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Welcome to the fourteenth edition of Gwalwa-Gai, the newsletter for the CRC for Aboriginal Health. This edition features an editorial from Mick Gooda, CEO of the CRC for Aboriginal Health . With the current CRCAH due to wind up the organisation is looking forward to the future and has plans underway to establish a permanent Aboriginal controlled successor to the CRCAH. Please forward this newsletter on to others who may be interested. To subscribe go to: www.crcah.org.au |
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Australia needs a permanent Aboriginal-led health research institution. As the CRC for Aboriginal Health enters its final two years of existence in its current form, work is well underway to establish a successor organisation which can carry forward the good work achieved by us over the past decade. For the past 18 months the CRCAH – under the direction of the Board – has been holding workshops, commissioning papers and undertaking literature reviews to plot the best way forward beyond 30 June 2010. Two clear options have emerged: either to seek funding for a further CRC, or to establish an entirely new entity. Underpinning this desire to progress the CRCAH’s work into the future is the knowledge that the life expectancy for an Aboriginal Australian born today is 17 years less on average than that of a non-Aboriginal Australian born at the same time on the same day in the same hospital. Despite this ongoing health gap, there is increasing evidence nationally and internationally that suggests positive health outcomes for Aboriginal people are being achieved when Aboriginal peoples have decisive input into the design and delivery of health services. A terrific example is the Central Australian community of Utopia, where a decentralised model for the delivery of health services has resulted in mortality rates half those of the general Aboriginal population in the Northern Territory. The CRCAH’s core mission in all of its programs is to direct research dollars towards achieving outcomes in priority areas identified by its Aboriginal stakeholders and particularly by Aboriginal people themselves. By using this ‘bottom up’ model, called the Facilitated Development Approach (FDA), the CRCAH and its partner agencies have been able to bridge the gap between researchers and Aboriginal communities. Rather than allow these valuable linkages to lapse, the Board believes the time has come for the creation of a permanent and independent National Institute for Aboriginal Health Research (NIAHR) to carry on the work begun by the CRCAH and its predecessor the CRC for Aboriginal and Tropical Health. The NIAHR would be permanently established and able to speak with a truly independent voice. It would demonstrate in practice the new Australian Government’s commitment to two vital principles:
The Institute will be strongly networked into the Aboriginal community, listening to and developing research programs that enable the transfer of knowledge from the bottom up. It will provide a brokering role between community, industry, research and decision makers. It will facilitate the development of capacity in Aboriginal health research and in Aboriginal health matters to enable communities to make the changes that save and enhance lives. In many ways, this is a ‘coming of age’ moment for the CRCAH. I believe that the CRCAH has done exactly what the CRC program was designed to achieve, outgrowing its incubator and standing ready to pursue an independent existence in its own right. The time for a permanent Aboriginal-led research body has definitely come. I look forward to sharing news of the progess of this aspiration into the future. Mick Gooda June 2008 |
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Improve Aboriginal health by building and sharing practical knowledge, says Professor Anderson
Australian universities need to change their approach to the development of he health workforce, research and health information systems, and capacity exchange with Indigenous communities, if the Federal Government’s visionary promise of closing the Indigenous health gap has any chance of being realised by 2030 said CRC for Aboriginal Health Research Director, Professor Ian Anderson at a recent lecture. Professor Anderson told a packed audience of practitioners, educators, researchers, policymakers, students and community development professionals that Australian universities must play a key role in the production and exchange of Indigenous health knowledge as the basis for innovation, workforce development and evidence-based policy and practice, to help address the health and social disadvantage of Aboriginal and Torres Strait Islander people. ‘If universities are to play a role in bridging the Indigenous health gap, they must refocus their research processes to generate knowledge and analyse problems in a way that is appropriate and relevant to those working in Aboriginal communities, health services and the policy sector. There will need to be greater emphasis on research that evaluates the impact of health interventions or policy reform—rather than research that just describes the problem,” he said. “Universities will be responsible for training more Indigenous health professionals and for making sure that all students in the health sciences—Indigenous and non-Indigenous— have a solid grounding in Indigenous health needs. But to do this, they will need to improve the way in which Indigenous students are recruited and supported, and to boost the quality of the learning experience for all students in Indigenous health. “Universities must also examine how they can be more effectively involved in the processes through which knowledge is disseminated or exchanged. In this context, universities should further develop a system of knowledge exchange that sees students take the knowledge developed through research and implement it in a real-world setting that will result in better health policies and practices for Indigenous Australians. Professor Anderson argued strongly for Universities to develop better ways to engage effectively with Indigenous communities, “For if we are to engage more effectively we need new tools that underpin timely and effective communication strategies. For example, we cannot rely just on peer-review publications to get our message out: we should be directly engaging Indigenous communities and Indigenous health stakeholders in the research process whenever and wherever possible.” “The university that contributes to the national challenge to close the Indigenous health gap will be one that:
“Closing the Indigenous health gap provides an enormous challenge, but it also provides everyone working in Indigenous health … with an unprecedented opportunity to make genuine, long-term positive change. If all of us in the university sector work together on this we can make a real difference to Australian society,” he told the audience. For a copy of Professor Anderson’s Dean’s Lecture full address, given on Tuesday evening, 13 May 2008, at the University of Melbourne, go to www.onemda.unimelb.edu.au
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Child & maternal health, smoking and workforce training The first Rudd Government budget has seen some $334.8 million allocated over five years towards Aboriginal health measures which the government believes will reduce the health disparity gap between Indigenous and non-Indigenous Australians within a generation. Indigenous health measures include:
There were mixed reactions to the budget with most Aboriginal leaders and health advocates welcoming the initiatives but arguing that more dollars are needed to expedite improvements in health outcomes.
