won the Community Based Employee Award” in the 2007 prestigious Victorian Aboriginal Education Association Inc (VAEAI) Wurreker awards.

Justin told Gwalwa-Gai that he was honoured to receive the Wurreker Award, “When I accepted the award I believe it was a reflection not only of my work but of all those involved in ASHE. At the academy we strive to make a difference to the lives of individuals by offering opportunities to further their education, employment and overall life prospects.

“ASHE has a very strong connection with VAEAI as both organisations are supporting vocational education opportunities for indigenous people. The personal approach provided by ASHE also mimics the values of VAEAI's Wurreker Strategy,” he said.

Justin is also the Chairperson of the Rumbalara Aboriginal Cooperative Ltd which took out the “Community Based Employer” Wurreker award.

The Wurreker Awards are held annually and recognise individuals and organisations achieving outstanding results in their chosen areas of expertise.

For further information on ASHE: www.ashe.com.au
For further information on Rumbalara: www.raclimited.com.au

2007 Aboriginal Health Worker Excellence Award

New Adelaide Support Group

The Northern Territory Aboriginal Health Worker Awards Committee is calling for nominations for the 2007 Aboriginal Health Worker Excellence Awards.

The awards, open to all Aboriginal Health Workers (AHWs) who are currently registered with the Aboriginal Health Worker Registration Board of the Northern Territory, have four categories:.

  • Remote – Awarded to an AHW who is living and practicing in a remote community;
  • Urban – Awarded to an AHW who is working in or from an urban location;
  • Specialised – Awarded to an AHW who is practicing in a specialised area in either remote or urban location; and
  • New Practitioner – A new category for AHWs who have shown outstanding achievements while in their beginning years after qualifying as an AHW.

From the above categories, an overall ‘legend' winner will be honoured with the 2007 Aboriginal Health Worker Excellence Award at an award ceremony at Parliament House on Friday 23 November 2007.

Nomination forms are available from: http://www.nt.gov.au/health

For further information contact: Peter Pangquee, Principal Aboriginal Healthworker (08) 8922 7033 or peter.pangquee@nt.gov.au

Nomination closing date is 19th October 2007

An Adelaide-based support group has been established for Aboriginal and Torres Strait Islander gay, bi, straight, transgender people and those living with HIV/Aids and other STDs.

The group's goals are to:

  • provide leadership and coordination to ensure that all Aboriginal Torres Strait Islander people and their communities are represented.
  • acknowledge and respect cultural groups and diversity within Aboriginal and Torres Strait Islander communities and ensure the organisation's work reflects this understanding.
  • build and strengthen relationships with other relevant Aboriginal and Torres Strait Islander organisations and networks
  • support members to promote effective and culturally appropriate out-comes for the target groups including workshop training for Aboriginal and Torres Strait Islander communities.
  • promote the rights to health and well-being and freedom from stigma and discrimination.
  • prevent the spread of HIV/Aids in Aboriginal and Torres Strait Islander communities.
  • ensure and promote broadly that all Aboriginal and Torres Strait Islander people living with HIV/Aids and closely affected have access to culturally appropriated education, treatment, care, services, peer support and resources.
  • advocate that support, health and well-being for Aboriginal and Torres Strait Islander people, people/communities affected by HIV/Aids.
The group meets once a month at 64 Fullarton Road Norwood at the Sin Lounge from 6:30pm to 8pm. Contact Dennis Martin at nativeozboy@hotmail.com for further information.

Kimberly women take up grog fight

Women in the west Kimberley community of Fitzroy Crossing have vowed to continue their fight for a twelve month moratorium on all take-away grog sales in their community after the Western Australian Director of Liquor Licensing Barry Sargeant imposed a six month ban on all takeaway alcohol other than low-strength beer in the Kimberley town.

Marninwarntikura Women's Resource Centre CEO June Oscar said that many women believed that a 12 month ban on the sale of all takeaway alcohol was the only way to have a real impact on the devastating effects that alcohol abuse was having on the Fitzroy Valley community.

“We respect that there is a diversity of views in the community but the trauma caused by alcohol abuse is a daily reality,” Ms Oscar said.

“Excessive alcohol consumption is having a devastating effect on families in the Fitzroy Valley and we believe that a wholesale moratorium on all takeaway alcohol is needed to curb that abuse.”

Ms Oscar said the Director of Liquor Licensing's plan was a step in the right direction but needed to go further in order to have a real impact and be assessed properly.

Ms Oscar said the women would also continue their campaign to highlight the desperate shortage of government-provided services in the community, particularly in the areas of health, education and justice.

To illustrate the desperate nature of Fitzroy Crossing's grog problem Marninwarntikura Women's Resource Centre estimates that:

  • 90% of all police call outs are violence or domestic violence related
  • 85% of all hospital presentations for are alcohol related injury or illness
  • The women's refuge has seen 500 more women this year than in the previous year
  • There is one average one suicide every month.
  • One in four children born in Fitzroy Crossing suffers from Foetal Alcohol Syndrome (FAS)
  • There are now young women who were born with FAS, now alcohol dependant, giving birth to babies with FAS

For further information:

Fitzroy Women's Resource Centre
Phone: 08/91915284

Sharing governance success stories

The 2008 Reconciliation Australia/BHP Billiton Indigenous Governance Awards are now open.

