Category: Vol 1 No 2 October 2001 – December 2001

The late Dr Arnold ‘Puggy’ Hunter has been named by the Human Rights and Equal Opportunity Commission as the recipient of the Human Rights Medal 2001.

Dr Hunter fought uncompromisingly for human rights for the Aboriginal community. Upon his untimely and recent death, tributes to Dr Hunter poured in from around Australia -click here to view the obituary by Professor Neil Thomson from the HealthInfoNet and obituaries from Indigenous groups, federal politicians, medical boards and associations.

Dr Hunter helped establish the East Kimberley Aboriginal Medical Service in 1982, and served as Chairman of the Kimberley Aboriginal Medical Services Council for many years.

In 1991, Puggy was elected as inaugural Chairperson of NACCHO (the National Aboriginal Community Controlled Health Organisation), the peak national advisory body on Aboriginal health.

As Chairperson of NACCHO, Puggy worked tirelessly to strengthen and expand the crucial roles of Aboriginal community-controlled health services. He played a critical role in government responses to Indigenous health, including the negotiation of health framework agreements in every State and Territory.

Puggy also made a major contribution to ensuring that Medicare services and the Pharmaceutical Benefits Scheme benefits were more equitably provided to Indigenous people, particularly those living in remote parts of the country.

He was Deputy Chair of the National Aboriginal and Torres Strait Islander Health Council, the principal advisory body to the Minister for Health and Aged Care. Puggy was also a Chairman of the Aboriginal and Torres Strait Islander Working Group of the National Public Health Partnership, and a member of the National Rural Health Alliance and the Public Health Association of Australia.

Puggy was also a respected and successful ATSIC Regional Councillor in the Kullarri region from 1993 to 1996, and was involved in numerous voluntary community-based organisations

In recognition of his ‘exceptional contribution to the advancement of human well-being’, Puggy was awarded an honorary doctorate by James Cook University in April 2001.

The recent awarding of the Human Rights Medal acknowledges Dr Hunter’s ‘unwavering commitment over many years to improving Aboriginal health in the face of hostility, disruption to his family, financial hardship and his own health.’

His family accepted the award on his behalf with both pride and sadness. His daughter, Renee, said her father had one wish for himself and other Aboriginal men – to live to 50 years of age. He died about a week after his 50th birthday celebrations earlier this year. Ms Hunter says her father worked tirelessly for the betterment of Aboriginal health but shirked recognition. ‘He always said that “no don’t worry about putting me in these awards” because everyone always wanted to nominate him for awards’, she said. ‘But he said “no, no that’s alright”. So he was one of the people who was a real quiet achiever, who really worked very hard and got a lot of things put into place, and who helped a lot of Aboriginal people.’

The 33rd Public Health Association of Australia Annual Conference was held in Sydney from the 23-26 September. Titled 2001: A Public Health Odyssey – Popular Culture, Science and Politics, the conference explored the influence of community preferences, scientific evidence and political realities in addressing various health issues, and highlighted the need to properly engage the community and consumers in the development of our health system.

The conference theme has particular relevance to the health of Indigenous Australians, and a number of papers presented at the conference addressed Indigenous health issues in Australia and New Zealand. Other events of relevance to Indigenous health included the Annual General Meeting of the Aboriginal and Torres Strait Islander Health Special Interest Group, and the Gordon Oration by HealthInfoNet Consultant Associate Professor Ian Anderson.

The conference also provided the HealthInfoNet with an opportunity to share its work with public health professionals from around Australia. A mini Internet Café, along the lines of those conducted at earlier conferences, introduced conference delegates to the HealthInfoNet’s online services and technology, and its role in empowering Indigenous people by providing them with access to relevant, high-quality information and knowledge translation on Indigenous health.

The café, conducted by Sam Burrow from the HealthInfoNet and Donna Daly from the Aboriginal and Islander Health Worker Journal, offered delegates the opportunity to explore the HealthInfoNet site. New users were guided through its major sections and offered assistance to seek out material pertaining to their specific health interests. Digital photos captured the conference participants at work and play and were displayed at the HealthInfoNet stall.

The Australian Indigenous HealthInfoNet would like to thank the Public Health Association of Australia and the Aboriginal and Islander Health Worker Journal for providing the financial support and manpower, respectively, to conduct the Internet café. Finally, a special thank you to Donna for her capable assistance and good company.

