WA Child Ear Health Strategy
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Painting by Ms Biara Martin
WA Child Ear Health Strategy
2017-2021
WA Child Ear Health Strategy
A note on terminology
The term ‘Aboriginal’ is used throughout this resource to refer to the original inhabitants of the Australian
continent—Aboriginal and Torres Strait Islander peoples. The term is used for the purpose of brevity and in
preference to ‘Indigenous’.
Front cover
Sound Travelling
About the painting
The painting represents how sound waves travel through the ear and how delicate and fragile the outer, middle and
inner ear are to the human body. Sound travelling connects us to culture, family and community.
About the artist
Ms Biara Martin is a proud young Whadjuk Noongar woman from the Swan Coastal Plains of Perth. Ms Martin is an
aspiring young Aboriginal artist. She draws her inspiration from the stories of her Elders as well as her connection to
land and culture.
Ms Martin is also influenced by a long line of strong Aboriginal women in her life, her mother Cheryl Martin and her
two grandmothers, Whadjuk Elder Mrs Theresa Walley and Yamatji Elder Mrs Joan Martin (deceased) who are all
well known for their Aboriginal art and cultural views. These themes emerge strongly in her artwork.
Biara is a Noongar word for banksia which her mother named her after.
2WA Child Ear Health Strategy
Minister’s foreword
The Western Australian Government is committed to improving the ear
health of our kids.
To do that, we need to work The WA Child Ear Health Strategy: The intention of the Strategy is
together. This Strategy recognises l prioritises
the establishment not to impose uniformity, but
and supports the integral role of a statewide ear disease to better inform programs and
that families, carers, community, information repository; providers; support healthcare
schools and Aboriginal community staff; strengthen partnerships
l encourages collaboration,
controlled health services play in between services and the
coordination and a consistent
addressing ear disease. communities they serve; respect
and measurable approach
Aboriginal conceptions of health
While aimed at children aged 0-10 across health services and
and wellbeing; and encourage
years, the Strategy has a strong providers;
innovation and a collaborative
focus on the 0-5 year age group l isaligned with and seeks approach to improving children’s
reflecting the critical importance adherence to current best ear health outcomes.
of the early years for a range of practice approaches to ear
health and development outcomes. health care as recommended by This Strategy provides a roadmap
the current national guidelines to address the burden of ear
The Strategy supports the
and the State’s model of care; disease through a holistic,
Government’s ongoing
l recognises the importance of comprehensive and coordinated
commitment to the Aboriginal
health services and providers approach across the State.
health workforce, recognising a
critical aspect of strengthening working effectively with On behalf of the Western
local healthcare systems is parents, families and early Australian Government,
building pathways into the health childhood educators; I commend the WA Child Ear
professions for Aboriginal people. l seeks to ensure resources Health Strategy.
are directed to enhancing
Western Australia’s health system
prevention, early diagnosis,
is continually improving to provide
management and surveillance;
services that are accessible, better
l supports the use and
equipped to respond to local needs
and delivered in a timely way. The expansion of telehealth and
Strategy advocates for tracking new technologies to broaden Hon. Roger Cook MLA
outcomes and measuring progress the scope of locally available Deputy Premier; Minister for
so we can identify what is working healthcare services; and Health; Mental Health
to effect positive change and l outlines the importance of
where further resources may need ongoing training and enhanced
to be directed. skill-sets across health service
staff to develop and sustain the
local workforce and its capacity.
3WA Child Ear Health Strategy
Executive summary
Otitis media is a common childhood illness that many children recover from
quickly. For some children however, chronic otitis media accounts for high rates
of hearing impairment, which can have a significant effect on a child’s language,
education and psycho-social development.