Aboriginal health organisations have done extremely well in previous years with a proven track record in good governance with Wu Chopperen Health Service in Cairns, Central Australian Aboriginal Congress in Alice Springs and Sunrise Health Service in Katherine all highly commended in previous years.

So if you know an organisation that has strong leadership, sound management and is proud of its Indigenous ways of doing business, encourage them to apply for the awards.

All successful organisations have good governance – you only need to look.

Further information: www.igawards.org.au

Or call Rowena Withers on (02) 6273-9200.

Brisbane men's health seminar 

Men in Brisbane are being invited to attend a free health seminar where topics including vascular diseases and surgery, bowel cancer and surgery, intestinal tract disorders, skin cancers and skin disorders will be discussed.

The seminar, to be held on Sunday October 14 from 1-4.30pm in the Blue Pacific Room, Kedron Wavell Services Club, 375 Hamilton Road Chermside, will be addressed by Dr Douglas Cavaye (vascular surgeon), Dr Andrew Stevenson (colo-rectal surgeon), Dr Graeme Beardmore (dermatologist) and Carly Ryan (exercise physiologist).

For more information phone Bill on 33590740.

CAEPR seeks research officer for population research

The Ministerial Council on Aboriginal and Torres Strait Islanders Affairs has funded the Australian National University's Centre for Aboriginal Economic Policy Research (CAEPR) to investigate the dynamics of Indigenous population and socioeconomic change across Australia using census and administrative data sets.

CAEPR is seeking to appoint a Research Officer (Statistics) for a three position to provide basic statistical support to a small social science research team. The successful applicant will have skills and experience in statistical data retrieval, management and analysis. This position provides for skills development and training as well as for joint publication with members of the research team.

The position presents an exciting and unique opportunity for an enthusiastic individual seeking to use and further develop his or her statistical skills and apply them to public policy research of national importance.

While selection will be based on merit, Aboriginal and Torres Strait Islander applicants are particularly encouraged.

To find more about CAEPR: http://www.anu.edu.au/caepr/

To see selection criteria : http://info.anu.edu.au/hr/jobs/

or contact Maria Davern: 02 6125 2053 or Maria.Davern@anu.edu.au

Closing Date: Monday 15 October 2007

Garma 2007 

The joint CRCAH and Danila Dilba stall at Garma Festival

A strong contingent of CRCAH board members and staff attended the 2007 Garma Festival in north-east Arnhem Land which had a key forum entitled “Indigenous health: real solutions for chronic problems”.

The key forum for this year covered three main themes; Traditional Health, Maternal and Child Health and Social and Emotional Wellbeing.

The festival had an impressive array of guest speakers conducting information sessions and facilitating discussions in makeshift bush shelters in and around the camp sites in a setting that was truly beautiful and uplifting.

Special thanks go to CRCAH Danila Dilba Link person, Cyril Oliver, and the other Danila Dilba staff who hosted a CRCAH stall at the festival.

For more information on the Garma Festival visit www.garma.telstra.com

Arnhem Land Red Flag Dancers at the Garma Festival
CRCAH staff members Vanessa Harris, Jack Bulman and Leah Ahmat at the Garma Festival

 

More on ACT Aboriginal prisoner health care

The last edition of Gwalwa-Gai reported on the launch of a report on a new model of Aboriginal prisoner health care for the ACT.

We are now able to provide Gwalwa-Gai readers with further details of the report and a link to the report.

Commissioned by the ACT Government the report, entitled “You do the crime, you do the time” came from a year long research collaboration between the ACT's Winnunga Nimmityjah Health Service, the Australian Institute of Aboriginal & Torres Strait Islander Studies, the CRCAH, the Australian National University and a number of community-based organisations.

This holistic health care model will be delivered by a Winnunga prison health service team based at Winnunga and differs from other prison health services in that it seeks to provide support to families to keep Aboriginal people out of gaol and to assist released prisoners from re-offending. Winnunga CEO Julie Tongs told Gwalwa-Gai that the model “also provides early family and other intervention strategies in managing the cycle of incarceration.

There are three parts to the model:

  1. Inside Gaol – provides holistic care for inmates and their families and planning for release. This care builds a strong sense of identity, a safe environment with community support, and physical and psychological wellbeing inside gaol and when released.
  2. Release from Gaol – provides holistic care in returning to the community such as collection from gaol, help with accommodation, employment, parole commitments, and ongoing support for the whole family.
  3. Keeping out of Gaol – provides holistic care in supporting families as well as programs like Healthy for Life, Youths at Risk, Parents' Programs, Men's and Women's Groups, Life Skills and midwifery care. Winnunga is part of a network of Aboriginal and non-Aboriginal health, community and justice organisations supporting people to keep out of gaol, supporting them when they are in gaol, and supporting them when they are released.

Julie Tongs says that Aboriginal Health Workers will provide and coordinate Winnunga Programs, advocacy and community outreach. Winnunga and other support organizations will have planned for what will happen when a person is released from gaol. This planning will start when people go into gaol.

On a prisoner's release Winnunga Aboriginal Health Workers, community Elders, mentors and other support organisations will continue the support they gave in gaol in preparing for release. People will be met on release to travel to suitable accommodation.

Outreach services will be provided for drug and alcohol and mental health needs, getting used to being with the family, meeting parole commitments, help with Centrelink paper work such as birth certificate ID, job training and employment, and finding out about spiritual healing programs.

