Sunrise Health Service

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Sunrise Health Service Aboriginal
Corporation Katherine NT
GOLDFIELDS EAR HEALTH CONFERENCE Kalgoorlie
30th April 1st May 2009
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E bin Tork, E bin Lern Learning to Talk,Talking
to Learn The Program
Fred McCONNEL Robin McCONNEL
www.sunrise.org.au
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NORTHERN TERRITORY Local Government Areas
Darwin
Katherine
Roper Gulf Shire
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SUNRISE HEALTH SERVICE Operational area
Bulman
Werenbun
Menyallaluk
Wugularr
Katherine
Barunga
Ngukurr
Jilkminggan
Urapunga
Mataranka
Minyerri
Area 112.000 sq km Population 3,500
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AURAL HEALTH PROGRAM

• 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

www.sunrise.org.au
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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

www.sunrise.org.au
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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

www.sunrise.org.au
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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

www.sunrise.org.au
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PHASE 3 EHSDI
Enhanced Health Service Delivery Initiative

• Expanded Aural Health Program
• To incorporate Early Start
• From September 2008
• Public health approach prevention of disability

www.sunrise.org.au
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EXPANDED AURAL HEALTH PROGRAM

• 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

www.sunrise.org.au
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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

www.sunrise.org.au
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METHOD 2

• Coordinator / consultant
• Coordinators/facilitators
• Community Based Workers in clinic teams
• Training
• 0ngoing supervision and development
• Monitoring and assessment

www.sunrise.org.au
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METHOD 3

• Language based activities
• In the Community
• Womens Centres nutrition activities
• Physical Activity / sports and recreation dads
  and kids
• Parenting and Family Support
• In Health Centres
• Antenatal Postnatal, Immunisation, waiting
  rooms, specialists visits, Aural Health program

www.sunrise.org.au
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METHOD 4

• Spoken Language in other programs
• Compatibility with LiTTLe Program
• Alliances and cooperation

www.sunrise.org.au
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MONITORING AND EVALUATION

• Monitoring / Feedback / Training
• Spoken language transcripts/videos
• Evaluation
• School entry language assessment
• I-AEDI
• Benchmarks

www.sunrise.org.au
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References

• 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/public
  ations/ihw/pnterchci/pnterchci.pdf accessed 22
  April 2009
• 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
• Communities for Children http//www.facsia.gov.au/
  internet/facsinternet.nsf/aboutfacs/programs/sfsc-
  communities_for_children.htm accessed march 2009
• I-AEDI Adaptation Study http//www.rch.org.au/aust
  ralianedi/com.cfm?doc_id12429 accessed March
  2009

www.sunrise.org.au