Mid North Coast Local Health District
Mid North Coast Local Health DistrictAboriginal Health Plan 2019-2023
Table of ContentsAcknowledgement of CountryDefinition of Aboriginal HealthAcknowledgement of Country2We acknowledge the traditional custodiansof the land covered by the Mid North CoastLocal Health District, the Birpai, Dunghutti,Gumbaynggirr and Nganyaywana Nations.Aboriginal Health means not just the physicalwellbeing of an individual but refers to the social,emotional and cultural well-being of the wholecommunity in which each individual is able toachieve their full potential as a human being,thereby bringing about the total well-being of theirCommunity. It is a whole-of-life view and includesthe cyclical concept of life-death-life. Health careservices should strive to achieve the state whereevery individual is able to achieve their full potentialas a human being and thus bring about the totalwell-being of their community.Definition of Aboriginal Health2Foreword4MNCLHD Aboriginal Health Statement of Commitment5Introduction6Background6Population Health Outcomes and Our Performance8Policy Context9National Aboriginal Health Strategy, 1989NB: Within NSW Health, the term ‘Aboriginal’ isgenerally used in preference to ‘Aboriginal and TorresStrait Islander’, in recognition that Aboriginal peopleare the original inhabitants of NSW. Throughoutthis document, the word ‘Aboriginal’ will be used torepresent Aboriginal and Torres Strait Islanderpeople.Further copies of the Mid North Coast AboriginalHealth Plan 2019-2023 can be obtained bycontacting the:MNCLHD Aboriginal Health Plan – Overview10MNCLHD Aboriginal Health Strategy Map11Core Strategy: Providing services that improve the health and wellbeing ofAboriginal people12Strategic Direction 1: Building trust through partnerships14Strategic Direction 2: Implementing what Works and Building Evidence16Strategic Direction 3: Ensuring integrated service planning and delivery18Strategic Direction 4: Strengthening Aboriginal Workforce20Strategic Direction 5: Providing culturally competent work environmentand health services22Strategic Direction 6: Strengthen performance monitoring, managementand accountability24Implementation26Monitoring and Evaluation of the Aboriginal Health Plan26Reporting on the Aboriginal Health Plan26Appendix 1: Key Partnership Organisations27Appendix 2: Glossary of Terms28Appendix 3: Strategic Links30MNCLHD Aboriginal Health Strategy UnitPO Box 126Port Macquarie NSW 2444T (02) 6589 2140Artwork by Gumbaynggirr Artist Brentyn Lugnan23
ForewordThe Mid North Coast Local Health District (MNCLHD)Aboriginal Health Plan 2019-2023 demonstratesthe ongoing commitment of the District to close thegap in health outcomes and life expectancy betweenAboriginal people and other Australians, and ensureit remains closed.It is important to recognise the significantcontribution made by all partners across theMid North Coast in improving health outcomesfor Aboriginal people. Key achievements haveincluded: collaborative administration of publichealth programs and other projects; increasedemployment and development of Aboriginal staff;more transparent reporting systems, and; theestablishment of a formal partnership agreement(Mid North Coast Aboriginal Health Accord) betweenthe Aboriginal Medical Services (AMS), North CoastPrimary Health Network (NCPHN) and the Mid NorthCoast Local Health District.The new MNCLHD Aboriginal Health Plan aims tobuild on and further strengthen the work we do withour partners to continue to work towards achievingbetter health outcomes for Aboriginal people andAboriginal communities.MNCLHD Aboriginal Health Statement of CommitmentWe see the importance of listening to andcollaborating with Aboriginal healthcare consumersand carers as we embark on this journey towardsempowering Aboriginal people to take control oftheir health and wellbeing. At the same time, weaim to instil deeper cultural respect and safetyacross our organisation to ensure our services aresafe, effective and appropriately delivered to allAboriginal people who need to access them.Our vision is for Optimal health and wellbeing forAboriginal people of the Mid North Coast. ThisAboriginal Health Plan is our future Blueprintwhere we work in collaboration with Aboriginalcommunities to achieve equitable outcomes forAboriginal people.The MNCLHD has established a Statement