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Central Australian Health Planning Study

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Central Australian Health Planning Study Central Australian Health Planning Study Final Report July 1997 PPllllll aannHHeeaallllll tthh PPttyy LLttdd Ben Bartlett, Pip Duncan, David Alexander, Jill Hardwick 31 Buttenshaw Drive, Coledale, NSW, 2515 Tel 02 4268 3357 Mobile 0419 851 049 FAX 02 4268 2985 Email [email protected] TABLE OF CONTENTS Figures (Including Maps & Tables)......................................................................................................................... 2 Preface...................................................................................................................................................................... 3 Glossary.................................................................................................................................................................... 4 Executive Summary ................................................................................................................................................. 5 Implementation of Central Australian Health Plan ............................................................................................... 7 Background to the Study ....................................................................................................................................... 19 Strategic Directions in National/ Territory Context ............................................................................................. 20 Commonwealth Policies.................................................................................................................................. 20 Northern Territory Policies............................................................................................................................. 23 Planning Processes................................................................................................................................................. 24 Steering Committee ......................................................................................................................................... 24 Regional Profile...................................................................................................................................................... 25 Definition of Regions....................................................................................................................................... 25 Population of Central Australia....................................................................................................................... 27 Out-station Categories ..................................................................................................................................... 28 Language Groups............................................................................................................................................. 29 Current Service Provision...................................................................................................................................... 38 Primary Health Care ....................................................................................................................................... 38 Hospital Services.............................................................................................................................................. 44 Proposed Models of PHC Service Delivery......................................................................................................... 49 Overview of Proposed Model ......................................................................................................................... 49 Health Service Zones ...................................................................................................................................... 49 Primary Health Care Services ......................................................................................................................... 51 Central Australian Indigenous Health Planning Forum. ............................................................................... 58 Gaps in PHC service delivery................................................................................................................................ 60 Health Resources and their Distribution........................................................................................................ 61 Needs Within Health Service Zones.............................................................................................................. 64 Priorities For Health Service Development ................................................................................................... 80 Other Need Identified..................................................................................................................................... 81 Issues in Service Development.............................................................................................................................. 82 Community Control of PHC Services............................................................................................................ 82 Health Care Service Delivery.......................................................................................................................... 85 Aboriginal Health Workers ............................................................................................................................ 90 Special (Preventive Health) Programs ............................................................................................................ 91 Bibliography........................................................................................................................................................... 97 Appendix 1............................................................................................................................................................. 99 Template for Data Collection ......................................................................................................................... 99 Appendix Two .....................................................................................................................................................100 Terms of Reference.......................................................................................................................................100 Appendix Three...................................................................................................................................................101 Steering Committee .......................................................................................................................................101 Appendix 4...........................................................................................................................................................102 Consultations Conducted ..............................................................................................................................102 Appendix 5...........................................................................................................................................................104 Community Health Service Profiles .............................................................................................................104 1. Central Australian Health Planning Study PPPlllllllllaaannnHHeeeaaalllllllllttttttttthhh PPPtttttttttyyy LLLtttttttttddd July, 1997 FIGURES (INCLUDING MMAPSAPS & TABLES) Figure 1: Diagrammatic Representation of the Workings of Central Australian Indigenous Health Planning Forum............................................................................................................................................................8 Figure 2: Funding Lines For Comprehensive Community-Based Primary Health Care. ................................................9 Figure 3: Map of Central Australia Showing Proposed Health Service Zones. ..............................................................10 Figure 4: NAHS Commonwealth Funding 1990-1995. ...................................................................................................20 Figure 5: Map of Australia showing the ATSIC Regions of Yapakurlangu, Alice Springs and Papunya.......................25 Figure 6: Out-station Categories........................................................................................................................................29 Figure 7: IAD Map Showing Current Distribution of Central Australian Languages.....................................................30 Figure 8: Percentage of Aboriginal population of Central Australia who receives PHC Services through various models of service delivery. ............................................................................................................................38 Figure 9: Hospitalisation Rates per 1000 Population......................................................................................................45 Figure 10: Alice Springs Hospital: Separations and Bed-days by Specialty and Aboriginality, 1995/96......................46 Figure 11: Alice Springs Hospital: Area of Residence of Patients by Health Service Zones, 1995/96........................46 Figure 12: Tennant Creek Hospital: Separations and Bed-days by Specialty and Aboriginality, 1995/96 ...................47 Figure 13: Tennant Creek Hospital: Area of Residence of Patients, 1995/96..............................................................48
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