13 Annual Report - Anyinginyi Health Aboriginal Corporation

Transcription

ANYINGINYI HEALTH ABORIGINAL CORPORATION 2012/2013 ANNUAL REPORT
Ngarunyurr Parlpuru Munjarlki
‘PREVENTION IS THE SOLUTION’
Table of Contents
INTRODUCTION
2
GOVERNANCE STRUCTURE
5
CHAIRPERSON’S REPORT
6
BOARD OF DIRECTORS
8
GENERAL MANAGER’S REPORT
14
DIRECTOR OF CLINICAL SERVICES REPORT
15
2012/2013 ANYINGINYI UPDATES
18
The Foetal Alcohol Spectrum Disorder Project
Bush Tucker & Medicine Education
18
20
2012/2013 ANYINGINYI HIGHLIGHTS
NAIDOC Week Celebrations
Staff Achievements
The Tackling Smoking Program
Trachoma Elimination Program
22
22
24
25
26
PRIMARY HEALTH CARE SERVICE DELIVERY MODEL
28
2012/2013 SECTION REPORTS
Nyangirru Piliyi-ngara Kurantta/Business Services
Palpuru Ninji Kari/Health Centre
Kalpa purru Wirranjarlki/Public Health Unit
Piliyintinji-Ki/Stronger Families
Wirlyarra punjarlki kapi Miripartijiki/Sport & Recreation
30
30
32
36
40
42
Manu Kinapina Parlpurru Ninji Kari/Regional Remote Health Service
44
POEM BY WINNIJIPURRTU NIXON
48
FINANCIAL STATEMENTS
49
Annual Report 2012/13
Anyinginyi
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:
• Development opportunities for staff
• Effective communications
• Empowering individuals to take reasonable
responsibility for their health
• Financially responsible
• Assisting to address the social determinants
that contribute to the poor health status of
many local people
• High quality reporting, internally and externally
• 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
• Outcomes focused
Our History
Created in 1984, our constitution then, as now,
focused 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
Our Vision is to be a key player in successfully “closing the gap” in the
health status of Aboriginal persons in the Barkly region.
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 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 May 2009 we began the process of
Regionalisation, working toward a single service
provider to administer health care services
to all people of the Barkly Region. A round
of consultations and a Regional Community
Forum was held in November 2009 with the
clear outcome that Aboriginal people living in
The Barkly wanted an Aboriginal community
controlled organisation to provide their health
care services. In September 2010 Anyinginyi
was selected to be the future sole service
provider of Primary Health Care and we are
currently working towards progressing this.
Anyinginyi now has a large focus on Primary
Health Care education through our concentrated
programs such as Healthy 4 Life, Foetal Alcohol
Spectrum Disorder Project, Tackling Smoking,
Healthy Living and Active Life.
2012/2013 ANYINGINYI ANNUAL REPORT • INTRODUCTION 3
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 2012/2013 Year
The 2012/13 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 it’s 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 Governance Structure
2012/2013 ANYINGINYI ANNUAL REPORT • GOVERNANCE STRUCTURE 5
Chairperson’s Report
Welcome to the 2012/13 Annual Report of
Anyinginyi Health Aboriginal Corporation.
This is my fourth Annual Report
as Chairperson of Anyinginyi
and in that time I have witnessed
a continuing improvement in the
quality of services provided and
the competency and capability of
our organisation which provides
a platform for further
improvement in the future.
Stating what a successful year we’ve had must
be balanced by the fact that although in the past
year there has been a small “closing of the gap”
in Australia with the most improved result being
in the Northern Territory, the health status of
Aboriginal people remains far inferior to
non-Aboriginal people and a national disgrace.
Further evidence is that the health status
of residents of the Barkly Region ranks
amongst the worst in Australia – this has been
documented in previous annual reports in the
form of the highest consumption of alcohol per
person in Australia and the highest percentage
incidence of end stage renal disease in Australia.
On the positive side one of the key advantages
of being an Aboriginal community controlled
service is the opportunity to be innovative
and customise what is done to suit the local
community. The Board has taken the position
that we must be innovative to move away from
just being the “ambulance at the bottom of
the cliff” providing treatment, to prevent the
escalating need for treatment. This position is
in line with our motto that “prevention is the
solution” and the belief that the “gap” will
not be closed by doctors and nurses but by
individuals, families and communities taking
“reasonable responsibility” for their health.
However that “reasonable responsibility” must
be balanced by “realistic expectations”– to
be more specific if an individual is living in an
unsafe environment the expectation for them
to take reasonable responsibility for their health
reduces significantly.
Anyinginyi has had some great successes in
preventive programs, for example getting the
message across to families and the community
that one drink of alcohol during pregnancy is
one too many as detailed in the FASD (Foetal
Alcohol Syndrome Disorder) section of this
report. Another success is the activities of our
Sport and Recreation section also detailed later
in this report. However the biggest impediment
in improving health in our area is inadequate
housing – this hits us in two major ways, firstly
overcrowding which has a negative impact
on the health of many residents and secondly
the difficulty in attracting and retaining
quality staff.
The good news is we are playing our role in
addressing both by running our organisation as a
business producing profits, (see financial report)
that can be used to improve infrastructure.
In 2012/13 the profits from the prior year
allowed us to self-fund two major projects:
• Purchasing six new two bedroom town houses
to provide accommodation for doctors, dentists
and other health workers.
Accommodation has long been an
impediment to attracting and retaining staff
and this accommodation described as “the
best I have had in a remote location” by an
experienced practitioner who has worked in
many locations. The results for our community
are substantial , for example in the past it
has been difficult to attract dentists to work
here however with the new accommodation
it is no longer a problem –there is no longer a
shortage of quality dentists for the people
of the Barkly.
• Reopening of the former Health Centre.
In 2010 our new state of the art health
centre, Palpuru Ninji Kari was officially opened
by Member for Lingiari, Warren Snowdon
and resulted in a 40% increase in treatments
to clients. It was originally intended the
former Health Centre would close however
it has been refurbished, is now known as
Ngalanya Health Clinic papulu and provides
a great facility for eye services, dental clinic,
physiotherapy, podiatry and other allied
health services.
The other big news is that the organisation
has made a commitment to provide housing
for staff requiring it. To be honest we lose a
number of quality local Aboriginal staff who
love working at Anyinginyi, are good at their job
but end up leaving us sometimes due to social
issues associated with inadequate housing. The
concept is for our Aboriginal staff to develop
what is required and how it will work, for the
Board to consider. From early discussions with
Aboriginal staff, feedback received is what is
required is safe and secure housing that is well
maintained provided to Aboriginal staff who are
either studying or qualified.
The project will be funded by the self-generated
Income from 2012/13 and from future years
and I believe will provide an example for other
organisations throughout the Territory.
In summary it has been a very successful and
innovative year however there is still so much
to do.
I would like to thank our General Manager,
Trevor Sanders and his Management team
and staff for all of their hard work and efforts
throughout the year to implement the Board of
Directors strategic directions.
I acknowledge and thank my fellow Directors
and Executive for their support, commitment,
vision and leadership in making Anyinginyi a
truly Community Controlled Organisation.
LT Chairperson - Board of Directors
2012/2013 ANYINGINYI ANNUAL REPORT • CHAIRPERSON’S REPORT 7
Board of Directors
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 for 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 also
an Interim Board member of NT Peak body for child protection - Strong
Aboriginal Families, Together (SAF,T) and a Board member of Central
Australian Aboriginal Family Violence Legal Unit (CAAFLU). Child protection
and family violence prevention are her passions.
LT says that:
“ Aboriginal Community Control means
LT
Napanangka
CHAIRPERSON
Duane has previously worked for Anyinginyi as coordinator of the
Men’s Centre, then for the Council of Elders and Respected People
(CERP). He now holds the position of Indigenous Engagement Officer
for the Department of Families, Housing, Community Services and
Indigenous Affairs.
Duane sees prevention as being the solution predominately through:
Duane Fraser
Jakamarra
DEPUTY
CHAIRPERSON
“ Ensuring and encouraging a healthier life style
through medical support, care and education programs
for all young and old! ”
As a Community Controlled Aboriginal Health Organisation, Anyinginyi is governed by a Board of
Directors that are elected by members of the organisation. Providing strategic direction for the
Leadership Team, the Board of Directors gives a voice to all residents of the Barkly region which
ensures the highest quality primary health care is provided.
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, a Councillor for Barkly Shire and a Committee
Member for the Council of Elders and Respected People (CERP).
“ It’s very important we continue our role in
Community Engagement especially involving working
with young people for the future. ”
Pat says that:
Pat Braun
Nungala
SECRETARY
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.
“ Quality Education and Housing are
fundamental for our people. It leads to better health and
provides the opportunity for prevention to work. ”
Ross belives that:
Ross Williams
Jakamarra
TREASURER
2012/2013 ANYINGINYI ANNUAL REPORT • ANYINGINYI BOARD OF DIRECTORS 9
Board of Directors
Mary is a Walpiri woman originally from Ali Curung and sits on the Board as
a representative for Elliott. Mary has had much involvement with Anyinginyi
over the years including previous terms as a Director and working as an
Aboriginal Health Practitioner.
