M-SAKHI : Mobile Health Solutions To Help Community Providers Promote Maternal And Infant Nutrition And Health - A Community-based Cluster Randomized Controlled Trial In Rural India
Funder
National Health and Medical Research Council
Funding Amount
$2,379,427.00
Summary
The proposed research will examine the impact of the mobile phone counselling on child feeding practices, & undernutrition & cognitive development in a rural setting in India. The study aims to collect high-level evidence of whether mobile phone counselling about nutrition in pregnancy, and child feeding, directed at pregnant women and mothers in rural India will i) reduce low birthweight, ii) improve infant & child feeding, and iii) reduce child undernutrition at 24 months.
Judicious Use Of Antibiotics For Acute Otitis Media In Aboriginal Children: A Multi-centre Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$614,840.00
Summary
Aboriginal children living in remote communities have the highest rates of severe ear infections and associated hearing loss currently reported in the medical literature. In some rural and remote Aboriginal communities, all infants have their first infection by 3 months of age and up to 60% develop chronic suppurative otitis media (pus draining from the ears) in the first year of life. By the time they reach school-age more than 50% of children have a significant hearing loss. This has important ....Aboriginal children living in remote communities have the highest rates of severe ear infections and associated hearing loss currently reported in the medical literature. In some rural and remote Aboriginal communities, all infants have their first infection by 3 months of age and up to 60% develop chronic suppurative otitis media (pus draining from the ears) in the first year of life. By the time they reach school-age more than 50% of children have a significant hearing loss. This has important implications for their education. The aim of this study is to determine whether a new longer-acting antibiotic will be more effective in treating young Aboriginal children with new ear infections and therefore prevent the progression to chronic suppurative otitis media. The involvement of up to 20 Aboriginal communities in this well-designed clinical trial represents a major advance in the methods used to evaluate interventions in Aboriginal health. The project will also provide training in ear examination and appropriate medical management. Swabs from the nose will be taken to monitor the effect of antibiotics on the rates of antibiotic resistance. The results from this study will be directly relevant to evidence-based guidelines on the management of otitis media in Aboriginal and Torres Strait Islander populations.Read moreRead less
Methodological Research In Meta-analysis And Evidence Synthesis: An Evidence-based Methods Approach
Funder
National Health and Medical Research Council
Funding Amount
$431,000.00
Summary
Systematic reviews synthesize available research to determine whether policy, health service delivery, public health, and clinical interventions are effective. Statistical methods underpin the validity of the findings in systematic reviews. This research will evaluate and develop statistical methods for systematic reviews with the aim of improving the quality of reviews and ensuring healthcare decisions are based on reliable research syntheses.
Development And Evaluation Of A Primary Health Care Model To Prevent Dental Decay In Aboriginal Pre-school Children
Funder
National Health and Medical Research Council
Funding Amount
$1,482,000.00
Summary
Dental decay has been described as the most common disease of childhood that is not self-limiting or responsive to short-term pharmacological management. Regrettably, Australian Aboriginal children have, on average, twice as many teeth affected by decay as other Australian children. The disease is a particular burden for pre-school children who do not routinely have access to dental care provided by the state-territory programs. The goal of this project is to develop, implement and evaluate the ....Dental decay has been described as the most common disease of childhood that is not self-limiting or responsive to short-term pharmacological management. Regrettably, Australian Aboriginal children have, on average, twice as many teeth affected by decay as other Australian children. The disease is a particular burden for pre-school children who do not routinely have access to dental care provided by the state-territory programs. The goal of this project is to develop, implement and evaluate the effectiveness of a community-oriented, primary health care intervention to prevent dental decay among pre-school children in Aboriginal communities in the Northern Territory. The cluster randomized design provides a practical approach to the problem of small numbers of children living in remote communities. The results obtained from this research proposal would make an important contribution to the health care of Australian Aboriginal children and other disadvantaged children throughout the world.Read moreRead less
Long Term Impact Of A Community-based Cluster Randomized Controlled Trial Of Peer Counselling To Improve Infant Feeding On Growth & Cognitive Function Of Children Up To 5 Years In Urban Bangladesh
Funder
National Health and Medical Research Council
Funding Amount
$851,345.00
Summary
Bangladesh still faces high levels of inappropriate infant feeding leading to child undernutrition and delayed development. Effective programs are urgently needed to help reduce undernutrition and improve child development. This study in poor urban communities in Dhaka, Bangladesh will see if long-term counseling provided by local women to mothers about appropriate infant feeding can improve child’s nutritional status, growth and cognitive function in their children at 5 years.
A Community-based Cluster Randomized Controlled Trial In Rural Bangladesh To Evaluate The Impact Of The Use Of Iron/folic Acid Supplements Early In Pregnancy On The Risk Of Neonatal MortalityBACKGROUND An Effective Program Of Antenatal Iron/folic Ac
Funder
National Health and Medical Research Council
Funding Amount
$2,564,922.00
Summary
This community-based trial in rural Bangladesh will determine if iron/folic acid supplementation commencing in the first trimester of pregnancy significantly reduces newborn deaths, and whether this approach is cost-effective. This trial has the potential to inform international public health policy about the importance of starting antenatal iron/folic acid supplementation early to improve neonatal survival, and to help countries reach their child survival Millennium Development Goal
The First Randomised Placebo Controlled Trial Of Paracetamol For Acute Low Back Pain
Funder
National Health and Medical Research Council
Funding Amount
$73,852.00
Summary
Low back pain is a considerable burden for individuals and society. While clinical guidelines recommend simple treatments such as paracetamol for new low back pain, most people receive costly and potentially harmful treatments. This may be due to limited direct evidence supporting the recommended treatments. A placebo controlled clinical trial of 1650 patients with recent onset low back pain will be conducted to determine the effect that paracetamol has on improving the time to recovery.
Yindymarra (to Honour, Respect) Aboriginal Experiences In The Conduct Of Health Research: The Development Of Practical Recommendations To Enhance The Uptake Of Ethical Research Guidelines.
Funder
National Health and Medical Research Council
Funding Amount
$1,015,166.00
Summary
Ethical, high quality research is needed to reduce the health gap between Aboriginal and non-Aboriginal Australians. Currently, there is no critical analysis of the uptake of ethical guidelines. This study will investigate the experiences of Aboriginal communities and Aboriginal health researchers at a national level. Collected data will inform a nationally endorsed set of practical recommendations to guide future Aboriginal health research.