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2013/2014 ANYINGINYI ANNUAL REPORT • INTRODUCTION 1

Ngarunyurr Parlpuru Munjarlki ‘Prevention is the Solution’

Anyinginyi Health Aboriginal Corporation

2013/2014 Annual Report

table of ContentsIntroduction..................................................................................................................... 2

Governance Structure......................................................................................... 5

Chairperson’s Report...................................................................................................... 6

Board of Directors.......................................................................................................... 8

Jurrkul Munarlki Wurrpu | Cultural Competency Group........................................ 13

General Manager’s Report............................................................................................ 14

Anyinginyi Staff Housing Project................................................................................ 16

Birthing in the Barkly and Midwifery Group Practice............................................. 20

Staff Achievements....................................................................................................... 22

Primary Health Care Delivery Model......................................................................... 24

Palpuru Ninji Kari | Health Services............................................................................ 26

Eye Health........................................................................................................................ 28

Allied Health Services................................................................................................... 30

Manu Kinapina Parlpurru Ninji Kari | Regional Remote Health Section............ 32

Grow Well......................................................................................................................... 33

Tackling Smoking Program........................................................................................... 36

Nyangirru Piliyi-ngara Kurantta | Business Services............................................... 38

Piliyintinji-ki | Stronger Families................................................................................ 40

Foetal Alcohol Spectrum Disorder (FASD)............................................................... 43

Wirlyarra punjarlki kapi Miripartijiki | Sport and Recreation................................. 44

General Purpose Financial Statements..................................................................... 49

My Story The Way I Lived............................................................................................. 56

As a Community Controlled Aboriginal Health Organisation, Anyinginyi provides primary health care services to the people of Tennant Creek and the surrounding Barkly region. Multidisciplinary and consisting of six different sections, Anyinginyi offers a holistic approach ensuring that our clients physical and emotional health and wellbeing is given the utmost priority. Our Health Service Delivery Area stretches north of Tennant Creek to Elliott, east almost to the Queensland border and south to Ali Curung, an area of almost 150,000 square kilometres.

Anyinginyi Health Aboriginal Corporation adopts the following guiding principles:

anyinginyi Annual Report 13/14

• Empowering individuals to take reasonable responsibility for their health

• Assisting to address the social determinants that contribute to the poor health status of many local people

• Community Engagement

• Focus on clients

• Cultural responsiveness

• Respect for ourselves and all people

• Respect community autonomy

• Aboriginal and non-Aboriginal people working together as one team

• Quality relationships, internally and externally

• Development opportunities for staff

• Effective communications

• Financially responsible

• Outcomes focussed

• High quality reporting, internally and externally


Created in 1984, our constitution then, as now, focussed on the central objective to relieve the poverty, sickness, helplessness, economic disadvantage and social distress that affects the Aboriginal population, through various community based strategies and programs.

In 2003 Anyinginyi Congress Aboriginal Corporation became Anyinginyi Health Aboriginal Corporation to create our own distinctive identity. It was also in 2003 that the North Barkly Zone approached Anyinginyi asking us to auspice their health service funding. Increasingly Anyinginyi were also being asked by departments and communities to provide various regional programs in primary health care, health education and health infrastructure; most well known being the North Barkly Primary Health Care Program which provides GPs to our remote North Barkly communities and the Grow Well Program for the South Barkly.

Since 2003 Anyinginyi has continued to run nine other region-wide based programs for the people of the Barkly, providing services such as Maternal Health, Eye Health, Substance Misuse, Mental Health Counselling, Dental, Health Promotion, Physical Health, Allied Health, and Bush Mobile to eleven remote communities.

In 2014 the Federal Government placed Regionalisation ‘on hold’ for the next year. The response from Anyinginyi has been to continue to strengthen the organisation to be better prepared when Regionalisation is able to be progressed.


Our History

Our Mission is to be a provider of high quality primary health care services focusing on prevention and treatment in a culturally responsive way and to empower individuals to take more responsibility for their own health.

Our 2013/2014 YearThe 2013/14 financial year has seen Anynginyi continue to grow as an organisation to what is now a well governed and managed independent entity that consults and listens to its community and provides high quality services in a culturally appropriate manner.

We invite you to read this Annual Report to learn more about Anyinginyi Health Aboriginal Corporation and how we are making prevention the solution in the Northern Territory’s Barkly region.

Our vision is to be a key player in successfully “closing the gap” in the health status of Aboriginal persons in the Barkly region.

2013/2014 ANYINGINYI ANNUAL REPORT • GOVERNANCE STRUCTURE 6

Our Governance Structure

Welcome to the 2013/14 Annual Report of Anyinginyi Health Aboriginal Corporation.

This is my final Annual Report as Chairperson and I am proud of the progress our Organisation has made to date.

In the past five years there has been major improvements in the range and quality of services provided – treatment has improved and the number of treatments provided increased; financial management and the financial results that flow from it (refer to Financial Statements) have improved significantly creating a platform to assist in innovative approaches to improve the health status of our communities in the Barkly region.

While the above achievements are commendable, what I and the Board have realised in the past year is the urgent need to improve the “Culturally Responsive” philosophy of Anyinginyi and to improve engagement with our people. I want to assure the community, that addressing this is the highest priority for the Board. Anyinginyi Health is an Aboriginal Community Controlled organisation and as such has the opportunity to better engage with our people and tailor services to suit local needs.

Earlier I mentioned an innovative approach and this starts with the Board.

In line with the resolution passed by members at the 2012 Annual General Meeting our Rule Book allows for the appointment of “a respected person experienced with high level boards and the provision of health or related services, who may not be a resident of the Barkly region, become a member of the Board and attend on a quarterly basis.”

The Board was very selective as to who was considered for this role and in 2014 appointed Dr Ngiare Brown to the position. You will see from the brief biography in this report, Dr Brown was one of the first Aboriginal medical graduates in Australia and is a member of the Aboriginal Advisory committee chaired by Warren Mundine, that reports to Prime Minister Tony Abbott. To have an Aboriginal Doctor on the Board strengthens Aboriginal Community Control by providing fellow Directors on the Anyinginyi Board with informed medical opinion melded with a knowledge of Aboriginal culture.

Improving treatment is important but to “close the gap”, social determinants such as poverty, education and housing must be addressed. In the Barkly region and in particular in Tennant Creek housing is a major issue and we cannot expect people to take more responsibility for their own health if they are living in poor and over-crowded housing.

In my last report I stated Anyinginyi had made a commitment to provide housing for local Aboriginal staff. I am proud to state we are honouring that commitment. After a number of meetings with our Aboriginal staff, tenancy agreements were developed that were then refined and approved by the Board. So what is now in place are tenancy agreements developed by Aboriginal staff, adopted by an Aboriginal Board that state the conditions of occupancy for Aboriginal staff to live in safe and secure accommodation.

Chairperson’s Report

At present there are four Aboriginal staff families/people benefiting from this program and another three on the waiting list – please refer to the experience of our first family later in this report.

The program is self-funded by Anyinginyi and will continue to expand and be refined in the future and hopefully serves as a model for others to follow.

Just over a decade ago there was a birthing service at the Tennant Creek Hospital however, with a post-mining reduction in population and the departure of some key doctors the service ceased and as a result local ladies are forced to have their babies in Alice Springs or elsewhere. The response from Anyinginyi was to make birthing in the Barkly an issue at the last Northern Territory election and while our actions have not realised our goal of re-introducing birthing, they did result in the Department of Health opening a Midwifery Group Practice in early 2014. This service manned by Department of Health and Anyinginyi funded midwives, has brought a comprehensive ante-natal and post-natal service and hopefully in time will lead to the re-introduction of “low risk” birthing at the Tennant Creek Hospital. Further details of the Midwifery Group Practice are included in this report.

Another example of our innovative approach to support prevention of illness, impairment and disability is FASD (Foetal Alcohol Spectrum Disorder). This year two representatives from Anyinginyi made presentations to the first national conference on FASD in Australia (please refer to the FASD report later in this report), this followed on from a presentation at an International FASD Conference in Vancouver, Canada in February 2013. Anyinginyi is now recognised as a national leader for the prevention of FASD.

As well as providing quality health services Anyinginyi continues to be a major contributor to our local community and the 2013/14 year was no exception. Achievements include successfully lobbying to have Pulkapulkka Kari Nursing Home air-conditioned, successfully lobbying to improve staffing of the Tennant Creek Pharmacy and working with the Pharmacy to improve services, working with the Tennant Creek Hospital to improve services and commence tele-health services, and

support to a number of local organisations such as Tennant Creek Little Athletics.

I would like to thank our General Manager, Trevor Sanders, the management team and all staff for their efforts and achievements.

I acknowledge and thank my fellow Directors and Executive for their support, commitment, vision and leadership in making Anyinginyi an outstanding Aboriginal Community Controlled Organisation.

