The Aboriginal and Torres Strait Islander Health Performance Framework 2014 report for Western Australia finds areas of improvement in the health of Aboriginal and Torres Strait Islander people living in Western Australia (Table S1).

Areas of improvement include:

  • There was a 28% decline in overall Indigenous mortality rates between 1998 and 2013, and a 35% decline in the gap.
  • Infant mortality rates for Indigenous Australians declined from 17 per 1,000 in 1998-2000 to 7 per 1,000 in 2010-2012. There was a significant narrowing of the gap between Indigenous and non-Indigenous Australians.
  • There was a substantial increase in the rate of Medicare health assessments for Indigenous Australians in the period between 2006-07 and 2013-14, from 42 to 209 per 1,000.
  • The gap in the low birthweight rate for babies born to Indigenous and other mothers has decreased from 10.5% in 2007 to 7.4% in 2011.

Areas of concern include:

  • 48% of Indigenous women smoke during pregnancy-almost 5 times the rate among non-Indigenous women.
  • Indigenous women are less likely than non-Indigenous women to attend antenatal care during the first trimester of pregnancy (36% compared with 59%).
  • Mortality rates for chronic diseases are much higher for Indigenous than non-Indigenous Australians (nearly 9 times the rate for diabetes and more than twice the rate for respiratory diseases).
  • The incidence rate of treated end stage kidney disease for Indigenous Australians is more than 10 times the rate for non-Indigenous Australians.
  • Notification rates of STIs are higher in Indigenous Australians than in non-Indigenous Australians (3 times the rate for chlamydia, 7 times the rate for non-congenital syphilis, 29 times the rate for gonorrhoea, 5 times the rate for hepatitis C and twice the rate for hepatitis B).
  • Indigenous Australians are more than 19 times as likely as non-Indigenous Australians to be hospitalised for injury and poisoning due to assault, and almost 3 times as likely to be hospitalised for intentional self-harm.
  • The unemployment rate among people aged 15-64 remains higher for Indigenous than non-Indigenous Australians (21% compared with 4%).