1. S unrise Health Service Aboriginal CorporationAboriginal Corporation Katherine NTKatherine NTGOLDFIELDS EAR HEALTH CONFERENCE Kalgoorlie 30 th April – 1 st May 2009

2. E bin Tork, E bin Lern Learning to Talk,Talking to Learn The Program Fred McCONNEL & Robin McCONNEL

3. NORTHERN TERRITORY Local Government Areas Katherine Roper Gulf Shire Darwin

4. Bulman Wugularr Barunga Menyallaluk Werenbun Mataranka Jilkminggan Minyerri Ngukurr Urapunga Katherine SUNRISE HEALTH SERVICE Operational area Area 112.000 sq km Population 3,500

5. 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 AURAL HEALTH PROGRAM

6. EARLY START PROJECT Ian Thorpe’s Fountain for Youth – Literacy Empowerment Project Early Start Project – October 2005 Literacy, books and toys, community engagement Women’s Centres Health focus Coordinator, position requirements CBW, 3 communities (top road) Child minding service – book and toy monitors

7. NTER – the INTERVENTION July 2007 Disclaimer Phase 1 Child Health Checks In house Ear examinations / accuracy Prevalence – AIHW Use of data

8. 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

9. PHASE 3 – EHSDI Expanded Aural Health Program To incorporate Early Start From September 2008 Public health approach – prevention of disability Enhanced Health Service Delivery Initiative

10. 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 EXPANDED AURAL HEALTH PROGRAM

11. 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

12. Coordinator / consultant Coordinators/facilitators Community Based Workers in clinic teams Training 0ngoing supervision and development Monitoring and assessment METHOD – 2

13. Language based activities In the Community o Women’s Centres – nutrition activities o Physical Activity / sports and recreation – dads and kids o Parenting and Family Support In Health Centres o Antenatal & Postnatal, Immunisation, waiting rooms, specialists visits, Aural Health program METHOD – 3

14. Spoken Language in other programs Compatibility with LiTTLe Program Alliances and cooperation METHOD – 4

15. Monitoring / Feedback / Training Spoken language transcripts/videos Evaluation School entry language assessment I-AEDI Benchmarks MONITORING AND EVALUATION

16. 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/publications/ihw/pnterchci/pnterchci.pdf accessed 22 April 2009 http://www.aihw.gov.au/publications/ihw/pnterchci/pnterchci.pdf 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 http://www.earlywords.info/aboriginal/index.html Communities for Children http://www.facsia.gov.au/internet/facsinternet.nsf/aboutfacs/programs/sfsc- communities_for_children.htm accessed march 2009http://www.facsia.gov.au/internet/facsinternet.nsf/aboutfacs/programs/sfsc- communities_for_children.htm I-AEDI Adaptation Study http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 accessed March 2009http://www.rch.org.au/australianedi/com.cfm?doc_id=12429 References