PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ... PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
Building the capacity of the health system – organisational commitment, policies,systems and resources to promote health, andBuilding the capacity of communities and community members – their skills, practicesand orientation to improving health and solving local problems (57) .Essential Primary Health Care Standards for Remote Aboriginal Communities in the NorthernTerritory – a companion project, aimed at setting primary health care standards for the NT (58) . Itprovided standards for health promotion activity in remote community health settings andoutlined the health promotion training and support necessary to achieve these standards. Thisreport included standards for primary clinical care, public health, health promotion, visiting andreferral services, and support systems.Both reports reinforced the importance of training in health promotion for building the capacity ofhealth personnel, the health system, community members and communities to promote andimprove health (55) .3.3.1 Health promotion program fundingPrior to the restructure of the NTDH&CS in 2003, a Health Promotion Program was situatedwithin the Department in Health Development. This program delivered accredited education andtraining courses in health promotion specifically for Aboriginal Health Promotion Officers, ruraland urban primary health care providers, including allied health workers and Aboriginal HealthWorkers (59) . People who completed these courses were also given support by the program staffto deliver health promotion programs and activities within their own work settings.In the mid 1990‟s those who attained Certificate IV in Health Promotion were supported by smallincentive grants of initially up to $5000 to apply the skills learnt for health promotion programs,which over time was reduced to $2000. The incentive fund process disappeared in 2003. Theevaluation of this program found overall that it appeared to be succeeding in its aims. A majorconcern of the reviewers however, was that the results of such a capacity-building programwould tend to be invisible, and that infrastructure and resources to support the programsimplementation were „depleted‟ (60) .Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 42
NTDH&CS Programs that encourage Healthy Living.Following the 2003 restructure, the Health Promotion Program was disbanded and the resourcesfor health promotion program were redirected to others – Alcohol and Other Drugs, Child andMaternal Health, Nutrition and Physical Activity. The PCD Program received health promotionpositions that were funded on transfer to the PCD team. The theory behind this redistributioncame from the idea that health promotion was everybody‟s business, and that funding structuresshould reflect this. This offered a different capacity building approach.Within the PCD Program, a Senior Health Promotion Officer and a Senior Aboriginal HealthPromotion Officer were reallocated to this program to work directly with the Director, andAboriginal Health Promotion officers in four regional areas continued. A key role of thesepositions is to support rural and remote staff who wish to institute health promotion activitieswithin their communities, and to promote community education and awareness.3.3.2 Prevention policy environmentThe Building Healthier Communities: A Framework for Health and Community Services 2004 –2009” was launched in February 2004. This framework demonstrates the Government's visionfor “Ensuring that all Territorians enjoy long and healthy lives and have a health and communityservices system that is responsive, accountable and effective”. NTDH&CS priorities for the nextfive years are based on the Building Healthier Communities framework, which focuses on: Giving kids a good start in life Strengthening families and communities Getting serious about Aboriginal health Creating better pathways to health services Filling service gaps Tackling substance abuseIt also identifies four key areas for strengthening and reforming the NT health and communityservices system:‣ Building quality health and community services‣ Creating better ways of working together‣ Valuing and supporting our workforce‣ Creating a health information networkChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 43
- 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
- Page 57 and 58: career development, and retention i
- Page 59: are. Indigenous employment is NTDH&
- 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 and 106: The current action plan identifies
- Page 107 and 108: The availability and cost of health
- Page 109 and 110: Hoy et al in 1995-2000 (100) , and
<strong>NT</strong>DH&CS Programs that encourage <strong>Health</strong>y Living.Following the 2003 restructure, the <strong>Health</strong> Promotion Program was disbanded and the resourcesfor health promotion program were redirected to others – Alcohol and Other Drugs, Child andMaternal <strong>Health</strong>, Nutrition and Physical Activity. The <strong>PCD</strong> Program received health promotionpositions that were funded on transfer to the <strong>PCD</strong> team. The theory behind this redistributioncame from the idea that health promotion was everybody‟s business, and that funding structuresshould reflect this. This offered a different capacity building approach.Within the <strong>PCD</strong> Program, a Senior <strong>Health</strong> Promotion Officer and a Senior Aboriginal <strong>Health</strong>Promotion Officer were reallocated to this program to work directly with the Director, andAboriginal <strong>Health</strong> Promotion officers in four regional areas continued. A key role of thesepositions is to support rural and remote staff who wish to institute health promotion activitieswithin their communities, and to promote community education and awareness.3.3.2 Prevention policy environmentThe Building <strong>Health</strong>ier Communities: A Framework for <strong>Health</strong> and Community Services 2004 –2009” was launched in February 2004. This framework demonstrates the Government's visionfor “Ensuring that all Territorians enjoy long and healthy lives and have a health and communityservices system that is responsive, accountable and effective”. <strong>NT</strong>DH&CS priorities for the nextfive years are based on the Building <strong>Health</strong>ier Communities framework, which focuses on: Giving kids a good start in life Strengthening families and communities Getting serious about Aboriginal health Creating better pathways to health services Filling service gaps Tackling substance abuseIt also identifies four key areas for strengthening and reforming the <strong>NT</strong> health and communityservices system:‣ Building quality health and community services‣ Creating better ways of working together‣ Valuing and supporting our workforce‣ Creating a health information networkChapter 3: Progress Against <strong>PCD</strong>S Objectives – <strong>Evaluation</strong> of the <strong>NT</strong> Preventable Chronic Disease <strong>Strategy</strong> 2007 43
Change language