In Western Australia, some children Therefore, while this Strategy The WA Child Ear Health Strategy
are particularly vulnerable to does not exclude other children (the Strategy) aims to provide
chronic ear disease, with the initial vulnerable to recurrent and an agreed, sustainable direction
onset of otitis media occurring very persistent chronic ear conditions, for both government and non-
early and persisting longer. The it recognises the importance of government agencies. It lays the
living conditions of many children a primary focus on Aboriginal foundation for achieving greater
can play a role in perpetuating children aged 0-10 years and consistency and coordination
high rates of ear health conditions. services and programs that are across a range of service providers
Risk factors of otitis media in designed to appropriately respond in Western Australia. Its primary
children are often associated with to Aboriginal community needs. focus is to ensure health services
the effects of socio-economic This is necessary to address the and providers improve the ear
disadvantage and can include inequitable burden of disease health and hearing outcomes
reduced immunity associated many Aboriginal children face, and of all children vulnerable to
with poor nutrition, overcrowded in closing the gap on outcomes in chronic infection. While targeted
living environments and poor health, education and social and at children aged 0-10 years,
quality water supplies. Exposure emotional wellbeing. the Strategy has a particular
to tobacco smoke and reduced focus on the 0-5 year age group
The pervasive nature of ear
duration of breastfeeding, day care in recognition of the critical
infections means that children
attendance, the number of siblings importance of the early years to
can experience rapid reinfection.
and use of dummies over six a range of outcomes over the life
Addressing the burden of
months of age are also considered course.
chronic ear disease requires a
important modifiable risk factors
comprehensive and coordinated The Strategy has been developed
that require further study to
approach incorporating a by the WA Child Ear Health
determine specific effects.
number of agencies and service Strategy Working Group and is
While many children are vulnerable providers, front line workers, as based on both the WA Department
to chronic ear disease, in Western well as families, communities and of Health, Otitis Media Model of
Australia it represents a particularly individuals. In order to achieve Care (2013) and the only current
significant health burden for lasting change in children’s ear national accredited evidence-
Aboriginal children who can and hearing health outcomes, based clinical care guidelines,
experience their first onset within services supporting environmental Recommendations for Clinical Care
weeks of birth. Aboriginal children health, housing, nutrition, social Guidelines on the Management
can also have more frequent and and emotional wellbeing and of Otitis Media in Aboriginal and
longer lasting episodes compared family functioning, education and Torres Strait Islander Populations
to non-Aboriginal children. Children early care of children must be (2010) (the national clinical care
living in remote communities provided in conjunction with ear guidelines).
have some of the highest rates of health services.
chronic ear disease in the world.
4WA Child Ear Health Strategy
The Strategy specifies a set of The Strategy has seven Strategic l funding arrangements that act
priorities that seek to facilitate Priorities that are designed to as an incentive for providers
better information on the respond to key issues and gaps in to work collaboratively and
statewide burden of ear disease, the State’s ear health sector, whilst contribute to consistent data
support greater emphasis on also highlighting the necessary collection and reporting
prevention, ensure consistency requirements to facilitate progress processes;
in the approach to treatment, and success in achieving the goals l systems that ensure an
management and care, and and vision for Western Australia. integrated, multidisciplinary,
establish an evidence base on what These are not hierarchical or team approach; and
is effective and where resources sequential with each considered
l support and endorsement
are best directed. critically important to addressing
by the State, regional and
needs and gaps.
The Strategy responds to the need metropolitan Aboriginal health
for a broad approach to harness The Strategic Priorities are: stakeholder groups.
and coordinate the goodwill, array 1 Enhanced Prevention Ultimately this Strategy seeks
of activities and commitment
2 Standardised Surveillance to improve health outcomes by
of numerous stakeholders. It is
3 Consistent Treatment facilitating greater coordination,
designed to act as a roadmap
alignment, communication
for the State and support the 4 Workforce Development
and partnerships across the
direction, content and activities 5 Program Evaluation State’s many relevant services
of regional plans and local level 6 Coordination and Partnerships and stakeholders. It aims to
approaches and services. While
7 Comprehensive Evidence support strategies and processes
looking to promote consistent
that improve awareness and
collaboration and coordination, Enablers influencing achievement understanding about the
it also supports local autonomy of the goals of the Strategy importance of prevention,
in precisely how the Strategic include: prompt diagnosis and enhanced
Priorities are implemented on l partnershipsand linkages primary care treatment. Its goal
the ground. It seeks to guide across agencies and all levels of is to ensure children have timely
policy, program and service government; access to quality care, and that
design and delivery at a regional
l agreed quality improvement the number of children adversely
and local level, as well as inform
processes and a set of affected by ear disease is
the purchasing and contracting
performance measures; permanently reduced.
