Ndjebbana Talking Books

Author(s):  
Glenn Auld

Members of the Kunibídji community are the traditional landowners of the land and seas around Maningrida, a community in Arnhem Land in Northern Australia. With very few exceptions, Ndjébbana is only spoken by the 150 Kunibídji community members of Maningrida, although Maningrida is also home to indigenous Australians who speak other languages. Ndjébbana is the preferred language of communication between members of the Kunibídji community. Ndjébbana is a minority indigenous Australian language.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Simone Nash ◽  
Amit Arora

Abstract Background Aboriginal and Torres Strait Islander peoples continue to experience poorer health outcomes than other population groups. While data specific to Indigenous Australians are scarce, a known social health literacy gradient exists linking low health literacy and poor health outcomes within many minority populations. Improving health literacy among Indigenous Australians is an important way to support self-determination and autonomy in both individuals and communities, by enhancing knowledge and improving health outcomes. This review aims to rigorously examine the effectiveness of health literacy interventions targeting Aboriginal and Torres Strait Islander peoples. Methods A systematic review across six databases (The Cochrane Library, PubMed, Embase, SCOPUS, ProQuest Dissertation and Thesis and Web of Science) was performed for publications evaluating interventions to improve health literacy among Indigenous Australian adults using search terms identifying a range of related outcomes. Results Of 824 articles retrieved, a total of five studies met the eligibility criteria and were included in this review. The included studies evaluated the implementation of workshops, structured exercise classes and the provision of discounted fruit and vegetables to improve nutrition, modify risk factors for chronic diseases, and improve oral health literacy. All interventions reported statistically significant improvement in at least one measured outcome. However, there was limited involvement of the Aboriginal and Torres Strait Islander community members in the research process and participant retention rates were sub-optimal. Conclusion There is limited evidence on interventions to improve health literacy in Indigenous Australian adults. Participation in interventions was often suboptimal and loss to follow-up was high. Future studies co-designed with Aboriginal and Torres Strait Islander community members are needed to improve health literacy in this population.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042268
Author(s):  
John A Woods ◽  
Judith M Katzenellenbogen ◽  
Kevin Murray ◽  
Claire E Johnson ◽  
Sandra C Thompson

ObjectivesAnticipation and prompt relief of symptoms among patients with a life-limiting illness is a core element of palliative care. Indigenous Australians commonly encounter cultural barriers in healthcare that may impair outcomes. The Palliative Care Outcomes Collaboration collects patient care data for the purposes of continuous quality improvement and benchmarking, with each recorded care episode divided into phases that reflect a patient’s condition. We aimed to investigate differences between Indigenous and non-Indigenous patients in the occurrence and duration of ‘unstable’ phases (which indicate unanticipated deterioration in a patient’s condition or circumstances), and determine attainment of the relevant benchmark (resolution of unstable phases in ≤3 days in 90% of cases) for both groups.DesignCohort study.SettingAustralia-wide hospital-based and community-based specialist palliative care (1 January 2010 to 30 June 2015).Participants139 556 (1502 Indigenous and 138 054 non-Indigenous) adult patients.Outcome measuresIndigenous and non-Indigenous patients were compared on (1) the risk of a phase being categorised as unstable, (2) the duration of unstable phases, and (3) the risk of unstable phases being prolonged (>3 days). Crude and adjusted estimates were produced from three-level robust Poisson regression and complementary log-log discrete time survival models.ResultsUnstable phases occurred with similar frequency overall among Indigenous and non-Indigenous patients (adjusted relative risks 1.06; 95% CI 1.00 to 1.11; not significant after correction for multiple comparisons). The duration and risk of prolongation of unstable phases were similar in both patient groups, with no significant differences evident among subgroups. The benchmark was not met for either Indigenous or non-Indigenous patients (unstable phase duration >3 days in 24.3% vs 25.5%; p=0.398).ConclusionsDespite well-documented shortcomings of healthcare for Indigenous Australians, there is no clear evidence of greater occurrence or prolongation of unanticipated problems among Indigenous patients accessing specialist palliative care services in hospital or the community.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24028-e24028
Author(s):  
Carolyn Der Vartanian ◽  
Vivienne Milch ◽  
Gail Garvey ◽  
Cleola Anderiesz ◽  
Jane Salisbury ◽  
...  

e24028 Background: Given the impact of COVID-19 on Indigenous and ethnic minority populations observed globally, keeping COVID-19 out of vulnerable Aboriginal and Torres Strait Islander (Indigenous Australian) communities remains a priority. Compared to non-Indigenous Australians, Indigenous Australians experience disparities in cancer incidence and outcomes due to social disadvantage, increased cancer-related modifiable risk factors, poorer access to health services and lower participation in screening. During the pandemic, cancer-related investigations and treatment reduced significantly in Australia, leading to potential decreases in cancer diagnoses and consequences for future survival outcomes. Concerned about the risk of morbidity and mortality due to COVID-19 for Indigenous Australians, as well as worsening cancer outcomes, Cancer Australia undertook strategic health promotion initiatives, to inform and support optimal cancer care. Methods: In consultation with respected Indigenous colleagues to ensure cultural appropriateness of language and information, we published a dedicated webpage titled ‘ Cancer and COVID-19 – what it means for our Mob*’ with tailored information, advice, and links to key resources and support services for Indigenous Australians. We also released a video titled ‘ Act early for our Mob’s Health’, providing targeted, culturally appropriate, consumer-friendly information to encourage Indigenous Australians to see their doctor or Aboriginal Health Worker with symptoms that may be due to cancer. Results: The information hub has been well-received among the Indigenous Australian community, receiving over 3,200 visits, and the social media campaigns have received over 1.4 million impressions and 46,000 video views between mid-March 2020 to mid-February 2021. This campaign has supported proactivity among the Indigenous population in keeping their communities safe during the pandemic, maintaining a population rate of COVID-19 of less than one percent of all confirmed cases in Australia. Conclusions: Culturally appropriate information and resources developed through the process of co-design can help to influence positive health behaviour change in Indigenous populations. We predict that our strategic, multi-channel health promotion campaign is contributing to keeping the Indigenous Australian community safe and informed during the pandemic, with additional work needed to monitor cancer rates and outcomes and address the ongoing information needs of the community. *Mob is a colloquial term to identify a group of Indigenous Australians associated with a family or community from a certain place.


