In 2017–18, Indigenous primary health services were delivered from 383 sites (Table 3). Most sites provided clinical services such as the diagnosis and treatment of chronic illnesses (88%), mental health and counselling services (88%), maternal and child health care (86%), and antenatal care (78%). Around two-thirds provided tobacco programs (69%) and substance-use and drug and alcohol programs (66%).
Most organisations provided access to a doctor (86%) and just over half (54%) delivered a wide range of services, including all of the following during usual opening hours: the diagnosis and treatment of illness and disease; antenatal care; maternal and child health care; social and emotional wellbeing/counselling services; substance use programs; and on‑site or off-site access to specialist, allied health and dental care services.
Most organisations (95%) also provided group activities as part of their health promotion and prevention work. For example, in 2017–18, these organisations provided around:
- 8,400 physical activity/healthy weight sessions
- 3,700 living skills sessions
- 4,600 chronic disease client support sessions
- 4,100 tobacco-use treatment and prevention sessions.
In addition to the services they provide, organisations were asked to report on service gaps and challenges they faced and could list up to 5 of each from predefined lists. In 2017–18, around two-thirds of organisations (68%) reported mental health/social and emotional health and wellbeing services as a gap faced by the community they served. This was followed by youth services (54%). Over two-thirds of organisations (71%) reported the recruitment, training and support of Aboriginal and Torres Strait Islander staff as a challenge in delivering quality health services.
Type of service
|
Number
|
%
|
Social and emotional wellbeing/mental health/counselling
|
337
|
88.0
|
Diagnosis/treatment of chronic illness/disease
|
336
|
87.7
|
Transport
|
331
|
86.4
|
Maternal/child health care
|
328
|
85.6
|
Treatment of injury
|
317
|
82.8
|
Diagnosis/treatment of infectious illness/disease
|
316
|
82.5
|
Antenatal care
|
298
|
77.8
|
Tobacco programs
|
265
|
69.2
|
Substance use/drug and alcohol programs
|
252
|
65.8
|
Total sites
|
383
|
100.0
|
The following data visualisation provides more information on the range of services provided by these organisations, as well as service gaps and challenges.