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Evaluation of the National Trachoma Health Promotion Programme



Evaluation of the National Trachoma Health Promotion Programme

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Report for Indigenous Eye Health, University of Melbourne; Ninti One Research Report NR002


Ninti One Limited


E-Publications; E-Books; PublicationNT; Report NR002




Ninti One was invited by Indigenous Eye Health (IEH) to conduct an evaluation of the Trachoma Health Promotion Programme (THPP). The project evaluated the work of IEH at the University of Melbourne and its contribution to the goals of the National THPP in six remote Aboriginal communities in Central Australia (namely the tristate border region of South Australia, the Northern Territory and Western Australia). The intent of the project was to identify community knowledge and perceptions of the THPP and what impact this knowledge had on the respondents and their actions. The outputs will be used by IEH and others working in this field to continue the work of eliminating trachoma and to improve and develop future activities and initiatives. The research was conducted over six locations – Ali Curung, Finke, Lajamanu, Ntaria, Pukatja (Ernabella) and Warburton – ensuring that a sufficiently large and representative sample of people was reached in each community and overall across the population. - Executive summary; Made available via the Publications (Legal Deposit) Act 2004 (NT).

Table of contents

Executive summary -- Introduction -- Monitoring and evaluation strategy -- Research process -- Dara from survey questions -- Data analysis -- Conclusion -- Appendix A-B




Prevention and control; Trachoma; Health and hygiene; Ophthalmology; Eye diseases; Aboriginal Australians

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Ninti One Limited

Place of publication

Alice Springs


Report NR002


iv, 38 pages : colour illustrations ; 30 cm.

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Ninti One Research Report NR002 26 Evaluation of the National Trachoma Health Promotion Programme Ninti One Limited Report for Indigenous Eye Health University of Melbourne 5. Data analysis In this section, we provide a summary analysis of the data from both the focus groups and surveys conducted. Since the questions about suggestions for ways to improve the programme were so productive in generating responses, we then go on to provide a full listing of those replies, grouped by theme. 5.1 Key insights Recognition of Milpa is generally high across the communities. People in some communities show a higher level of recognition and understanding, while others show lower awareness of Milpa. There is also some variation in knowledge within focus groups. Some groups have the majority of participants familiar with Milpa and his message, while other groups only had one or two participants showing awareness. People have some practical suggestions and ideas for improving the impact of Milpas message, from the way information is shown on TV, to the kinds of events that would make the greatest impact, and the name that is used for the goanna locally to make it more relevant and relatable. Milpa and his message are better understood within the school-aged children demographic in comparison to adults. As indicated in the surveys, this is due to promotion aimed at children in school. Participants appear to value the creative and performance elements of the THPP, with many mentioning aspects of song and dance, for example, that they like or wish to see more frequently in the programme. 5.2 Trends in the data Recognition of Milpa is higher among women than men (although the sample size of men is small). More people recognise the message and purpose of Milpa than know his name. Milpa was often recognised initially in the context of an animal or bush tucker, with 9% of people relating to this component of the Milpa character. Despite this, there is also a 77% understanding that Milpa is associated with a message of having clean eyes. Visits were frequently mentioned by participants across all communities as being important for Milpa to be seen and his message understood. There is a tendency for some people to attribute trachoma to bush conditions (dust, smoke) rather than making the connection with dirty faces. Very few participants appear to understand that trachoma is a transmittable disease. Many people mentioned the importance of the role of parents in keeping childrens faces clean. Many people suggested that the message needs to go directly to small children and had suggestions for using existing methods in schools and childcare centres, for example, with puppets and using music and dance. Nobody objected to Milpa or the message of THPP, although many would like to see improvements and made suggestions for ways to improve the impact of the clean faces message. In each community there is a subset of the population who do not display interest in the programme, although this is a minority.