Mary firmly believes that there needs to be:
“ More education in the communities.”
Mary James
Napangarti
A Jingili woman from Elliott, Janet has family links throughout the Barkly.
She has a background in primary health, working as a health worker in
Elliott, Alice Springs and Ali Curung during the 1980’s. Janet resigned from
the Board of Directors in December 2012 when she moved out of the area.
In response to how she sees prevention as the solution Janet says:
“ By Anyinginyi taking the lead and putting in initiatives
that are appropriate for Aboriginal people in the
Janet Gregory Barkly region [that allow us] to take control of our
Napanangka
own health. Prevention is the answer, the only way. ”
RESIGNED
Elliot 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.
Ronald is a Warumungu man from Tennant Creek who has been involved
with Anyinginyi in various roles, from employee to Director, since its
establishment in the 1980s.
“ Prevention IS the solution, we
need to look after ourselves now before it is too late
to do anything.”
Ronald believes that:
Ronald Plummer
Japururrla
Gordon is a Warumungu man from the Barkly Region and lives at
Rockhampton Downs in the Barkly Tablelands, representing the community
of Wogyala.
As a community member, Gordon’s passion is ensuring his people get
the best health services available as:
“ There are a lot of our people sick - out bush
and also in town.”
Gordon Noonan
Jampa Jimpa
Jungarayi
Jeffrey is the Board representative for Marlinja and has been on the Anyinginyi
Board since the start of 2012.
Board of Directors
Barbara is a Warumungu woman who has lived most of her life in Tennant
Creek. She joined the Board of Directors in May 2013 and is passionate
about the need for the community to make changes. She is a traditional
woman and Respected Elder who has been nominated in the NAIDOC
awards for her leadership role and contribution to community.
“ 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
Barbara Foster
Nungala
a better life and better future. ”
Barbara believes that:
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.
“ People need to listen to the wisdom of
the Elders to keep the community strong and healthy.
People need to wake up to the need to educate themselves
Sheila Johnson about health, live responsibly and help others. ”
Sheila says that:
Nungala
Winnijipurrtu Jalajirrpa
Winnijipurrtu Nixon was born at Munga Muntta Mission (Phillip
Creek) in 1947 and a very respected Elder for young and old,
Wumparani and Papulanyi.
Winnijipurrtu Nixon could speak: Warumungu, Warlmanpa, Alyawarre,
Kaytetye, Walpiri and a few more, including an Indonesian language!
Winnijipurrtu Nixon has a son, Kevin Nixon (Nicko) her sisters and
many other daughters/sons, grandchildren and great grandchildren.
Winnijipurrtu Nixon was a founding member of Anyinginyi Health
Aboriginal Corporation (AHAC), Papulu-Apparr Kari (Language Centre)
and a member of the Australian Literacy and Numeracy Foundation –
keeping language strong.
Winnijipurrtu Nixon has written a Warumungu Dictionary and many
story books.
Winnijipurrtu Nixon has worked at AHAC as an Aboriginal Health
Worker and Language Centre as a cultural advisor, interpreter/
translator and taught Cultural Awareness training. She had also
taught at the schools so students could learn, understand, read and
write Warumungu.
Winnijipurrtu Nixon poured her heart and soul into language and
culture and loved to teach people.
Kirriljintjarra Kapi ngattujintjarra Kariny
ngalakanya Manu Kuna (Barkly Region) Kina Kapi
yirrarrujinini warrarripuyuyu - karmantta.
Very loved and deeply respected elder throughout the Barkly Region
and will be sadly missed - Karmada
General Manager’s Report
• Adopting an innovative approach, for example
providing excellent accommodation to assist
with attraction and retention of staff; engaging
local school students to develop a hip hop
video to promote non-drinking of alcohol
during pregnancy
It is a privilege to be General Manager of
Anyinginyi Aboriginal Corporation. 2012/13 has
been a successful year on a number of levels for
Anyinginyi but there is still so much to be done.
The achievements are detailed in other sections
of this report so without going into detail I will
just highlight a few:
• Continuing to build the competency and
capability of Anyinginyi – it is essential in
our sector to have the confidence of our
community and funders
• Excellent financial management that allows
investment into infrastructure, improving services
• Establishing a system that provides
meaningful employment for Aboriginal people
including a transition from work experience
and work based apprenticeships while at
school to employment at Anyinginyi
• Supporting the local community, be it assisting
Little Athletics to compete in state titles in
Adelaide, driving and financially supporting
NAIDOC week, successfully lobbying to have
Pulkapulkka Kari Nursing Home
air-conditioned; expanding sport and recreation
services or providing better health services
The achievements of 2012/13
have increased our ability to move
further forward with a number of
new goals already set by the board,
including “employment housing”
and increasing the commitment
to quality by progressing to
organisation wide accreditation.
In closing I would like to thank our Chairperson,
LT in particular and the Board in general for their
support, guidance and direction. Also a big thank
you to a great group of Section Managers and
to all staff for their commitment, achievements
and support.
Trevor Sanders General Manager
Director of Clinical Services Report
Dr Rosalie Schultz, Director of Clinical Services
left Anyinginyi this year after a dedicated
20 months in the position. We would like to
acknowledge her contribution to improve
Aboriginal health services. Dr Schultz created
a platform for Anyinginyi to continually improve
clinical services.
Data Systems Management and
Continuous Quality Improvement
Fundamental to all our clinical activities,
research and measurement of our communities’
health, is the need for good clinical data. In the
past year we have been dedicated to improving
the quality of clinical data.
Focusing on Children
Our six monthly reports include three key
performance indicators of child health; fully
immunised children, underweight children,
and Anaemic children.
FULLY IMMUNISED CHILDREN
Making sure our children are all up to date with
immunisations is very important to us as this
ensures that children are not at risk of getting
childhood diseases and prevents disease
outbreak in the community. Over the last year
we have worked to improve immunisation
recording and recall, this contributes to children
accessing the clinic for their immunisation. This
improvement has led to very good outcomes on
our immunisation status for children.
When we report on our patient numbers no
personal information is ever given out. However
we need to report on our data for a number of
reasons, here are some:
• To understand why our clients are coming to
the clinic and for what reasons
• To count how many clients are coming to the
clinic so we can monitor numbers and make
sure we have enough clinicians to see people
• To report to our funding bodies so they
understand what problems our people are
experiencing, e.g. how many people have
diabetes and other chronic conditions
• To make sure all our clients are getting the
right treatments like children, men and
women health checks, and immunisations etc
• To help us with research projects and
continuous quality improvement (we can’t
improve something without understanding
the problem first, data helps us to do that)
2012/2013 ANYINGINYI ANNUAL REPORT • DIRECTOR OF CLINICAL SERVICES 15
Director of Clinical Services Report
Percentage of fully immunised children
in the Barkly Region.
12 to 23 month olds
6 to 11 month olds
9% 14%
It is a good idea to come into the clinic when
the bus driver says you need to come in.
Parents and carers need to make sure their
children get their regular checks and needles.
Come into the clinic after your child is born,
2 months, 4 months, 6 months, 12 months,
18 months, 4 years and whenever your child
is sick or you want a check-up.
If your child is given a needle somewhere else
we are given this information from the NT
Immunisation register. We put this information
into our Communicare system. When we give
a needle we send this information to the NT
immunisation data base. They keep a record of
your child’s immunisation.
A nurse at the clinic is responsible for checking
to see if a child is due to have their needle and
if the parent or carer has not brought the child in
the nurse will ask the bus driver to pick them up
to come into the clinic for their needles.
NOTES TO PARENTS AND CARERS
Our data for the last year is very good, however
there are still some children not coming in on
the bus or coming in on time for their needles.
69%
2 to 6 year olds
8%
not immunised
WHAT WE DID TO IMPROVE
The clinic team worked very hard to ensure that
all children who come to our clinic have an up
to date electronic immunisation record, which
includes a recall for immunisations that are due
in the future. Parents and carers may notice
that our clinicians always ring up and check to
ensure that a child’s immunisation record is
correct before they give a needle.
Improving immunisation timeliness in young
children is important to us to reduce the risk of
getting preventable childhood disease.
UNDERWEIGHT CHILDREN
We have a trend of consistently measuring
about 75% of our children each year. 5% of the
children we measure are underweight. When
clinicians find children underweight they will
give advice to parents and carers on what can
be done to improve the child’s weight. This
might mean your child needs to take medicine,
and have a good healthy diet. The child’s weight
will be recorded each time the child is weighed.
When you bring your child into the clinic ask
for your child to be weighed. Come back to the
clinic if the nurse or health practitioner want to
see you again to check on your child’s weight.
