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 ...
5.2 Promotion of child growth5.2.1 Breastfeeding (BB)Breast feeding rates at discharge from hospital were unchanged from 1993-2003 remaining at 93per cent (3) . However, breast feeding rates at three and six months post birth fell between 1993-2003, from 77 per cent to 73 per cent at three months, and from 68 per cent to 59 per cent atsix months. This fall was largely due to a decrease in breast feeding rates in the urbanIndigenous population.Figure 5.2 Breastfeeding for infants (3) .Per cent120100Breastfed at dischargeBreastfed at 3 monthsBreastfed at 6 months806040200NT IndigenousUrbanNT IndigenousRuralNT non-IndigenousAustraliaIn 2003, breastfeeding rates at hospital discharge were similar to national average. By 6 months,the proportion of NT rural Indigenous infants who were still breastfed were above nationalaverage (3) .5.2.2 Childhood immunisation (BB)The impact of childhood immunisation on adult chronic disease particularly relates to reducingrates of childhood pneumonia, which contribute to adult chronic lung disease. Many of thevaccines in the current schedule prevent childhood pneumonia.The immunisation coverage for the NT has improved significantly since 1999. While some ofthese improvements may be due to changes in definition, Australian Childhood ImmunisationRegister (ACIR) data suggests that NT children have immunisation coverage that is as good as,or better, than the rest of Australia (3) . Timeliness for vaccine delivery is reported to be less thanoptimal (3) .Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 80
Figure 5.3 Vaccination coverage for 0-6 year old children, 2003-2005 in NT and Australia (3) .Per cent1009080706050403020100Recommendedschedule completedbefore 1st birthdayRecommendedschedule completedbefore 2nd birthdayNTAustraliaRecommendedschedule completedbefore 6th birthdayThe incidence of invasive pneumococcal disease has more than halved since the introduction of anew vaccine in 2001, mainly for NT Indigenous children between the ages of 1-2.5.2.3 Preventing childhood malnutrition (BB/KRA)Growth Assessment and Action (GAA) is the monitoring and growth promotion program forchildren under five years of age in rural and remote communities of the Northern Territory. Itcommenced in 1998 and includes regular monitoring of nutritional status and interventions forchildren who are not thriving. Most communities have more than 80 per cent participation ofchildren in the program and therefore the reported proportions are a good indication ofnutritional status.Between 1999 and 2004, the proportion of children who were underweight decreased in EastArnhem, Katherine, and Barkly districts. The proportion of children who are underweight in theAlice Springs district is close to the national average and showed no change over this period.There is no change in the Darwin district where the underweight proportion remains atapproximately 20 per cent (3) .Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 81
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5.2 Promotion of child growth5.2.1 Breastfeeding (BB)Breast feeding rates at discharge from hospital were unchanged from 1993-2003 remaining at 93per cent (3) . However, breast feeding rates at three and six months post birth fell between 1993-2003, from 77 per cent to 73 per cent at three months, and from 68 per cent to 59 per cent atsix months. This fall was largely due to a decrease in breast feeding rates in the urbanIndigenous population.Figure 5.2 Breastfeeding for infants (3) .Per cent120100Breastfed at dischargeBreastfed at 3 monthsBreastfed at 6 months806040200<strong>NT</strong> IndigenousUrban<strong>NT</strong> IndigenousRural<strong>NT</strong> non-IndigenousAustraliaIn 2003, breastfeeding rates at hospital discharge were similar to national average. By 6 months,the proportion of <strong>NT</strong> rural Indigenous infants who were still breastfed were above nationalaverage (3) .5.2.2 Childhood immunisation (BB)The impact of childhood immunisation on adult chronic disease particularly relates to reducingrates of childhood pneumonia, which contribute to adult chronic lung disease. Many of thevaccines in the current schedule prevent childhood pneumonia.The immunisation coverage for the <strong>NT</strong> has improved significantly since 1999. While some ofthese improvements may be due to changes in definition, Australian Childhood ImmunisationRegister (ACIR) data suggests that <strong>NT</strong> children have immunisation coverage that is as good as,or better, than the rest of Australia (3) . Timeliness for vaccine delivery is reported to be less thanoptimal (3) .Chapter 5: Key Result Areas – <strong>Evaluation</strong> of the <strong>NT</strong> Preventable Chronic Disease <strong>Strategy</strong> 2007 80
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