Aboriginal and Torres Strait Islander Health Performance Framework 26 Report
Report Findings Tier 1: Health Status and Outcomes Improvements: Mortality Infant Mortality Deaths due to Circulatory Disease Hospitalisation for Pneumonia Areas of continuing concern: Deaths due to chronic conditions Hospitalisation for Injury and Poisoning End Stage Kidney Disease Low Birthweight Social and Emotional Well Being Chronic Ear Disease Oral Health STIs
Mortality Age standardised mortality rates by Indigenous status, WA, SA and NT, 1991-23 2 16 Rate per 1, persons 12 8 Indigenous 4 Other - 91 92 93 94 95 96 97 98 99 1 2 3 Source: AIHW National Mortality Database
Infant Mortality Infant mortality rates Aboriginal and Torres Strait Islander infants and other Australians, WA, SA and NT, 1991-23 3 24 Rate per 1, 18 12 Indigenous 6 - Other 91 92 93 94 95 96 97 98 99 1 2 3 Source: AIHW National Mortality Database
Deaths due to circulatory disease Declined at a faster rate for Indigenous Australians than other Australians and the gap has narrowed 8 7 Circulatory diseases Indigenous Other Indigenous 95% CI Other 95% CI Rate per 1, population 6 5 4 3 2 1 1991 1993 1995 1997 1999 21 23 Source: AIHW National Hospital Morbidity Database
Areas of continuing concern Causes of mortality (rate per 1, age standardised) by Indigenous status, Qld, WA, SA and NT 2-4 5 1 15 2 25 3 35 4 45 Circulatory causes of death External causes Cancer Endrocrine, metabolic & nutritional disorders Respiratory diseases Digestive diseases Conditions originating in perinatal period Rate per 1, Nervous system diseases Infectious & parasitic diseases Kidney diseases Other causes Aboriginal and Torres Strait Islanders people Other people Source: AIHW National Hospital Morbidity Database
Low birthweight This is twice as common for babies born to Aboriginal and Torres Strait Islander mothers than other Australian babies 15 Low birthweight babies per 1 live births, by Indigenous status of the mother, Australia 1997-23 12 Indigenous Per cent 9 6 Other 3-1997 1998 1999 2 21 22 23 Source: AIHW National Perinatal Statistics Unit (NPSU) National Perinatal Data Collection
Social and Emotional Well Being Mental health related mortality rates per 1,, by Aboriginal and Torres Strait Islander status, by age group and sex, QLD, WA, SA, & NT, 2-24 5 Mental health related mortality rates per 1, 45 4 35 3 25 2 15 1 5 Male Female Indigenous rate Non-Indigenous rate : Source: AIHW National Hospital Morbidity Database
Other areas of concern Chronic Ear Disease Sexually Transmissible Infections Oral Health Mean number or decayed, missing or filled teeth children aged 4-6 years, by Indigenous status, NSW (2), SA (23) and NT (22) 4.5 4 3.5 3 2.5 2 1.5 1.5 NSW SA NT Indigenous Non-Indigenous Source: AIHW Dental Statistics and Research Unit
Tier 2: Health Determinants Improvements: Education Employment Areas of continuing concern: Access to safe water, sewerage, electricity Overcrowding in housing Low income and distribution of income Exposure to violence, child abuse and neglect, Contact with the criminal justice system, including imprisonment Smoking, alcohol consumption, physical activity, nutrition and overweight and obesity
Education 6 Improvements Non-school qualifications, Indigenous Australians 1995-25 5 Per cent (%) 4 3 2 1 18 3 2 27 4 28 6 7 1995 21 24-5 Certificate Advanced diploma/ diploma Bachelor degree or above 7 Source: ABS & AIHW analysis of 1995 and 24-5 National Aboriginal and Torres Strait Islander Health Survey and National Health Surveys and 21 National Health Survey (and Indigenous supplement) Proportion completing Year 12, by state/territory and Indigenous status, persons 18 years and over, 24-25 8 7 6 5 4 3 2 1 NSW Vic Qld WA SA Tas ACT NT Total Indigenous Non-Indigenous
Employment Unemployment rates are high Some data sources suggest improvement in this area Labour force status of persons aged 15-64 years, by Indigenous status, 24-5. 12 1 8 6 4 2 Indigenous Non-Indigenous Total Employed Unemployed Not in the Labour Force Source: AIHW & ABS analysis of 24-5 NATSIHS
Areas of concern Access to safe water supply, sewerage and electricity Overcrowding in housing Low income and distribution of income Exposure to violence, child abuse and neglect Contact with the criminal justice system, including imprisonment Age standardised imprisonment rates by Indigenous status 2-5 18 16 Indigenous Non-Indigenous Per 1, adult population 14 12 1 8 6 4 2 2 21 22 23 24 25 Source: Australian Bureau of Statistics. Prisoners in Australia (cat. No. 4517.)
