• Indigenous Health

    While there have been improvements in the health and well-being of Aboriginal and Torres Strait Islander Australians in recent years, some long-standing challenges remain. Many factors contribute to the gap between Indigenous and non-Indigenous health. Social disadvantage, such as lower education and employment rates, is a factor, as well as higher smoking rates, poor nutrition, physical inactivity and poor access to health services.

    For a summary of the major public health issues affecting Aboriginal people go to: http://www.healthinfonet.ecu.edu.au/health-facts/summary

    The Aboriginal Health Council of Western Australia (AHCWA) replaced the Western Australian Aboriginal Community Controlled Health Organisation (WAACCHO) as the peak body representing 21 Aboriginal Community Controlled Health Services (ACCHSs) in Western Australia (WA).

    AHCWA aims to:
    ◦lead the development of Aboriginal health policy
    ◦influence and monitor performance across the health sector
    ◦advocate for and support community development and capacity building in Aboriginal communities
    ◦support the continued development of ACCHSs
    ◦build the workforce capacity to improve the health, social and emotional wellbeing of Aboriginal people in WA.

    To access their website go to: http://www.ahcwa.org.au/

    The Getting Your Messages Out to Remote Communities program was a joint initiative between Nirrumbuk Aboriginal Corporation, which is based in Broome, and the Public Health Advocacy Institute of WA (PHAIWA). You can read about the program here: http://www.healthinfonet.ecu.edu.au/key-resources/programs-projects?pid=3502   

  • Read Dr Melissa Stoneham’s latest blog

    Where is the “roadmap” leading for remote Aboriginal communities in Western Australia?

    The Western Australian Government recently released a “roadmap” for the future of the State’s regional and estimated 274 remote communities. This follows widespread concerns over the past 18 months about the threatened closure of some remote communities in WA.

    The report, Resilient Families, Strong Communities, flags the WA Government’s intention to improve support and services to towns and larger communities, but that it “expects to support fewer communities over time, particularly as migration away from small outstations continues”.

    It notes there are about 274 remote Aboriginal communities in WA, with an estimated total population of 12,000 Aboriginal residents. “By contrast, in Queensland there are only 18 remote communities with about 20,000 residents.”

    The National Congress of Australia’s First People has raised concerns about the potential for the roadmap’s approach to cause harm to communities, families and cultures, as have others.

    An online petition calls on the WA Premier to ensure Aboriginal communities are not forcibly closed and that Aboriginal people are not deterred from living in their communities due to inadequate provision of municipal and essential services. Robin Chapple, a Greens MLC, has introduced a Prevention of Forced Closure of Remote Aboriginal Communities Bill 2016 (available here).

    In the article below, Dr Melissa Stoneham, Deputy Director of the Public Health Advocacy

    Institute WA, gives an overview of the report and raises questions about the lack of representation of health expertise in the WA Government processes.

    Beneath her article are tweets from @SOSBlakAustralia, calling for supporters to aid resistance efforts.

    Melissa Stoneham writes:

    The roadmap, called Resilient Families: Strong Communities, sets out 10 actions or pledges the State Government will undertake in partnership with Aboriginal people to strengthen families, improve living conditions, increase job prospects and accelerate education outcomes.

    This roadmap, although not perfect, is at least a move away from the Government’s previous strategy announced in November 2014.

    Many will recall the WA Premier Colin Barnett stating that without further funding, many of the Aboriginal communities would become unsustainable and that WA would not provide additional funding to maintain essential services.

    Following that announcement, many communities expressed outraged that there was little to no consultation and no plans were put forward by the WA Government as to where people would move to once the communities were closed.

    A national day of action was held on May 1, 2015 where protests around Australia and overseas opposed the closure of remote WA communities.

    The WA Minister for Indigenous Affairs Peter Collier promised consultation with affected communities, and Strategic Regional Advisory Councils in the Pilbara and Kimberley were established.

    These Councils included representation from four Aboriginal communities, four State Government Directors Generals, a senior representative of the community services sector, a senior Commonwealth Government representative, and the State Reform Leader, Regional Services Reform Unit, Mr Grahame Searle.

    The brief was to advise on changes that could be made to government expenditure as well as a suite of policies, programs and governance to improve Aboriginal peoples’ outcomes.

    And so we now have the roadmap, which focuses on major reforms to the delivery of housing, education, employment and human services.

    Western Australia’s Regional Development Minister Terry Redman said the Government will not close communities but will help those that are not “eligible” for government investment because of “their size and sustainability” to become self-supporting.

    A total of 120 communities have been identified as self-supporting, and Mr Redman advised that the roadmap has been created to help more communities join them.

    The roadmap sets out 10 actions the government pledges to take:

    Priorities1Priorities 2

    It is too early to make detailed comments about the roadmap, but I will suggest it is at least a start.