of related services by key
funders including the Australian l operational planning that
Government, Western Australian supports the Strategy’s
Government and industry. priorities;
5WA Child Ear Health Strategy
Introduction
A substantial amount of work has been directed at improving the ear and hearing
health of children across Western Australia, particularly Aboriginal children.
There are many excellent ear This inevitably leads to confusion Long-standing and ongoing
health programs, services and and overlaps, as well as gaps in challenges within the ear health
initiatives provided by skilled, training, diagnosis and treatment, sector in Western Australia require
experienced and committed service delivery, data collection, a statewide Strategy to:
people. Guidance is provided reporting, communication and l establish a minimum data set
by the WA Department of funding. and agreement across the State
Health, Otitis Media Model of to collect data at a regional
The approach to ear health across
Care (2013), which includes key level;
much of Western Australia can
recommendations for prevention,
be summarised as one where, l ensure a consistent approach
primary care and specialist care
overall, chronic ear disease is not to diagnosis, treatment,
designed to improve the care and
being managed at the earliest surveillance and referral;
coordination across a child’s ear
opportunity with effective l align service providers with a
health journey.
treatment, comprehensive follow set of agreed priorities and
That said, the sector has variously up and a primary health care goals;
been described by practitioners approach. The asymptomatic l integrate and coordinate
and observers as challenging, nature of much ear disease multiple providers and agencies;
fragmented, and characterised means that many children are
l enhance and sustain relevant
by a plethora of service providers, only seen when conditions are at
Aboriginal and health
funders, specialists, government an advanced stage. This means
workforce;
and non-government programs. the condition is often beyond
There is an array of protocols, the capacity of primary health l increase the infrastructure
guidelines and frameworks, with carers to manage locally without and use of telehealth and
reportedly variable adherence specialist involvement. This technology to reduce costs,
to the WA Otitis Media Model of increases demand for limited enhance access and compliance
Care and the national clinical care ear nose and throat services to treatment and reduce the
guidelines. (particularly surgery) and allied necessity for people to leave
health services, and means families their communities; and
in rural and remote regions often l measure outcomes, identify
having to travel long distances to gaps and track the incidence
access care. and prevalence of ear disease.
6WA Child Ear Health Strategy
Purpose
The WA Child Ear Health Strategy recognises there are many children
at significant risk of poor ear and hearing health, requiring a multilevel,
multidisciplinary approach to achieve and sustain improvements in outcomes.
The Strategy has been developed The Strategy is designed to It aims to promote an agreed,
to foster commitment to a promote a greater focus on the evidence based and sustainable
collaborative and consistent 0-5-year age group; facilitate approach across government and
approach to tackling ear disease consistent best practice treatment non-government agencies and
in Western Australia. It has been pathways; and enhance the service providers.
informed by, and is aligned with, a resources directed at prevention,
number of key national and State surveillance and a robust evidence
reports, frameworks, guidelines and base.
principles (see Appendix A for a
detailed list).
Stakeholders
A number of stakeholders share responsibility for addressing and improving ear
and hearing health conditions amongst Western Australia’s children.
These include families and Health outcomes are influenced by A broad range of sectors thus
carers, the Aboriginal community numerous factors, many beyond have an important role to play in
controlled health sector, the control of traditional health supporting ear and hearing health,
community health services, networks. Working collaboratively including industry, education, the
primary care providers, general is therefore critical to developing parks and recreation sectors, non-
practitioners, allied health and delivering effective health government organisations and all
practitioners, nurses and nurse initiatives. levels of government.
practitioners, specialists, research
institutes, a range of Australian
and State funded health service
agencies and departments, as well
as non-health departments such as
education.
