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Aboriginal Health Councilof South Australia Ltd.
AHCSA OUR HEALTH, OUR CHOICE, OUR WAY
ANNUAL REPORT 2018-2019
Pipalyatjara Amata
Umuwa
FregonMimili
Ernabella
Indulkana
Nganampa Health Council
Oodnadatta
Coober Pedy
Oak Valley Health Service
Yalata
Tullawon Health Service Inc.
Oak Valley
Koonibba
Ceduna Koonibba Aboriginal HealthService Aboriginal Corporation
Ceduna
Port Augusta
Port Lincoln
Pika Wiya Health ServiceAboriginal Corporation
WhyallaNunyara Aboriginal Health Service Inc.
Quorn
Hawker
Copley
Marree
NepabunnaUmoona Tjutagku Health Service
Aboriginal Corporation
Port Lincoln Aboriginal Health Service Inc.
Aboriginal Sobriety Group Indigenous Corporation
Nunkuwarrin Yunti of South Australia Inc.
Mount Gambier
Murray Bridge
Meningie
RaukkanVictor Harbor
Loxton
RenmarkBarmera
GerardBerri
Pangula Mannamurna Aboriginal Corporation
Point Pearce
Adelaide
South Australia
Moorundi Aboriginal Community Controlled
Health Service Inc.
OUR MEMBERSAboriginalHealthCouncilofSouthAustraliaLtd.
Key
AboriginalCommunityControlledSubstanceMisuseServiceAboriginalCommunityControlledHealthService
ANNUAL REPORT CONTENTS 2018-2019
CHAIRPERSON’S REPORT 2
CHIEF EXECUTIVE OFFICER’S REPORT 4
DEPUTY CHIEF EXECUTIVE 6 OFFICER’S REPORT
STRATEGIC DIRECTION 8 OFFICIAL LAUNCH
AHCSA 2018 NAIDOC OPEN DAY SHED PARTY 10
AHCSA STRATEGIC DIRECTIONS 12
ORGANISATIONAL STRUCTURE 14
PROGRAM REPORTS
Constitutional Objective 1 15
QUALITY, ACCREDITATION 15 AND COMPLIANCE
EXECUTIVE 18
HumanResources 18
Constitutional Objective 2 20
PUBLIC HEALTH AND PRIMARY HEALTH CARE 20
PublicHealth 20
BloodBorneVirus 22
SexualHealth 23
DeadlySounds 26
DeadlySights 27
TrachomaElimination 29
AboriginalDental 30
TACKLING INDIGENOUS SMOKING 31
MaternalHealthTacklingSmoking 32
Constitutional Objective 3 36
RESEARCH 36
AboriginalHealthResearchEthicsCommittee 36
AboriginalGender 38
SheddingtheSmokes 40
StrongDadsStrongFutures 41
UnderstandingStressandStayingStrong 43
AlcoholManagement 46
QUALITY SYSTEMS 47
DigitalHealth 49
Constitutional Objective 4 50
CHRONIC DISEASE 50
Constitutional Objective 5 51
EDUCATION, TRAINING 51 AND WORKFORCE
RegisteredTrainingOrganisation 51
RuralAboriginalHealthWorker 56
FINANCIAL REPORT 57
BoardofDirectors’Report 58
StatementofProfitorLossandComprehensiveIncome 60
StatementofFinancialPosition 61
StatementofChangesinEquity 62
StatementofCashFlows 63
NotestotheFinancialStatements 64
StatementbytheBoardofDirectors 77
IndependentAuditor’sReport 78
our health, our choice, our way | www.ahcsa.org.au
Throughoutthisdocument,theterms‘program’and‘programme’areused.‘Program’relatestoState-fundedinitiatives,while‘programme’referstoCommonwealth-fundedinitiatives.
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ABOUT AHCSAAboriginalHealthCouncilofSouthAustraliaLimited(AHCSA)isthepeakbodyrepresentingAboriginalcommunitycontrolledhealthandsubstancemisuseservicesinSouthAustraliaatastateandnationallevel.
Ourprimaryroleistobethe‘healthvoice’forallAboriginalpeopleinSouthAustralia.WeachievethisbyadvocatingforthecommunityandsupportingworkerswithappropriateAboriginalhealthprogramsbasedonaholisticperspectiveofhealth.
AHCSAisamembership-basedpeakbodywithaleadership,watchdog,advocacyandsectorsupportrole,andacommitmenttoAboriginalself-determination.
TheBoardofDirectorsandtheSecretariatcollectivelyformAHCSA.TheroleoftheSecretariatistoundertakeworkdirectedbytheCouncilonwhichallMemberorganisationsarerepresented.
AHCSA’s 38 year history includes:
1981 IncorporatedhealthunitundertheSouthAustralianHealthCommissionAct.
1999 CommissionedareviewthatrecommendedreincorporationundertheAssociationsIncorporationAct,SA1985,toincreaseeffectivenessandrepresentation.
2001 ReincorporatedinOctoberasanAboriginalcommunitycontrolledorganisation,governedbyaBoardofDirectorswhosemembersrepresentAboriginalCommunityControlledHealthandSubstanceMisuseServicesandAboriginalHealthAdvisoryCommittees/Groups(AHACs/AHAGs)throughoutSouthAustralia.
2011 AHCSAcelebratedits10thanniversaryasanindependentAboriginalCommunityControlledHealthOrganisation.
2014 AHCSAInc.purchaseslandandbuildingat220FranklinStreet,Adelaide,SouthAustralia.
2015 AHCSAInc.submitsanapplicationforexemptiontoincorporateundertheCorporations(AboriginalandTorresStraitIslander)Act2006withtheMinisterforIndigenousAffairs,theHonourableNigelScullion.
2016 ExemptionisgrantedinFebruary,andpaperworkiscompletedforAHCSAtoincorporateundertheAustralianSecuritiesandInvestmentsCommission(ASIC).AHCSA’sBoardofDirectorsupdateditsConstitutiontomeetASICrequirements.InAugust,aSpecialGeneralMeetingwasheldwithAHCSAMemberstoendorsetherevisedConstitutionforAHCSALimited.PaperworkwassubmittedtoASICtoregisterasacompany.
2017 InJanuary,theAboriginalHealthCouncilofSouthAustraliaIncorporatedbecametheAboriginalHealthCouncilofSouthAustraliaLimited.Assuch,itbecamearegisteredcompanyundertheCorporationsAct2001andisacompanylimitedbyguarantee.ThisisanexcitingnewphasefortheAboriginalHealthOrganisationandweworktowardsbecomingasustainableorganisationforAboriginalpeopleacrossSouthAustraliaintothefuture.
AHCSA MEMBERSAboriginalHealthCouncilofSouthAustraliaLtd.
PIKA WIYA HEALTH SERVICE ABORIGINAL CORPORATIONEstablishedasPikaWiyaHealthServicesInc.intheearly1970stoprovideamedicalservicetotheAboriginalpopulationinPortAugustaandDavenport,theorganisationwasincorporatedin1984undertheSAHealthCommission(nowCountryHealthSALocalHealthNetworkInc.).On1July2011,theservicetransitionedtoAboriginalcommunitycontrolundertheCATSIAct.
NowknownasPikaWiyaHealthServiceAboriginalCorporation,theorganisationoperatesfrompremisesinPortAugustaandalsohasclinicsatDavenport,CopleyandNepabunnacommunitiesaswellasprovidesservicestothecommunitiesofQuorn,Hawker,Marree,LyndhurstandBeltana.
NGANAMPA HEALTH COUNCILNganampaHealthCouncil(NHC)isanAboriginalCommunityControlledHealthOrganisationoperatingontheAnanguPitjantjatjaraYankunytjatjara(APY)LandsinthefarnorthwestofSouthAustralia,whichishometoalmost3,000residents.TheAnangucultureisstillstrong,andPitjantjatjara/Yankunytjatjaraisthefirstlanguage.NHCprogramsincludeagedcare,sexualhealth,environmentalhealth(UPK),dental,women’shealth,malehealth,children’shealth,immunisation,eyehealthandmentalhealth.
Theyhaveanationalreputationforbestpracticeclinicalservices,collaborativeprogramresearchanddevelopment,andcollectionofdataforongoingevaluation.TheirsuccessesincludethereductionofSTIsbyover50%since1996andconsistentchildimmunisationofatleast90%.Completedhealthcheckshaveincreasedfrom84in2003/04toover1,400in2016/17.Antenatalvisitsinthefirsttrimesterhaveincreasedby50%since1992.PublicationoftheinternationallyrecognizedUPKreportin1987andtheUPKprogram,whichestablishedninehealthylivingpracticesthatledtotheprovisionofhealthhardwarewhichhasreducedrheumaticheartdiseaseandscabies,whichleadstokidneyfailurelaterinlife.Improvementsinthenumberofwellwomen’schecksandthedentalhealthofchildrenarecomparablewiththerestofSouthAustralia.Theyhavealsodevelopedthe‘MaiWiruStorepolicy’andstorecouncilstomaintainthepolicy.Theseachievementshavebeenwidelyrecognised.
NHCisawellutilisedservice,withover60,000patientcontactsperyear.TheirclinicsareAGPALaccreditedwithmodernequipmentandsophisticatedITsystems,includingCommunicare,telemedicinefacilitiesandanintranetsite.ThemainclinicsarelocatedatIwantja(Indulkana),Mimili,Fregon,Pukatja(Ernabella),Amata,andPipalyatjara,withasmallerclinicatNyapari.TheTjilpiPampakuNguraAgedCarefacilityislocatedatPukatja,withadminofficesatUmuwaandAliceSprings.
PORT LINCOLN ABORIGINAL HEALTH SERVICE INC.TheAboriginalcommunitywasintegraltotheestablishmentofthePortLincolnAboriginalHealthService(PLAHS).ItdevelopedasaresultofReportsandSubmissionsputtotheCommonwealthandStateGovernmentsfromthemid1980’sonwards.InMay1992,PaulAshewasappointedHealthServiceCo-ordinatortooverseeitsearlyestablishmentphase.
ByJune,theAboriginalandTorresStraitIslanderCommission(ATSIC)issuedagrantforbuildingrenovations,furniture,fittingsandmedicalequipment,aswellasrecurrentfundsforrecruitmentofstaff.TheSAHealthCommissionalsomadeanareaavailablewithintheHealthandWelfareComplexonOxfordTerrace.PLAHSwasofficiallyopenedinSeptember1993byLowitjaO’Donoghue,ChairpersonofATSIC,andIrisBurgoynewaselectedastheInauguralChairperson.In2013,PLAHScelebratedits20thAnniversarywithanOpenDayandCommunityBBQ.
2018-2019 ANNUAL REPORT
our health, our choice, our way | www.ahcsa.org.au
NUNKUWARRIN YUNTI OF SOUTH AUSTRALIA INC.NunkuwarrinYuntiofSouthAustraliawasinitiatedinthe1960sbyMrsGladysElphick,whofoundedtheCouncilofAboriginalWomenofSA,oneofthefirstAboriginalorganisationsinthestate.Incorporatedin1971,NunkuwarrinYuntievolvedfromtheAboriginalCulturalCentre,theAboriginalCommunityCentreofSA,andtheAboriginalCommunityRecreationandHealthServicesCentreofSA.
Theirfirstprogrammewasestablishedwiththeaidofdonations,somegovernmentfundingandtheservicesofadedicateddoctor.TheyalsoaccommodatedtheAboriginalLegalRightsMovement,AboriginalChildCareAgency,AboriginalSobrietyGroupInc.,NationalAboriginalCongress,AboriginalHostelsLtd,TrachomaandEyeHealthProgramme,WOMA,AboriginalHousingBoard,AboriginalHomeCare,andKumangkaAboriginalYouthService.TheyalsoassistedwiththeestablishmentoftheEldersVillage.TheybecameknownasNunkuwarrinYuntiofSouthAustraliaInc.in1994.ItiscommunitycontrolledandgovernedbyanallAboriginalandTorresStraitIslanderBoard.
ThisensuresthedeliveryofculturallyappropriateservicestoAboriginalandTorresStraitIslanderpeoplebyAboriginalandTorresStraitIslanderpeople.Ithasgrownfromawelfareagencywiththreeemployeestoamulti-facetedorganisationwithover130staff,whodeliveradiverserangeofhealthcareandcommunitysupportservicesandisaregisteredtrainingorganisation.
NUNYARA ABORIGINAL HEALTH SERVICE INC.AccessandequityissuesraisedbytheCommunityin1996,andtheoverallappallingstateofhealthinthebroaderAboriginalCommunity,weretheconduittotheestablishmentofNunyaraWellbeingCentreinWhyallain2003.ThiswasapartnershipbetweenHealth,Housing,theAboriginalCommunityandtheCommonwealth.However,the‘in-reach’modelwherebymainstreamserviceprovidersvisitedNunyaradidnotmeetCommunityexpectationsordeliverimprovedhealthoutcomes.
