PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

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Figure 1.13-point framework to guide implementation: prevention, early detection andbest-practice managementKey Result Areas (KRA) and Best Buys (BB)The NTPCDS hoped to improve the health of Territorians by influencing some intermediateoutcomes. Interventions therefore incorporated into the NTPCDS were selected on the basis ofevidence collected through a national and international literature review. The resulting evidencebase helped define:‣ 6 Key Result Areas (KRAs) – areas of intervention where there was strong evidence tosupport intervention. The first four relate to prevention, the fifth to early detection andintervention, and the sixth to management of chronic disease.‣ 12 Best Buys (BB) – discrete programs, or sets of interventions, where sufficientevidence existed to indicate that health gains would be achieved (14) .Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 4
Table 1.1Key Result Areas + Best Buys – NT Preventable Chronic Disease Strategy: theEvidence BaseKey Result AreaInterventions – Best Buys1. Maternal health Improving infant birthweight (KRA)2. Promotion of child growth Breastfeeding (BB)Childhood immunization (BB)Preventing childhood malnutrition (BB/KRA)Decreasing childhood infections through better environmentalhealth conditions (KRA)3. Underlying determinantsof healthMaternal and childhood education (KRA)Alleviate poverty (KRA)Promote „sense of control‟ and mental well-being (KRA)4. Lifestyle modification Smoking cessation and prevention programs (BB)Brief intervention for hazardous alcohol use (BB)Nutrition, weight loss and physical activity programs in high riskpopulations (BB/KRA)5. Early detection and earlytreatmentScreening (BB/KRA)Adult immunisation (BB)Aggressive blood pressure lowering to prevent progression ofrenal disease (BB)6. Best practice management Prevention of complications of diabetes (BB/KRA)Aggressive management of heart attacks and knowncardiovascular disease (BB)Rehabilitation and outreach programs (cardiac, respiratory, renal)(BB)Objectives to meet long term PCDS goalsA series of objectives were identified that would facilitate and enable change in the NorthernTerritory Health system to achieve the outcomes for each Key Result Area. They were:1. Raised awareness about chronic disease – All Territorians will be aware of the impactof chronic diseases in their community and the steps they can take as individuals andas families to prevent the illnesses and their complications2. Staff orientation – All health staff will have been oriented to chronic diseases andtheir underlying causes, and will receive ongoing, on-site support and training toimprove their chronic disease management skills. (workforce)Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 5
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21: Choosing the 5 chronic conditionsTh
Page 25 and 26: prior to the launch of NTPCDS, such
Page 27 and 28: Year * Action Outcome1999 S NT Prev
Page 29 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
Page 53 and 54: 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
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Identifies priority practices to in
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There has been a significant growth
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about 25 per cent of the hospital b
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The level of funding provided by th
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Central Australia and two zones cur
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The diabetes education teams at HLN
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maintenance group for people with l
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Rebates for participating or arrang
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Use of Medicine Programmes. Althoug
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CHAPTER 4. CLINICAL OUTCOMES OF THE
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improvements have been made to serv
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A recent ten-year follow-up of a co
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The NTDH&CS also collect birthweigh
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Figure 5.3 Vaccination coverage for
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It is also important to note that k
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eported that 50 per cent of the Ind
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The current action plan identifies
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The availability and cost of health
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Hoy et al in 1995-2000 (100) , and
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5.6 Best practice management5.6.1 P
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disease care in urban areas regardi
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PCIS was developed by NTDH&CS as th
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emote staff can access training and
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In the Top End there appeared to be
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APPENDIX 1EVALUATION OF THE NT PREV
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2.10 Generally speaking, on a scale
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4.4 Briefly recount any anecdotes y
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5.9 Generally speaking, on a scale
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Section 8 • Summary questions8.1
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Preventable Chronic Disease Program
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Year Type Background What is it? /
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Year Type Background What is it? /
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An important background to this stu
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New beliefs do not replace the old,
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Other services are provided to the
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ecame the main priority in many peo
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to be healthy, how to get rid of di
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(Draft Version - © August 2006 Jan
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References1. Dunham, H., Ministeria
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35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
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114. Senior, K., 'A Gudbala Laif? h
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