This report assesses the evidence regarding the effectiveness of physical activity and nutrition intervention programs in reducing the incidence of chronic diseases in Indigenous communities. The report also describes the burden of lifestyle-related chronic diseases (diabetes, cardiovascular disease and chronic kidney disease) affecting Indigenous Australians and assesses strategies that have the potential to be affective.
The authors conclude from the evidence that healthy lifestyle programs can help to combat lifestyle-related chronic diseases. In particular, the programs that were found to be most effective were community-based projects that were initiated and managed by the communities in which they were run. Individual, family and group-based Indigenous healthy lifestyle projects were found to have positive effects in the short term (up to two years). It is not known whether these effects are sustained in the long term as few programs have both the resources and impetus to continue long term.
Australian Indigenous HealthInfoNet abstract
The National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people: second edition provides an up-to-date, evidence-based national resource created to help all health professionals delivering primary health care to Indigenous people. The use of this guide may help to prevent disease, detect early and unrecognised disease, and promote health. This guide contains Indigenous-specific information on:
Australian Indigenous HealthInfoNet abstract
Australian Indigenous HealthInfoNet abstract
This report outlines the evaluation of the Community stores licensing program. The Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) commissioned the Cultural and Indigenous Research Centre Australia (CIRCA) to conduct the evaluation. The objective of the evaluation was to assess the the licensing process for community stores in relation to current legislation. The findings reported the outcomes of community stores licensing on:
The report also includes feedback from store managers and stakeholders.
Australian Indigenous HealthInfoNet abstract
This community storybook showcases the Riverland Aboriginal Chronic Disease Support Group (RACDSG). The storybook demonstrates how, in partnership with health professionals, Aboriginal people from the Riverland area in rural South Australia are taking an active part in managing their chronic conditions. The storybook tells how and why RACDSG was formed, and how the Riverland Community Health Service is involved with RACDSG. Also described are:
Abstract adapted from Riverland Aboriginal Chronic Disease Support Group
The 10 out of 10 deadly health stories - nutrition and physical activity booklet presents 10 successful nutrition and physical activity programs from NSW Aboriginal Community Controlled Health Services (ACCHSs). Programs ranged from cooking classes (Cooking classes for diabetes program) and teaching of life skills (Healthy lifestyle and weight management program), to community based activities (Fruit and vegetable program and market garden and Building healthy communities project). Despite the diversity in health topics they all shared several features, namely all were developed and tailored to meet needs identified by the Aboriginal communities in which the ACCHSs are located, and all have taken a 'holistic' approach.
The booklet was developed, produced and distributed by the Aboriginal Health and Medical Research Council (AHMRC) of NSW and funding was provided by the Australian Department of Health and Ageing.
Australian Indigenous HealthInfoNet abstract
The House of Representatives Standing Committee on Aboriginal and Torres Strait Islander Affairs tabled the report Everybody's Business: Remote Aboriginal and Torres Strait Community Stores in November 2009. The Hon Jenny Macklin MP, Minister for Families, Housing, Community Services and Indigenous Affairs had requested in December 2008 that the Committee inquire into and report on the operation of community stores in remote Aboriginal and Torres Strait communities. The report detailed the findings and recommendations of the committee.
The terms of reference for the Inquiry were:
The Committee shall inquire into and report on the operation of local community stores in remote Aboriginal and Torres Strait Islander communities, with a particular focus on:
The Committee received over 112 submissions, held 28 public hearings and visited stores in 17 remote Indigenous communities.
Australian Indigenous HealthInfoNet abstract
Aboriginal and Torres Strait Islander people experience significantly poorer health outcomes compared with other Australians. Chronic diseases such as cardiovascular disease and type 2 diabetes are responsible for the majority of the 'gap' in Indigenous life expectancy. Promoting good nutrition and physical activity is an essential component needed in order to 'Close the Gap' in life expectancy for Aboriginal people in Victoria. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) is committed to improving nutrition and physical activity, and has developed a nutrition and physical activity strategy, subtitled 'Policy proposals for promoting healthy eating and physical activity among Indigenous Victorians 2009-2014'.
The strategy was developed after a comprehensive review of the Indigenous health promotion literature and a state-wide consultation process. It recommends strategies and actions that will build on current activities of VACCHO and its members. It also recommends strategies for consideration by the State Government in a coordinated approach to preventing chronic disease in Victorian Aboriginal communities.
The Aboriginal view of health is holistic, that is it incorporates a whole-of life approach to the physical, social and cultural wellbeing of the community. Therefore this strategy recognises that action by the health sector alone will not be sufficient to close the gap. It is intended that this Nutrition and Physical Activity Strategy is just one part of a coordinated, intersectoral response to overcoming Indigenous disadvantage which includes action across other key dimensions such as housing, employment and education.
This strategy identifies priorities within eight key action areas. These include:
Australian Indigenous HealthInfoNet abstract
The Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities came into effect on 1 January 2008. The policy was implemented in all WA Health services during 2008, with all services required to comply fully with the policy by 31 December 2008.The Policy applies to all services, facilities and establishments owned or leased by WA Health and involved in the provision of prevention, treatment, rehabilitation and palliative services to patients and the general community. This includes all hospitals, community health centres/clinics, rehabilitation services and policy and administration agencies involved in the support and delivery of health services.The document outlines the rationale for the new policy, its aims and objectives, the services to which the policy will apply and the role of WA Health food outlets in its implementation. It also provides details of the nutrient criteria and guidelines for food supply and food categorisation, with special considerations for children and freshly prepared meals.
The new guidelines in the policy apply to all food outlets, vending machines and food sources that are available to staff and visitors in these facilities and under the management of WA Health. This includes:
The document also has a section on how the policy applies to fundraising initiatives, events and prizes, and to catering provided at business functions and meetings.
Australian Indigenous HealthInfoNet abstract
Kukumbat gudwan daga: really cooking good food is a cookbook of up to 100 healthy recipes for feeding ten or more people. The recipes are diverse, including traditional recipes such as kangaroo tail stew and introduced favourites such as spaghetti. Created by women from the women's centres of Manyallaluk, Gulin Gulin and Wugularr in conjunction with a chef and a nutritionist from the Fred Hollows Foundation, the cookbook uses local ingredients and provides step by step photographs. The recipes all give ingredients for cooking meals for 10 people, 30 people, 50 people or 100 people, meaning the user does not need to calculate ingredient amounts as is usually the case with regular cookbooks.
Australian Indigenous HealthInfoNet abstract