CHILDHOOD ANAEMIA
Our KPI data shows that we have tested 60%
of our children who are between 6 months to
6 years of age. This data shows that testing
for anaemia in children has improved by 10%,
which shows we are still working on improving
our coverage rate. However, this also means
that we have found more children who are
anaemic. We still have many children that need
to come to the clinic to be tested and monitored.
Our staff are constantly being in-serviced
to ensure that:
• The right technique is used to test children
• Results are entered in Communicare
• Regular checks of the Hemocue monitor
• Use of CARPA guidelines
To prevent anaemia:
• Have regular checks at the clinic
• When you are pregnant eat a healthy diet high
in iron it will make your blood strong
• Breast feed your baby for the first 6 months
and then after 6 months try to continue and
give other age appropriate foods
Moving forward to 2014
ORGANISATION ACCREDITATION
Up until now the Health Centre was the only
section to be subject to a nationally recognised
Accreditation process. However Anyinginyi has
now committed to organisational accreditation
meaning all of our sections will be subject to a
Nationally recognised accreditation process –
another step to improving quality at Anyinginyi.
CARE COORDINATION AND
SUPPLEMENTARY SERVICES PROGRAM
Anyinginyi has recently received funding to
establish a program to assist care coordination
and supplementary services. A Care Coordinator
will be employed to facilitate this program
and work with clinicians to ensure that we
have a system for care coordination for those
clients who have a chronic disease on a care
plan and need special needs and access to
supplementary services.
TELEHEALTH
Anyinginyi has recently received grant funding
to assist in the implementation of Telehealth
processes. Telehealth will be introduced to
Anyinginyi, this technology will be useful for
some clients for some specialist reasons.
Clients will be able to have a consult with a
specialist without having to go to Alice Springs.
• Foods high in Iron every day
• Best foods are liver and kidney, red meat,
chicken and fish
• Bread and cereals (especially whole grain or
iron fortified green vegetables (fresh) tinned,
or frozen, egg yolk (over 8 month) dried fruit
• Foods high in vitamin C with meals to help
iron to get into your blood
UPDATE
The second year of the Anyinginyi FASD Project
began with optimism, despite a cut in funding
which meant that Leonie Williams, Project
Officer, moved on to other roles within Public
Health, while retaining some connections with
the Project. The Federal Government completed
its inquiry and report into FASD (“FASD: The
Hidden Harm”) and there has been hope for
increasing national awareness.
During the year, the FASD Project continued
to develop its resources locally, with a training
package for teachers being piloted in Tennant
Creek, then further rolled out as a generalised,
multimedia, flexible training package for
communities. We have just received funding
to send this out to all remote communities
in the Barkly Region, thus offering training to
multiple stakeholder groups: teachers, health
professionals, parents, teenagers, Elders.
Our growing collection of professional-quality
puppets have become an extremely valuable
resource for both education and breaking down
barriers. We have recently undertaken a film
project with the puppets, involving Anyinginyi
staff and clients in script-writing, characterdevelopment, and puppet operation. Through
some generous funding from the Foundation
for Alcohol Research and Education (FARE),
this project will culminate in a film launch and
community forum in September, 2013.
FASD Project Co-ordinator, Adele Gibson, has
continued to provide as much education and
awareness-raising as possible with various
groups, both within and outside the Barkly;
and has also provided support to individual
referrals as required.
In February-March, 2013, AHAC Chairperson,
LT, and FASD Project staff, Leonie Williams
and Adele Gibson, travelled to Vancouver, BC,
Canada, to present at the 5th International
FASD Conference. Over five fantastic and jampacked days, we were part of a global group of
700 delegates from 26 countries. We attended
sessions such as FASD and the Law; parenting;
prevention; the Kimberley prevalence study;
Foetal Alcohol Spectrum Disorder Project
epidemiology; transgenerational trauma; and
various types of research and treatment.
Our presentation, a 90-minute session entitled
“A Story of Ownership and Empowerment:
Engaging Indigenous Communities in the
Australian Northern Territory on the Issues
of FASD” used a storytelling approach to
showcase the strengths as well as the
challenges of FASD in the Barkly Region.
As well as the important new knowledge and
connections we all made at the conference
itself, our two visits to Canadian FASD
programmes were equally valuable. We were
invited to visit Terrace community, which is
a town on the banks of the Skeena River,
about an hour’s flying time from Vancouver.
The feedback from delegates was very positive, with many people
creative approach - using music, videos, stories, puppets and so on.
We had an amazing day there, visiting the
Kermode Friendship Centre, being welcomed
as honoured guests with a traditional banquet,
learning about their First People’s culture and
the holistic healing programmes they have been
using effectively for over twenty years. The
Terrace community have extended the hand
of friendship to the Barkly communities, and
hopefully, this valuable connection will continue
into the future.
We also visited an urban facility in downtown
Vancouver, called Sheway, another effective
and holistic programme aimed specifically at
supporting Aboriginal women with substance
use problems through pregnancy and early
child-raising, in a non-judgmental, harm
reductive way. By addressing all the issues
encountered by their clients, including housing,
poverty, health, education, child care, etc, this
centre has had particular success in reducing
FASD over a period of twenty years. We learned
a lot from these supportive, holistic models.
2012/2013 ANYINGINYI ANNUAL REPORT • FASD PROJECT 19
UPDATE
UPDATE
HEALING BUSH MEDICINES
Makati has black cherries that
are eaten and the leaves are boiled
like tea to drink. Helps with blood
pressure, diabetes, kidney function.
Marnukkujju black cherries are
eaten and the roots boiled then
gargled for gum infections and
tooth aches.
Karlkkati seeds grow in bunches.
Rubbing a bunch in your hands
forms soapy suds you can use
as a mild antiseptic.
Bush Tucker & Medicine Education
Many plants are used by Indigenous people in everyday life, in fact
nearly every plant and animal in Australia has a purpose in the social
and emotional wellbeing of all Indigenous people from here.
During the year we have had the opportunity to
provide many smoking ceremonies and below
are some that have been completed:
• Barkly College in-conjunction with the
Stronger Sisters Program
• Mother and son at the IFSS house and
• During the Drug Action Week at the Women’s
Camp at Kunjarra (Pebbles)
It’s through dispossession of their lands and
conveniences of society that we have a high
rate of chronic disease in Aboriginal Australia.
Piliyintinji-ki’s Women’s Centre collects bush
medicine and bush tucker when it is available
depending what is in season. We have regular
sessions of ‘smoking’ (healing) which is a
traditional ceremony. For the ceremony we use
some of the local plants and bush wax that is
available year round in our area. This smoking
process is used for health, healing, strength,
and general lively-hood at any time of the year.
Our program attracts ladies from all over the
Barkly region who have come to Tennant
Creek to access the services here, that are not
available from their own places of residency.
The bush medicines we collect are used by
the ladies and extra is made for the rest of the
community and is in demand at the moment
due to winter.
The Cultural Reconnection (Healing) Program
is an important part of Social and Emotional
Wellbeing, as we are healing ourselves with our
own medicines.
The 3 plants used are Mulurr, Mungkarijja and
Mungkartta, combined with Yakurla. All of the
plants can be used for other medicinal purposes
such as skin infections.
2012/2013 ANYINGINYI ANNUAL REPORT • BUSH TUCKER & MEDICINE EDUCATION 21
HIGHLIGHT
NAIDOC Week in Tennant Creek has a long
reputation as being one of the best, most
enjoyable celebrations in the Territory and
this year was no different.
The theme for NAIDOC Week 2013 was We
value the vision: Yirrkala Bark Petitions 1963
proudly celebrating the 50th anniversary of the
presentation of the Yirrkala Bark Petitions to
the Federal Parliament.
Asserting title to Yolngu country under Yolngu
law, the petitions were the first traditional
documents recognised by the Commonwealth
Parliament and helped to shape the nation’s
acknowledgment of Aboriginal people and their
land rights.
The petitions were an important milestone in
the land rights struggle in the NT and are still
being built on with the hard work of people
all around Australia who are fighting for
country. The commitment and dedication of
the Warumungu people past and present to
Aboriginal rights is a proud achievement.
The NAIDOC Parade was held on Tuesday the
9th of July to coincide with Nyinkka Nyunyu’s
10th Anniversary. Nyinkka Nyunyu is the much
loved Cultural Centre for the Waramungu people
and sacred site where our march traditionally
ends and the celebrations begin.
As always the preparation for the march is a
wonderful thing to see. The children moved
from rally point to rally point gathering balloons
and face-paint as they went and joined the
adults to march proudly after the NAIDOC
banners. Surrounded by the culture of the
region and in a sacred space the NAIDOC Week
Ceremony began with a traditional Welcome to
Country by Mr Ross Jakamarra Williams.
Moving speeches were given by Anyinginyi
Director Elliot McAdam and Gerry McCarthy.
Then Directors Elliot McAdam and Ronald
Plummer presented the 2013 Tennant Creek
NAIDOC Awards. This year a special category
was added to allow for outstanding staff
members of Aboriginal Organisations to be
recognised. Our own Solomon Lewis from
the Stronger Men’s section was this year’s
Anyinginyi recipient.
