Anangu Pitjantjatjara Yankunytjatjara Research Articles

The disease burden of untreated chronic otitis media in Indigenous children from remote communities does not improve over time. A longitudinal study.

In Australia, middle ear disease disproportionately affects Indigenous children, leading to poor hearing outcomes. This study aimed to determine the natural history of untreated chronic otitis media in Indigenous children in remote South Australia. Baseline and 3 year follow-up data was collected from Indigenous children aged 5-18 years living on the Anangu Pitjantjatjara Yankunytjatjara Lands. 4-frequency pure-tone audiometry was used to determine hearing levels. Middle ear pathology was determined by video-otoscopy with tympanometry and classified at baseline as group 1 (normal), group 2 (abnormal with intact tympanic membrane), or group 3 (perforated tympanic membrane). A total of 253 children were included in this study. Children in group 1 (20.6 ± 1.5 dBHL; Mean ± SD) had significantly better hearing outcomes at 3 year follow-up than children with abnormal ears (groups 2 and 3) (23.8 ± 7.0 dBHL), P < 0.001. The difference was greatest for group 1 versus 3 (27.6 ± 8.4 dBHL), P < 0.001, followed by 1 versus 2 (22.4 ± 5.8 dBHL), P = 0.009, and between 2 (22.4 ± 5.8 dBHL) and 3 (27.6 ± 8.4 dBHL), P < 0.001. Hearing in Indigenous children with untreated middle ear pathology remains poor at follow-up compared to those without pathology. Intervention is therefore critical to prevent persisting poor hearing outcomes.

Conceptualising Anangu Pitjantjatjara Yankunytjatjara mental health beliefs

ABSTRACT Objectives Very little is known about how Anangu Pitjantjatjara Yankunytjatjara describe and explain mental health from their own perspectives without resorting to Western frameworks. This study used a social contextual research approach to describe how Anangu talk about behaviours that are called “mental illness” in Western contexts, their explanations about the contexts they believe shape these behaviours, and how Anangu support people who exhibit them. Method Seven senior Anangu were repeat interviewed between 1–2 hours by an Anangu researcher for a combined total time of 31 hours in a “yarning” conversational approach. Interviews were analysed using a thematic analysis approach to explore the contextual features giving rise to mental health behaviours. Results Results indicated that in the Anangu Pitjantjatjara Yankunytjatjara Lands there are complex interactions between fundamental ancient beliefs of cultural processes and the changing Western influences since colonisation, and examples are given of each of these. The same looking Western behaviours of “mental health” could arise from alternative traditional contexts. Conclusions This research fills a gap and adds to the very small amount of Anangu mental health literature by providing an extensive overview of the mental health behaviours from the perspectives of Anangu themselves. It also shows how there can be gaps in research done without Indigenous researchers onboard.

Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations.

To investigate the effect of size, site, and activity of tympanic membrane (TM) perforation on hearing loss (HL) in Aboriginal and Torres Strait Islander (ATSI) children. Observational study. Children aged 5-18 years who identified as ATSI at seven Anangu community schools within the Anangu Pitjantjatjara Yankunytjatjara Lands and Maralinga Lands of South Australia underwent 4-frequency pure-tone audiometry (0.5, 1, 2, and 4kHz) and video-otoscopy (VO). VO data was reviewed by surgeons for a middle ear diagnosis and VO files with TM perforations were then classified by perforation site (AS, AI, PS, PI, A, P, I) and size (<25%, 25%-50%, 50%-75%, or 75%-100%). Five hundred seventy-five VO files with matching audiological data were obtained. Active perforations (35 dBHL; 28-44 IQR) demonstrated greater HL than inactive perforations (31 dBHL; 29-39 IQR) p=.0029. For inactive perforations there was a significant difference between <25% and all larger perforations (p < .0001) whereas for active perforations the significance changed to between <25% (p < .0001) and 25%-50% (p < .05) when compared to larger perforations. When perforation site was compared within all size/activity groups, no statistically different findings were identified. In all analyses, findings did not change when individual frequencies were compared to 4-frequency pure-tone average dBHL. In ATSI children from remote communities, HL is greater in ears with larger perforations and active middle ear disease but there was no relationship between perforation site and HL.Level of evidence: Level 4.

