"The groundwork of all happiness is health." - Leigh Hunt

Good health in distant indigenous communities requires timely home repairs

For people living in metro areas, hot water systems or washing machines are an issue. But it may well normally be arranged with a phone call for a day repair or a fast trip to the ironmongery store.

In distant communities, those self same repairs are slowed by distance and lack of services, often taking weeks or months to finish. When families cannot easily wash themselves or their clothes, the danger of infection, including skin infections, increases.

Compared to non-Indigenous Australians, Aboriginal individuals are 2.3 times as likely More likely 1.7 times more more likely to be hospitalized and die from diseases related to poor environmental conditions.

Diseases corresponding to acute rheumatic fever and rheumatic heart disease – often followed by untreated skin lesions and sore throats. Be common in remote communities. These diseases were once widespread amongst all Australian children, but have largely disappeared elsewhere because of improvements in housing and services.



There has been quite a lot of public discussion about distant housing, however the voices of individuals living with these conditions are frequently absent.

To inform this discussion, we Yard with more than 200 people over four years About the housing, infrastructure and services they depend on to remain healthy in nine communities within the Kimberley region of Western Australia. Our results are published in Health and space.

Long wait for repairs

People told us that they had no alternative but to live in houses too small for his or her families. It pushed plumbing, hot water and laundries past the breaking point.

Once broken, they were unable to be repaired until the following service trip, often months later. Many people told us they trusted relatives or neighbors while their very own faucets, showers or washers sat waiting for repairs.

People told us they knew the environment was making them sick when basic services failed, but they were limited in what they might do about it.

Local Aboriginal environmental health teams – who’re valued by the community and in a position to handle small jobs – were constrained by narrow amnesties, funding limitations and bureaucracy.

living in Public accommodation A criminal process was also faced to acquire repairs.

An area woman taught the best way to fix a broken industrial washer behind the art center in order that the elderly and moms could wash their clothes and linen. When we asked why, he said:

It was for old women. I desired to make certain they felt clean.

He has run this unofficial community laundromat for over a decade.

What is the explanation for this?

Habitat restoration and domestic “environmental health” in distant native areas have been described because the cumulative results of inconsistent state and federal policies which have didn’t deliver.

Decades of policy fragmentation have made substandard environmental health at home the norm. None of this was recent to the individuals who lived through it. Their stories have been consistently ignored.

These housing and inadequate environmental conditions sit inside a protracted history of colonialism: dispossession, missions and animal control, and later public housing regimes that centralized asset ownership and distanced decision-making from marginalized communities.

Living on country empowers indigenous communities. Housing and infrastructure must support this trend.
Provided by writer (not reused)

When families cannot access secure land and residential ownership, they turn out to be depending on government housing systems with limited ability to claim their rights. Economic exclusions add to this: distance, wet weather logistics and chronic underinvestment drive high costs and long delays.

Housing is usually built without community consultation, leaving housing that will not be suited to the local family structure, climate or day by day life.



Closing the gap to commit All governments to enhance housing. Getting there, nonetheless, requires consultation with distant indigenous communities, in addition to policy makers and experts, including those in health. This must be done before any construct or upgrade.

Often consultation is omitted or subsidized to avoid wasting time and expense, leading to homes that fail their residents and require frequent repairs.

What is the answer?

Addressing these inequities requires clear, measurable standards and accountable delivery.

  • Decision-making rights for residents and native communities

  • Locally based maintenance with guaranteed response times and transparent reporting

  • Permanent funding for brand new construction, maintenance and remediation

  • Community-led housing design that addresses structural congestion and remoteness and the realities of climate change.

Most importantly, there must be increased reliance on local service providers operating in these areas. These teams have already got the trust of the community and must be the last call, not the last.

Along with housing, healthcare must also be co-designed with communities add A powerful give attention to prevention, primary health care, community engagement and capability constructing for local health services. It also requires maximum funding and support.

Ultimately, listening to communities is a very powerful way forward. The culture and individuality of distant Aboriginal communities thrives despite the challenges, but people mustn’t must put up with conditions that might not be accepted elsewhere in Australia.

As one local elder emphasized during our conversation:

You should be healthy, children should be healthy. We don't want them to get sick, they’re the long run, the long run of our communities.