After the Awards Ceremonies everyone
sat back and enjoyed a hearty bush stew
while being entertained by musicians and
traditional dancers.
NAIDOC Week Celebrations
This year’s events were designed to bring the Elders together with the
children, and were a wonderful success, especially Storytelling at the Dam.
This year’s events were designed to bring the
Elders together with the children, and were a
wonderful success, especially Storytelling at
the Dam followed by child and youth discos.
One of the most loved events of the week is
the Elders Day Brunch. Over 150 Elders came
together for a terrific celebration. This day is all
about honouring our Elders. The Elders shared
a meal, a laugh and stories while music was
supplied courtesy of the Winanjjkari Allstars
Band. The NAIDOC Week’s events show our
strong and valuable partnerships with other
Aboriginal and Government organisations and
the wider community in Tennant Creek.
For example 8 local girls served the meal, staff
from Anyinginyi, Julalikari, CERP, Catholic Care,
HACC and YDU attended to the preparation
and running of the event while the Barkly Shire
Council provided the venue.
The Traditional Elders Past and Present Football
match was run on Monday evening and won
by Ali Curung. Then on Saturday we finished
the week with the traditional Mr Frank Trophy
Football Match between the Janapurlalki Eagles
and YDU. The Janapurlalki Eagles won on the
day and everyone enjoyed the afternoon in the
beautiful winter sunshine.
2012/2013 ANYINGINYI ANNUAL REPORT • NAIDOC WEEK CELEBRATIONS 23
HIGHLIGHTS
Staff Achievements
NT ADMINISTRATORS
AWARD - INDIVIDUAL
HEALTH CARE
Adele was nominated by colleagues for her
work delivering a comprehensive health
promotion program to reduce the prevalence
and impact of foetal alcohol spectrum disorder
(FASD) in the Barkly region.
AUSTRALIA DAY CITIZEN
OF THE YEAR AWARD
This year our own Secretary of the Anyinginyi
Board was honoured for her tireless
commitment to community with the 2013
Australia Day Citizen of the Year Award.
Pat is well known to Anyinginyi having been a
founding member of our organisation. Pat has
been an inspiration to all with her devotion to
people, their needs and an unswerving vision
for change.
Adele has empowered young people
Pat gives a voice to the people, leads
individually and collectively to
understand the impact of FASD
each individual to take the steps
so they can develop their own
needed to bring about real change
strategies for preservation.
in their life.
Her key activities have included the
development of an educational video about
FASD by young people, and she has presented
on this topic to an international forum. Her
efforts have contributed to heightened
awareness of FASD not just throughout the
NT but Nation wide.
Congratulations Pat. We are proud that you are
our Director.
The
Smoking Program
KalpaTackling
purru Wirranjarlki
The Tackling Smoking Program began in
April 2012 and has gone from strength to
strength, co-ordinated by Clare Anderson
and two Tobacco Action Workers. Developing
a powerful brand and message was the
first priority. Once the brand and logo were
developed, resources were purchased,
displaying the unique Anyinginyi Tackling
Smoking brand. The messages about not
smoking coupled with resources, such as,
hats, beanies, frisbees water bottles, balls,
car and house stickers, have been popular with
communities in the Barkly Region.
‘Talking about the Smokes’ is a national
project, researching Aboriginal people’s habits,
knowledge and attitude toward smoking. It
is a two year project managed by Menzies,
NACCHO, CEITC and the Cancer Council of
Victoria. Aboriginal Community Controlled Health
Services (ACCHS) across Australia, including
Anyinginyi were invited to participate.
Two Aboriginal research assistants were
employed, Travis Alum and Lorraine WardLewis, to conduct the survey over six weeks
during November and December.
In March, 2013, the local results of the ‘Talking
About the Smokes Project’ were released,
giving researchers and the Tobacco Team
useful information about patterns of smoking
in Tennant Creek and within AHAC. This
research project will be ongoing, with Wave 2
planned for later in 2013.
Other highlights for the Tobacco Team during
the year have included attending the first
national meeting organised by Menzies and
Lowitja Institutes on “Use of incentives to stop
smoking in pregnancy among Aboriginal and
Torres Strait Islander women.”The report is
expected before the end of the year.
The Tobacco Team identified a significant rate
of chewing tobacco being used in the local
community and as a result a community group
has been formed to come up with ideas for a
painting to address this problem. It is planned
to make the painting into a poster and circulate
throughout the Barkly Region.
In June, 2013, Shellie Morris came to town for
a week to run a combined workshop for young
women (Stronger Sisters) and older women
(Stronger Families Women’s Centre). The group
had a great week, working together to produce
a song and video called “Respect Yourself” –
around having healthy pregnancies and healthy
babies, not smoking or drinking while pregnant.
To view the video, go to
P:\videos\Respect Yourself Video2.wmv
2012/2013 ANYINGINYI ANNUAL REPORT • TACKLING SMOKING PROGRAM 25
HIGHLIGHT
Sylvia Palmer continued in the position as the
Trachoma Elimination Program’s coordinator for
the Barkly region.
Sylvia has screened approximately 80% of
school children in 12 Barkly communities
and Tennant Creek Primary school for acute
Trachoma.The prevalence of Trachoma in
children in the Barkly has fallen from 24%
in 2010 to 6% in 2012.
• All children with Trachoma and their
households received antibiotic treatment and
where prevalence was over 10%, the whole
community was treated.
The prevalence of Trachoma in
children in the Barkly has fallen
from 24% in 2010 to 6% in 2012
• Most Barkly schools now have a face washing
program and Trachoma promotional posters
are in every school and health centre.
• Milpa, the Trachoma mascot, has visited every
remote community in the Barkly as far away
as the small community of Kiana – promoting
the ‘clean faces – strong eyes’ message.
• Initiated and assisted improvement of
‘trachoma’ and trichiasis clinical items
in communicare.
• In November 2012 Professor Taylor, world
renowned leader in Trachoma elimination and
head of the Indigenous Eye Health Unit at
Melbourne University, visited the Anyinginyi
Eye Health Unit with eight influential
philanthropic sponsors of the Trachoma
elimination fund. Cathy Malla and Sylvia took
the VIP’s to Ali Curung and Mungkarta. They
were all very impressed by their visit to the
Barkly region.
• In November 2012 Sylvia took women from
Mungkarta and Epenarra to a CAAMA Radio
Trachoma promotion launch in Alice Springs.
The Trachoma murals from Mungkarta,
Trachoma Elimination Program
Epenarra and Murray Downs were chosen
for the launch’s invitation. This event was
organised by the Indigenous Eye Health Unit
at Melbourne University. Audrey and Louise
Rankine spoke on how they teach their
children to wash their faces to keep
Trachoma away.
• Introduced singer/songwriter Shellie Morris to
Murray Downs community where she created
a song with the school children about feeling
good about their community and country.
• Employment of two Community Based
Workers in Ali Curung and Murray Downs
through the Fred Hollows Trachoma
Elimination Fund. AHAC acts as the host
agent for this fund and the workers are
supported by Sylvia. The fund is also used to
engage community members to assist with
school screening, treatment and Trachoma
promotional activities.
• Yamba and Jacinta performed together with
our own Milpa at the Tennant Creek Primary
School in April 2013.
• Four Melbourne Demons AFL football players
visited Tennant Creek to run a football clinic at
the same time promoting Trachoma messages
through hygiene stations. This event was
organised through the Indigenous Eye Health
Unit (IEHU) in Melbourne and sponsored and
hosted by AHAC. The event was a great team
effort by various AHAC section members,
local individuals, government and nongovernment service providers from Tennant
Creek and Alice Springs and two members
of the IEHU, all brought together by Sylvia.
Approximately 150 children had a great day
and took home a few hygiene messages.
2012/2013 ANYINGINYI ANNUAL REPORT • TRACHOMA ELIMINATION PROGRAM 27
Primary Health Care Delivery Model
As a leader in health care we provide the following services:
Primary Health Care
Ear Health
Eye Health
Child and Maternal Health
Physical Fitness
Podiatry
Physiotherapy
Nutrition
Chronic Disease
QUIT Smoking
Substance Misuse
Counselling
Bring Them Home
Public Health Education
2012/2013 ANYINGINYI ANNUAL REPORT • PRIMARY HEALTH CARE DELIVERY MODEL 29
Nyangirru Piliyi-ngara Kurantta
One of the primary functions of Nyangirru
Piliyi-ngara Kurantta/Business Services is to
provide administrative support to the elected
Board of Directors in their role of governance
for Anyinginyi Health Aboriginal Corporation.
Further to this, Business Services provide
management and administration support,
including finance and payroll, human resources,
grants management, general administration,
information technology, complaint resolution
and public assistance to the other Sections.
Additionally Business Services manages all
infrastructure, assets, stores, maintenance,
upgrades and supply.
