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This document is clearly informed by the NTPCDS, but only specifically mentions the PCDS interms of prevention, detection and the management of kidney disease prior to it progressing toend stage renal disease. It is only one of a large number of policy frameworks that are intendedto promote healthy living in Australia and the NT.Table 3.4 provides a summary of other general policies that complement the NTPCDS and Table3.5 provides a list of Aboriginal and Torres Strait Islander specific policies.Table 3.4Policies for all Australians1996 - present National Diabetes Services Scheme Commonwealth1999-2002/03 National Tobacco Strategy 1999 to 2002-03: A Framework for Action National1999-2003 Healthy Horizons 1999-2003. A framework for improving the health of Rural, NationalRegional and Remote Australia2000-2004 National Diabetes Strategy National2000-2010Eat Well Australia: An Agenda for Action for Public Health NutritionNational2001 Preventing Chronic Disease: A Strategic Framework National2001 Smoking, Nutrition, Alcohol and Physical Activity (SNAP) Framework for GPs National2001-2004 National Alcohol Strategy: A Plan for Action 2001 to 2003-042001-2006 Food and Nutrition Policy NT2003-2007 Healthy Horizons: Outlook 2003-2007. A framework for improving the health Nationalof Rural, Regional and Remote Australia2003-2008 Healthy Weight 2008: Australia‟s Future National2004 National Strategy for Heart, Stroke and Vascular Health in Australia National2004 Recommended Framework for Cardiac Rehabilitation - National HeartNationalFoundation of Australia & Australian Cardiac Rehabilitation Foundation2004-2009 Building Healthier Communities Framework – NTDH&CS NT2005 National Chronic Disease Strategy National2005 National Service Improvement Framework (NSIF) Diabetes National2005 National Service Improvement Frameworks (NSIF) Cardiovascular Disease) NationalTable 3.5Aboriginal and Torres Strait Islander specific policies1989 National Aboriginal Health Strategy (NAHS) National1996 NT Aboriginal Health Policy NT1997-2002 NT Aboriginal Public Health Strategy and Implementation Guide NT2000-2010 National Aboriginal and Torres Strait Islander Nutrition Strategy and ActionPlan (Indigenous SNAP) 2000-2010NationalChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 44
2002 Aboriginal and Torres Strait Islander Health Workforce National StrategicFramework2002 The NHMRC Road Map: A Strategic Framework for Improving Aboriginal andTorres Strait Islander Health Through Research2003 National Strategic Framework for Aboriginal and Torres Strait Islander Health:Framework for Action by Governments and Implementation Plans2005-2010 Aboriginal Health and Families: A five year framework for Action, Departmentof Health and Community Services, NT GovernmentNationalNationalNationalNTWhile many of these policies are associated with funding streams, the funding is ofteninadequate to implement the proposal and there is often little funding to sustain successfulinitiatives. For example: the National Aboriginal and Torres Strait Islander Nutrition Strategy andAction Plan includes only one limited-tenure national appointment responsible for itsimplementation.Review of health promotion activitiesIn March 2005, Convery undertook an Audit of the Health Promotion activities for the previousyear (61) . She particularly examined Alcohol and Other Drugs, Mental Health, Preventable ChronicDisease, and Child and Family Health. The audit identified 33 interventions including 10 in thearea of Preventable Chronic Diseases. Only one of these was identified as being NT-wide, and atleast four of these ten were located in the Top End only. Convery attempted to categorise thesefurther and found one targeted skin health, and one targeted women‟s health (61) . These areprobably peripheral to the main thrust of the PCDS. Two programs targeted chronic diseaseworkers‟ skills, representing the previous emphasis on capacity building. Four programs targetedchronic disease information and awareness and two targeted various community-identifiedissues.Overall, about half of the interventions were delivered by staff from the relevant program areas,7 of the 33 interventions were led by Aboriginal staff, and only 9 of the 33 had a person withhealth promotion training in a lead role. This review suggests that overall, only a small number ofhealth promotion activities have occurred in the time frame covered, and that many of thesewere localised (61) . This raises the issue of whether more programs were actually present butwere not apparent in this review, and recalls the comments of the 2003 review that healthpromotion ran the risk of resource depletion and becoming „invisible‟.Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 45
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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
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 and 60: are. Indigenous employment is NTDH&
Page 61: NTDH&CS Programs that encourage Hea
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
Page 111 and 112: 5.6 Best practice management5.6.1 P
Page 113 and 114:
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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