Ehrlichia canis rapid spread and possible enzooty in northern South Australia and distribution of its vector Rhipicephalus linnaei.

Recent concerns have arisen in Australia regarding detections of the exotic bacterium Ehrlichia canis which has resulted in ehrlichiosis outbreaks. In Australia, it is spread by the tropical brown dog tick Rhipicephalus linnaei, formerly Rhipicephalus sanguineus sensu lato tropical lineage. Previously, the tick has been recorded in South Australia in the Coober Pedy and the Oodnadatta areas. This study, which includes historical specimens data held in historical Australian arthropod collections, along with 10 sampled remote communities, confirms the wide distribution range of this species within the State. E. canis was detected by PCR in the ticks. The percentage of dogs hosting PCR-positive ticks increased from 2.8% (95% confidence interval [CI]: 0.3 to 9.7) in November-December 2020 to 62.9% (95% CI: 44.9 to 78.5) end of February 2021, initially in two then in seven Anangu Pitjantjatjara Yankunytjatjara lands communities in the far northern regions of South Australia. Our results suggest a rapid spread of the pathogen. No evidence of E. canis was found in nine regional communities. The extended tropical brown dog tick distribution indicates a greater area where E. canis may occur and may require management to minimise the impacts of ehrlichiosis outbreaks. Without the implementation of effective detection and control programs, this extended distribution of R. linnaei is likely to result in the spread of the bacterium to other regions.

“Because the rules out there are different…”: a case study of pre-service teachers’ experiences in remote Australian Indigenous education

ABSTRACT Pre-service teachers are required to become reflective practitioners who can adapt their skills to a range of contexts and the diverse needs of learners. Many consider the practicum experience as critical to forming values and dispositions that are essential to a professional teacher identity. This article focuses on the experiences of five White pre-service teachers who volunteered to teach in remote Indigenous communities in South Australia, specifically the Anangu Pitjantjatjara Yankunytjatjara Lands, a desert environment in the far northwest of the state. As these pre-service teachers document their experiences, we draw upon Gee’s work on identity to gain insights into how they understand the “rules” of their context and their own positionality. Our research reveals the ways privilege can foster possibilities and constraints, which afford certain subject positions for these pre-service teachers. We focus specifically on a prominent theme in their narratives – “authenticity” concerning their conception of teaching and learning.

How immersion in remote Aboriginal communities influences medical students&#x2019; career intentions.

This project investigated how cultural immersion in remote Aboriginal communities influenced medical students' career intentions. An academic GP registrar (AB) interviewed 15 medical students who participated in the Adelaide Medical Students' Society Anangu Pitjantjatjara Yankunytjatjara (APY) Exchange. This program was coordinated by medical student volunteers in collaboration with the Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women's Council (NPYWC). The following questions were specifically addressed: 'How does being a guest in a remote Aboriginal community influence medical students' attitudes towards Aboriginal and Torres Strait Islander health care?' and 'Does exposure to Aboriginal communities increase medical students' willingness to pursue careers in Aboriginal and Torres Strait Islander health, rural and remote medicine and/or general practice?'. Interest in Aboriginal and Torres Strait Islander health care increased from 73% of participants pre-trip to 100% post-trip, in rural and remote medicine from 40% to 100%, and in general practice from 33% to 67%. The experience also challenged pre-conceptions and increased understanding of the bio-psycho-socio-spiritual aspects of Aboriginal health. Being a guest in remote Aboriginal communities enhanced students' personal and professional motivation to work in Aboriginal and Torres Strait Islander health, remote health and general practice.