ofCommitment that pledges to ensure a respectful,accessible and safe health system for Aboriginalpeople on the Mid North Coast and shapes ourpriorities to achieve outcomes and improvehealthcare experiences for Aboriginal people.Through this plan we look forward to seeingstronger achievements and outcomes in AboriginalHealth across the Mid North Coast.David KennedyStewart DowrickOn behalf of the MNCLHD Governing BoardChief Executive – MNCLHDMid North Coast Local Health District acknowledgesAboriginal peoples as the First Nations of Australiaand the traditional owners and custodians of the land.We commit to applying the following principles ineverything we do:We also acknowledge and regret the wrongs ofhistorical policies and actions that negativelyimpacted Aboriginal peoples in the past and weacknowledge the continued impact on Aboriginalpeople in our communities.We recognise the cultural values and traditionsof Aboriginal communities. We value the uniquecontribution of our Aboriginal staff and all ourservices are culturally appropriate.By acknowledging past wrongs and workingtogether to build strong relationships, we hope tocreate a healthier, more respectful and effectivehealth service that provides for community needsand closes the gap between Aboriginal and nonAboriginal health and social outcomes.We recognise that sections of the Aboriginalcommunity experience poor healthcare outcomescompared to non-Aboriginal people and we strive to‘close the gap’.Every family and community has their own storyand we are committed to working together withAboriginal people and communities to ensure thatfuture stories are positive.We aim to: Create positive and honest relationships withAboriginal people in our communities whichfocus on improving health outcomes, with theunderstanding that this will lead to greaterquality of life for Aboriginal people. Provide a health system that Aboriginal peoplefind readily accessible and culturally safe. Support Aboriginal people to build resilience,capacity and self-determination.Valuing Aboriginal CultureEquity in HealthcareHolistic ApproachesWe acknowledge that Aboriginal Healthencompasses not just the physical wellbeingof an individual but the social, emotional andcultural well-being of individuals, families and thecommunity.Real Community EngagementThe voice of Aboriginal people is at the centre ofeverything we do, and anything we do, we do withAboriginal people and not to Aboriginal people. Weinvolve Aboriginal people as early as possible inplanning, designing, implementing and evaluatingour services.Genuine PartnershipsWe plan, collaborate and work with our partners tomeet the needs of Aboriginal communities and weensure we complement and not duplicate servicesand programs. We engage as early as possible withour partners to plan and respond to the needs of ourAboriginal communities.Strong LeadershipThe District’s senior leadership is committed toand prioritises ‘Closing the Gap’. All our leadersmodel cultural competence and are committed tochampioning the delivery of culturally safe servicesand work environments for Aboriginal people.45
Based on the 2016 Census, Mid North Coast is hometo 12,082 Aboriginal and Torres Strait Islanderpeople, or 5.7% of the total Mid North CoastIntroductionpopulation. This is an increase compared to the2011 Census.Table 1: Aboriginal Population of MNCLHD by Local Government Area, 2016The Mid North Coast Local Health District AboriginalHealth Plan (The Plan) replaces the Mid North CoastAboriginal Health Partnership Plan 2014-2018.The Plan has been developed with oversight by anAboriginal Health Plan Working Committee withmembership comprising representatives from LocalAboriginal Medical Services, North Coast PrimaryHealth Network, MNCLHD Governing Board, SeniorExecutive Team, MNCLHD Aboriginal Health Teamand Aboriginal Health staff.This commitment is articulated in the MNCLHDAboriginal Health Statement of Commitment, whichaims to ensure the MNCLHD continues to evolve asa culturally respectful, safe and secure Local HealthDistrict for Aboriginal people.Throughout 2018, all staff across the MNCLHDhave had opportunity to provide input regardingkey issues, challenges and opportunities for makinga difference in Aboriginal Health. The issues andchallenges submitted reflected the followingMNCLHD covers an area of 11,335 square kilometres,extending