Aboriginal and Torres Strait Islander Social Justice Commissioner Tom Calma said that overall, the government's intention to work in partnership with Aboriginal and Torres Strait Islander people was welcomed. “The money to expand primary health care in the Northern Territory is welcomed but falls way short of what is needed to improve primary health care services around the country - especially with 75 per cent of Australia’s Indigenous population living in non-remote areas. “The budget Indigenous health initiatives are welcome indeed but more is needed to ensure an Indigenous baby born in 2030 has the same life expectation, the same access to quality health services and the same life outcomes as non-Indigenous Australians.” Dr Mick Adams, chair of the National Aboriginal Community Controlled Health Organisation (NACCHO), the peak body for Aboriginal medical services, said NACCHO has welcomed the government’s ongoing commitment to Aboriginal health but that “ a major injection of funds is needed to bring the sector to a level that would, for the first time, match the level of need in the Aboriginal community.” Australian Indigenous Doctors Association President Dr Tamara Mackean supported the government's focus on strengthening a healthy start to life for kids through improved child and maternal health services, addressing alcohol and other drugs, including the biggest killer – tobacco - and the down-payment on a growing future Aboriginal and Torres Strait Islander Health workforce. “Achieving our nation's collective goal of closing the gap on life expectancy within a generation will require more substantial and sustained investment by the Australian, State and Territory governments over the long term,” Dr Mackean said. CRCAH executive officer, Mick Gooda, told Gwalwa-Gai that while he shared the view that greater investment was needed it was important that Aboriginal people looked beyond the discrete Indigenous health budget and explored opportunities for better Aboriginal access to so-called “mainstream” health funds. “It is vital that those of us who work in Aboriginal health are continually seeking opportunities to access the so-called mainstream dollars so our mob are ensured of access to health services which reflect our needs,” he said. |
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Wendy Ah Chin takes up deputy’s role
Long-term Territorian Wendy Ah Chin is now in charge of day-to-day management of CRCAH operations, following her appointment as Deputy CEO of the organisation in April 2008. Wendy’s role helps take the pressure off CEO Mick Gooda, who will now be able to focus on managing the wind-down of the CRCAH over the next two years and on planning for the much-anticipated National Institute for Aboriginal Health Research. “I’m looking forward to the challenge of my role and to helping move us forward to the new entity,” Wendy told staff shortly after starting work on 6 May. Wendy is originally from Mt. Isa and a descendant of north-west Queensland’s Wannyi people. She grew up in Katherine and has lived in Darwin since 1993. Wendy brings a wealth of skills, experience and leadership in policy and program administration and management at a high level. She has a health science degree from Edith Cowan University and a Graduate Certificate in Public Sector Management from Flinders University, and has worked in Indigenous affairs across the health, education and employment sectors. Before joining the CRCAH Wendy was working in a senior role at the Commonwealth Department of Education, Employment and Workplace Relations. She will continue lecturing on Indigenous employment at Charles Darwin University. |
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Targeting smokes – the national Indigenous tobacco control roundtable
The Centre for Excellence in Indigenous Tobacco Control (CEITC) and CRCAH jointly hosted a National Indigenous Tobacco Control Roundtable in Brisbane recently. The roundtable, with more than 70 national participants, set out an agenda for the research and evaluation of Indigenous tobacco-control strategies to significantly lower smoking rates among Aboriginal and Torres Strait Islander people. The roundtable participants suggested a number of research priorities in Indigenous tobacco control, six of which were discussed in detail:
In her closing address to the roundtable, CEITC’s manager Ms Viki Briggs said that the next step is to come up with ways of implementing the priorities identified by the roundtable. ‘We can’t do anything unless you come along as well,’ she told participants. Ms Briggs said that a ‘CEITC-convened working group will be formed, to move our priorities forward’. She encouraged participants to keep CEITC and the CRCAH informed about their research and evaluation work. ‘Building an Indigenous tobacco control specific workforce and building capacity among Aboriginal and Torres Strait Islander Health Workers based in health services is a vital key to addressing this serious problem,’ Ms Briggs said. Mick Gooda, CEO of the CRCAH, later told Gwalwa-Gai, ‘To get our people off the smokes, we should look favourably at programs with a zero-costing dimension such as smoke-free places, and give priority to those projects that show positive results, and that develop a culture of accreditation and compliance.’ ‘Research projects should have a national focus, be sustainable in their positive impacts, and be funded for outcomes,’ Mick Gooda said. Roundtable participants were drawn from a wide range of researchers, health promoters and educators, Aboriginal community representatives, and government health agencies at the state and national levels. A public report on the roundtable, and the scoping study, will be published in July 2008 for further discussion and feedback. Further info: www.ceitc.org.au |
