This report is the final in a series of seven reports on the dental, audiology and ear, nose and throat (ENT) services funded by the Australian Government under the Northern Territory emergency response child health check initiative (NTER CHCI) and the Closing the gap in the Northern Territory national partnership agreement (CtG NT). Although open to all Aboriginal and Torres Strait Islander children under 16 years living in prescribed communities, these programs specifically targeted those who received referrals from their Child health check (CHC).
Based on the data collected, this report provides information on the extent of services provided, and the oral, ear and hearing health of children who received these services. The information in this report relates to dental and audiology services provided from August 2007 to 30 June 2012, and funded ENT consultations provided from August 2007 to December 2010 and ENT surgeries performed from 1 July 2009 to 31 December 2010.
The report was produced jointly by the Australian Government Department of Health and Ageing (DoHA) and the Australian Institute of Health and Welfare (AIHW).
Abstract adapted from the Australian Institute of Health and Welfare
This document reports on a study to investigate whether the use of swimming pools by school-age Indigenous children in remote semi-arid communities in central Australia results in the reduction and possible prevention of conductive hearing loss related to otitis media (OM) in these children.
Between 2009 - 2011, multiple clinical assessments of ear health and hearing - including Ear, nose and throat (ENT) diagnoses - were conducted on 813 school age children, which allow comparison of the results for children living in the four Anangu communities with a swimming pool compared to those living in the six communities without a pool. Many children were assessed on multiple occasions with 46% of the children being assessed on at least three of the possible six occasions over the three year study period (2107 child assessments in total).
The study's results demonstrate that access to swimming pools does not result in improvement in any of three principal measured indices of hearing or ear health. Additionally, in relation to the policy of 'no school, no pool', there is no evidence that access to a swimming pool results in improved school attendance. Further, results show previously undescribed seasonal differences in the prevalence of eardrum perforations in these Indigenous populations. Other results show significant associations between dry eardrum perforation and hearing loss and age.
This research report was funded by the Hearing Loss Prevention Program of the Department of Health and Ageing and conducted by Flinders University and its collaborating partner, the Anangu Education Service of the South Australian (SA) Department of Education and Child Development.
Abstract adapted from Flinders University
This manual was designed to support Aboriginal Health Workers (AHWs) who perform health checks in South Australia for Aboriginal people with chronic diseases.
It was developed to increase the number of health checks being performed, help AHWs while performing adult health checks, and increase the number of community members who will benefit from these checks.
It includes information on:
The resource was developed by the Aboriginal Health Council of South Australia in collaboration with the South Australian Aboriginal Community Controlled Health Services and Flinders Far North Division of General Practice.
Australian Indigenous HealthInfoNet abstract
This report presents data from the follow-up ear and hearing health services delivered through the Child health check initiative and the Closing the gap in the Northern Territory national partnership agreement. It details the ear and hearing status of the children who underwent the services and the audiology and ear, nose and throat services provided. The Australian Government-funded services were made available to children in prescribed areas of the Northern Territory from August 2007, the report provides information about the services delivered until May 2011.
Australian Indigenous HealthInfoNet abstract
The updated Recommendations for clinical care guidelines on the management of otitis media in Aboriginal and Torres Strait Islander populations builds on the 2001 guidelines using recent research and an explicit search and critical appraisal of the medical literature between 2001 and 2010. The original guidelines were directly linked to the Systematic review of existing evidence and primary care guidelines on the management of otitis media in Aboriginal and Torres Strait Islander populations.
The guidelines are intended for use by health care professionals who work with Aboriginal and Torres Strait Islander populations. This includes Aboriginal health workers, Aboriginal ear health workers, primary care and specialist physicians, nurses, remote nurses and nurse practitioners, audiologists, audiometrists, speech therapists, and child development specialists (including advisory visiting teachers and teachers of the deaf).
The clinical care guidelines are published by Office for Aboriginal and Torres Strait Islander Health (OATSIH) and were prepared by the Darwin Otitis Guidelines Group in collaboration with the OATSIH Otitis Media Technical Advisory Group. They are designed to facilitate the delivery of comprehensive, effective and appropriate ear health programs.
The clinical care guidelines are divided into sections: prevention, diagnosis, prognosis, medical management, audiological management of associated hearing loss, practical considerations in health care delivery, and prioritisation of primary health care services in different settings. They aim to offer a series of clear recommendations for the clinical care of Indigenous Australians that are:
The sources of information used include:
The following separate resources are also included:
Abstract adapted from Recommendations for clinical care guidelines on the management of otitis media in Aboriginal and Torres Strait Islander populations
This report is part of the commitment from the Queensland Government to reduce the high levels of ear disease among Indigenous Queensland children and Close the gap in ear health.
Australian Indigenous HealthInfoNet abstract
This manual provides information on the anatomy and function of the ear and preventive measures for ear problems. It details causes, types and effects of hearing loss together with common ear conditions. Diagrams and images are used to describe how to examine ears and algorithms for treatment strategies are provided.
Australian Indigenous HealthInfoNet abstract