Choice Or Chance: The Social Context Of Contraceptive Use By Women With HCV And Their Reproductive & Sexual Health Needs
Funder
National Health and Medical Research Council
Funding Amount
$260,150.00
Summary
Hepatitis C is a growing health concern, with 1% of the Australian population now HCV positive, and signs that it is increasing more quickly among women of child-bearing age. This study builds upon recent research that shows that Australia women with Hepatitis C have low levels of contraception even though they have specific contraceptive needs relating to concerns about the risks of vertical transmission, the effects of the diease on their children and the use of Ribavirin, a teratogen, in HCV ....Hepatitis C is a growing health concern, with 1% of the Australian population now HCV positive, and signs that it is increasing more quickly among women of child-bearing age. This study builds upon recent research that shows that Australia women with Hepatitis C have low levels of contraception even though they have specific contraceptive needs relating to concerns about the risks of vertical transmission, the effects of the diease on their children and the use of Ribavirin, a teratogen, in HCV treatment. This study aims to elucidate the reasons for this low level of contraception among women with Hepatitis C through interviews with them (and in some cases their partners) about the complex array of practices and understandings, within the contexts of their lives, that influence their contraceptive and reproductive behaviours. The public health outcomes of this research include the development of contraceptive information that is relevant to the specific needs of women with Hepatitis C and the identification of barriers to family planning and reproductive health services for these women.Read moreRead less
Monitoring And Improving The Health Of Justice-involved Populations: A Public Health Priority
Funder
National Health and Medical Research Council
Funding Amount
$713,517.00
Summary
The prison system serves as a filter for the most disadvantaged and unwell members of our community. Prisons provide a rare opportunity to initiate health care for these individuals, but health gains achieved in custody are usually lost after return to the community. The aims of this Fellowship are to (a) understand the health care needs of justice-involved people, (b) develop effective, affordable interventions to meet these needs; and (c) translate the findings of this research into policy.
Identifying Factors That Improve The Health Of Prisoners Who Inject Drugs
Funder
National Health and Medical Research Council
Funding Amount
$376,658.00
Summary
Prisoners who inject drugs are highly marginalised with high rates of unresolved health and social issues and high rates of return to prison. Little is known, however, about how this group manages after release from prison. This qualitative project will allow ex-prisoners to tell their own stories of the challenges they have had and what strategies (formal and informal) they have used with the aim of informing responses in prisons and in the community setting.
Models Of Care For Hepatitis C In The Era Of Directly Acting Antivirals
Funder
National Health and Medical Research Council
Funding Amount
$124,608.00
Summary
This project aims to evaluate how service delivery can enhance the impact of directly acting antivirals (DAA) on hepatitis C treatment uptake in three parts: i) To assess the impact of ten integrated hepatology nurses on treatment uptake in Victoria ii) To assess the feasibility of patient driven contact tracing to treat hepatitis C with DAA in a study of people who inject drugs iii) To assess the impact of offering DAA therapy in primary health care compared with a hospital.
Understanding The Barriers To Improved Access, Engagement And Retention Of Methamphetamine Users In Health Services
Funder
National Health and Medical Research Council
Funding Amount
$788,291.00
Summary
Drug surveys show widespread use of methamphetamine. Its regular use, particularly via injection, is associated with a range of serious harms, including drug dependence, psychosis, viral infection and violence. In order to improve access, engagement and retention of methamphetamine injectors in drug treatment and other health services, and thereby reduce these harms, further research is urgently needed to better understand their healthcare needs and the existing barriers to service utilisation.
Improving The Health Of Indigenous And Non-Indigenous Ex-prisoners: A Multi-jurisdictional, Mixed-methods Study
Funder
National Health and Medical Research Council
Funding Amount
$1,447,978.00
Summary
More than 50,000 people are released from prison in Australia each year. Ex-prisoners experience high rates of mental illness, chronic disease, social disadvantage, drug dependence and premature death, yet we know almost nothing about how to improve their health outcomes. This project will identify key health issues for Indigenous and non-Indigenous ex-prisoners and generate evidence-based responses, simultaneously improving health and reducing reoffending among this highly marginalised group.
Investigating Rising Demand For Emergency Health Care With An Ageing Population
Funder
National Health and Medical Research Council
Funding Amount
$311,860.00
Summary
The increase and acceleration in demand for emergency healthcare by the elderly is a key issue facing health policy makers. This fellowship will compare utilisation of emergency health services by elderly populations of two large Australian cities, Perth and Melbourne; and test whether an Emergency Department (ED)-based intervention reduces the likelihood of re-presentation to ED and/or hospital admission to hospital. The results will provide valuable information for service providers and policy ....The increase and acceleration in demand for emergency healthcare by the elderly is a key issue facing health policy makers. This fellowship will compare utilisation of emergency health services by elderly populations of two large Australian cities, Perth and Melbourne; and test whether an Emergency Department (ED)-based intervention reduces the likelihood of re-presentation to ED and/or hospital admission to hospital. The results will provide valuable information for service providers and policy makers.Read moreRead less
Reducing Demand On Emergency Departments In The Last Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$371,049.00
Summary
People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable op ....People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable option for people at the end-of-life.Read moreRead less