AfterthegrantingofCommonwealthHealthyforLifefundingin2008,NunyarawasabletoindependentlydelivercomprehensiveprimaryhealthcaretotheCommunity.By2012,NunyaratransitionedtofullAboriginalCommunityControlandbecameNunyaraAboriginalHealthServiceInc.TodayNunyaradeliversservicestoover1,100AboriginalpeopleinWhyalla.
TULLAWON HEALTH SERVICE INC.Establishedin1982astheYalataMaralingaHealthServiceInc.(YMHS)followingcommunityinitiativeandlobbying,thehealthservicewasnotonlyconcernedwithlookingafterpeoplelivinginYalatabutalsoolderpeoplewhohadreturnedtotheirtraditionallandsinthenorthandatOakValley,northwestofMaralinga.
Bythelate1990s,OakValleywasreadytoestablishitsownhealthservicecalledOakValley(Maralinga)HealthService(OV(M))basedontwoprinciplesthattheAnangupeopleofYalataandOakValleyareonepeople,andbothYMHSandOV(M)shouldhavecooperativeand‘seamless’arrangementsforAnangubetweentheservices.On31May2001,theYMHSConstitutionwasamendedandthenameoftheorganisationchangedtoTullawonHealthServiceInc.withtheimportanceofthetwoprinciplesremainingintheConstitution.
UMOONA TJUTAGKU HEALTH SERVICE ABORIGINAL CORPORATIONUmoonaTjutagkuHealthServiceAboriginalCorporation(UTHSAC)providesprimaryhealthcareservicestoAboriginalpeopleinandaroundCooberPedyandalsoauspicestheDunjibaSubstanceMisusePrograminOodnadatta.Establishedin2005,UTHSAChasexpandedsteadilyoverthepast10yearstoprovideacomprehensiverangeofhighqualityservicesincludingmedical,dentalandsocialservicesforthecommunityaswellasanincreasingnumberoftransientclients.
OAK VALLEY HEALTH SERVICEOakValleyHealthServicewasestablishedin1985asacommunityoutstationforAnangupeopledisplacedfromtheMaralingaLandsfortheBritishatomictests.OakValley(Maralinga)Inc.managedtheestablishmentofthecommunityincludinghousing,roadsandotherinfrastructure.Nowservicedwithastore,mechanicsgarage,healthclinic,agedcarecentre,anewschoolandanairstrip,aCDEPprogramandartsworkshopisalsoavailable.
Thehealthclinicprovidesprimaryhealthcaretothecommunity,monitoringongoinghealthissuessuchasdiabetes,hypertension,antenatalandpost-natalcare,childandschoolhealth.Theirmainroleishealtheducation,hostingvisitingspecialistsandreferralsfortheRoyalFlyingDoctorService(RFDS).
PANGULA MANNAMURNA ABORIGINAL CORPORATIONPangulaMannamurnawasestablishedfromtheSouthEastAboriginalPartnership,whichcomprisedofmembersfromtheSENungasClubandcommunitymemberswhosefocuswastoforma‘onestopshop’forAboriginalpeopleinthesoutheast.ThisvisionofthefoundingfamilieswhosetupPangulaMannamurnawasbasedonAboriginalandTorresStraitIslanderpeoplehavingaccesstohealthandwellbeingserviceseitheronsite,orthrougheffectivereferrals.Thevisionalsoincludedasafeplaceforcommunitytovisitandstayconnectedtoothers.Thevisionisstillalivetodayandwillcontinueonwellintothefuture.
ABORIGINAL SOBRIETY GROUP INDIGENOUS CORPORATIONTheAboriginalSobrietyGroupIndigenousCorporation(ASG)hasbeenoperatingsince1973,asavoluntaryself-helpgroupforpeoplewantingtoregaintheirsobriety.ASGprovidescompletealcoholanddrugsubstancemisuserecoverypathway.ThisincludesCrisisInterventionwithaMobileAssistancePatrol.TheSubstanceMisuseTeamestablishesindividual’sneedsandprovidesreferralsforrehabilitationandhealth.Rehabilitation(Monarto)providesaholisticprogramformenatLakalinjeriTumbetinWaal(LTW),andLeilaRankineHouseofHopeforwomen,andTheHomelessnessProgram(WoodvilleGardens)isatCyrilLindsayHouseformenandAnnieKoolmatrieHouseforwomen.TheDisabilityProgram(Ottoway)isatArkaringaHouseforwomen.
ASGisalsobasedatBerri,whichalsoincludeaMobileAssistancePatrol,SubstanceMisuseTeam,SocialandEmotionalWellBeingandMentalHealthSupportTeam.Theirpurposeistoprovideholistichealingpathwaysawayfromgrief,loss,trauma,andabusivelives.TheirvaluesincludepracticingAboriginalculture,custom,tradition,andspiritualityforasoberandhealthylifestyle.
CEDUNA KOONIBBA ABORIGINAL HEALTH SERVICE ABORIGINAL CORPORATIONFirstestablishedastheCedunaKoonibbaAboriginalHealthService,theorganisationwasdesignedtomeetthehealthneedsofAboriginalpeoplewithintheCedunadistrictofSouthAustraliaincludingScotdesco,Koonibba,TiaTuckia,MundaandWannaMarhomelands.
Incorporatedin1986undertheSAHCAct,on1July2011theorganisationtransitionedfromtheSAGovernmenttoAboriginalcommunitycontrolandbecameknownasCedunaKoonibbaAboriginalHealthServiceAboriginalCorporation.
MOORUNDI ABORIGINAL COMMUNITY CONTROLLED HEALTH SERVICE INC.Thishealthservicewasestablishedin2017todeliveracomprehensiverangeofprimaryhealthcareservicestotheircommunities.Atthecoreoftheseservices,MoorundiACCHSInc.deliversaholisticmodelofhealthcare,whichincludesclinicalservicesandwellbeingprograms.
InNgarrindjeri,theword‘Moorundi’meansriverandrefersdirectlytotheMurray.ForthepeopleoftheNgarrindjerination,theriveriswherealllifebeginsandtheconnectionbetweenhealthandwaterisintricatelylinkedtothecultureoftheNgarrindjericommunity.
2018-2019 ANNUAL REPORT
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InJuly2018,weheldourfirstNAIDOCOpenDayShedPartyintheAHCSAcarpark.Manypeopleattended,includingtheMinisterforHealthandWellbeingtheHonStephenWade.Itwasamazingtoseethecarparktransformedintoafuncommunityhub,filledwithsoftfurnishings,partylights,astageandlivemusic.Itwasawelcomingfamilygathering.
ThankyoutoAHCSAstaffwhoplannedtheeventandmadethedaypossible,andtothewonderfulsponsors:Bunnings,thePrimaryHealthNetworks,CoLLECTDesign,theRuralDoctorsWorkforceAgency,andtheDepartmentofPrimeMinisterandCabinet.WehavealottoliveuptoforournextNAIDOCOpenDay.
AlongwithotherDirectorsandAHCSAstaff,IhadtheopportunitytoattendourpeakbodyconferencewiththeNationalAboriginalCommunityControlledHealthOrganisation(NACCHO),heldinBrisbaneinNovemberlastyear.ThethemefortheconferencewasInvestinginWhatWorks,whichsawmanyinspirationalspeakersfromtheAboriginalCommunityControlledHealthSector,includingDrPaulTorzillo,whopresentedtheHousingforHealthinitiativeattheNganampaHealthCouncilthroughtheirUPKEnvironmentalHealthProgram.Thereweremanysuchspeakersoverthetwodays,endingonthethirddaywiththeNACCHOAnnualGeneralMeeting.PriortotheNACCHOAGM,theYouthConferencewasheld.AHCSAlooksforwardtoattendingthe2019conferenceinDarwin:BecauseofThem,WeMust!Improvinghealthoutcomesfor0-to-29-year-olds.
Completedduringthisreportingperiod,wewerefortunatetoreceivefundingthroughtheLowitjaInstituteforthreeprojects,includingtheAboriginalGenderStudy.ThisinvolvedAHCSAbeingapartoftheAdvisoryGroup,whichwasveryrewarding.Particularlysincewewereabletoprovidesupportfrombeginningtoend.
Theteamhasdoneamazingwork,whichinvolvedthemmeetingwithkeypeopleinanumberofcommunitiestogatherinformationonwhatisanunder-researchedareaofAboriginalhealth.Thestudypresentedgreatoutcomes,whichwasdocumentedinaFinalReport,aswellasinaCommunityReport.Thankyoutoallwhohavebeeninvolved,totheresearchteamandtoallcommunityparticipants.
InDecember2018,IfeltveryprivilegedtoattendtheAHCSARegisteredTrainingOrganisation(RTO)Graduation.Thatnightalsomarked35yearssincethefirstAboriginalHealthWorkergraduationin1983,throughourpredecessor,theAboriginalHealthOrganisation.ItwasamazingtoseethelevelofprofessionalismwithinthisimportantindustryandhowAHCSAhasplayedsuchanintegralroleinelevatingtheleveloftrainingsincewebecameanRTOin2005.CongratulationsagaintothestudentsandstaffintheEducation,TrainingandWorkforceteamforthisachievement.
TheBoardhasbeenworkingveryhardoverthepast12monthstodevelopthenewAHCSAStrategicDirection2019-2024,holdingseveralworkshopsthroughoutthistimetoplanforthefutureandreflectonourlastStrategicDirectiondocument.OurfiveConstitutionalObjectivesformthefoundationofourorganisationandplayamajorroleinhowwedirectthebusinessofAHCSA.Thisfoundationcontinuestoprovidestabilityforournewdocument,StrategicDirection2019-2024,withtheadditionofournewConstitutionalObjective4:Provideanddeliverchronicdiseasecareservicesandprograms.ThisimportantdocumentwaslaunchedinMarch2019,withthecommissionedcoverartworkcreatedbyrenownedAboriginalartistAnnaDowling,hangingproudlyinourbuildingforalltosee.
AstheClosingTheGaprefreshoccursatnationallevel,IhaveattendedmeetingsofthenewlyformedSouthAustralianAboriginal
CHAIRPERSON’S REPORT 2018-2019
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Welcome to our 2018-2019
Annual Report. It has been a
whirlwind 12 months with
many exciting and rewarding
achievements by both the
AHCSA Board and Secretariat.
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our health, our choice, our way | www.ahcsa.org.au
CommunityControlOrganisationsNetwork(SAACCON),whichistheSouthAustralianpeakbodythroughwhichtheCoalitionofPeakswillshareandseekinformationunderaClosingtheGapPartnershipAgreement.
TheCoalitionofPeaksismadeupofnearly40membersofnational,stateandterritoryAboriginalandTorresStraitIslanderpeakbodieswithinvarioussectorsacrossthecountry.IthascometogethertobeaformalpartnerwiththeCouncilofAustralianGovernments(COAG)inthenextphaseofClosingtheGap.ThewayweworktogetherissetoutinthePartnershipAgreementonClosingtheGap(PartnershipAgreement)ofMarch2019.ThenewNationalAgreementwillsetouthowgovernmentsandtheCoalitionofPeakswillworktogetheroverthenext10yearstoimprovethelivesofAboriginalandTorresStraitIslanderpeopleacrossAustralia.
HereinSouthAustralia,meetingsonthenewNationalAgreementwillbeheldacrossthestate.SouthAustralia,throughtheAboriginalLegalRightsMovement,istheleadconvenerofthesemeetingsandistheCoalitionofPeaksrepresentativeonJointCouncilforClosingtheGap.TheCEOandIrepresentAHCSAonthisbodyandaninvitationhasbeenextendedtoalloftheAHCSAMembersandotherAboriginalpeaksacrossSouthAustraliatobecomeinvolved.
TheAHCSASecretariathashadanextremelybusyyearsupportingourMembersandrepresentingAHCSAatastateandnationallevel.OnbehalfoftheBoardofDirectorsIwouldliketoexpressourgratitudeandappreciationforyourcontinuedhardworkanddedicationtoAHCSA.TherearemanyexcitingprojectsscheduledfortheupcomingfinancialyearandwelookforwardtohearingtheupdatesatournextBoardmeeting.
The Board has been working very hard over the past 12 months to develop the new AHCSA Strategic Direction 2019-2024, holding several workshops throughout this time to plan for the future and reflect on our last Strategic Direction document
Thankyouonceagaintoourfunders:SAHealth;theDrugandAlcoholServicesofSouthAustralia;DepartmentofHealth;theLowitjaInstitute;UniversityofSydney;theBrienHoldenInstitute;theRuralDoctorsWorkforceAgency;andtheDepartmentofPrimeMinisterandCabinet.