from the Port Macquarie Hastings LocalGovernment Area in the South to Coffs HarbourLocal Government Area in the North. The traditionalcustodians of the land covered by the MNCLHDare the Gumbaynggirr (from south of Grafton tojust south of Macksville), Dunghutti (from south ofMacksville to half way between Kempsey and PortMacquarie), Birpai (Port Macquarie-Hastings area),and Nganyaywana (south-east region of the Newthemes:England Tablelands) nations (Figure 1). Workforce developmentConsumer and Community EngagementWorking with our partnersService Delivery and Burden of DiseaseSystemic Social DisadvantageCommunication, Information and Data (includingresearch and %11.1%Port CLHD ot stated44811,335Coffs Harbour3,643NambuccaLGABellingenIn the 2016 Census: The largest number of Aboriginal people wereaged 0-14 years. The 0-14-year age group accounted for 35.5% ofthe total Aboriginal population. Of the total 65 population for MNCLHD 1.3%were Aboriginal, significantly less than the nonAboriginal group.The demographic information suggests thatthe MNCLHD needs to invest in programs thatfocus on child and family services and youngerpeople, as well as prevention and management ofchronic disease across the life span to improve lifeexpectancy.Figure 2: MNCLHD Population by age ,Aboriginality and sexIn addition, in preparing for this plan we reviewedall the relevant data relating to Aboriginal healthneeds and performance of the Local Health Districtin terms of closing the gap initiatives. Thatinformation has informed the development of thisplan.BackgroundIn Australia, Aboriginal and Torres Strait Islanderpeople die at a much younger age than nonAboriginal people and during their lifetime are morelikely to experience poor physical and mental health.Urgent attention is required to close this gap in lifeexpectancy and health outcomes. This disadvantagestems from historic policies and actions whichremoved the rights and dignity of many first nationspeoples, as well as their traditional ways of livingand healing.MNCLHD is committed to improving the health ofAboriginal people and communities it serves andto improving the way in which health services aredelivered to Aboriginal people.%NonAboriginalFigure 1: The Traditional Custodians of Lands in theMNCLHD11Disclaimer: This map indicates only the general location of largergroupings of people, which may include smaller groups such asclans, dialects or individual languages in a group. The boundariesare not intended to be exact. This map is not suitable for use innative title or other land claims.7
Population Health Outcomes and our PerformanceBased on Key Performance Indicators (KPIs) thathighlight the outcomes achieved in terms of‘Closing the Gap’, the following achievements andopportunities for further improvement are noted.The Aboriginal Health Plan will aim to buildOur achievements in closing the gap overtime include Reporting of Aboriginality has improved Continuing to reduce unplanned readmissionsto a level well below the rates for nonAboriginal people Improving community follow-up for mentalhealth patients within seven days followingdischarge from hospital Continuing to increase the rate of public dentalactivity Continuing to improve BreastScreenparticipation rates for Aboriginal women Immunisation rates at five years of ageincreasing Exceeding Respecting the Difference eLearningcompletion target well ahead of schedule Continued progress in smoking cessation insecond half of pregnancyon the achievements and ensure a focus on theopportunities for improvement. This informationhas been sourced from NSW Aboriginal HealthDashboard (2019) and Health Stats NSW.Main opportunities for improvement include Decreasing the rate of Aboriginal inpatientswho are discharged against advice Decreasing numbers of Aboriginal motherssmoking during pregnancy Increasing the Aboriginal workforce of the LHD Reducing numbers of low birth-weight babies Ensuring access to ante-natal care before 14weeks for Aboriginal women Rate of hospitalisation for Aboriginal peopleis higher than non-Aboriginal people across anumber of chronic illnessesPolicy ContextMNCLHD has a long-standing commitment toimproving health outcomes for Aboriginal people,with a focus on intensifying efforts to embed amulti-strategic and whole of organisation approachto closing the gap and meeting the health needs ofthe