Recognise and act upon the Uluru Statement of the Heart with an understanding that the ongoing effects of colonisation are connected with a number of social determinants of health.
Social determinants of health
Climate change is real and affecting rural communities already. There needs to be non-partisan commitment to funding locally informed adaptation plans, for rural communities. Different crops, different industries, different health risks, new environmental threats etc need to be considered,... more
Every child counts- All governments need to appoint a Minister responsible for the First 2000 days or the Early years of life - whole of government approach needed with a rural proofing lens to address determinants of wellness in the early years
Reducing health inequality can only be actioned by addressing social,cultural and economic determinants of health.Measuring capacity and programmes that keep people well will ensure a focus on prevention.The conference calls on government and individuals to take a long range view and support... more
The 1st 2000 days of life are critical to early brain development and lifelong social and health outcomes for individuals, families and communities. It is recommended that government fund and actively support services to enable a preventative, holistic approach to combat the impact of the SDoH... more
From session A9
1 Australia is failing with its achievement of the SDGs. NRHA should advocate for greater attention by the Aust. govt. to achievement of the SDGs.
2 approx 50% of Children in Broken Hill at 1 year have high blood lead levels. Rec 1 More attention should be given to... more
Recognise the impacts of climate change on rural communities (e.g. worsening drought in farming communities, or extreme weather events) and prepare for these events by strengthening a range of services e.g. mental health services for drought affected communities, schemes to support... more
Give people permission to move beyond the silos when addressing the social determinants of health. Lets consider bringing lawyers into healthcare teams to address social problems that undermine people's health.
Encourage all health services (hospitals and clinics) to join up with the Global Green and Healthy Hospital network - a free global network that helps health services improve their environmental sustainability.
Support the formation of a Sustainable Development Unit, which can work across health services in Australia to improve environmental sustainability and reduce emissions from the health sector (could be modelled off the UK Sustainable Development Unit).
Being in a state of chronic stress in the early years of life often brought on by the conditions of poverty can lead to serious health effects in later life. Fund and develop systems of advocacy for the knowledge of boots of the ground staff (within ACCHOs etc.) to be elevated within the system... more
With an estimated 20,000 new cases per year Australian Lyme disease patients are undiagnosed, misdiagnosed and untreated, resulting in a significant health burden, socially and financially. We recommend the National Rural Health Alliance support immediate national action for this disease cohort... more
SDH conversations regularly call for representatives from sectors such as housing, transport, taxation, justice, education etc to join health conferences. I recommend we flip this thinking- WE are all experts in SDH so we should attend -and importantly present at- industry conferences of the... more
The health sector has a large carbon footprint and must become more environemntally sustainable.We recommend that standards for all health professions include competencies for and standards for environmental sustainability.This will embed the requirement for health professional education to... more
There should be separate funds allocated for addressing the mental health concerns of culturally and linguistically diverse people, as well as refugees and migrants in rural locations as often these are compounding risk factors.
We call on governments (state and federal) to introduce performance and accounting measures that measure wellbeing in the broader sense (complete state of physical ,social and emotional wellbeing not merely the absence of disease or infirmity), rather than the narrow focus on KPIs related to... more
NRHA and member groups support the formation of local action groups in towns/regions (made up of health professionals from various disciplines) to work on climate change and health issues. These groups could work together to increase the resilience of their community to climate change and health... more