The 25 October meeting of AHMAC (Australian Health Ministers’ Advisory Council) agreed to establish the Standing Committee on Aboriginal and Torres Strait Islander Health (SCATSIH) with the following draft terms of reference:

(1) To assist AHMAC to meets its whole-of-health system responsibilities to improve Indigenous health;
(2) To coordinate and promote jurisdictional activities in relation to Indigenous health policy development, program development and delivery;
(3) To provide advice to and representation on the National Aboriginal and Torres Strait Islander Health Council;
(4) To provide a forum for coordination of health jurisdictions advice on Indigenous health to COAG (Council of Australian Governments) and other Ministerial Councils; and
(5) To convene a forum responsible for personal development, leadership and collegiate development of Indigenous staff working within Commonwealth, State and Territory health departments.

Membership of the SCATSIH, which supersedes the Heads of Aboriginal Health Units (HAHU) forum, is being finalised in preparation for the first meeting on 4 December. Details of the SCATSIH membership and other aspects will be provided as they become available.

Following a series of meetings in Ottawa and Toronto on 8-11 October with people and organisations involved in Aboriginal health in Canada, the HealthInfoNet has been approached to assist in the development of a Canadian resource along the lines of the Australian Indigenous HealthInfoNet.

The meetings began in Ottawa on 8 October, when HealthInfoNet Director, Neil Thomson, and Manager, Bronwyn Gee, met with Richard Jock, Executive Director, and senior research and policy staff of the National Aboriginal Health Organization (NAHO).

NAHO was established in 1999-2000, largely in response to recommendations of the 1996 Royal Commission on Aboriginal Peoples which recognised the need for an Aboriginal organisation to serve as a support network for Aboriginal health workers and communities, to share information, and act as an advocate of evidence-based decision-making in addressing the health needs of Canada’s Aboriginal peoples. After detailed consultations with key Aboriginal organisations, communities and individuals, the five major national organisations – the Assembly of First Nations, the Congress of Aboriginal Peoples, Inuit Tapirisat of Canada, the Metis National Council and the Native Women’s Association of Canada – agreed to the form and objectives of NAHO and now serve on its Board of Directors. NAHO’s specific objectives are:
(1) improving and promoting through knowledge-based activities the health of Aboriginal peoples and Aboriginal communities
(2) promoting health issues pertaining to Aboriginal peoples by means including communications and public education activities.
(3) facilitating and promoting research and developing research partnerships relating to Aboriginal health issues
(4) fostering recruitment, retention, training and utilisation of Aboriginal people in the delivery of health care.
(5) affirming Aboriginal traditional healing practices through validating holistic traditional practices and medicines and ensuring such practices receive recognition.

TheHealthInfoNet‘s work had been recognised by NAHO in the development of a document entitled Establishing a leading knowledge-based organization, so the meeting on 8 October enabled NAHO staff to consider more closely how a similar resource could be established in Canada.

The value of such a resource was acknowledged also by the Dr Jeff Reading, Scientific Director of the Institute of Aboriginal Peoples’ Health (IAPH), and the IAPH Advisory Board (composed of representatives from the Aboriginal community, academia and governments) after a presentation to the Board in Toronto on 10 October. The IAHP, one of the thirteen ‘virtual’ Institutes of the Canadian Institutes of Health Research (CIHR), supports research addressing the special health needs of Canada’s Aboriginal people. Dr Reading and the Board recognised the very important role that a Canadian Aboriginal HealthInfoNet could play in assisting their health research agenda (across disciplines, sectors, and regions), the emerging health needs of Canadian Aboriginal people, and the information needs of health policy decision-makers.

As well as the presentation to the Board and follow-up meetings with Dr Reading, Neil and Bronwyn were guests at the official launch of the IAHP in Toronto on 11 October.

Following these meetings and presentations in Ottawa and Toronto, HealthInfoNet staff have been working with NAHO staff in the initial planning for a Canadian version of the HealthInfoNet. It is anticipated that both the HealthInfoNet and NAHO will benefit from collaboration on this development, as some of the generic aspects will be able to be shared. NAHO is planning to have a Canadian Aboriginal HealthInfoNet fully operational within two years.

Acknowledgments: The Australian Indigenous HealthInfoNet is grateful to Edith Cowan University’s Faculty of Communications, Health and Science for supporting the visit of Bronwyn Gee and Neil Thomson to Canada, and to Ginette Thomas, Executive Officer of the CIHR Institute of Aboriginal Peoples’ Health, for assisting in the coordination of meetings in Ottawa and Toronto..

