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

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Figure 5.4 Under-nutrition for children from NT urban, rural and remote areas, 2004 (3) .As figure 5.4 indicates, Indigenous children in remote communities experience high levels ofunderweight (14.5 per cent), stunting (11.3 per cent) and wasting (9 per cent) (3) . This howeverrepresents only 49 per cent of the urban non-Indigenous five year olds, 30 percent of the urbanIndigenous five year olds, and 79 per cent of resident remote five year olds in 76 communities.Figure 5.5 Percentage of children who are „wasted‟ by age group for all NT (37)Between 2001 and 2005, overall rates of stunting, wasting and anaemia have not changedgreatly. This suggests that there will be little effect on chronic disease attributable to this item.Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 82
It is also important to note that knowledge of the role of childhood nutrition in the developmentof chronic disease has changed since the PCDS was introduced. It is now apparent, that thegroup who is most at risk of chronic disease are not those children who are born small, but thosewho are born with low birth weight and who then develop obesity in childhood. This indicatesepidemiologically that if low birth weights continue to be a major problem in some sectors of theNT population, an improvement in child weights may be associated with an increase in the ratesof chronic disease in adulthood rather than a decrease.5.2.4 Decreasing childhood infections through better environmentalhealth conditions (KRA)The Indigenous Community Housing Survey (ICHS) assesses remote Indigenous housingmaintenance requirements to promote conditions conducive to improved resident health (92) . TheICHS was instituted by the Indigenous Housing Authority of the NT (IHANT) in 1998 andredeveloped during 2004 after an evaluation. As a result, data from 2004 can be used to provideappropriate baseline data. A bi-annual survey is now conducted throughout the Territory. TheICHS establishes a standardised method of assessing maintenance requirements for each housesurveyed. Surveyors look for damaged or missing items and perform a number of simple tests toassess functionality. The National Indigenous Housing Guide emphasises the need for functioninghealth hardware in order to enable householders to perform the nine Healthy Living Practices.The first 4 practices involve people having the facilities to:‣ wash themselves‣ wash their clothes and bedding‣ remove waste safely‣ store, prepare, and cook foodResults of the 2007 Indigenous Community Housing Survey reveal poor environmental healthconditions especially in discrete remote communities, where there continues to be a lack of basichousing maintenance, overcrowding, unsafe water supply, lack of rubbish disposal and thehighest national sewerage overflow rate (6) .Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 83
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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
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However the extraordinary number of
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the establishment of the Sunrise He
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RECOMMENDATIONSGeneral recommendati
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Exploration of joint funding arrang
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CHAPTER 1. INTRODUCTION1.1 Backgrou
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Choosing the 5 chronic conditionsTh
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Table 1.1Key Result Areas + Best Bu
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prior to the launch of NTPCDS, such
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Year * Action Outcome1999 S NT Prev
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Year * Action Outcome2005 P Aborigi
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CHAPTER 2.EVALUATION METHODOLOGYThe
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2.2 Evaluation StagesThe NTPCDS eva
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chronic disease activities funded t
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internal project team. It was very
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Situation at Baseline1. The Guideli
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3.1.2 Patient information and recal
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Ferret Miwatj, Numbulwar, Marngarr,
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Medicare information is not for pub
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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
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: Figure 5.3 Vaccination coverage for
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
Page 115 and 116: PCIS was developed by NTDH&CS as th
Page 117 and 118: emote staff can access training and
Page 119 and 120: In the Top End there appeared to be
Page 121 and 122: APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124: 2.10 Generally speaking, on a scale
Page 125 and 126: 4.4 Briefly recount any anecdotes y
Page 127 and 128: 5.9 Generally speaking, on a scale
Page 129 and 130: Section 8 • Summary questions8.1
Page 131 and 132: Preventable Chronic Disease Program
Page 133 and 134: Year Type Background What is it? /
Page 135 and 136: Year Type Background What is it? /
Page 137 and 138: An important background to this stu
Page 139 and 140: New beliefs do not replace the old,
Page 141 and 142: Other services are provided to the
Page 143 and 144: ecame the main priority in many peo
Page 145 and 146: to be healthy, how to get rid of di
Page 147 and 148: (Draft Version - © August 2006 Jan
Page 149 and 150: References1. Dunham, H., Ministeria
Page 151 and 152:
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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