Winnunga's report to the ACT Government was co-released with a community report and a brochure, “Keeping out of prison”.

The CRCAH is planning a roundtable on prison health in partnership with AIATSIS in early November.

To download the reports go to: http://www.winnunga.org.au/prisonhealth.html

 

Winnunga Aboriginal Health Worker's poem
( taken from Winnunga report 'you do the crime, you do the time')

I just went to see my brother,
the one they got in gaol.
He doesn't look quite the same.
What will I tell his mother?
He told me of a friend he had
that died the other day.
He told me of the bastard screws
that had to have their way.
They dragged him around the Courtyard.
They kicked him as he fought and cried.
They strung him up that evening,
and told us all he died.
But we all know what happened,
that dark and storming night,
how my brother screamed and screamed,
and woke us all in fright.
Be free you gentle coloured soul
for you died without a reason,
and you'll be just another case
for the fuckin' Royal Commission.

Aboriginal prison population is growing

Despite the recommendations of the Royal Commission into Aboriginal Deaths in Custody that Aboriginal people only be incarcerated as a last measure the number of Aboriginal people in gaols across the country are growing.

In NSW there has been a three-fold increase in the number of Indigenous prisoners over the last twenty years. Indeed, between July 6th 2006 and Jan 18th 2007 the number of Indigenous prisoners in the NSW system grew from 1395, being 39.7 % of the total prisoner population to 1493 Indigenous adult persons or 41.7% of the total prisoner population.

For more information on Aboriginal imprisonment rates go to the website of Justice Action, a community-based organisation comprising criminal justice and prison reform activists:
Click here to view website

Social & Emotional Wellbeing Program Update

Let's Start, parenting support interventions for Indigenous families

The Social and Emotional Wellbeing roundtable in Cairns last year identified research into families – and particularly the resilience of children - as the most important priority for the CRCAH in this area.

In response to this identified priority the CRCAH has funded a project called Let's Start, Parenting Support Interventions for Indigenous Families. Let's Start emerged from earlier work carried out on the Tiwi Islands and has now been rolled out within the Aboriginal and Torres Strait Islander community and schools within the Darwin and Palmerston areas.

The project, which works with Indigenous parents and children to overcome behavioural/social difficulties and promote effective and positive parenting, is proceeding well although there is much more demand for the project than the team can meet.

Balunu Foundation – supporting our youth

The CRCAH has been supporting the valuable work of the Balunu Foundation, a Darwin-based community organisation running cultural healing camps for young Aboriginal people.

As part of that support the CRCAH recently facilitated a roundtable for local organisations involved in youth programs, including NT Government departments. The roundtable was a great success with outcomes including an NT Department of Health and Community Services funded 12 month research evaluation project headed by Balunu CEO, David Cole and Dr Kate Senior from Menzies School of Health Research. The project development is being ably assisted by Mary Walbrook, a social work student from La Trobe University on a placement for the next 3 months (see accompanying story).

Empowerment and spirituality

Mick Gooda, Barbara Beacham and Vanessa Harris recently attended an Empowerment Workshop in Cairns hosted by Komla Tsey and Melissa Haswell from James Cook University. Komla and his team are doing a large body of work on empowerment, ranging from how to measure outcomes in empowerment, to localised partnerships with specific communities. The SEWB program has funded the development of a discussion paper called ‘Community Research Relationships Discussion Paper' that documents the empowerment work done at far North Queensland 's Yarrabah Community.

This discussion paper will also be used to write a case study as part of the “Doing Research Better in Indigenous Communities” a resource kit being developed by Alison Laycock, Nea Harrison and Diane Walker.

Alexandra McEwan, Komla Tsey and the Empowerment Research Team from the University of Queensland have also put forward an in-kind discussion paper on “The role of spirituality in health interventions: the Family Well-Being program at Yarrabah”. This paper is now ready for our peer review process and will form part of a series of publications including two literature reviews on spirituality and Aboriginal Torres Strait Islander peoples' social and emotional wellbeing.

The first review will be carried out by project leader Vicki Grieves, an independent Sydney-based research consultant, and Professor Judy Atkinson from Southern Cross University. This literature review will look at the broader national/international context of Indigenous spirituality and social and emotional wellbeing. The second project is still being finalised and will be announced in the next edition of Gwalwa-Gai. If you wish to be part of the ongoing discussions about the spirituality literature review contact Vicki Grieves at vickigrieves@gmail.com

 

IMPAKT gears up for feedback

The IMPAKT project (Improving Access to Kidney Transplants) is gearing up for a round of feedback presentations in late October 2007 to the sites that actively participated in the research during 2005/06.

During that time the IMPAKT interviewers visited 26 different sites in 5 states (and territories) where Indigenous people are currently involved in treatments for end stage kidney disease. The treatment centres ranged from the most urban (Sydney) to the most remote (Broome, Tennant Creek).

IMPAKT spoke with a total of 146 Indigenous patients and 18 Indigenous staff working in a range of renal-related positions about their views on their current situation, their understanding of their illness and treatments and their views about transplant as a treatment option. IMPAKT also spoke to both staff (114) and kidney specialists (19) about the path to transplant through their local system and the difficulties and barriers that may arise for Indigenous patients who are interested in transplant.