Almost triple the risk for Aboriginal women in childbirth A recent Australian Institute of Health and Welfare (AIHW) report has found that Aboriginal and Torres Strait Islander women are almost three times more likely to die while pregnant, during labour or up to six weeks after giving birth than non- indigenous women. The AIHW report, Maternal Deaths in Australia 2003-2005, said that the high rate of maternal mortality among Indigenous woman has not abated since first measured in the early 1990s. During the three-year study period there were 21.5 deaths for Aboriginal and Torres Strait Islander women per 100,000 women giving birth compared with 7.9 deaths for non-Indigenous women. The overall death rate for Australian women giving birth during the study period was 8.4 per 100,000 women. “Although this rate compares favourably with the rates in other developed countries, maternal death rates for Aboriginal or Torres Strait Islander women are still more than two and a half times as high as for other women,’ Associate Professor James King, Chair of the National Advisory Committee Maternal Mortality, said. “The fact that Indigenous mothers continue to experience a higher rate of mortality than non-Indigenous women remains a serious concern,” he said. Researchers also called for an overhaul of the system for reporting maternal deaths in Australia, with inconsistent data collection between the States and Territories undermining AIHW’s efforts to provide accurate and timely statistics. Reporting of maternal deaths is not mandatory at a national level and data is collected separately by each State and Territory. To read the AIHW report in full, go to www.aihw.gov.au/publications/index.cfm/title/10207 |
Trachoma – little change 30 years after Fred One of Australia’s leading experts in eye disease, ophthalmologist Professor Hugh Taylor, is restarting the mission begun by the late Professor Fred Hollows to eradicate the infectious eye disease trachoma from Australia and in particular remote Aboriginal communities where the condition is widespread. Prof Taylor, who was recently appointed to the new Harold Mitchell Chair of Indigenous Eye Health at the University of Melbourne, originally worked with Prof Hollows in the 1970s. He remains shocked that in the intervening 30 years there has been no change to the rates of the curable infection. “In many areas, the prevalence of trachoma has barely changed since Fred Hollows’ work with the National Trachoma and Eye Health program in the 1970s,” he said in a university media release. “Yet this is a completely curable disease.” Trachoma is a major cause of blindness in Aboriginal communities, with estimates that about 20 per cent of Aboriginal children in outback communities are infected. The disease is caused by the bacteria Chlamydia trachomatis, whose symptoms include swelling of – and discharge of pus from – the eyelids, as well as pain and sensitivity to light. Prof Taylor also heads up the new Indigenous Eye Health program at the University of Melbourne, which brings him back together with another former Hollows team member, Jilpia Nappaljari Jones. Ms Jones, an Indigenous nurse and currently a health researcher with AIATSIS, is a member of the Indigenous Eye Health Advisory Board along with CRCAH Research Director, Professor Ian Anderson. The Advisory Board met for the first time recently to map out its future strategy and to launch Prof Taylor’s new book Trachoma: A Blinding Scourge from the Bronze Age to the 21st Century. The book traces the history of the disease from its origin in the Bronze Ages and its current impact around the world. As well as describing the disease’s clinical manifestations and treatment, Prof Taylor also notes the failure of local treatment schemes that have resulted in Australia being the only developed country in the world that still suffers from the disease. Prof Taylor says that although trachoma was wiped out in white Australia about 100 years ago, it persisted in all outback communities north and west of Port Augusta in South Australia. “With concerted action and about $20 million from the Government, active trachoma could be wiped out in Australia within three to five years,” he said. “Through our work on the Indigenous Eye Health program we aim to provide Indigenous people with the same quality and access to eye care that is enjoyed by other Australians.” To order a copy of Trachoma: A Blinding Scourge from the Bronze Age to the 21st Century go the Publications section at www.cera.org.au. |
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Indigenous family violence in spotlight
Combating Indigenous family violence will require more support for those already working in the area and more evidence to determine the extent of the problem according to a presentation at a recent Flinders University’s Aboriginal Health Research Unit (FAHRU) seminar. Presenting her paper on Indigenous Family Violence Research, University of Melbourne researcher and Pallawah woman from Tasmania, Dr Kyllie Cripps, drew on her several years working in the area of Indigenous family violence. In 2005 she was awarded her PhD for her thesis entitled Enough Family Fighting: Indigenous Community Responses to Addressing Family Violence in Australia & the United States. She has also been involved in the development of national policy in this area. Her current work as a Post-Doctoral Research Fellow at the VicHealth Koori Health Research and Community Development Unit at the University of Melbourne includes an analysis of data relating to family violence from the 2002 National Aboriginal & Torres Strait Islander Social Survey. This work is supported by a CRCAH-funded project, ‘Capacity Building in Indigenous Policy-relevant Health Research’ (CIPHER). In her seminar, Dr Cripps reviewed the key research, reports and court cases that have informed the public debate so far. She pointed out that there were significant problems in all these areas including flawed data collection, low levels of offence reporting and legal bias, and that as a result it was likely that the figures did not truly reflect the extent of Indigenous domestic violence. “We know that one factor alone cannot be singled out as the ‘cause’ of family violence - a multitude of inter-related factors is attributable,” she told her audience. Dr Cripps said that while a host of State and Federal Government reports over the past decade had delivered a multitude of recommendations to reduce levels of domestic violence, “the undeniable message in all of these reports is that there is a need for a more responsive system for addressing the problems of Indigenous sexual abuse and violence”. Dr Cripps called for secure long-term funding to deal with Indigenous domestic violence and its wider social impacts. She outlined a series of key actions to improve the response to indigenous family violence, beginning with the documentation and evaluation of interventions currently in place. Dr Cripps argued that making this information publicly available would contribute enormously to available evidence of what works and what does not work in responding to community experiences of violence. |