7WA Child Ear Health Strategy
Timeframe: 2017-2021
Implementation
It is anticipated that relevant The Strategy acknowledges many Vision
State, regional and metropolitan Aboriginal and non-Aboriginal
health stakeholder groups will play children are vulnerable to a A holistic and best practice
an important role in implementing high burden of disease that can approach to children’s ear and
the Strategy through aligning it directly impact on their healthy hearing health across Western
with local, regional and operational development. This Strategy is Australia to reduce the burden
plans. intended to address this inequity of disease, including its
while also remaining relevant to all developmental, educational,
children. social and economic impact.
Guiding principles
The Strategy is underpinned by l The need for a strengths- It also respects the cultural
a number of guiding principles. based approach to community diversity, views, values and
These are: development and the provision expectations of Aboriginal
l Recognition of the need for of adequate resources to people within the planning and
regional and local responses to engage, support and empower development of health programs
regional and local needs and communities and households to and services.
priorities. address and maintain their own
The Strategy’s principles
and their children’s health with
l Commitment to a collaborative incorporate those of the WA
culturally appropriate health
approach to improving Aboriginal Health and Wellbeing
services and programs.
outcomes between health Framework 2015-2030. These are:
services and providers, l Commitment to programs,
l Cultural security
government and non- services, activities, evaluation
and research that provide l The health and wellbeing of
government stakeholders, the
sustained improvements in Aboriginal people is everyone’s
regions and communities.
health outcomes across the business
l Community-level approach
generations. l Partnerships
supported by comprehensive
primary health care, health l Aboriginal
community control
The Strategy also recognises
promotion, and a sufficient that the concept of health for and engagement
and appropriately skilled health Aboriginal people incorporates l Access and equality
workforce. physical, spiritual, psychological, l Accountability
l Recognition that best-practice, social, emotional and cultural
high-quality care is achieved factors. It acknowledges that
when health care professionals transgenerational trauma,
work in a coordinated manner grief and loss associated with
across primary health, dislocation, mistreatment and
community and specialist care the forced removal of children
services with the involvement of continue to greatly influence many
family, carers and community. Aboriginal people’s health and
wellbeing.
8WA Child Ear Health Strategy
Goals
The Strategy starts with the premise that vulnerable children’s ear and hearing
health requires a multilevel, multidisciplinary approach to achieve and sustain
improvements in outcomes.
It is designed to act as a road map The overarching goal of the l Supporting workforce
for Western Australia, to align Strategy is to align health services development strategies to build
current and future activities, and and providers with the priorities and retain a sustainable, skilled
generate collective commitment and thereby enhance Western Aboriginal health workforce
to a comprehensive and consistent Australia’s approach to children through varying career
approach. The Strategy has a vulnerable to poor ear health and pathways and employment
set of key goals that incorporate hearing loss. This will be achieved opportunities.
the priorities, objectives and through: l Facilitatinga collaborative,
desired outcomes of a range of l Focus on the early age of onset coordinated, streamlined
stakeholders. It also seeks to of ear disease and recurrent and consistent approach to
ensure and promote a consistency and persistent infections, preventing, monitoring and
across all services through particularly in the first five years treating ear diseases at a local,
adherence to the national clinical of life. regional and State level.
care guidelines, the State’s Otitis l Supporting a statewide
l Consistent approaches to
Media Model of Care (2013) and consistent approach to
prevention, prompt diagnosis
the CARPA Standard Treatment strengthening the evidence
and effective management
Manual 6th Edition. base on the prevalence of
of ear disease of children
vulnerable to poor ear health. otitis media and conductive
l Supporting families to provide hearing loss, and identify what
optimal ear health care for their is working to effect positive
children. change.
Priorities
The Strategy’s seven priorities respond to the key issues and gaps in the State’s
ear health sector.