LT | Chairperson BOARD OF DIRECTORS

2013/2014 ANYINGINYI ANNUAL REPORT • CHAIRPERSON’S REPORT 8

Board of Directors

LT Napanangka | Chairperson

LT is in the final year of her second two-year term as chairperson of Anyinginyi. A Warlmanpa woman, from 160km north of Tennant Creek, LT has lived most of her life in the Barkly and has connections to many communities through family.

As well as her role as Chairperson of the Anyinginyi Board, LT is passionate about child protection and family violence prevention. LT has also been a strong champion for bringing awareness to Foetal Alcohol Spectrum Disorder.

Duane Fraser | Deputy Chairperson

Duane is a Bidjarra man and was born in Winton, Queensland but has been living in the Barkly for the majority of his life. He has been on the Anyinginyi Board for the past seven years and has been heavily involved with community development, including being a major driver of NAIDOC Week events.

Duane is currently employed as the Indigenous Engagement Officer for the Indigenous Coordination Centre. Duane has previously worked as the Coordinator for Anyinginyi’s Piliyintinji-Ki Men’s Centre and also for the Council of Elders and Respected People (CERP).

William Walker | Secretary

William is a new Anyinginyi Board member. He is pleased to be appointed as a director of an organisation that is committed to the health and wellbeing of the local people in this area. William, who is part of the Stolen Generation, came to Tennant Creek in 2008 to meet his Grandfather’s people. William’s Grandfather and his sisters were taken from the Barkly Region to Cherbourg in QLD, and were never able to return to the Northern Territory.

William brings to the Anyinginyi Board 15 years of experience working in the Alcohol and Other Drugs (AOD) sector in Victoria, New South Wales and the Northern Territory. For the past five years, William has been employed as the BRADAAG Residential Rehab and Outreach Program Manager.

Ross Jakamarra Williams | Treasurer

A Warumungu man from Phillip Creek, Ross is a co-founder of Anyinginyi Health Aboriginal Corporation and has been involved in many different roles within the organisation throughout its history. His community participation extends beyond Anyinginyi and he has been involved with many other organisations in Tennant Creek.

Ross belives that “quality education and housing are fundamental for our people. It leads to better health and provides the opportunity for prevention to work.”

2013/2014 ANYINGINYI ANNUAL REPORT • BOARD OF DIRECTORS 10

Pat Braun Nungala

A member of the Anyinginyi Board for seven years, Pat was born in Tennant Creek, her mother a Warumungu woman and her father an Arrente man.

Pat comes to the board with 30 years experience as a health worker for the Department of Health and a Councillor for Barkly Shire.

Marnji Napanangka-Napangardi James

Marnji is a Walpiri woman originally from Ali Curung and living at Elliott, representing Elliott and Marlinja on the Anyinginyi Board of Directors. Marnji’s traditional country is Ngarnarlkurru, near the Lander River in the Tanami Desert area.

Marnji has been involved with Anyinginyi for many years, and brings a wealth of community knowledge. Marnji has extensive experience in the health sector, working as an Aboriginal Health Practitioner for over 30 years and is currently studying a Bachelor of Nursing.

Elliott McAdam

As a former NT Cabinet Minister, Elliot is a Board representative for Tennant Creek and brings with him a wealth of knowledge and experience in governance and management.

Gordon Noonan

Gordon Noonan is a Waramungu man from the Barkly Region living at Rockhampton Downs in the Barkly Tablelands.

As a community member, Gordon’s passion is ensuring our people get the best health services available. Since becoming a Director in 2009 Gordon has seen Anyinginyi Health go through many changes and the organisation is now moving forward to bigger and better things, of which Gordon is proud to be a part of.

Retired November 2013

Sheila Johnson

Sheila is a Kurundi woman who has lived most of her life in Tennant Creek. She is a Respected Elder, interpreter and counsellor within the community. Sheila joined the Board of Directors in August 2013 as a traditional woman who deeply cares for her community.

Stuart Nugget

Stuart is a new Anyinginyi Board member, representing Elliott and Marlinja. Stuart is pleased to be appointed as a director of an organisation that is committed to the health and wellbeing of the local people in this area, and is passionate about being able to represent his community on the Board.

Noel Hayes

Noel is a Kaytetye man living in Ali Curung Community and has been involved with the Anyinginyi Board since 2009.

Noel has held numerous governance and positions of authority in both Aboriginal and Non-Aboriginal structures and is an active advocate for his community.

Noel is very supportive of the Regionalisation process and actively involved in a number of organisations throughout the Barkly Region.

Mary Munna Nappangarti Noonan

Mary is a Jingili Mudburra lady who grew up in Powell Creek near Elliott, and has other tribal language links to Gurindji, Warlmanpa, Warumungu and Garawa. Mary also has Chinese in her families’ bloodline. Mary is very proud of who she is and where she comes from and believes it’s very important to teach the younger generation to have pride in their Country and to work to come together as one. Working at Rockhampton Downs Wogyala primary school for over nine years as an Assistant teacher in the Barkly Tablelands has made Mary think bigger about choosing the best in life. Mary is passionate about her role and, with the support of her families, emphasises how important education is and that sending children to school every day will create success for Aboriginal people.

“Talking up for my people’s direction to be going with every day health issues is a very big part in so many ways in closing the gap. I am proud that my people gave me the voice to stand for us all”

2013/2014 ANYINGINYI ANNUAL REPORT • BOARD OF DIRECTORS 12

Ngiare was appointed as our first non-member Director in February 2014. A proud Yuin nation woman from the south coast of NSW, she is passionate about Indigenous health, child safety and adolescent development, and building the evidence base that demonstrates connection across culture, resilience and wellbeing.

Ngiare was one of the first Aboriginal medical gradates in Australia. She completed her medical degree at the University of Newcastle in 1992 and graduated with a Masters in Public Health and Tropical Medicine from JCU in 2000. She is a Fellow of the Royal Australian College of General Practitioners and is currently undertaking doctoral research in Aboriginal child protection at the University of New South Wales.

During her career Ngiare has held a variety of positions in education, mentoring, clinical practice, research and advocacy. She is a founding member and was foundation chief executive officer with the Aboriginal Indigenous Doctors Association (AIDA); founding member of the Pacific Region Indigenous Doctors’ Congress (PRIDoC); Associate Professor and Director of the Poche Centre of Indigenous Health at the University of Sydney;

Indigenous Health Adviser to the Australian Medical Association; and Manager of Preventative Indigenous Health Programs for World Vision Australia. She was the Assistant Director at the Menzies School of Health Research in Darwin, where she developed a program around child health and human rights within the child health division. Ngiare is an inaugural member of the AHRC Close the Gap Campaign. In 2005 she was named the AMA’s Woman in Medicine for her contributions to the profession.

She has made extensive contributions in research process, bioethics, policy, translation and practice within Aboriginal and Torres Strait Islander health and has worked over the past two decades to develop an extensive international network in indigenous health and research.

Ngiare is currently Executive Manager Research and Senior Public Health Medical Officer at the National Aboriginal Community Controlled Health Organisation where she is making a significant contribution to the research and reform agenda. She also has an academic appointment at the University of Wollongong as Professor of Indigenous Health and Education.

In 2012 Anyinginyi Board and members resolved to include a Board member with specialist expertise in either health, finance and/or governance. Anyinginyi was lucky enough to secure Ngiare in that position in 2014 and the Anyinginyi Board of Directors acknowledges the contributions that she has made to date.

Dr Ngiare Brown

“Life is precious for each of us as individuals and together as a community. People need to educate themselves throughout their life journey to make a better life and better future.”

Kumanjayi was a well respected Elder in the community of Tennant Creek, having worked at Anyinginyi as an Aboriginal Health Worker in the 1980s and 90s. After leaving health work, Kumanjayi continued to be involved with Anyinginyi and in the health of families and the community. Kumanjayi’s expertise was in collecting and making bush medicines, teaching language and preventive health education. Kumanjayi was also a member of the Council of Elders & Respected Persons, member of the Board of Anyinginyi Health, a member of the Red Cross Local Advisory Group and involved in many other community activities. This quote (below) from Kumanjayi truly reflects the person she was.

Kumanjayi Nangala Foster

Born at Phillip Creek - late 1950s

Her totem – Akki (Black Plum)

As a child she grew up in the Barkly Tablelands area and moved to Warrabri Settlement (Ali-Curung) in the 1960s.

She moved to Tennant Creek in the 1970s.

A loving mother to 5 kids and a loving grandmother who adored her grandchildren.

She had a kind and loving nature and loved helping people.

2013/2014 ANYINGINYI ANNUAL REPORT • CULTURAL COMPETENCY 14

Jurrkul Munarlki Wurrpu - Cultural Competency GroupThe Jurrkul Munarlki Wurrpu (Cultural Competency Group) is a specialised group that provides invaluable cultural advice and guidance to the organisation respecting cultural values, beliefs and practices. The Group’s membership is entirely Aboriginal and is made up of Anyinginyi staff and Directors.

