S unrise Health Service Aboriginal Corporation Katherine NT

Sunrise Health Service
Aboriginal Corporation
Katherine NT
GOLDFIELDS
EAR HEALTH CONFERENCE
Kalgoorlie
30th April – 1st May 2009
E bin Tork, E bin Lern
Learning to Talk,Talking to Learn
The
Program
Fred McCONNEL
&
Robin McCONNEL
NORTHERN TERRITORY
Local Government Areas
Darwin
Katherine
Roper Gulf
Shire
SUNRISE HEALTH SERVICE
Operational area
Bulman
Werenbun
Menyallaluk
Katherine
Wugularr
Barunga
Ngukurr
Jilkminggan
Urapunga
Mataranka
Minyerri
Area 112.000 sq km
Population 3,500
AURAL HEALTH PROGRAM
•DALYs, burden of ear disease,
•‘Ear Disease related disability’
•Commencement – from Coordinated Care Trial
2002
•Funded by Honda Foundation – through Fred
Hollows foundation
•Program Outline
•Coordinator – role
•Evaluation
EARLY START PROJECT
Ian Thorpe’s Fountain for Youth
– Literacy Empowerment Project
•Early Start Project – October 2005
•Literacy, books and toys, community engagement
•Women’s Centres
•Health focus
•Coordinator, position requirements
•CBW, 3 communities (top road)
•Child minding service – book and toy monitors
NTER – the INTERVENTION
July 2007
Disclaimer
Phase 1
•Child Health Checks
•In house
•Ear examinations / accuracy
•Prevalence – AIHW
•Use of data
NTER – PHASE 2
Follow up
•Sunrise Follow-up system (in house)
•Reviews, referrals
•The Government review process
•Audiology, hearing hats
•School programs
•Effect on Aural Health Program
PHASE 3 – EHSDI
Enhanced Health Service Delivery Initiative
•Expanded Aural Health Program
•To incorporate Early Start
•From September 2008
•Public health approach – prevention of disability
EXPANDED AURAL HEALTH
PROGRAM
•Standard focus on primary prevention of ear disease
•Secondary prevention of disability from ear disease
•Tertiary – rehabilitation – prevention of deterioration
•Frustration!
•New focus – primary prevention of disability
•Community-wide program
•No harmful effects
•Early Words
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
METHOD – 2
•Coordinator / consultant
•Coordinators/facilitators
•Community Based Workers in clinic teams
•Training
•0ngoing supervision and development
•Monitoring and assessment
METHOD – 3
Language based activities
•In the Community
oWomen’s Centres – nutrition activities
oPhysical Activity / sports and recreation – dads
and kids
oParenting and Family Support
•In Health Centres
oAntenatal & Postnatal, Immunisation, waiting
rooms, specialists visits, Aural Health program
METHOD – 4
•Spoken Language in other programs
•Compatibility with LiTTLe Program
•Alliances and cooperation
MONITORING AND EVALUATION
Monitoring / Feedback / Training
•Spoken language transcripts/videos
Evaluation
•School entry language assessment
•I-AEDI
•Benchmarks
References
•
Zhao Y, Guthridge S, Magnus A, Vos T. Burden of disease and injury in Aboriginal and non-Aboriginal
•
populations 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
2004
•
Progress 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 2009
•
Morris 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/sfsccommunities_for_children.htm accessed march 2009
•
I-AEDI Adaptation Study http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 accessed March
2009