The priorities are: 3 Consistent Treatment 6 Coordination and Partnerships
1 Enhanced Prevention 4 Workforce Development 7 Comprehensive Evidence
2 Standardised Surveillance 5 Program Evaluation
9WA Child Ear Health Strategy
Rationale
A number of factors are critical in the early diagnosis and prevention of recurrent
ear disease. These include ear health assessments, surveillance and timely access
to primary care treatment as well as specialist ear, nose and throat services when
required. That said, effective ear health care and sustained prevention of disease
cannot be achieved through screening and medical treatment alone.
The complexity of causal Extreme disadvantage often These measures are also critical to
pathways, including the influence impacts negatively on health and enable and empower families to:
of an array of broad social and wellbeing. The impact of high l exert greater control over their
environmental determinants, levels of stress, public housing children’s health;
especially poverty, complicates inadequate for use, poor health
l make informed health
the prevention, treatment and hardware, and a range of factors
decisions; and
management of otitis media. A related to poverty can directly
l make positive behavioural
comprehensive and sustainable impact on the way a family
approach must address the functions and a child develops. changes.
environmental, social and These factors play a role in some Long term and sustainable
economic factors underpinning ear young children experiencing a high change in the rates of recurrent
health disease. burden of recurrent, acute and infection and related hearing,
chronic infection. speech, language, learning and
Social determinants Limited understanding or developmental issues requires a
awareness of modifiable lifestyle focus on prevention and education
A number of confounding targeted at family and carers,
factors reduce the benefits of risk factors and preventative
measures for ear and hearing primary health care staff, child
health programs and services. care workers and primary school
These include the household health among families,
communities and those whose personnel.
environment, community
infrastructure, access to clean work brings them into regular Prevention and education aimed
drinking water and nutritious contact with young children at the community is important,
food, people’s health literacy and hampers sustainable prevention, and requires information or
ability to access appropriate and early intervention, timely access to strategies that are culturally
quality services. Adequate and safe treatment and effective primary secure, responsive to local contexts,
water supply, sanitation, waste care management. and work in collaboration with
disposal, drainage and facilities An important part of a the community. Strategies must
for storage and preparation of preventative approach to ear also be respectful of the ways
food and washing all influence and hearing health is enhancing in which Aboriginal people
health. The generally poor state of people’s understanding of the conceptualise health and manage
environmental health conditions risk factors and the importance of health information, and should
in many communities are critical responding quickly. Programs and also appeal to younger Aboriginal
determinants in high levels of clinical protocols/practices need people, many of whom are parents.
infections that significantly to support, educate and capacity-
contribute to many people’s build carers and families to better
ill health. understand ear health conditions,
risk factors, and the importance of
adherence to treatment.
10WA Child Ear Health Strategy
Early years focus Enhancing capacity Identifying and supporting
those with an interest or passion
The importance of positive health Making sustainable positive in this area is important, as is
and social experiences in the early change in children’s ear and developing articulated career
years, including prenatal health, is hearing health requires programs pathways in ear and hearing
increasingly recognised as laying that support parents and other health and opportunities to work
the groundwork for a lifetime of family to be empowered and towards recognised and accredited
wellbeing. proactive about their children’s qualifications.
ear and hearing health.
Poor child development outcomes
Health services, providers and
are the result of a complex set
professionals working with children Need for an enhanced
of causal factors which require
must recognise and respond to evidence base
greater emphasis on prevention
a diverse spectrum of need and
and early intervention. The impact Greater understanding of the
work in culturally appropriate
and high rates of early onset prevalence of ear disease requires
partnerships with families.
of otitis media among children consistent data to be collected
aged 0-5 years suggests that the The primary health care across the State. This can be
greatest impact for change lies workforce’s capacity, including complemented by robust program
with a focus on prevention and that of Aboriginal health workers, evaluation that focuses on the
effective management among this is crucial to the effectiveness contribution made by specific
age group. of enhanced coordination and programs and investment and
effective management and assesses their cost-effectiveness.