The Jurrkul Munarlki Wurrpu was established in an effort to make Anyinginyi programs more culturally responsive. Its role is to ensure that all services are culturally appropriate and to work to enhance Anyinginyi’s cultural identity and strength. The purpose of the group is to provide input to ensure all information, resources and other items are appropriate and understandable for ALL Wumparani people across the Barkly region.

Some of the work done by the Jurrkul Munarlki Wurrpu, since its establishment in 2012 is evident across the organisation. This includes the creation of Warumungu names for all of the sections within Anyinginyi, more appropriate gender separation in the Health Centre waiting area, better signage across the organisation and revision of policies, procedures and guidelines as required to ensure they are culturally appropriate and relevant.

The Jurrkul Munarlki Wurrpu is currently working on several projects including the review of Anyinginyi’s intranet and internet site to ensure that it is culturally appropriate and easily accessible for staff and clients, and development and review of Anyinginyi’s Foetal Alcohol Spectrum Disorder project activities and resources.

It is very important that the Jurrkul Munarlki Wurrpu keeps activities relevant to providing culturally appropriate primary health care services to the people of the Barkly region, with the group being both proactive by continually revising service delivery, and reactive by responding to concerns of clients and community members regarding cultural matters. For the coming twelve month period the Jurrkul Munarlki Wurrpu, together with Piliyintinji-Ki Stronger Families, is planning to make a priority of raising culture and cultural awareness across the organisation in all program activities and service delivery.

General Manager’s ReportIt is a privilege to be General Manager of Anyinginyi Health Aboriginal Corporation.

2013/14 has been a very successful year but while the health status of local Aboriginal people remains so poor there is the realisation there is still so much to be done.

I am often quoted as saying there needs to be a move forward from “being the ambulance at the bottom of the cliff” to “bulldozing the cliff”. What is meant by this is too often health treatment results from the social determinants of poor health e.g. poverty, poor and over-crowded housing etc. After treatment many clients return to the same poor environment, resulting in them returning again and again for further treatment. What is needed is to address the social determinants that cause the problem.

Addressing the social determinants of poor health is an enormous challenge requiring contributions from numerous agencies and innovative leadership.

Anyinginyi’s Staff Housing Program as mentioned in the Chairperson’s Report and detailed later in this report provides an excellent example of tackling the social determinants of poor health or “bulldozing the cliff” and providing an example for others to follow.

There have been many other achievements that are detailed in this report and here I will just mention a few:

• At the Federal Government’s Senate Select Committee Inquiry into FASD (Foetal Alcohol Spectrum Disorder) Anyinginyi was quoted as being a leader in the field.

• Clinical staffing has improved significantly – in the past Anyinginyi struggled to attract and retain doctors, dentists, nurses, allied health and other staff. In response a program was developed and implemented that includes excellent accommodation (self-funded by Anyinginyi) with the result being that clinical staffing has never been better.

• The relationship with Tennant Creek Hospital continues to excel. There are regular meetings and sharing of ideas and resources. Working collaboratively also resulted in the establishment of the Midwifery Group Practice (for details see later section). The hospital is currently developing Tele-medicine services and Anyinginyi appreciates being involved in this development that will have major benefits to our community, including improved access to services and reduced travelling. My sincere thanks and appreciation to Dr Sam Goodwin and the team at Tennant Creek Hospital.

2013/2014 ANYINGINYI ANNUAL REPORT • GENERAL MANAGER’S REPORT 16

• Excellent financial management and financial results (for details see later section) in an environment of reduced government funding allow Anyinginyi to self-fund a number of projects and services – the housing program, FASD, the eye service and dental services have all benefited from this.

• A reduction in active Trachoma prevalence among 5 to 9 year olds in the Barkly from 60% in 2008 to 6% in 2012.

• Commencement of Anyinginyi Awards for students of Barkly College that recognises a male and female Aboriginal student who are role models. The awardees receive a tailored program to assist with their development.

• Building quality relationships with major philanthropic organisations.

In closing I would like to thank our Chairperson, LT who for the past four years has provided excellent support, guidance and direction as well as an education in cultural matters. I would also like to thank all Directors, a great team of Section Managers and all of our staff – we have a great team at Anyinginyi.

Trevor Sanders | General Manager

Dr Sam from the Tennant Creek Hospital, Pharmacist Will Rafferty and Trevor Sanders

Anyinginyi Staff Housing ProjectAnyinginyi is committed to assisting in empowering people to take more responsibility for their own health. However, it is extremely difficult to empower people to take reasonable responsibility for their health if they are living in sub-standard and or over-crowded housing.

It is also very difficult for children to attain a high education if they are living in sub-standard and or over-crowded housing.

Where there is quality housing it is far more likely for health and education standards to also improve.

The Anyinginyi Staff Housing project grew from the voices of our Aboriginal staff – they told us poor housing is the biggest impediment to good health.

From this beginning, management worked with our Aboriginal staff to develop Tenancy Agreements that were referred to the Board.

The result is Tenancy Agreements developed by Aboriginal staff, refined and approved by an Aboriginal Board that set the conditions of occupancy for low paid Aboriginal staff to reside in safe secure accommodation.

The biggest condition is that tenancy is linked to employment – if you lose your job you lose your accommodation.

As of July 2014, four families have taken advantage of this initiative with a further three on the waiting list. The only thing holding us back is suitable housing stock, however this will be rectified in the next year.

The project is now supported by government but fully financed by Anyinginyi – not one dollar has been requested from governments.

The success of the project is on the faces of the tenants and their families.

2013/2014 ANYINGINYI ANNUAL REPORT • HOUSING PROJECT 18

Dear Trevor,

I would like to take this opportunity to thank you and the Anyinginyi Health

Aboriginal Corporation, Board members and everyone involved that made

the decision to house my family.

And for starting the housing program.

You have given us a good, clean and safe environment to live in.

My girls are happy with the bigger space and yard.

My youngest is always outside playing, with the big gates I know she

is safe.

Thank you also for employing me and giving me the experience I am having

since starting my employment with the organisation.

It is a great place to work.

I have learnt a lot from Allan Baldock and the management team, who have

all inspired me to be better and work harder in all aspects.

My girls and I appreciate our home and thank you.

Reanna Bathern

MEDICARE DELEGATE | ANYINGINYI HEALTH ABORIGINAL CORPORATION

The Barkly has often appreciated visits by leading sporting teams, however in 2013/14, this took on a new dimension thanks to the Port Adelaide Football Club and its WillPOWER program.

The WillPOWER program was created by Power Community Ltd., the community development arm of Port Adelaide Football Club. The program encourages students in years 5-7 to tap into their WillPOWER and make the right choices in relation to their health, education and future goals.

WillPOWER program

We can use WillPOWER to:

1. Start the day with a healthy breakfast

2. Help us to choose healthy foods instead of eating junk food

3. Look after our body, including our teeth

4. Exercise everyday

5. Control our temper and feelings in a particular situation

6. Reach our goals to be anything we want

7. Say no to peer pressure, drugs and alcohol

8. Be yourself and express your cultural and identity

Five schools from the Barkly Region are involved in the program with plans to expand to 10 schools in 2015. Students from the program who demonstrated strong school attendance and good behaviour were rewarded with a recent trip to Alice Springs for AFL Indigenous Round which included a two-hour workshop on healthy lifestyles and the opportunity to form a guard of honour at the Power vs Melbourne game.

What is WillPOWER?

WillPOWER is something inside us that makes us determined, to be driven, to be disciplined, to be in control and have self-control. Usually our WillPOWER is directed towards something we want, to a goal we want to achieve or to something we are trying to do better.

Self-discipline is another word that is used to define WillPOWER, it is what is required to achieve long term goals and to help us persevere and not give up.

The WillPOWER program will be delivered in eight modules:

1. Living a Healthy Lifestyle

2. Culture and Identity

3. Staying Motivated

4. Being a Leader

5. Setting Goals

6. Choosing a Career

7. Respect and Teamwork

8. Review and Reflection

Anyinginyi is a proud sponsor of WillPOWER.

2013/2014 ANYINGINYI ANNUAL REPORT • WILLPOWER PROGRAM 20

“Although part of the Tennant Creek Hospital, the Midwifery Group Practice is located away from the Hospital to convey it is for ‘well’ people rather than ‘sick’ people.”

Birthing in the Barkly and Midwifery Group Practice

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Just over a decade ago the Tennant Creek Hospital provided a birthing service. However, with the post-mining decline in population and the departure of some prominent clinicians the service ceased. The result has been local ladies must travel elsewhere to give birth.