Maitjara Wangkanyi: Insights from an Ethnographic Study of Food Practices of Households in Remote Australian Aboriginal Communities

Many historical, environmental, socioeconomic, political, commercial, and geographic factors underscore the food insecurity and poor diet-related health experienced by Aboriginal people in Australia. Yet, there has been little exploration of Aboriginal food practices or perspectives on food choice recently. This study, with 13 households in remote communities on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, fills this gap using ethnographic and Indigenist methods. Results highlight Anangu resourcefulness, securing food despite poverty and adversity, and provide unique insights into factors influencing the three major types and range of dietary patterns identified. These factors include household economic cycles and budgeting challenges; overcrowding and family structures, mobility and ‘organization’; available food storage, preparation and cooking infrastructure; and familiarity and convenience. Structural and systemic reform, respecting Aboriginal leadership, is required to improve food security.

Backing up the AEM – unravelling a palaeovalley fill for groundwater exploration in the APY Lands

A major constraint on development in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands is the lack of reliable water supplies. Sandstone strata found within palaeovalleys has long been recognis...

Pathways to justice in the APY Lands: breaking the cycle of offending

ABSTRACT In 2017 the Australian Law Reform Commission released the Pathways to Justice report, an inquiry into the incarceration rate of Aboriginal and Torres Strait Islander peoples. The Commission found that ‘community reinvestment’ strategies were needed to redress the disproportionately high incarceration rates experienced by Indigenous people. Previous strategies involved attempts at pluralising the mainstream criminal justice system, such as by mandating the use of English language interpreters and Aboriginal Justice Officers. However, the example of the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands demonstrates that these efforts have had limited success in curbing offending and resulting incarceration. The cultural alienation and physical dislocation of the mainstream criminal justice system from APY communities has perpetuated barriers to justice, as seen in the difficulty of accessing interpreters and the occurrence of convenience pleas. To best deliver justice, prevent recidivism and reduce incarceration in Indigenous communities, this article supports the central recommendation of the Pathways to Justice report that mainstream criminal justice resources be transferred into community-led programs.

Dispositions towards diversity: two pre-service teachers’ experiences of living and teaching in a remote indigenous community

ABSTRACT Teacher education programmes are often tasked with preparing predominantly White, middle class, pre-service teachers to be effective in diverse contexts. Many teacher educators consider practicum experiences critical to forming values and dispositions necessary for the teaching profession. This article focuses on the work of two White, middle-class, pre-service teachers, Charlotte and Seraphina, who volunteered to do their practicum in a remote indigenous community in Australia on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands. At the beginning of the practicum, both pre-service teachers’ attitudes about the experience were similar; yet, over time they began to develop divergant dispositions or ‘positionality towards diversity’ relative to their unique backgrounds and APY Lands experiences, highlighting certain sensitivities and biases regarding racial, cultural and linguistic diversity. We focus on how Charlotte and Seraphina interpret their experiences, what this can tell us about their professional development, and the possible implications for teacher educators teaching in post-colonial contexts.

Cultural accommodation and the policing of Aboriginal communities: A case study of the Anangu Pitjantjatjara Yankunytjatjara Lands

The relationship between Aboriginal communities and police continues to be a pressing issue in contemporary debates about criminal justice reform in Australia. The Australian Law Reform Commission’s recent Pathways to Justice report offers a set of recommendations on how to interrupt the continuing cycle of Aboriginal people’s disproportionate susceptibility to arrest, police custody, and incarceration. Many of its recommendations are grounded in the principle of building more systematic forms of cultural accommodation and community collaboration into the culture of policing. Some of these principles are already adopted by Australian police authorities in programmes such as the employment of Aboriginal police liaison officers, the inclusion of cultural awareness education in the training of law enforcement personnel, and the guarantee of interpreter services. Focusing upon the Anangu Pitjantjatjara Yankunytjatjara Lands and drawing upon the reported experiences of Anangu with police, this article examines the extent to which such reforms have transformed Aboriginal/police relations and worked to incorporate cultural difference into the culture of contemporary policing. While none of the policing issues discussed here are unique to the Anangu Pitjantjatjara Yankunytjatjara Lands, the geographical remoteness of the Lands and the diversity of their communities combine to establish a unique set of policing challenges. Having considered existing strategies to meet these challenges, the article concludes that Aboriginal people’s fuller access to justice requires deeper structural reform to the culture of policing than is yet available.