Prioritising the early years
treatment systems. This mediating
includes engaging women during Consistent data collection will
factor requires ongoing investment
pregnancy as an important allow for the effective planning
and support and is directed at
opportunity to make behavioral for delivery of targeted ear health
awareness raising, education
changes that can potentially services. Identifying the extent to
and training, online knowledge
alter a child’s long-term health which programs are achieving their
exchange, upskilling, mentoring
outcomes. An early years focus objectives will assist in determining
and role modeling.
means working to ensure that the impact of targeted resources,
parents, teachers, midwives, It requires recognising the information and care coordination
community health nurses, important contribution made by systems.
Aboriginal health workers and the Aboriginal health workforce
primary care clinicians all have a and ongoing Aboriginal
good understanding of the long employment across the sector.
term importance of ear health
and children’s ears being regularly
checked and monitored.
11WA Child Ear Health Strategy
Rationale
Coordination and Development of the l understanding of the
modifiable risk factors for ear
integration Strategic Priorities disease;
Clinical, audiological, allied, The Strategic Priorities respond l thesize of the local Aboriginal
screening and specialised medical specifically to the issues impacting health workforce;
services must work in partnership on the ear health sector, and are l theskills of the existing
with those best placed to provide designed to promote and support workforce;
appropriate and culturally sensitive a coordinated, consistent and
l consistency in diagnosis,
primary care, continuity of care integrated approach across health
surveillance, treatment and
and health promotion and disease services and providers and other
referral pathways across
prevention education. stakeholders. They are intended
services and providers; and
to guide and assist organisations
Other critical approaches include: l opportunities for greater
to identify gaps, needs and
l linkingand coordinating the priorities as well as plan the coordination and partnership.
range of organisations, systems allocation of resources, workforce
and health providers that and engagement strategies and Next steps
operate within primary health measure their effectiveness and
care; change. It is anticipated that this Strategy
l building on existing will provide guidance to funders,
They also seek to establish a health services, primary care
coordination mechanisms
comprehensive evidence base on providers and other health
across different health services
the statewide prevalence of ear providers on ways to address the
and providers such as shared
disease and hearing loss, as well as burden of ear disease through
clinical information and
greater understanding on what is a holistic, comprehensive and
management of the transition
working to effect positive change. coordinated approach.
of patients;
l linkingprimary healthcare Overall, the Strategic Priorities are Relevant local, regional and
services with other sectors; designed to enhance: State stakeholders will play
l communication between l the capacity to measure the an important role in the
health professionals to promote State’s burden of ear disease; statewide implementation and
continuity of care; and l understanding of where operationalisation of the Strategy.
l analysing data to effectively progress is being made and its Engagement between a statewide
plan for targeted ear health impact; working group and local and
service provision. regional governance structures
l the detection and treatment of
will be an important aspect to the
children’s ear disease early in
This integrated, coordinated and delivery of the Strategy.
life;
partnership approach to ear and
hearing health care is necessary
to address fragmentation, support
consistency in services and provide
for more informed planning and
processes across agencies. It also
supports streamlined patient care
across primary, secondary and
tertiary services.
12Strategic priorities
Strategic priorities
Strategic Priority 1 Enhanced Prevention
Increase awareness of the importance of children’s ear health and understanding of the modifiable risk factors for
children’s ear disease through:
l dedicated focus on the ear health of 0-5 year old children across all primary health care services and providers;
l embedding ear health care information in a range of resources and programs of relevant agencies and service
providers aimed at parents, carers, early childhood educators and the community; and
l increased opportunistic ear health assessments of 0-5 year old children by relevant primary health care staff.
Strategic Priority 2 Standardised Surveillance
Improved early identification of ear disease and comprehensive management including routine, regular follow up
through:
l creation of an ear surveillance protocol for Western Australia that aligns with relevant child health programs.
