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Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
Healthy Koori Kids
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Healthy Koori Kids

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  • 14,578 Aboriginal Children (0-17 years) - 1.2% of the all children in the state >50% of the aboriginal population was under 19 years - in 2006 1/2 one parent families - compared to 1/5 all families (comparable to national data)
  • half all young Aboriginal people identify with a clan, tribal or language group - cf 62% of their parents/guardians over half of young Aboriginal people recognise an area as their homelands/country - 3/4 of guardians/parents half participate in cultural events - same with parents/gaurdians almost all families speak English as their first language - 1/5 speak some words of Aboriginal language, 1/4 in adults
  • 2x did not have a family member outside of the household they could confide in - cf to non-Aboriginal parents/gaurdians (18.9% cf 8.6%) 2x did not have a friend outside the family household they could confide in - (23.6% cf 10.1%) 1/3 did not have any Aboriginal friends - 34.9% cf 4.3% friends of same ethnic background 1/3 Aboriginal children spent time with an Elder/leader - 12.3% did not know an Aboriginal Elder high proportion of parents/gaurdians and young can get the support they when needed - >92.3% young Aboriginal people have a lower chance to make decision at home about things that affect them - 50.2% cf 62.9%
  • 1/10 households need an extra bedroom 3x couple families had parents unemployed more likely to spend >30% of household income on housing 1/3 had days without money to pay for basic living expenses 1/5 households ran out of food and couldn’t afford to buy anymore
  • 1/4 parents/guardians had used illicit drugs - higher than national Aboriginal population 1/5 consumed alcohol during pregnancy; 1/2 smoked during pregnancy no difference at high risk alcohol intake (4.3%) but higher at medium risk levels (14.6% - cf 5.1%) 1/2 smokers (3x higher than non-Aboriginal parents), 1/5 never smoked (cf 56% nonAboriginal) 1/4 smokers smoked inside the house - 4x that of non-Aboriginal families
  • 2x likelihood of having low birth weight slightly higher birth defects neonatal and perinatal deaths are significantly high breast feeding rate are high (80%) immunisation rate are very high - only slightly lower than non-Aboriginal children asthma rates are higher -but admission rates to hospitals are the same oral health is poorer - decayed, missing, filled teeth - major cause of admission to hospital (double the rate) 2x hearing problems - no difference with sight problems
  • more likely need special health care needs more likely need assistance with core activities - disabilities exercise regularly - more likely to meet guidelines than non-Aboriginal 1/3 meet guidelines for fruit and vegetable consumption - similar to non-Aboriginal population
  • parents are more likely to be concerned about their children's behaviour at school entry 1/10 young people experience high to very high levels of psychological stress - same for non-Aboriginal youth admissions for psychiatric problems increased and higher in Aboriginal youth
  • 1/5 young people (15-24) experienced physical violence 2x more likely to be a victim of assault 3x more likely to be processed by the police 10x more likely to be in youth justice system adult prisoners more likely to be a parent 10x more likely to be a victim of substantiated abuse, neglect or harm 11x more likely to be place in out of home care (more likely placed with relative or kin home based care) 6/10 in OOHC have been placed in accordance with the Aboriginal Child Placement Principle (national agreed standard - placed with child’s extended family, within child’s Aboriginal community, with other Aboriginal people) - low recruitment of carers due to underlying social financial barriers, unwillingness to be associated with welfare system, aging of the current pool of carers, impact of past removal policies on parenting
  • 60% has taken folate prior to or during pregnancy 90% had regular antenatal checks lower Maternal and Child Health Service participation - 20% points lower than the whole population 40.3% cf 62.8% 8/10 children 0-8 years had been read to by main carer (past week) - higher than national figures for the Aboriginal population 1/3 children 0-8 years and 6/10 9-14 years were assisted with their homework 80% of households experienced family stress (experienced by self, family or friends) - doubled non-indigenous population; mental illness, serious illness and alcohol and drug related programs were more likely than national figures for Aboriginal Australians
  • 6/10 use childcare - more likely to be informal care 2x vulnerable on >1 health and wellbeing domain of the Australian early Development Index (AEDI) fare less well in numeracy and literacy by 20% point at year 9 level 94% attend school (4-14 years) 40% aspired to attend university (12-17 years) - cf 70% in non-Aboriginal populations rate of bullying on a daily basis higher (12-17 years)
  • Incomplete immunisation 24% Abnormal vision screen 30% Abnormal hearing test 28% Dental problems 30% Failed dev screen 60% Speech delay 33% Abnormal growth 14% Infections 12% Behavioural/emotional problems 54%
  • Transcript