whole community.MNCLHD will continue to work in partnershipand collaboration with Aboriginal communitiesand Aboriginal Community-Controlled HealthOrganisations.MNCLHD recognises the strategic intent andpolicy directions of the NSW Aboriginal HealthPlan 2013-2023 (2012), which sets the strategicbackground for all NSW Local Health Districts todevelop local plans that address local issues andchallenges to achieve improvements in AboriginalHealth outcomes and ‘Close the Gap’.The MNCLHD Aboriginal Health Plan aligns withthe NSW Aboriginal Health Plan 2013-2023, alongwith a range of other district and state strategicdocuments, including: NSW 2021: A Plan to Make NSW Number One(2011) Respecting the Difference (Aboriginal CulturalTraining Framework) The NSW Aboriginal Health PartnershipAgreement Closing the Gap – 2018 Review and The NextPhase Refresh Cultural Respect Framework for Aboriginal andTorres Strait Islander Health 2016-2026 The National Partnership Agreement on Closingthe Gap in Indigenous Health Outcomes (Closingthe Gap) The National Partnership Agreement on Closingthe Gap 2019-2029 National Safety and Quality Health ServicesStandards MNCLHD Service Agreement with NSW Health MNCLHD Strategic Directions 2017-2021 MNCLHD Clinical Services Plan 2018-2022 MNCLHD Aboriginal Health Workforce Plan 20172020 MNCLHD Aboriginal Workforce Affirmative ActionStrategy Mid North Coast Aboriginal Health AuthorityAboriginal Cultural Safety and SecurityFramework, 2019
MNCLHD Aboriginal Health Plan – OverviewMNCLHD Aboriginal Health Strategy MapThe purpose of the MNCLHD Aboriginal HealthPlan is to set strategic directions to reduce the gapin health outcomes for Aboriginal people whencompared to non-Aboriginal people. It will guideall activities conducted within MNCLHD that mayimpact on Aboriginal people.Our Vision:Optimal health and wellbeing for Aboriginal people of the MidNorth CoastOur Purpose:To achieve our vision, we will deliver appropriate, effective andaccessible health services and information that meet the healthneeds of the Aboriginal population of the Mid North Coast inways that align with our Statement of CommitmentOur PrinciplesValuing Aboriginal Culture - Equity in Healthcare - HolisticApproaches - Real Community Engagement - GenuinePartnerships - Strong LeadershipOn the following page, our strategy map providesa high level summary of this plan. It includes ourvision, purpose and summary of the key principlesoutlined in the Mid North Coast Aboriginal HealthStatement of Commitment (see page 5 for fulldetails).In addition, the strategy map lays out the one corestrategy and six strategic directions that provide theframework for this plan. As can be seen in the map,the six strategic directions underpin and supportachievement of the core strategy, and together allcontribute to achievement of our purpose and vision.More detail on the core strategy and strategicdirections is provided on following pages, includingthe rationale and overarching measures of success,along with a table outlining focus areas and a setof strategic initiatives to be actioned over the fiveyears of the plan. These detailed sections alsooutline the senior MNCLHD personnel responsiblefor addressing the plan (leads and others with ashared responsibility), and specific KPIs and successmeasures applicable to each focus area within thatstrategy / strategic direction.As this plan is implemented, all staff involved willbe guided by the principles set out in the Statementof Commitment and summarised within the StrategyMap. In addition, and closely aligned to thoseprinciples, staff will, as always, adhere to our corevalues, summarised below. Further information onimplementation, monitoring and evaluation of theplan is available on page 26.The core strategy and each strategic direction hasan accompanying objective that describes in simpleterms what we aim to achieve in that area.MNCLHD ValuesOur values are a statement of the standards and behaviours we model in our work and how weinteract with our patients, our community and amongst ourselves. These values are consistentwith the CORE values of the NSW Health system.Collaboration – Improving health status and healthcare depends on everyone in the system workingas a team. In Aboriginal Health, this requires a commitment to partnership, Aboriginal empowerment,community autonomy and inter-sectoral