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cent compared with five per cent). Three-quarters of the sedentary men described themselves asactive, compared with 19 per cent of women. Seventy-eight percent of the insufficiently activemen considered themselves active, compared with 58 per cent of the women.ObesityAdultsIn the 2000 AUSDIAB study, 58.3 per cent of the Northern Territory non-indigenous AusDiabparticipants were classified as either overweight (BMI 25-29.9) or obese (BMI 30). The rate formales was 68.0 per cent and for females, 47.2 per cent. The rate for overweight was 45.5 percent in males and 29.9 per cent in females. The overall prevalence of overweight individuals inthe Northern Territory AusDiab sample was 38.2 per cent. The prevalence of obesity was 22.5per cent in males and 17.3 per cent in females. The total prevalence of obesity was 20.1 percent. The 2006 AusDiab report does not differentiate states and Territories and we cannottherefore compare improvements in these data.ChildrenIncreasing childhood overweight and obesity is recognised as a significant problem in Australia.The proportion of NT urban children who are overweight is slightly lower at 12 per centcompared with South Australian children at 14.4 per cent. More NT urban Indigenous children areobese - 6.5 per cent than NT urban non-Indigenous children - 3.6 per cent and South Australianchildren 4.9 per cent. The proportion of remote Indigenous children who are overweight is 4 percent and there are no obese remote Indigenous children (3) . A future consequence may beincreasing rates of chronic disease amongst urban Aboriginal people.Figure 5.7 Overweight and obesity in 4-6 year old children in the NT and SA 2004 (3)Per cent20Overw eightObese151050NT Urban IndigenousNT Urban non-IndigenousNT RemoteIndigenousSouth AustraliaChapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 88
The availability and cost of healthy food in remote areas continues to be poor and extremelyexpensive despite several inquiries since the implementation of the NTPCDS. The issue of povertyis critical to the success of improving all of these key indicators yet NT Indigenous householdscontinue to receive only 59 per cent of income to non-indigenous households (5) .5.5 Early detection and early treatment5.5.1 Screening (BB/KRA)Opportunistic screening is feasible in rural and remote Aboriginal communities, since the majorityof community members attend the clinic at least once in a 2 year period. In May 2004, theCommonwealth Government introduced an EPC item for Aboriginal adult health checks (Item710). In the remainder of 2004, about 200 of these health checks were claimed per quarter.Since the population of Aboriginal people aged 20-55 in the NT is at least 50,000; these checks,at least initially, were significantly under-utilised. The introduction of these checks in remoteareas has been delayed by a number of factors. One problem is that some communities do nothave doctors, or have a fly in fly out service that might have limited time for chronic diseasescare. At the NTDH&CS level, forms for claiming such items were only finalised in mid 2005.The provision of screening services has also been examined in detail in projects such as thecoordinated care trials, and the ABCD program. In general it has been found that people inremote communities are well screened for conditions such as diabetes and hypertension. TheABCD project commenced in 2002 at 12 health centres in the Top End, and has undertaken twoannual cycles of care. In 2007 they report improvements in all key aspects of systems to supportchronic illness care for almost all participating centres, including:- improvement in percentage of scheduled diabetes services delivered from 30 per cent atbaseline to 52 per cent;- improvement in the proportion of people with diabetes with a record of a BP check withinthree months from 63 per cent at baseline to 76 per cent;- improvement in the proportion of people with diabetes with a record of an HbA1c checkwithin six months from 41 per cent at baseline to 72 per cent (7) .Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 89
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Pty LtdABN 82 147 637 101AN EVALUAT
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TABLE OF CONTENTSList of figuresLis
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6.6 Indigenous workforce 996.7 Prev
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List of AbbreviationsABCDACCHOsACIC
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ACKNOWLEDGEMENTSWe would like to ac
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However the extraordinary number of
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the establishment of the Sunrise He
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RECOMMENDATIONSGeneral recommendati
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Exploration of joint funding arrang
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CHAPTER 1. INTRODUCTION1.1 Backgrou
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Choosing the 5 chronic conditionsTh
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Table 1.1Key Result Areas + Best Bu
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prior to the launch of NTPCDS, such
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Year * Action Outcome1999 S NT Prev
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Year * Action Outcome2005 P Aborigi
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CHAPTER 2.EVALUATION METHODOLOGYThe
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2.2 Evaluation StagesThe NTPCDS eva
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chronic disease activities funded t
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internal project team. It was very
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Situation at Baseline1. The Guideli
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3.1.2 Patient information and recal
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Ferret Miwatj, Numbulwar, Marngarr,
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Medicare information is not for pub
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was in place in Central Australia i
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What orientation and ongoing traini
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programs focus on chronic disease p
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The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68: The Community Services Division - A
Page 69 and 70: 1 x AHW Central Australia 2001 S100
Page 71 and 72: One clinic stated it had no care pl
Page 73 and 74: Identifies priority practices to in
Page 75 and 76: There has been a significant growth
Page 77 and 78: about 25 per cent of the hospital b
Page 79 and 80: The level of funding provided by th
Page 81 and 82: Central Australia and two zones cur
Page 83 and 84: The diabetes education teams at HLN
Page 85 and 86: maintenance group for people with l
Page 87 and 88: Rebates for participating or arrang
Page 89 and 90: Use of Medicine Programmes. Althoug
Page 91 and 92: CHAPTER 4. CLINICAL OUTCOMES OF THE
Page 93 and 94: improvements have been made to serv
Page 95 and 96: A recent ten-year follow-up of a co
Page 97 and 98: The NTDH&CS also collect birthweigh
Page 99 and 100: Figure 5.3 Vaccination coverage for
Page 101 and 102: It is also important to note that k
Page 103 and 104: eported that 50 per cent of the Ind
Page 105: The current action plan identifies
Page 109 and 110: Hoy et al in 1995-2000 (100) , and
Page 111 and 112: 5.6 Best practice management5.6.1 P
Page 113 and 114: disease care in urban areas regardi
Page 115 and 116: PCIS was developed by NTDH&CS as th
Page 117 and 118: emote staff can access training and
Page 119 and 120: In the Top End there appeared to be
Page 121 and 122: APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124: 2.10 Generally speaking, on a scale
Page 125 and 126: 4.4 Briefly recount any anecdotes y
Page 127 and 128: 5.9 Generally speaking, on a scale
Page 129 and 130: Section 8 • Summary questions8.1
Page 131 and 132: Preventable Chronic Disease Program
Page 133 and 134: Year Type Background What is it? /
Page 135 and 136: Year Type Background What is it? /
Page 137 and 138: An important background to this stu
Page 139 and 140: New beliefs do not replace the old,
Page 141 and 142: Other services are provided to the
Page 143 and 144: ecame the main priority in many peo
Page 145 and 146: to be healthy, how to get rid of di
Page 147 and 148: (Draft Version - © August 2006 Jan
Page 149 and 150: References1. Dunham, H., Ministeria
Page 151 and 152: 35. Smith, J.D., Progress report fo
Page 153 and 154: Research Centre for Aboriginal Heal
Page 155: 114. Senior, K., 'A Gudbala Laif? h
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