title: Making progress: the role of cancer councils in Australia in indigenous cancer control.
abstract: BACKGROUND
  Indigenous Australians have poorer outcomes from cancer for a variety of reasons including poorer participation in screening programs, later diagnosis, higher rates of cancer with poor prognosis and poorer uptake and completion of treatment. Cancer prevention and support for people with cancer is part of the core business of the State and Territory Cancer Councils. To support sharing of lessons learned, this paper reports an environmental scan undertaken in 2010 in cancer councils (CCs) nationwide that aimed to support Indigenous cancer control.
  
  
  METHODS
  The methods replicated the approach used in a 2006 environmental scan of Indigenous related activity in CCs. The Chief Executive Officer of each CC nominated individuals for interview. Interviews explored staffing, projects, programs and activities to progress cancer control issues for Indigenous Australians, through phone or face-to-face interviews. Reported initiatives were tabulated using predetermined categories of activity and summaries were returned to interviewees, the Aboriginal and Torres Strait Islander Subcommittee and Chief Executive Officers for verification.
  
  
  RESULTS
  All CCs participated and modest increases in activity had occurred in most states since 2006 through different means. Indigenous staff numbers were low and no Indigenous person had yet been employed in smaller CCs; no CC had an Indigenous Board member and efforts at capacity building were often directed outside of the organisation. Developing partnerships with Indigenous organisations were ongoing. Acknowledgement and specific mention of Indigenous people in policy was increasing. Momentum increased following the establishment of a national subcommittee which increased the profile of Indigenous issues and provided collegial and practical support for those committed to reducing Indigenous cancer disparities. Government funding of "Closing the Gap" and research in the larger CCs have been other avenues for increasing knowledge and activity in Indigenous cancer control.
  
  
  CONCLUSIONS
  This environmental scan measured progress, allowed sharing of information and provided critical assessment of progress across areas of importance for increasing Indigenous cancer control. Structured examination of policies, institutional support systems, programs and interventions is a useful means of highlighting opportunities for progress with minority groups relevant for many organisations. Progress has occurred with momentum likely to increase in the future and benefit from commitment to long-term monitoring and sharing of achievements.
authors.affiliation: Combined Universities Centre for Rural Health, University of Western Australia, Crawley, Australia. sandra.thompson@uwa.edu.au.
authors.forename: Sandra C
authors.initials: SC
authors.lastname: Thompson
authors.forename: Shaouli
authors.initials: S
authors.lastname: Shahid
authors.forename: Michelle
authors.initials: M
authors.lastname: DiGiacomo
authors.forename: Leanne
authors.initials: L
authors.lastname: Pilkington
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D001315:Australia; D003695:Delivery of Health Care / Q000379:methods; D006297:Health Services Accessibility; D006303:Health Services, Indigenous; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000517:prevention & control*; D000095283:Australian Aboriginal and Torres Strait Islander Peoples
references.citation: Aust Health Rev. 2008 Feb;32(1):56-65
references.pmid: 18241149
references.citation: Aust N Z J Public Health. 2010 Jul;34 Suppl 1:S76-9
references.pmid: 20618300
references.citation: Aust Fam Physician. 2008 Dec;37(12):1033-8
references.pmid: 19142280
references.citation: Lancet Oncol. 2008 Jun;9(6):585-95
references.pmid: 18510990
references.citation: Aust J Prim Health. 2011;17(4):384-94
references.pmid: 22112708
references.citation: Aust J Prim Health. 2013;19(2):113-8
references.pmid: 22950938
references.citation: Health Educ Behav. 2003 Apr;30(2):133-46
references.pmid: 12693519
references.citation: Aust Health Rev. 2011 Aug;35(3):297-308
references.pmid: 21871191
references.citation: Med J Aust. 2009 May 18;190(10):574-9
references.pmid: 19450207
references.citation: Public Health. 2012 Sep;126 Suppl 1:S4-S10
references.pmid: 22784581
references.citation: Med J Aust. 2011 May 16;194(10):512-3
references.pmid: 21644897
references.citation: BMC Health Serv Res. 2009 Jul 31;9:132
references.pmid: 19643031
references.citation: Aust N Z J Public Health. 2005 Apr;29(2):123-8
references.pmid: 15915615
references.citation: Aust Health Rev. 2009 Nov;33(4):549-57
references.pmid: 20166903
references.citation: Aust Fam Physician. 2008 Dec;37(12):982, 1001
references.pmid: 19142268