Finally,toourBoardofDirectors,Iextendabigandheartfeltthankyouforyourparticipation,inputandguidance.ToourChiefExecutiveOfficer,TeamLeaders,andAHCSAstaff,withoutwhosecontribution,valuableinputandfacilitationwouldmaketheoperationalsuccessofourorganisationimpossibleandunachievable,thankyouforallthatyoudo.
Polly Sumner-DoddChairperson
2018-2019 ANNUAL REPORT
4
BeingthepeakbodyforAboriginalhealthinSouthAustralia,AHCSAasanorganisationhasparticipatedinawiderangeofmeetings,forumsandconferencestoprovideinputandadvocateonbehalfofourMembersandAboriginalcommunities.Thishasincludedstronglyadvocatingonanumberofkeylegislativematters,includingtheControlledSubstances(YouthTreatmentOrders)AmendmentBill2018andHealthPractitionerRegulationNationalLawSouthAustraliaRemoteAreaAttendance(Gayle’sLaw).
AHCSAcontinuestohavestrongworkingrelationshipswithourfunders,partnersandstakeholdersasweworktogethertoimprovethehealthoutcomesofAboriginalpeopleinSouthAustralia.
Overthelasttwelvemonths,theAHCSABoardandstaffhavebeendevelopingourstrategicdirectionforthenextfiveyears.IwouldliketothanktheBoardfortheircommitmentandcontributiontothisimportantdocument,whichwillguidetheworkofAHCSAoverthenextfiveyears.
OurAHCSAStrategicDirection2019-2024waslaunchedinMarchthisyearandthisresourcecanbefoundonAHCSA’swebsite.WelookforwardtoworkingwithourMembersonimplementingnewinitiativesaspartofourStrategicDirection,includingeightkeystrategiesthatwillsupportAHCSA’sOrganisationPlan,CommunityEngagementPlanandPartnershipPlan.WewillensurethattheoutcomesofourkeystrategiesandinitiativesaresharedwithourstakeholdersviafutureAHCSApublications.
CHIEF EXECUTIVE OFFICER’S REPORT 2018-2019
InDecember2018,wecelebratedthegraduationofover50students,throughourRegisteredTrainingOrganisation,witharangeofqualifications.ThiswascoupledwithanAHCSAHealthAwardsceremony.BoththestudentsandthehealthawardwinnersshouldbeveryproudoftheirachievementsandthecontributiontheyhavealreadymadeandwillcontinuetomakeinAboriginalhealth.
OurresearchprogramsandpartnershipshaveexpandedinrecentyearsanditispleasingthatAboriginalresearchisbeingdriven,ownedandleadbyAboriginalresearchersandtheAboriginalcommunity,forthebenefitoftheAboriginalcommunity.WelookforwardtocontinuingtostronglycontributetothiskeyareaofAboriginalhealth.
AHCSArecentlywentthroughourQualityInnovationPerformanceLtd(QIP)AccreditationprocessagainsttheQICHealthandCommunityServicesStandards7thEditionandwewouldliketothankourMemberrepresentatives,keystakeholdersandallstaffwhocontributedtotheauditprocess.Yourparticipationandinputisgreatlyvalued.
Inclosing,IwouldliketothankyouforyourinterestinourAnnualReportandhopeyouenjoyreviewingtheupdatesregardingourkeyprojectsandactivitiesforthe2018-2019financialyear.IwouldliketosincerelythanktheAHCSABoard,staffandMembersfortheircontinuedsupportandcommitmenttoAHCSA,whichensuresthatourorganisationcancontinuetofulfiltheroleofpeakbodyforAboriginalhealthinSouthAustralia.
Shane Mohor ChiefExecutiveOfficer
We have once again experienced
a very busy, challenging and
rewarding year. I would firstly
like to acknowledge our staff
who have continued in their
commitment to our Members
through many and varied programs
and support mechanisms. I would
also like to thank AHCSA’s Board
for their on-going guidance,
direction and support.
C
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our health, our choice, our way | www.ahcsa.org.au
AHCSA as an organisation has participated in a wide range of meetings, forums and conferences to provide input and advocate on behalf of our Members and Aboriginal communities
2018-2019 ANNUAL REPORT
6
DEPUTY CHIEF EXECUTIVE OFFICER’S REPORT 2018-2019
ResearchcontinuestobehighonAHCSA’sagendaandbyJunethisyear,wewillhavefourprojectscomingtoanend.ThethreestudiesfundedbytheLowitjaInstitute:AboriginalGenderStudy;StrongDadsStrongFutures;andUnderstandingStressintheWorkforce.TheSheddingtheSmokesProgrammewasfundedbytheDepartmentofHealth.Allwerehighlybeneficialprojects,whichinvolvedworkingwithourMembersandcommunities.TheyalsostrengthenedourpartnershipsandrelationshipswiththeTullawonHealthServiceandUmoonaTjutagkuHealthServiceAboriginalCorporation,theUniversityofCanberra,UniversityofSouthAustralia,WardliparinggaAboriginalHealthUnit,aswellastheSouthAustralianHealthandMedicalResearchInstitute(SAHMRI).
Thisyear,theQualitySystemsteamheldtheirfirstQualityForumwithourMembers,whichincludedguestsfromAboriginalHealthCouncilofWesternAustralia(AHCWA)andVictorianAboriginalCommunityControlledHealthOrganisation(VACCHO).Overthetwodays,theteamshowcasedwhattheSectorhasbeendoingwithclinicalgovernance,chronicdiseasesystems,MyHealthRecord,accreditationandCommunicare.TheForumalsoshowcasedcasestudiesfromtheMembersandvisitors.Itwasahugesuccess,withanotherForumplannedfor2020.TheteamengagedadigitalstorytellertocapturethetwodaysinavisualformatandaCaseStudyReportisamongsttheprojectstheteamwillbeworkingonlaterintheyear.
IwouldliketoacknowledgethehardworkofourAccreditationWorkingGroupthroughourAHCSAAccreditationandComplianceOfficer.Allinvolvedhavebeenworkingtirelesslyoverthepastfewyearstoenableustomeetouraccreditationrequirementsandachievereaccreditation.Throughregularmeetings,includingseparateworkinggroupmeetingsonriskandcompliance,andpolicydevelopmentand
updates,ithasenabledAHCSAtomeetalloftheaccreditationstandards,demonstratebestpracticeandcontinuousqualityimprovement.
TheTackingIndigenousSmokingteamcontinuestosupportourMemberswhodon’treceivefundingforthisProgramme,aswellasAboriginalcommunitiesintheRiverland,YorkePeninsulaandOodnadatta.Thefocusforthisfinancialyearhasbeenprovidingtrainingandawarenessforsmokingcessationthroughthehealthworkforce,visitstoschoolsandwithexistingmale/femalesupportgroups,communityeventsandplanningcolourfunrunsincommunities.Theteamcontinuestobeverypopularandinhighdemandamongstthecommunity,andinpartnershipwiththeMaternalHealthTacklingSmokingProgram,theyaretargetingallAboriginalpeoplefromthegrowthofthebabythroughtoEldercare.
ThestudentgraduationinDecemberwasdefinitelyahighlightfortheyear.ItwasgreattowitnesssomanypeoplewhowehaveseenpassthroughthedoorsatAHCSAovertheyears,andwhoweseeoutonthegroundintheservicesandinthehospitals,walkonstagetoreceivetheirgraduationcertificates.Itwasanextravaganzafromtheminuteattendeeswalkedintotheroom,fromthevenue,therobes,thefamilyandfriendstotheentertainment.TheEducation,TrainingandWorkforceteamdidanamazingjobinplanningandfacilitatingtheevent.
Itwasalsoatremendoushonourtoseethegraduatesfromtheclassof1983,whowereabletoattendonthenight.ThiswasthefirstgroupofgraduateAboriginalHealthWorkers,whoarenowstrongAboriginalleadersandEldersinourcommunities.IwouldliketoacknowledgemyAunty,OliveGlinkwhowasoneofthesefirstAHWswhowentontobecomeaRegisteredNurseandworkatthePikaWiyaHeathService
The AHCSA Secretariat has been
working tirelessly over the past
year, continuing to produce high
quality work and resources to
support our Members and the
Sector, as well as continuing to
provide training, advice and visits
to the communities for capacity-
building and hands-on support.
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formanyyearsuntilherretirement.WehavesincelostAuntyOllie,however,manypeopleinPortAugustarememberandvalidatetheworkshedidthroughoutherlife,aswellasothersfromthisfirstgroupofAboriginalHeathWorkers,whohavesincepassed.
ThePublicHealthandPrimaryHealthCareteamcontinuestoprovidesupporttotheServicesfromtheEar,EyeandTrachomaProgramstotheSexualHealthandBloodBorneVirusPrograms.Buildingthecapacityofthehealthservicestoenablethemtodelivercomprehensiveprimaryhealthcareaswellastheconnectiontoalliedhealthandkeystakeholdershasalwaysbeenahighpriorityfortheteam.
TheSexualHealthteamcontinuedtosupportourMemberswitheducationandtraining,andasexuallytransmittedinfectionscreeningperiod.Thisyearincludedtheintroductionoftheenhancedsyphilisoutreachprogram,providingsupportacross
keyregions,aswellasliaisingwiththeKirbyInstitutewithpoint-of-caremachinetestingandtraining.
TheBloodBorneVirusProgramCoordinatorhasbeenworkingwithMembersandthePatientInformationManagementSystems(PIMS)Officeronaviralhepatitiscontinuousqualityimprovementproject.Thissupportsserviceswithscreeningandmanagementofviralhepatitisthroughstrengtheningpatientinformationmanagementsystems,andtheundertakingofclinicalaudits.Whilethishasbeengruellingwork,theresultsandimprovementswillbeveryrewardingforthehealthservicesandtheProgram,aswellasthereceiversoftheProgram–thecommunity.
Thankstoallofourpartners,keystakeholdersandfundersforyouron-goingsupport,whichenablesustodotheworkwedo.
AHCSA and Hepatitis SA were successful in securing a grant from the Department for Correctional Services to bring to South Australia Ilbijerri Theatre Company’s production VIRAL – Are you the cure?
Finally,thankyoutotheAHCSABoardofDirectors,staffandMembersforyourcontinuedcommitmenttoAHCSAandtheworkwedoasacollective.Ilookforwardtoworkingwithyoualloverthenextfinancialyear.WeexisttosupportourMembersandAboriginalcommunitiesacrossthestate,becauseatAHCSA,weareourMembers.
Amanda Mitchell DeputyChiefExecutiveOfficer
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Theeightmechanismsforchangestrategiestosupporttheimplementationofthisworkareasfollows:
1. TheAHCSAResearchStrategy
2. TheAHCSAPathwaytoAboriginalCommunityControlStrategy
3. TheAHCSAEducationHubStrategy
4. TheAHCSACommunicationStrategy
5. TheAHCSAWorkforceStrategy
6. TheAHCSABusinessDevelopmentandWealthCreationStrategy
7. TheAHCSAYouthStrategy
8. TheAHCSAHealthLeadershipStrategy
WecommissionedartistAnnaDowlingtoproduceanartworkthatwouldreflectthevisionoftheBoardandAHCSAthatwouldsitproudlyonthefrontcover.Annaproducedthebeautifulredgumtree‘inkonpaper’thatadornsthefrontcover,withtheoriginalillustrationhangingproudlyinourbuilding.ThankyoutoAnnaforcapturingtheessenceofAHCSAinyourbeautifulartwork.
TheAHCSAStrategicDirection2019-2024buildsonthethemesofthepreviousStrategicDirectiondocument,maintainingtheAHCSAConstitutionasthefoundationoftheorganisation.ThenewdocumentnowincludesanupdatedConstitutionalObjectivefromtheConstitutionrevisedin2017:‘Provideanddeliverchronicdiseasecareservicesandprograms’.ThisbecomesthefourthConstitutionalObjective,with:‘Contributetothedevelopmentofawell-qualified,andtrainedAboriginalhealthsectorworkforce’,becomingthefifth.
OurConsultant,DanaShenguidedtheBoard,CEOandseniorstafftoupdateanddevelopthe23keydirectionsthatwilldrivetheactionofthefiveConstitutionalObjectives.Anewinitiativefortheorganisationtoprogressthestrategicdirection,willbethedevelopmentandimplementationofTheAHCSAOrganisationalPlan,withthesupportanddirectionofTheAHCSACommunityEngagementPlanandTheAHCSAPartnershipPlan.
STRATEGIC DIRECTION OFFICIAL LAUNCH
ThankyoutoCoLLECTDesignforshapingtheartwork,thewordsandvisionintothisuniquedocument.Welookforwardtoworkingwithyoutodeveloptheeightmechanismsforchangestrategiesandthreekeyplansmentionedabove.
