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Remote Australia Online

Search here for evidence-based reports and resources about remote Australia
Remote Australia is a vast and complex area. To create opportunity, foster social inclusion and drive economic development in this region, you need a comprehensive knowledge base to drive change.
Remote Australia Online is exactly that. It’s an online platform that delivers authoritative research on topics that impact this region and its people, including education and its pathways, policy, business, social and cultural welfare, infrastructure, communication and natural resource management.

Remote Australia Online is for those who want to delve deeper into the complexities of remote Australia: its intricate and interconnected networks, the geographical, social, cultural and environmental influences, its opportunities, challenges, and to understand just what makes this unique region tick.
Journal Article
Asymmetries and climate futures: Working with waters in an Indigenous Australian settlement
Author(s):
Spencer, Michaela; Dányi, Endre; Hayashi, Yasunori
Published:
2019
Publisher:
SAGE Publications Inc
This paper focuses on a water management project in the remote Aboriginal community of Milingimbi, Northern Australia. Drawing on materials and experiences from two distinct stages of this project, we revisit a policy report and engage in ethnographic storytelling in order to highlight a series of sensing practices associated with water management. In the former, a working symmetry between Yolngu and Western water knowledges is actively sought through the practices of the project. However, in the latter, recurrent asymmetries in the research work continue to appear: a bilingual diagram of water usage is displayed but produces confusion; measuring a water hole for salinity, a member of the scientific team throws in a water meter, while a Yolngu elder prefers the telling of an ancestral story; a collaborative 3-D mapping exercise invites participation from community members but struggles to develop an outcome that differs from existing maps used by scientists and government staff. Focusing on these moments as subtle points of rupture, we suggest that attending to 'seeing', 'telling', and 'mapping' in both stages of this water management project offers a way to explore the political work of crafting climate futures and beginning to interrogate differing means for ?doing difference? within them.
Journal Article
Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review
Author(s):
Street, Tamara D.; Somoray, Klaire; Richards, Georgia C.; Lacey, Sarah J.
Published:
2019
Objective To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia. Design A systematic literature review of peer-reviewed journal publications between January 1990 and April 2018. Setting Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect. Participants Studies, involving two groups, were included in the review: (a) Australian adults, residing in non-metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non-metropolitan patients. Main outcome measures Facilitators and barriers of continuity of care for non-metropolitan patients with a chronic condition. Results Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis. Conclusions Coordination of health care services for non-metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendations have been provided to assist practitioners and policy-makers to improve the experience of shared care and health outcomes for non-metropolitan patients.
Journal Article
Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia
Author(s):
Tapia, Kriscia A.; Garvey, Gail; McEntee, Mark F.; Rickard, Mary; Lydiard, Lorraine; Brennan, Patrick C.
Published:
2019
Objective: To compare breast screening attendances of Indigenous and non-Indigenous women. Methods: A total of 4,093 BreastScreen cases were used including 857 self-identified Indigenous women. Chi-squared analysis compared data between Indigenous and non-Indigenous women. Logistic regression was used for groupings based on visits-to-screening frequency. Odds ratios and 95% confidence intervals were calculated for associations with low attendance. Results: Indigenous women were younger and had fewer visits to screening compared with non-Indigenous women. Non-English speaking was mainly associated with fewer visits for Indigenous women only (OR 1.9, 95%CI 1.3-2.9). Living remotely was associated with fewer visits for non-Indigenous women only (OR 1.3, 95%CI 1.1-1.5). Shared predictors were younger age (OR 12.3, 95%CI 8.1-18.8; and OR 11.5, 95%CI 9.6-13.7, respectively) and having no family history of breast cancer (OR 2.1, 95%CI 1.3-3.3; and OR 1.8, 95%CI 1.5-2.1, respectively). Conclusions: Factors associated with fewer visits to screening were similar for both groups of women, except for language which was significant only for Indigenous women, and remoteness which was significant only for non-Indigenous women. Implications for public health: Health communication in Indigenous languages may be key in encouraging participation and retaining Indigenous women in BreastScreen; improving access for remote-living non-Indigenous women should also be addressed.
Journal Article
Extensive diversity of Streptococcus pyogenes in a remote human population reflects global-scale transmission rather than localised diversification
Author(s):
Towers, Rebecca; Carapetis, Jonathon; Currie, Bart J; Davies, Mark; Walker, Mark; Dougan, Gordon; Giffard, Philip M.
