Table 2. Examples of activities identified in the Framework documents review and how they were coded at the different levels of the ILF.

Level	Document review example activities
Paradigm	Evidenced-based practice and policy Community engagement in health promotion Access to primary health care Access to mainstream services; and a population based approach.
Goals	Three health related goals to: Reduce the incidence and impact of Otitis Media and Conductive Hearing Loss in Aboriginal and Torres Strait Islander children living in Queensland Improve the coordination and integration of culturally appropriate and evidence-based sustainable ear health services across the care continuum for Aboriginal and Torres Strait Islander children living in Queensland Integrate ear health services into primary and public health care services / approaches to Aboriginal and Torres Strait Islander child, maternal and family health
System structure	Memoranda of Understanding with training providers and health services Advocacy for resourcing options and models of care for allied health in Aboriginal & Torres Strait Islander communities Ear disease and its impacts are included in the draft Blueprint for better health outcomes for Aboriginal and Torres Strait Islander people in Queensland
Knowledge, feedback and delays	Database containing information on one individual programme activities Workforce survey and needs analysis Survey of classroom teachers using sound field systems Cross-sectional assessment of hearing in school aged children (aged 4–9 years) Conference presentations and peer reviewed publication Annual reports (2009–2013) Evaluations, social marketing and health promotion campaigns
Structural elements	Development of educational resources for health workers, maternal and child care workers and educators including on-line courses for early educators
	Training workshops for Child Health Nurses, Clinical Facilitators and qualified health workers
	Ear health and strategies included in Cert IV Training and Evaluation for Early Child Educators
	Provision of Sound Amplification Systems to schools and classroom acoustic modifications
	Funding provided to address financial disincentives experienced by health professionals providing outreach services to provide multidisciplinary outreach services (GPs, nurses, medical specialists, speech therapists, audiologists)
	Provision and maintenance of equipment (e.g. otoscope, tympanometer and audiometer)
	Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait Islander Populations and Personal Health Record updated and promoted
	Ear health surgical services and audiological checks Social marketing strategy including development and dissemination of DVD and development of a central portal for information, publications on ear and hearing health resources and healthy lifestyle messages and Otitis Media info sheet
	Forum held with key clinicians, managers and academics to develop a primary prevention strategy
	Provision of reporting templates for performance reporting