AHCSAexiststosupportourMembersandAboriginalcommunitiesacrosstheState.Together,weaimtobethe‘differencemakers’.Weareoneandthesame.AHCSAisitsMembersandwehavehighaspirationsforourCommunitiesasoutlinedinthisdocument.
‘AHCSA has great ambitions for our Community and we will aim high in order to achieve these through working to improve the health of Aboriginal people holistically.’
AHCSA Strategic Direction 2019-2024. 2019
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In March this year, our Board of
Directors launched the AHCSA Strategic Direction 2019-2024. After a number of workshops undertaken
from March 2018 through to this
financial year, the Board were very
happy to share the final document
with AHCSA staff, Members, key
partners and stakeholders.
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The NAIDOC Open Day was
themed ‘Because of Her We Can’.
We wanted to do something different
and exciting, so we held a Shed
Party in our Franklin Street car park.
Thespacewastransformedfromaconcreteshell,toacosycarnivalwithrugs,lights,livemusic,facepainting,basketweaving,artistsinresidence,stalls,showbagsandminihealthchecksonofferinourclinicalrooms.
ThefestivitieskickedoffwithaWelcometoCountrybyUncleLewisO’Brien,whosharedwithusastoryaboutaveryspecialAuntyinhislifeandreflectedonhowimportantshehadbeentohimandhisfamilythroughouttheirlives.Thankyou,UncleLewis.
AHCSAChairperson,AuntyPollySumner-Doddwelcomedeveryonetoourspecialdayofcelebrationandacknowledgementtoallofthespecialwomeninourlives.Sheespeciallyacknowledgedthecontributiontheyhavemadetoourcommunitiesandourfamilies.Thosewhohaveenabledustogrow,learnandbecomethepeoplewearetoday.
AuntyPollyalsodeliveredaspecialtributetoourformerCEO,MrsMaryBuckskin,honouringherworkanddedicationtoAHCSAandhercommitmenttoachievingwhatwehavetodate–‘BecauseofHerWeCan’.
WewerefortunatetohaveNatashaWanganeenasourMC,andasalways,Natashabroughtfunandlaughtertotheoccasion,assheintroducedandthanked
allofourmusicians,guestsandcontributorsthroughouttheday.MinisterforHealthandWellbeingHon.StephenWadewasabletoattendandvisitedtheclinicroomstohaveaminihealthcheckwithourAboriginalHealthPractitionerstudents,whichwasahighlightforthem.ItwasgreattoseetheMinisterparticipateinourevent,meetingwithstaff,studentsandcommunitymembers.
Ourline-upofmusiciansincludedEddiePeters,KatieAspel,EllieLovegrove,andCoreyandGemma.Inbetweenthemusic,facepaintingandbasketweaving,staffandguestswereabletoenjoyabeautifulhotroastfromtheteamatTexasBullMachine,withtakehomepacksavailableforourcommunitymembersattending.
ThankyoutoAuntyJaniceRigneyandtheSouthernEldersWeavingGroupandAudreyBrumbyforyourattendanceandsharingyourweavingandpaintingexperienceswithusall.
Ahugethankyoutooureventsponsorswhomadethedaypossible:
• DepartmentofPrimeMinisterandCabinet
• RuralDoctorsWorkforceAgency
• AdelaidePrimaryHealthNetwork
• CountrySAPrimaryHealthNetwork
• CoLLECTDesign
• CommonwealthBankofAustralia
• BunningsWarehouse
ThankyoutoalloftheAHCSAstafffortheircontributionovermonthsofplanning,throughtosupportleadinguptotheeventandofcoursefortheirattendanceontheday.Itisyourteamwork,dedicationandprideinAHCSAthatmakestheseeventsaworthwhileandwonderfulexperience.
AHCSA 2018 NAIDOC OPEN DAY SHED PARTY
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OUR VISIONOurvisionisthatallAboriginalpeoplewillthrive,behealthyandculturallystrong.
OUR MISSIONTheAboriginalHealthCouncilofSouthAustraliaLtd.willworkinwaysthatmaximisethecapacityoftheAboriginalCommunityindeterminingtheirhealthandwellbeingbyensuring:
•Communityparticipation
•Communityownership
• Communityempowerment
OUR VALUESWewilldothisinwaysthatensuretheAboriginalHealthCouncilofSouthAustraliaLtd.values:
• Culturaldiversity
•Communityhistoryandknowledge
•Communitystrength
AHCSA STRATEGIC DIRECTIONS 2018-2019
AHCSA’S CONSTITUTIONAL OBJECTIVESWewillachieveourvisionthroughtheobjectivessetforthintheAHCSAConstitutionasthefoundationdocumentoftheCompany.
TheseobjectivessupporttheactivitiesoftheAHCSABoardandSecretariat:
1. OperateasthepeakbodyforAboriginalhealthinSouthAustralia,includingby:
i. BeingthepeakorganisationconsultedbyGovernmentsinrelationtoissuesofAboriginalHealth;
ii. ProvidingleadershipinthedevelopmentofpolicyaffectingAboriginalCommunitiesandtheirhealthneeds;
iii. AdvocatingonbehalfofMembersandthoseCommunitieswithoutrepresentation;
iv.ProvidingregulatoryassistanceandenforcementforMembers;and
v. DevelopingleadershipwithintheSouthAustralianAboriginalCommunity,includingdevelopingyouthleaders;
2. ProvidesupporttoMemberstoimprovehealthoutcomesforallAboriginalpeopleofSouthAustralia,promotingandadvancingtheCommunity’scommitmenttophysical,socialandemotionalwellbeingandqualityoflife;
3. ProvidesupporttoMemberstobuildtheircapacitytocreateastrongandenduringAboriginalCommunityControlledHealthSectorandcontributetoimprovingthecapacityofmainstreamhealthservicestorespondappropriatelytothehealthneedsoftheAboriginalCommunitywithinSouthAustralia;
4. Provideanddeliverchronicdiseasecareservicesandprograms;and
5. Contributetothedevelopmentofawellqualified,andtrainedAboriginalhealthsectorworkforce.
We want to be clear about the way we move forward because we love and have a deep respect for our Communities and our work
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For tens of thousands of years, the Red Gum has provided physical and spiritual sustenance to Aboriginal people. We see this tree as a representation of AHCSA, and everything that we stand for
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PUBLIC HEALTH AND PRIMARY HEALTH CARE
David JohnsonTeam Leader, Public Health Medical Officer (NACCHO)
Raz Abdul-RahimPublic Health Medical Support Officer (NACCHO)
Sarah BettsProgram Coordinator, Sexual Health (DHW)
Catherine CarrollClinical Support Officer, Sexual Health (DHW)
Josh RiessenJunior Project Officer, Sexual Health (DHW)
Michael LarkinProgram Coordinator, Blood Borne Virus Program (DHW)
Leanne QuirinoProject Officer, Ear Health (DoH)
Robyn CooperProject Officer, Trachoma Elimination Program (CHSALHN)
Chris RektsinisProject Officer, Eye Health (NACCHO)
TACKLING INDIGENOUS SMOKING PROGRAMME
Ngara KeelerTeam Leader, Coordinator (DoH)
Trent WingardYouth Project Officer (DoH)
Jessica StevensEvaluation and Communication Project Officer (DoH)
Trevor WingardProject Officer (DoH)
Grant DayProject Officer (DoH)
Tim LawrenceProject Officer (DoH)
Jenaya HallProject Officer (DoH)
Mary-Anne WilliamsMaternal Health Tackling Smoking Project Officer (DASSA)
RESEARCH
Gokhan AyturkTeam Leader, Senior Research and Ethics Coordinator (C)
Beth HummerstonResearch Officer, Alcohol Management Project (Uni Of Sydney)
QUALITY SYSTEMS
Polly PaerataStatewide CQI Coordinator (NACCHO)
Isaac HillHealth Informatics Coordinator (NACCHO)
Sarah FraserPractice Managers’ Support Officer (NACCHO)
Nick WilliamsGP Supervisor (GPEx)
Lana DydaPIMS Officer (NACCHO)
Beth HummerstonPIMS Officer (NACCHO)
Carly ClyantDigital Health Coordinator (ADHA)
EDUCATION, TRAINING AND WORKFORCE
Annie-Rose ThurnwaldTeam Leader, Accreditation and Compliance Officer (DPM&C)
Christine FraserSenior Clinical Educator (DPM&C)
Annabella MarshallClinical Educator
James BissetEducator (DPM&C)
Dominic GuerreraEducator Assistant (DPM&C)
Hannah KeainCompliance and Material Support Officer (DPM&C)
Tallulah BilneyStudent Travel and Administration Officer (DPM&C)
Alfred LoweStudent Travel and Administration Officer (DPM&C)
AHCSA BOARD OF DIRECTORS
SHANE MOHORChief Executive Officer (C)
AMANDA MITCHELLDeputy Chief Executive Officer (C)
Aboriginal Health Research and Ethics Committee (AHREC)
EXECUTIVE
Mandy GreenExecutive Assistant (C)
Laura AzarHuman Resources Business Partner (C)
Debra SteadSenior Finance Officer (C)
Angela BroughamStrategic and Business Executive (C)
Marjo StroudAccreditation and Compliance Officer (AHCSA OP)
Belinda LockAdministration and Finance Support Officer (AHCSA OP)
Angel WoolseyReception and Travel Officer (AHCSA OP)
Louise HickfordReception and Travel Officer (AHCSA OP)
Kaylene O’TooleTrainee Reception Officer (AHCSA OP)
KEY
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DHW Department for Health and Wellbeing
DoH Department of Health
DPM&C Department of Prime Minister and Cabinet
NACCHO National Aboriginal Community Controlled Health Organisation
CHSALHN Country Health SA Local Health Network
DASSA Drug and Alcohol Services of South Australia
AHCSA AHCSA OperationalOP
ADHA Australian Digital Health Agency
ORGANISATIONAL STRUCTURE 2018-2019
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QUALITY, ACCREDITATION AND COMPLIANCEInJunethisyear,AHCSAunderwentthefinalstagetobecomeQualityInnovationPerformanceLtd(QIP)accreditedagainsttheQICHealthandCommunityServicesStandard7thEdition.Thisstageinvolvedatwo-dayon-siteassessmentbyQIPassessors.Aswithanearlierdocumentsubmissionstage,thisassessmentwasagainst93indicatorsofthefollowingstandards:
• Governance
• Managementsystems
• Consumerandcommunityengagement
• Diversityandculturalappropriateness
• Servicedelivery
ThefinalaccreditationreporthasnowbeenissuedwithAHCSA’stotalcompliancewithallrequirements.AHCSAisnowQIPaccreditedforthenextthreeyearsuntil15June2022.ThisaccreditationwillassurefundersandconsumersthatAHCSAiscommittedtosafetyandsystematicallyensuresthehighestqualityofserviceandperformance.
Summary of QIP Quality Innovation and Accreditation Report 2019
Governance
TheAHCSABoardofDirectorsiscommittedtoensuringAboriginalpeopleacrossthestatehaveaccesstohighqualityhealthservicesthroughtheirlocalAboriginalCommunityControlledHealthService(ACCHS)inaculturallysafeenvironment,andthatanyunmetneedsareidentifiedandaddressed.Thevisionandvaluesoftheorganisationprovidethebasisforalldecisionsandstrategicdevelopment.
Thegovernancesystemissupportedbydelegationsofauthority,policies,procedures,andreviewprocesses.TheBoard,CEO,managers,andstaffworkdiligentlyonbehalfoftheAHCSAMemberstoimplementtheobjectivesoftheorganisation.
Human Resources
Theorganisationhaseffectivesystemsforhumanresourcemanagement.StafftravelacrossthestateaswellasprovidingMember-basedservicesandtrainingoutoftheAdelaideoffice.AHCSAendeavourstoemployAboriginalstafftoprovidevaluableculturalexperienceandskillsinworkingwithMembersandotherservices.Staffareencouragedandactivelysupportedtodeveloptheirprofessionalskillsandknowledgeonanon-goingbasis.
Finance
ThereareeffectiveprocessesforbudgetplanningandreviewofexpenditureandvariancestoensureAHCSAmeetstherequirementsofthefundingbodiesandisfinanciallysound.AHCSAhascomprehensivesystemsforrecordsmanagement,andthecollectionandanalysisofdatatoinformservicedevelopment.
Culture
EnsuringculturalsafetyiscentraltothedevelopmentofallsystemsandprocessesatAHCSA,whichhasenabledtheachievementofoutstandinghealthoutcomes.TheAssessmentTeamwereveryimpressedwithhowtheorganisationseesitselfasservingandsupportingtheMembersineachregiontoexcelanddevelophealthservicesandpromotion.ThiswasalsoreflectedinMember’sfeedbacktotheAssessment
team,whichexpressedtheirappreciationofthissupportiverole.TheCEOForumswereespeciallyviewedasaveryvaluableopportunitytolearnandnetworkbytheMembers.