IMPAKT also interviewed a (relatively) large cohort of kidney specialists who of course play a critical role in the decision-making around transplant. The willingness of Indigenous patients, staff and kidney specialists to participate in this research really reflects the concern they share about the current burden of illness and resulting problems experienced by so many Indigenous patients with kidney disease, along with their families and communities. As well as face-to-face feedback to both participating hospitals and Aboriginal Community Controlled Health services (ACCHOs), the IMPAKT team will be seeking further partnerships with providers to develop patient-friendly resource materials to better explain treatment options including transplant to patients and families.

Many, many individual Indigenous patients and ACCHOs that spoke with the team, however, also emphasised how important it is to establish programs and activities targetted for Indigenous people so that they can avoid being on dialysis in the first place.

CRCAH partners seek
Indigenous Child Health & Education Project Officer

The Child Health and Education project is a collaboration between Menzies School of Health Research (MSHR) and the School for Social and Policy Research (SSPR) at Charles Darwin University. The aim of the project is to apply rigorous research methods to determine the best program models to improve the educational, developmental and health outcomes of disadvantaged Australian Indigenous children.

The Indigenous Project Officer will undertake community consultations with the assistance of other team members, and write a consultation report which will inform the research activities of the team into the future. Additionally, the role will include undertaking some administrative duties as part of working in a team environment e.g. liaising with key stakeholders, organising and participating in team meetings etc.

This position will require some travel to remote communities in the NT. The position will require an enthusiastic person with a strong understanding of remote communities and of the processes of research in this context.

The position is based in Darwin, runs fulltime for six months and attracts a salary between $44,766 and $56, 221 dependant on skills and qualifications;This position has been designated for an Aboriginal and/or Torres Strait Islander person. Contact: Georgie Nutton 08 8922 6998

Position closes 10 October 2007.

The position descriptions (including selection criteria) may be downloaded from: www.menzies.edu.au/opportunities or obtained from humanresources@menzies.edu.au
or 08 8922 7667.

Applications including a statement addressing the selection criteria, and a copy of your CV (with three nominated referees) should be sent to: Human Resources Officer, MSHR, PO Box 41096, Casuarina NT 0811 or the above email address.

 

Targeting grog & smokes – the Rio Tinto Child Health Partnership

The Rio Tinto Child Health Partnership, a collaborative undertaking between the Telethon Institute for Child Health Research (the Institute), Rio Tinto Services Ltd, the Alcohol Education and Rehabilitation Foundation (AER Foundation) and the Western Australia, Queensland and Northern Territory governments, combines the research expertise of the Institute, through the Kulunga Research Network, with corporate and funding support from Rio Tinto and the AER Foundation.

image taken from the Rio Tinto Child Health Partnership factsheet - Click here to view fact seet

The state governments play a key role in supporting the translation of Indigenous maternal and child health research into community-based health promotion programs.

The work of the Partnership is centred on Aboriginal and Torres Strait Islander maternal and child health with the specific objectives of reducing the incidence of alcohol and tobacco consumption in pregnancy and supporting and developing the national Indigenous community health workforce.

Research shows that early childhood experience crucially determines an individual's health and wellbeing later in life, and that a key influence on that experience is the mother's health during the pregnancy. The Partnership aims to deliver positive improvements in maternal and child health by:

  • Providing an evidence base for future policy and decision-making, as well as service provision;
  • Focusing on prevention and effective intervention and the development of tangible outcomes; and
  • Acting as an advocate for collaborative political and community action and social change by gathering and making available key data and research

The Partnership focuses on sharing knowledge about the incidence and impact of the use of alcohol and tobacco during pregnancy. It has supported the capacity development of local people to develop their own culturally appropriate activities and messages to address alcohol use and smoking during pregnancy and promote healthy pregnancies. The philosophy of working through Indigenous people to work with Indigenous people is central to this approach.

The contributions made by the Partnership to Indigenous communities have centred on:

  • Increasing the skills of health and community workers in identifying and responding to risk factors during pregnancy;
  • Increasing expecting mothers' awareness of factors which contribute to positive birth outcomes; increasing access to information and intervention relating to tobacco, cannabis and alcohol consumption;
  • Working to reduce the prevalence of smoking and alcohol consumption amongst pregnant women; and
  • Supporting the delivery of culturally appropriate, holistic primary health care in Indigenous communities.

Other outcomes generated by the Partnership include:

  • the development of a unique toolkit to support health care professionals to train community workers in promoting maternal and early infant health;
  • two national symposiums that have brought together a range of government and corporate stakeholders, health professionals and community representatives from across Australia to develop strategies for promoting healthy pregnancies in Indigenous communities and enhancing the Indigenous maternal and child health workforce;
  • Queensland Health signing community agreements with three Indigenous communities about foetal alcohol syndrome prevention;
  • Trialing a culturally specific intervention counselling program for pregnant women who smoke; and
  • Advocating for policy and program change in the guidelines and information about maternal alcohol consumption.

The Partnership has provided opportunities to communicate and work collaboratively with community, to tackle problems and pool together skills and expertise, achieving outcomes that individual parties could not achieve on their own.

