Comparison with national data for Indigenous Australians

This table includes a summary of organisations’ results across nKPIs and compares the results with national data for Aboriginal and Torres Strait Islander people.

Care must be taken in comparing other data sets with the nKPIs. Many are not directly comparable with the nKPI data because of different indicator definitions, collection methodologies and periods, and populations. For instance, regular clients might be less healthy than other clients of an organisation. The nKPIs are not suitable as estimates of population-level disease or activity prevalence, but the data may inform an understanding of these factors as they relate to Indigenous primary health care.

Comparison of nKPI data against other national Indigenous data

Maternal and child health indicators

nKPI Component Numerator Denominator Mean (%) Bottom quarter (%) Top quarter (%) National data source National data (%)
PI13: First antenatal visit Before 13 weeks 2,678 6,311 42.4 21.6 57.1 NPDC 56.4 (a)
PI01: Birthweight recorded   5,617 7,620 73.7 45.5 92.9    
PI03: MBS health assessment Aged 0–4 14,731 40,028 36.8 17.5 44.5 Medicare Australia 29.6 (b)
PI04: Child immunisation (c) 12–<24 months 6,918 9,009 76.8 62.5 94.7 AIR 92.6
PI04: Child immunisation 24–< 36 months 6,694 8,898 75.2 60.0 97.0 AIR 88.5
PI04: Child immunisation 60–<72 months 5,537 8,084 68.5 50.0 97.9 AIR 96.6
PI02: Birthweight result (d) Low 751 5,694 13.2 0.0 20.0 NPDC 10.2
PI02: Birthweight result Normal 4,816 5,694 84.6 76.9 94.2 NPDC 88.4
PI02: Birthweight result High 127 5,694 2.2 0.0 1.9 NPDC 1.4
PI11: Smoking status of females who gave birth within the previous 12 months Current smoker 2,951 5,957 49.5 38.9 63.2 NPDC 44.1 (e)
PI11: Smoking status of females who gave birth within the previous 12 months Ex-smoker 1,005 5,957 16.9 6.7 23.4    
PI11: Smoking status of females who gave birth within the previous 12 months Never smoked 2,001 5,957 33.6 21.1 42.5    

Preventative health indicators

nKPI Component Numerator Denominator Mean (%) Bottom quarter (%) Top quarter (%) National data source National data (%)
PI09: Smoking status recorded   190,860 231,105 82.6 60.3 94.1    
PI16: Alcohol consumption recorded   149,879 231,668 64.7 43.4 71.8    
PI03: MBS health assessment Aged 25 and over 88,889 172,180 51.6 27.2 60.2 Medicare Australia 66.2 (f)
PI20: Risk factors assessed to enable CVD assessment   48,410 99,310 48.7 36.3 57.2    
PI22: Cervical screening Previous 2 years 27,660 100,016 27.7 13.9 31.8    
PI22: Cervical screening Previous 3 years 37,497 100,016 37.5 20.5 45.8    
PI22: Cervical screening Previous 5 years 46,708 100,016 46.7 30.3 56.8    
PI14: Immunised against influenza Aged 50 and over 20,360 59,697 34.1 25.0 47.0 AATSIHS 2012–13 56.8
PI10: Smoking status result Current smoker 98,654 190,860 51.7 45.2 58.9 NATSISS 2014–15 41.9
PI10: Smoking status result Ex-smoker 29,428 190,860 15.4 11.3 18.2 NATSISS 2014–15 22.4
PI10: Smoking status result Never smoked 62,778 190,860 32.9 26.3 37.3 NATSISS 2014–15 35.7
PI12: BMI classified as overweight or obese Overweight 33,071 122,529 27.0 24.3 29.8 AATSIHS 2012–13 30.3
PI12: BMI classified as overweight or obese Obese 53,681 122,529 43.8 37.9 50.5 AATSIHS 2012–13 43.3
PI12: BMI classified as overweight or obese Overweight or obese 86,752 122,529 70.8 66.6 77.1 AATSIHS 2012–13 73.5
PI17: AUDIT-C result ≥4 (Males) or ≥3 (Females) 32,210 70,798 45.5 42.8 71.2    
PI17: AUDIT-C result <4 (Males) or <3 (Females) 38,588 70,798 54.5 28.8 57.2    
PI21: Absolute CVD risk category Low 10,387 16,626 62.5 48.3 73.5    
PI21: Absolute CVD risk category Moderate 1,292 16,626 7.8 2.0 14.2    
PI21: Absolute CVD risk category High 4,947 16,626 29.8 16.9 40.0    