Collaboration
TheAssessmentteamnotedstrengthsinthewayAHCSAcollaborateswithotherservices;advocatesonbehalfofAboriginalhealthissues;strategicallypositionsitselftoensureviability;incorporatesbetterpracticeintoservicedevelopmentandHR;andcontributestosectordevelopmentthroughcollaborativecapacitybuildinginitiatives.
Training
Thetrainingfacilitiesareimpressiveandtherearesufficientresourcestoprovidehighlyprofessionaltrainingandlearningexperienceswiththelatestequipmentavailableinhealthpracticeandpromotion.
Feedback from the Report
Commendations
• AHCSA’suniqueunderstandingoflocalculturalandsocialcontextsoftobaccouseandthemajormotivatorsforchangingsmokingbehavioursiscriticaltothesuccessoftheTacklingIndigenousSmoking(TIS)Programme.TheAssessmentteamwouldliketorecognisetheenthusiasmandcommitmentoftheTISteamandtheimportanceofthisProgrammeinreducingtheharmsrelatedtosmokingandenvironmentalsmoke.
CONSTITUTIONAL OBJECTIVE 1
Operate as the peak body for Aboriginal Health in South Australia
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• TheregularCEOForumprovidesanopportunityforMemberstomeetinarelaxedandinformalsettingtoexchangeideasanddiscussissuesandrelevanttopicswithpeers.Theseforumswereconsideredtobeveryimportanttoconnect,informandenableleaderstobuildmoresuccessfulhealthservices.
• Interviewswithstaff,ExecutiveManagementandtheBoardofDirectorsfoundthattheorganisationhasbeensuccessfulinre-establishingapositiveworkplaceculture.TheExecutiveManagementhasworkedhardtobuildatrustingenvironmentinwhichthequalificationandexperienceofthestaffisrecognisedandproperdelegationoftasksoccurs.Theintroductionofteamleadershashelpedtofacilitateon-goingandopencommunicationbetweenmanagersandemployees.Staffreportthatknowledgeandexperienceissharedandindividualsarerecognisedandvaluedfortheirexpertiseindifferentareas.Employeeachievementsandmilestonesarecelebrated,whichhashelpedtostrengthenrelationshipsandencourageemployeeengagement.
• TheCEOdemonstratesawillingnesstoaccommodateeachemployee’sfamilyresponsibilitiesandtoexplorealternativestrategiestomeetbusinessobjectives,whererequired.Thereisaclearunderstandingthatwhathappensinanindividual’shomelifewillaffecthowtheyactandinteractatwork.Theorganisationhasmadesignificantinvestmentintotheiremployeewellbeingprogramtoprotectandimprovethephysical,socialandemotionalwellbeingoftheirstaff.BothAboriginalandnon-Aboriginalstaffreportthattheorganisationhasa‘family’approachtobusinessthathashelpedtobridgeorganisationalandinterpersonaldifferences.
General Comments
• ConsiderableefforthasbeenmadebytheorganisationinrecentyearstofocusonsupportingeachMemberorganisationtoachievetheirownvisionandmission,whilstsupportingthevaluesofAHCSA,whichareculturaldiversity,communityhistoryandknowledge,andcommunitystrength.
• Reviewoftheorganisation’sserviceandprogramplansandrelevantdocumentsandrecordsshowsthatplansaredocumented,implemented,communicated,reviewedandreportedon.Theseplansincludeperformancemeasuresandarelinkedtothestrategicplan.TheEarHealthProjectissuchanexampleamongmanyothers.StakeholdersspokehighlyoftheprofessionalanddiligentapproachtoprogramplanningbyAHCSA.
• ReviewofMoUs/serviceand/orpartnershipagreementsshowsthattheorganisationnegotiatesagreementsand/orpartnershipsthatarefair,legal,alignedwithstrategicdirectionsandhavemechanismsinplacetoresolvedisputes.TheAboriginalViralHepatitisProgramAgreementisanexampleoftheseprocessesbeingeffectivelydemonstrated.
• Theorganisationisawareofthehighdependenceongovernmentfundingandisexploringwaystoincreaserevenuefromothersources.
• Reviewofhumanresourcedocumentsandrecords,andstafffileauditresultsshowsthatallstaffareappropriatelyqualified,demonstratedcompetencyintheirrolesandhaveclearlydefinedrolesandresponsibilitiesthatarereviewedandevaluated.
• TheNetSuitesoftwarehasenabledtheorganisationtostoreallkeydocumentsinoneplace.StaffreportedpositivelyontheirexperiencewithNetSuite.
• Reviewofrecordsmanagementpolicies,procedures,accessprotocolsandMemberorganisationinformationdemonstratesthatAHCSAmaintainsappropriaterecordsfortheroleofapeakbody.
• AHCSAhasmadeconsiderableefforttoprovideMemberswithrelevantinformationontheiroperationsandlegislativechanges.TheMemberportalisanexampleofthisandvaluedbyMemberorganisations.
• Siteinspectionshowsthattheworkhealthandsafetyprocessesareimplemented,communicatedandreviewed,andmeetregulatoryrequirements.
• AreviewofthepartnershipagreementbetweenAHCSAandstate-basedprimaryhealthnetworksfindsthatthekeyobjectiveofthispartnershipistoadoptasharedandcoordinatedapproachinseekingtoaddressthehealthneedsoftheAboriginalandTorresStraitIslanderpeopleandtheirCommunitiesinthemostefficientandeffectivemannerpossible.
• AHCSAiscommittedtoworkingwitheachofitsMemberorganisationstostrengthenthecapacityoftheAboriginalCommunityControlledhealthsectorandmainstreamhealthservicestorespondtothehealthneedsoftheAboriginalCommunityofSouthAustralia.
• Reviewofdatacollectionandanalysisprocesses,andserviceandprogramplansdemonstratestheorganisation’ssystematicdatacollectioninforms
CONSTITUTIONAL OBJECTIVE 1
QUALITY, ACCREDITATION AND COMPLIANCE
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The Assessment team noted strengths in the way AHCSA collaborates with other services, advocates on behalf of Aboriginal health issues and strategically positions itself to ensure viability
needsassessment,analysisandplanning.Forexample,theserviceagreementfortheProvisionofAboriginalBloodBorneVirus(BBV)PreventionProjectsetsoutthereportingrequirementsforprojectoutcomes,outputsandkeyperformanceindicatorstotheSexuallyTransmittedInfection(STI)andBBVSectionofSAHealth.
• Reviewofconsumerfeedbackdocumentsandrecordsshowsthatneedsassessmentandplanningprocessandoutcomesareevaluated.Forexample,consumerfeedbackwassoughtfollowingthepilotworkshopoftheMedicareAccessImprovementProgram,designedtoassistMemberstoincreaseMedicarerevenue.ThedatawascollatedandanalysedandtheresultspresentedattheNACCHO2018MembersConference.Thefeedbackfromthepilotprogramwasverypositiveandfurthersessionsareplanned.
• Reviewofconsumerandcommunityengagementdocumentsandrecordsdemonstratesthattheorganisationhasconsumerandcommunityengagementprocessesthataredocumented,implemented,communicatedandreviewed.
Forexample,thepartnershipagreementbetweenAHCSA,theAdelaidePrimaryHealthNetwork(APHN)andtheCountrySouthAustraliaPrimaryHealthNetwork(CSAPHN)requiresallpartiestoprioritiseandcommittocommunityandstakeholderengagementmechanismsandtoshareand/orjointlyparticipateinthesemechanisms.
Recommendations for Improvement
TheQIPAssessmentteamalsoidentifiedanumberofopportunitiesforimprovementatAHCSA.Theseopportunitiesincludesuggestions,whichtheAHCSAQualityandAccreditationWorkingGroupwillembedinaQualityImprovementPlantobesubmittedtoQIPsixmonthsafterachievingaccreditation.ThiswillassistAHCSAwiththeon-goingdevelopmentofitsqualityandmanagementprocesses.
Recommendations
• RegulartestingandimprovingoftheBusinessContinuityPlanisrecommended.
• SetatimeframeandactionplantocompletealloutstandingpolicyreviewsbyDecember2019.
• Improvesystemforcapturingfeedbackintheformofverbalexchanges.
• Seekbestpracticeguidanceforapplyingversioncontroltodifferenttypesofdocuments,includingcommunityengagementplansandrecords,andensureconsumerreviewresultsarenoted.
• FinaliseandimplementaCulturalSafetyPolicyandDiversityPolicywithinputfromconsumers.Instatementsregardingdiversity,ensurespecificreferencetohowAHCSAsupportsLGBTIworkplaceinclusion.
• ReviewandendorseAccessandEquityPolicy.
• UpdateRegisteredTrainingOrganisation(RTO)TrainingProgramInformationBookletwithinformationabouthowpeoplewithdisabilitycanaccesstheRTOandparticipateonanequalbasis.
• ReviewandupdatetheRTOComplaints,ComplimentsandAppealsPolicyaswellastheRTOStakeholderConsultationandFeedbackPolicy.
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CONSTITUTIONAL OBJECTIVE 1
EXECUTIVE
HUMAN RESOURCESAfterahandovertransitionplanandatemporaryjobsharingarrangementwithJeffMountford(formerHumanResourcesOfficer),LauraAzarhasnowfullytakenontheHumanResourcesroleasaHumanResourcesBusinessPartner.
TheHumanResourcesplanfortheupcomingyearistopromoteAHCSAasanemployerofchoicebyensuringthatthebenefitsofbeingemployedatAHCSAarewellcommunicatedinourrecruitmentadvertisementsandon-boardingofnewstaff.
WeplantoimproveefficiencywithintheorganisationbyintroducingmoreflexibilityandautomationintoHRprocesses,particularlywithrelationtorecruitment,staffon-boarding,inductionandperformancereviews.AllHRfoldersandformswillbeconvertedintoelectronicfilesforeaseofaccessandimprovedsecurity.
Furthertothat,wewillensurethatstaffarereceivingappropriatetraininginworkplace-relatedmattersandbehaviours,aswellasprovideday-to-daysupportandadvicetostaffandManagers/TeamLeaderstokeepAHCSAabreastofchangesinemploymentlegislationandindustrialrelations.
22%
67%
2%
76%
33%
Total AHCSA Employees – 42 Staff Asat30June2019
Full time Part time Casual
Gender
Male Female
Positionsadvertisedsincethelastreportingperiodasat30June2019were:
2018 STAFF RECRUITMENTS
ReceptionandTravelOfficersx2(JobShareArrangement)
EarHealthProjectOfficer
DigitalHealthCoordinator
AHCSAAccreditationandComplianceOfficer
HumanResourcesBusinessPartner(OutsourcedRecruitment)
StrategicandBusinessExecutive(OutsourcedRecruitment)
2019 STAFF RECRUITMENTS
StudentTravelandAdministrationOfficer
TISEvaluationandCommunicationProjectOfficer
TISProjectOfficer(Internal)
Improving efficiency within the organisation by introducing more flexibility and automation into our human resources processes
Recruitment Metrics
FromJanuarythisyear,AHCSAadvertisedstaffvacanciesviaSeek,LinkedInandAHCSA’snetworks.Theaveragetimetofill,whichisthetimeneededtofillthepositionsfromthedatetheywereadvertisedtothedateanofferofemploymentwasaccepted,hasbeen33days.Thisisasignificantachievementcomparedtotheaveragetimetofillof42days,andcomparedtothe53.67daysreportedinthelastAnnualReport.
ThisresultismainlyduetothenatureoftheadvertisedpositionsandtothefactthatalltherecruitmentssofarhavebeenmanageddirectlybyAHCSAratherthanbeingoutsourced,whichmakestherecruitmentprocessmoreefficientandcosteffective.
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62%
38%
Aboriginal or non-Aboriginal
Non-Aboriginal Aboriginal
Staff Metrics
Asat30June2019,AHCSA’sworkforcecomprisedof32full-timeemployees,ninepart-timeandonecasual.Ofthoseemployees,28arefemaleand14male.Part-timestatushasincreasedsincethelastreportingperiodduetomorestaffrequestingflexibleworkarrangementsandAHCSAapprovingtheirrequests.OfthetotalnumberofemployeesatAHCSA,16areAboriginal,and26arenon-Aboriginal.
Staff Turnover
Staffturnoverisataround16.67%withsevenstaffdepartinginthelast12monthsoutofatotalaverageof42staffacrosstheyear.Theturnoverratiohasdecreasedcomparedtothatofthepreviousreportingperiod(18.69%).Departuresweremainlyduetofundingcomingtoanendon30June2019andotherreasonspersonaltodepartingstaff,suchasmovinginterstateoroverseas.
