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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 Barnes (Analyst)

    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.

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CONTACT US

    The Project Manager, David Clarke can be contacted:

    Telephone: +64 4 890 7302

    Mobile: +64 275 99 0002