The Administration of Justice in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands: Front Line in Tensions Between Traditional Aboriginal Culture and the Criminal Law

The administration of justice in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, particularly issues related to policing practices, the conduct and operation of the APY Court circuit, and the legal representation provided to APY people (Anangu), has received little academic attention. This thesis outlines the socio-demographics of this remote South Australian region where semi-traditional Anangu lifestyles are still governed by Tjukurpa (Anangu Dreaming). Issues related to the tensions existing between traditional Aboriginal culture and the South Australian criminal law are identified and critically examined through the lenses of Indigenous sovereignty and legal pluralism. the identified issues have revealed themselves through a combination of prior personal experience, literature reviews, surveys conducted with members of the judiciary and lawyers who have had recent experience in the APY Court circuit; and importantly, personal interviews with Anangu living within the region. Although the number of interviewees is modest and thus only of qualitative value, hey nevertheless offer valuable personal and social insight into how justice is administered in the APY Lands. An overarching theme of this research is that recognition and acknowledgement of Anangu culture and language are consistent with a degree of Indigenous self-determination. While official government policies recognise the importance of Aboriginal culture and language, the research reveals a failure to implement practices consistent with them. The present justice system in the APY Lands largely ignores restorative justice despite it being a hallmark of Anangu culture. here has been little or no consultation between criminal justice agencies and Anangu, particularly regarding policing practices and the layout and conduct of APY Courts. This has culminated in a lack of community understanding or acceptance of the criminal justice system, first implemented in 1836 when South Australia was settled. The thesis concludes with a range of evidence-based recommendations for change to the practices of policing and the administration of justice that are oriented towards greater cultural awareness, and an appreciation of the importance of Anangu sovereignty.

Social return on investment: application for an Indigenous rangelands context

Social Return on Investment (SROI) is an internationally recognised methodology used to measure and value the economic impact of program outcomes. Like a traditional cost-benefit analysis, SROI examines economic outcomes, but also includes the social, environmental and cultural outcomes created by the investment. These outcomes are evaluated against their cost, using financial proxies to estimate their relative economic worth. SROI is particularly valuable in the indigenous natural resource management context, because of the strong ‘value’ or importance of non-economic (particularly cultural) costs and benefits. The Alinytjara Wilurara Natural Resources Management Board undertook a study of the economic, social, environmental and cultural impacts and benefits of the presence of large feral herbivores in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, in the far north-west of South Australia. Camels, donkeys and horses present significant impacts for the community in terms of vehicle collisions, community health, damage to infrastructure and water pollution, as well as impacts on sites of cultural and spiritual significance to the local communities. With the annual cost impacts incurred by society caused by large feral herbivores in the APY lands valued at $4.2million and possible dollar value of those animals valued at $140000, the study found that there was a net cost impact of ~$4million from not managing the impact of these animals. The study also found significant cultural impacts of large feral herbivores, such as the fouling of natural springs and other culturally sensitive sites, and further analysis would be required to determine the economic cost of these impacts. Investment models that consider a broad range of costs and benefits are considered necessary for Australian rangelands, particularly Indigenous-owned land. This paper presents a case study of the development of a ranger program that employs local community members to manage the impacts of large feral herbivores that will provide a net benefit to society of ~$3million every year, aside from the additional benefits of employment and economic participation. The $3-million net benefit accrues from saving human lives and costs associated with vehicle accidents, and reduced management costs and increased income for pastoral areas of the APY Lands. APY community members, and the APY Pastoral business are core beneficiaries; however, there are several external beneficiaries that this SROI approach recognises including the Motor Accident Commission, Health Departments and South Australian Police. The strongly positive SROI in this case presents an excellent co-investment opportunity for agencies whose core focus is on road safety and health. Importantly, the SROI approach to creation of social value can be implemented in a way that is consistent with stated community aspirations for development.