Staff Turnover – 16.67%July2018–June2019
Average number of staff for period
Staff who left during period
86%14%
Current Projects
AHCSAhasimplementedi-induct,whichisanonlineinductionsystemthatHumanResourceswillbeusingasatooltowelcomenewrecruits.ItwillprovidethemwithanoverviewofAHCSA’smission,values,mainpoliciesandprocesses.
Thepurposeofthesystemistoimprovestaffon-boardingexperienceandassistwithretentionandengagement,particularlywithinthefirstsixmonths.Thefirstdraftoftheonlinecontentiscurrentlybeingreviewedandshouldbereadytogolivesoon.
Staff Training
AHCSAstaffattendedtrainingonDe-escalatingChallengingSituationsandAlcohol&OtherDrugsintheWorkplacetoprovidethemwithtoolstomanagechallengingsituationsandavoidescalation.TheywerealsogivenanoverviewofAHCSA’spolicyonalcoholandotherdrugs,whichisnowincludedintheHRinductionofnewstarters.AHCSAstaffalsoattendedtheChildSafeEnvironmentstraining,whichiscompulsorytoallAHCSAstaff.
AHCSA has implemented i-induct, which is an online induction system that Human Resources will be using as a tool to welcome new recruits
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CONSTITUTIONAL OBJECTIVE 2
Provide support to Members to improve health outcomes for all Aboriginal people of South Australia, promoting and advancing the Community’s commitment to physical, social and emotional wellbeing and quality of life
PUBLIC HEALTH AND PRIMARY HEALTH CARE
PUBLIC HEALTHTheobjectiveofthePublicHealthProgramistoprovidepublichealthadviceandsupporttoAHCSAanditsMembers.TheroleofthePublicHealthMedicalOfficer(PHMO)continuestoprovidepublichealthadviceandsupporttoAHCSAanditsMembers,withinvolvementinawiderangeofactivitiesandinitiatives.
Sector Advocacy
ThePHMOplayedakeyroleinestablishingtherecentlyformedSAAboriginalEnvironmentalHealthWorkingGroup,whichbringstogetherkeystategovernmentdepartments,NGOsandAboriginalCommunityControlledHealthServices(ACCHSs)toidentify,developandadvocateforresponsestothepoorenvironmentallivingconditionsexperiencedbymanyAboriginalpeopleinSouthAustralia.
Addressingtheseissuesiscriticaltoachievingthesustainableeliminationoftrachoma,alongwithreducingtheimpactofarangeofotherinfectiousdiseases.
ThegroupisprogressingthedevelopmentofastatewideAboriginalEnvironmentalHealthFrameworkaswellasadvocatingforresourcingofanAboriginalenvironmentalhealthworkforce,withafocusonenablinghome-basedhealthhygienepracticesandfacilitatingtherepairandmaintenanceofhealthhardwareinhomes.
ThePHMOwaspartofthewritinggroupfortheNationalEndRheumaticHeartDisease(RHD)Roadmap,whichwasendorsedattheCouncilofAustralianGovernments(COAG)HealthCouncilmeetinginMarch2019.
Importantly,theRoadmaphighlightstheneedtoaddressthecultural,socialandenvironmentaldeterminantsofAboriginalandTorresStraitIslanderhealth,whichwillbringbenefitsbeyondRHD.ItalsorecognisesthecrucialroleofACCHSsandthedeliveryofcomprehensive,responsiveprimaryhealthcare.
LedbythePHMO,AHCSAhascontinuedtoadvocateforAboriginalHealthPractitioners(AHPs)tobeabletoindependentlyvaccinateundertheSAVaccineAdministrationCode(SAControlledSubstanceslegislation),withadditionaltrainingandappropriatesupervision.
Overthepast12months,thePHMOhasbeenworkingcloselywiththeSAHealthimmunisationsectiontomakethischangetotheCode,andAHCSAhasnowsignedanagreementtodevelopanddeliveratrainingprogramforAHPstoenablethemtomeetthecompetencystandardstovaccinateundertheCode.Thisisapilot,whichwillbeevaluatedwiththeaimofprovidingthecourseoverthenextfiveyears.
Public Health Coordination
ThePHMOcontinuestoconveneamonthlyAHCSAPublicHealthNetworkteleconferencebetweenallACCHSsinSAandAHCSA.Thesemeetings,chairedbytheAHCSAPHMO,enablecommunicationbetweenAHCSAandACCHSstafftostrengthenprimaryhealthcaresystemsandsupportafocusonpreventionandpublichealthactivitiesinACCHSs.
Overthepastyear,thePHMOhasbeenworkingtoenhancetheSAresponsetothelargemulti-jurisdictionalinfectioussyphilisoutbreak,whichhasincludedSouthAustraliasince2017.IncollaborationwithSAACCHSs,NACCHOandtheDepartmentofHealthEnhancedSyphilisResponseUnit,AHCSAcoordinatedthedevelopmentofasuccessfulstatewideproposaltofundasexualhealthworkforceresponseinACCHSs.ThishasincludedtheexpansionoftheAHCSASexualHealthProgramcapacitybuildingandcoordinationrole.
AHCSAhasbeenworkingcloselywiththeCommonwealthDepartmentofHealthtosupporttheimplementationofanewHearingAssessmentProgram(HAP)deliveredbyHearingAustraliainSA.
ThisProgramaimstoimprovetheearlydetectionandtreatmentofhearinglossforAboriginalandTorresStraitIslanderchildrenaged0to5yearsthroughbetteraccesstocomprehensivehearingassessmentsandfollow-uptreatment.
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TheAHCSAPHMOandEarHealthProjectOfficerhavebeenconsultingwithtwoACCHSstoensurethatSAisinvolvedinthefirstphaseoftheProgramimplementation.
Support for AHCSA Programs
ThePHMOoversawamajorrewriteandupdateoftheAHCSASexuallyTransmittedInfection&Blood-BorneViruseshandbook,whichhasnowbeendistributedtoallACCHSs.Thisresourcefacilitatesastandardisedevidence-basedapproachforlocalSTIandBBVcontrolprograms.DrRazlynAbdulRahimablysupportedthisupdate.
AHCSA’sSTIDataProgramhasbeenoperatingfornearlyfiveyears,andinvolvesAHCSAreceivingde-identifiedSTIdatafromSAPathologyonbehalfofACCHSsinSA.ThisdataisthenanalysedandreportspreparedtobefedbacktoACCHSsforqualityimprovementactivitiesandhealthserviceplanning.
SAPathologymovedtoanewdataplatformmid-2018andthishasresultedintheneedforAHCSAtoundertakealargepieceofworktomigratetheAHCSAreporttothenewplatform.ThenewsystemhasbeenextensivelytestedandvalidatedandSTIreportingtoACCHSshasrecommencedinanewformatfor
easierinterpretation.Theabilitytoprovidemoretimelyreportsonsyphilistestingratesisalsoclosetobeingfinalised.
ThePHMOoversawthedevelopmentoftheDeadlySightsCommunicareandMBSGuideincollaborationwiththeAHCSAQualitySystemsteamandtheEyeHealthProjectOfficer.
TheaimoftheGuideistosupportstrengtheninglocalACCHSs’capacitytoidentifyeyeconditionsearly,havereferralpathwaysinplaceforthosewhoneedspecialistcareaswellassupportingeyespecialistvisitstoACCHSs.ItwillalsosupporttherolloutofnewretinalcamerasinSAACCHSs.
ThePHMOcontinuestoprovideteamleadershipandsupporttotheAHCSASexualHealthProgram,BloodBorneVirusProgram,theEyeHealthProgramme,TrachomaControlProgram,EarHealthProgrammeandtheRheumaticHeartDiseaseProgram.
The PHMO oversaw the development the Deadly Sights Communicare and MBS Guide in collaboration with the AHCSA Quality Systems team and the Eye Health Project Officer
Medicine Registrar Supervision
ThePHMOsupervisesaPublicHealthMedicineRegistrar,whichisadoctorundertakingspecialtytraininginpublichealth.RegistrarDrSonaliMeenaiscurrentlyworkingonaprojectdetailingthebarriersandenablersforpeopleundertakinghealthhygienepractices,aswellaswhatcanbelearntfrompreviousprogramstoaddressthesebarriers.
Thisinformationwillbeusedtosupportevidence-basedinterventionsaimedatreducingtheprevalenceofconditionssuchastrachoma,rheumaticheartdisease,middleeardisease,skininfections,gastrointestinalinfectionandrespiratoryinfections,allofwhichimpactonthegrowthanddevelopmentofchildreninadditiontohavinglonger-termimpacts.
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CONSTITUTIONAL OBJECTIVE 2
PUBLIC HEALTH AND PRIMARY HEALTH CARE
BLOOD BORNE VIRUS TheAHCSABloodBorneVirus(BBV)ProgramworkswithAboriginalhealthservicesandthebroaderhealthsectoracrossSouthAustralia,supportingthepreventionandtreatmentofviralhepatitis.
Continuous Quality Improvement
Programactivityoverthe2018-2019periodhasincludedaviralhepatitiscontinuousqualityimprovementprojectworkingwitheightAboriginalCommunityControlledHealthServices(ACCHSs).TheBBVProgramCoordinatorandPatientInformationManagementSystems(PIMS)Officerareundertakingthisproject,whichsupportsserviceswithscreeningandmanagementofviralhepatitisthroughstrengtheningpatientinformationmanagementsystems,andundertakingclinicalaudits.
AcrosstheeightparticipatingACCHSs,892clinicalrecordswereaudited,with503recommendationsprovidedbacktoservices.
Committee Representation
Overthepastfinancialyear,theBBVProgramhashadrepresentationonthefollowingcommittees:
• SAAboriginalSexuallyTransmittedInfection(STI)andBBVActionPlanProjectSteeringGroup(Co-chair)
• HepatitisBActionPlanImplementationGroup
• HepatitisCActionPlanImplementationGroup
• PeerSupportedCleanNeedleProgram–PostReleasePrisoners
Achievements
ThepastyearhasseentheBBVteamsupportingviralresearchthroughtheSouthAustralianHealthandMedicalResearchInstitute(SAHMRI)CentreforResearchExcellenceinAboriginalSexualHealthandBloodBorneViruses.TheyhavealsosupportedtheestablishmentofnewcleanneedleprogramsatregionalACCHSs.
ThesuccessfulsecuringofagrantwithHepatitisSAfromtheDepartmentforCorrectionalServiceshasbeenanothersignificantcoupfortheteam.ThegrantprovidedtheopportunitytobringtoSouthAustraliaILBIJERRITheatreCompany’sproductionVIRAL–Areyouthecure?ILBIJERRIisoneofAustralia’sleadingtheatrecompaniescreatinginnovativeworksbyFirstNationartists.TheperformancefocusedonincreasingawarenessofhepatitisCtreatment.Thetourincludedsixshowsattheyouthtrainingcentre,YatalaLabourPrison,MobilongPrison,andaperformanceatTauondiAboriginalCollege.
ViralhepatitisandharmreductioneducationwasdeliveredtoAHCSACertificateIIIandCertificateIVstudentsstudyingAboriginalandTorresStraitIslanderPrimaryHealthCare.SimilareducationhasbeendevelopedforACCHSsanddeliveredateventssuchastheAHCSASHINESAFRESHXTABOOworkshop,andtheAHCSAQualityForum.
TheteamhasalsodevelopedapresentationonviralhepatitisandtheAboriginalcommunity,whichtheyhavebeeninvitedtodeliverattheclosingplenaryofthe11thAustralasianViralHepatitisConference,tobeheldinAdelaideinAugustthisyear.
Partnerships
AHCSAwouldliketoacknowledgetheirpartnerswhohavesupportedtheobjectivesoftheBBVprogramover2018-2019.Theseinclude:SAACCHSs,KakarraraWilurraraHealthAlliance,SAHealthCommunicableDiseaseBranchandViralHepatitisNursingWorkforce,DrugandAlcoholServicesSA,HepatitisSA,HepatitisAustralia,AboriginalDrugandAlcoholCouncil,RelationshipsAustraliaSouthAustralia,SAHMRI,SHINESA,DepartmentforCorrectionalServices,andtheAustralasianSocietyforHIVMedicine,ViralHepatitisandSexualHealthMedicine.
Across the eight participating Aboriginal Community Controlled Health Services, 892 clinical records were audited, with 503 recommendations provided back to services
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Grant Support
CommunityEngagementHealthPromotionGrantsawardedtoAHCSAMembersandassistedwithavarietyofactivitiesandincentiveprogramstoincreaseyoungpeople’sparticipationintheAnnualSTIScreening.