Published:
2013
Publisher:
Public Library of Science
The Indigenous population of the Northern Territory of Australia (NT) suffers from a very high burden of Streptococcus pyogenes disease, including cardiac and renal sequelae. The aim of this study was to determine if S. pyogenes isolated from this population represent NT endemic strains, or conversely reflect strains with global distribution. emm sequence typing data were used to select 460 S. pyogenes isolates representing NT S. pyogenes diversity from 1987–2008. These isolates were genotyped using either multilocus sequence typing (MLST) or a high resolution melting-based MLST surrogate (Minim typing). These data were combined with MLST data from other studies on NT S. pyogenes to yield a set of 731 MLST or Minim typed isolates for analysis. goeBURST analysis of MLST allelic profiles and neighbour-joining trees of the MLST allele sequences revealed that a large proportion of the known global S. pyogenes MLST-defined diversity has now been found in the NT. Specifically, fully sequence typed NT isolates encompass 19% of known S. pyogenes STs and 43% of known S. pyogenes MLST alleles. These analyses provided no evidence for major NT-endemic strains, with many STs and MLST alleles shared between the NT and the rest of the world. The relationship between the number of known Minim types, and the probability that a Minim type identified in a calendar year would be novel was determined. This revealed that Minim types typically persist in the NT for >1 year, and indicate that the majority of NT Minim types have been identified. This study revealed that many diverse S. pyogenes strains exhibit global scale mobility that extends to isolated populations. The burden of S. pyogenes disease in the NT is unlikely to be due to the nature of NT S. pyogenes strains, but is rather a function of social and living conditions.
Journal Article
Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation
Author(s):
Young, Louise; Peel, Raquel; O’Sullivan, Belinda; Reeve, Carole
Published:
2019
Background: Australians living in rural and remote areas have access to considerably fewer doctors compared with populations in major cities. Despite plentiful, descriptive data about what attracts and retains doctors to rural practice, more evidence is needed which informs actions to address these issues, particularly in remote areas. This study aimed to explore the factors influencing General Practitioners (GPs), primary care doctors, and those training to become GPs (registrars) to work and train in remote underserved towns to inform the building of primary care training capacity in areas needing more primary care services (and GP training opportunities) to support their population’s health needs. Methods: A qualitative approach was adopted involving a series of 39 semi-structured interviews of a purposeful sample of 14 registrars, 12 supervisors, and 13 practice managers. Fifteen Australian Medical Graduates (AMG) and eleven International Medical Graduates (IMG), who did their basic medical training in another country, were among the interviewees. Data underwent thematic analysis. Results: Four main themes were identified including 1) supervised learning in underserved communities, 2) impact of working in small, remote contexts, 3) work-life balance, and 4) fostering sustainable remote practice. Overall, the findings suggested that remote GP training provides extensive and safe registrar learning opportunities and supervision is generally of high quality. Supervisors also expressed a desire for more upskilling and professional development to support their retention in the community as they reach mid-career. Registrars enjoyed the challenge of remote medical practice with opportunities to work at the top of their scope of practice with excellent clinical role models, and in a setting where they can make a difference. Remote underserved communities contribute to attracting and retaining their GP workforce by integrating registrars and supervisors into the local community and ensuring sustainable work-life practice models for their doctors. Conclusions: This study provides important new evidence to support development of high-quality GP training and supervision in remote contexts where there is a need for more GPs to provide primary care services for the population.
