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The RHD Endgame Strategy: An Explainer

The Endgame Strategy has identified a range of strategies that demonstrate potential to put the elimination of RHD in Australia on track for 2031.

No single one of these strategies will eliminate RHD. Instead, a comprehensive approach, applying a number of strategies concurrently, is needed.

This will look different across communities and jurisdictions, reflecting the cultural, geographic and political context in which they operate. Experience and evidence make it clear that community-level action is crucial to eliminating RHD. Therefore, the Endgame Strategy proposes a holistic strategy to end RHD with Aboriginal and Torres Strait communities at the core, grounded in local decision-making and with supporting structures to ensure a nationally consistent approach.

Priority Action Areas

The RHD Endgame Strategy is a product of collaboration between researchers, Aboriginal and Torres Strait Islander leaders, communities and people with lived experience.

The END RHD CRE investigators would like to thank the Aboriginal and Torres Strait Islander people who have shared their stories in the Endgame Strategy. We acknowledge that the figures outlined represent the loss of human life with profound impact and sadness for people, families, community and culture.

We thank all content experts who contributed their technical expertise, time and advice to the Endgame Strategy. In particular, we acknowledge the members of the END RHD Review Working Group, which comprised nominees from END RHD – the peak alliance leading work to eliminate RHD in Australia. Members of this working group provided invaluable insight, reviewing content for feasibility and acceptability, and including review from a cultural perspective.

Telethon Kids Institute acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the land and waters of Australia, and the lands on which this report was produced. We also acknowledge the Nyoongar Wadjuk, Yawuru, Kariyarra and Kaurna Elders, their peoples and their land upon which the Institute is located, and seek their wisdom in our work to improve the health and development of all children.