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The Conoco Phillips Asthma Swim ProgramThe development and production of the “shortwind” resources for Indigenous people.National Heart FoundationThe National Heart Foundation NT is primarily responsible for implementing national projects inthe NT but they have worked collaboratively with Healthy Living to develop the NTDH&CS fundedCardiac Rehabilitation. The National Heart Foundation is linked in via an MOU to provideresources for this service. In Central Australia the NHF is involved in Community developmentactivities.In 2004 the Heart Foundation NT was funded for 0.2 FTE for an Indigenous nutrition worker butthis ceased in 2006. In 2007 a full time worker was employed to work on the national ChildhoodHealthy Weight program.Cancer Council of the Northern TerritoryThe Cancer Council of the Northern Territory receives funding from the Northern Territorygovernment in addition to funding received from the Australian government and revenue raisedthrough fund raising. There have not been any specific services implemented to address thePCDS, but general health promotion information is available to the general public to promotegood health.Arthritis and Osteoporosis FoundationThe Arthritis and Osteoporosis Foundation has been the sponsor of self management trainingboth for people with Arthritis and Osteoporosis but for chronic disease self managementgenerally and provides support for physical activity to arthritis sufferers.One major difficulty for health providers in the NT is that organisational structures often do notallow productive relationships between hospital and community services. NGOs often provide auseful link between acute services in NT hospital and community-based services because NGOeducators are able to see people in hospital and follow them up in the community. For example:Healthy Living NT provides rehabilitation and maintenance services in the community in additionto their hospital services, which results in continuity between these services. In Alice Springs in2004, HLNT provided a four-week exercise program, individual consultation with the CardiacEducator and the Nutrition Educator, cardiac education, and rehabilitation services to 72 patients,of whom 42 per cent had received prior inpatient education. HLNT also supports active cardiacChapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 66
maintenance group for people with longstanding cardiac conditions. These involve an exercisesession per week, under the supervision of a physiotherapist and the cardiac educator.Assessment against objectiveThe NTDH&CS funds a wide variety of non-government organisations to deliver specificpreventive programs. These organisations play a key role in providing these services.Unfortunately, funding is often project-specific and time-limited. This results in limited long-termbenefits for some programs, and little time to monitor progress.3.5.4 Intersectoral Action For Healthy LivingObjective 10: There will be intersectoral action promoting good nutrition, adequateenvironmental health standards, greater physical activity, safe alcohol consumption andnon-smoking. Such intersectoral action will take a whole-of-life approach supportingmothers, infants, children, adults and the elderly to remain healthy.A number of legislative changes have taken place since the NTPCDS to support changes toalcohol consumption and a reduction in child sexual abuse and its underlying causes. Proposedchanges to the 2003 Liquor Act and a new Antisocial Behaviour Act in 2005 will decrease thesupply of alcohol by regulating its sale, provision, promotion, and availability, while new dryareas, alcohol management plans and Alcohol Courts are designed for harm minimisation andreduction in demand (2) . Reporting of child sexual abuse is already mandatory under theCommunity Welfare Act, and the 2007 Wild/Anderson Inquiry into the Protection of AboriginalChildren from Sexual Abuse is in the process of canvassing other legislative, educational andremedial options (2) .In the lead-up to the PCDS, Weeramanthri suggested the development of „Intersectoral Taskforceon Primary Prevention‟ or an „Intersectoral Taskforce to Promote Wellness and Healthy Living‟ (75) .This body however, was never formed. The major body that was set up by the NT Governmentfor intersectoral action for healthy living was the NT Chronic Disease Network – a network ofcommunity and government bodies working with chronic diseases, supported by administrativestaff situated within the NTDH&CS.An evaluation of the Chronic Disease Network was undertaken in 2000, it noted that the CDNhad:Chapter 3: Progress Against PCDS Objectives – Evaluation of the NT Preventable Chronic Disease Strategy 2007 67
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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
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: The diabetes education teams at HLN
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
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? /
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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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