Anne Hallett - Midwifery Group Practice Midwife

The most common scenario is for them to travel to Alice Springs two weeks prior to the expected date of confinement and remaining in Alice Springs for up to a week after delivery – such an upheaval is challenging culturally, physically, emotionally and financially for many mothers and families.

It is a goal of Anyinginyi to lobby to assist in re-establishing a birthing service to Tennant Creek and the Barkly.

In line with this Anyinginyi lobbied to make Birthing in the Barkly an issue prior to the Northern Territory election held in 2012. As a result there were constructive meetings with Government representatives and clinicians, the outcome being a safe birthing service could not be provided at that point in time at Tennant Creek, but that a Midwifery Group Practice should be established to improve local services, particularly for Aboriginal people.

The Northern Territory Department of Health established the Midwifery Group Practice in Tennant Creek in 2014. It is a satellite service linked to the successful and popular Midwifery Group Practice in Alice Springs.

The service provides culturally appropriate maternity care where women can access a fully informed inter-professional health care team who are clinically and culturally competent. Midwifery Group Practice staff work as part of a collaborative team who follow the woman’s journey across the continuum of pregnancy.

Anyinginyi supports the project including financing one of the two local midwives.

While we have not yet seen a return to Birthing in the Barkly we believe the Midwifery Group Practice will act as a stepping stone to doing so.

Our lobbying has also resulted in Anyinginyi being invited to present to the Australian Regional Birthing Index Project. In line with the recommendations in the National Maternity Services Plan (which was endorsed by Council of Australian Health Ministers), is developing an index of need for rural and remote maternity services to enable evidence based planning decisions about maternity services. Our input to date has been to emphasise cultural issues regarding birthing locally.

Our journey will only conclude when we return to Birthing in the Barkly.

Anyinginyi thanks the Northern Territory Department of Health, Raelene Carroll, manager of the Midwifery Group Practice at Alice Springs, Dr Sam Goodwin from Tennant Creek Hospital and midwife Ann Hallett for their contribution to this outstanding initiative.

Anyinginyi also thanks past and existing providers of antenatal and postnatal care, particularly the General Practice previously operated by the Royal Flying Doctor Service.

Golden Heart Awards

The Tennant Creek & Barkly Region Golden Heart Awards was a concept designed to build strength in the community, by acknowledging the good work done by many. Each year nominations are sought from community members to recognise those who are making a difference through significant contributions.

The awards were held on the 24th of May 2014 and, as in previous years, Anyinginyi was well represented in nominations.

This year saw three of our staff receiving well deserving awards:

• Nick Foster “Youth – Recognising our fine young people (outstanding community contributor)

• Dr Carville Tolson “Health – Recognising those who work in the health industry with excellence (Clinician)

• Nigel Reardon “Health – Recognising those who work in the health industry with excellence (non-Clinician)

Each year, Anyinginyi staff continue to be recognised for the work they are doing in the Tennant Creek community. All of our nominees this year are long-term staff members, dedicated to the work they are doing.

A huge congratulations to Nick, Dr Carville and Nigel for their contributions to the community.

Staff achievements

Dr Carville Tolson with the Health (Clinician) award Nick Foster, recipient of the youth award

2013/2014 ANYINGINYI ANNUAL REPORT • STAFF ACHIEVEMENTS 24

Territory Finalist - NT Young Australian of the Year Nomination Jameson Casson

Each year Australia celebrates the achievements of people through the Australian of the Year Awards. Recently, Anyinginyi was lucky enough to have one of our own nominated and become an NT finalist for the Young Australian of the Year award.

Jameson Casson has been involved with the Anyinginyi Sports and Recreation program for many years both as a volunteer and now as a permanent employee. His dedication to working to better the Tennant Creek community saw him nominated for the NT Young Australian of the year.

Jameson is a crucial part of the Sport and Recreation team and is an extremely passionate contributor. Always willing to help out when needed and to offer assistance to the sport programs, especially child focussed programs, Jameson aims to be a good role model and set the example. He is very community focussed, and any community event that is held in Tennant Creek, Jameson is there, ready and willing to help out. He also single handedly got the Vibe 3on3 event to be held back in Tennant Creek this year.

Jameson had an exciting trip to Darwin for the award ceremony, with thanks to Kym Bracken as the dedicated chauffeur. Whilst he was not the winner of the overall award, he received a nomination award, and in the eyes of Anyinginyi and the entire Tennant Creek community, Jameson is our very own local hero, deserving of every recognition We are all extremely proud of him.

Valda Shannon, Jameson Casson and Kym Bracken

Primary Health Care Delivery Model

2013/2014 ANYINGINYI ANNUAL REPORT • SERVICE DELIVERY MODEL 26

• Primary Health Care

• Ear Health

• Eye Health

• Sexual Health

• Child and Maternal Health

• Physical Fitness

• Podiatry

• Physiotherapy

• Nutrition

• Chronic Disease

• QUIT Smoking

• Substance Misuse

• Counselling

• Bring Them Home

• Public Health Education

As a leader in health care we provide the following services:

Health ServicesMessage from the Director of Health Services

Palpuru Ninji Kari

It is hard to believe that another year has passed. It has been a great year for our Health Service as we go from strength to strength. It is not always an easy ride but the many challenges along the way stimulate us to dig deep, be creative and look at how we can do things better. This leads me to the key message I wish to convey and that is the importance of Continuous Quality Improvement (CQI). As the name suggests it is the ongoing improvement in the quality of what we do and encompasses every aspect of our service, from the little things like ordering the stationery to much more significant challenges like the effective management of chronic diseases in the community. It touches everyone in an organisation because we all need to frequently review how we are tracking and ensure that we are providing our service, in the most effective way, to achieve the best outcomes.

Since the last Annual Report the Health Centre at Anyinginyi went through the process of accreditation. This requires our service to be audited and our performance measured against a long list of standards that must be met to receive the status of an Accredited Facility. We are very proud to be able to say that we passed with ‘flying colours’ with only a couple of minor improvements having to be made. In fact the auditors commented that they would like to hold our facility up as an example of how the process should be done and how an accredited facility should be run. This was a real ‘feather in the cap’ for the staff that worked so hard to achieve this goal and maintain the standard of service on a daily basis.

Another major achievement for the organisation over this past year was the amalgamation of the Health Centre, the Regional Remote Health Section and staff located in the Allied Health building under the management of the Director of Health Services portfolio. This move has meant better utilisation of resources and better co-ordination of service delivery. In short it means more of our funding is used where it is most needed.

Working alongside the community and other service providers with a common purpose, we look forward to another exciting year.

Allan Baldock | Director of Health Services

2013/2014 ANYINGINYI ANNUAL REPORT • HEALTH SERVICES 28

Reporting Year 2009/10 2010/11 2011/12 2012/13 2013/14

Population (Denominator) 285 343 397 375 352

Female 75% 70% 60% 82% 88%

Male 61% 54% 48% 82% 83%

Population (denominator) is the number of Aboriginal clients who have been diagnosed with Type II diabetes.

Care Coordination TeamThe Care Coordination team at Anyinginyi provides intensive one-to-one support for Aboriginal and Torres Strait Islander people who have been diagnosed with a chronic condition or disease.

The Care Coordination program aims to improve health by working with all primary health care providers involved in care of the patient to ensure patients are accessing services consistent with the care recommended by their GP. The team provides culturally sensitive care, advocates on behalf of our Aboriginal patients and has a good understanding of the local health system. They also assist patients to attend appointments and coordinate health care, liaise with all providers involved in the care of the patient, provide links to other community services that may be of benefit and help the patient to develop self-management skills.

Our Care Coordinators have access to a flexible pool of funding that can provide financial assistance to ensure important follow-up care is continued or that specialist appointments, diagnostic tests or allied health appointments are accessed where these services are not otherwise available in a clinically acceptable timeframe. The Care coordinators can also utilise these funds to acquire some medical aids.

Our Care Coordination team provide their service both within the Health Centre and also in the client’s home when needed. This increased level of support for our Aboriginal clients through their GPs provides more proactive management of chronic illness within the community.

Allan Baldock, Director of Health Services

Eye HealthThe Eye Health Team, Maree O’Hara, Barkly Regional Eye Health Coordinator and Pamela Clarke, Barkly Regional Eye Health Assistant, continue to provide eye health services to the Barkly.

In the last year, they have seen 985 people with the optometrists, and 309 people with the ophthalmologist (Eye Specialist). 846 pairs of glasses have been prescribed for people after examinations and 40 operations have been performed.

The team continue to hold clinics in Tennant Creek, Ali Curung, Elliott, Canteen Creek, Epenarra, Lake Nash and the North Barkly.

Assistance is provided at Surgical Intensive Weeks in Alice Springs where a surgeon operates on people from Central Australia and the Barkly.

Health Promotions continue at several venues, including “Iris the Eyeball”. Again the Eye Health Team is working with the Fred Hollows Foundation in making another promotional DVD on cataracts.

