Indigenous Health and Closing the Gap

“Indigenous Health and Closing the Gap”11th National Rural Health Conference Perth14 March 2011
Dr Tom Calma
National Coordinator Tackling Indigenous Smoking
and
Co-chair CTG Steering Committee

Life-expectancy
Most Indigenous deaths occur in the middle adult ages
Source: Darren Benham analysis mortality data

Death Contributors

The campaign for health equalityOVERALL TARGET:HEALTH STATUS EQUALITY WITHIN 25 YEARSTargets and benchmarks as appropriate.FOUNDATION TARGET:EQUALITY OF OPPORTUNITY TO BE HEALTHY WITHIN 10 YEARSSub-target 1: Equality of access to primary health care within 10 years. Sub-target 2:Equal standard of health infrastructure within 10 years

A human rights based approach
All policies and programs relating to indigenous peoples must be based on the principles of non-discrimination and equality, which recognize the cultural distinctiveness and diversity of indigenous peoples.
Indigenous peoples have the right to full and effective participation in decisions which directly or indirectly affect their lives.
Capacity building always needs to be considered and resources made available to facilitate meaningful participation by indigenous peoples asequal partnersin planning, design, negotiation, implementation, monitoring and evaluation of policies that affect them. .

Principle of Progressive Realisation
Create a plan
‘ambitious yet realistic time frame’,
set equality as a target,
set a time frame;
Commit sufficient resources; and
Be accountable to the plan by setting benchmarks

Steering Committee members
Dr Tom Calma, Co-chair, National Coordinator – Tackling Indigenous Smoking (campaign founder and former Aboriginal and Torres Strait Islander Social Justice Commissioner)
Mr Mick Gooda, Co-chair, Aboriginal and Torres Strait Islander Social Justice Commissioner, Australian Human Rights Commission
Australian Indigenous Doctors’ Association
Australian Indigenous Psychologists’ Association
Congress of Aboriginal and Torres Strait Islander Nurses
Indigenous Allied Health Australia Inc.
Indigenous Dentists’ Association of Australia
National Aboriginal Community Controlled Health Organisation
National Aboriginal and Torres Strait Islander Health Workers’ Association
National Indigenous Drug and Alcohol Committee
National Aboriginal and Torres Strait Islander Health Workers’ Association

Steering Committee members cont.
Building partnerships
Oxfam Australia
Australian General Practice Network
Aboriginal Health and Medical Research Council
Australian Human Rights Commission (Secretariat)
Australian Medical Association
Australians for Native Title and Reconciliation
Australian Peak Nursing and Midwifery Forum
Bullana - the Poche Centre for Indigenous Health
The Fred Hollows Foundation
Heart Foundation Australia
Menzies School of Health Research
Palliative Care Australia
Royal Australasian College of Physicians
Royal Australian College of General Practitioners
Professor Ian Ring, Wollongong University (expert adviser)

Council of Australian Governments December 2007All Australian Governments have agreedto close the inequality gap in Indigenous health outcomes in a generation
Council of Australian Governments 29 November 2008
All Australian Governments have agreed to a $1.6 billion investment in Indigenous health over four years
$805.5 million Commonwealth commitment
$771.5 million State and Territory contribution
In excess of $5 billion of new money for Indigenous affairs since November 2008

Statement of Intent
PM
Minister of Health and Minister of Indigenous Affairs
Opposition Leader
Every major Indigenous and non Indigenous peak health and human rights body
First and only bipartisanagreement
20 March 2008

Closing The Gap Targets
The targets are to:
• Close the life expectancy gap within a generation;
• Halve the gap in mortality rates for Indigenous children under five within a decade;
• Ensure access to early childhood education for all Indigenous four year olds in remote communities within five years;
• Halve the gap in reading, writing and numeracy achievements for children within a decade;
• Halve the gap for Indigenous students in year 12 attainment rates by 2020; and
• Halve the gap in employment outcomes between Indigenous and non-Indigenous Australians within a decade

CTG Campaign Targets

CTG Campaign Targets cont.
1. Partnership Targets
2. Health Status Targets
(a) Maternal and Child Health
Reduce low birth weight, control infections particularly gastroenteritis & respiratory infections, maternal education, dedicated services for mothers & babies.
(b) Chronic disease
Secondary prevention of chronic disease – risk identification and management including health checks.
Acute care – reduce time to admission and implementation of care guidelines for CVD, diabetes, chronic kidney disease (CKD).
Tertiary prevention – services for cardiac rehabilitation, CKD, stroke.
(c) Mental health and emotional and social well-being
Reduce the impact of loss, grief and trauma.
Reduce the disparity in suicide rates and mental health disorders including depression, and psychosis.
Improve mental health outcomes and reduce adverse events for Indigenous patients including Indigenous people with chronic disease, substance abuse or in custody.
3. Primary Health Care and other Health Services Targets
(a) A Capacity Building Plan
(b) Mainstream health services
(c) Specific Programs

CTG Campaign Targets cont.
4. Infrastructure Targets
(a) Workforce
(b) Capital works and equipment
(c) Engagement of Aboriginal and Torres Strait Islander communities
(d) Housing - Home maintenance, housing design.
(e) Environment
(f) Health information and data
5. Social Determinants Targets
(a) Education
(b) Community safety
(c) Employment
(d) Community development
(e) Culture/language
(f) Criminal justice system review and reform
(g) Other

Need to work together in partnership
“What can I do to achieve equality for all Australians?”

Indigenous Health and Closing the Gap

by BiteTheDust on Apr 04, 2011

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