2009 ◽  
Vol 18 (2) ◽  
pp. 127 ◽  
Author(s):  
Andrew C. Edwards ◽  
Jeremy Russell-Smith

The paper examines the application of the ecological thresholds concept to fire management issues concerning fire-sensitive vegetation types associated with the remote, biodiversity-rich, sandstone Arnhem Plateau, in western Arnhem Land, monsoonal northern Australia. In the absence of detailed assessments of fire regime impacts on component biota such as exist for adjoining Nitmiluk and World Heritage Kakadu National Parks, the paper builds on validated 16-year fire history and vegetation structural mapping products derived principally from Landsat-scale imagery, to apply critical ecological thresholds criteria as defined by fire regime parameters for assessing the status of fire-sensitive habitat and species elements. Assembled data indicate that the 24 000 km2 study region today experiences fire regimes characterised generally by high annual frequencies (mean = 36.6%) of large (>10 km2) fires that occur mostly in the late dry season under severe fire-weather conditions. Collectively, such conditions substantially exceed defined ecological thresholds for significant proportions of fire-sensitive indicator rain forest and heath vegetation types, and the long-lived obligate seeder conifer tree species, Callitris intratropica. Thresholds criteria are recognised as an effective tool for informing ecological fire management in a variety of geographic settings.


2020 ◽  
Vol 26 (2) ◽  
pp. 95 ◽  
Author(s):  
Rosetta Lillian Smith ◽  
Sue Devine ◽  
Robyn Preston

When addressing disparities in health status of Indigenous Australians, it is necessary to consult with Indigenous people to explore their health needs. The process of improving health outcomes is complex; it requires acknowledgement of underlying cultural and social determinants of health and active engagement of Indigenous people to define the issues and identify solutions. The aim of this study is to explore the most appropriate research methodologies to determine Australian Indigenous community members’ perceptions of their health needs. A scoping review was conducted in BioMed Central, CINAHL, Informit Health, MEDLINE Ovid, ProQuest and Scopus databases and Google Scholar for all relevant literature published between 2009 and 2018. Extensive manual searches of reference lists were also undertaken. The limited number of articles relating to needs assessment with Indigenous community members prescribed broadening the scope of the review to include articles that describe methodologies to enhance Indigenous people’s engagement in the research process. Twelve papers met the inclusion criteria. Three major themes emerged: (1) the imperative to develop and implement Indigenist research methodologies; (2) participatory action research (PAR) and community-based participatory research (CBPR) as appropriate methodologies to conduct research with Indigenous community members; and (3) yarning or storytelling as a culturally appropriate Indigenous method of data collection.


Author(s):  
Peter Minter

Contemporary Indigenous Australian literature draws on tens of thousands of years of sustained cultural continuity and diversity, while bearing witness to the destructive impacts of colonization and assimilation, and imagining new horizons of restoration, healing, and sovereign expression. The late 18th-century arrival of the English language amid complex Indigenous societies presented Indigenous peoples with a set of unfamiliar literary, linguistic, and rhetorical conditions and forms, the sudden appearance of Western literary modernity forever changing Indigenous modes of expression. This “intercultural entanglement” of Indigenous Australian literature is central to an appreciation of its achievements, from its earliest appearances in letters, petitions, and chronicles aimed at negotiating with or at times subversively mimicking modes of colonial authority, to its growing confidence and autonomy in the 20th century as Indigenous Australians fought back again colonization, asserted civil and land rights, and began the long process of cultural restoration and healing, through to the sovereign expressions of Aboriginal consciousness today. Across various modern literary genres, from mythological narratives to political manifestos, in poetry, plays, short stories, and novels, Indigenous Australian authors have borne witness to tragic and humiliating histories of violence, incarceration, and cultural suppression and fragmentation, but have also assertively developed new and at times revolutionary reimaginings of Western literary modes and styles. Realist testimonial narratives and lyrics in prose and poetry are today complemented by assured works of the imagination in which genre and mode are transformed in the recovery of blood memory, country, and language. The literature of Indigenous Australia continues to make a profound contribution to the literature of the world.


2008 ◽  
pp. 1895-1923
Author(s):  
Anne Daly

This chapter presents data from the 2001 Census of Population and Housing to highlight the low levels of computer and Internet usage by indigenous Australians. This result is not surprising, given the well-documented connection between education, income, location of residence and use of these technologies. One possible way of addressing the digital divide between capital city dwellers and other Australians is through the development of community online access centres. Using evidence from the literature and from fieldwork in New South Wales, the chapter considers some factors that are likely to make these centres more successful. These include a strong commitment by the community to the development of a centre and a close integration of the centre with community activities. It is important that significant funds be budgeted to training for all involved including centre staff and community members.


2019 ◽  
Vol 215 ◽  
pp. 64-85 ◽  
Author(s):  
Bruno David ◽  
Jean-Jacques Delannoy ◽  
Jerome Mialanes ◽  
Christopher Clarkson ◽  
Fiona Petchey ◽  
...  

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