Su, Jiunn-Yih

Leach, Amanda Jane

Cass, Alan

Morris, Peter

Kong, Kelvin

2023-10-31

BACKGROUND: In the Northern Territory (NT) the prevalence of otitis media (OM) in young Aboriginal children living in remote communities has persisted at around 90% over the last few decades. OM-associated hearing loss can cause developmental delay and adversely impact life course trajectories. This study examined the 5-year trends in OM prevalence and quality of ear health services in remote NT communities. METHODS: A retrospective analysis was performed on de-identified clinical data for 50 remote clinics managed by the NT Government. We report a 6-monthly cascade analysis of the proportions of children 0-16 years of age receiving local guideline recommendations for surveillance, OM treatment and follow-up at selected milestones between 2014 and 2018. RESULTS: Between 6,326 and 6,557 individual children were included in the 6-monthly analyses. On average, 57% (95%CI: 56-59%) of eligible children had received one or more ear examination in each 6-monthly period. Of those examined, 36% (95%CI: 33-40%) were diagnosed with some type of OM, of whom 90% had OM requiring either immediate treatment or scheduled follow-up according to local guidelines. Outcomes of treatment and follow-up were recorded in 24% and 23% of cases, respectively. Significant decreasing temporal trends were found in the proportion diagnosed with any OM across each age group. Overall, this proportion decreased by 40% over the five years (from 43 to 26%). CONCLUSIONS: This cascade of care analysis found that ear health surveillance and compliance with otitis media guidelines for treatment and follow-up were both low. Further research is required to identify effective strategies that improve ear health services in remote settings.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. jiunn-yih.su2@menzies.edu.au.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Royal Darwin Hospital, Darwin, NT, Australia.

John Hunter Children's Hospital, Newcastle, NSW, Australia.

BMC Health Serv Res. 2023 Oct 31;23(1):1186. doi: 10.1186/s12913-023-10152-z.

https://pubmed.ncbi.nlm.nih.gov/37907905/?otool=iaurydwlib

https://hdl.handle.net/10137/12600

23

Child

Humans

*Australian Aboriginal and Torres Strait Islander Peoples

*Health Services/standards

Northern Territory/epidemiology

*Otitis Media/epidemiology/therapy

Retrospective Studies

Infant, Newborn

Infant

Child, Preschool

Adolescent

Health Services, Indigenous/standards

An evaluation of the quality of ear health services for Aboriginal children living in remote Australia: a cascade of care analysis.

Journal Article

Publication