collaboration.Openness – Transparent system improvement processes are essential to make sure that information isopen, relevant and available.Respect – The respect for and understanding of Aboriginal culture, history and people is fundamental toachieving better outcomes. We recognise the role of Aboriginal elders as leaders in the community. Wealso recognise that engaging Aboriginal organisations and community groups is integral to improvinghealth. We acknowledge and respect Aboriginal people as the traditional owners of the land.Empowerment – We must build trust on all sides and at all levels with Aboriginal people and thecommunity. In Aboriginal health, empowerment is fundamental to ‘Closing the Gap’, building communitycapacity, supporting Aboriginal community services and ensuring culturally competent models of care.In delivering on this plan, we will always apply these principlesCore Strategy: Providing services that improve the health and wellbeing ofAboriginal peopleObjective: The health of Aboriginal people in our region equals that of non-Aboriginal people.SD1:Building TrustThroughPartnershipsObjective:We have strongand effectivepartnerships withAboriginal people,communitiesand partnerorganisations andwork together todevelop priorities,plan, deliver andevaluate servicesSD2:SD3:ImplementingEnsuringwhat Works and Integrated ServiceBuilding EvidencePlanning originalWorkforceSD5:ProvidingCulturallyCompetent WorkEnvironment andHealth ServicesObjective:Objective:Our services areWe reduce gaps and We attract, developbased on evidence duplication of care,and sustain moreof what works andour services are ofAboriginal peoplewe contribute tohigh quality andworking acrosscontinually building ensure Aboriginalall sections of thethe evidencepeople are at theMNCLHDcentre of theirhealth care journeyAboriginalconsumers,communitiesand employeesalways experienceour servicesas welcoming,culturally safe andsecureSD6: Strengthen Performance Monitoring, Management and AccountabilityObjective: We are fully accountable for the services and outcomes we deliver to Aboriginal peopleand have effective ways of monitoring, managing and reporting1011
Core Strategy:Providing services that improve the health andwellbeing of Aboriginal people#Focus AreasStrategic InitiativesObjective: The health ofRationale: Our visionAboriginal people in our regionis improving and approachingor equals that of non-Aboriginalpeople.requires us to achieve the bestpossible health for Aboriginalpeople in our region, and thisrequires us to deliver the bestpossible health services toachieve this goal.Responsibility(Lead in Bold)Whole of ObjectiveSuccess Measures: Gaps in health status arereduced.KPIs and Success measureCore 1Promoting health &wellbeingWork with our Aboriginal communities and partners to promote healthand wellbeing including: Targeting priority areas: Childhood Obesity Smoking cessation Physical activity Mental Health Joint programs and services to address broader social determinantsimpacting health (eg Housing for Health) Immunisation and other population health programs Other Health Promotion ProgramsDAH&PPDPHDMH&ICNCCCN/ GM CHHCGM PMBH/ HMCNC Number of Aboriginal-specific or Aboriginal-targeted prevention programsdeveloped, implemented and evaluated Reduced Smoking During Pregnancy - At any time (%) Increase in Pregnant Women Quitting Smoking - By second half of pregnancy (%) Reduce rate of tobacco use in Aboriginal population Increase recording of height and weight of Aboriginal children presenting tohealth services Maintain or improve Immunisation rates for Aboriginal peopleCore 2Early detection andinterventionMaintain and enhance programs and services that focus on identifyingand responding to emerging heath issues, including: Chronic disease screening programs Women’s health, breast screening Men’s health Maternal and infant health Child and family health OtherNCCCN/ GM CHHCGM PMBH/ HMCNCDPHDMH&IC Core 3Vulnerable populations Work with partners to implement evidence-based models of care andinterventions to address the needs of specific vulnerable populations inthe Aboriginal community, such as: Enhance referrals and access by Aboriginal people to alcohol and otherdrug services Improve access and delivery of Mental Health services for Aboriginalpeople Strategies to support vulnerable Aboriginal children and families