“ One of things I always say about Business Services is that we
are always on the move, new projects, new policies, anything and
driven by community or government. ”
Clarissa Burgen SECTION MANAGER
BUSINESS SERVICES REPORT
In 2012/2013 we completed the infrastructure
management of the Allied Health building and
started the renovations on the Regional Remote
Health Complex in Paterson Street. These
project have focused on using where possible
local trade companies and employment of local
persons, personally I am proud of our annual
activities in both commercial and housing
development for Anyinginyi and our contribution
to the local economy.
Being a part of Business Services allows staff
to support our client service Sections be it
through funds seeking, policy change, staff
management or contribution to Strategic
direction, we appreciate the role we contribute
in governance to allow staff total program focus.
The most exciting project started in January
and continuing in 2013/2014 will be Anyinginyi’s
goal to provide organisational housing to our
local employees subject to their employment.
Not only will this be a first for Anyinginyi in
supporting both cultural and regional needs
but a first for staff in experiencing a mutually
obligated responsibility of employment and
housing. I look forward to reporting in 2013/14
on the lessons learned and outcomes.
Another major activity was the re-negotiation
of our Enterprise Agreement with Staff. Staff
will receive a 2.5% increase each financial year
for the period 2013 to 2015; impacts the ability
of Anyinginyi to offer competitive wages are
always an issue however we as on organisation
respond as needed.
Anyinginyi again cleared our Financial Audit
and I thank the hard work of Nova, Kaylene and
Janelle and Centre Accounting for maintaining
the solid and transparent financial status of
our Organisation.
Our Section greatly appreciates
the positive relationships we have
with our funding bodies, local
government and non government
entities, and our clients in
addressing the service needs of the
Barkly Region.
As always our doors are open for any questions.
Looking to 2013/2014, we are committed
to continually improving our governance,
sustaining health investment in the region
and providing local skills development with
long term career gaols.
My thanks to a wonderful Business
Services Team.
Staffing saw arrivals and departures and I thank
everyone for their commitment to the team.
Congratulations to Tony Miles for attaining his
Diploma in Business (Governance).
2012/2013 ANYINGINYI ANNUAL REPORT • NYANGIRRU PILIYI-NGARA KURANTTA/BUSINESS SERVICES REPORT 31
Palpura Ninji Kari
and enables our clients to build meaningful
relationships with their health care provider.
Of course we still rely on and value the role
of locum Nurses, Specialists and GP’s when
needed however it is an indicator of the status
of the Health Centre and the warmth of the
community when we can attract permanent
staff to join us.
Below is a snapshot of some of the activities
in the Health Centre over the past twelve
months, provided by staff working in the
various programs. We look forward to another
challenging but satisfying year.
Allan Baldock Director of Health Services
Practice Nurse Manager’s Report
A word from the Director
of Health Services
Providing Primary Health Care services in
remote Australia is very challenging. The
burden of chronic disease in our remote
communities is sadly very high and those
employed in this sector have to be very
dedicated to work in such an environment.
We are fortunate at Anyinginyi Health that
we have a dedicated team, which includes
our Administration staff, Nurses, Transport
drivers, Aboriginal Health Practitioners,
Environmental officers, and General
Practitioners. They all work co-operatively
to provide a health service that meets
the standards for “Best Practice” and the
expectations of the community.
We have been fortunate this last year to attract
more permanent staff to many positions within
the health centre, which provides stability
Palpuru Ninji Kari/Health Centre continues to
provide primary health care services to the
Tennant Creek and Barkly Shire Community with
average patient attendances of approximately
73 patients a day.
It has been another busy year for the Health
Centre with our Clinicians also having specific
health portfolios to manage. As is often the case
in Remote locations we have to say goodbye to
a member or members of staff and this year we
farewelled our hard working Medical Director
Dr Rosalie Shultz and look forward to recruiting
to that position soon.
We also recently welcomed our new Director
of Health Services Allan Baldock, who manages
both the Health Centre and the Regional and
Remote Health Section. Allan has been with the
organisation since February 2008.
Dr Carville Tolson remains our very popular
permanent GP and we welcomed Dr Adam
Huber, employed on alternate months.
HEALTH CENTRE REPORT
Where possible locum Doctors and Nurses are
used if we are short-staffed. The Health Centre
continues to be supported by visiting specialists
that regularly visit Tennant Creek to conduct
clinics and review clients.
The Health Centre also maintains strong
professional links with Tennant Creek Hospital
for referrals, emergency and after hours care.
The Health Centre now has the following
clinical staff:
Women’s Health
Linda O’Halloran
Diabetes Chronic Disease Nurse
This program is funded by “Closing the Gap”
funding and has 376 currently diagnosed
Diabetic clients enrolled in it. In the last
12 months 269 “Annual Cycle of Care”
management plans have been completed;
and 243 clients have been registered with the
National Diabetes Scheme, a marked increase
on last year’s figures.
The rate for patients receiving
.
Overall, we have had positive improvements in
the care of our Diabetic clients. Examples are:
• HbA1c. This test is used as a guide to what
your average blood glucose level during the
past three months has been the National
guideline for a healthy HbA1c < than 7%.
For our Diabetic clients at the time of
reporting 41.8% had an HbA1c < than 7%
compared to last year when the figure
was only 27.6%.
• Cholesterol. Too much cholesterol in your
blood stream can lead to cardiovascular
disease. The National guidelines for healthy
cholesterol levels in < 4.
For our Diabetic clients at the time
of reporting 25.8% had cholesterol
levels < 4 compared to last year
• Blood Pressure. The excessive pressure
on your artery walls caused by high blood
pressure can damage your blood vessels,
as well as organs in your body. The National
guideline for healthy blood pressure is 138/80.
For our Diabetic clients at the time of
reporting 38.8% had an average blood
pressure < 138/80 compared to last year
when the figure was only 28.1%.
Lynda Moynahan
Renal Chronic Disease Nurse
Lynda has been working in Tennant Creek since
Feb 2013 and transferred from the Tennant
Creek Renal Unit to provide care for clients with
Chronic Kidney Disease prior to commencing
dialysis. Lynda has had considerable experience
in renal nursing in various Hospitals in NSW and
Queensland and settled into the clinic as part of
the clinical team, and has plans to develop the
role by providing some education sessions.
Palpura Ninji Kari
Elizabeth LeNoble
Women’s Health/ Child Health Nurse
Lizzie previously worked here periodically over
3 years as a Midwife and in children’s and
women’s health.
working in the Middle East, Britain, and Ireland.
His responsibilities run across a broad spectrum
of health provision, which is primarily focused
on serving the health needs of the local
Aboriginal community.
She will be carrying out “Well Women’s
Checks” including pap smears, mammograms,
pre-pregnancy consultations, management of
menopause, and lifestyle issues.
With the high incidence of diabetes, kidney
disease, cardiac disease and STI’s, as well as
giving appropriate treatment, care and follow
up, Leo uses every opportunity to provide
information, advice and education to his clients,
as he believes firmly that primary health care is
all about maintaining good health practice, and
prevention of illness. He works in closely with
the other staff in the clinic, in particular liaising
with the drivers who are the most direct means
of contact with the community.
Lizzie is also our Child Health nurse and
will be conducting “Child Health Checks”,
immunisations, and Child Health days.
Swati Pal
Child Health Enrolled Nurse
Swati has recently joined the Health Clinic
as support to the Child Health Program.
Marjorie Paterson & Rhonda O’Keefe
Aboriginal Health Practitioners
As long term staff members, Marjorie and
Rhonda provide Indigenous Clinical Care and
offer cultural support to new and existing staff.
They both contribute to the Immunisation
Outreach Program for Fluvax and the Child
Immunisation program at Peko Park and provide
valuable clinical support to the other clinicians.
They also play an important role in providing
positive links to our community families.
Rhonda believes the best thing about working
at the Health Centre is staff friendships, and her
goals are to encourage other young people to
consider Aboriginal Health Practitioner training.
Men’s Health
Leo Curran
Sexual Health Screening
Leo has been working with Anyinginyi since
January 2011. Before this he had spent time
Alan Wilson
Immunisations
Alan is a long term employee of Anyinginyi who
transferred from Regional and Remote Health
Section to the Health Clinic. He provides clinical
care to the Men’s Programs and also manages
the Immunisation Portfolio.
Alan is extremely proud of the recently
conducted ‘Fluvax Fridays’ held in Peko Park
which resulted in 1140 (62%) of Anyinginyi
clients receiving vaccinations for the year so far.
Immunisation is an effective method of disease
prevention and is well supported by the clinic.
Dinesh K Jose
Rheumatic Heart Disease
Dinesh joined our health team in April. In
partnership with Rhonda, they manage the
Rheumatic Heart Disease (RHD) portfolio and
we are very pleased to say that clients are
presenting regularly for their treatment, with
our recall rate improving on last year’s figures.
HEALTH CENTRE REPORT
The clinic is also in partnership with the Menzies
School of Health in Darwin as part of the
Secondary Prophylaxis Program. This program
is looking at the benefits of administering
regular antibiotic injections to patients after an
initial bout of rheumatic fever in order to prevent
the development of the disease.