More than just the animals: opportunities and costs of reintroducing threatened black-footed rock-wallabies to remote Indigenous land

Conservation activities, including translocations of threatened species, are increasingly important priorities for conserving biodiversity and culture on Indigenous-managed lands, which occupy over 20% of the Australian landmass. In the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands of north-western South Australia, the Warru Recovery Team reintroduced the threatened black-footed rock-wallaby (warru) to Wamitjara in May 2018. We outline the unique planning and logistical issues inherent in securing support and involvement of Traditional Owners and Indigenous rangers for predator, weed and fire management, cross-fostering, captive breeding, monitoring and translocation of the rock-wallabies. Altogether, the project cost AU$3.86 million (actual – AU$1.86 million, in kind – AU$2.00 million) over 10 years of preparation and one year of post-translocation monitoring. This consisted of AU$1.18 million for cross-fostering and captive breeding at Monarto Zoo and a further AU$0.55 million for the construction and maintenance of a fenced exclosure in the APY Lands. It is estimated that AU$0.51 million of the total costs were directly attributed to working remote and Indigenous-owned land, with most of the remaining costs typical of other reintroduction programs. Large-scale reintroduction opportunities on Indigenous-managed land can provide considerable conservation outcomes as well as delivering cultural objectives and supporting employment.

Multi-scale habitat associations of the black-footed rock-wallaby in north-western South Australia

Context Research on species’ habitat associations is strengthened if it combines coarse-grained landscape data with finer-scale parameters. However, due to the effort required to measure fine-scale parameters, studies on threatened species that unite these two scales remain relatively rare. Aim This study aimed to undertake a multi-scale analysis of the habitat association of the threatened Petrogale lateralis (MacDonnell Ranges race) in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, South Australia. Method Analyses were conducted at four spatial scales: (1) across the Central Ranges IBRA Region (regional scale); (2) on hills in the APY Lands at which P. lateralis is extant and extinct (site scale); (3) at ‘core’ and ‘non-core’ areas within those hills (hillside scale); and (4) at rocky refuges. The maximum entropy approach through the software MaxEnt was used for the analysis at the regional scale. At the remaining scales, fieldwork was used to collect, and regression modelling to analyse, data. Key results At the regional scale, presence was associated with slope and geology. At the site scale, aspect, rock abundance and habitat type are likely to have facilitated animal persistence at extant sites. At the hillside scale, the aspect, vegetation type and rock complexity of core areas are likely to have contributed to their higher use. Size, exposure and accessibility were significant predictors of the use of rocky refuges. Conclusions All four spatial scales yielded novel information on the habitat associations of P. lateralis, supporting previous researchers’ suggestions that habitat modelling should be conducted at multiple spatial scales. Implications The study exemplifies the utility of combining MaxEnt modelling with fieldwork-derived data. The results may have conservation implications for this threatened race, and may also provide a model for other studies of faunal habitat associations.

Missed Opportunities for Culturally Appropriate Imprisonment of APY Offenders: The Cross Border Justice Act 2009 (SA)

Indigenous people make up only three per cent of Australia’s population, but a massive 30 per cent of Australia’s prison population. The imprisonment of traditionally-oriented Aboriginal offenders, such as those from the Anangu Pitjantjatjara Yankunytjatjara (‘APY’) Lands, in mainstream prisons has been problematic for decades. In fact, in South Australia, it has been a problem since colonisation in 1836. Despite the provisions of the Cross Border Justices Acts in SA, WA and the NT, which allow for prisoners from one region to be imprisoned in an adjoining region, Aboriginal prisoners from the APY Lands are still being transported up to 1500 kilometres south to the Port Augusta Prison, far from their country and families, in conflict with recommendations of the Royal Commission into Aboriginal Deaths in Custody and the findings of a Coroner’s Inquest into the deaths of four petrol sniffers. This article discusses the missed opportunities for the imprisonment of APY offenders at the now closed Warburton Work Camp in Western Australia.