Strategic Priority 3 Consistent Treatment
Strengthen the consistency in ear disease treatment, referral pathways and provision of timely, accessible and high
quality care across the State through:
l alignment of local and regional ear health protocols, policies, guidelines and training with the national clinical
care guidelines, State model of care and the CARPA Standard Treatment Manual 6th Edition; and
l enhanced telehealth infrastructure and application of telehealth services to provide equitable access to quality
specialist health care advice and reduce waitlists.
Strategic Priority 4 Workforce Development
Enhance provision and capacity of ear and hearing health services and providers across the State through:
l support for dedicated and ongoing training, upskilling and mentoring of relevant health service staff including
Aboriginal health workers/Aboriginal health practitioners, nurses, nurse practitioners, general practitioners, allied
health staff and other medical practitioners; and
l support Vision
and increase strategies and opportunities to build and retain a local skilled Aboriginal health workforce.
A holistic and best practice
approach to children’s ear and
hearing health across Western
Australia to reduce the burden
of disease, including its 13WA Child Ear Health Strategy
Strategic priorities
Strategic Priority 5 Program Evaluation
Embed regular evaluation utilising qualitative and quantitative research methods to:
l build the collective knowledge base on the effectiveness and cost benefits of specific programs, services and ear
health promotion activities; and
l achieve information on outcomes and results rather than just outputs and activities.
Strategic Priority 6 Coordination and Partnerships
Create and develop intersectoral partnerships across government agencies, health service providers and relevant
stakeholders at a local and regional level to:
l increase collaboration, coordination and sharing of resources;
l address and manage relevant environmental health risk factors; and
l identify gaps, reduce duplication and fragmentation of services.
Health service providers to strengthen partnerships with Aboriginal communities
to promote and enhance engagement with service providers and ensure the
development of appropriate services, programs and health promotion resources.
Strategic Priority 7 Comprehensive Evidence
Creation of a statewide ear disease information repository through:
Vision
l agreement across relevant agencies and regions to contribute to collection and sharing of de-identified
A holistic data,
and best practice
including minimum data set requirements; approach to children’s ear and
l the hearing
development of a standardised ear disease minimum data set by an appointed health
technical across
advisory Western
group
(involving clinicians, practitioners and IT systems representatives); and Australia to reduce the burden
l development of appropriate governance arrangements to manage the repository.of disease, including its
developmental, educational,
social and economic impact.
14Appendix 1
Appendix A
The WA Child Ear Health Strategy has been informed by and is aligned with many of the findings, recommendations,
principles and guidelines contained within the following documents.
At a State level:
l Otitis Media Model of Care (2013)
l WA Aboriginal Health and Wellbeing Framework 2015–2030
l WA Health Aboriginal Workforce Strategy 2014–2024
l WA Health Strategic Intent 2015-2020
l WAPHA Position Paper: Aboriginal & Torres Strait Islander Health
l our footprints: A Traveller’s Guide to the COAG Implementation Process in Western Australia
l WA Country Health Service Aboriginal Employment Strategy 2014-2018
l Western Australian Health Promotion Strategic Framework 2012– 2016
l A Promising Future: WA Aboriginal Health Programs. Review of performance with recommendations for
consolidation and advance (2014)
At a national level:
l CARPA Standard Treatment Manual 6th Edition
l Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait
Islander Populations (updated 2010)
l Aboriginal and Torres Strait Islander Health Performance Framework 2014 Report
l National Aboriginal and Torres Strait Islander Health Plan 2013-2023
l COAG National Indigenous Reform Agreement (Closing the Gap) Service delivery principles for programs and
services for Indigenous Australians
l Ear disease in Aboriginal and Torres Strait Islander children. Resource sheet no. 35 produced by the Closing the
Gap Clearinghouse November 2014
l National Indigenous Reform Agreement, Performance Assessment 2013-14 (2015). Australian Government
Productivity Commission
15WA Child Ear Health Strategy
The WA Child Ear Health Strategy has been developed through a collaborative partnership between the following
organisations:
WA Country Health Service
Department of Aboriginal Affairs
Child and Adolescent Health Service
Government of
Western Australia
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