And this year we will welcome the AGPAL
Accreditation assessors to our health centre.
Our mission at Anyinginyi is to be a provider of
high quality Primary Health Care and to focus on
treatment in a culturally responsive manner.
Travis Bruce
Aboriginal Health Practitioner
Our Male Aboriginal Health Practitioner Travis
joined the Men’s Health Team earlier this year.
Travis is helping to develop a Men’s Health
Program at Piliyintinji-ki where he visits weekly
offering support and advice on health issues to
our local men in a culturally sensitive manner.
The Rest of the Team
Our Health Team would not be complete
without the Administration and Transport Staff
and the valuable support they provide to the
clinicians and the public.
Our Team’s commitment to quality ensures that
we are adopting Best Practice Principles based
on the RACGP Standards for General Practice.
The Health Centre is an accredited facility.
Accreditation is an independent recognition that
the organisation meets requirements, criteria
and standards expected of a health service
such as ours. It also provides assurance for
the Anyinginyi Health Aboriginal Corporation
Board, Health Service Staff, funding bodies and
consumers about the quality and performance
of our service.
All our staff has worked hard to maintain
OH&S standards, a high standard of education
and training, and clinical and quality standards.
A recent Patient Satisfaction Survey (of 90
clients) showed that we have made significant
improvements over the previous year. Although
there is always room for improvement, the
survey shows that at least 70% of our clients
felt comfortable, satisfied, and reassured when
visiting the clinic; and 80% felt respected, and
warmly greeted.
Our waiting times can still be problematic but
this is difficult to address. Many patients attend
with complex problems and multiple diagnoses,
which results in more time being needed for
each consult. This is a symptom of the burden
of poor health within our community and we try
not to turn anyone away.
We are very proud of the Anyinginyi Health
Centre, its staff and the work they do. It is a
lovely, clean and safe environment for staff to
work in and for patients to visit and thanks go
out to a wonderful Health Clinic team.
Pam Shoobridge Practice Nurse Manager
Kalpa purru Wirranjarlki
Providing health promotion, education and
prevention programs, the Public Health Unit
incorporates the Trachoma Program, the
Tobacco Program and the Foetal Alcohol
Spectrum Disorder Project, as reported
upon separately.
Over the past year, this section has seen
many changes and great development. As well
as ongoing programs, such as skin health, eye
health and community events, the Public Health
Unit now incorporates a Diabetes Education
programme, a Youth Health Worker, an
Indigenous Outreach Worker - Chronic Disease,
and an expanding Tobacco Project/Healthy
Lifestyles Program. Midway through 2013,
Public Health swelled to 18 staff working across
multiple health areas.
Eye Health Programme
The Eye Health Team, led by Co-ordinator,
Maree O’Hara, continues to power on,
delivering essential services to the Barkly
Region. In just a six month period, optometrists
saw 571 people and the opthamologist saw
140 people in clinics held in Tennant Creek, Ali
Curung, Elliott, Canteen Creek, Epenarra, Lake
Nash and North Barkly.
Screening for eye conditions has been
provided at multiple sites, including schools, the
nursing home and the Barkly Work Camp. The
Co-ordinator also assisted with surgical blitzes
at Alice Springs and Katherine Hospitals, and
continues to provide a model of eye health care
within and beyond the Barkly Region.
The Eye Health Team also participates in health
promotion activities with “Iris” the Eyeball, and
has made and promoted the DVD “Looking
Good,” made with funding from the Fred
Hollows Foundation, Rebel Productions and
members of the Elliott community, to great
community acclaim.
Public Health Nurse
Public Health Nurse, Sharon Morunga, has
continued her focus upon Healthy Homes,
Healthy Children and reducing the rate of skin
diseases in communities. She also initiated the
very effective public vaccination program which
has become a very successful partnership
between all sections of AHAC and has achieved
an unprecedented rate of flu vaccinations in
the Tennant Creek community in 2013, thus
significantly reducing the vulnerability of this
community to seasonal flu viruses.
The Public Health Nurse has played an integral
role in health promotion activities for the year,
as well as involvement in the Child Health
Days, regularly visiting remote communities
PUBLIC HEALTH UNIT
in partnership with various activities: an
integrated service delivery approach, including
environmental health, housing, dog program.
Diabetes Educator
Diabetes Educator, Jayasree Subi, started
work mid-2012 and quickly established
important links outside of and within Anyinginyi.
She has provided fortnightly education in the
Piliyintinji-Ki Women’s Centre; education for
external health and social services in Tennant
Creek and beyond; staff education; clinical
audits; individual client consultation; and liaises
with doctors to optimise treatment for individual
clients. In addition, Jay has become an integral
part of health promotion by PHU and organised
specific events such as World Diabetes Day.
Cathy Malla SECTION MANAGER
In a relatively short space of time, Jay has filled
a critical space in health care for Anyinginyi
clients, in terms of preventing/reducing the high
2012/2013 ANYINGINYI ANNUAL REPORT • KALPA PURRU WIRRANGJARLKI/PUBLIC HEALTH UNIT REPORT 37
Kalpa purru Wirranjarlki
rates of diabetes and thus kidney disease in
Barkly. She has also established some important
links between AHAC sections, notably the
Health Centre, Piliyintinji-Ki and the Regional
Remote Health Service nutritionist, and also
external service-providers.
Indigenous Outreach Worker
- Chronic Disease
Lorraine Ward-Lewis started work with PHU
in 2013, and has quickly established herself as
a key liaison with the community. She works
particularly with the Diabetes Educator to
assist with the development of the program for
the local community, and also gives practical
assistance to clients needing to access health
care and education in other areas. Lorraine’s
role is pivotal in supporting clients to access
relevant health care and education, and also in
assisting PHU services develop and meet the
needs of community stakeholders.
Youth Health Worker
This role initially developed from Leonie
Williams’ strong skills in the area of youth
engagement and education. Crossing the
various areas of health promotion/education,
Leonie worked initially with the FASD Project,
then extended that to all the different programs,
as required. She also engaged youth through
other community-based services/agencies,
such as the schools, the youth hostel and
other youth networks.
Youth are obviously the future, and
the age group 15-25 years is an
ideal time to assist and guide young
people into forming good habits and
increasing their health literacy.
PUBLIC HEALTH UNIT
This is the age when young people are about to
start families of their own, and with increasing
evidence suggesting the importance of the
health of babies even whilst they are still in
the womb in terms of longer term adult health
outcomes, it is important to arm young people
with as much health information and access to
health and other services as possible.
From mid-2013, PHU has recently welcomed
Tyler Horwood into this role of Youth Health
Worker, bringing with him a wealth of
experience from Sport and Recreation, as
well as some great new ideas.
Administration
This is always a vital area for PHU, and in
addition to long-term administration officer,
Louise Hanson, PHU now has the services
of the very experienced, Sue Gates, who is
situated in the Allied Health building. Louise
continues her studies in Health/Community
Care, and works part-time across different
PHU areas.
Program, plus the sharing of the Allied Health
building with Regional Remote Services such
as dentist, podiatrist and physiotherapist, drivers
for community members with disabilities and
chronic disease issues provide an essential
service. Bevan Stokes and Billy Ah Kit continue
to fill this valuable and expanding role.
Conclusion
The Public Health Unit has undergone many
changes through the year, with programs
multiplying and expanding, resources being
developed, and staff moving through and
between programs. The year culminated in the
departure of Section Manager, Cathy Malla, on
maternity leave for six months, and our best
wishes go with her, Dinesh and Shanti for a
happy, family time over the next few months.
Adele Gibson will act as Section Manager until
December, 2013.
Drivers
The PHU drivers are a special link between
services and the community. With the regular
Eye Clinics flourishing, the new Diabetes
2012/2013 ANYINGINYI ANNUAL REPORT • KALPA PURRU WIRRANGJARLKI/PUBLIC HEALTH UNIT REPORT 39
Piliyintinji-Ki
Piliyintinji-Ki/Stronger Families (PSF)
provides culturally appropriate services for
men, women and families of Tennant Creek and
the surrounding Barkly Region. Piliyintinji-Ki
is Warumungu for “to make something better,
to cure or make something good.”
Piliyintinji-Ki is not only the name of the section
but also determines how we provide services to
our people. Piliyintinji-Ki services have a holistic
approach. Their delivery has included promotion
and prevention initiatives that are fundamental
to improving Aboriginal physical, social and
emotional health status.
Main Achievements
• A Successful Drug Action Week. The whole
week had a range of activities from several
service providers. Some of the activities
included: Women’s Footy match between Ali
Curung and Stronger Sisters, separate Men’s
and Women’s Camps, daily activities at Peko
Park for interaction with community members
and was completed with a family movie night.
• Greater assistance to families and
individuals. A Capacity Building Timetable
has been developed for families and
individuals to provide support for Nutrition,
Family Violence, Bush Medicines/Tucker,
Cultural outings (healing), Specialist Education
Sessions (eg: diabetes or foetal alcohol
spectrum disorder, sewing, visitng specialist
and services) and outreach services (eg:
housing, hospital, babies, Centrelink etc).
