Key messages

  • The Department of Health & Human Service provides a range of health programs directed at improving Aboriginal health including in patient care, health promotion, palliative care, eye health and maternity services.
  • The Improving Care for Aboriginal and Torres Strait Islander Patients (ICAP) program was established because Aboriginal Victorians experience poorer health and lower life expectancy than the general community.
  • The Victorian Aboriginal Palliative Care Program (VAPCP) aims to create a sustainable and culturally safe palliative care service system to enable Aboriginal people to access palliative care services.
  • The Victorian Aboriginal Spectacle Subsidy Scheme allows Aboriginal Victorians to access a specifically designed pair of frames along with prescribed lens for a patient contribution of $10.
  • The Koori Maternity Services (KMS) program focuses on increasing access to antenatal care, postnatal support and hospital liaison to improve the health and wellbeing outcomes for Koori and Torres Strait Islander women and babies.

The department provides a range of specialised services that work to improve Aboriginal health. They focus on in patient care, palliative care, eye health and maternity services.

Specialised services

  • Improving Care for Aboriginal and Torres Strait Islander Patients program

    The Improving Care for Aboriginal and Torres Strait Islander Patients (ICAP) program was established in 2004 in recognition that Aboriginal Victorians experience poorer health and lower life expectancy than the general community. Many Aboriginal people are reluctant to attend hospitals and, when they do, may have more acute and complex health issues. In addition, under-identification of Aboriginal patients continues to hamper policy and service development based on service access and health needs. ICAP builds upon the Aboriginal hospital liaison officer (AHLO) program, which supports Aboriginal patients within hospitals. ICAP is underpinned by a 30 per cent loading on health service funding for Aboriginal inpatients.

  • Koori Maternity Services

    The Koori Maternity Services (KMS) program, developed in partnership with the Victorian Aboriginal Community Controlled Health Organisation (VACCHO), provides culturally appropriate maternity care and support for Koori and Torres Strait Islander women at 11 VACCHO sites across Victoria.

    The principal focus of the program is on increasing access to antenatal care, postnatal support and hospital liaison to improve the health and wellbeing outcomes for Koori and Torres Strait Islander women and babies.

    All sites employ an Aboriginal health worker, undertake health promotion, provide support for pregnant Aboriginal women and identify pathways to other services. Nine services also provide antenatal and postnatal care. Supporting relationships with the birth hospital are an important component of the KMS work.

    VACCHO provides statewide support and coordination to the services as well as advising the department about service planning and development.

  • Program support and key result areas

    The Aboriginal Health Branch manages the ICAP program. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) supports AHLOs in their roles and assists relationship development with Aboriginal community-controlled health organisations (ACCHOs). To demonstrate quality care for Aboriginal patients, health services are required to report progress against four key result areas (KRAs) in their annual quality of care reports.

  • Continuous quality improvement tool

    The Continuous quality improvement tool: Aboriginal health in acute health services and area mental health services (‘CQI tool’) supports Victorian health services to provide culturally responsive healthcare to Aboriginal Victorians.


    The CQI tool provides a process to:

    • reflect on progress and achievements in providing culturally responsive healthcare to Aboriginal patients
    • identify gaps in organisational and clinical practice
    • identify priorities for actions to improve the delivery and outcomes of healthcare through organisation-wide initiatives and programs for Aboriginal patients across the organisation
    • ensure greater systemic effort and accountability for a whole-of-health-service CQI approach to healthcare and health outcomes for Aboriginal patients.
  • Resources

    Hospitals are also encouraged to adopt a quality improvement approach to their ICAP program and may wish to draw on the online Aboriginal and Torres Strait Islander patient quality improvement toolkit for hospital staff developed by the Improving the Culture of Hospitals Project.

  • Victorian Aboriginal Palliative Care Program

    The Victorian Aboriginal Palliative Care Program (VAPCP) aims to create a sustainable and culturally safe palliative care service system to enable Aboriginal people across Victoria to access palliative care services in the setting of their choice.

    The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) VAPCP project officer provides statewide support and advice to palliative care and Aboriginal health services regarding Aboriginal palliative care.

    The VAPCP provides education and training, develops culturally appropriate resources, collects research and data, and contributes to the national Aboriginal palliative care discussion. The VAPCP supports the eight palliative care consortia and local Aboriginal health services to develop regionally based Aboriginal palliative care plans and partnerships.

    The long-term outcomes of the VAPCP are to increase:

    • Aboriginal health workers’ awareness of palliative care
    • the cultural appropriateness of palliative care service delivery
    • the number of Aboriginal clients accessing palliative care services.
  • Eye health

    The National Indigenous Eye Health Survey, published by the University of Melbourne in 2008, found that Aboriginal people over the age of 40 experience blindness at six times the rate of other Australians. In Victoria, this vision loss is predominantly caused by refractive error, cataract or diabetes.

  • Victorian Aboriginal Eye Health Initiative

    In November 2009 the then Victorian Department of Health (now the Department of Health & Human Services) established three projects to address Aboriginal eye health including:

    • a statewide eye health project officer at the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) to facilitate improved access to eye care for Aboriginal Victorians, facilitate community awareness programs around the importance of eye health, and build the capacity of the Aboriginal health workforce
    • a patient pathways coordinator at the Royal Victorian Eye and Ear Hospital to establish referral pathways for Aboriginal patients and to reduce barriers to tertiary care
    • the Victorian Aboriginal Spectacle Subsidy Scheme, delivered by the Australian College of Optometry, that allows Aboriginal Victorians to access a specifically designed pair of frames along with prescribed lenses for a patient contribution of $10.
  • Victorian Advisory Council on Koori Health (VACKH) Eye Health Subcommittee

    The VACKH is a tripartite forum between VACCHO, the Victorian Department of Health & Human Services and the Commonwealth Department of Health to enable collaborative work to improve the health outcomes for Aboriginal Victorians.

    In 2010 the VACKH established its Aboriginal Eye Health Subcommittee to provide expert, technical and policy advice to the VACKH in relation to eye health. The VACKH Eye Health Subcommittee oversees three projects under Victorian Aboriginal Eye Health Initiative described above. The membership of the VACKH Eye Health Subcommittee includes experts in the area of eye health from peak bodies, universities and eye health services.

    The Department of Health & Human Services provides the secretariat to the VACKH Eye Health Subcommittee.
  • Evaluation of the Victorian Aboriginal Spectacle Subsidy Scheme

    In July 2012 the department completed an evaluation of the Victorian Aboriginal Spectacle Subsidy Scheme. The evaluation was conducted in consultation with the VACKH Eye Health Subcommittee and key stakeholders in eye health. The evaluation report was endorsed by the VACKH Eye Health Subcommittee in July 2012 and by the VACKH in November 2012.

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