Australian Institute of Health and Welfare (2022) Australia's children, AIHW, Australian Government, accessed 10 August 2022.
Australian Institute of Health and Welfare. (2022). Australia's children. Retrieved from https://pp.aihw.gov.au/reports/children-youth/australias-children
Australia's children. Australian Institute of Health and Welfare, 25 February 2022, https://pp.aihw.gov.au/reports/children-youth/australias-children
Australian Institute of Health and Welfare. Australia's children [Internet]. Canberra: Australian Institute of Health and Welfare, 2022 [cited 2022 Aug. 10]. Available from: https://pp.aihw.gov.au/reports/children-youth/australias-children
Australian Institute of Health and Welfare (AIHW) 2022, Australia's children, viewed 10 August 2022, https://pp.aihw.gov.au/reports/children-youth/australias-children
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In a national study of Australian young people’s perspectives, health ranked as the second most important domain for having a good life (Redmond et al. 2016). In addition to their own health, young people also reported that the health of family members (for example, a parent or grandparent) was important for their wellbeing (Redmond et al. 2016).
Health is influenced by factors such as individual and psychological make-up, lifestyle, environmental and cultural influences, socioeconomic conditions and access to quality health care programs and services (AIHW 2018a). The World Health Organization (WHO) defines health as a multidimensional construct that incorporates physical, mental and social wellbeing and so is more than just the absence of disease or infirmity (WHO 1946).
While the WHO’s definition of health is widely accepted, there can be variation across cultures. Aboriginal and Torres Strait Islander people take a broader perspective of health and view it not just as the physical wellbeing of the individual, but the social, emotional and cultural wellbeing of the whole community (AIHW 2016).
Good health influences how children feel and go about their everyday lives because health can affect participation in family life, schooling, social and sporting activities. This chapter includes information on a number of topics considered important to children’s health, development and/or overall wellbeing.
The foundations for good health start during the antenatal period, and the first years of life. Maintaining a healthy lifestyle during pregnancy contributes to better outcomes for the baby and the mother. Smoking during pregnancy is associated with poorer perinatal outcomes such as low birthweight, perinatal death and sudden infant death syndrome (SIDS). Teenage mothers are also more likely to have low birthweight babies and are themselves a vulnerable population who may experience a greater risk of socioeconomic disadvantage.
The health of a baby at birth is a key determinant of subsequent health and wellbeing. Low birthweight has been associated with increased risk of coronary heart disease, diabetes, hypertension and stroke in adulthood. Following birth, breastfeeding is a protective factor by reducing infant mortality, protecting against illnesses, and helping develop the baby’s microbiome (COAG Health Council 2019). As children grow, immunisation protects them from harmful, and potentially fatal diseases.
Chronic conditions that particularly affect children, such as asthma and diabetes, cancer, mental illness, and disability have a substantial impact on a child’s overall quality of life. They can require considerable disease management and affect physical, social and emotional development, schooling attendance and education outcomes. There may also be an impact on family life, parental health and employment if time off work is needed for caring responsibilities, with a potential flow-on effect for household finance. This illustrates the inter-relationship of health with other domains of wellbeing.
Poor oral health is also associated with increased risk of chronic disease later in life, including stroke and cardiovascular disease (AIHW 2019). Children with poor oral health are also more likely to miss school and perform poorly in school (Jackson et al. 2011).
Children’s social and emotional wellbeing—how they think and feel about themselves and others, and deal with daily challenges—is 1 component of mental health and wellbeing. Socially and emotionally competent children:
While rates of infant and child deaths are decreasing, and survival rates for certain cancers are increasing, perinatal conditions, injuries and cancer remain leading causes of death for children.
Good health in childhood also has a long-term impact, as problems that become more apparent in old age can have their origins in childhood. Children who smoke and drink at risky levels often continue to do so into adolescence and adulthood, putting them at risk of chronic conditions and premature death. Poor nutrition and sedentary lifestyles have been linked with obesity, and children who are overweight or obese are also more likely to become obese adults, putting them at risk of chronic conditions such as type 2 diabetes and cardiovascular disease at younger ages (Sahoo et al. 2015).
Many topics included in this health domain also reflect what Australian adults see as the key health issues for children. A survey of Australian adults on how much of a problem they considered 29 child and adolescent health issues, identified these top 10 child health problems:
Some of these topics are included in other domains (for example, bullying, family and domestic violence and child abuse) reinforcing the interrelation between health and other domains.
While parents have the primary caring role for their children, ensuring that children get the best possible start in life is a responsibility shared with the wider community and governments.