    Some of the pledges above are quite generic while others are very specific. It will be interesting to see the implementation plan evolve and also the funding structures.

    I was perplexed as to why there were no “health” experts involved in the Strategic Regional Advisory Councils, given health is clearly linked to the three key outcomes being essential services (reliable electricity, water supply, sewage treatment), municipal services (environmental health, rubbish collection) and housing services.

    The roadmap website actually reinforces the health agenda by stating that the conditions, or lack thereof, such as essential and municipal services “affect residents’ health and wellbeing and, when a living environment is unsafe, unclean and overcrowded, children are less likely to attend school and adults are less likely to be employed”.

    With the passing of the WA Health Act on 30 June 2016, you may be mistaken in thinking that Aboriginal communities will now be afforded the same level of public health services as other communities, especially as these conditions rank so highly on the roadmap website.

    Unfortunately for Aboriginal communities located on Crown land, or those managed by the Aboriginal Lands Trust or land managed by Crown entities, the new Act does not authorise all enforcement action.

    This means that works such as the maintenance of sewage or the supply of potable water cannot be enforced in respect of the Crown at a local level, and the Act does not provide for the Crown to be prosecuted. This is incredibly disappointing and is a missed opportunity for both equity and better public health management of Aboriginal communities in WA.

    A further concern of mine and others is the idea of transition – which is stated within the media releases often. What does transition mean?

    With the Minister identifying just 120 communities as being self-sustaining, and others being asked to join them, it does raise some concerns about what will happen to these other communities if they are unable to make this ‘transition’ to becoming self-sustaining. Will they close?

    Summer May Finlay, a public health practitioner, Yorta Yorta woman and a Croakey contributor, shares these concerns and told me:

    The Resilient Families, Strong Communities report has many solid proposals; however, it lacks substantial details.

    The question for me is the details of how the Government plans to assist the smaller communities which will no longer be receiving municipal services and other necessities to become self-sustainable.

    We know that to ensure a healthy environment there needs to be basics such as adequate refrigeration for food, running and hot water and electricity.

    The government has a moral obligation to ensure that it has equipped these communities to maintain this infrastructure once it has been installed.

    What we can’t afford is for there to be a decline in the standards of living in these communities further.

    Without an adequate plan to assist these communities be self-stainable long term, this plan may effectively close these communities by making them unlivable.”

    Community-based and stakeholder consultation on the implementation of the roadmap is scheduled to commence this month in the Kimberley and Pilbara regions. The Goldfields, which has 13 percent of its population identifying as Aboriginal or Torres Strait Islander, will remain untouched until 2017.

    Yet, few would argue against the premise that something needs to be done – statistics indicate that nearly half of Aboriginal and Torres Strait Islander people in very remote areas reported having problems accessing services, including dentists and hospitals, and where almost half (49 per cent) of the remote WA Aboriginal communities have untreated drinking water and 52 per cent are without regular monthly testing of water quality.

    Maybe…just maybe, this roadmap may be part of the solution.



    Twitter commentary from @SOSBlakAustralia




    See here for more information about SOS Blak Australia.

  • Lecture by Indigenous advocate June Oscar in London

    June Oscar, the well-known Indigenous advocate and Chief Executive Officer of Marninwarntikura Fitzroy Women’s Resource Centre at Fitzroy Crossing, presented at Kings College London on the 29 April 2015.

    In 2011, in an article appearing in The Age and Sydney Morning Herald June was named as one of the 50 most influential women in the world for her work in improving the lives of those living in remote Aboriginal communities. Her presentation was titled ‘Encountering Truth: The Real Life Stories of Objects from Empire’s Frontier and Beyond’. See the attached document to read the transcript:

    Menzies London lecture June Oscar AO – 29 April 2015

  • Environmental Health Needs Report

    Environmental Health Needs of Aboriginal Communities in WA – Report Released

    This report outlines the findings from a survey of discrete Aboriginal communities during late 2007 and through 2008, funded by the Environmental Health Coordinating Committee (EHNCC), the peak coordinating body in Aboriginal environmental health in WA.
    The survey was coordinated by the Environmental Health Needs Coordinating Committee and conducted by environmental health practitioners who work with, and in, discrete Aboriginal communities. Each of the participating communities was visited by environmental health practitioners in order to survey the infrastructure and collect information from community members. This information included levels of community satisfaction and concern with the provision of essential, municipal and allied services influencing and affecting environmental health.

    The Report provides analysis on the 8 core environmental health indicators of:

    1. Water
    2. Electricity
    3. Housing
    4. Solid Waste Disposal
    5. Sanitation
    6. Dust
    7. Dog Health programs
    8. Emergency Management

    To read the full report, download the attachment below.

    To read press coverage of this report from The West Australian on May 15, please download from this link.


    Indigenous environmental health report