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Current projects
Evaluation of the Child Health Check Initiative and Expanding Health Services Delivery Initiative
Welcome
to the home page for the CHCI and EHSDI evaluation. This page outlines
the evaluation and will be frequently updated with newsletters and reports
as the evaluation progresses.
On this page you can find out about:
- The background to the CHCI
and EHSDI
- The background to the evaluation
- The approach to the evaluation
- The Allen & Clarke
evaluation team
- Further information including
links to: evaluation questions and answers, evaluation reports, our
newsletter and to other relevant websites
Background to CHCI and EHSDI
In June 2007, the Northern
Territory Emergency Response, or NTER, was implemented in response to
the report of the Northern Territory Board of Inquiry into the Protection
of Aboriginal Children from Sexual Abuse, commonly known as Little
Children are Sacred report. The NTER comprises a range of initiatives,
of which CHCI and EHSDI are part.
The CHCI was one of
the first NTER initiatives put in place. It rolled out from July 2007,
providing health checks and follow-up services for Aboriginal and Torres
Strait Islander children less than 16 years of age, living in the remote
communities covered by the NTER. The program was due to be completed
by 30 June 2009, however hearing and ear, nose and throat (ENT) follow-up
services will now be provided for one additional year and dental follow-up
services will now continue for another three years.
EHSDI officially began
on 1 July 2008, and is currently funded until 2011-12. EHSDI aims to
expand health services and support sustainable improvements in the delivery
of health services.
EHSDI has five component
parts working to achieve its objectives and goals:
- Expanded primary health
care services
- The Remote Area Health Corps
(RAHC)
- Development of regions (regionalisation)
and move towards community control of health services
- Capital and infrastructure
- Evaluation
Background to the evaluation
The evaluation of the
CHCI will be summative, and will focus on the impacts of the Child Health
Checks (CHCs) in terms of coverage, diagnosis of health conditions,
effectiveness of follow-up services, and impacts on service delivery,
health status and treatment. The evaluation will consider implementation
issues, such as how the health checks were run in different communities,
and what else was happening in these communities (before and during
the implementation of CHCs).
As EHSDI is a relatively
recent initiative and is only at an early stage of implementation, the
evaluation for this will be formative. It will focus on capturing program
information that can be shared with those responsible for implementing
EHSDI to improve and enhance the development and implementation of the
initiative. Further information about these two approaches to the evaluation
is covered in the evaluation plan, or Evaluation Design Report (EDR),
which can be accessed here.
The overarching purpose of the evaluation
is to examine the performance of the CHCI and EHSDI in relation to their:
- Effectiveness to improve
the health of the remote Aboriginal and Torres Strait Islander people(s)
in the (NT);
- Efficiency to deliver
the services in a cost-effective manner; and
- Appropriateness to make
sure the right services are delivered in the right way to the target
population in a timely manner and in accordance with Australian Government
priorities and policy.
The specific evaluation objectives
for both the CHCI and EHSDI can be viewed here. Further detail regarding
each objective, the evaluation questions, data sources and methods are
described in the EDR.
Approach to the evaluation
The evaluation will include both qualitative
and quantitative methods. The complexity of both the evaluation and
data sources requires the use of multiple methods. These include:
- Analyzing existing data
collections
- Conducting key informant
interviews with those at various levels commonwealth, territory,
regional and community
- Conducting case studies
in five remote Aboriginal communities and regions
- Carrying out a review of
key documents
Evaluation team
The core team working
on the evaluation includes:
- David Clarke (Project manager)
David worked for
the New Zealand Ministry of Health for 12 years before co-founding
Allen & Clarke in 2001. Since 2001, David has worked on
and managed projects for clients in New Zealand, the Pacific, South East
Asia, Africa, Eastern Europe, and the Caribbean.
- Prof Don Matheson (Principal
consultant)
Don has played
a major role over the last 25 years in establishing community and indigenous
controlled Primary Health Care Services in both urban and rural areas.
His experience relevant to the Australian context includes a short period
as a locum general practitioner in Walgett, New South Wales and more
recently as the New Zealand representative on the Australian Population
Health Development Principal Committee.
- Dr Elizabeth McDonald (NT
evaluation and health service specialist)
Liz is a registered
nurse and midwife and she has more than twenty years working in primary
health care in the Northern Territory, Far West New South Wales and
overseas. For the past 6 years Liz s research has focused on
remote Aboriginal community child health, hygiene, housing and environmental
health issues. Liz works for the Menzies School of Health Research in
Darwin.
- A/Prof Barry Borman (Epidemiologist)
Barry has broad
experience in the establishment and maintenance of health surveillance
systems, the monitoring of public health status, health needs assessment,
health surveys and the use of information for policy development and
decision-making in the health sector. Barry s current role is Research
and Adjunct Associate Professor for the University of Canterbury, and
Honorary Research Fellow, Department of Public Health, University of
Otago/Wellington.
- Dr John Marwick (Health
workforce specialist)
John is a health
policy consultant and practising general medical practitioner. He recently
left his position as the inaugural manager of the health workforce team
in the strategic policy directorate of the New Zealand Ministry of Health
in order to set up his own consultancy company.
- Dr
Jackie Cumming (Health economist)
Jackie is the Director
of the Victoria University of Wellington Health Services Research Centre.
Jackie previously worked for a number of New Zealand government departments
and agencies, including the Public Health Commission and the Department/Ministry
of Health. Jackie s PhD in Public Policy focused on the theory and
practice of defining core health services.
- Ned Hardie-Boys (Evaluation
specialist)
Ned s experience
covers evaluation management and design, through to undertaking fieldwork,
analysis and reporting. He has recently worked on two projects
for the New Zealand Ministry of Health to develop and consult on options
for a health support service for people exposed to dioxin.
Cat has been involved
with a range of public health and general policy projects at Allen &
Clarke, including the completion of a nationwide Alcohol and Drug Services
stocktake. Catherine has strong analytical and written skills which
will be utilized in the write up of the reports.
We also have a
team of advisors that provide their expertise on issues when required,
as we progress through the evaluation.
ATTACHMENTS
LINKS
CONTACT US
The Project Manager,
David Clarke can be contacted:
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