Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation

Peter D'Abbs, B Schmidt, K Dougherty, Kate Senior

    Research output: Contribution to journalArticle

    Abstract

    Objective: To test an evaluation framework designed to evaluate implementation of the North Queensland Indigenous communities between August and December 2005. Setting: Both communities are located in CapeYork, North Queensland. Community A has an estimated population of around 600 people; Community B has an enumerated population of 750, although health centre records indicate a higher number. Participants: Process evaluation involved health centre staff in both communities; clinical audits used random samples from the adult population (each sample n = 30); ethnographic fieldwork was conducted with resident population. Main outcome measures: Health centre scores and qualitative findings using a System Assessment Tool; clinical audits - extent to which scheduled services recorded; selected primary health performance indicators; qualitative ethnographic findings. Results: On almost all indicators, implementation of NQICDS had progressed further in Community A than in Community B; however, some common issues emerged, especially lack of linkages between health centres and other groups, and lack of support for client self-management. Conclusions: The evaluation framework is an effective and acceptable framework for monitoring implementation of the NQICDS at the primary health centre level. � 2008 The Authors Journal Compilation � 2008 National Rural Health Alliance Inc.
    Original languageEnglish
    Pages (from-to)67-74
    Number of pages8
    JournalAustralian Journal of Rural Health
    Volume16
    Issue number2
    Publication statusPublished - 2008

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