Chronic disease management indicators

nKPI Component Numerator Denominator Mean (%) Bottom quarter (%) Top quarter (%) National data source National data (%)
PI07: General Practitioner Management Plan— clients with type 2 diabetes   23,070 41,041 56.2 36.9 66.8 Healthy for Life 32
PI08: Team Care Arrangement —clients with type 2 diabetes   22,148 41,041 54.0 34.6 64.0 Healthy for Life 27.2
PI23: Blood pressure recorded— clients with type 2 diabetes   26,966 40,715 66.2 51.0 75.0 Healthy for Life 65.4
PI05: HbA1c result recorded— clients with type 2 diabetes 6 months 20,391 39,237 52.0 40.0 61.5 Healthy for Life 53.9
PI05: HbA1c result recorded— clients with type 2 diabetes 12 months 25,791 39,237 65.7 53.5 75.5    
PI18: Kidney function test recorded— clients with a selected chronic disease Type 2 diabetes 23,523 37,920 62.0 47.9 71.9    
PI18: Kidney function test recorded— clients with a selected chronic disease CVD 10,554 17,929 58.9 46.2 68.4    
PI15: Immunised against influenza— clients with type 2 diabetes or COPD Type 2 diabetes 5,603 16,565 33.8 19.3 41.7    
PI15: Immunised against influenza— clients with type 2 diabetes or COPD COPD 830 2,230 37.2 15.4 50.0    
PI24: Blood pressure result of ≤130/80 mmHg— clients with type 2 diabetes   11,128 26,966 41.3 33.5 48.2 Healthy for Life 42
PI06: HbA1c result— clients with type 2 diabetes 6 months, ≤7% 7,935 20,391 38.9 31.7 46.4 Healthy for Life 30.6
PI19: Kidney function test result— clients with a selected chronic disease <15 (Type 2 diabetes) 933 22,023 4.2 0.0 4.1    
PI19: Kidney function test result— clients with a selected chronic disease ≥15–<30 (Type 2 diabetes) 591 22,023 2.7 0.0 3.9    
PI19: Kidney function test result— clients with a selected chronic disease ≥30–<60 (Type 2 diabetes) 2,473 22,023 11.2 8.0 14.6    
PI19: Kidney function test result— clients with a selected chronic disease ≥60 (Type 2 diabetes) 18,026 22,023 81.9 78.1 87.3    
PI19: Kidney function test result— clients with a selected chronic disease <15 (CVD) 510 10,554 4.8 0.0 5.6    
PI19: Kidney function test result— clients with a selected chronic disease ≥15–<30 (CVD) 364 10,554 3.4 0.0 5.3    
PI19: Kidney function test result— clients with a selected chronic disease ≥30–<60 (CVD) 1,633 10,554 15.5 9.5 20.8    
PI19: Kidney function test result— clients with a selected chronic disease ≥60 (CVD) 8,047 10,554 76.2 69.8 84.2    
  1. Data are based on Indigenous status of the mother. Data are for mothers who gave birth to a baby of at least 20 weeks’ gestation. Includes results for ‘not stated’ for greater comparability with nKPI data.
  2. Data are for June 2017–June 2018 (12 months), and do not exclude double-counting. As a result, comparisons with nKPI data, which removes double-counting, should be interpreted with caution. Denominator data for the national data source are from Estimates and Projections, Aboriginal and Torres Strait Islander Australians, 2001 to 2026 (ABS 2014).
  3. The nKPI collection currently underestimates the proportion of Aboriginal and Torres Strait Islander children who have been immunised because it relies on organisations’ internal records.
  4. Data are based on Indigenous status of the mother. Data relate to live born singleton babies of at least 20 weeks’ gestation. Low birthweight is defined as less than 2,500 grams. For low birthweight, a smaller result is favourable.
  5. Data are based on Indigenous status of the mother. Data relate to mother’s smoking status at any time during pregnancy. Data are for women who gave birth to a baby of at least 20 weeks’ gestation. Excludes women whose smoking status during pregnancy was not stated.
  6. Data are for July 2016–June 2018 (24 months), and do not exclude double-counting. As a result, comparisons with nKPI data, which removes double-counting, should be interpreted with caution. Denominator data for the national data source are from Estimates and Projections, Aboriginal and Torres Strait Islander Australians, 2001 to 2026 (ABS 2014).

Notes

  1. nKPI data are for organisations that provided valid data. The total number of organisations that participated in the nKPI data collection process in June 2018 was 233.
  2. AATSIHS data are for 2012–13 (ABS 2014, 2016a; AIHW analysis of ABS data); AIR data are as at December 2018 (DoH 2019); Medicare Australia data are for July 2017–June 2018 (PI03: MBS health assessment—aged 0–4) or July 2016–June 2018 (PI03: MBS health assessment—aged 25 and over) (DHS 2019); NATSISS data are for 2014–15 (ABS 2016b); NPDC data are for 2016 (AIHW analysis of the NPDC).
  3. AIR data are for children aged 12–<15 months, 24–<27 months, and 60–<63 months, while nKPI data are for children aged 12–<24 months, 24–<36 months and 60–<72 months.
  4. For some indicators, the only comparison data available are from the former Healthy for Life data collection, a precursor to the nKPI collection, which reported for the last time in 2011.
  5. Bottom and top quarter columns show the result which falls within the 25th and 75th percentile for each indicator.
  6. Information on the numerator and denominator for each indicator is available on METeOR.

Sources

  • AATSIHS (Australian Aboriginal and Torres Strait Islander Health Survey)
  • AIR (Australian Immunisation Register)
  • AIHW nKPI data collection
  • NPDC (National Perinatal Data Collection)
  • DHS (Department of Human Services)
  • NATSISS (National Aboriginal and Torres Strait Islander Social Survey).