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Healthy skin message for Tiwi Islanders The importance of healthy skin was one of the key messages delivered to Tiwi Island families during a recent visit to the island community of Nguiu by Indigenous rugby league players and health workers as part of the National Rugby League’s ‘Tackling Health Head On’ program. Members of the CRCAH-funded East Arnhem Regional Healthy Skin project, including Aboriginal community health worker Roslyn Dhurrkay and project leader Associate Professor Ross Andrews, were on hand to explain the importance of treating skin sores and scabies to prevent the occurrence of other more serious conditions. Ms Dhurrkay, who comes from the East Arnhem community of Galiwinku, communicated the results of her work direct to Tiwi mothers while they watched their children being coached by retired league legend Gordon Tallis and current stars Carl Webb, Daniel Wagon and Obe Geia. Assoc Prof Andrews, from the Menzies School of Health Research, said the three-year Healthy Skin program aimed to reduce the prevalence of skin infections in children aged 0-14 years and thereby reduce the occurrence of a range of serious conditions including kidney disease, rheumatic fever and rheumatic heart disease. “Without the commitment of our community health workers we would never have achieved the success we have,” Assoc Prof Andrews said. “Over the last three years, these women have been involved in doing over 6,000 skin checks on nearly 2,500 children in eight different regions of East Arnhemland. “When they first started, 46 children out of every 100 seen in their communities had skin sores. By the time we had finished, the skin sore burden had almost halved, equivalent to saving 18 children in every 100 from skin sores.” Ms Dhurrkay was among 11 Aboriginal health workers who successfully graduated in May this year from an accredited primary health care training program delivered as part of the healthy skin project. CRCAH chief executive Mick Gooda said the project was “a great example of what can be achieved by working in partnership with local communities, government and researchers”. “The more we can get the healthy skin message out to other Aboriginal communities, such as Nguiu, the more likely we will be to cut the incidence of these chronic conditions,” Mr Gooda said.
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Nurse bouquets for CRCAH program The Australian Nursing Federation (ANF) has used a CRCAH-supported project as an example of a nurse-led program that could help close the 17-year life expectancy gap that exists between Indigenous and non-Indigenous Australians. The Improving the Culture of Hospitals project, which was headed by Flinders Medical Centre’s Monica Lawrence, aimed to improve the trajectory of Aboriginal patients coming into the Centre for cardiac treatment. The project finished in 2007. In a media release put out on Close the Gap Day (21 April 2008), Ged Kearney, ANF Federal Secretary, highlighted Ms Lawrence’s work as “a positive example of how practical measures can deliver vast health improvements to Indigenous Australians”. Under the project, a remote area cardiac liaison nurse ensured that Aboriginal patients from remote areas of South Australia were properly informed and physically prepared for cardiac surgery. This meant that all patients and their families understood the surgical process well in advance, and that they all attended hospital. In the past less than 50% of these patients had surgery, either failing to present to hospital or having to be cancelled at the last minute. Flinders Medical Centre has subsequently used the research findings to improve clinical practice for all its remote area Aboriginal patients. For further information: http://www.crcah.org.au/research/do_you_understand.html |
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Finding a way through the conference maze The plethora of conferences and symposiums around Indigenous health issues in recent years has caused some readers of Gwalwa-Gai to question the benefit of these conferences. CRCAH Capacity Development Officer, Di Walker, has put together the following brief guide on how to choose which conference to attend…… Participating in conferences is an important part of researchers’ working lives, but with the increasing number of such events being marketed it can be difficult to work out which ones are worth attending. One trend that has become more apparent in recent years is the growing number of conference organisers whose main motivation appears to be making money, and whose events have no real affiliation to professional researchers or research associations. The CRCAH is very supportive of any conference where it is clear there will be real outcomes in terms of high-level peer discussions, research transfer and collaboration. However, due to the high costs involved and the amount of valuable time taken up by such events, it is important for researchers to do some homework before deciding to attend a conference. The following checklist should help in reaching a decision about whether or not to attend a conference:
Things to watch out for:
If you are still unsure about whether to attend a conference, use your networks and ask around. The most reputable conferences are generally flagged well in advance and other researchers are likely to be aware that they are taking place. Conversely, if no-one has heard of a particular conference, it may be one to avoid. |
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VicHealth international conference: Showcasing community knowledge CRCAH partner Onemda VicHealth Koori Health Unit has been funded by the Victorian Health Promotion Foundation to support Indigenous participation at ‘From Margins to Mainstream: The 5th World Conference on the Promotion of Mental Health and the Prevention of Mental and Behavioural Disorders’ to be held in Melbourne from 10–12 September 2008. The conference is actively seeking input from community organisations and individuals engaged with health, and who impact on enhancing mental health. So Onemda, which is located within the Melbourne School of Population Health at The University of Melbourne, approached people working in a diverse range of community programs, and offered its assistance in conference skills workshops, activity planning, and logistical support.
