S unrise Health Service Aboriginal CorporationAboriginal Corporation Katherine NTKatherine NTGOLDFIELDS EAR HEALTH CONFERENCE Kalgoorlie 30 th April –

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  • S unrise Health Service Aboriginal CorporationAboriginal Corporation Katherine NTKatherine NTGOLDFIELDS EAR HEALTH CONFERENCE Kalgoorlie 30 th April 1 st May 2009
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  • E bin Tork, E bin Lern Learning to Talk,Talking to Learn The Program Fred McCONNEL & Robin McCONNEL
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  • NORTHERN TERRITORY Local Government Areas Katherine Roper Gulf Shire Darwin
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  • Bulman Wugularr Barunga Menyallaluk Werenbun Mataranka Jilkminggan Minyerri Ngukurr Urapunga Katherine SUNRISE HEALTH SERVICE Operational area Area 112.000 sq km Population 3,500
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  • 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 AURAL HEALTH PROGRAM
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  • EARLY START PROJECT Ian Thorpes Fountain for Youth Literacy Empowerment Project Early Start Project October 2005 Literacy, books and toys, community engagement Womens Centres Health focus Coordinator, position requirements CBW, 3 communities (top road) Child minding service book and toy monitors
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  • NTER the INTERVENTION July 2007 Disclaimer Phase 1 Child Health Checks In house Ear examinations / accuracy Prevalence AIHW Use of data
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  • 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
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  • PHASE 3 EHSDI Expanded Aural Health Program To incorporate Early Start From September 2008 Public health approach prevention of disability Enhanced Health Service Delivery Initiative
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  • 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 EXPANDED AURAL HEALTH PROGRAM
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  • 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
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  • Coordinator / consultant Coordinators/facilitators Community Based Workers in clinic teams Training 0ngoing supervision and development Monitoring and assessment METHOD 2
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  • Language based activities In the Community o Womens Centres nutrition activities o Physical Activity / sports and recreation dads and kids o Parenting and Family Support In Health Centres o Antenatal & Postnatal, Immunisation, waiting rooms, specialists visits, Aural Health program METHOD 3
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  • Spoken Language in other programs Compatibility with LiTTLe Program Alliances and cooperation METHOD 4
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  • Monitoring / Feedback / Training Spoken language transcripts/videos Evaluation School entry language assessment I-AEDI Benchmarks MONITORING AND EVALUATION
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  • 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 http://www.aihw.gov.au/publications/ihw/pnterchci/pnterchci.pdf 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 http://www.earlywords.info/aboriginal/index.html Communities for Children http://www.facsia.gov.au/internet/facsinternet.nsf/aboutfacs/programs/sfsc- communities_for_children.htm accessed march 2009http://www.facsia.gov.au/internet/facsinternet.nsf/aboutfacs/programs/sfsc- communities_for_children.htm I-AEDI Adaptation Study http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 accessed March 2009http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 References