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3.2.1.3 Training NeedsPublic Health Education and Research Project (PHERP) innovations programIn 2004 Menzies School of Health Research, AMSANT and the NTDH&CS were part of aconsortium of seven that received national funding from PHERP to develop a curriculum toaddress chronic disease training needs and improve the capacity of staff working in Indigenousprimary health care settings. Through this project the PHERP curriculum framework wasdeveloped. It provides a means to systematically integrate training for chronic disease care andthe systems that support care into undergraduate, post graduate, and professional developmenttraining programs (35) . This is a strategic approach to addressing future workforce needs.To inform this development a training needs analysis was undertaken in 2004 (35) . It identifiedthe top 10 training needs of 100 policy makers, educators and remote practitioners from alldisciplines in the NT and North Queensland. The top four focused on:• the need for prevention focused training, which included opportunistic screening, healtheducation and program development• how to use a population health approach• how to use systematic approaches in chronic disease detection and management, and• the importance of respect and trust when working in a cross cultural environment,particularly with Indigenous health workers (35) .Figure 3.1 Top 10 chronic disease training needs identified by NT & NQ workforceIDENTIFIED TRAINING NEEDS (n=100)Prevention focussed trainingPopulation health approachSystems basedRespect and trustCommunity developmentSelf-managementTeamworkCultural awarenessUnderstanding AHW rolesCD clinical skills24242019191712Percentage283135Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 34
The information collected as part of the needs analysis informed the redevelopment of thechronic disease module included in the Pathways Program. The curriculum framework producedby the project has been integrated into the content of several universities‟ undergraduate andpostgraduate degree programs and professional colleges, including Charles Darwin University‟sredeveloped Bachelor of Nursing and Bachelor of Pharmacy Programs for 2008. It has also beenused in 2007 as the framework for the self management program conducted by FlindersUniversity.In 2005, a survey of chronic disease education requirements was undertaken by NTDH&CS (46) .It found that community services personnel, and those in acute care, are requesting moreeducation in:o the management of specific chronic diseases (liver disease, renal, diabetes etc),o self-management, ando care planning.It found that currently education in these areas is in the form of unit based in-services, or off siteworkshops conducted by specialist health professionals, which is largely provided through thePathways program (46) . The survey also found that attendance at the NTDH&CS courses waslimited, as clinic staff positions are not relieved to allow staff to attend these workshops.Accredited ProgramsMaster of Remote Health Practice ProgramThis program has been delivered from the Centre for Remote Health since 1999 and nursesparticipating in the Pathways Program can receive credit towards it. In 2006 the program wasreviewed and updated to incorporate the material from the PHERP curriculum framework andnow has specific topics in chronic disease and requirements in clinical areas such as the AdultHealth Check in the Nurse Practitioner and Medical streams.Master of Public Health ProgramThis multi-disciplinary program is offered by Menzies School of Health Research. It includes achronic disease module.The other most commonly cited strategy to facilitate workforce capacity was supporting individualwith personal study programs.Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 35
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 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: programs focus on chronic disease p
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 and 104:
eported that 50 per cent of the Ind
Page 105 and 106:
The current action plan identifies
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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
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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
Page 125 and 126:
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? /
Page 135 and 136:
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
Page 151 and 152:
35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
Page 155:
114. Senior, K., 'A Gudbala Laif? h
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