Senior officials of the Canadian Institutes of Health Research (CIHR) and Health Canada expressed great interest in the work of the Australian Indigenous HealthInfoNet in meetings with the HealthInfoNet Director, Neil Thomson, and Manager, Bronwyn Gee, in Ottawa, Canada on 9-10 October. These meetings need to be seen in the context of the establishment in April 2000 of the CIHR as a replacement for the Canadian Medical Research Council (the Canadian equivalent of Australia’s National Health and Medical Research Council), and of the great emphasis placed by Canadian health authorities on the development of a comprehensive pan-Canadian Health Infostructure.

As part of its enabling legislation, the CIHR is required to excel in the support of health research and the translation of this research ‘into improved health for Canadians, more effective health services and products, and a strengthened health care system’ (emphasis added). This requirement for ‘knowledge translation’ – very uncommon among national research-funding bodies – requires processes to support the uptake of health research in a manner that improves health and health care ‘through improved understandings, processes, services, products or systems’.

Neil and Bronwyn met with CIHR President, Dr Alan Bernstein, and Senior Policy Advisor, Elizabeth Dickson, who is responsible for the development of a conceptual framework for knowledge translation (to be considered at the November meeting of the CIHR Governing Council). Ms Dickson acknowledged that the HealthInfoNet is one of the few organisations anywhere in the world already actively undertaking knowledge translation. She and Dr Bernstein were most impressed with the way that the HealthInfoNet is making that knowledge accessible by the Internet to assist decision-making by policy-makers, health program managers and health service providers, and with the HealthInfoNet‘s work in conducting workshops and Internet cafes to improve the access of Australian Indigenous people to this knowledge.

In parallel with the work being undertaken by the CIHR in the development of a framework for knowledge translation, Health Canada’s Office of Health and the Information Highway (OHIH) is coordinating the planning and implementation of the pan-Canadian Health Infostructure. An advisory committee set up to develop a blueprint and tactical plan for the Infostructure, which will be the information and communications foundation for the Canadian health system, recognised that many of the components exist already. The committee did, however, identify significant gaps in the areas of health information for the public and for health service providers, clinical decision support, telehealth, electronic health records, health surveillance, health selfcare/telecare, health data holdings, and data analysis and reporting.

Mr Jean-Claude Barre, Senior Policy Advisor with OHIH, reported that activities were underway to address many of these gaps, but that little had been done in the type of knowledge translation performed by the HealthInfoNet. Mr Barre was so impressed with the work of the HealthInfoNet that he indicated he would try to schedule a video conference presentation at a meeting of the advisory committee, whose work is supported by the Canadian Conference of Deputy Ministers of Health and the Conference of Ministers of Health (equivalent to the Australian Health Ministers’ Advisory Council and Australian Health Ministers’ Conference respectively).

Coming shortly after the HealthInfoNet‘s participation as a finalist in the prestigious Stockholm Challenge Award for the innovative use of information technology, the meetings with the CIHR and the OHIH confirm the HealthInfoNet‘s position as a world leader in the vital area of knowledge translation.

Acknowledgments: The Australian Indigenous HealthInfoNet is grateful to Edith Cowan University’s Faculty of Communications, Health and Science for supporting the visit of Bronwyn Gee and Neil Thomson to Canada, and to Ginette Thomas, Executive Officer of the CIHR Institute of Aboriginal Peoples’ Health, for assisting in the coordination of meetings in Ottawa and Toronto.

The Australian Indigenous HealthInfoNet was one of about 60 finalists from around the world that participated in the Stockholm Challenge Award 2001 Final Events, held in Stockholm, Sweden on 23-26 October. The HealthInfoNet was represented by Sandy Angus, Bronwyn Gee and Neil Thomson.

The Stockholm Challenge is an international award that highlights the benefits information and communication technology can bring to people and society, with an emphasis of bridging the ‘digital divide’. The award is broken into seven categories covering major social justice issues. The Australian Indigenous HealthInfoNet was a finalist in the ‘Health and quality of life’ category.

President of the Stockholm City Council, Lord Mayor Axel Wennerholm, welcomed participants to several days of stimulating events. The first of the formal events was a World Café, a facilitated forum for open discussion between finalists from all the categories. The opportunity to discuss and debate IT issues with people from developing countries (such as Egypt, Uganda, Peru and India) as well as developed countries (like the United States, Canada and New Zealand) was particularly rewarding and memorable. The interaction and networking allowed sharing of knowledge and experiences between people from projects that varied immensely in resources, infrastructure and geographical location.