• Staff completion of courses.
Patty O’Donoghue completed Cert IV
Community Services Work and Cert IV Youth,
Children and Family Intervention, Deb Fry
completed Cert IV Community Services Work,
Pamela Clarke completed Cert IV Business.
• Implementation of Intensive Family
Support Services. The establishment of
the IFSS program has been completed.
This program assists children at risk and/or
neglect and aged between 0-12 years old.
The program is flexible to client need and can
include home visits, work on-site at PiliyintinjiKi in collaboration with the Men’s and
Women’s Centre, and support with accessing
other AHAC services including the Clinic,
Public Health and Allied Health Services such
as nutrition, smoking and hygiene etc. To date
there have been sixteen families referred to
this program. We have successfully attained
a Coordinator/Counsellor, a full time
counsellor and male and female Community
Support Workers.
• Funding for relocation of Piliyintinji-Ki.
Funding has been provided for major
renovations at the Regional and Remote
Health Services on Patterson Street (next door
to Mobil). A huge thank you to the Department
of Health and Ageing (DoHA) and Family and
STRONGER FAMILIES
Piliyintinji-Ki services have a holistic approach. Their delivery has
included promotion and prevention initiatives that are fundamental to
improving Aboriginal physical, social and emotional health status.
Housing Community Services and Indigenous
Affairs (FaHCSIA). Piliyintinji-Ki are due to
move into the newly renovated buildings
in September/October 2013. Without their
generous contributions, this would not
have been possible.
Minor Achievements
• White Ribbon Day. The Men’s Centre
facilitated this event and was led by the young
males in the Clontarf Academy. The Oath was
translated in Warumungu language.
• National Apology & Sorry Days. These two
events were facilitated by the Women’s
Centre and held at Peko Park and there were
a number of older generation members in
attendance. The land mark Parliamentary
announcement “recognising Aboriginal and
Torres Strait Islander peoples as the first
nations peoples”
Joyce Measures Numakili
SECTION MANAGER
2012/2013 ANYINGINYI ANNUAL REPORT • PILIYINTINJI-KI/STRONGER FAMILIES REPORT 41
SPORT & RECREATION
Community Support
Physical activity is a key component in the
prevention of Chronic disease. At Anyinginyi
Sport and Recreation the staff are getting the
community active. In years gone by it could be
easy to think that Sport and Recreation was
for kids and gym junkies but that concept has
been shelved with the amazing programs and
activities that have been run out in 2012/2013.
The centre has seen a 60% rise in patrons
entering the venue, the staff have lifted the
quality of programs being delivered. Some of
these programs include circuit training, cross
fit style exercise, boxercise, MMA with local
policeman Des Green who has been an asset
to the centre running classes for free and taking
his team up to represent Tennant Creek in
Darwin and Alice Springs, Des is a role model
for the force and does a great job linking with
Sport and Recreation and the young people of
Tennant Creek.
The current staff include the extremely
organised and reliable Tanya Jones, Nicholas
Foster, Tyson George, Gary Marshall, Cornelius
Power who is studying his Certificate III in
fitness and doing an amazing job, Jameson
Casson, Tyler Horwood who is now also been
promoted to the Public Health Unit.
Jameson Casson is one of the staff members
who has grown through his employment
through Sport and Recreation: The following
is an article based on Jameson’s story.
For Jameson Casson, helping his community
comes naturally. The 27 year old from Tennant
Creek has donated countless hours of his time
collecting cans and bottles around Tennant
Creek to raise funds for new sporting equipment
for youth in his community.
Passionate about sport, Jameson volunteered
his spare time to helping out at the Anyinginyi
gymnasium, run by the Anyinginyi Health
Aboriginal Corporation’s Sports and Recreation
Unit, before becoming an employee in 2012.
It’s a big achievement for Jameson, considering
he has a disability that would normally create
barriers to employment.
Sport and Recreation Manager, Adam Drake,
said his organisation took the initiative to
employ Jameson after they got to know him
and saw his wonderful qualities.
“If you recognise and nurture people’s strengths
you get the most out of them,” says Adam.
“We could see early on that Jameson’s helpful
nature and genuine interest in the people
around him would be a great asset.”
Jameson was employed to work with children
and young people on sporting activities,
including an after-school program, which sees
80 to 100 kids each afternoon playing structured
games such as basketball, dodge ball, cricket
and T-ball.
“In some ways Jameson’s simple way of
thinking is one of his greatest strengths because
he doesn’t overcomplicate things,” says Adam.
Wirlyarra punjarlki kapi Miripartijiki
“He doesn’t have boundaries to how he
thinks and he doesn’t let personal issues or
inhibitions get in the way. He just gets out
there and does it.”
team. Jemma is an asset to the organisation
and to her family.
Adam says his organisation has set a good
example of what can be achieved by giving
people a chance.
“This has definitely raised awareness amongst
our community of the importance of giving
people a chance to shine, and just how positive
the outcomes can be.”
Jameson’s interest in his community has not
gone unnoticed. On Australia Day this year he
was awarded The Tennant Creek Australian of
The Year Junior Award for his contributions.
More recently, he won the Puggy Hunter Award
for his volunteering efforts at the Stronger
Futures Alice 3on3, which was attended by a
range of Indigenous celebrities, such as Jacinta
Price and Luke Carroll, who helped promote
youth leadership and the importance of getting
a good education. In addition to the excitement
of rubbing shoulders with the celebrities,
Jameson says he was proud to receive an
award for helping out.
“I was proud that I could tell my family
and friends in Tennant Creek about this
achievement. I want to be good example and
role model for the young ones and the old ones
in this community,” says Jameson.
Jemma Patterson also has an excellent story.
Jemma was our first full graduate from Tennant
Creek High School and is now enrolled in a
Certificate IV in Population Health. Jemma has
also moved through the ranks as a junior staff
member to a senior staff member and now she
has moved to the Public Health Unit working as
a healthy lifestyle worker with the anti tobacco
The Sport and Recreation building has had
major upgrades with cardio room and kids room
receiving air conditioning, the kitchen has been
refurbished for the Friday Night Games cooking
and healthy cooking programs. Work is about
to start on the air conditioning of the complete
gym area. Tennant Creek will be enjoying these
facilities in the near distant future.
Many other great events have occurred at Sport
and Recreation including Dive into Life (water
event for youth week), Friday Night Games,
Move it Mob Style joint with Barkly Regional
Arts, Afterschool Program and School Holiday
Program, Rossy Williams Shield, Volleyball,
Mixed Volleyball, Indoor Soccer, Netball and
many other great programs.
Adam Drake
SECTION MANAGER
2012/2013 ANYINGINYI ANNUAL REPORT • WIRLYARRA PUNJARLKI KAPI MIRIPARTIJIKI/SPORT & RECREATION REPORT 43
Manu Kinapina Parlpurru Ninji Kari
The Regional Remote Health Section (RRHS)
provides Primary Health Care Services to
smaller communities and outstations outside
of the township of Tennant Creek within the
Barkly Shire which are not serviced by the
Northern Territory Department of Health.
Providing health services to remote
communities provides many challenges.
These include poor road conditions especially
during the wet season; extremes of
temperature; the absence of suitable facilities
to work out of in communities; a client base that
is very mobile; long days; and many logistical
issues related to getting the “show on the
road” to begin with. We are fortunate to have
staff who are dedicated to improving the health
of our community and who happily confront
these challenges on a daily basis in order to
provide the service in the most efficient and
effective way that they can.
As an Aboriginal Community Controlled Health
Service we are well placed to meet the needs
and expectations of the local community
because of the close relationship that we
build with our clients while on their journey
to better health.
The dedicated team at RRHS comprises:
• A receptionist who is the first point of contact
for visitors and provides valuable support to all
other team members
• A clinical team comprising Doctors and
Registered Nurses who provide the Primary
Health Care services
• An Allied Health Team which includes a
full-time nutritionist and a visiting (locum)
Physiotherapist, Podiatrist, Dentist and
Dental Assistant
• A Grow Well Co-ordinator, who runs support
programs for young children and their
mother’s/carers in remote communities
• A section manager who is responsible for
the day to day operations of the unit
REGIONAL REMOTE HEALTH SECTION
A Snapshot of Services Provided by
Regional Remote Health Section
CLINICAL SERVICES
• The Clinical team (Doctors and Nurses) visit
approximately 16 communities in total in the
Barkly Shire, however these communities
are not always populated, depending on the
season and cultural obligations. Many of the
small outstations may only be populated for
short periods during the year. There are 11
communities however that receive a regular
weekly or fortnightly visit. Some of these
communities are a short 15 minute drive
whilst others can be 1 to 4 hours’ drive away.
• There is a considerable amount of preparation
to be done before departing on a community
visit so that the team has all the resources
that they need at hand. Laptops are
synchronized for up to date client information;
clients needing more immediate attention are
identified in advance; medical supplies and
equipment are checked and packed safely
and securely in the vehicles; safety check;
and communities are contacted to advise
them of the expected arrival time of the team.
