Improving Aboriginal food security and diet
Project title: Improving Aboriginal food security and dietary intake: Approaches for remote and urban communities
Start date: February 2018
Estimated end date: June 2020
What is the issue?
Poor diet is a major contributor to the high levels of mortality and morbidity experienced by Aboriginal and Torres Strait Islander communities in Australia. Aboriginal and Torres Strait Islander people experience significant diet-related health inequities, such as higher rates of overweight/obesity, type 2 diabetes, cardiovascular disease and infant malnutrition. More than 80% of this excess burden of chronic disease is preventable, with the largest proportion of this attributable to poor diet.
Many complex factors influence food insecurity and nutrition in Aboriginal communities, including distance to healthy food outlets, transport limitations, the high cost of food, ability to cook healthy meals and the time taken to shop and cook healthy food. Previous research at the Prevention Centre has shown that these problems exist both in urban as well as remote communities.
While influences on Aboriginal diet are undoubtedly complex, previous research in remote areas has demonstrated that it is possible to achieve rapid, sustained improvements in objective measures of food security, dietary intake, nutrition status, and other risk factors for chronic disease. However, successful approaches have not been widely translated into practice, and to date, nutrition has not been a focus of policy to address Indigenous disadvantage.
How is the project addressing the issue?
This project will be implemented in two phases. Phase one will focus on improving food security and nutrition among Aboriginal communities in remote areas with a focus on Mai Wiru stores in communities on the Aṉangu Pitjantjatjara Yankunytjatjara (APY) Lands in South Australia. The second phase will focus on issues of food security and nutrition among urban Aboriginal communities, building on Prevention Centre research, and utilising the established research asset of SEARCH (the Study of Environment on Aboriginal Resilience and Child Health).
What are the expected outcomes?
The project plans to:
- Identify the barriers and potential areas for whole-of-system interventions to improve food security in urban Aboriginal communities
- Implement and evaluate the impact of interventions to improve food security and dietary intake in five remote Aboriginal communities
- Develop a food security framework and strategic implementation plan to improve food security among urban and remote Aboriginal groups.
Relevance for practice
This project will demonstrate achievable, effective, low-cost, translatable, scalable and sustained ways of improving food security and diet in Aboriginal communities.
Image: Gina Lyons, Irrunytju WA. Photo by Suzanne Bryce, NPY Women’s Council.
Professor Amanda Lee, Sax Institute
Ms Meron Lewis, Research Assistant
Ms Ella Parnell Harrison, Research Assistant
Ms Rhiannon Hutchinson, NPWYC Nutrition Project Officer
Mr Stephan Rainow, Nganampa Health
Ms Liza Balmer, NPY Women’s Council
Mr Dennis Bate, Mai Wiru Regional Stores Council
Mr David Schomburgk, Advisor to Mai Wiru Regional Stores Council
Mr Richie Scholz, Mai Wiru Regional Stores Council
Mr Robert Stevens, Mai Wiru Regional Stores Council
Mrs Inawantji Scales, NPY Women’s Council
Mr John Tregenza, Kutjara Consultants
Professor Paul Torzillo, Healthabitat and Medical Director of Nganampa Health Council
Funding for this research has been provided from the Australian Government’s Medical Research Future Fund (MRFF). The MRFF provides funding to support health and medical research and innovation, with the objective of improving the health and wellbeing of Australians. MRFF funding has been provided to The Australian Prevention Partnership Centre under the MRFF Boosting Preventive Health Research Program. Further information on the MRFF is available at www.health.gov.au/mrff.
- Project Officer, Rhiannon Hutchinson, has been appointed by the NPY Women’s Council to support community-led nutrition and food security promotion initiatives in Pipalyatjara and Amata. She is working on practical initiatives with the Pipalyatjara store and local people in both communities.
- Baseline data reports on the availability, affordability, accessibility and acceptability of foods on the APY Lands have been completed. Read the Store nutrition report Anangu Pitjantjatjara Yankunytjatjara (APY) Lands: Survey date April 2018 here.
- The project is deep in the implementation phase. All community-based nutrition promotion activities are going well and according to plan with a high level of engagement of community members.
- The mid-point store surveys were conducted on the APY Lands in January 2019 and results analysed and reported in the Store nutrition report Anangu Pitjantjatjara Yankunytjatjara (APY) Lands: Survey date January 2019 here.
- Store nutrition report Anangu Pitjantjatjara Yankunytjatjara (APY) Lands: Survey date April 2018
- Store nutrition report Anangu Pitjantjatjara Yankunytjatjara (APY) Lands: Survey date January 2019
- Gwynn J, Sim K, Searle T, Senior A, Lee A, Brimblecombe J. Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review. BMJ Open 2019.
- Lee A, Ride K. Review of nutrition among Aboriginal and Torres Strait Islander people. Australian Indigenous HealthInfoNet. 2018;18(1).
- Lee A, Ride K. Review of programs and services to improve Aboriginal and Torres Strait Islander nutrition and food security. Australian Indigenous HealthInfoNet. 2018;18(4).
- Lee A, Lewis M. Testing the price of healthy and current diets in remote Aboriginal communities to improve food security: Development of the Aboriginal and Torres Strait Islander Healthy Diets ASAP (Australian Standardised Affordability and Pricing) Methods. Int. J. Environ. Res. Public Health 2018;15, 2912. doi:10.3390/ijerph15122912
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