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Improving the management of Rheumatic Heart Disease in Remote Indigenous Communities Chris Zeitz, Renee Henthorne, Terrie Ivanhoe, Stewart Roper, Jennifer Cottrell, Kerrie Gell Central Adelaide LHN, Nganampa Health, SA Health. What is ARF?. What is RHD?. 2012 – Compliance with BLA Prophylaxis.
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Improving the management of Rheumatic Heart Disease in Remote Indigenous Communities Chris Zeitz, Renee Henthorne, Terrie Ivanhoe, Stewart Roper, Jennifer Cottrell, Kerrie Gell Central Adelaide LHN, Nganampa Health, SA Health
2012 – Compliance with BLA Prophylaxis • 39% receiving less than half the doses • 18% achieving >80% compliance • 4% achieving 100% compliance
Community engagement Aboriginal Health Workers Reduce the pain of injections Recall and reminder systems Think beyond community boundaries Strengthen networks Centralised coordinator Evidence based guidelines Consistent staff Promote importance of secondary prophylaxis Improved education
2015/16 – What have we achieved? • <5% achieving <50% compliance • 70% achieving >80% compliance • 49% achieving 100% compliance We are CENTRAL
One man’s journey We are CENTRAL