Journal Article
Reducing retail merchandising of discretionary food and beverages in remote Indigenous community stores: Protocol for a randomized controlled trial
Author(s):
Brimblecombe, Julie; Ferguson, Megan; McMahon, Emma; Peeters, Anna; Miles, Edward; Wycherley, Thomas; Minaker, Leia M; De Silva, Khia; Greenacre, Luke; Mah, Catherine
Published:
2019
Background: Discretionary food and beverages (products high in saturated fat, added sugars, and salt) are detrimental to a healthy diet. Nevertheless, they provide 42% of total energy and account for 53% of food and beverage expenditure for remote living Aboriginal and Torres Strait Islander Australians, contributing to the excessive burden of chronic diseases experienced by this population group. Objective: The aim of this study is to test an intervention to reduce sales of discretionary products, in collaboration with the Arnhem Land Progress Aboriginal Corporation (ALPA), which operates 25 stores in very remote Australia, by reducing their merchandising and substituting with core products in remote Australian communities. Methods: We will use a community-level randomized controlled pragmatic trial design. Stores randomized to the intervention group will be supported by ALPA to reduce merchandising of 4 food categories (sugar, sugar-sweetened beverages, sweet biscuits, and confectionery) that together provide 64% of energy from discretionary foods and 87% of total free sugars in very remote community stores. The remaining stores (50% of total) will serve as controls and conduct business as usual. Electronic store sales data will be collected at baseline, 12-weeks intervention, and 24-weeks postintervention to objectively assess the primary outcome of percent change in purchases of free sugars (g/megajoule) and secondary business- and diet-related outcomes. Critical to ensuring translation to improved store policies and healthier diets in remote Indigenous Australia, we will conduct (1) an in-depth implementation evaluation to assess fidelity, (2) a customer intercept survey to investigate the relationship between customer characteristics and discretionary food purchasing, and (3) a qualitative study to identify policy supports for scale-up of health-enabling policy action in stores. Results: As of August 2018, 20 stores consented to participate and were randomized to receive the intervention or continue usual business. The 12-week strategy ended in December 2018. The 24-week postintervention follow-up will occur in May 2019. Trial results are expected for 2019. Conclusions: Novel pragmatic research approaches are needed to inform policy for healthy retail food environments. This research will greatly advance our understanding of how the retail food environment can be used to improve population-level diet in the remote Australian Aboriginal and Torres Strait Islander context and retail settings globally. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12618001588280; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375933 (Archived by WebCite at http://www.webcitation.org/76dbQEmwN) International Registered Report Identifier (IRRID): DERR1-10.2196/12646
Journal Article
Staying strong on the inside and outside’ to keep walking and moving around: Perspectives from Aboriginal people with Machado Joseph Disease and their families from the Groote Eylandt Archipelago, Australia
Author(s):
Carr, JJ; Lalara, J; Lalara, G; O’Hare, G; Massey, L; Kenny, N; Pope, KE; Clough, AR; Lowell, A.; Barker, RN
Published:
2019
Publisher:
Public Library of Science
Machado Joseph Disease (MJD) (spinocerebellar ataxia 3) is a hereditary neurodegenerative disease causing progressive ataxia and loss of mobility. It is the most common spinocerebellar ataxia worldwide. Among Aboriginal families of Groote Eylandt and related communities across Australia’s Top End, MJD is estimated to be more prevalent than anywhere else in the world. This study explored lived experiences of individuals and families with MJD to determine what is important and what works best to keep walking and moving around. A collaborative qualitative exploratory study, drawing from constructivist grounded theory methods, was undertaken for data collection and analysis. Semi-structured in-depth interviews were conducted with individuals with MJD (n = 8) and their family members (n = 4) from the Groote Eylandt Archipelago where ~1500 Aboriginal people (Warnumamalya) live. Interviews were led by Warnumamalya community research partners in participants’ preferred language(s). Participants described their experience of living with MJD, from ‘knowing about MJD’, ‘protecting yourself from MJD’ and ‘adjusting to life with MJD’. While the specific importance of walking and moving around differed widely between participants, all perceived that walking and moving around enabled them to do what mattered most to them in life. ‘Staying strong on the inside and outside’ (physically, mentally, emotionally, spiritually) was perceived to work best to keep walking and moving around as long as possible. A framework that included personal and environmental strategies for staying strong emerged: ‘Exercising your body’, ‘having something important to do’, ‘keeping yourself happy’, ‘searching for good medicine’, ‘families helping each other’ and ‘going country’. This study, the first to explore lived experiences of MJD in Australia, highlights the importance of maintaining mobility as long as possible. Strategies perceived to work best address physical and psychosocial needs in an integrated manner. Services supporting families with MJD need flexibility to provide individualised, responsive and holistic care.
Book Section
Disasters, market changes and ‘The Big Smoke’: Understanding the decline of remote tourism in Katherine, Northern Territory Australia
Author(s):
Carson, Dean B.; Carson, Doris A.
