1. 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

2. 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.

3. 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

4. Methods OAMS strategySummaryElements of PHAMethod 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 workshops Small group training Understanding history, context & characteristics of the community Identify needs Collaborative approach Staff survey Identification of health needs Staff sessions and small group work Staff skills in data extraction and analysis. Multiple strategies Evidence-based decisions Staff survey Health of Our Community report developed by staff

5. 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 6

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 7 AH&MRC - ethics approval