Agreements as a mechanism for community participation in health policy: Understanding process and evaluating effectiveness. Improving the health of Indigenous people requires health policy that is inclusive and proactive rather than crisis driven. Formal agreements outline responsibilities and accountabilities in a shared framework that respects the rights of the parties involved. This project will evaluate the quality and effectiveness of agreements in Indigenous health by assessing their abil ....Agreements as a mechanism for community participation in health policy: Understanding process and evaluating effectiveness. Improving the health of Indigenous people requires health policy that is inclusive and proactive rather than crisis driven. Formal agreements outline responsibilities and accountabilities in a shared framework that respects the rights of the parties involved. This project will evaluate the quality and effectiveness of agreements in Indigenous health by assessing their ability to change the way governments and communities work together to improve health. The project will help ensure that future agreements reflect shared solutions for improving the health of Indigenous people in a respectful and effective way. It will also determine whether agreements work to bring community and government together to reduce inequalities in health.Read moreRead less
Primary Prevention Of Infant Food Allergy: A Randomised Controlled Trial Of Postnatal Vitamin D Supplementation
Funder
National Health and Medical Research Council
Funding Amount
$1,723,793.00
Summary
Low vitamin D has been linked to a range of health conditions but, unlike many countries, Australia does not recommend supplementing infants with vitamin D. Good quality research on the effectiveness of vitamin D supplementation to prevent disease is lacking. Our trial of 2330 infants examines whether a daily dose of vitamin D prevents the development of food allergy. Vitamin D is safe and low cost. Infant supplementation may be the first simple strategy to reduce this common childhood condition
Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
Post-implementation economic evaluation of childhood vaccination programs. This project will develop a novel framework for assessing the value for money achieved by childhood vaccination programs. This will provide decision makers with methodologically sound economic assessments that incorporate real world program outcomes.
Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or ....Chronic Disease Prevention and Treatment - Cost-Benefit Model Systems to Assist with Priority Setting. The key benefit of the proposal to develop linked chronic disease models that are able to account for comorbidities will be that a much more accurate picture of the health and financial implications of chronic diseases will be obtainable than with the traditional 'disease-by-disease' based studies. Such a global approach is particularly relevant to analysis of chronic disease prevention and/or treatment, because the lifestyle related risk factors are common to many such diseases. Overall, the linked models will be able to improve on current decision making processes, providing a more complete view of chronic disease costs and benefits - either today, or in future - under different prevention or treatment scenarios.Read moreRead less
Geelong Healthy Eating and Active Play for Under Fives. Helping children achieve a healthier weight is a major national health priority. About 30% of 4 and 5 year old children are already overweight or obese. Action is urgently needed to prevent further increases yet there have been very few studies in the area. The Geelong Under-5s project in will measure the impact of a comprehensive intervention designed to reduce the prevalence of overweight and obesity by modifying day care and kindergarte ....Geelong Healthy Eating and Active Play for Under Fives. Helping children achieve a healthier weight is a major national health priority. About 30% of 4 and 5 year old children are already overweight or obese. Action is urgently needed to prevent further increases yet there have been very few studies in the area. The Geelong Under-5s project in will measure the impact of a comprehensive intervention designed to reduce the prevalence of overweight and obesity by modifying day care and kindergarten settings, by increasing the capacity of staff to teach and model healthy eating and physical activity patterns, and by educating parents at receptive moments in their child's life.Read moreRead less
Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related dis ....Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related disease, and assess potential adverse outcomes of vaccination. Men are currently not covered by routine vaccination or screening programs; this research will assess the benefit to men of vaccinating women only, and will consider the impact of vaccination and other interventions targeted towards men.Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less
A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility ....A study of the provision of the emergency contraceptive pill over-the-counter in Australia. Australian abortion rates, especially among young women, are a major concern. The emergency contraceptive pill (ECP) is an effective method for the prevention of unwanted and unplanned pregnancy, with the potential to reduce abortions. The study aims to provide evidence of whether the rescheduling of ECP in Australia so that pharmacists as well as doctors can dispense it, has improved its accessibility and use by women at risk of abortion. It will also assess whether pharmacists feel confident, well-trained and supported to provide it and whether abortion rates have reduced. The study will provide policymakers with the evidence to assess whether this important initiative is effective and what is needed to improve its effectiveness.Read moreRead less
The Future Of Tobacco Control: Exploring The Feasibility, Acceptability And Cost-effectiveness Of New Policy Directions
Funder
National Health and Medical Research Council
Funding Amount
$495,752.00
Summary
We will examine the practical feasibility, ethical and public acceptability, and likely cost effectiveness of a number of different ways of reducing tobacco smoking and the harm caused by smoking in Australia. These policy options will include: (1) more restrictive policies towards tobacco products (such as prohibiting tobacco smoking and creating a government monopoly on the manufacture and supply of tobacco); (2) encouraging smokers to switch from smoking cigarettes to less harmful ways of usi ....We will examine the practical feasibility, ethical and public acceptability, and likely cost effectiveness of a number of different ways of reducing tobacco smoking and the harm caused by smoking in Australia. These policy options will include: (1) more restrictive policies towards tobacco products (such as prohibiting tobacco smoking and creating a government monopoly on the manufacture and supply of tobacco); (2) encouraging smokers to switch from smoking cigarettes to less harmful ways of using nicotine, such as using nicotine patches or gum ; (3) using new biotechnologies to improve smokers chances of quitting (e.g. genetic screening of smokers to select the most effective way of helping them to stop smoking and vaccinating ex-smokers against the effects of nicotine); and (4) new biotechnologies that may prevent nonsmokers from beginning to smoke (e.g. vaccinating nonsmokers against the effects of nicotine) or reduce the chances of their developing tobacco-related diseases (e.g. screening the population for genes that predict an increased susceptibility to nicotine dependence and tobacco-related diseases). The project will provide important information that will assist government in formulating policies to reduce the rate of cigarette smoking in the Australian population below current levels.Read moreRead less