Published:
2019
Publisher:
Springer International Publishing
This chapter examines the decline of tourism in Katherine, one of the Northern Territory’s iconic remote destinations. While the decline coincided with severe floods damaging much of the town and its tourism infrastructure in 1998, other factors such as the overall decline of Outback tourism in Australia and changes in key markets such as backpackers and self-drive tourists contributed to the difficulty in reviving Katherine’s tourism industry following the floods. Katherine tourism demonstrates characteristics consistent with the Beyond Periphery model of tourism development in remote or sparsely populated areas. The chapter argues that Katherine has become even more distant and disconnected from tourist markets, investors and policy makers since the floods. Key issues for future development include an increasingly uneven relationship between Katherine and the capital city of Darwin, and an inability to identify alternative markets and development paths independent of the dominant tourism structures in the Northern Territory. Katherine is an example of a remote destination which initially had substantial competitive advantages because of its location and levels of local investment in tourism, but has since lost those advantages due to a failure to respond to changing market forces. The chapter thus emphasises the fragile nature of tourism in remote locations, and its vulnerability to exogenous shocks and changing government priorities, reminding us of the broader challenges for economic development in remote resource peripheries.
Report
Lived experiences of seeking support for rural and remote children with developmental challenges (White Paper)
Author(s):
Cumming, Tamara
Published:
2019
Publisher:
Charles Sturt University
Introduction: Current estimates from Australian Early Development Census (AEDC) data suggest that approximately 22% of children in Australia are developmentally challenged on one or more developmental domains as they begin school.1Children in rural and remote areas are more likely than their city-based peers to experience mental health problems, and to be unable to access the health services they need. These difficulties are likely to be compounded by the poorer social determinants of health – such as education, employment and income – frequently experienced by those living in rural and remote communities.2Known difficulties of seeking support for rural and remote children with developmental challenges include: long waiting times for assessment, diagnosis and treatment; a lack of appropriate services in their community; the costs of privately provided services; and of travelling to access those services.3 While numbers such as these have been in the public domain for some years, far less visible are the stories of children and their families who make up the numbers.The purpose of this White Paper is to share the lived experiences of families and service providers involved in seeking support for rural and remote children with developmental challenges. The stories provided through these accounts are matched with recommendations for changes to policy and practice that respond to the needs raised.1 AEDC, 2018 2 Barclay, Phillips and Lyle, 2018The stories were sought through a research project conducted by Charles Sturt University in partnership with Royal Far West. Ethical approval for the research was granted by Charles Sturt University, and prior to consenting to take part, all participants were provided with clear information on the purpose of the project, the voluntary nature of participation and ways in which the information would be used. Seven in-depth interviews were conducted with participants, and additional material was gathered through Royal Far West’s series of public town hall meetings, held in regional towns in New South Wales during 2017 and 2018. Participants included non-Indigenous and Indigenous family members, and service providers such as allied health practitioners, family support and mental health workers and educators from the early childhood and school sectors. To maintain participants’ privacy, no identifying names or locations are given alongside the accounts shared in this paper.There are four sections to this paper. •Section 1 addresses experiences of identifying children’s developmental challenges•Section 2 addresses experiences of assessment and diagnosis•Section 3 addresses difficulties relating to ongoing access to the right services•Section 4 addresses systemic gaps and problems, and their impact for those seeking support for children with developmental challenges.There is a brief summary of main findings at the end of each section.
Book Section
Economic hybridity in remote Indigenous Australia as development alterity
Author(s):
Curchin, Katherine
Published:
2019
Publisher:
CRC Press
(Abstract for book) Postdevelopment in Practice critically engages with recent trends in postdevelopment and critical development studies that have destabilised the concept of development, challenging its assumptions and exposing areas where it has failed in its objectives, whilst also pushing beyond theory to uncover alternatives in practice. This book reflects a rich and diverse range of experience in postdevelopment work, bringing together emerging and established contributors from across Latin America, South Asia, Europe, Australia and elsewhere, and it brings to light the multiple and innovative examples of postdevelopment practice already underway. The complexity of postdevelopment alternatives are revealed throughout the chapters, encompassing research on economy and care, art and design, pluriversality and buen vivir, the state and social movements, among others. Drawing on feminisms and political economy, postcolonial theory and critical design studies, the ‘diverse economies’ and ‘world of the third’ approaches and discussions on ontology and interdisciplinary fields such as science and technology studies, the chapters reveal how the practice of postdevelopment is already being carried out by actors in and out of development. Students, scholars and practitioners in critical development studies and those seeking to engage with postdevelopment will find this book an important guide to applying theory to practice.