suchas child protection and Out of Home Care (OOHC) (aligned with TheirFutures Matter reform) Aged care, palliative care, end of life care Collaborate with key stakeholders to implement Aboriginal FamilyHealth Strategy: Responding to Family violence in AboriginalcommunitiesDMH&ICGM PMBH/ HMCNCNCCCN/ GM CHHC Increase numbers of Aboriginal people accessing D&A Services Increase percentage of Mental Health clients followed up in the community within7 days Decrease Aboriginal children in Out of Home Care 100% of Aboriginal children in OOHC complete a primary health assessment Increased Advanced Care Directives in place for Aboriginal people Increased Domestic Violence (DV) Routine Screens conducted (%) on Aboriginalpeople Aboriginal Family Health Strategy implementedCore 4Effective treatmentservicesGM PMBH/ HMCNCNCCCN/ GM CHHCDPHDAH&PPDMH&IC Health Pathways are in place for Aboriginal people accessing these services Increase volume and timeliness for planned paediatric otitis media procedures forAboriginal children 0-15 Decrease unplanned hospital admissions for Aboriginal people Increase timely access to cataract surgery for Aboriginal people Increase number of Aboriginal people initiating Hep C anti-viral treatment Increase proportion of all STI-related occasions of service at public sexual healthservices that are provided to Aboriginal people Increase proportion of all public dental activity that was provided to peopleidentified as Aboriginal Decrease proportion of Aboriginal babies weighing less than 2500g at birth - MNCTarget: 4%12Clinical services develop and implement models of care suitable forAboriginal people (see also SD3). Specific areas include: Renal services Maternity Services Sexual health services Oral health Chronic care Surgical care Emergency Department Cancer services Outpatient specialist services (eg ENT and Gynaecology)Increase Aboriginal women accessing antenatal care before 14 weeksIncrease Aboriginal women breastfeeding on discharge from hospitalIncrease Breastscreen rate for Aboriginal womenIncrease TB screening and vaccination ratesIncrease in early detection of renal disease in Aboriginal people13
Strategic Direction 1:Building trust through partnerships#14Focus AreasStrategic InitiativesObjective:Rationale:We have strong and effectivepartnerships with Aboriginalpeople, communities and partnerorganisations and work togetherto develop priorities, plan, deliverand evaluate services.To achieve the best possiblehealth outcomes, and to rightpast wrongs, requires us toempower Aboriginal peopleand communities and to ensurewe listen to and are guided bytheir needs, experiences andknowledge. It also requires allparts of the health system to worktogether.Responsibility(Lead in Bold)Whole of ObjectiveSuccess Measures: Our partners value ourpartnerships and actively workwith us. Joint initiatives successfullyplanned implemented andevaluated. Increased levels ofengagement and involvementof Aboriginal people in forums,committees, projects andservice delivery.KPIs and Success measure1.1Strategic partnerships withkey health providers in theregionContinue to strengthen partnerships with Aboriginal communities,ACCHOs and the Primary Health Network through: Regular meetings of the Mid North Coast Aboriginal HealthAuthority Annual action plan addressing agreed priorities Co-commissioningDAH&PPCEMNCAHASET Partnership survey results Plans developed, implemented, reviewed annually Evidence of co-commissioning1.2Service delivery partnershipsEvolve and implement mechanisms for forming and maintainingpartnerships with Aboriginal communities and organisations at theoperational level through: Regular Clinical Network partnership meetings Aboriginal representation on governance committees andengagement forums (including capital works) Joint projects, services and action plansNCCCN/ GM CHHCGM PMBH/ HMCNCDAH&PPDPHDMH&IC 1.3Cross-sectoral collaborationLead or co-host cross-agency and cross-sector forums that includekey Aboriginal consumers, government and non-governmentorganisations and other agencies such as: Aboriginal health symposium Closing the Gap Forum Cross-agency initiatives/projectsDAH&PPMNCAHASET Partner survey results Symposia and forums held Evidence of cross-agency initiatives/projects conducted and evaluated1.4Data SharingStrengthen and expand the sharing and use of data with ourpartners to support joint planning, service co-design and programevaluations through: Data sharing agreements Joint KPIs Updated MNC Aboriginal health profile Data linkage projects Data sharing and data linkage agreements in placeDCG&ISNCCCN/ GM CHHC Evidence of data sharing / linkage occurring and contributing to planning andevaluationGM PMBH/ HMCNCDAH&PPDPUDMH&ICOperational models partnership demonstratedPlans developed, implemented, reviewed annuallyEvidence of joint projects and services implemented and evaluatedIncrease proportion of local committees including Aboriginal representation15