‘We are tapping into some of the fantastic programs going on in the community so that they can be presented to a wider international audience,’ says part-time Project Officer, Ngarra Murray (pictured), who is overseeing the workshops and organising accommodation and transport for participants to attend the conference in September. ‘In this way’, adds Ngarra, ‘we hope to share knowledge, create resources and build networks in the area of Indigenous social and emotional wellbeing.’ Ngarra is a Wamba Wamba/Yorta Yorta woman, who also works part-time at Museum Victoria. In its first skills workshop on how to write and submit an abstract, Onemda staff worked with about a dozen Indigenous professionals, including:
Also involved in the conference, with Onemda assistance, are:
A second skills workshop on writing and presenting conference papers will be held before September to give participants an opportunity to hone their presentation and writing skills. For information about the skills workshops or conference Ngarra can be contacted at nmurray@unimelb.edu.au or on 0488 388 904, (www.margins2mainstream.com).
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Darwin to host Indigenous women’s health meeting Health professionals from across Australia will gather at the new Darwin Convention Centre on 14-16 August to focus specifically on Australian Indigenous women’s health. Organised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), the 2008 Australian Indigenous Women’s Health Meeting aims to bring together health professionals from across the country with a common interest in improving the health and wellbeing of Aboriginal and Torres Strait Islander women. Delegates will gain information on what’s happening in different regions of the country, as well as being informed on broader issues. The meeting will also provide a forum to develop valuable networks, and assist the College in developing a more active role in improving the health of Indigenous women. To find out more about the meeting: www.ranzcog.edu.au/meetingsconferences/iwh.shtml |
Central Australian male health summit Up to 300 Aboriginal men from communities all over Central Australia will gather at the Ross River homestead outside Alice Springs on June 30 to work on all aspects of their roles as husbands, fathers, uncles, brothers and sons. The ‘Taking Care of Our Children, Taking the Next Steps’ summit has been organised by Central Australian Aboriginal Congress to assist Aboriginal men deal with the issues raised by the “Little Children Are Sacred” report, which led onto the current NT emergency intervention. As well as helping men to acknowledge the effects of negative behaviour and adverse lifestyle choices on their families and children, the summit also aims to provide information on services and resources available to them to help them manage change. On the fourth day of the summit – July 3 – the campground venue will be opened up to health workers, politicians and media so that they can witness first hand the efforts being made by Aboriginal men to regain control of their lives and communities. For more information on the summit, phone Colin Cowell on 08-8950 0114, email to malehealthinfo@caac.org.au or visit www.caac.org.au/male_health. |
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New global group for Indigenous Studies scholars The second Native American and Indigenous Studies Conference was held earlier this year in Georgia, USA. The conference, for scholars who work in American Indian/ Native American/ First Nations/ Aboriginal/ Indigenous Studies gathering attracted over 400 people from the USA, Canada, Hawaii, Chile, New Zealand and Australia. The aim of the conference was to offer a chance for participants to present work to a bigger audience and to explore the possibility of creating a multi-disciplinary academic association for scholars who work in American Indian/ Native American/ First Nations/ Aboriginal/ Indigenous Studies. The vision put forward by Robert Warrior was for an academic association that can legitimise and institutionalise the work of our field. To date there has not been such an international association. The participants resolved that:
Professor Aileen Moreton-Robinson, Indigenous Studies Research Network, Queensland University of Technology (QUT) was elected the Association’s Chairperson of the Nominating Committee (that is, the Committee that will oversee the election of the Association’s first Board of Directors). Membership of the new Association was set at US$10 for individual membership per year. There was one Australian panel session at the conference. The session, titled ‘Indigenous Studies: The Australian Context’, consisted of papers presented by Prof. Aileen Moreton-Robinson (‘Taking Ground, the War on White Possession’), Ms Sandra Phillips (‘Reading the Reader of Indigenous Literature’) and Dr Bronwyn Fredericks (‘Disciplining Health Professionals’). Mr Kelly Roberts chaired the panel and facilitated the dialogue and questions that followed. Details of the Native American and Indigenous Studies Conference for 2009 are already posted at http://www.instituteofnativeamericanstudies.com/NAIS-2008/NAISindex.html/, as is the call for papers. Wouldn’t it be great to have more than one Australian panel next year! |
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Prestigious award for Fran Baum
CRCAH’s Social Determinants of Health Program Leader, Professor Fran Baum, who is also the Head of Department of Public Health at Flinders University, has been awarded a Federation Fellowship. The sought-after fellowships are awarded by the Australian Research Council to outstanding researchers of international renown, and are designed to attract and retain their services within Australian research institutions. Professor Roy Goldie, Executive Dean of Flinders University’s Faculty of Health Sciences, paid tribute to Professor Baum’s “outstanding success”. “Fran’s very high profile nationally and internationally and the clear potential for her work and that of her team to induce further, highly significant improvements in community health outcomes as a result of the better understanding of the social determinants of health, have been key to this success,” Professor Goldie said. From all of us at CRCAH, well done Fran!