ThegrantssupportedWomen’sPamperDaysatthePikaWiyaHealthServiceAboriginalCorporationinPortAugustaandUmoonaTjutagkuHealthServiceAboriginalCorporation(UTHSAC)inCooberPedy.UTHSACalsoorganisedaMen’sBushTripandPikaWiyaorganisedaMen’sHealthDayatDavenportCommunityOutreachClinic,whichalsoincludedsupportfromAboriginalDrugandAlcoholCouncil(ADAC)andmaleworkersfromAHCSA’sTacklingIndigenousSmokingteam.
SomeACCHSsorganisedrafflesforthosewhoparticipatedinscreening,withprizesdrawnattheendofthescreeningperiod,whileotherACCHSsofferedgiftsorvouchersforyoungpeopleparticipating.PortLincolnAboriginalHealthServicerananupdatedcommercialforlocaltelevisiontopromotetheenhancedSTIscreeningperiod.
Updated Resource
ThisyearalsosawthepublicationofanupdatedSexuallyTransmissibleInfections&Blood-BorneVirusesHandbookforSAACCHSsincollaborationwithAHCSA’sQualitySystemsteam,BBVProgramandotherpartnersincludingAdelaideSexualHealthCentre.HardcopieshavebeendistributedtoallACCHSsandarealsoavailableelectronicallyonAHCSA’sSHPwebpage:https://ahcsa.org.au/app/uploads/mp/files/resources/files/ahcsa-sti-bbv-handbook-2019-online-version.pdf
SEXUAL HEALTH AHCSA’sSexualHealthProgram(SHP)supportsACCHSsandotherservicesworkingwithyoungAboriginalpeopleinthepromotionofandimprovedaccesstoopportunisticandvoluntarysexuallytransmittedinfection(STI)screeningforpeopleagedbetween16and35years.
ToensurethattheACCHSworkforceinSAispreparedtodeliverSTIandBloodBorneVirus(BBV)screening,theteamworksinpartnershipwithProgrampartnerstoprovideeducationalupdatesandskillsdevelopmentthroughanannualtwo-dayworkshopheldinAdelaide.SHINESAandAHCSAcollaboratedthisyeartopresentFRESHXTABOO,atwo-dayworkshopfor20AboriginalHealthWorkersinMay2019.
Workforce Development
ThisremainsapriorityfortheProgram,includingthedeliveryoftheSexualHealthModule,whichhasbeenintroducedasanelectiveintoAHCSA’sRegisteredTrainingOrganisation(RTO)CertificateIVAboriginalHealthWorkerandPractitionersprogram.
InSeptember2018andFebruary2019,theSHPteamcoordinatedthedeliveryoftheSexualHealthModuleto26AboriginalHealthWorkerandPractitionerStudentsincollaborationwithAHCSA’sRTOandprogrampartnerorganisations.TheseincludetheAdelaideSexualHealthCentre,SHINESAandSAMESH,YarrowPlace,SASexIndustryNetwork(SIN),HepatitisSAandDASSA.
The Handbook has been developed by AHCSA to facilitate a standardised evidence-based approach to control programs for STIs and BBVs at the comprehensive primary health care level within ACCHSs in SA
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AHCSA’s Public Health Medical Officer, David Johnson has been advocating for Aboriginal Health Practitioners to be able to independently vaccinate under the SA Vaccine Administration Code (SA Controlled Substances legislation). These practitioners would be given additional training and appropriate supervision if the legislation allows for it.
Inthemeantime,AHCSAdoctorsandnurseshavebeentravellingtoMemberstoadministervaccinationsperiodically.OnesuchoccasionwaswhenAHCSA’sTacklingIndigenousSmokingMaternalHealthProjectOfficer,Mary-AnneWilliamstravelledtoNunyaraHealthServiceinWhyallatoadministerMeningococcalW(Menveo)vaccinations.
ThesevaccinationdayswereorganisedinresponsetorecentoutbreaksofMeningococcalacrossSouthAustralia,withtheAboriginalCommunitybeingathigherriskoftheillness.Thedayfocusedontheimmunisationofchildrenandyoungadultsbetweentheagesof12monthsand19years.
Oneofthechildrenwhoattendedwasnine-year-oldJoyisha,whowascomfortedbyhermum,MelissaStewartontheday.MelissaexplainsthatJoyishadidn’tknowthatshewasgoingforherneedles,‘soshewasveryshockedwhenwetoldher.’Sheaddsthat,‘shedoesn’tlikeneedles…likeme’.
PROTECTING OUR COMMUNITY
VACCINATING OUR CHILDREN
Beforetheneedlewasgiven,MelissaexplainedtoherdaughterwhyitwasimportantforthemtocometotheclinicandalthoughJoyishakeptsayingthatshedidn’twanttogoin,fromtheinformationprovidedbytheclinic,Melissawasabletoreassureherthateventhoughitwasscary,itwastoprotecther.‘Iexplainedtoherthatitwasforherhealthandthattherearenastydiseasesintheworld.Shecriedabit,butshewasfineoncetheyweredone.’
Melissasaysthat,‘thepeopleatNunyarahadexplainedthatitwasgoodtogetitdoneforthekids,andtokeeptheCommunitysafe.’Sheaddedthattherearealwaysdifferentpeoplewhocomeouttodotheneedles,butthatMary-Annewasreallygood.‘Iknowtheclinicwell,becauseIgrewupinthearea,andmychildrenknowit.’Melissasaid,adding,‘It’sreallygoodthatthey’reexpanding.It’sgoodthatwehaveourownHealthCentre.’
Alarge-scaleletterdropwasdonepriortotheevent,togetasmanychildrenaspossibletoattend.Overthetwodays,about40peoplewerevaccinated,withmorerespondingtothelettersandbookingtheirappointmentstoensurethattheygettheirimmunisationscompleted.
‘I know the clinic well, because I grew up in the area, and my children know it.’ Melissa said, adding, ‘It’s really good that they’re expanding. It’s good that we have our own Health Centre.’
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SQIDCyclesarestate-based,three-monthly,interactiveclinicalqualityimprovementcyclesthatfocusononeareaofhealth.Itinvolvesthecollectionofde-identifiedbaselinehealthdata,followedbywebinarpresentationstohealthservicesthatexploretheprocessesanddataentrymethodsassociatedwiththecycletopic.De-identifiedhealthdataiscollectedagainafterthreemonthsandcomparedwiththebaselinedatatoassesshealthserviceimprovement.
SQIDCycle2focusedonimprovingotoscopyscreeningratesinAboriginalchildrenunderfiveyearsofage.NineAHCSAMembersparticipatedinthisCycle.DataextractedatthebeginningoftheCycle(June2018)showedthatSAACCHSshadanaveragescreeningrateof39.4%.AttheendoftheCycle,thesectorachievedanaverageincreaseof7.9%withtheaveragechildotoscopyscreeningrateat47.3%.Overthepast12months,MembersthatparticipatedintheProgramdocumentedanearexaminationfor378children.
Workshops
Thisyear,theACCHSsandGovernmentorganisationshavebeeninvolvedintrainingsessionsandworkshopsatAHCSAandwithintheirorganisations.AHCSAhaspartneredwiththeRuralDoctorsWorkforceAgency(RDWA)andBenchmarqueTrainingGrouptofacilitatetrainingworkshopsinearhealthandhearing.ThetwotrainingsessionsareaccreditedcoursesinOtitisMediaManagementandTympanometry.Uptotheendofthereportingperiod,fourtrainingsessionswereheld,withfourmoretobeheldbySeptember2019.
March 2019
• Two-dayworkshopatAHCSA:OtitisMediaTrainingandSystems
– 17attendeesfromgovernmentandnon-governmentorganisations
June 2019
• RoyalAdelaideHospital(RAH)AboriginalHealthUnit:OtitisMediaManagement
– 16attendeesfromgovernmentandnon-governmentorganisations
• MunaPaiendiAboriginalHealthService:OtitisMediaManagement
– 5attendeesfromgovernmentandnon-governmentorganisations
• CedunaKoonibbaAboriginalHealthServiceAboriginalCorporation:TympanometryTraining
– 10attendeesfromtheACCHSs
Stakeholder Relationships
TheEarHealthProjectOfficercontinuestobuildandstrengthenrelationshipswithkeystakeholderstobeabletoprovidecomprehensiveearhealthandhearingmodelsofcareinACCHSs.
ThishasincludedworkingwiththeRDWAtostrengthenthecapacityofACCHSstosupportandutilisevisitingspecialistandalliedearhealthservices.
TheteamhasworkedwithBenchmarqueTrainingGroupandtheiradvisoryteam,andsoughttheinvolvementoftheDepartmentofHealthintheworkshops,toassistwithpriority-settingforthenewHearingAssessmentProgramandresearch.
Members that participated in the SQID Cycle 2 Program documented an ear examination for 378 children
DEADLY SOUNDS TheDeadlySoundsProgrammecontinuestosupportACCHSsinSouthAustralia.Itsmainfocusistodevelopclinicsystemsandearhealthmodelsofcare.Thiswillstrengthenactivitydirectedattheearlyidentificationandmanagementofyoungpeoplewithmiddleeardisease.
Early Detection
ResearchshowsthattheclinicalpresentationofotitismediainfectionsdiffersbetweenIndigenousandnon-Indigenouschildren.OtitismediaischaracterisedinIndigenouschildrenbyayoungerageatfirstepisode,higherfrequencyofinfection,greaterseverityandgreaterpersistencethaninnon-Indigenouschildren.
Repeatedearinfections,whichareoftenundiagnosedanduntreated,aresubstantiallyandsignificantlyassociatedwithhearingproblemsatalaterstage.Betweentheagesoftwoand20,anIndigenouschildoryoungpersonislikelytoexperiencehearinglossfrommiddleearinfectionsforatleast32months,comparedwiththreemonthsfornon-Indigenouschildrenoryoungpeople.
WhiletheProgrammecontinuestoincludeyoungpeopleaged0to21years,therehasnowbeenaparticularfocusonchildrenaged0tofouryears,recognisingtheneedforidentificationandmanagementofeardiseaseandassociatedhearinglossatthisage.
Data Collection and Continuous Quality Improvement
AHCSA’sSouthAustralianQualityImprovementData(SQID)CyclesProgramsupportedtheimplementationoftheDeadlySoundsGuide,whichlooksatimprovingCommunicaredocumentationofclinicalinformationandreferralpathways.
CONSTITUTIONAL OBJECTIVE 2
PUBLIC HEALTH AND PRIMARY HEALTH CARE
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DEADLY SIGHTS Despitebeingbornwithon-averagebettervision,AboriginalAustraliansovertheageof40haveapproximatelythreetimestherateofblindnessthanthatofnon-AboriginalAustralians.Yetapproximately94%ofvisionlossinAboriginalpeoplecaneitherbepreventedortreated.
ThroughtheEyeHealthProjectOfficer(EHPO),AHCSA’sEyeHealthProgramme,DeadlySights,continuesitsaimtoimproveandsustaineyehealthoutcomesfortheAboriginalcommunitycontrolledhealthsectoracrossthestate.
EffortsarelargelyfocusedoncontinualsupportandcapacitybuildingofAHCSAMemberhealthservices,andfrontlinesupporttooutreacheyehealthpractitionercommunityvisits.
Capacity Building
ThisisaboutstrengtheningPrimaryHealthCare(PHC)workforceskillssetsandknowledgeineyehealthandvision,betterincorporatingeyehealthintostandardworkpractice,andactivelyengagingineyehealthpractitionervisitsandresultingpatientpathways.
TheEHPOisworkingwithAHCSAMembers,theAboriginalCommunityControlledHealthServices(ACCHSs)by:
• Deliveringperiodicstafftrainingandmentoringinprimaryeyehealthcare,visiontesting,andscreeningfordiabeticretinopathy.
• HelpingcombatdiabeticretinopathyfromwithinthePHCinterfacesincetheprovisionofretinalcamerasandoperatortraining.
• Providingon-goingmentorshipandsupportforACCHSstoembedin-houseretinalscreeningintoroutinecarepracticeforpatientswithdiabetes.
Support Remote Community Visits
TheEHPOhasfrontlineinvolvementindeliveryofvisitingeyehealthservices,whichincludesscheduling,coordinating,andfacilitatingoptometristandophthalmologistvisits.Communityconsultation,andlocallevelsupporttoPHCstaffbefore,during,andaftervisitshasalsobeengiven.
Monitoringandassistingpatientpathwaysfromprimarytosecondaryandtertiaryeyehealthcare,includingaccesstolowcostprescriptionglasses,hasbeenintegraltothesupportprovided.