Strategic Direction 2:Implementing what Works and Building EvidenceObjective: Our services arebased on evidence of what worksand we contribute to continuallybuilding the evidence.Rationale: There has beenconsiderable research conductedrelating to Aboriginal health,although many gaps in knowledgeremain. Health disparities andsocial inequities, along withcultural needs, require specificapproaches and understanding.#16Focus AreasStrategic InitiativesResponsibility(Lead in Bold)It is therefore important toengage and empower Aboriginalpeople to participate inresearch that informs ongoingimprovements to health andhealth care. By building theevidence we can focus futureinvestments on services andprograms that are known to beeffective.Whole of ObjectiveSuccess Measures: Service and program plans aredeveloped based on existingevidence. Increasing involvementof Aboriginal staff andcommunities in evaluation andresearch. Research and evaluationssuccessfully undertaken,published and shared.KPIs and Success measure2.1Using existing evidenceDevelop mechanisms to consolidate and share knowledge fromexisting research and evaluations with both clinical and policystaff in ACCHSs and MNCLHD. Use this evidence to support servicesand agencies to build planning and program development through: Research Seminar Series Short reports with a focus on translation Research newsletter Easy access to relevant literatureDRKTDAH&PPDCG&ISMNCAHA Increased communication activities undertaken Evidence that service and program plans are based on evidence2.2Meaningful evaluationEnsure all major programs targeting Aboriginal people incorporatesystematic evaluation through: Training and support in evaluation methods and approachesthat incorporate involvement of Aboriginal people Developing templates and tools to assist program developers inplanning evaluations that assess impact on Aboriginal people Reporting mechanisms to share evaluation learningsDCG&ISSET Increased proportion of (All) programs with an evaluation plan that incorporatesan Aboriginal experience perspective Evaluations undertaken, reported and acted on2.3Formal researchUndertake and support research that is informed by Aboriginalpeople’s perspective and experience, through: Formal links with academic partners with expertise inAboriginal health research Community engagement and feedback loop for all researchprograms specifically targeting Aboriginal Communities Research-focused professional development opportunities forAboriginal staff Seek research funding Partner with ACCHSs in joint research projectsDRKTDAH&PPMNCAHASET Increase in the number of jointly conducted research activitiesIncrease in the number of research activities involving
Introduction Based on the 2016 Census, Mid North Coast is home to 12,082 Aboriginal and Torres Strait Islander people, or 5.7% of the total Mid North Coast population. This is an increase compared to the 2011 Census. The Mid North Coast Local Health District Aboriginal Health Plan (The Plan) replaces the Mid North Coast
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1 School of Business, University of Cape Coast, Cape Coast, Ghana 2 College of Distance Education, University of Cape Coast, Cape Coast, Ghana Correspondence: George Tackie, School of Business, University of Cape Coast, Cape Coast, Ghana. E-mail: gtackie@ucc.edu.gh
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1 School of Business, University of Cape Coast, Cape Coast, Ghana 2 Registrar’s Office, University of Mines and Technology, Tarkwa, Ghana 3 Directorate of Legal, Consular, and General Services, University of Cape Coast, Ghana. Correspondence: Owusu, G. A., School of Business, University of Cape Coast, Cape Coast, Ghana
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