Report
Kimberley Aboriginal Caring for Culture Initial Consultation Report
Author(s):
Davey, F; Carter, M; Marshall, M; Morris, W; Golson, K; Torres, P; Haviland, M; O’Byrne-Bowland, R
Published:
2019
Publisher:
Kimberley Aboriginal Law and Cultural Centre
The Kimberley Aboriginal Caring for Culture Project is part of KALACC’s effort to improve resource distribution, foster a collaborative approach between Aboriginal stakeholder organisations and the Government, and address the broader impact of intergenerational trauma and suicide that overwhelmingly grips our region. Project Objectives:•Map and gap the current service provision •Foster collaboration and cohesion amongst Kimberley Aboriginal Non-Government Organisation (NGO) service providers •Contribute to the development of macro Government policies and strategies •Contribute to important research into and strategies towardsimproving Indigenous outcomes. Underlying the cultural components and core activities of each Aboriginal organisation are the following culturally-embedded principles:•Connection to Country must be maintained •Country, Culture and Language are inseparable• Aboriginal advancement and wellbeing can only be achieved through Aboriginal empowerment and self-determination •Senior People have the authority and are the Knowledge Holders. Overarchingly, all of the Aboriginal community organisations’ activities are guided by Cultural Governance; incorporate Cultural Knowledge and practices; and celebrate Culture, Language and Country.
Journal Article
Principals as protagonists: Practices beneficent for Indigenous education in rural schools
Author(s):
Davies, James Robert; Halsey, John
Published:
2019
The participation and performance of Indigenous students in Australia’s schools is below that of other students and is a matter of national concern. Evidence suggests that the impact on student learning of school principals’ leadership is significant. What then, can school principals do to improve schooling outcomes for Indigenous students? Herein, we discuss research that investigated school principals’ professional practices associated with their leadership of Indigenous education in rural, regional and remote (RRR) schools. Qqualitative research was undertaken using interpretive methodologies and document analysis techniques. Data collected in the period 2012-2014 through evaluations of Indigenous education in thirty one Australian primary, secondary and combined schools, from diverse RRR locations, was used for the research. Principals’ professional practices described in the “Australian Professional Standard for Principals” provided the overall framing for analysis of the data (AITSL, 2014). Principals’ extant practices that shape the ecology of education for Indigenous students in rural schools were identified. Educational leadership that authentically values the culture, agency and beliefs of Indigenous people; that places Indigenous students’ physical, mental, cultural and spiritual wellbeing at the centre of the school’s activities; that actively develops collaborative relationships and networks based on reciprocity, trust, cooperation and civility; that is guided and sustained by humanistic endeavour, makes a significant contribution towards the participation and achievements of Indigenous students.
Journal Article
Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review
Author(s):
Gwynn, Josephine; Sim, Kyra; Searle, Tania; Senior, Alistair; Lee, Amanda; Brimblecombe, Julie
Published:
2019
Objective To review the literature on nutrition interventions and identify which work to improve diet-related and health outcomes in Australian Aboriginal and Torres Strait Islander people.Study design Systematic review of peer-reviewed literature.Data sources MEDLINE, PubMed, Embase, Science Direct, CINAHL, Informit, PsychInfo and Cochrane Library, Australian Indigenous Health InfoNet.Study selection Peer-reviewed article describing an original study; published in English prior to December 2017; inclusion of one or more of the following outcome measures: nutritional status, food/dietary/nutrient intake, diet-related biomedical markers, anthropometric or health measures; and conducted with Australian Aboriginal and Torres Strait Islander people.Data extraction and synthesis Two independent reviewers extracted data and applied the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. A purpose designed tool assessed community engagement in research, and a framework was applied to interventions to report a score based on numbers of settings and strategies. Heterogeneity of studies precluded a meta-analysis. The effect size of health outcome results were estimated and presented as forest plots.Results Thirty-five articles (26 studies) met inclusion criteria; two rated moderate in quality; 12 described cohort designs; 18 described interventions in remote/very remote communities; none focused solely on urban communities; and 11 reported moderate or strong community engagement. Six intervention types were identified. Statistically significant improvements were reported in 14 studies of which eight reported improvements in biochemical/haematological markers and either anthropometric and/or diet-related outcomes.Conclusions Store-based intervention with community health promotion in very remote communities, fiscal strategies and nutrition education and promotion programmes show promise. Future dietary intervention studies must be rigorously evaluated, provide intervention implementation details explore scale up of programmes, include urban communities and consider a multisetting and strategy approach. Strong Aboriginal and Torres Strait Islander community engagement is essential for effective nutrition intervention research and evaluation.