For further information on the Rio Tinto Child Health Partnership, please visit:
http://www.ichr.uwa.edu.au/kulunga/research/current_research/rio_tinto

Deadly Ears Conference a great success

From left to right – Gibson Farmer, Toni Thompson, Brayden Dunbar, Sandi Nelson & Melissa Dunbar

Melissa Dunbar is a child health researcher from the Menzies School of Health Research who recently presented at the Hear, Speak, Live (Deadly Ears) Conference on the Gold Coast.

The inaugural conference focused on otitis media and its impact on the health and well being of Aboriginal and Torres Strait Islander children and young people. Key issues included hearing, speech & language development, parenting and child development and educational achievement. The conference aims to showcase practical examples, successes and learnings in holistic ear health management from communities across Australia .

Hosted by the Deadly Ears Team, the Queensland-wide Aboriginal and Torres Strait Islander Ear Health Program from the Royal Children's Hospital in Brisbane , the Conference brought together ear, nose and throat specialists, Aboriginal health workers, teachers, policy makers and speech therapists.

The CRCAH was pleased to support the attendance of two Aboriginal community members of the PneuMum project's Indigenous Reference Group (IRG); Chair Sandra Nelson and Tiwi Elder Gibson Farmer.

Menzies' CRCAH Link person and ear health research transfer project worker, Susie Hopkins also presented at the conference.

Melissa Dunbar told Gwalwa-Gai that attending the conference was a great opportunity for her, both culturally and professionally, and that she was particularly proud that Sandra and Gibson were able to present their knowledge and experiences to the conference.

“I presented on the community consultation process, Indigenous involvement in research projects and update on the PneuMum study,” she said. “This was a good experience for me to be presenting to such a conference, particularly given the large number of Indigenous attendees.”

Two presentations were made by PneuMum workers - PneuMum – “Trying to protect our kids from ear disease” and PneuMum IRG –“From our perspective in a culturally safe way”.

Gibson Farmer also told a dream time story about the background of the Janarni Childcare Centre in Nguiu on the Tiwi's Bathurst Island.

According to Melissa the conference was of both professional and cultural benefit with traditional dancing, singing and drumming as well as research presentations.

“I was able to network with other Indigenous people from around Queensland and NSW about ear disease and the impact is has on our lives all over Australia ,” she said. “This really motivated me to get back to work and recruit more women in the hope that the PneuMum study can be a big step towards tackling ear disease.”

Many of the key note speaker's power-point presentations will be uploaded on the Ear InfoNet in the coming weeks in the Conference proceedings and abstracts section under Publications - Health (ww.earinfonet.org.au).

For more information on the PneuMum project: Click Here

Aboriginal children's ear health “catastrophic”

A leading Australian ear surgeon has described the learning and developmental problems in Aboriginal children caused by ear infections as “catastrophic”.

Quoted in the Sydney Morning Herald Dr Chris Perry, chairman of the Queensland branch of the Royal Australasian College of Surgeons, said the incidence of ear infections among Aboriginal children was the worst in the world and had been largely ignored for 50 years.

More than 90 per cent of Aboriginal children suffered from ear infections, which often caused hearing problems leading to illiteracy, truancy and unemployment and in turn triggered drug abuse and violence, Dr Perry said.

A spokeswoman for the Health Minister, Tony Abbott, said yesterday that of 6500 children so far examined in the territory, 1500 had been found to have ear problems.

The Government upgraded health checks of children about three years ago and ear infections was one of the priority areas, the spokeswoman said.

Despite this, Dr Perry said there had been no commitment of sufficient long-term funding to combat the problem - which he said was "widespread, catastrophic socially and an indication of poverty".

The failure to deal with the problem, which could be easily fixed, was "a national shame".

"What we have found … is that close to 100 per cent of Aboriginal children have ear infections by three months of age and in Caucasian children you almost never see them starting so young, " Dr Perry said

Child health knowledge sharing seminar

As part of a continuing program build capacity and information sharing across disciplines and sectors, the Australian Research Alliance for Children & Youth ARACY present its latest collaborative Access Grid Workshop on Growing Kids up Strong: Promoting Healthy Childrearing in Aboriginal Communities.

Presented by Dr Fiona Arney and Robyn Mildon the project is a collaboration involving the Australian Centre for Child Protection at the University of SA, the Parenting Research Centre and the Secretariat for National Aboriginal and Islander Child Care (SNAICC). This collaboration has received seed funding from the ARACY ARC/NHMRC Research Network to begin work on a project that enables Indigenous and non-Indigenous workers to share and use their knowledge about the best ways to work with Indigenous families to help children grow up strong.

The seminar, to be held on Wednesday 14 November 2007 at 3pm AEST will explore how we can share our knowledge of successful ways of working with Indigenous families to prevent and respond to child abuse and neglect.

Further Information: http://www.aracy.org.au

New effort in men's health - Mibbinbah (Place of men) Research Project

La Trobe University 's Human Ethics Committee has just approved the first stage of a major new CRCAH men's health research project under the umbrella of the Chronic Condition Program.

The Mibbinbah (Place of men) project seeks firstly to evaluate existing Indigenous Men's Sheds/Spaces through the employment of local Indigenous male project associates. These Project Associates (PAs) will be trained in the use of participatory action-research methods which will help in the developing and sustaining these sheds/spaces during the research program. Further training in Indigenous leadership, community communication and media, and computer and internet skills, will enhance sustainability. The second project will seek to understand if and why participation in chronic conditions programs by Indigenous males is improved through association with “safe” and “well-facilitated” Indigenous men's sheds/spaces.