    • 1. The Health of Koori Children in Victoria Hung The Nguyen Hung.nguyen@monash.edu 1
    • 2. ➡Overview of IndigenousChild Health in Victoria➡Mandatory reportingrequirements 2
    • 3. Background• 14,578 Aboriginal Children (0-17 years)• >50% of the aboriginal population was under 19 years• 1/2 one parent families 3 3
    • 4. What is ‘health’?Aboriginal and Torres Strait Islander healthmeans not just the physical wellbeing ofan individual, but also refers to the social,emotional and cultural wellbeing of the Textwhole community in which each individualis able to achieve their full potential as ahuman being. - NACCHO, 2006 4 4
    • 5. 5
    • 6. Connection to culture and community• half all young Aboriginal people identify with a clan, tribal or language group• over half of young Aboriginal people recognise an area as their homelands/country• half participate in cultural events• almost all families speak English 6 6
    • 7. Social network• 2x did not have a family member outside of the household they could confide in• 2x did not have a friend outside the family household they could confide in• 1/3 did not have any Aboriginal friends• 1/3 Aboriginal children spent time with an Elder/leader• high proportion of parents/guardians and young can get the support they when needed• young Aboriginal people have a lower chance to make decision at home about things that affect them 7
    • 8. Home and Environment• 1/10 households need an extra bedroom• 3x couple family household had both parents unemployed• more likely to spend >30% of household income on housing• 1/3 household had days without money to pay for basic living expenses• 1/5 households ran out of food and couldn’t afford to buy anymore 8
    • 9. Parental health• 1/4 parents/guardians had used illicit drugs• 1/5 consumed alcohol during pregnancy; 1/2 smoked during pregnancy• no difference at high risk alcohol intake (4.3%) but higher at medium risk levels (14.6%)• 1/2 parents are smokers, 1/5 never smoked• 1/4 smokers smoked inside the house 9 9
    • 10. Children’s health• 2x likelihood of having low birth weight• slightly higher birth defects• neonatal and perinatal deaths are high• breast feeding rate are high (80%)• immunisation rate are very high• asthma rates are higher• oral health is poorer• 2x hearing problems 10 10
    • 11. Children’s Health• more likely need special health care needs• more likely need assistance with core activities - disabilities• exercise regularly• 1/3 meet guidelines for fruit and vegetable consumption 11 11
    • 12. Social and emotional wellbeing• parents are more likely to be concerned about their childrens behaviour at school entry• 1/10 young people experience high to very high levels of psychological stress• admissions for psychiatric problems increased and higher in Aboriginal youth 12 12
    • 13. Safety• 1/5 young people (15-24) experienced physical violence• 2x more likely to be a victim of assault• 3x more likely to be processed by the police• 10x more likely to be in youth justice system• adult prisoners more likely to be a parent• 10x more likely to be a victim of substantiated abuse, neglect or harm• 11x more likely to be place in out of home care• 6/10 in OOHC have been placed in accordance with the Aboriginal Child Placement Principle 13
    • 14. Child development• 60% has taken folate prior to or during pregnancy• 90% had regular antenatal checks• lower Maternal and Child Health Service participation• 8/10 children 0-8 years had been read to by main carer• 1/3 children 0-8 years and 6/10 9-14 years were assisted with their homework• 80% of households experienced family stress 14 14
    • 15. Development and Learning• 6/10 use childcare - more likely to be informal care• 2x vulnerable on >1 health and wellbeing domain of the Australian early Development Index (AEDI)• fare less well in numeracy and literacy by 20% point at year 9 level• 94% 4-14 yo attend school• 40% 12-17 yo aspired to attend university• rate of being bullied on a daily basis higher 15
    • 16. Health of children in OOHC➡ High levels of chronic and complex health needs➡ Negative effects of health issues on quality of life – comparable to cystic fibrosis, asthma, juvenile diabetes 16
    • 17. KARI (Aboriginal) SCHincomplete immunisation 24 34abnormal vision screen 30 35abnormal hearing test 28 44dental problems 30 36speech delay 33 66abnormal growth 14behavioural/emotional problems 54 45infections 12 17
    • 18. Child protection - reporting•Doctors and nurses are mandated reporters in Victoria.Responsibilities of a mandated reporter:•You are legally obliged to make a report to Child Protectionif you believe on reasonable grounds that a child is in needof protection.•You must make a report without delay.•You are required to make a report each time you becomeaware of any further grounds for your belief.•You don’t have to prove that the abuse has occurred. 18
    • 19. Child protection - reporting• It is your responsibility to report your belief – it is notthe responsibility of your boss, supervisor, principal• In instances where the supervisor directs you not tomake a report even where they believe that abuse isoccurring, you are still legally required to make areport.• Mandatory reporting requirements take precedenceover professional codes of practice whereconfidentiality or client privilege is claimed. 19
    • 20. Child protection - reporting• A report does not constitute unprofessionalconduct or a breach of professional ethics, nor doesit subject the person to any liability if made in goodfaith.• Ringing Child Protection: 1300 655 795• After hours: 131 278 20
    • 21. The Aboriginal context 21
    • 22. 22
    • 23. 23

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