Journal Article
Racism, cultural taxation and the role of an Indigenous teacher in rural schools
Author(s):
Hogarth, Melitta Dorn
Published:
2019
The underrepresentation of Indigenous teachers within Australian schools was made evident in the most recent More Aboriginal and Torres Strait Islander Teachers Initiative (MATSITI) project (Johnson, Cherednichenko, & Rose, 2016). The shortfall of Aboriginal and Torres Strait Islander teachers had been initially identified back in 1975 with the Schools Commission Report (Schools Commission, 1975). The challenge was set by Hughes and Willmot in 1982 to have 1000 trained Indigenous teachers by 1990 within the schooling sector (Hughes & Willmot, 1982). The lack of representation of Indigenous teachers is just one part of the story. In this paper, I share my lived experiences as an Aboriginal classroom teacher in rural schools throughout Queensland. Using an ethnographic narrative approach, I give insight to the realities of the Indigenous classroom teacher in rural schools. In turn, I address some of the inherent institutionalised racism apparent, the assumptions held by others, and the consequential demands placed on the Indigenous teacher. The stories shared are my own and do not insinuate that all other Indigenous teachers have had the same experience. However, by sharing my story, the purpose of this paper is to open dialogue about the role of Indigenous teachers in rural schools and to make schools aware of how they position these rare commodities they have on staff.
Journal Article
A community engaged primary healthcare strategy to address rural school student inequities: a descriptive paper
Author(s):
Jones, Debra; Ballard, Jacqueline; Dyson, Robert; Macbeth, Peter; Lyle, David; Sunny, Palatty; Thomas, Anu; Sharma, Indira
Published:
2019
Publisher:
Cambridge University Press
Aim. This descriptive paper aims to describe the design and implementation of a community engaged primary healthcare strategy in rural Australia, the Primary Healthcare Registered Nurse: Schools-Based strategy. This strategy seeks to address the health, education and social inequities confronting children and adolescents through community engaged service provision and nursing practice.BackgroundThere have been increasing calls for primary healthcare approaches to address rural health inequities, including contextualised healthcare, enhanced healthcare access, community engagement in needs and solutions identification and local-level collaborations. However, rural healthcare can be poorly aligned to community contexts and needs and be firmly entrenched in health systems, marginalising community participation.MethodsThis strategy has been designed to enhance nursing service and practice responsiveness to the rural context, primary healthcare principles, and community experiences and expectations of healthcare. The strategy is underpinned by a cross-sector collaboration between a local health district, school education and a university department of rural health. A research framework is being developed to explore strategy impacts for service recipients, cross-sector systems, and the establishment and maintenance of a primary healthcare nursing workforce.FindingsAlthough in the early stages of implementation, key learnings have been acquired and strategic, relationship, resource and workforce gains achieved.
Journal Article
Apparent dietary intake in remote Aboriginal communities
Author(s):
Lee, Amanda J.; O'Dea, Kerin; Mathews, John D.
Published:
1994
Apparent per capita food and nutrient intake in six remote Australian Aboriginal communities using the ‘store-turnover’ method is described. The method is based on the analysis of community-store food invoices. The face validity of the method supports the notion that, under the unique circumstances of remote Aboriginal communities, the turnover of foodstuffs from the community store is a useful measure of apparent dietary intake for the community as a whole. In all Aboriginal communities studied, the apparent intake of energy, sugars and fat was excessive, while the apparent intake of dietary fibre and several nutrients, including folic acid, was low. White sugar, flour, bread and meat provided in excess of 50 per cent of the apparent total energy intake. Of the apparent high fat intake, fatty meats contributed nearly 40 per cent in northern coastal communities and over 60 per cent in central desert communities. Sixty per cent of the apparent high intake of sugars was derived from sugar per se in both regions. Compared with national Australian apparent consumption data, intakes of sugar, white flour and sweetened carbonated beverages were much higher in Aboriginal communities, and intakes of wholemeal bread, fruit and vegetables were much lower. Results of the store-turnover method have important implications for community-based nutrition intervention programs.
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