Allied Health Receptionist Sue Gates and Eye Health Assistant Pamela Clarke

Barkly Regional Eye Health Coordinator Maree O’Hara and Eye Health Assistant Pamela Clarke

Alan Wilson doing a Trachoma check


Trachoma Elimination Program

This year has produced mixed results in the efforts to eliminate Trachoma in the Barkly Shire. Prior to Sylvia Palmer’s retirement in December 2013, the prevalence of Trachoma had been significantly reduced to 6% from 24% across the Barkly.

At that time six communities were designated as clear of Trachoma for up to three years – two communities through managed medication and the remaining communities through school screening and treatment.

The Trachoma Program has continued however funding from the Fred Hollows Foundation has decreased for the coming financial year.

The cold, windy and dusty condition this winter has resulted in outbreaks of Trachoma in three of the Barkly’s larger communities, two of which had been previously classified as free of Trachoma.

At Canteen Creek, as part of the healthy school kids program, all students were screened, with 25% testing positive. The students and one hundred percent of the community members present in the community at the time were treated. Canteen Creek community will now receive managed medication every six months for the next two years.

It is planned to screen and treat another six communities before the end of September with the focus being on continued education, to ensure minimal cases of Trachoma.

This graph shows that the Barkly Region has achieved greater improvement in eliminating Trachoma than any other region, reducing the prevalence from 60% in 2008 to 6% in 2012. However, there is still work to be done. Our appreciation goes to former Trachoma Project Officer, Sylvia Palmer and the Health Services team for a great result.

0

10%

20%

30%

40%

50%

60%

70%

2007 2008 2009 2010 2011 2012

Barkly

KatherineAlice Springs Remote

Darwin Rural

East Arnhem

Active Trachoma prevalence among 5 to 9 year olds by year and region in the Northern Territory

Allied Health ServicesAnyinginyi has a range of Allied Health Services that respond to the needs of our clients. As the name suggests, these health professionals work alongside our clinical team to provide an extra level of health care, particularly to those with a chronic illness.Our Allied Health Services are as follows:

Nutritionist

Good nutrition, encompassing an adequate and well-balanced diet and regular physical activity, is described by the World Health Organisation as being the cornerstone of good health. In order to improve health outcomes throughout the Barkly Region, the Nutritionist works in both Tennant Creek and a number of remote communities to promote healthy eating and good nutrition.

The Nutritionist delivers a number of services throughout the Barkly region, including individual consultations, group education sessions, health promotion activities, training programs for community members and cooking and education classes. In order to provide the best service possible, the Nutritionist links in and works with a number of different organisations, groups and individuals, including other health professionals, community groups, schools, aged care facilities and early childhood services.

Current issues of concern in the Barkly Region include diabetes, obesity and childhood anaemia. The Nutritionist has placed a strong focus on addressing anaemia in children over the past year due to the number of health consequences that it can have, including negative effects on the cognitive and physical development of children. Other issues that may result include lack of energy, irritability, poor concentration and frequent infections. The ‘Strong Blood’ community education program aims to reduce the prevalence of anaemia (‘weak blood’) in young Aboriginal

children, helping to give them a good start in life, and involves a collaborative approach between several service providers.

Diabetes Educator

Diabetes has been labelled as a “Silent Epidemic” or “Silent Killer” - its chronic nature often masks the threat imposed by the disorder through death, vulnerability and negative impact on quality of life as the people spend their whole life, since the diagnosis, coping with their life-changing ailment.

In Tennant Creek approximately 20% of the total population is diagnosed with Diabetes. Moreover there could be a big group of people who have undiagnosed diabetes. Hence it is high time for increasing the awareness on prevention of diabetes and its complications.

The role of a Diabetes Educator is to provide expert delivery of safe and effective evidence based education and clinical care to people with diabetes. The Diabetes Education Program at Anyinginyi Health includes diabetes self-management education, education for health professionals, group consultation, individual consultation, liaison with doctors to optimise treatment for individual clients, home visits, and medicine review.

Furthermore, this program works in collaboration with the community service providers within the organisation as well as external health and social services. The Diabetes Educator provides services at Piliyintinji-Ki Women’s Centre, Barkly Region Alcohol & Drug Advisory


Group, Pulkapulkka Kari Nursing Home, Tennant Creek Primary School, Tennant Creek Hospital, and Renal Dialysis Unit.

Dentist

Research has demonstrated that good dental care can influence your overall health. It has shown that there is a relationship between gum disease and health complications such as a stroke and heart disease and women with gum disease show higher incidences of pre-term low birth-weight babies.

Studies have also shown that more than 90 percent of all systemic diseases (diseases involving many organs or the whole body) have been linked to oral health problems such as swollen gums, mouth ulcers, dry mouth and excessive gum problems. Such diseases include diabetes, heart disease, kidney disease and some cancers.

At Anyinginyi we are fortunate that we are able to provide continuous quality dental services from our dental clinic in Tennant Creek.

Physiotherapist

Physiotherapists diagnose, manage and help prevent physical disorders associated with movement. Using a wide range of techniques they help relieve pain, restore function and movement and prevent further problems. They achieve this by employing a combination of well proven manual therapies and movement training and if needed physical and electrophysical agents. Physiotherapists may also recommend a personal

exercise program, tailored to meet a body’s specific needs. A physio will consider any problems you may already have, and adapt the program to suit your lifestyle. Physiotherapists are available at Anyinginyi on average 6 times each year, staying for 3 weeks each visit.

Podiatrist

A podiatrist deals with both simple and more serious ailments of the foot or lower limb. Conditions they might treat include arthritis, soft-tissue and muscular disorders, and diseases of the nerves or blood supply. Podiatrists are especially important to people with diabetes, as they are at increased risk of lower limb amputation due to damage to the nerves and blood flow to the area. The Podiatrist manages pressure areas and helps prevent ulceration to keep patients mobile. At Anyinginyi we are pleased that we have been able to attract the services of a highly professional practitioner. Like the Physiotherapist, the Podiatrist visits regularly throughout the year.

Dentist Dr Michael Quinn and Dental Assistant Jo-Anne Geyer

Manu Kinapina Parlpurru Ninji Kari Regional Remote Health Section

Clinical Outreach Services to Communities

Anyinginyi Health has an outreach clinical team that services the smaller communities in the Barkly Region that do not have convenient access to a clinical facility. The team that includes Registered Nurses and a GP travel out on a daily basis and look after the care of clients with both acute and chronic conditions. It is a challenging job as it requires a lot of preparation, travel and good communication between the community and the clinical team so that on the day the clients that need to be seen are in community and their needs can be met. For the service to be timely and effective this two-way communication is very important. Especially as the communities are not always populated all year round.

The outreach team also have a 1800 number that communities can use if they need to contact the team and has been found to improve communication. The clinical team have worked extremely hard over the year to ensure identification of clients and their clinical care needs. This has included close monitoring of medication requirements for the clients and their delivery to the communities when on their regular visits. This too is to optimise the service, improve compliance (especially for those with chronic illnesses) and improve health outcomes in the long term.

2013/2014 ANYINGINYI ANNUAL REPORT • REMOTE HEALTH 34

Grow WellThe first five years of a child’s life is the most critical period for mental and physical development. The health of a child during these years dictates their future health long into adulthood and old age.

Grow Well - the outreach child and maternal health promotion health education program is conducted in Tennant Creek and the surrounding Aboriginal communities of Mungkarta, Epenarra, Ali Curung and Imangara.

The program provides health education to mothers/carers/families with children aged 0-5 years focussing on reducing anaemia & failure to thrive rates within the Barkly region. Nutrition education is provided whilst supporting and educating families to adopt positive ‘healthy’ attitudes and habits regarding hygiene and parenting skills.

The program’s main focus areas are nutrition, worms/strongyloides, scabies, dental hygiene, eye health, ear health, promotion of immunisations & well-baby checks and environmental health (healthy homes mean healthy families).

The program works collaboratively with community based agencies and service providers such as the Midwifery Group Practice, Julalikari Pikka-Pikkakari Playgroup, Catholic Care NT, NT Office of Children and Families, NT Education Department (primary schools and FaFT) Tennant Creek Hospital, Julalikari Night Patrol, the Tennant Creek Women’s Refuge and the Eldorado Accommodation complex whilst continuing strong relationships with Anyinginyi sections of Piliyintinji-ki Stronger Families, the Intense Family Support Service (IFSS), the Health Centre and Public Health.

The Grow Well program participates in community based health promotion events where a broad dissemination of education, information and resources occurs. The program is flexible and simply responds to community need. The program is referral based having the capacity to work one-on-one with families providing more

Grow Well Coordinator Meg Vidler holding educational activities with families and children

individual and personal family support and creating support structures around a family that are finding it difficult to cope with the complexities faced today.