The research program has been developed and will be deployed under the joint leadership of Jack Bulman (Ngulli Gau Rema Shed/Space, Queensland ) and Rick Hayes (La Trobe University, Victoria). Jack and Rick are leading researchers in non-pathologising approaches to health promotion in both Indigenous and non-Indigenous men's sheds.

The pilot phase will involve up to five sites funded by the CRCAH and another two sites funded by beyondblue and other interested parties. The five sites funded by CRCAH will be Yarrabah (near Cairns ), Gold Coast, Lismore, Mt Druitt and Preston in Melbourne . It is intended that the two sites funded by beyondblue will be in Tingha (NSW) and Warnambool (VIC).

For more information:
Jack Bulman: 0416173975 or Jack.bulman@gmail.com
Rick Hayes: (03) 9479.3290 or 0407379787 or r.hayes@latrobe.edu.au

La Trobe social work student in CRCAH placement

The CRCAH has recently taken on Mary Walbrook, a social work student from Melbourne-based partner La Trobe University, for a 14 week professional placement as part of an evaluation of Darwin youth intervention program, Balunu Foundation.

The Balunu evaluation team - Bobby Cole, Mary Walbrook, Dr Kate Senior and Dave Cole

Mary had spent time in Darwin in 2006 and become interested in the city's complex social and cultural dynamic with particular interest in how young people deal with the gap between aspiration and opportunity, and culture and discrimination. She made these themes a focus of her studies in social work and social policy on her return to her studies and so when the opportunity to assist in the evaluation of what she describes as “an innovative, grassroots, community-initiated strategy” she jumped at it.

“It seemed an uncanny match for my research interests and an opportunity not to be passed up,” she told Gwalwa-Gai. “I was also attracted to the CRCAH's dedication to the transferability of research and the commitment to tangible outcomes of research for communities.”

Mary will spend three months under the supervision of Dr Kate Senior of Menzies School of Health Research and Balunu Foundation's David and Bobby Cole, assisting with the Balanu evaluation, learning a little more about effective youth intervention in an urban context along the way.

For more information: www.balunu.org.au

Empowerment and mental health workshop

CRCAH-supported mental health research project AIMHI NT are holding a two day workshop on Tuesday, 23 rd and Wednesday, 24 th October.  

The workshop theme is ‘ Empowerment and Aboriginal and Torres Strait Islander Mental Health '.

The AIMHI (Australian Integrated Mental Health Initiative) NT project has developed stories about mental health in Top End remote communities with Aboriginal Mental Health Workers.

These stories have been linked with research into brief interventions and the ‘Yarning about Mental Health' training package.

The AIMHI NQ project has been developing outcome measures and empowerment tools for the Indigenous community.

Findings from the NT and the NQ AIMHI projects will be presented on the first day of this two day seminar.

The AIMHI NT brief intervention training will be conducted on day two.

The training package includes the following modules:

  • Getting to know you (developing rapport)
  • Staying in balance (strengths and stressors)
  • Risk assessment (knowing who is safe in the community)
  • Developing goals (goals for change in our lives)
  • Early warning signs (recognising mental illness relapse)
  • Stay Strong Care Planning (motivational techniques)
  • Diagnosis (recognising different mental illnesses)
  • Mental health medicine (treatment with medication)

This session will incorporate the newly launched Yarning About Mental Health flipchart.  It is a step-by-step guide to mental health assessment and motivational care planning – and is a central component of the AIMHI NT Stay Strong training package.

The workshops are relevant to those working with Aboriginal and Torres Strait Islander people in the health setting.

A programme will be circulated once the schedule has been finalised.

If you would like further information, please contact Valerie Thomson at Valerie.Thompson@menzies.edu.au

Boarding schools roundtable

Boarding schools and their relationship to Aboriginal social and emotional wellbeing were the subject of a roundtable hosted by the CRCAH and Victoria University in Melbourne in September.

The roundtable was attended by about 25 people with a shared interest in boarding schools, as parents, educators, boarding school administrators or program administrators supporting the involvement of Aboriginal students and parents with boarding schools.

Its purpose was to identify the research priorities around Aboriginal students and boarding schools – from the perspective of relevant stakeholders.

The roundtable came about after a group of researchers from Victoria University contacted the CRCAH with a project proposal around boarding schools and Aboriginal social and emotional wellbeing. The proposal lay outside the scope of the CRCAH's current research priorities or budget. The CRCAH urged the researchers to consider building a strong involvement with those who might want to use the outcomes of research about boarding schools, and offered to help support that process of engaging stakeholders.

The Ian Potter Foundation funded the roundtable, and was delighted with the outcomes.

The roundtable identified a broad range of issues of concern to the stakeholders. The researcher group will now look at developing possible project ideas based on those priorities, which will be circulated back to the stakeholders for feedback and eventual development into research proposals.

Participants at the roundtable came from Worawa, Yirara, Kormilda and Rostrevor colleges, Yuendumu School, Cape York Institute, Victorian Aboriginal Education Association, Victoria, LaTrobe and Melbourne universities, the Ian Potter Foundations, the CRCAH, and many other organisations.