Thethreemostcommoneyeconditionsfoundwere:
Refractive Error
• Blurredvision,whentheshapeoftheeyedoesn’tbendlightcorrectly
• Treatment/Action:Correctiveeyewear(glassesorcontactlenses)
Cataracts
• Cloudingoftheeyelenswhichinhibitsorreducesclearvision
• Treatment/Action:Daysurgeryprocedure,withlocalanaesthetic
Diabetic Retinopathy
• Adiabetescomplication,causingreducedbloodsupplyanddeteriorationtotheretina,causingpreventablevisionloss
• Treatment/Action:Retinallasering,intravitrealinjections,vitrectomysurgery
Remote Visit Service Delivery
ThismodeliscurrentlyunderreviewforchangethroughthecollaborativeeffortsofAHCSAanditsMembers,theRuralDoctorsWorkforceAgencyandrelevantvisitingpractitioners.
Proposedchangesincludeuncouplingoptometristfromophthalmologistvisits,increasedfrequencyofoptometristvisits,andtheintroductionoffixedophthalmologytreatmenthubsinuptothreeruralorremoteSAlocations.
Theaimsofthesechangesaretoimprovethetimelydetectionanddiagnosisofeyeandvisionissuesthroughincreasingthepercentageofin-needclientsthatattendoptometristvisits,andoptimisevisitingophthalmologist’stimetodelivertherequiredtreatments,onsitewhereverpossible,orreferexternally.
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CONSTITUTIONAL OBJECTIVE 2
PUBLIC HEALTH AND PRIMARY HEALTH CARE
Remote Area Optometrist/ Ophthalmologist Visits
Thesevisitscurrentlyruntwiceyearlyto12communitiesincludingCeduna,Yalata,OakValley,Tjunjtuntjara(WA),CooberPedy,andsevencommunitieswithintheAPYLands.
New Eye Health Resource Deadly Sights
FundedthroughRDWA,andcollaborativelydevelopedbytheAHCSAEyeHeathProgrammeandQualitySystemsteam,DeadlySightsisacomprehensiveCommunicareandMedicareBenefitsSchedule(MBS)GuideforeyehealthinthePHCsetting.ItiswrittenspecificallyforACCHSsontheCommunicarepatientrecordsystem,andalsoforvisitingeyehealthpractitionerstothoseACCHSs.
ItcontainsinformationonallthingseyehealthatthePHClevel,andproceedstoguidestaffthroughtheeyecomponentofhealthchecks,includingvisualacuity,trichiasis,retinalphotographyfordiabeticretinopathy,andtherestoftheretinalscreeningprocess.
ThesearecomplementedwherepossiblewithscreenshotsfromCommunicareandflowchartsfordiabeticpatientcareandMBSclaimingforretinalscreening.
REMOTE AREA VISITS 2018-2019
Community Totalclients
seen
Clientsseen
Aboriginal
Clientsseennew
Clientsseen
diabetic
Retinalphotos
taken
Referralsforsurgery
orfurthertreatment
Onsitetreatments:
eg:laserforretinopathy
Readingglasses
issuedonsameday
Prescriptionglasses
arranged
Fregon 31 31 2 18 19 9 1 22 4
Mimili 37 37 6 21 20 3 3 18 11
Iwantja 49 49 9 31 21 9 4 32 6
Pipalyatjara 41 36 3 26 24 4 3 17 16
Nyapari 15 15 1 10 11 4 2 9 7
Pukatja 97 92 11 64 27 13 5 48 21
Amata 84 84 8 62 36 12 4 40 29
CooberPedy 69 52 25 34 16 12 4 15 30
Yalata 46 41 11 21 21 5 1 22 9
OakValley 24 24 3 18 0 4 1 13 2
Tjuntjuntjara 52 47 10 28 6 7 2 27 4
Ceduna 65 62 18 38 14 8 5 13 11
TOTAL 610 570 107 371 196 90 35 276 150
The Eye Health Programme continues its aim to improve and sustain eye health outcomes for the Aboriginal community-controlled health sector of SA
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TRACHOMA ELIMINATIONAHCSA’sTrachomaEliminationProgram(TEP)continuestostrivetowardseliminatingblindingtrachomainSouthAustraliaby2020.Workingwiththehealthservices,schoolsandcommunitiesinCeduna,Copley,Koonibba,LeighCreek,Nepabunna,OakValley,Oodnadatta,PortAugustaandYalata,theteamisontracktoachievethisgoal.ThegoodnewsisthattheoverallprevalenceofactivetrachomainSAhasdecreasedfrom17%in2010to1.6%in2017.
Clean Faces, Strong Eyes
Trachomaiscausedbybacteriaandiscompletelypreventable.Iteasilyspreadsfromonepersontoanotherthroughinfectedeyeandnosesecretions.Tostopthetransmissionoftrachoma,facialcleanlinessisessential.
ThereforeanimportantpartoftheProgramisprovidingcomprehensivehygienehealthpromotion.TheTEPpromotedthecleanfaces,strongeyesmessagewithresourcescreatedandprovidedbytheIndigenousEyeHealthUnit,MelbourneUniversity.
SpotlessLinendonatedtowels,facewashersandblankets,whichweredistributedtothoseremotecommunitieswithlessaccesstoaffordablelinen.TheSADentalAboriginalOralHealthProgram,whosuppliedtoothbrushesandtoothpaste,alsosupportedtheProgram.
Thehealthpromotionactivitiesundertakentoencouragefacialcleanlinessandgoodgeneralhygieneseemtobeeffectivewiththecleanfacerateimprovingfrom51%in2010to88%in2017acrossSouthAustralia.
Advocacy Workshop
TheTEPcontinuestoadvocateforenvironmentalhealthimprovementsthatwillbecriticaltosustainedtrachomaelimination.AnenvironmentalhealthworkshopwasorganisedandhostedbyAHCSAinOctober,incollaborationwiththeDepartmentofPrimeMinisterandCabinet,IndigenousEyeHealthUnit,CountryHealthSALocalHealthNetwork,EnvironmentalHealthDirectorateSA,SAHousingAuthorityandNganampaHealthCouncil.
Over50peopleattendedfromAHCSA’sMembers,NGOs,variousgovernmentdepartmentsandkeyagencies.Theworkshopresultedinacross-sectoralSouthAustralianAboriginalEnvironmentalHealthWorkingGroup(SAAEHWG)beingestablished,withAHCSAasanactivemember.TheSAAEHWGisnowworkingonanAboriginalEnvironmentalHealthFrameworkthatwilldescribekeypriorities,actionareastoaddressthesepriorities,anddescriptionsofwhoisresponsibleforaddressingeachactionarea.
The overall prevalence of active trachoma in SA has decreased from 17% in 2010 to 1.6% in 2017. This a reduction of 15.4% in seven years
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ABORIGINAL DENTAL AHCSAreceivesfundingfromtheDepartmentofHealthfortheAboriginalDentalProgrammethroughtheNationalAboriginalCommunityControlledHealthOrganisation(NACCHO)onefundingagreement.
AHCSAadministersthisfundingtotheSouthAustralianDentalServicethroughamemorandumofadministrativearrangement,whichassistsintheprovisionoforalhealthprogrammesforAboriginalandTorresStraitIslanderchildrenandeligibleadults.
Anadultiseligibleforgovernment-fundeddentalservicesifheorsheisaholderoradultdependentofaholderofacurrentCentrelinkPensionerConcessionCardorHealthCareCard.AHCSAprovidesthefundingwithanemphasisontheprovisionoforalhealthprogrammesaspartofawhole-of-health,primaryhealthcareapproachforAboriginalandTorresStraitIslanderpeople.
TheAboriginalDentalProgrammeprovidesgeneralemergencyandcourseofcaretoAboriginalpeople,whichcanincludeextractions,restorativework,denturesandotherservicesneeded.
TheAboriginalOralHealthProgramprovidedthroughtheSADentalServicehasbothincreasedtheservicestoAboriginalpeopleinSouthAustraliaandalleviatedthedemandandresourcesontheAboriginalDentalProgram.
Key Features
• TheAboriginalDentalProgrammeonlyoperateswhereclientscannotaccesstheAboriginalLiaisonProgram(ALP)throughalocalSADentalServiceClinicinruralandremoteareas.
• ThishasresultedinreduceddemandforAboriginalDentalSchemefundedcareoverrecentyears,whilethetotalnumberofAboriginalclientstreatedcontinuestorise.
• ThereisnowaittimeforcareundertheAboriginalDentalScheme.
Benefits of Care Under ADS or ALP
• Immediateaccesstoemergencycare
• Priority(ie:nowaitinglistorwaitingtime)accesstogeneraldentalcare
• Priorityaccesstodentures
• PathwayfacilitatedthroughthelocalACCHS/AHWinsomecases
• Noclientfees
CONSTITUTIONAL OBJECTIVE 2
PUBLIC HEALTH AND PRIMARY HEALTH CARE
The Programme provides general emergency and course of care to Aboriginal people, which can include extractions, restorative work, dentures and other services needed
Areas Covered• Balaklava
• BarossaValley
• Ceduna
• CooberPedy
• FleurieuPeninsula
• LeighCreek
• Meningie
• MurrayBridge
• PortAugusta
• PortLincoln
• PortPirie
• Riverland
• SouthEast
• StreakyBay
• Whyalla
• YorkePeninsula
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CONSTITUTIONAL OBJECTIVE 2
TACKLING INDIGENOUS SMOKING
AHCSA’sTacklingIndigenousSmoking(TIS)ProgrammeissupportedbyfundingfromtheAustralianGovernmentundertheIndigenousAustralians’HealthProgramme.Itisadynamiccommunity-drivenProgrammeprovidingactivitiesandsupporttoAboriginalpopulationsinAHCSA’sregionalcatchmentareatoreducethegapintheprevalenceofsmokingamongAboriginalandTorresStraitIslandercommunities.
TheTISteamachievesthisbyreducingtheuptakeofsmoking,increasingsmokingcessationandreducingexposuretosecond-handsmoke.
AHCSA’sTISProgrammecatchmentregionsincludetheCeduna,CooberPedy,MurrayBridge,PortLincoln,theRiverland,PortAugusta,Whyalla,YorkPeninsulaandsurroundingareas.
Partnerships
RelationshipsandpartnershipswithAboriginalcommunitiesarevitaltothesuccessofAHCSA’sTacklingIndigenousSmokingProgramme.Thesepositiverelationshipsdirecttheprovisionofsupportandactivitiestomeetlocalneeds.TheTISProgrammeobjectivesaretoconnectwith,inspireandempowerregionalandremotecommunitiestotackletobaccointheirownways.
KeypartnershipsandcollaborationswithAHCSAMembersandprogramsincludingtheSheddingtheSmokes,MaternalHealthTacklingSmoking,EducationandWorkforce,SexualHealthandQualitySystemsteamsensurethattheTISteamprovidesaholisticapproachtotacklingsmoking.
Theteamhasalsoformedstrongrelationshipsandpartnershipswithregionalhealthservicesandagenciestofacilitatesupportfortobaccocontrolandincreaseaccesstoquitsmoking
supports.TISProgrammesupportisalsoprovidedbypartner,NunyaraAboriginalHealthServiceInc.
WithinputfromCommunityleaders,AHCSAcontinuestofocusonprovidingleadershiptoorganisationsintheirinvolvementintobaccoreduction,supportingcommunitymemberstostartandcontinuetheirquitsmokingjourney,celebratesmoke-freelifestyles,buildcapacitytosupportquittingandreduceexposuretosecond-handsmokeincommunitieswithinAHCSA’sTISProgrammeregionalcatchmentareas.
TheteamhasbeenfortunatetopartnerwiththeAboriginalBasketballAcademy,AdelaideFootballClub–AboriginalPrograms,PortAdelaideFootballClub–AboriginalCommunityPrograms,SouthAustralianAboriginalSportsTrainingAcademyandmanyregionalschoolsandyouthhubs.Theseyoungpeoplearestrivingforsuccessforthemselves,theirfamiliesandcommunities.
Brighter Outlook
Indigenousyouthcontinuetoleadthewayinstayingsmoke-freeandareinfluentialintheirowncommunities,sharingthesmoke-freelifestylemessagesaboutthepositivebenefitsofquittingsmokingandstayingsmoke-free.TheTISteamisproudtoencourageAboriginalyouthtostayinschoolandmakethemostofthemanypositiveeducational,trainingpathwaysandopportunitiesavailable,whileprovidingeducationonhealthyandsmoke-freelifestyles.
Community Reach
TheTISteamhasextendedthegeographicalreachoftheProgrammethroughsocialmarketingcampaigns,developmentanddistributionofresources.Communityeducationsessionshaveincludedschoolandyouthactivities,capacitybuildingworkshopsandin-servicetraining.Theyhavealsoincludedcommunityengagements,populationhealthpromotionactivitiesandsmoke-freeevents.
Quit Support Referrals
Increasedaccesstoquitsupportshavebeenfacilitatedthroughcapacity-building,communityeducation,communityeventsanddirectreferralstotheQuitline,healthservicesandotherTISregionalprograms.
Reduced Exposure to Second-hand Smoke
TheTISProgrammecontinuestoprovidesupportandadvicetodeveloporstre