In 2014 Grow Well introduced the ‘Women’s Cooking Classes’ (conducted fortnightly) to its activity portfolio. The cooking classes originated from community women expressing an interest in cooking good food for their families but not having the resources or knowledge to do so. In response Grow Well and the Anyinginyi Nutritionist developed a two hour program. The aim of this program

is to improve basic food skills and knowledge within the Aboriginal Community as well as assist in improved food consumption and demonstration of the link between healthy food choices and improved health outcomes. The health education sessions have provided information on shopping, cooking, hygiene, weak blood, healthy snacks, good and bad fats, and sugars. This information is useful to enhance the social determinants of health, prevent nutrition related deficiencies and reduce the risks of becoming overweight or obese.

Dr Marina doing child health checks

Nutritionist Kristy Matassoni running her healthy cooking class


Reporting Year 2009/10 2010/11 2011/12 2012/13 2013/14

Population (Denominator) 261 246 304 291 225

Coverage 165 140 152 174 169

Measured 63% 57% 50% 60% 75%

Anaemic 39% 34% 34% 40% 38%

Population (denominator) is the number of resident Aboriginal children who are between 6 months to 5 years of age during the reporting period. Coverage is the number of resident Aboriginal children who have been measured for Anaemia at least once during the reporting period.

Tackling Smoking ProgramThe last 12 months has seen the Tobacco team making considerable achievements. These achievements include the following:-

• Barkly Community visits

• Completion and approval of the ‘Chewing’ Painting

• The second and final wave completed of the national Talking About The Smokes project

• Two articles written on tobacco cessation for the NT Chronic Disease Network and for the Northern Territory Tobacco Control Advisory Committee (NTTCAC) Annual Report

• Successful collaboration with Barkly Regional Council

• Commenced a Health Promotion Audit on the development and production of the locally produced health promotion video ‘Respect Yourself’

Each year the Tobacco team develops a 12 month calendar of events and community commitments. This is done where possible in collaboration with other sections of Anyinginyi, e.g. the Clinic, FASD, Stronger Families and the Grow Well program.

Barkly Communities

In a 12 month period we have visited the following communities. By the end of the calendar year we will have visited these same communities a second time.

Elliott/Newcastle Waters Canteen Creek/Epenarra Ali Curung Mungkarta Alparra /Ampilatwatja Wogkyala/Corella Creek Lake Nash Murray Downs


Prior to each visit, advice is forwarded to the Manager of the Health Clinic, the Shire Office and the School. We try and engage with significant agencies in that particular community regarding our intended visit. In the larger communities our stay is two days or sometimes more. We usually set up outside the health clinic as our base and then re-contact the school as to a suitable time for an education session with the students. If there is a Council office, we negotiate to have a session with either council staff or CDEP workers.

‘Chewing Painting’

The ‘Chewing’ painting (see below) was completed in November. A local artist Lindy Ngwarrey Brodie painted the images under the guidance of an Aboriginal steering group. This steering group wanted the painting to convey in a clear way the health dangers of chewing tobacco.

Anyinginyi has contracted ‘black dog graphics’ to convert the painting into a poster. Copies of the mock up posters will be given to the Anyinginyi Cultural Reference group to choose. Once this selection is made, this poster will be printed and be distributed within the Barkly Region.

Talking about the Smokes

Anyinginyi has participated in a national two year program called Talking about the Smokes. This program was divided into two waves. Wave 1 was begun in the latter half of 2012 and Wave 2 was completed in December 2013. Two Aboriginal people, one male and one female were employed for six weeks over the two year project.

The final report on the data collected in Tennant Creek can be found on the Anyinginyi website www.anyinginyi.com.au

Publications

Significant work achieved by Anyinginyi Tackling Smoking Team was published in a national bulletin and in the 2014 NT Tobacco Control Advisory Committee (NTTACC).

The Anyinginyi Regional Tobacco Coordinator contributed to the NT Chronic Disease Network bulletin and to the 2014 annual report of the Northern Territory Tobacco Control Advisory Committee of which Anyinginyi is a member.

The article written for the Chronic Disease Network bulletin was about a four day workshop held in Tennant Creek as a social marketing initiative. Over these four days a video was produced entitled ‘respect yourself’. The key messages in the song were about being strong in self and culture, enabling women to make positive choices especially during pregnancy.

The article for the NTTCAC was about the collaboration between the Anyinginyi Tackling Smoking team and the Barkly Shire working towards ‘no smoking’ signage being installed at the Tennant Creek Purkiss Reserve.

Health Promotion Audit

The Tobacco team is currently working with Anyinginyi’s CQI Facilitator Marcel Clark to undertake a performance assessment of a health promotion video produced in Tennant Creek. This video ‘Respect Yourself’ was written and produced in Tennant Creek by women from the Stronger Families and younger women from the Barkly College High School Stronger Sisters. Central to this project was Shellie Morris, a prominent NT Aboriginal singer/songwriter who guided and directed the song writing and making of the video.

It is hoped that undertaking this audit will help determine how well Tobacco cessation promotion activities align with best practice and how this supports the Tobacco team to assess and improve our practise in the Barkly.

http://www.anyinginyi.com.au

Nyangirru Piliyi-ngara Kurantta (Business Services)Building on both our infrastructure and administration foundations, 2013/14 saw a concentration in areas of ISO International Standards Accreditation works as well as further local building and information technology developments.

The aim of our Section is to provide administrative and corporate management services for the efficient and effective needs of all other Anyinginyi Sections and the decisions and actions arising from the Anyinginyi Board of Directors. This goal is a continual challenge in ensuring we meet government standards of funding, technology advancements, staff investment and most importantly meeting the ever changing needs of clients.

A number of new policy and program developments have been implemented in areas of expanding client services, restructuring clinical Sections, continuous quality improvements and most exciting of all is our local Aboriginal Staff Accommodation project.

We have continued to meet our goals of 40% Aboriginal employed, 60-70% locally employed staff and meeting the terms and conditions of funding to maintain a sustainable, robust and transparent organisation. Below are three projects of interest which will lead into 2015.

Anyinginyi Accreditation Project

ISO 9001:2008 Quality Management System standard-Requirements is an international quality management standard for organisations. The main objective of the standard is to achieve ‘client or customer satisfaction’.

The structure of ISO 9001 is aligned with good practice and requires that Anyinginyi establishes and maintains a quality management system that integrates planning and performance management. ISO 9001 expects that the quality management systems are driven by Anyinginyi’s vision and values and be focussed on achieving the best possible outcomes for our clients.

There are eight sections in the ISO 9001 standard, the following five are targeted by Anyinginyi.

Section 4: Quality Management System requirements

Section 5: Management responsibility, focus, policy, planning and objectives

Section 6: Resource management and allocation

Section 7: Service delivery (product realisation) and process management

Section 8: Measurement, monitoring, analysis and improvement

It is Anyinginyi’s goal to reach Accreditation in 2015.

Technology Improvements

Our phone systems and wireless linkages have been replaced to strengthen and reduce cost in communications. This has seen improvements in our ability to function off-site and at extended sites with operation equipment required for administration or client servicing. Further developments are planned in 2015 for Conference Room technologies for training and video conferencing, reducing our need to travel and expand our ability for training access and participation in events held by video.

An innovative project Anyinginyi began in April is participation in a phase one pilot program with Telstra in developing Remote Telehealth servicing and connections. Telehealth is a key component in the future of remote medicine.

The benefits of Telehealth for Anyinginyi would potentially be:

• Increased operating efficiency and government cost reductions related to travel for specialist services

• Enabling clinicians to extend their geographical reach and exposure via telehealth

• Increasing information exchange within and between jurisdictions

• Resource scheduling

• Increased access

• Interoperability

• Maximise revenue

From a client perspective, benefits may include:

• Increased patient access to healthcare and specialist services

• Patient empowerment and engagement

• Family involvement

2013/2014 ANYINGINYI ANNUAL REPORT • BUSINESS SERVICES 40

• Reduction in travel and costs for patients living within a 100km radius to NT Health centres in areas of Telehealth ability.

Anyinginyi will provide progressive updates by means of our weekly newspaper column.

Infrastructure

Developments have occurred at our offices located in Irvine, Schmidt and Paterson Street to meet client growth in areas of Allied Health and Social and Emotional Wellbeing. It is our belief and it has been proven many times that appropriate infrastructure supports health by creating an attractive and supportive environment for staff service abilities and a culturally responsive environment supportive of client sensitivities.

2014/15 will see planning and investment in infrastructure for Men’s Health, Social and Emotional Wellbeing and Conferencing facilities and as always we will invest in local trade suppliers by “buying local”.

Our Section greatly appreciates the positive relationships with have with our funding bodies, local government/non government entities, local trade suppliers and our clients in addressing the services needs of the Barkly Region.