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It was with a deep sense of sadness and loss that many involved in the Aboriginal health sector and the broader Top End community reacted when they learned of the death of Dr Marika, one of the foremost Aboriginal women leaders in north-east Arnhem Land. In her life Dr Marika was many things – scholar, teacher, communicator, translator, cultural defender, eco-warrior, wife, mother and grandmother. More than anything, Dr Marika was a bridge between the two worlds of her traditional Yolngu culture and the wider Australian community. As a member of the renowned Marika family whose Rirratjingu heartlands took in the community of Yirrkala, from an early age Dr Marika was immersed in the land rights struggle led by her father Roy. From this she drew an awareness of the importance of a strong cultural identity to a person’s ability to lead a productive and healthy life, and it was this awareness that lay at the core of her life’s mission. She, along with her late husband Mr Mununggurritj, was a founding member of the Dhimurru Land Management Corporation which is widely regarded as a template for a successful Aboriginal-managed organisation. She was also much in demand as a translator and lecturer but somehow managed to fit in being a director of Reconciliation Australia and the Yothu Yindi Foundation as well as being a member of the Council of the Australian Institute of Aboriginal and Torres Strait Islander Studies (AIATSIS). Most recently Dr Marika was a participant in the Rudd Government’s 2020 Summit. Despite her many interests Dr Marika always placed her home community of Yirrkala at the centre of her life, and it was to Yirrkala that she returned in the final days of her life after being treated for a heart condition in Darwin. It was while out hunting and fishing with her family on her traditional lands over the weekend of 10-11 May that Dr Marika passed away, aged just 49. The Board and staff of CRCAH express our deepest sympathy to Dr Marika’s family.
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Onemda - an Indigenous research success story
The latest edition of the magazine of the Victorian Health Promotion Foundation (VicHealth) features a story about Onemda VicHealth Koori Health Unit, based at The University of Melbourne. The article showcases the practical role that Onemda’s partnerships and collaborations play in shaping its research, teaching and learning, and community development agenda.
Onemda’s founder and director, Professor Ian Anderson, who is also CRCAH Research Director, is quoted as saying that Onemda’s work focuses on community and health development in Indigenous communities, and building Indigenous leadership in health research and practice. The article reflects on Onemda’s links with community organisations such as the Victorian Aboriginal Community Controlled Health Organisation and the Koorie Heritage Trust Inc., which consolidates Onemda as a leading Indigenous health research organisation in Victoria and beyond. Originally called the VicHealth Koori Health Research and Community Development Unit, Onemda was established almost a decade ago using seed funding from VicHealth and the Australian Government. VicHealth sees its role as helping to build a critical mass of researchers, and to ensure its research investment is closely entwined with research, policy and practice. Its research investments are tightly linked to program and policy work in tobacco control, mental health and wellbeing, health inequalities, and participation in physical activity, all of which touch Indigenous health and wellbeing. VicHealth, the peak body for health promotion in Victoria, devotes its Autumn 2008 VicHealth Letter to the successful population-health research programs it helps to fund, including those of Onemda. To read “The Onemda Story: Building partnerships to transfer knowledge” in the VicHealth Letter, Issue No. 32, autumn 2008 go to VicHealth’s website: http://www.vichealth.vic.gov.au/vichealthletter |
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New Onemda researcher investigates data deficit
Dr Jane Freemantle has joined the staff at Onemda as an Australian Research Council Research Fellow undertaking a five-year research project to address the critical issue of lack of data to describe Aboriginal health, especially child health. Using an innovative method and research process, Jane's work will greatly contribute to ensuring the availability of adequate and meaningful health information, which in turn will facilitate a nationally complete data set describing the health status of Indigenous Australians. Jane is also an Associate Professor at the University of Western Australia (UWA) and an Honorary Research Fellow at the Telethon Institute for Child Health Research, UWA. She was lead author on an important recent CRCAH publication, Australian Indigenous Health—Within an International Context, published together with Telethon Institute for Child Health Research (Kulunga Research Network) and Onemda VicHealth Koori Health Unit. |
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Research fellow joins tobacco control efforts Anke van der Sterren has started working as a Research Fellow at the Centre for Excellence in Indigenous Tobacco Control (CEITC), cutting her teeth on the recent national Indigenous tobacco control roundtable in Brisbane. Anke has worked in Indigenous health research for 12 years. ‘Although my training was originally in medical anthropology, I have broadened my research interests to public health research,’ says Anke. Anke’s first job in Indigenous health research was in the far north-west of South Australia for Nganampa Health Council. ‘There I worked as an anthropologist in the STD Control and HIV Prevention Project looking at socio-cultural issues around sexual health on the Anangu Pitjantjatjara Lands.’ From there Anke moved to Melbourne where she worked for five years as a researcher on an injecting drug use project run by the Victorian Aboriginal Health Service. ‘After going on maternity leave in 2003, I decided that I would undertake a PhD at the Centre for Health and Society at the University of Melbourne.’ This project involved working closely with the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and its member organisations to investigate how ACCHOs can strengthen their capacities to undertake such public health activities. Anke is currently completing the writing up of this PhD, while working for CEITC and raising her two young boys—a very busy schedule but one that she is meeting. Anke can be contacted on: ankevd@unimelb.edu.au
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School transition program spreads its wings
