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Stress During Pregnancy And The Developmental Origins Of Renal Disease In Aboriginal Australians
Funder
National Health and Medical Research Council
Funding Amount
$866,044.00
Summary
There is an epidemic of renal failure in Aboriginal people who also have high rates of premature birth of small babies. This project aims to understand the causes of kidney failure in Aboriginal people through testing if stress during pregnancy leads to the birth of preterm, small babies with small poorly formed kidneys that lead to kidney failure in later life. The effect of stressors impacting on pregnant women including infections, exposure to smoking and social stressors will be examined.
To Improve The Quality And Access To Dialysis Treatments By Indigenous Australians From Remote Areas By Using A Patient-centred Approach To Determine The Cost-effectiveness Of Treatment Models That Include The Health, Social And Economic Impact
Funder
National Health and Medical Research Council
Funding Amount
$1,195,023.00
Summary
Compared to other Australians, Indigenous people from remote areas suffer disproportionately from kidney disease. In order to access treatment they must often relocate, sometimes permanently to urban areas. Communities advocate for services closer to home but most health providers see remote area delivery as prohibitively costly. The study will assess the relative cost-benefits of more patient-centered models of care that are inclusive of impacts on patients, families and communities.
This CRE aims to build a world-leading, multi-disciplinary research team that aims to have a real impact on finding and implementing policy solutions to the global obesity epidemic. It will support policy makers and public health advocates to create potent and sustained policy change by evaluating potential policy options and their impacts on environments and systems, enhancing policy development and implementation processes, and monitoring the actions of the public and private sectors.
Deadly Liver Mob: Engaging Aboriginal People In Viral Hepatitis, HIV And Sexual Health Services
Funder
National Health and Medical Research Council
Funding Amount
$848,441.00
Summary
Rates of blood-borne viruses and sexually transmissible infections are high among the Aboriginal and Torres Strait Islander population. A local initiative in western Sydney has trialed a new approach to engagement and care of Aboriginal people. We will implement this approach in services across NSW and evaluate its effectiveness as a sustainable and acceptable model for engaging Aboriginal people in care and develop an implementation plan for future roll-out to other services.
Rheumatic Heart Disease (RHD) In Pregnancy: Challenges Of Health Service Provision
Funder
National Health and Medical Research Council
Funding Amount
$38,552.00
Summary
The burden of rheumatic heart disease (RHD) in pregnancy can be significant and in Australia is mostly confined to Aboriginal and Torres Strait Islander women. This study explores the barriers to timely diagnosis and best practice care for pregnant women with RHD, through 1) a study of reporting and health information systems related to RHD in pregnancy; and 2) an examination of health professionals’ knowledge, experiences of and attitudes to provision of care for pregnant women with RHD.
The Development Of A Composite Index Of Need For Regional Maternity Services: The Australian Regional Birthing Index (ARBI)
Funder
National Health and Medical Research Council
Funding Amount
$486,975.00
Summary
the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of impleme ....the Australian Regional Birthing Index (ARBI) is to be developed in response to the National Maternity Services Plan recommendation for an index to guide the provision of maternity services in rural and remote Australia. This index uses the size, remoteness, and vulnerability of the community, plus lessons learnt from the Canadian rural birth index. An Expert Panel of experienced clinicians, health planners and policy makers and managers of services will guide and test the feasibility of implementing this index.Read moreRead less
A New Direction For TB Control In Highly Endemic Countries: A RCT Of Active Case Finding
Funder
National Health and Medical Research Council
Funding Amount
$1,362,910.00
Summary
Tuberculosis is the number 1 health problem in Vietnam . Many people with TB do not know they have the disease but are infectious to others. Hence, the disease continues to spread. This project will investigate the role of x-ray screening to detect and treat more people with TB, particularly those who do not have symptoms. This may be an important element of future TB control programs in Vietnam and elsewhere in our region.
Building On Our Strengths (BOOSt): Developing And Evaluating Birthing On Country Primary Maternity Units
Funder
National Health and Medical Research Council
Funding Amount
$1,090,701.00
Summary
Optimal healthcare during the year before and after birth can provide benefits for a lifetime. Our project will deliver this optimal care by implementing and evaluating Birthing on Country Service Delivery Models in urban, regional and remote sites. Birthing on Country combines Indigenous knowledge and governance, culturally safe care, continuity of midwifery carer, birth in an Indigenous birth centre and development of the Indigenous maternal and infant workforce.
1+1- A Healthy Start To Life:Targeting The Year Before And The Year After Birth In Aboriginal Children In Remote Areas
Funder
National Health and Medical Research Council
Funding Amount
$587,272.00
Summary
Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential ....Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential for promoting health and providing quality care. Evidence suggests redesigned models based on continuity of care, focused, proactive family support and workload reform will improve maternal and infant outcomes. New models need to be developed, costed, implemented and evaluated providing governments with the evidence base to initiate service improvement. Such models will have applicability elsewhere in Australia. Professor Lesley Barclay and her team of researchers from Charles Darwin University will conduct research into developing such a model. The project aims to improve the quality of care for remote dwelling Aboriginal women and infants in the year before, during and the year after birth by providing evidence for, and facilitating changes to, service delivery. This will enhance the potential for the development of resilience and well-being of their children. It will also test if service improvements can improve the health of women and reduce childhood disease and therefore reduce the impact of health conditions occurring in adulthood which have their origins in the early stages of life.Read moreRead less
The CRE in Telehealth will advance knowledge and research capacity in telehealth to increase the availability of healthcare to all Australians. Modern communication technologies used in telehealth have the potential to revolutionise healthcare delivery. The CRE will focus on health service settings where access is currently challenging: Small rural hospitals; residential aged care facilities; people’s homes (particularly for disabled and older people); and indigenous communities.