Evaluation of the Child Health Check Initiative and the Expanding Health Service Delivery Initiative Summary Report

Appendix A: Evaluation objectives

The Child Health Check Initiative (CHCI) and the Expanding Health Service Delivery Initiative (EHSDI) were designed to address the health needs of people living in remote Aboriginal communities in the Northern Territory (NT).

Page last updated: 10 June 2011

The CHCI evaluation objectives

The objective of the evaluation of the CHCI is to measure the implementation of the CHCI and its impact on and outcomes for the target population. The objectives of the evaluation are as follows:

  1. Assess the extent to which the child health checks reached the target population.

  2. Identify the prevalence and, if possible, the severity of the health conditions found through the child health checks and validate these findings with data from other sources.9

  3. Assess the extent to which requested primary care, allied health and specialist follow-up services have been received, gaps in existing health service delivery, and barriers to the completion of follow-up treatment.

  4. Explore the possibility of undertaking more complex evaluative analyses which could include questions about:
        • 4.1 whether the CHCI has led to improvements in health service delivery for Aboriginal and Torres Strait Islander children
          4.2 the health status of children in relation to the social determinants of health and access to comprehensive PHC
          4.3 treatment outcomes.

The EHSDI evaluation objectives

The EHSDI evaluation will achieve the following:
  1. Assess the impact and sustainability of the EHSDI on PHC service delivery and equitable distribution of resources. This will include measurement against indicators relating to the number, range, and accessibility of services compared with agreed standards for primary care across the NT.

  2. Assess the extent to which Aboriginal and Torres Strait Islander people were engaged and empowered to contribute to health service planning, governance and responsiveness of services.

  3. Assess the impact and sustainability of the RAHC on health workforce availability and flexibility in the NT. This will include measurement against indicators of workforce supply across all locations and the effectiveness of clinical governance structures.

  4. Assess the efficiency of the EHSDI and how well it has maximised health service delivery with the available funds.

  5. Assess the effectiveness of the EHSDI in achieving change in health status. This will include measurement against primary care related health indicators as developed through the NT AHKPIs project and the analysis of the NTER child health check program.

  6. Assess the impact of the regional reform process on10
  7. :
          6.1 efficient and effective operation of health services
          6.2 clinical governance, including quality of health services delivery
          6.3 information systems and planning capacity.

9 This objective has been largely addressed by the AIHW in the process of monitoring and reporting on the progress of the CHCI. For further reference see AIHW and DoHA (2009).

10The regional reform process has not progressed sufficiently to assess its impact on these matters. However, the evaluation does consider the impact of other aspects of the reform process on these matters.

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