A CRCAH-funded early intervention program designed to ease the transition to school for Tiwi Island children and their parents has been expanded to another 40 schools in Darwin, the Darwin rural area and Jabiru. Project Co-Leader for the Let’s Start program, Dr Gary Robinson, told a seminar held at Charles Darwin University on 2 May 2008 that formal education processes posed a challenge for many Tiwi parents as well as their children. It was therefore important to encourage parent-child interaction at pre-school and primary school to help negotiate the transition to school. The program is based on a manual that sets out structured activities for children and parents over 8-10 weeks of a school term. Each program group generally consists of four group leaders, six parents and six children in the 4-6 year old age group. Dr Robinson said that while the early intervention program was achieving encouraging results on the Tiwi Islands, it was clear that to achieve lasting improvements the focus needed to be on maintaining and expanding the support teams of trained group leaders. |
AIMHI shows its wares in Darwin seminar
A CRCAH-backed collaborative mental health project, the Australian Integrated Mental Health Initiative (AIMHI), showcased its achievements and future directions at a seminar held in May. The project, which started in 2002, focused on the needs of people with mental illness in three contexts – rural and remote, Indigenous and high disability. The CRCAH supported the Indigenous component of the research which took place in North Queensland and the Northern Territory. Dr Tricia Nagel, Project Co-Leader and head of AIHMI’s NT Indigenous stream, said the work had two key aims: prevention, and treatment. “We felt that if you had early intervention in Indigenous communities, you would be able to turn around the poor mental health outcomes,” she said. The work with Indigenous communities included building the capacity and skills of Indigenous mental health workers, and providing them with the necessary tools to promote recovery and prevent relapse among those suffering mental ill-health. Dr Nagel said this had led to the development of a brief intervention designed for use with Indigenous clients. The head of the North Queensland research team, Dr Melissa Haswell-Elkins, said her work concentrated on overcoming the underlying psychological legacy of colonial dispossession through empowerment programs. “We’ve been working in very closely with Queensland Health and Apunipima Cape York Health Council to embed this work in health programs,” Dr Haswell-Elkins said. An 18-month randomised controlled trial of brief intervention in remote NT communities demonstrated improved wellbeing, life skills, mental health and self-management skills, along with decreased alcohol and marijuana dependence and decreased domestic violence in the home, among clients suffering from chronic mental illness and substance abuse. Training courses in assessments and brief interventions have also been provided to more than 300 service providers attending 30 workshops across four states of Australia, including primary care and specialist services. The AIMHI Indigenous stream has also developed a suite of resources specifically for use with Indigenous clients and in Indigenous communities, including information sheets, flip charts, a DVD and a website. Resource kits have now been sent to 200 services around Australia following requests. “We want to build the ability of Aboriginal mental health workers to treat mental illness within their communities,” Dr Nagel said. “This project is very much about capacity building and research transfer.” AIMHI’s training and resources have already been integrated into the preventable chronic disease strategy of the NT, and are currently being integrated into Aboriginal mental health worker roles in acute wards and remote communities. For further information: http://www.crcah.org.au/research/aimhi.html |
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Warning – these newspapers can damage health
Analysing three mainstream newspapers, student researcher Jessica Roberts at La Trobe University’s School of Public Health highlights the negative impact that existing print media reporting of Indigenous health issues can have on public perception of those issues. Jessica’s honours year research project is titled: Analysis of the representation of Indigenous Australians in mainstream print media: An exploration centred on the social determinants of health. ‘I wanted to do this project because my experience with Indigenous people and culture before coming to university was limited to the information I’d learnt at school, as well as the information I’d read or viewed in the media,’ Jessica said. Her Honours research project examined three newspapers available in Melbourne: The Age, The Australian and Herald Sun for the period 1 April 2007 until 10 June 2007. Over this analysis period, a total 505 articles were found to contain issues involving Indigenous Australians, with 34.1% (172) from The Age, 43.2% (218) The Australian and the 22.8% (115) Herald Sun. The articles collected by Jessica were then broken down into the subject areas of the article content: Sport 32.1% (162); Politics 27.9% (141); Art 15.45% (78); Indigenous Issues 7.7% (39) and Health 6.5% (33). Of the health-specific articles collected through the study, none were reports based in Victoria, which she found quite surprising as two of the newspapers used for analysis are Victorian-based newspapers. While the social determinants of health were reported on in 90% of health articles, the articles largely focussed on Indigenous life expectancy and health behaviours such as petrol sniffing, infant health, asbestos and alcohol. Also, almost half (45.45%) of the health articles did not source their information, which to Jessica calls into question the accuracy of reporting in those articles. Jessica’s study concluded that Indigenous health issues were not a high priority for all the studied newspapers, which contributes to a lack of knowledge of these issues in the wider community. Jessica’s passion for Indigenous health began back in 2006 while an undergraduate student at the School of Public Health doing her work placement with Gippsland Lakes Community Health in Lakes Entrance. Through this placement, Jessica was introduced to some of the Indigenous health and wellbeing programs at the mainstream health service, and experienced working with the local Aboriginal community. The placement has had a lasting effect on Jessica. ‘Growing up in a small country town I’d never had a great deal of exposure to Aboriginal people. After meeting the Elders from Nowa Nowa and listening to them speak about their concerns, which they were quite open about, left me wondering what I could do to contribute.’ Following the placement, Jessica contacted Cooperative Research Centre for Aboriginal Health’s (CRCAH) link person at La Trobe University, Penny Smith, and voluntarily helped in the organisation of the CRCAH’s Melbourne Showcase, held 30 May 2006 at the Melbourne Town Hall. Jessica saw this as a great way for people, including herself, to be introduced to CRCAH’s projects, and presented an invaluable opportunity to become involved with the network of people in Indigenous health. After her undergraduate Public Health course in 2006, Jessica successfully completed her Honours last year. Jessica is currently writing a journal article on her project and is seeking employment in the health promotion field. Jessica is happy to answer questions about her project and can be contacted at: jessica.roberts@latrobe.edu.au