Smoking 6 Per cent of Indigenous Australians aged 18 years and over reporting they are a current smoker, by Indigenous status, non-remote areas, 1995, 21 and 24-5 Percent 5 4 3 2 1 5. 48. 49. Source: ABS and AIHW analysis of 1995 and 24-5 National Aboriginal and Torres Strait Islander Health Survey and 21 National Health Survey (Indigenous supplement) 1995 21 24-5 6 Per cent of Indigenous population aged 18 years and over reporting they are a current smoker by state/territory, 24-5 Percent 5 4 3 2 Per cent Source: ABS and AIHW Analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey 1 NSW Vic Qld WA SA Tas ACT NT Australia
Risky and high-risk alcohol consumption Alcohol risk levels by Indigenous status, persons aged 18 years and over, age standardised, Australia 24-5 5 47 45 4 4 35 Proportion of adult population (age adjusted) 3 25 2 15 1 29 15 17 8 15 14 5 Abstainers Drank at risky/high Drank at risky/high Risky or high risk risk levels in last 12 risk levels at least months once a week Short Term Risk: Long Term Risk: Aboriginal and Torres Strait Islanders people Other people Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey
Other areas of concern Nutrition Overweight and Obesity 7 6 Percentage of Indigenous persons 15 years and over who were overweight/obese by state/territory 24-5 Percent 5 4 3 2 1 5 NSW Vic Qld SA WA Tas NT ACT Total Indigenous Source: ABS National Aboriginal and Torres Strait Islander Health Survey, 24-5 45 Non-Indigenous 4 Percentage of adults underweight, overweight and obese, by Indigenous status, 24-5 Per cent (%) 35 3 25 2 15 1 5 Underw eight Healthy w eight range Overw eight Obese
Access to health care Areas of success Tier 3: Health Care Antenatal care Immunisation Usual source of care Access to Aboriginal and Torres Strait Islander services Areas of concern Barriers to health care Differential access to key procedures in hospital and discharge against medical advice Ambulatory care sensitive hospital admissions Access to prescription medicines Breast cancer screening Aboriginal and Torres Strait Islander Australians in the health workforce
Access to health care Per cent of people aged 15 years and over who accessed health care, by type of health care, within the last 12 months (hospital) or last two weeks (other health care), by Indigenous status, age standardised, Australia 24-5 3 25 2 15 Percent 1 5 Admitted to hospital Visited casualtly outpatients Doctor consulation (GP and/or specialist) Dental consultation Consultation with other health professional Aboriginal and Torres Strait Islanders people Other people Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey and 24-5 National Health Survey
Antenatal care Immunisation Usual source of care Areas of Success Where Aboriginal and Torres Strait Islander peoples usually go if they have problems with health, by remoteness area, 24-5 % of Aboriginal and Torres Strait Islander People 2 4 6 8 1 Total 3. 6. Major Cities 15. 8. Inner regional 11. 8. Outer regional 26. 67. Remote 45. 34. Very Remote 76. 6. Aboriginal medical service Doctor Source: ABS and AIHW analysis of 24-5 National Aboriginal and Torres Strait Islander Health Survey
Aboriginal and Torres Strait Islander primary health care services Cumulative percent changes to Aboriginal and Torres Strait Islander primary health care services, 1999- to 23-4 6 5 Per cent 4 3 2 1 Services FTE staff Episodes of care 1999-2-1 21-2 22-3 23-4 Financial year Note: 85 services provided valid episodes of health care data for the 5 years and 17 services provided data on full time equivalent staff for the 5 years presented here. Source: Service Activity Reporting 23-4.
Hospital Care Differential access to key procedures Per cent of hospital episodes with a procedure reported, selected principal diagnoses and Indigenous status, Qld, WA, SA and NT, 22-24 Neoplasms (Cancer) Diseases of the blood Diseases of the eye Diseases of the ear Diseases of the musculoskeletal system Pregnancy, childbirth Diseases of the digestive system Endocrine, nutritional & metabolic disorders Diseases of the genitourinary system Injury, poisoning, external causes Diseases of the skin Diseases of the circulatory system Infectious & parasitic diseases Diseases of the nervous system Diseases of the respiratory system Per cent 2 4 6 8 1 Aboriginal & Torres Strait Islander people Other people Source: AIHW National Hospital Morbidity Database
Discharge against medical advice Indigenous patients in Qld, NT, WA and SA were discharged from hospital against medical advice at 19 times the rate of other Australians Discharges against medical advice by Indigenous status state/territory (excluding Mental and Behavioural Disorders) in Qld, WA, SA & NT, June 22 July 24 35 3 25 2 Rate per 1 15 1 5 Qld WA SA NT Qld, WA, SA & Indigenous Non-Indigenous NT Source: AIHW National Hospital Morbidity Database
Ambulatory care sensitive hospital admissions Top ten ambulatory care sensitive hospital admissions, by Indigenous status, Qld, WA, SA and NT, July 22 to June 24 Congestive cardiac failure Angina Dental problems Kidney disease Cellulitis Asthma Other Indigenous Chronic obstructive pulmonary disease Ear, nose & throat infections Convulsions & epilepsy Diabetes complications 5 1 15 1 15 Rate per 1, persons Source AIHW National Hospital Morbidity Database
Response to Report 1. AHMAC and COAG 2. Whole of Government response 3. Over to you.