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WINNUNGA NIMMITYJAH
Wiradjuri language meaning
STRONG IN HEALTH
Winnunga Nimmityjah Aboriginal Health
Service, Canberra ACT
Client Demographics
 Clients: Over 10,000 clients registered
 Around 3000 clients seen per year
 Local community – ACT and surrounding
areas including Queanbeyan & Yass
 Substantial transient community
 Clients from across Australia
Close the Gap – culturally
appropriate holistic primary health
care
Sessional Doctors (10) & Public Health Doctor
Clinical Aboriginal Health Worker
Otitis Media School Program
Practice Nurses
Opioid Nurse (outreach)
Dental Service
Prison Health Service
Diabetes Clinic (monthly)
Aboriginal Midwifery Access Program
Close the Gap – culturally
appropriate holistic primary health
care
 Psychiatry and Psychotherapy
 Counselling and Support Services
 Bringing Them Home
 Dual Diagnosis
 Drug and Alcohol
 Ted Noffs Youth Liaison
 Youth at Risk Program
 Social and Emotional Well-being
 Suicide Intervention
 Child and Adolescent Mental Health
 Housing, Centrelink and Legal services Liaison
Close the Gap – maternal and child
health
 Aboriginal Midwifery access program
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Two midwives and Aboriginal Access Worker
Antenatal care at Winnunga
Shared care policy with hospitals
Close working relationship with hospital Aboriginal Liaison
Officers
Outreach home visiting program (antenatal and postnatal)
Support and transport provided at hospital visits and
specialist appointments
Birth support provided
Referrals to Winnunga Social Health Team if appropriate
 Aboriginal and Torres Strait Islander Child Health
Checks
 Childhood vaccinations
ABORIGINAL MIDWIFERY ACCESS PROGRAM
TEAM
Close the Gap – chronic disease
 Primary Prevention
• Adult health checks
• Smoking – No More Bunda program for
clients and staff. Free nicotine replacement
therapy.
• Winnunga gym
• Access to hydrotherapy, water aerobics
• Promotion of good nutrition
Close the Gap – chronic disease
 Secondary prevention and
disease management
• Care plans and team care arrangements
• Register of diabetics and cardiovascular disease
• Monthly diabetes clinic - diabetes educator, dietitian,
podiatrist, NDSS supplies
• Diabetes cycle of care
• Standard management guidelines
• Encourage and monitor regular blood pressure
checks, HbA1c
• Facilitate specialist appointments
Close the Gap – emotional social
wellbeing
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Counselling Support – Stolen Generation
Counselling Support – Substance Misuse
Parenting & Family Support
Family Violence Counselling
Grief & Loss Counselling
Youth Support
Crisis Management
Suicide Intervention
Carers Respite
Close the Gap – community and
social support
 Women’s and men’s groups
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Cultural camps
Community days
Sporting programs – boxing, netball
Facilitate access to services
• Housing
• Centrelink
• Legal services
• Aged care
Close the Gap – workforce
 Alcohol and Other Drug training
 Aboriginal Health Worker training
 On-site training for medical students
and GP registrars
 Admin trainees
 Dental trainee
Aboriginal Health Worker class –
2007/08
Close the Gap – building the
evidence base
 Research and evaluation
• Prison health project
– Developed a model of health for the new ACT prison
– Partnerships with ACT Corrections and Health, AIATSIS,
NSW Corrections and ANU
• I Want to be Heard
– Needs analysis of illicit drug users (2004)
• Where’s your country, who are your people?
– Trialing and evaluation of screening and brief
interventions for problematic alcohol use
Close the Gap – what is
required?
 Winnunga business plan
• Adequate sustained funding to deliver the
services needed
• Optimise health outcomes through service
delivery
• Infrastructure
• Community development
• Health data and research
Close the Gap – what is
required?
 Winnunga business plan
• Co-ordination and linkages
• Governance
• Policy development and implementation
• Build workforce
• Quality improvement and risk management
• Public relations