From a governance perspective, responsibility for supporting children’s health is shared by the Australian and state and territory governments, as they are for the population as a whole
The Australian Government is responsible for:
The Australian Government also funds a range of mental health-related services through the Medicare Benefits Schedule (MBS), and the Pharmaceutical Benefits Scheme (PBS)/Repatriation Pharmaceutical Benefits Scheme (RPBS)
The Australian Government also funds a range of mainstream programs and services including:
State and territory governments are responsible for:
State and territory governments also fund and deliver public sector mental health services. These provide specialist care for people with severe mental illness in public acute and psychiatric hospital settings, state and territory specialised community mental health care services, and state and territory specialised residential mental health care services. In addition, states and territories provide other mental health-specific services in community settings such as supported accommodation and social housing programs.
Local governments, in some jurisdictions, are responsible for:
All Australian health ministers are members of the Council of Australian Governments (COAG) Health Council—the forum for cooperation on health issues and the health system (COAG Health Council 2014).
A key objective of the COAG National Healthcare Agreement is that Australians are born healthy and remain healthy. This is also the vision of the Healthy, Safe and Thriving: National Strategic Framework for Child and Youth Health (the framework).
The framework was endorsed by the Australian Health Ministers’ Advisory Council (AHMAC) in 2015 and provides a 10-year overarching vision and set of priorities for child and youth health, which other targeted health policies at the national and/or state and territory level can build on. The framework’s priorities are to:
Improvement of child health and wellbeing outcomes is also the goal of the Australian Government’s National Action Plan for the Health of Children and Young People: 2020–2030 (the action plan).
This plan builds on the framework. It has these 5 key priority areas:
A number of national whole-of-population health policies are also relevant to children and to particular sections of Australia’s children. An overview is in Table 1 and a more detailed listing can be found in the Healthy, Safe and Thriving National Framework for Child and Youth Health and the COAG Health Council website.
While the Department of Health has responsibility for most health areas, some fall under the remit of other Australian government organisations. Disability, for example, falls under the remit of the Department of Social Services, and Indigenous health under the Department of Prime Minister and Cabinet.
People with disability, including children, are a focus of The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability. The Royal Commission was announced on 5 April 2019 and is expected to run over 3 years. It will cover all forms of violence, abuse, neglect and exploitation, in all settings where they occur. As such, its recommendations will have implications for children with disability (see Justice and safety)
National Healthcare Agreement
National Fetal Alcohol Spectrum Disorder Action Plan 2018–2028
National Strategic Approach to Maternity Services—emerging strategy
Australian National Breastfeeding Strategy: 2019 and beyond
National Strategic Framework for Chronic Conditions
National Asthma Strategy (2018)
Australian National Diabetes Strategy 2016–2020
Fifth National Mental Health and Suicide Prevention Plan (2017)
Australia’s Long Term National Health Plan
National Children’s Mental Health Strategy—announced in Australia’s Long Term National Health Plan, and under development as at 15 August 2019
National Disability Strategy 2010–2020
Healthy Mouths, Healthy Lives: Australia’s national Oral Health Plan 2015–2024
National Injury Prevention Strategy—emerging strategy
Drugs and alcohol
National Drug Strategy 2017–2026
National Alcohol Strategy 2018–2026 (draft)
National Preventive Health Strategy—announced in Australia’s Long Term National Health Plan, and under development as at 15 August 2019
National Aboriginal and Torres Strait Islander Health Plan 2013–2023
Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013–2023
National Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families
National Immunisation Strategy for Australia 2019 to 2024
The sections in this domain include a number of established national indicators; however, consistent national reporting is not available in some areas due to lack of a suitable data source and/or indicator. For more information on national data gaps, see Data gaps.
A number of topics were not included for other reasons but could be considered for future updates.
National data on how children view their own health are limited. Of particular interest are the views of children living with disability and areas of social and emotional wellbeing. The Social-Emotional Wellbeing (SEW) Survey and Rumbles Quest, could offer opportunities.
Health data for a number of priority population groups are limited, including children:
Data on some priority groups, for example children receiving child protection and care services, would be particularly valuable for further examination of topics, such as teenage mothers (AHRC 2017).
The Royal Commission and Board of Inquiry into the Protection and Detention of Children in the Northern Territory (Royal Commission) reported a lack of comprehensive data on the health of children and young people in detention in the Northern Territory (Royal Commission 2017a, 2017b).
A recent feasibility study by the Australian Institute of Health and Welfare (AIHW) identified significant gaps in the available national data and current knowledge about the health and risk behaviours of young people involved in youth justice and health services provided to them (AIHW 2018b).
In the future, data linkage between youth justice and health data, such as hospitalisations data, has the potential to improve the information available about this group of children.
More routine linkage of mortality data with other data collections, such as disability services, could also provide opportunities to examine variation in death rates across particular population groups.
Sleep is essential to healthy brain development. Sleep, or a sleep deficit, has been associated with the development and severity of a range of physical, behavioural and other mental health issues.
Young children who do not get enough sleep are at increased risk of becoming overweight, even after adjustment for initial weight status and multiple confounding factors (AHMAC 2015). A study among Indigenous children, for example, confirmed that short sleep duration is associated with unhealthy body mass index, with sleep duration decreasing with the number of adults in the household increasing (Deacon-Crouch et al. 2017).