On return to base the vehicles are unpacked
and preparations made for the next day out.
• Due to the mobility of our client base it is
very easy for individual members of the
community to miss out on appointments
with the clinical team however a concerted
effort by the team to keep track of people
movements and maintain a continuum of care
has reduced the number of outstanding health
recalls in the past 12 months. A significant
effort has also focused on getting clients to
have their annual health checks completed
and in moving chronic disease patients on to
GP Management Plans, which again assist in
improving the level of care to the client.
ALLIED HEALTH SERVICES
Allied Health Professionals work in partnership
with the Clinical teams through a referral
system. The Allied Health services provided in
Tennant Creek by AHAC include:
NUTRITION
Good nutrition or eating habits are the
cornerstone of good health. Many health
problems can be linked back to poor eating
habits over long periods of time, especially
when we are young. In our community poor
eating habits are not the only issue. Many
people have problems around food security.
According to the World Health Organisation
food security is built on three pillars:
• Food availability: sufficient quantities of food
available on a consistent basis
• Food access: having sufficient resources to
obtain appropriate foods for a nutritious diet
• Food use: appropriate use based on
knowledge of basic nutrition and care, as
well as adequate water and sanitation.
In our communities we have to add cultural
obligations because often when family
members visit unexpectedly the food has to
stretch a lot further. The Nutritionist works
closely with individuals and groups within the
community to look at how these issues can be
resolved, with an emphasis on education and
capacity building.
PHYSIOTHERAPY
Many individuals’ lives are impacted on by
mobility issues, due to injury, long term illness
or ageing. A Physiotherapist can assess the
2012/2013 ANYINGINYI ANNUAL REPORT • MANU KINAPINA PARLPURRU NINJI KARI/RR HEALTH SECTION REPORT 45
Manu Kinapina Parlpurru Ninji Kari
physical condition of patients to diagnose
problems; use a range of techniques to
strengthen and stretch muscles and joints to
improve patient mobility; and educate patients,
their families and the community to prevent
injury and disability and to lead healthy lifestyles
(to name just a few). The Physiotherapist at
AHAC works out of the Allied Health Building on
Irvine Street. Her services are on a locum basis
i.e. she visits for a few weeks several times per
year. The therapies that she employs are well
received by the community and her visits are
always fully booked out, which is a testimony
to the work that she does.
PODIATRY
The prevention, diagnosis, treatment and
rehabilitation of medical and surgical conditions
of the feet and lower limbs. This is particularly
significant in the Barkly Region where many
conditions may be a result of chronic disease
(especially renal disease and diabetes) and
the Podiatrist works closely with the Tennant
Creek Hospital Renal Unit, HAC Services and
Pulka Pulkka Kari (Nursing Home) in Tennant
Creek. The Podiatrist too works out of the Allied
Health building on Irvine Street and like the
Physiotherapist his services are provided on a
locum basis throughout the year. Our current
Podiatrist has also made an excellent name for
himself over the past 12 months and his time
in the community is well utilized.
DENTAL HEALTH
This refers to all aspects of the health and
functioning of our mouth especially the teeth
and gums. Apart from working properly to
enable us to eat, speak, laugh (look nice), our
teeth and gums should be free from infection,
which can cause dental caries, inflammation of
gums, tooth loss and bad breath.
The health of our teeth and mouth are linked
to overall health and well-being in a number
of ways. The ability to chew and swallow our
food is essential for obtaining the nutrients we
need for good health. Poor dental health can
also adversely affect speech and self-esteem.
Dental diseases impose both financial and social
burdens as treatment is costly and both children
and adults may miss time from school or work
because of dental pain. The dentists employed
by AHAC work in the Allied Health Building
in Irvine Street. We are currently operating
with locum dentists however we have been
successful in maintaining a steady service
with very experienced and highly
professional practitioners.
THE GROW WELL PROGRAM
The Grow Well Program was implemented
to provide families in our community with
education and resources focussed on raising
happy, healthy children. It is delivered to a
number of remote communities and in
Tennant Creek.
REGIONAL REMOTE HEALTH SECTION
their children, therefore we have been able to
redirect our resources to those who are in the
greatest need.
Families in our remote communities
face many challenges which can
The outreach services provided by the
Regional Remote Health Section of AHAC
play a significant role in the lives of people in
the remote communities. Unlike the coastal
regions of Australia there are no local transport
services and not all families have access to a
motor vehicle. The cost of fuel to run a vehicle
(when one is available) to larger towns like
Tennant Creek, to get to health services puts
pressure on already overstretched finances.
to provide for their children and
give them the best start in life.
The early childhood years are very important for
their growth and development and as such the
Grow Well Program is designed to address the
needs of the 0 to 5 year olds and those who
care for them.
Initially the program focused on capacity
building activities around nutrition, hygiene,
health and understanding the importance
of early childhood developmental needs.
However, this year we have been able to shift
our focus more on individual families/children
in need. This has been a result of a review of
the situation “on the ground” in communities.
Some of our communities previously serviced
have seen improvements in the health status of
What is generally not considered when it comes
to the value of these services is the “human”
aspect i.e. the comfort and feeling of support
that the client receives from knowing someone
cares and will be there each week to provide
that much needed health care.
Allan Baldock SECTION MANAGER
2012/2013 ANYINGINYI ANNUAL REPORT • MANU KINAPINA PARLPURRU NINJI KARI/RR HEALTH SECTION REPORT 47
General Purpose Financial Statements
FOR THE YEAR ENDED
30 JUNE 2013
2012/2013 ANYINGINYI ANNUAL REPORT • FINANCIAL STATEMENTS 51
Income Statement For The Year Ended 30 June 2013
2013 $
2012 $
12,839,740
10,471,640
Revenue from rendering of services
908,860
572,094
Interest
328,376
412,981
1,085,876
760,447
15,162,843
12,217,162
[7,271,470]
[5,027,678]
[796,758]
[823,650]
93,903
[74,393]
Depreciation expense
[945,833]
[884,678]
Loss on sale of assets
[37,301]
[206]
[3,831,684]
[3,659,804]
[12,789,143]
[10,470,409]
2,373,700
1,746,753
Income
Government Grants
Other revenue from ordinary activities
Total Revenue
Expenses
Employee salaries & wages
Employee oncosts
Employee leave expense (provisions)
Other expenses from ordinary operating activities
Total Expenses
Surplus/(Deficit) From Activities
Statement Of Comprehensive Income For The Year Ended 30 June 2012
Surplus/(deficit) for the year
Other comprehensive income
Total Comprehensive Income/(Deficit) For The Year
2,373,700
1,746,753
-
-
2,373,700
1,746,753
2012/2013 ANYINGINYI ANNUAL REPORT • SECTION TITLE 53
Statement Of Financial Position At 30 June 2013
2013 $
2012 $
9,142,717
9,453,965
125,872
23,322
9,268,589
9,477,287
8,172,657
8,277,488
17,441,246
17,754,775
1,359,602
1,529,079
10,563
18,320
527,539
602,054
1,263,841
3,699,321
3,161,545
5,848,774
-
-
3,161,545
5,848,774
14,279,701
11,906,001
Current Assets
Cash and cash equivalents
Trade and other receivables
Non Current Assets
Property plant and equipment
Total Assets
Current Liabilities
Trade and other payables
Borrowings
Provision for employee entitlements
Unexpected grants
Non Current Liabilities
Provision for employee entitlements
Total Liabilities
Net Assets
Statement Of Changes In Equity For The Year Ended 30 June 2013
Accumulated funds at start of year
Total comprehensive income (deficit) for year
Accumulated Funds At End Of Year
11,906,001
10,159,248
2,373,700
1,746,753
14,279,701
11,906,001
Statement Of Cash Flows For The Year Ended 30 June 2013
2013 $
2012 $
Cash Flows From Operating Activities
Payments
Employee costs
[7,949,382]
[5,936,550]
Materials, contracts and other costs
[4,083,926]
[3,035,470]
1,875,484
1,786,220
10,404,260
10,591,985
246,436
3,406,185
328,376
412,981
[909,926]
[2,196,321]
31,624
500
[549,926]
[1,782,840]
-
-
303,490
1,623,345
9,435,645
7,812,300
9,132,155
9,435,645
Receipts
from activities
Recurrent grants
Net Cash Provided (Used) By Operating Activities
Cash Flows From Investing Activities
Interest received
Payments for property, plant and equipment
Proceeds on sale of assets
Net Cash Used In Investing Activities
Cash Flows From Financing Activities
Net cash provided (used) by financing activities
Net increase (decrease) in cash held
Cash at beginning of the year
Cash At End Of The Year
2012/2013 ANYINGINYI ANNUAL REPORT • SECTION TITLE 55
My Story The Way I Lived
The 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

13 Annual Report - Anyinginyi Health Aboriginal Corporation

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