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

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From this summary of events it is clear that in the lead up to the development of the NTPCDSand since that time, the Australian Government has also had an agenda to improve the capacityof Aboriginal Community Controlled Health Services and General Practice services to adopt asystems approach to the planning and delivery of chronic disease prevention and managementservices. The resources provided from the Australian Government have made a significantcontribution to improvements seen in chronic disease prevention and management servicesthroughout the Northern Territory.Chapter 1: Introduction – Evaluation of the NT Preventable Chronic Disease Strategy 2007 12
CHAPTER 2.EVALUATION METHODOLOGYThe methodology used to undertake this evaluation was based on an evaluation framework and asix-step process, which was undertaken by two different groups under the guidance of the PCDSSteering Committee. The NTDH&CS Community Physician, assisted by the PCD Project Officer,undertook the first two steps – document review and development of a draft report. Following agaps analysis, undertaken by members of the steering committee, the RhED Consulting teamundertook the final three steps.The six-steps were:1. A document review and analysis2. The development of draft report3. A gap analysis of the draft report4. Interviews with key stakeholders5. Collation and analysis of materials6. Development of a final report.2.1 The evaluation frameworkIn 2004-05, a Public Health Education and Research Program (PHERP) Innovations Grant wasused to develop a framework for the evaluation of both the NTPCDS and the North QueenslandIndigenous Chronic Disease Strategy (28) . The framework included strategies for both a processevaluation of implementation processes, and an outcome evaluation, each to be carried out attwo levels – health system and community level, plus the broader public policy environmentwithin which the health systems operate.The NTPCDS evaluation was intended to serve two purposes:• to test the evaluation framework developed for a chronic disease strategy (described below),and• to gather data relating to implementation and outcomes of the strategy in the NorthernTerritory.Therefore the primary objective of the evaluation framework was to identify, describe andunderstand the relationships between the implementation processes, the contextual factors andthe program outcomes; and then to report on these in a manner that facilitates: ongoing improvements in relevant components of the strategyChapter 2: Evaluation Methodology – Evaluation of the NT Preventable Chronic Disease Strategy 2007 13
Page 1 and 2: Pty LtdABN 82 147 637 101AN EVALUAT
Page 3 and 4: TABLE OF CONTENTSList of figuresLis
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
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: Year * Action Outcome2005 P Aborigi
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 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
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Use of Medicine Programmes. Althoug
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CHAPTER 4. CLINICAL OUTCOMES OF THE
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improvements have been made to serv
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A recent ten-year follow-up of a co
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The NTDH&CS also collect birthweigh
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Figure 5.3 Vaccination coverage for
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It is also important to note that k
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eported that 50 per cent of the Ind
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The current action plan identifies
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The availability and cost of health
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Hoy et al in 1995-2000 (100) , and
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5.6 Best practice management5.6.1 P
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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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