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5.4.3 Nutrition, weight loss and physical activity programs in high riskpopulations (BB/KRA)NutritionNutrition, weight loss and physical activities are all areas in which there has been a highinvestment, both within the NTDH&CS and across other sectors. The Northern Territory Food andNutrition Policy was endorsed by the Territory Health Services‟ Executive in September 1995.Strategies implemented included; advice on recommended foods to stock, assistance to developrelevant food policies and guidelines for individual stores, assistance with the promotion ofhealthy food, monitoring the availability and affordability of food, and training staff in food andnutrition. The Northern Territory Food and Nutrition Policy action plan was implemented in 2001.The policy states:The goal of the NT Food and Nutrition Policy is to improve nutritional status and health ofall Territorians and to reduce the burden of diet-related early death, illness and disability.This is also one of the goals of the NT Preventable Chronic Disease Strategy. This goal iscore business for the nutrition team, however, to effect any sustained improvements innutrition it is essential that partnerships are made with other providers, both internal andexternal, and with key stakeholders, to ensure ownership of strategies does not remainonly with people working in the area of nutrition (98) .Education and training were major priorities for the nutrition team. The NT Department ofEducation took the lead role in implementing nutrition programs in schools, particularly in primaryschools, and ensuring nutrition was included at all levels in the curriculum. Higher educationcourses in nutrition are available for Aboriginal Health Workers at Batchelor Institute.A major growth area was the provision of food and nutrition education to community basedAboriginal people, including people employed in the store. The Community Nutrition Worker(CNW) program, which involves training and support to local Aboriginal people who providenutrition education to their own community, has expanded rapidly since its inception in 1995. By2001, THS funded positions in eight communities and nutritionists also support CNWs fundedthrough other sources (eg CDEP, World Vision). After extensive consultation the new action planwas finalised at a meeting of the NT Nutrition team in September 2000.Chapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 86
The current action plan identifies different nutritional and physical activity needs at various agesand stages of the lifespan. This is important because chronic disease arises from maternal,childhood, and adult factors working together, so the plan does not specifically target adults as apriority area. Other priority areas targeted include consumption of fruit and vegetables,prevention of obesity, provision of a physically active lifestyle and prevention and management ofpreventable chronic diseases. All areas identified in the action plan have seen extensiveimplementation of programs designed to improve education and bring about change at thecommunity level.AnaemiaRates of anaemia for children in the NT are extremely high throughout remote communities. In2004, children under five years the rates of anaemia range from 23.1 per cent in the Darwin ruraldistrict to 43.8 per cent in the Barkley district (see Figure 5.6).Figure 5.6 Anaemia in children from remote Indigenous communities by NT health district (3) .Physical ActivityThere is no baseline data for physical activity for the NT available before the introduction of theNTPCDS. In July 2003, telephone interviews were conducted with 328 non-IndigenousTerritorians (99) . The key findings of this survey were that 55 per cent of non-IndigenousTerritorians aged 18-54 years reported engaging in sufficient physical activity for health benefits;35 per cent reported insufficient levels of activity and 10 per cent reported no activity and wereclassified as sedentary. Men were significantly more likely to be sedentary than women (14 perChapter 5: Key Result Areas – Evaluation of the NT Preventable Chronic Disease Strategy 2007 87
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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
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What orientation and ongoing traini
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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 and 100: Figure 5.3 Vaccination coverage for
Page 101 and 102: It is also important to note that k
Page 103: eported that 50 per cent of the Ind
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
Page 153 and 154: Research Centre for Aboriginal Heal
Page 155:
114. Senior, K., 'A Gudbala Laif? h
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