For more information contact Jill Sanguinetti at jill.sanguinetti@vu.edu.au

Improving Indigenous medical education

Leaders in Indigenous medical education (LIME) met recently to discuss the progress of developing and delivering quality Indigenous health content into university medical curricula while also increasing the number of Indigenous students in medical schools around the country .

The LIME Connection II conference and inaugural LIMElight Awards was held under the auspices of Medical Deans Australia and New Zealand and the Australian Indigenous Doctors Association (AIDA), and brought together Indigenous and non-Indigenous medical educators, Indigenous health specialists, policy makers, and community members from Australia, New Zealand, Canada and the United States of America.

Medical Deans President Professor Allan Carmichael said the conference was an important forum for discussing innovative approaches in Indigenous medical education and the experiences of practitioners.

CRCAH Research Director Professor Ian Anderson also addressed the conference.

The inaugural LIMElight Awards were an acknowledgment and celebration of the many successes in Indigenous medical education. Awards were presented to individuals and institutions in both Australia and New Zealand at the conference for their outstanding work.

The conference was supported by the University of New South Wales , which hosted the event this year on behalf of Medical Deans, AIDA and the LIME Network.

LIME will reconvene in two years time to continue to share the stories of success. For further information, please visit The LIME Network Website, www.limenetwork.net.au

Research managers told that Indigenous engagement is essential

CRCAH CEO Mick Gooda has generated considerable interest in the CRCAH's approach to a user-driven research agenda after presenting a key note address to the 2007 annual conference of the Australasian Research Management Society (ARMS).

Titled FUSION2007: Collaboration with Impact, the conference introduced the theme of effective research with Indigenous communities and was aimed at exposing senior research managers to best practice in such research.

In his address the Mick Gooda explained the CRCAH process of developing research projects to ensure relevance, capacity building and accessibility to research users.

He also spoke about the CRCAH commitment to ensuring strong and decisive Aboriginal input into the prioritisation, design and management of Aboriginal health research projects and stressed that such input is an essential component of effective research.

“We often find the community input into the design and review of proposals adds considerably to the effectiveness and feasibility of the project,” Mick said.

He explained that the CRCAH was faced with a large degree of Aboriginal skepticism about the benefits of research.

“There is an entrenched view that Aboriginal people in Australia are the most researched people in the world and that while researchers got their PhDs and built reputations around that research, there was little or no benefit to the research subjects.

“We start from the perspective of building proper and appropriate relationships with the community sector….(and) the most essential ingredient to proper engagement is the building of respectful relationships based on mutual trust,” he said. “Trust that Indigenous people will be in a safe environment around research, trust that they will be listened to and trust that they and their knowledge will be valued.”

Included within his speech was a preview screening of part of a new CRCAH DVD presentation in which Aboriginal community members, researchers and other stakeholders speak about their experiences and the benefits arising from the CRCAH's approach.

The newly appointed head of the CRC Association, Michael Hartmann, who recently visited the CRCAH and other northern-based CRCs, described the presentation as “the best thing at the conference”.

Other outcomes have been closer linkages with the National Health and Medical Research Council and the SIRO which is looking to increase its engagement with Indigenous research.

Other highlights of the Fusion Conference were an Indigenous research and ethics workshop run by Tracey Bunda and Kim O'Donnell and an Indigenous intellectual property and copyright workshop run by Aboriginal lawyer Robynne Quiggan.

To read the full speech: http://www.crcah.org.au/communication/downloads/08-190907Mick_Fusion_Presentation.pdf

New CRCAH publications launched

Mick Gooda, Stephanie Bell, Adrian Carson and Lizzie Adams with the Learning from Action report authors.

Two significant new reports on Aboriginal health published by the CRCAH were recently launched by Chair Pat Anderson at the Public Health Association conference in Alice Springs.

The first publication, Australian Indigenous Health in an International Context, was jointly authored by Jane Freemantle, Kirsty Officer and Daniel McAullay of the Kulunga Research Network at the Telethon Institute for Child Health Research, University of Western Australia and CRCAH Research Director Ian Anderson, Onemda VicHealth Koori Health Unit, the University of Melbourne.

The report was commissioned by OXFAM Australia to enable evidence-based advocacy work drawing on international comparative research as part of the Close the Gap campaign.

The aim of the review was to provide a current overview of the health of Indigenous peoples within and between Canada, Australia, New Zealand and the United States of America.

The Review examined the health standards of Indigenous peoples in Canada, Australia, New Zealand and the United States of America, including key trends.

Pat Anderson told the PHAA Conference that the report featured a number of case studies that have demonstrated that well-resourced, community-controlled and culturally appropriate and accessible programs can and do have a positive impact and result in significant and sustained improvement in the health outcomes of Aboriginal people.

She said that we need to learn from the positive initiatives and also from those initiatives that have not reached their objectives in order that the momentum in the improvement of the health and wellbeing of the world's Indigenous people can be increased and sustained.

Also launched at the PHAA conference was an important new monograph on social determinants which is the culmination of a CRCAH workshop held in Adelaide.

Beyond Bandaids: Exploring the Underlying Social Determinants of Aboriginal Health, presents an impressive collection of sixteen papers on perspectives of the social and economic determinants of Aboriginal health, including education, culture, law, employment, social and emotional wellbeing, the environment, racism, law, and governance.

