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

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3.5.1 Greater community control over health services 603.5.2 Funding Community Controlled Health Services 623.5.3 Funding NGOs for preventive programs 633.5.4 Intersectoral action for healthy living 673.5.5 Funding the NTPCDS 68CHAPTER 4. CLINICAL OUTCOMES 734.1 End Stage Renal Disease 734.2 Primary care level chronic disease care processes and outcomes 754.3 Hospitalisations and deaths relevant to the PCDS 76CHAPTER 5. KEY RESULT AREAS 785.1 Maternal health 785.1.1 Improving infant birthweight 785.2 Promotion of child growth 805.2.1 Breastfeeding 805.2.2 Childhood immunisation 805.2.3 Preventing childhood malnutrition 815.2.4 Decreasing childhood infections 835.3 Underlying determinants of health 845.3.1 Maternal and childhood education 845.3.2 Alleviate poverty 845.3.3 Promote sense of control and mental well being 845.4 Lifestyle modification 845.4.1 Smoking cessation and prevention programs 845.4.2 Brief intervention for hazardous alcohol use 855.4.3 Nutrition, weight loss and physical activity programs 865.5 Early detection and early treatment 895.5.1 Screening 895.5.2 Adult immunisation 905.5.3 Aggressive blood pressure control 905.6 Best practice management 935.6.1 Prevention of complications of diabetes 93CHAPTER 6. DISCUSSION 946.1 Governance and planning for chronic disease activity 946.2 Ongoing monitoring and review 956.3 Best practice guidelines 966.4 Patient information systems 966.5 Workforce orientation and training 98Evaluation of the NT Preventable Chronic Disease Strategy 2007iv
6.6 Indigenous workforce 996.7 Prevention and chronic disease programs 100APPENDICESAppendix 1. Interview Questionnaire 103Appendix 2. List of interviewees 112Appendix 3. Chronic disease registers and recall systems summary 114Appendix 4. Ethnographic field study 118Appendix 5. How policy is implemented 129REFERENCES 131List of figures1.1 3-point framework to guide implementation: prevention, earlydetection and best-practice management in Chronic Disease 43.1 Top 10 chronic disease training needs identified by NT & NQ workforce 343.2 Percentage of Indigenous employees for large agencies May 2002- December 2005 393.3 Number of accredited practices participating in the PIP and theproportion of General Practice services provided by these practices. 563.4 Same-day renal treatments, 1996-97 to 2005-06 593.5 NT Primary Health Care Access Program Zones 2003 613.6 Percentage of „active' GPs using Medicare EPC items by Stateand Territory, December quarter 2002. 694.1 New ESRF Patients by Region 1993-2003. Source: NTDH&CS 744.2 Growth in the prevalence in end stage renal disease between 1997-2005,in Central Australia and the Top End of the Northern Territory. 744.3 Same-day renal treatment 2005-06 755.1 Low and mean birth weights for Indigenous and non-indigenousbabies in the NT 1986-2002 795.2 Breastfeeding for infants 805.3 Vaccination coverage for 0-6 year old children, 2003-2005 in NTand Australia 81Evaluation of the NT Preventable Chronic Disease Strategy 2007v
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3: TABLE OF CONTENTSList of figuresLis
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 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
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
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career development, and retention i
Page 59 and 60:
are. Indigenous employment is NTDH&
Page 61 and 62:
NTDH&CS Programs that encourage Hea
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2002 Aboriginal and Torres Strait I
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delivering any prevention and healt
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The Community Services Division - A
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1 x AHW Central Australia 2001 S100
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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? /
Page 135 and 136:
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
Page 151 and 152:
35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
Page 155:
114. Senior, K., 'A Gudbala Laif? h
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