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Step 3. Gap analysisA gap analysis was undertaken by members of the Steering Committee in late 2006 to identifythose areas that required more information and the relevant people who could provide moreinformation.An invited tendering process was then initiated to complete the evaluation. The draft report andgaps analysis was then provided to the successful tenderer, RhED Consulting Pty Ltd, for theircompletion. Refer Chapter 1 for the terms of reference. The gap analysis provided a checkingprocess for completion of the report.Step 4. Interviews with key stakeholdersAn interviewing questionnaire was developed which covered the six-core reporting areas –Clinical, Workforce, Programs, Prevention, Funding, and Systems. Refer Appendix 1 – InterviewQuestionnaire.A total of 15 focus group interviews with 58 participants were undertaken in Darwin, Katherineand Alice Springs during May 2007 to gain more insight into the activities of the government and,in particular, the non-government sector, regarding the implementation of the NTPCDS. Theinterviews with groups were tape recorded, with consent, and hand written notes taken. Severalrespondents also completed the questionnaire to enable them to provide more information abouttheir specific service.The groups to be interviewed were identified by the NTDH&CS Steering Committee. Theyincluded those in government and non-government sectors who were:‣ Delivering primary health care services in remote areas‣ Delivering primary health care services in urban areas‣ Delivering primary medical / clinical / specialised care services‣ Implementing prevention and health promotion programs‣ Providing Indigenous community controlled services in urban and remote settings, and‣ General Practice/Primary Health Care support agencies.Refer to Appendix 2 – List of participants interviewed by the RhED Consulting team.The advantage of this approach was it enabled the participants to discuss their progress withchronic disease activities generally, even if they did not directly relate them to the PCDS. Theinterviewer was also very familiar with primary health care services in the Northern Territory andChapter 2: Evaluation Methodology – Evaluation of the NT Preventable Chronic Disease Strategy 2007 16
chronic disease activities funded throughout Australia. Consequently, the interviewer could elicitcomment about activities implemented, such as Healthy for Life and the National Primary CareCollaboratives, if this was not raised by the organisation.Step 5. Collation and analysis of materialsThe results from the document review, the literature and the interviews were collated andtriangulated to compare the responses and analyse the data. Common themes were identifiedusing the six core reporting areas, which were then analysed and integrated into the final report.A mixture of qualitative and quantitative analysis methods was used.Step 6. Restructure and redevelopment of the draft reportThe report was reviewed and restructured based on the following general principles:• Keeping it as simple as possible, so that was easily accessible by stakeholders• Putting all historical information together into a table so that it is easy to read and add to• Identifying common core reporting areas that reflect the evaluation framework and theobjectives of the NTPCDS. Then using these to structure the tools and the resultssection of the report• Restructuring the report into a standard evaluation format so that it is easy to findinformation and add to it in the future – e.g. adding a methodology section• Only having information that is of use to the evaluation in the report, and movinginformation of interest and historical information into the appendices.The structure of this report therefore has 6 distinct sections that assist in the organisation of theevaluation report to enable the process and impact of the NTPCDS to be explicit. It includes sixcore-reporting areas that are based on combining the Evaluation Framework and the objectivesof the NTPCDS. They are the same as the six used in the interview questionnaire and thedocument review. These core-reporting areas report against objectives of the NTPCDS – Chapter3, and provide a structure for the reporting of outcomes and impact of the NTPCDS. This wasdone to enable better flow of information, usability and to enable it to be built upon for futureevaluations.Chapter 2: Evaluation Methodology – Evaluation of the NT Preventable Chronic Disease Strategy 2007 17
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 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33: 2.2 Evaluation StagesThe NTPCDS eva
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
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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
Page 99 and 100:
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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