Research based on the Longitudinal Study of Australian Children (LSAC) found that sleep problems were associated with externalising and internalising difficulties in children (Quach et al. 2018). Difficulty sleeping was also reported as the most frequent health complaint, occurring almost every day for 12% to 16% of participants in years 4, 6, and 8 in the Australian Child Wellbeing Project (Redmond et al. 2016). National, regular, population-level reporting on children’s sleep is not available; however future updates could include a focus on available data.
For children, hearing is critical to learning to speak, and subsequently performing academically, and engaging socially (WHO 2016). Early detection of profound permanent childhood hearing impairment, together with access to appropriate intervention, can minimise the impact of children with this condition. National neonatal hearing screening data are not currently available for reporting. However, a working group was established in 2013 to review the National Framework for Neonatal Hearing Screening and National Performance Indicators to Support Neonatal Hearing Screening in Australia. The review is expected to be completed in 2020.
Future updates to this domain could include information on children’s health service use, for example use of hospitals, alcohol and other drug services mental health services, and prescription use.
While service use data are readily available for a number of health services see Australia’s Health, national data are not available for community health services, and medical technology and devices used by children with health conditions. There are also limited comprehensive and nationally representative data on allied health services and primary health care consultations. Developments are underway to establish a National Primary Health Care Data Asset to improve the completeness and use of primary care data, as should the use of My Health Record data for research and public health purposes once available.
The emergence of new national data assets, such as the National Integrated Health Services Information Analysis Asset, which contains de-identified data from hospitals, the MBS, PBS and the National Death Index, will provide opportunities for examine the service use patterns of children. Work is also underway to develop enduring linked assets related to cancer and diabetes data.
AHMAC (Australian Health Ministers’ Advisory Council) 2015. Healthy, safe and thriving: national strategic framework for child and youth health. Adelaide: AHMAC. Viewed 17 May 2019.
AHRC (Australian Human Rights Commission) 2017. Children’s rights report 2017: National Children’s Commissioner. Sydney: AHRC.
AIHW (Australian Institute of Health and Welfare) 2016. Australia’s health 2016. Australia’s health series no. 15. Cat. no. AUS 199. Canberra: AIHW.
AIHW 2018a. Ear health and hearing loss among Indigenous children in Australia’s health 2018. Australia’s health series no. 16. Cat. no. AUS 221. Canberra: AIHW.
AIHW 2018b. National data on the health of justice-involved young people: a feasibility study. Cat. no. JUV 125. Canberra: AIHW.
AIHW 2018c. Nutrition across the life stages. Cat. no. PHE 227. Canberra: AIHW.
AIHW 2019. Oral health and dental care in Australia. Cat. no. DEN 231. Canberra: AIHW.
COAG (Council of Australian Governments) Health Council 2014. CHC Membership. Adelaide: COAG Health Council. Viewed 22 May 2019.
COAG Health Council 2019. Australian national breastfeeding strategy: 2019 and beyond, prepared under the auspices of the COAG Health Council. Canberra: Department of Health. Viewed 10 October 2019.
Deacon-Couch M, Skinner I, Tucci J & Skinner T 2017. Association between short sleep duration and body mass index in Australian Indigenous children. Journal o Paediatrics and Child Health 54: 49–54
Jackson SL, Vann WF, Kotch JB, Pahel BT & Lee JY 2011. Impact of poor oral health on children’s school attendance and performance. American Journal of Public Health 101(10):1900–1906. doi: 10.2105/AJPH.2010.200915.
Quach J, Nguyen C, Williams K & Sciberras E 2018. Bidirectional associations between child sleep problems and internalising and externalising difficulties from preschool to early adolescence. Melbourne: University of Melbourne 177(2):e174363. doi: 10.1001/jamapediatrics.2017.4363.
Redmond G, Skattebol J, Saunders P, Lietz P, Zizzo G, O’Grady et al. 2016. Are the kids alright? Young Australians in their middle years: final report of the Australian Child Wellbeing Project. Adelaide: Flinders University. Viewed 17 May 2019.
Rhodes A 2015. What the public thinks: top ten child health problems. The Royal Children’s Hospital Melbourne: Australian Child Health Poll. Melbourne: The Royal Children’s Hospital. Viewed 10 May 2019.
Royal Commission and Board of Inquiry into the Protection and Detention of Children in the Northern Territory 2017a. Volume 1. Viewed 15 August 2019.
Royal Commission and Board of Inquiry into the Protection and Detention of Children in the Northern Territory 2017b. Volume 2A. Viewed 15 August 2019.
Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R & Bhadoria AS 2015. Childhood obesity: causes and consequences. Journal of Family Medicine and Primary Care 4:187–92.
WHO (World Health Organization) 1946. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946. New York: WHO.
WHO 2016. Childhood hearing loss: act now, here’s how! Geneva: WHO. Viewed 28 August 2019.
For more information, see Methods.
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