Womens Health Business Case Report

With the investment in sustainable resourcing outlined in this business case, and in consultation with the Ministry of Health, Women’s Health Centres propose to build on previous collaborative work developing an outcomes framework for the program. Led and supported by the peak body, Women’s Health NSW, Women’s Health Centres will undertake a sector wide roll-out of an agreed outcomes and measurement framework which focuses on the key presenting health issues - Physical/Medical Health, Emotional/Mental Health, Domestic and Family Violence/Abuse, and Relationships. A potential approach to this outcomes framework for the Women’s Health Program is shown in Fig 11. PROMs and PREMs for these outcomes would be assessed with a mix of appropriate validated tools and a standard non-validated tool (based on high-quality tools currently in use) to be implemented across the sector (see Fig 12). Reporting against a standard outcomes framework and an agreed set of measures would strengthen accountability, streamline funding agreements and contract management at Local Health District level and enable the Ministry of Health to better assess the overall health outcomes from the program. The Women’s Health sector fully supports this proposed approach and will welcome further discussions with the Ministry of Health on an agreed outcomes framework.

Presenting Issue

Short-TermOutcomes

Medium-TermOutcomes Longer-Term Impacts

Physical/Medical Health

• Improvement in knowledge about health condition and preventative strategies • Improvement in action readiness to prevent or improve health condition • Improved awareness and understanding of mental health and well-being • Increase in skills to manage mental health and well-being • Improved awareness and understanding of domestic and family violence and sexual abuse on both primary victim and children • Improved confidence and capacity to leave an abusive relationship and be safe

• Improvement in health condition • Maintenance of improvements in health condition

• Reduction, or delay, in future hospitalisations

Mental Health

• Improved rates of self-

• Decreased risk of future mental health issues,

reported mental health and wellbeing

hospitalisations and suicide

• Improved resilience and

capacity to manage mental health

Domestic and Family Violence & Sexual Abuse (includes high proportion of presenting issues initially recorded as ‘Relationships’)

• Reduction in future victimisation • Avoidance of future health and social impacts of victimisation

• Improved capacity to manage mental and physical health impacts of violence and abuse • Increased capacity to overcome social and economic impacts of violence and abuse

Fig 11: Women’s Health Program Outcomes for Key Presenting Issues

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Women’s Health NSW – October 2022