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Participants gives Parliamentary Showcase a big tick We thought our Canberra Parliamentary Showcase held in March was a great success, but just to make sure we sent around a feedback survey to selected participants to help us identify areas of weakness and to improve future such events. In total some 26 people responded (approximately 25% of attendees), with roughly half describing themselves as researchers and the rest describing themselves as government employees. More than half of the respondents (15) had either never heard of the CRCAH before the Showcase or had never had any direct involvement with the CRCAH. The overwhelming majority (84.6%) described the Showcase as ‘very useful’ with the remainder describing it as ‘reasonably useful’. Here is a sample of the comments made by respondents: “The whole thing, the organisation, the professionalism, speakers' coverage was impressive - and maintained my interest even in relation to areas that I won't have direct involvement. I was very impressed by your presentation.” “It was exciting, and very inspiring. I particularly appreciated hearing from field-based practitioners and researchers.” “It answered many of the questions I had about the CRC, and how its research functioned. The specific project presentations were the most interesting part of the day - not only their methods and outcomes but also how they were managed and the specific approach the CRCAH takes to determining research questions, from the community upwards.” Almost 77% of respondents rated the presentation by CRCAH Research Director Ian Anderson – ‘Why Evidence is important’ – as the most useful, closely followed by Chief Executive Mick Gooda’s overview of the CRCAH (65.4%) and the joint presentation by Ross Bailie and Michelle Dowden on the ABCD project (38.5%). Comments included: “It was very useful to understand how the CRCAH worked, your priorities and to get a picture of future directions from these two very impressive people. However, I also found the individual research presentations useful for different reasons, different methodology, accountability, providing research evidence, etc.” “I'd have to say all the talks were valuable. The better parenting programme as a specific project held special interest because Carmen Cubillo was a Masters student at UC when I was on staff. UC also runs a similar program but not specifically for an indigenous group.” “My reason for not ticking the ABCD project is that I found the format a little dry, and I could be wrong but there was not an Indigenous presenter among the two co-presenters. Again, I could be wrong here.” Almost 60% of respondents felt the Showcase was ‘very useful’ in providing research evidence to policymakers and informing the development of policy. Another 38.5% felt the Showcase was ‘reasonably useful’ in this regard with only one respondent ticking the ‘not useful’ box. The majority of comments generally echoed the following sentiment: “Rigorous 'evidence based' research is a Kevin Rudd imperative. The CRC is doing the right things to meet both government and peer reviewed research standards. I like the way the CRC has said "what can we do now that will make a difference in improving indigenous health?" Virtually all respondents (96%) thought it would be a good idea to make the Showcase an annual event, although several respondents felt that not enough time had been provided for discussion sessions and that several such sessions had been unnecessarily curtailed. In terms of ongoing communication, most respondents who were aware of the CRCAH ahead of the Showcase felt that there was adequate communication via the email newsletter. However, one respondent suggested that “the CRCAH needs to take [its] message direct to relevant departments as a seminar type series”. To all those who participated in our survey, many thanks, and we’ll definitely take your comments on board
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New Website for Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation
The CRC for Aboriginal Health’s communication unit is currently working with the Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation (WDNWPT) to develop a website. WDNWPT is a not for profit organisation that was set up to address the need for a culturally appropriate dialysis services in remote communities. According to WDNWPT Manager, Sarah Brown, WDNWPT receives many enquiries from health professionals, members of the public, students and community organisations as well as potential funding bodies seeking information. “As a small community-based organisation we’ve often struggled to meet the ongoing demand for information with our limited resources but with the support of the CRCAH in creating a website this information will now be available at the click of a finger” Sarah told Gwalwa-Gai. “The new website will mean people who are really interested in getting involved will be able to gain a broader understanding of the organisation.” The new website will be online in the coming weeks at: www.wdnwpt.org.au
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La Trobe courses for Victorian Koori family counsellors The first of five courses for Indigenous family and child workers offered by Latrobe University’s the Bouverie Centre has attracted nine Indigenous students from Shepparton’s Rumbalara Aboriginal Cooperative. A second course will shortly start in Ballarat, with three others being planned in regional Victoria over the next couple of years, the locations to be chosen in consultation with local Indigenous community groups. Evaluations by students doing the course are so far positive. ‘Feel more able to handle complex situations better’ has been one student’s reaction, and ‘improving my confidence’ and ‘acknowledgement of my skills’, have been others. ‘The life experiences and skills that Aboriginal child and family workers bring to the training program is amazing and highly relevant to their work, and reflects the complex and difficult tasks they deal with daily,’ said Dr Kerry Proctor, Team Leader of The Bouverie Centre’s Indigenous Project Team. The training has attracted mature-aged Indigenous workers, many of them women, who wish to hone-up their family counselling skills, especially in the theory side of their work, and most importantly to have their life-work experiences and skills recognised in the workforce and the community. ‘The family therapy training extends the family counselling work done by the Indigenous family and child workers while recognizing their extensive work experience, skills and knowledge about complex extended families and kinships in Indigenous communities,’ said Dr Proctor. The project is in the process of being registered with the CRC for Aboriginal Health as an in-kind research project. ‘Our program is being evaluated as part of participatory action research project around the teaching and learning of how best to meet the clinical and training needs, and support and extend the skills of Aboriginal child and family workers and their communities.’ ‘As trainers, we are learning from the Indigenous workers, their wisdom about the different, and sometimes better, ways to deal with Indigenous and non-Indigenous families, which we are now documenting,’ added Dr Proctor. For further information: www.latrobe.edu.au/bouverie
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