The Stockholm Challenge Best Practice Exhibition, held the following day, enabled finalists to promote their projects, their culture and their countries. HealthInfoNet staff benefited personally and professionally from being able to network with others across racial, cultural and geographical borders. In the words of Sandy Angus, Indigenous Project Officer with the HealthInfoNet: ‘The experience of attending the Stockholm Challenge Awards provided me with new information to plan IT education and training projects for Indigenous people. It also encouraged me to open my own mind, and to explore creative ways of working in health information in the future. By meeting other finalists I have also made new relationships and developed networks of people that I hope will work towards improving the overall health and quality of life of Indigenous people worldwide. Often Indigenous people working in partnership with non-Indigenous people are not given the opportunity to attend events such as this, so I was appreciative of having an equal part. The experience was one of the most exciting events of my life and one that I shall never forget.’

The winners of each of the seven categories were announced at the prize-giving ceremony in the Stockholm City Hall. The international jury evaluated the projects against four specific criteria: innovation; user need; sustainability; and transferability. The ‘Health and quality of life’ category had joint winners: SUMA, a humanitarian supply management system from the USA that coordinates the distribution of emergency relief to victims of disasters; and TEENEX, a drug prevention and personal enrichment project for young people worldwide that was developed in the UK. The HealthInfoNet congratulates the winning projects from all categories.

The prize giving ceremony was followed with an evening of wonderful traditional Swedish entertainment and hospitality

Staff from the Australian Indigenous HealthInfoNet were proud to have participated in this international event and to have shared with the wider world the way the HealthInfoNet aims to improve Indigenous health. This small, innovative and creative project, fired mainly on enthusiasm and passion, is recognised as a world leader in the translation of research into knowledge and the use of technology to disseminate this knowledge.

Acknowledgment: The Australian Indigenous HealthInfoNet is grateful to the Office for Aboriginal and Torres Strait Islander Health for a special grant to enable Sandy Angus to participate, and to the Edith Cowan University’s Faculty of Communications, Health and Science for supporting the participation of Bronwyn Gee and Neil Thomson.

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The Aboriginal and Torres Strait Islander Board, a peak advisory body to the Government on Indigenous issues, has recently begun a new 2 year term. The Minister for Aboriginal and Torres Strait Islander Policy, Judy Spence, announced the names of the twelve members. She said “The Board is now a mixture of experience and new blood with representation from regions across the State.” Four new members, with expertise in health, legal services and housing, have joined eight previous members, including the original and present Chair, Dr Robert Anderson.

Ms Spence paid tribute to the Board, which the Beattie Government established in July 1999, for gaining the trust of Indigenous communities and its leadership. Both the community and the Government have been provided with reliable advice on issues such as justice, family violence, cultural heritage, the Aborigines Welfare Fund and the Ten Year Partnership. There is potential for expansion in the future as Ms Spence has invited ATSIC to nominate two representatives for inclusion on the board

The members are:

• Chair: Dr Robert Anderson OAM, a Brisbane elder who chairs Reconciliation Queensland and is an experienced community and union activist.
• Ms Adrienne Barnett (new member), experienced in Aboriginal and Torres Strait Islander legal services.
• Ms Cheryl Buchanan (previous Deputy Chair), experienced in education, legal services, the arts and corrective services.
• Ms Donna Chong (new member), a member of Doomadgee community who works as a housing coordinator.
• Mrs Rose Colless OAM, a Cairns Elder and recipient of a Human Rights Medal in 1987. Rose is experienced in housing, alcohol relief and the union movement.
• Associate Professor Jacinta Elston, Head of Aboriginal and Torres Strait Islander Health Studies at James Cook University.
• Ms Barbara Flick (new member), a health professional and consultant.
• Ms Henry Garnier, Chairperson of the Island Coordinating Council, from Hammond Island.
• Ms Ruth Hegerty, a Brisbane Elder and author experienced in health and child care.
• Mr Richard Hoolihan, a TAFE teacher.
• Mr Thomas Hudson (new member), Chairperson of the Aboriginal Coordinating Council.
• Ms Penny Tripcony, experienced in tertiary eduction and Chair of the Queensland Indigenous Education Consultative Body.