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Overcoming indigenous disadvantage - key indicators



Overcoming indigenous disadvantage - key indicators


Steering Committee for the Review of Government Service Provision


E-Publications; E-Books; PublicationNT




The OID report measures the wellbeing of Aboriginal and Torres Strait Islander Australians, and Aboriginal and Torres Strait Islander Australians have been actively involved in the development and production of the report. Section 1.1 describes the origins of the report, and section 1.2 describes its key objectives. Section 1.3 provides contextual information on the Aboriginal and Torres Strait Islander population. Section 1.4 includes a brief historical narrative to help put the information in the report into context. Section 1.5 summarises some recent developments in government policy that have influenced the report and section 1.6 provides further information on the Steering Committee and the OID Working Group that advises it.


"These reports generally uses the term ‘Aboriginal and Torres Strait Islander Australians’ to describe Australia’s first peoples and ‘non-Indigenous Australians’ to refer to Australians of other backgrounds, except where quoting other sources." Aboriginal and Torres Strait Islander people should be aware that this publication may contain images of deceased people.

Table of contents

Preliminaries -- Overview chapter -- Introduction -- The framework -- Key themes and interpretation -- COAG targets and headline indicators -- Governance, leadership and culture -- Early child development -- Education and training -- Healthy lives -- Economic participation -- Home environment -- Safe and supportive communities -- Outcomes for Torres Strait Islander people -- Measuring factors that improve outcomes -- Appendices.




Aboriginal Australians -- Ecoomic conditions; Aboriginal Australians -- Social conditions; Public welfare administration -- Australia; Aboriginal Australians -- Services for; Closing the Gap of Indigenous Disadvantage (Australia)

Publisher name

Australia. Productivity Commission for the Steering Committee for the Review of Government Service Provision

Place of publication

Canberra (A.C.T.)


5 volumes (various pagings) : charts, colour map ; 30 cm.

File type



9781740375917 (Print); 9781740375900 (PDF)


1448-9805 (Print); 2206-9704 (Online)



Copyright owner

Australia. Productivity Commission for the Steering Committee for the Review of Government Service Provision



Parent handle


Citation address


Related items

https://hdl.handle.net/10070/445153; https://hdl.handle.net/10070/445154; https://hdl.handle.net/10070/445156; https://hdl.handle.net/10070/445151

Page content

EARLY CHILD DEVELOPMENT 6.7 five times as likely as women attending mainstream public care to say that their antenatal care was very good (Glover et al. 2013)4. Programs after birth also play an important part in health outcomes for mothers and their children (Bar-Zeev et al. 2012). Sivak, Arney and Lewig (2008) found that a family home visiting program for Aboriginal and Torres Strait Islander babies after birth had positive outcomes for the health and wellbeing of both mothers and babies. Box 6.1.3 includes case studies of some things that are working to improve antenatal care for Aboriginal and Torres Strait Islander women. Box 6.1.3 Things that work Antenatal care The Winnunga Nimmityjah Aboriginal Health Service (ACT) is an Aboriginal community controlled primary health care service which provides culturally safe and holistic health services to the Aboriginal and Torres Strait Islander people of the ACT and surrounding areas. An independent evaluation in 2011 found that the Aboriginal Midwifery Access Program provided by the service was a benchmark program for the delivery of culturally appropriate midwifery services to parents and new-borns. It encouraged women to access treatment at an early stage in pregnancy, and provided comprehensive antenatal and postnatal services, including: home visits; assistance with appointments for antenatal investigations and specialist care; transport; birth support; postnatal follow-up; and immunisations (Wong et al 2011). The Aboriginal Maternity Group Practice Program (WA) commenced in 2011 and aimed to improve timely access to existing antenatal and maternity services in south metropolitan Perth, and thereby increase the number of women giving birth safely in a local hospital. The program employed Aboriginal Health Officers (AHOs), Aboriginal grandmothers and midwives in each district to work with the existing services. The program model was culturally secure, with a focus on early access to antenatal care, employment of Aboriginal staff, and holistic care, including awareness of the social determinants of health. An independent evaluation covering the 18 month period to 31 December 2012 found that babies born to AMGPP participants were significantly less likely to be born pre-term, to require resuscitation at birth or to require a hospital stay of more than five days, compared to those not in the program (Bertilone and McEvoy 2015). Sources: Winnunga Nimmityjah Aboriginal Health Service 2013, 2012-13 Annual Report, http://www.winnunga.org.au/index.php?page=AR; Wong, R., Herceg, A., Patterson, C., Freebairn, L., Baker, A., Sharp, P., Pinnington, P. and Tongs, J. 2011, Positive impact of a long-running urban Aboriginal medical service midwifery program, Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 51, no. 6, pp. 518522; Bertilone, C and McEvoy, S. 2015, Success in Closing the Gap: favourable neonatal outcomes in a metropolitan Aboriginal Maternity Group Practice Program, Medical Journal of Australia 2015; 203 (6), pp. 262e1-e7. 4 The questionnaire was undertaken by women living in Adelaide (44 per cent) and regional areas including Ceduna, Port Lincoln, Whyalla, Port August, Murray Bridge and Mt Gambier (56 per cent).

Aboriginal and Torres Strait Islander people are advised that this website may contain the names, voices and images of people who have died, as well as other culturally sensitive content. Please be aware that some collection items may use outdated phrases or words which reflect the attitude of the creator at the time, and are now considered offensive.

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