school of rural health the development of a population health program in an aboriginal community...
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SCHOOL OF RURAL HEALTH
The Development of a Population Health program in an Aboriginal Community Controlled Health Service (ACCHS): Strategic approaches, lessons, and early outcomes
Tegan Edwards, Jamie Newman Catherine Hawke, Matt Day, Wendy Stevens
The Orange Aboriginal Medical Service (OAMS)
Aboriginal health
Means not just the physical well-being
of an individual but refers to the
social, emotional and cultural well-
being of the whole Community in
which each individual is able to
achieve their full potential as a human
being, thereby bringing about the
total well-being of their Community. It
is a whole-of-life view and includes the
cyclical concept of life-death-life.
A Population Health Approach (PHA)
Population focus
Understanding of the history, context and characteristics of the community
Identification of needs
Consideration of the determinants of health
Emphasis on promoting health and preventing disease as well as treating illness
Evidence based decision making
Multiple strategies
Collaborative approach
Evaluation and monitoring
Components:
http://www.naccho.org.au/about-us/naccho-members/
Declaration of Alma-Ata WHO 1978
Methods
OAMS strategy Summary Elements of PHA Method of evaluation
Strategic governance and leadership
Population Health Committee:• OAMS staff• WNSWLHD• Western Medicare Local • Universities• TAFE• Orange City Council
Population Focus Collaborative approach Identification of needs
Stakeholder survey Detailing of achievements
Build staff capacity in population health
Bi-monthly workshopsSmall group training
Understanding history, context & characteristics of the community Identify needs Collaborative approach
Staff survey
Identification of health needs
Staff sessions and small group workStaff skills in data extraction and analysis.
Multiple strategies Evidence-based decisions
Staff survey Health of Our Community report developed by staff
Staff opportunity to provide input
Unsure of next steps
Initiatives identified
Understanding of population health
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Agree neutral disagree
% of staff
Results of the Staff Survey
6
Early results of the PHA
District Aboriginal health worker forum
Governance training for OAMS board.
NSW Cancer Council funding for a district tobacco coordinator
Health of the Community report
7
Acknowledgements:
Thank You:
OAMS staff
Western NSW LHD
Western Medicare local
Western TAFE
University of Western Sydney
UK Faculty of Public Health
South Eastern Sydney LHD
AH&MRC - ethics approval