Aboriginal Corporation Katherine NT GOLDFIELDS ear health conference Kalgoorlie 30 th April 1 st May 2009 E bin Tork E bin Lern L earning to T alk T alking ID: 526963
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Slide1
S
unrise Health ServiceAboriginal CorporationKatherine NT
GOLDFIELDS
ear health conference
Kalgoorlie
30
th
April – 1
st
May 2009Slide2
E bin
Tork, E bin
Lern
L
earning
to
T
alk,
T
alking to LearnThe Program
Fred McCONNEL&Robin McCONNEL
www.sunrise.org.auSlide3
NORTHERN TERRITORY
Local Government Areas
Katherine
Roper Gulf Shire
DarwinSlide4
Bulman
Wugularr
Barunga
Menyallalu
k
Werenbun
Mataranka
Jilkminggan
Minyerri
Ngukurr
Urapunga
Katherine
SUNRISE HEALTH SERVICE
Operational area
Area 112.000 sq km
Population 3,500Slide5
DALYs, burden of ear disease,
‘Ear Disease related disability’Commencement – from Coordinated Care Trial 2002
Funded by Honda Foundation – through Fred Hollows foundationProgram OutlineCoordinator – roleEvaluation
AURAL HEALTH PROGRAM
www.sunrise.org.auSlide6
EARLY START PROJECT
Ian Thorpe’s Fountain for Youth
– Literacy Empowerment Project
Early Start Project – October 2005Literacy, books and toys, community engagementWomen’s CentresHealth focus
Coordinator, position requirementsCBW, 3 communities (top road)Child minding service – book and toy monitors
www.sunrise.org.auSlide7
NTER – the INTERVENTION
July 2007
Disclaimer
Phase 1
Child Health Checks
In house Ear examinations / accuracyPrevalence – AIHW
Use of data
www.sunrise.org.auSlide8
NTER – PHASE 2
Follow up
Sunrise Follow-up system (in house)Reviews, referrals
The Government review processAudiology, hearing hatsSchool programsEffect on Aural Health Program
www.sunrise.org.auSlide9
PHASE 3 – EHSDI
Expanded Aural Health Program
To incorporate Early StartFrom September 2008Public health approach – prevention of disability
www.sunrise.org.au
Enhanced Health Service Delivery InitiativeSlide10
Standard focus on primary prevention of ear disease
Secondary prevention of disability from ear diseaseTertiary – rehabilitation – prevention of deterioration
Frustration!
New focus – primary prevention of disability
Community-wide programNo harmful effects
Early Words
www.sunrise.org.au
EXPANDED AURAL HEALTH PROGRAMSlide11
E bin
Tork, E bin Lern
Learning to Talk, Talking to Learn
The LiTTLe
Program
Community-wide
Spoken language program
Home language
Method - 1
Piggy back
www.sunrise.org.auSlide12
Coordinator / consultant
Coordinators/facilitatorsCommunity Based Workers in clinic teams
Training0ngoing supervision and development
Monitoring and assessment
METHOD – 2
www.sunrise.org.auSlide13
Language based activities
In the Community Women’s Centres – nutrition activities
Physical Activity / sports and recreation – dads and kidsParenting and Family Support
In Health CentresAntenatal & Postnatal, Immunisation, waiting rooms, specialists visits, Aural Health program
METHOD – 3
www.sunrise.org.auSlide14
Spoken Language in other programs
Compatibility with
LiTTLe Program
Alliances and cooperation
METHOD – 4
www.sunrise.org.auSlide15
Monitoring / Feedback / Training
Spoken language transcripts/videosEvaluationSchool entry language assessment
I-AEDIBenchmarks
www.sunrise.org.au
MONITORING AND EVALUATIONSlide16
Zhao Y, Guthridge S, Magnus A,
Vos T. Burden of disease and injury in Aboriginal and non-Aboriginalpopulations in the Northern Territory. MJA 180 May 2004. 498-502
Schwab RG, Sutherland D. Literacy for Life: a scoping study for a Literacy Empowerment Study. ANU 2004Progress of the Northern Territory Emergency Response Child Health Check Initiative: Australian Institute of Health and Welfare, Canberra Dec 2008 at
http://www.aihw.gov.au/publications/ihw/pnterchci/pnterchci.pdf accessed 22 April 2009Morris PS, et al. Otitis media in young Aboriginal children from remote communities in Northern and Central Australia: a cross-sectional survey.
BMC Pediatrics; 2005, 5(27):
Early words - A Western Sydney Aboriginal Early Literacy Project for Families. at
http://www.earlywords.info/aboriginal/index.html . accessed 12 Sept 2008
Communities for Children
http://www.facsia.gov.au/internet/facsinternet.nsf/aboutfacs/programs/sfsc-communities_for_children.htm
accessed march 2009
I-AEDI Adaptation Study
http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 accessed March 2009www.sunrise.org.auReferences