Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation
Article first published online: 4 MAR 2008
© 2008 The Authors
Australian Journal of Rural Health
Volume 16, Issue 2, pages 67–74, April 2008
How to Cite
D'Abbs, P., Schmidt, B., Dougherty, K. and Senior, K. (2008), Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation. Australian Journal of Rural Health, 16: 67–74. doi: 10.1111/j.1440-1584.2008.00955.x
- Issue published online: 4 MAR 2008
- Article first published online: 4 MAR 2008
- Accepted for publication 20 December 2007.
- Aboriginal health;
- chronic disease strategy;
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 Cape York, 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.