Testing the potential for supplementary water to support the recovery and reintroduction of the black-footed rock-wallaby

Context Supplementary resource provision is increasingly used by conservation managers to manipulate habitat conditions that limit population growth of threatened species. These methods are popular in reintroduction programs because they can assist released individuals to adapt to novel environments. In situ management and reintroductions are being used to recover warru (black-footed rock-wallaby, Petrogale lateralis MacDonnell Ranges race) on the arid Anangu Pitjantjatjara Yankunytjatjara (APY) Lands of South Australia. Direct predation by introduced predators is thought to be the main cause of population decline, but indirect predation effects reducing access to water resources has also been proposed as a limiting factor. Aims To determine whether warru would use supplementary water and so provide a tool to alleviate resource pressure for in situ (wild) and reintroduced warru populations. Methods We provided supplementary water to a wild and reintroduced warru population across 12 months. Drinking rates were calculated by monitoring water points with camera traps and modelled against plant moisture content and total rainfall. We also examined whether number of visits to water points by warru predators and competitors was significantly different to control points (no water present). Key results Wild and reintroduced warru used water points within 0–10 days of installation. No significant increase in visits by predators or competitors was observed at water points. Drinking rates were significantly higher during dry winter months (March–October) for both wild and re-introduced populations. Conclusions Supplementary water is readily utilised by warru. Water could be provided in this manner to warru populations where predators are present, particularly during drier months (generally March–October on the APY Lands), periods of drought or after fire, when food resources will have a lower water content and/or be less abundant. This may increase breeding rates and recruitment of young, and improve the probability of persistence for populations of this threatened species, and should be further investigated. Implications Supplementary water provision may be a useful tool to increase population growth rates for threatened mammalian herbivores in arid habitats. Experimental trials of the uptake of supplementary water and effects on population dynamics will provide important data for implementing adaptive management frameworks for conservation.

Customary law, traditional punishment, and death in the Anangu Pitjantjatjara Yankunytjatjara (APY) lands of Central Australia

Customary law, traditional punishment, and death in the Anangu Pitjantjatjara Yankunytjatjara (APY) lands of Central Australia

Nutrition in remote Aboriginal communities: lessons from Mai Wiru and the Anangu Pitjantjatjara Yankunytjatjara Lands

Objective:To examine the impact of efforts to improve nutrition on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands from 1986, especially in Mai Wiru (good food) stores. Methods:Multiple methods were employed. Literature was searched systematically. In 2012, the store‐turnover method quantified dietary intake of the five APY communities that have a Mai Wiru store. The price of a standard market basket of basic foods, implementation of store nutrition policy requirements and healthy food checklists were also assessed in all seven APY community stores at intervals from 2012. Results were compared with available data from 1986. Results:Despite concerted efforts and marked achievements, including decreased intake of sugar, increased availability and affordability of healthy foods (particularly fruit and vegetables) and consequent improvement in some nutrient intakes, the overall effect has been a decrease in total diet quality since 1986. This is characterised by increased supply and intake of discretionary foods high in saturated fat, added sugar and salt, particularly sugar sweetened beverages, convenience meals and take‐away foods. Conclusions:The documented improvements confirm that residing in these communities can help Aboriginal residents exert control over key aspects of their food supply. However, the overall findings reflect broader changes to the general Australian food supply, and reinforce the notion that, in the absence of supportive regulation and market intervention, adequate and sustained resources are required to improve nutrition and prevent diet‐related chronic disease on the APY Lands. Implications:This study also provides insights into food supply/security issues affecting other remote communities and wider Australia.

Nganampa Health Council Dental Program: Remote Dentistry in the Australian Desert-Partnership or Perish.

The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act, 1981, a milestone in Indigenous Land Rights both in Australia and internationally.