Brisbane was the location of a recent launch of another important new CRCAH publication; Learning from Action: Management of Aboriginal and Torres Strait Islander Health Services written by Judith Dwyer, Cindy Shannon and Shirley Godwin.

The report is from a twelve month project which brought together managers of Queensland Aboriginal community controlled health services to discuss, workshop and solve various problems the managers had encountered.

Launched at a management and governance workshop organised by the Queensland Aboriginal and Islander Health Council (QAIHC) the report was launched QAIHC Chairperson, Lizzie Adams.

Lizzie told the workshop that the report proved that “we need to find original ways to improve our work and conducting our own research in partnership with groups like the CRC for Aboriginal Health, La Trobe University and Flinders University is clearly an integral part of this challenge.

“There is no doubt that the Learning From Action project and report will make a difference to the way our health services are managed and in doing so will impact, over time, to reduce the shameful burden of ill- health suffered by our people,” she said.

Copies of these reports can be downloaded from the CRCAH website www.crcah.org.au

Kiara and Paris
model the latest in CRCAH merchandise

New merchandise from the CRCAH Communications Unit

The CRCAH is proud to release a new sticker for your car as part of an upgrade of our merchandise products. As well as the stickers a new baseball cap is now available and arriving soon are temporary tattoos, frisbees and rulers.

These new products are available along with CRCAH t-shirts, bags and drink bottles from admin@crcah.org.au

 

Gilbert Gallaher – exploring the impact of internalised
racism on health

PhD student and CRCAH scholarship recipient Gilbert Gallaher's grandmother was a Wangan woman from Claremont in central Queensland and he describes himself as a man of mixed Aboriginal and Irish heritage

Currently studying part time whilst holding a fulltime position as a research fellow at Flinders University Gilbert's PhD dissertation is titled Getting under the skin: self-reported experiences of racism and its affects on health for urban Aboriginal and Torres Strait Islander people . The research employs a mixed-methodology to determine the kinds and extent of racism experienced by Indigenous people living in urban Adelaide and to record how racism impacts on health.

Gilbert Gallaher with fellow Flinders University researcher Kim O'Donnell

A particular focus of the dissertation is an examination of the concepts of internalised and intra- racism – concepts that, according to Gilbert, are not only under-researched but ones that emerged as significant to a large proportion of urban Indigenous people who participated in this study.

Gilbert says that “strength in identity is now considered to be perhaps the most conspicuous strength that Indigenous people possess – the persistence of Aboriginality within ourselves, our families and our communities.”

“Even so,” he says, “the extent to which internalised racism and intra- racism contribute to poor health status through the internalisation of whiteness, remains relatively unexplored for urban Indigenous people both nationally and internationally.

“Drawing on critical whiteness and identity theory the dissertation seeks to highlight the power of the dominant culture, its beliefs and value systems, to judge and invade the last of the Aboriginal territories – the mind and the body,” he told Gwalwa-Gai. “I propose that this occurs through a process of infusion into the skin…to settle under the skin and within the mind, to determine and re-inscribe or prescribe what it is and means to be Aboriginal.”

Gilbert says that a particular focus of his study are the unconscious ways in which whiteness is internalised and often unquestioningly reproduced with harmful health, social and emotional consequences.

“My dissertation considers how the Indigeneity as a subject is expressed or allowed to be expressed between as well as within Indigenous and non-Indigenous cultural fields and the implications of this on health.”

Gilbert's work at the Department of Public Health at Flinders University involves project managing a 3 year study that looks at urban health inequities affecting Aboriginal and Torres Strait Islander people. The project has many potential benefits including:

  • Improved knowledge of the underlying social and economic determinants of health for Aboriginal and Torres Strait Islander people.
  • Better understanding of the experiences of Aboriginal and Torres Strait Islander people living in suburban Australia , especially in regard to experiences of racism and the ways in which these experiences affect our health.
  • Knowledge to improve the quality and content of policies and programs that seek to improve Aboriginal & Torres Strait Islander health.

Both Gilbert's PhD and his position at Flinders University are supported by the CRCAH and NH&MRC.

“I would like to thank the CRCAH for its contributions in supporting all of our Indigenous colleagues, not just those here at Flinders University,” he told Gwalwa-Gai.

 

CRCAH student wins public health scholarship

Melbourne University CRCAH in-kind student, Margaret Heffernan, received a special scholarship award during the recent PHAA conference.

Margaret's PhD project is looking at community attitudes amongst Aboriginal and some ethnic groups towards the newly-released HPV vaccine that can help prevent cervical cancer.

She has been supported by staff from the CRCAH, Onemda VicHealth Koori Health Unit and the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) to include strong engagement with Victorian Koori women and health workers in the project.

The project has developed materials and protocols for talking with Koori women about the HPV vaccine, and Margaret believes the engagement of the Victorian Aboriginal health sector in the project means that Victorian Koori women may be among the best educated about the vaccine of any women in Australia.

The CRCAH funded two Aboriginal members of the project's reference group to join Margaret in presenting at the PHAA conference earlier in the week. After their presentation, they were approached by staff of the NT Department of Health and Community Services keen to talk about the development of materials that can be used in the NT.

The scholarship award Margaret Heffernan received is the Public Health Education and Research Trust Post-Graduate Research Scholarship.

For more information about the scholarship go to: http://www.phaa.net.au/postGradResearch.php