I again must thank and acknowledge the Nyangirru Piliyi-ngara Kurantta /Business Services team for their dedication and commitment to excellence in service.

As always our doors are open for any questions.

Clarissa Burgen | Section Manager Nyangirru Piliyi-ngara Kurantta (Business Services)

Piliyintinji-ki (Stronger Families)Piliyintinji-ki Stronger Families has historically and consistently been the main cultural hub for providing social and emotional wellbeing programs and services to Aboriginal clients and their families in the Barkly Region, and actively supports the mission of the organisation: To be a provider of high quality holistic primary health services featuring prevention and treatment in the Barkly region in a culturally responsive way.

Piliyintinji-ki Stronger Families comprises a structure that incorporates the Men’s Centre, the Women’s Centre, an Intensive Family Support Services Centre and the FASD program. These combined programs, services and supports are delivered with regard to cultural protocols and practices, including gender and familial obligations. The staff complement across this Section is made up of over 90% of skilled and qualified Indigenous staff who are deemed central to undertaking the obligations of knowledge, trust and respect. These staff include Community Support Officers, Family Support Officers, Team Leaders, Counsellors and a Psychologist.

Piliyintinji-ki has a three tiered approach to prevention in relation to the wellbeing of our clients: (i) community; (ii) in-house counselling and supports; and (iii) outreach and/or referrals. All programs and services are aligned to Anyinginyi’s strategic goals and underpin the Yapakurlangu Family and Community Violence Report prepared by Paul Memmott & Associates in August 2007, including:

• promotion and prevention initiatives fundamental to improve physical safety, social and emotional health and wellbeing

• access and referral to a wide range of services to assist with the impacts of alcohol and other drugs misuse/abuse

• family and parenting strengthening and community connectedness

• outreach and advocacy

• counselling and practical support for individuals and families experiencing the social and emotional distress associated with trauma and grief, forced separation of children from their families, family violence and suicide.

Further, in line with Anyinginyi’s strategic goals, there is a greater focus on cultural practices and protocols; recognising and paying respect, communicating cultural practices to staff and the broader community, demonstrating that culture is living through the maintenance and practice of ceremonies, bush healing,

2013/2014 ANYINGINYI ANNUAL REPORT • PILIYINTINJI-KI 42

etc., and demonstrating recognition of culture as unique to building quality relationships and partnerships. The Cultural Competency Group has been established to support this process and awareness.

Piliyintinji-ki’s programs and services provide a safe environment where gender specific initiatives are implemented to support the holistic approach to better health and wellbeing for Aboriginal clients, and where connection to culture, family ties, cultural obligations and storytelling are integral to program and service delivery.

Direct access to supports and referrals is considered the most meaningful approach to promoting effective ways to address the ‘whole of life’ issues impacting on an individual’s mental health and wellbeing. These supports are provided through a range of activities outlined in monthly capacity building timetables, with inter-agency collaboration and referrals linked to a number of external service providers and agencies, including:

• Barkly Mental Health Service

• The Mental Health Association of Central Australia (MHACA)

• Northern Territory Remote Alcohol and Other Drugs Workforce Program

• Barkly Region Alcohol and Drug Abuse Advisory Group (BRADAAG)

• Sexual Assault Referral Centre (SARC)

• Catholic Care

• Women’s Shelter

• NT Government Housing

• NT Police Tennant Creek

• NT Department of Correctional Services

• NT Department of Health

• Department of Children and Families.

Achievements

In June 2014 the Women’s Centre relocated to the south side of 1–5 Paterson Street. The premises can accommodate additional staff including the FASD Project Officer and the Intensive Family Support Services Team and incorporates a much larger program room. There are also areas within

the new building that allows for private one-on-one consultations as well as safe areas where family consultations can take place. It is anticipated that the Men’s Centre will relocate to the north side of the building sometime after July 2014.

Men’s Centre participated in the 2013 Men’s Health Summit where outcomes included identifying men’s specific health issues; building education and awareness of male health issues for all participants and service providers; identifying opportunities for leaders within the male health sector and local Aboriginal communities to build networks for a coordinated approach to tackling male health issues; and working in conjunction with Commonwealth agencies to strengthen engagement and participations from all stakeholders.

An enhanced coaching model has been introduced for staff in the Intensive Family Support Services team that refines a framework to advance staff skills and case management; that supports data-based decision making and continuous quality improvement; and that informs the current evidence-informed practices.

LEFT: Joyce Measures Numakili, Section Manager Piliyintinji-ki (Stronger Families) Resigned April 2014

RIGHT: Marie Murfet, Acting Section Manager April -June 2014

2013/2014 ANYINGINYI ANNUAL REPORT • PILIYINTINJI-KI 44

However, being aware of the high level of alcohol consumption in the area, in conjunction with the work and findings in the Fitzroy Crossing study, and overseas research, it was clear that FASD would be a real issue in our community.

FASD hurts babies, families and communities. It causes brain damage, damage to internal organs, poor growth, developmental delays, low intelligence and learning difficulties, and other behavioural problems that can often be misdiagnosed as Attention Deficit Hyperactivity Disorder or “poor parenting”. Children born with FASD often go on to have difficult lives due to the effects of FASD and given the difficulties around obtaining a formal diagnosis, it makes it hard to put proper supports in place for the child and the family.

FASD is 100% preventable – we have to get the message across that one drink of alcohol during pregnancy is one too many.

As a result, Anyinginyi embarked on a mission to make ourselves and our community aware of FASD, to develop and deliver tools and teaching aids to prevent FASD, to lobby for the development of clinical pathways and best practice for the treatment of FASD, to lobby for effective treatment for those with FASD and their families, and to lobby for ongoing funding for a dedicated FASD program.

The results to date include:

• Local high school students produced a hip-hop video, in conjunction with Indigenous Hip-Hop Productions, on “strong babies, strong life” that has been a major success around Australia;

• All liquor outlets in Tennant Creek have signs developed by Anyinginyi regarding the dangers of drinking while pregnant;

• Regular education sessions to schools and communities;

• Development of a broad range of education materials that has now been adopted by the NT Department of Education for use in schools throughout the NT;

• Television advertisements – currently in English but soon to also be in four local Aboriginal languages;

• On invitation Anyinginyi presented at an international FASD conference in Vancouver, Canada, in 2012;

• Anyinginyi had two speakers at Australia’s first national conference on FASD in Brisbane in 2013.

The good news is FASD is now recognised throughout Australia as a huge issue that effects all societies crossing all socio-economic boundaries – it is not just an Aboriginal problem however it does affect Aboriginal communities; where there is high rates of alcohol consumption, there will generally be high rates of FASD.

In 2013/14 Anyinginyi presented submissions to both National and Territory enquiries into FASD

It is our hope that these inquiries result in:

• Governments agreeing on a diagnostic tool so there can be accurate figures;

• Clinical pathways for treatment are established;

• Development of proper support structures to be put in place for families;

• Adequate treatment resources are provided;

• Dedicated funding for FASD programs so more can be done to prevent FASD.

Foetal Alcohol Spectrum Disorder (FASD)Our “FASD journey” began in 2011 - at this time FASD was a term seldom heard or used.

Director Ross Williams with FASD Project Officer Leann Shaw

Wirlyarra punjarlki kapi Miripartijiki (Sport and Recreation) The 2013/14 year for Sport and Recreation has been remarkable, highlighted by a major renovation to the gymnasium.The gymnasium has literally gone from a gym in a shed to a commercial, air-conditioned gymnasium that could be found anywhere in a major city. The renovations have included new flooring, insulated walls and ceiling, painting, TVs, motivational posters and mirrors. The biggest investment has been the new air conditioner units put in to keep the gymnasium at a constant temperature all year round.

The gym has a new open layout and some of the ageing fitness equipment has been replaced with new commercial grade fitness equipment.

Not only did the gym get a major facelift, but the whole centre has undergone new plastering of the walls and painting in the foyer, reception area, office areas, kitchen and change rooms.

To showcase the renovations, Sport and Recreation hosted a family fun day on Sunday the 13th of April to officially open the gymnasium. The jumping castle was inflated, and the new inflatable, called the ‘Rocky’ was introduced. It is an inflatable rock climbing wall that rises

up to six metres. The kids were well entertained with face painting, balloon making and just all round fun with plenty of games and activities. The event concluded with the presentations and special thanks must go to Jemma Patterson and Nick Foster for their MC duties, and to LT for officially cutting the ribbon to open the gymnasium.

Not only does Anyinginyi manage a commercial gymnasium, but also instructs a range of group fitness classes. An additional classes to our group fitness program called Pump was welcomed during the year. This fitness class is a choreographed one hour class using barbells and adjustable weights to tone and condition muscles while raising metabolic rate for rapid fat burning and has been a popular class. Traditional fitness classes such as boxercise, women’s class, circuit, MMA training and Crossfit are still available to gym members.

A new gym membership software system has been installed, that will make greater data available for reports. It gives gym members a membership card that they scan each time they attend a gym or fitness session.

Marcus Maher | Section Manager Wirlyarra punjarlki kapi Miripartijiki (Sport and Recreation)

Gym Members by type:

13/05/2014 30/6/2014

Aboriginal 25 77

Non-Aboriginal 53 56

Staff 8 16

There has been a constant growth of memberships since the renovations to the gym were completed and the new membership database system was implemented. Before the renovations there was no consistent monitoring of membership and any Aboriginal user of the gym just signed in.

Now there is a system in place that identifies how many members are currently using the gymnasium and fitness classes.

In the 2013/14 financial year, funds were successfully obtained to employ a local Aboriginal female as a Womens’ Program Officer. This funding has been received from the Australian Government and is designed to increase the active participation of female Indigenous adults in local sport and active recreation fitness programs.

After school activities/holiday programming

As always, the after school activities and school holiday programming have been very busy with the children of Tennant Creek and surrounding communities. There has been a range of programs and activities offered including basketball, t-ball, cricket, touch rugby, canoeing at the dam and also a range of indoor activities including table tennis, arts and craft and just chilling out in the kids room.

The holiday program has been very successful with a different range of activities for the kids. A tour around Tennant Creek with visits to the Emergency Services - Police, Fire and Rescue, and St. Johns Ambulance was also organised. Cultural days have been held at Nyinkka Nyunyu as well as exploring the history of mining in Tennant Creek at Battery Hill.

Daily averages of the after school activities and school holiday program:

MONTH Daily Average

July 48

August 52

September 49

October 54

November 51

December 45

January 41

February 52

March 46

April 58

May 42

June 44

Over the course of the year, the daily average of children attending these activities has been 48.5. This is a fantastic number of kids kept entertained after school by Sport and Recreation through fun activities. Next year Sport and Recreation are hoping to build on this by improving our communication with parents, and also align sports with Territory Sporting bodies so that the kids are getting proper training in sport to start a pathway that will lead them to playing sport in their adolescent years and into adulthood.

2013/2014 ANYINGINYI ANNUAL REPORT • SPORT AND RECREATION 46

Social Sports

2013/14 saw an active period of organising social sports for the residents of Tennant Creek with mixed soccer and mixed volleyball being played from September through to December. Also during this time, the Healthy Lifestyle team organised a Mixed Netball Carnival held over a weekend in mid-October involving 10 teams. With the success of this carnival, this will now be an annual event.

The Friday Night games were revamped in early 2014. Basketball was organised to keep the youth off the streets and get some physical activity. This program had four female teams and six male teams play in the competition. Participants were provided with a healthy dinner during the course of the evening,cooked by the healthy lifestyle team.

Anyinginyi Health Aboriginal Corporation also supported a Tennant Creek cricket team to play in the Imparja Cup in Alice Springs in February 2014. The team had some great wins and even defeated the more fancied Alice Springs team, which hasn’t been done for many years. The team just missed out on the finals and ended up finishing 3rd.

Soon after the Imparja Cup, we held the annual Rossy Williams Shield cricket competition, in which 10 teams participated. It was great to see a representative team from Ti Tree, and also a youth team from the Hostel compete over the weekend.

After the Easter break we continued with our social sports calendar with another competition of mixed soccer and our very popular women’s volleyball competition. Both competitions had four teams and they were both even competitions all the way through to the finals and played in the spirit of the game.

The Healthy Lifestyle team continued to spread the healthy lifestyle message of visiting all communities within the Barkly with the Tackling Smoking team and also planning the volleyball and netball competitions.

A great initiative organised in June of 2014 was the Pedometer Challenge. Over 20 teams were registered and the message was pretty simple – get up and walk. All participants were given a pedometer to keep count of their steps and the aim was to achieve 10,000 steps daily. The event concluded with a walk to Lake Mary Ann and with 120 participants, nearly 20 million steps were counted over the course of the challenge.

2013/2014 ANYINGINYI ANNUAL REPORT • SPORT AND RECREATION 48

2013/2014 ANYINGINYI ANNUAL REPORT • FINANCIAL STATEMENTS 50

General Purpose Financial StatementsFOR THE YEAR ENDED 30 JUNE 2014


Income Statement for the Year Ended 30 June 2014

2014 $ 2013 $

INCOME

Government Grants 13,244,843 12,839,740

Revenue from rendering of services 1,102,630 908,860

Interest 371,038 328,376

Gain on sale of assets 19,489 -

Other revenue from ordinary activities 1,172,548 1,085,867

Reimbursement from employee expenses - -

Total Revenue 15,910,548 15,162,843

EXPENSES

Employee salaries and wages (7,331,563) (7,271,470)

Employee oncosts (1,206,742) (796,758)

Employee leave expense (provisions) (106,987) 93,903

Depreciation expense (933,798) (945,833)

Interest paid - -

Loss on sale of assets - (37,301)

Other expenses from ordinary operating activities (3,440,010) (3,831,684)

Total Expenses (13,019,100) (12,789,143)

Surplus/(Deficit) From Activities 2,891,448 2,373,700

Statement of Comprehensive Income for the Year Ended 30 June 2014

Surplus/(deficit) for the year 2,891,448 2,373,700

Other comprehensive income - -

Total Comprehensive Income/(Deficit) for the Year 2,891,448 2,373,700

Statement of Financial Position at 30 June 2014

2014 $ 2013 $

CURRENT ASSETS

Cash and cash equivalents 10,532,951 9,142,717

Trade and other receivables 519,267 125,872

11,052,218 9,268,589

NON CURRENT ASSETS

Property plant and equipment 8,254,282 8,172,657

Total Assets 19,306,500 17,441,246

CURRENT LIABILITIES

Trade and other payables 584,594 1,359,602

Borrowings 2,995 10,563

Provision for employee entitlements 578,765 527,539

Unexpected grants 968,997 1,263,841

2,135,351 3,161,545

NON CURRENT LIABILITIES

Provision for employee entitlements - -

Total Liabilities 2,135,351 3,161,545

Net Assets 17,171,149 14,279,701

MEMBERS FUNDS

Accumulated funds 17,171,149 14,279,701

Statement of Changes in Equity for the Year Ended 30 June 2014

Accumulated funds at start of year 14,279,701 11,906,001

Total comprehensive income (deficit) for year 2,891,448 2,373,700

Accumulated funds at end of year 17,171,149 14,279,701


Statement of Cash Flows for the Year Ended 30 June 2014

2014 $ 2013 $

CASH FLOWS FROM OPERATING ACTIVITIES

PAYMENTS

Employee costs (8,627,766) (7,949,382)

Materials, contracts and other costs (4,115,494) (4,083,926)

RECEIPTS

Receipts from activities 1,815,959 1,875,484

Recurrent grants 12,949,999 10,404,260

Net cash provided (used) by operating activities 2,022,698 246,436

CASH FLOWS FROM INVESTING ACTIVITIES

Interest received 371,038 328,376

Payments for property, plant and equipment (1,016,297) (909,926)

Proceeds on sale of assets 20,362 31,624

Net cash used in investing activities (624,897) (549,926)

CASH FLOWS FROM FINANCING ACTIVITIES

Net cash provided (used) by financing activities - -

Net increase (decrease) in cash held 1,397,801 (303,490)

Cash at beginning of the year 9,132,155 9,435,645

Cash At End Of The Year 10,529,956 9,132,155

My Story The Way I LivedThe way I lived in my younger days,

I was brought up through many ways,

Culturally, Traditional, Spiritually and Emotional,

Happy and full of laughter,

Singing, dancing and walking around

everywhere in the bush,

With my relatives and family and with

the elderly people,

They were around me a lot of the times teaching

me about Culture and Tradition and other Spiritual things,

That was the way I used to live in my younger days,

All through my childhood and towards my adult age,

But that has all changed now in this day and age,

Those special moments have all gone now,

But it will be kept within my soul and my heart for ever,

Those days were the good times and how I lived,

Now there are times of quietness and stillness

lingering around me,

There is no fluttering of the leaves on the tree because

of the silence and stillness of the days,

Not a breeze in the air everything is so still,

Not like my younger days of growing up with the

elders and their stories,

Some of the Culture and Stories may one day not exist

because of the younger generation who are to busy drinking

and gambling and doing drugs.

Written by Winnijipurrtu Nixon


ANYINGINYI HEALTH ABORIGINAL CORPORATION

1 Irvine St, Tennant Creek, NT, 0860

PO Box 403, Tennant Creek, NT, 0860

T. (08) 8962 2633 F. (08) 8962 3280

www.anyinginyi.org.au

http://www.anyinginyi.org.au

13_14_ahac_annual_report_web

Documents

emotional health

eye health

allied health services

primary health care

health service delivery

chairpersons report

general managers report

people of tennant creek