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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
Pathways to better practice: developing human resources in child protection services for Indigenous communities in Western Australia and Queensland. This study addresses the serious and escalating problem of providing child protection services to Indigenous children and their families in rural and remote areas. Service delivery to rural and remote environments in Australia is a high cost exercise and, to date, little research has been conducted to understanding the complex nature of professiona ....Pathways to better practice: developing human resources in child protection services for Indigenous communities in Western Australia and Queensland. This study addresses the serious and escalating problem of providing child protection services to Indigenous children and their families in rural and remote areas. Service delivery to rural and remote environments in Australia is a high cost exercise and, to date, little research has been conducted to understanding the complex nature of professional (non-medical) interventions in communities with high proportions of Indigenous families and children. The study, conducted across two states, will contribute to national benefit in 3 key areas: the health and wellbeing of Indigenous children; skills shortage in rural areas and intergenerational change in professional disciplines.Read moreRead less
The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the co ....The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the country. The project aims to inform consumers, health practitioners, health service planners and policy-makers about the impact of FIFO, as well as to contribute to the development of strategies designed to stabilise the remote health workforce.Read moreRead less
Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the po ....Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the potential positive effect of community control. Expected outcomes include rigorous evidence about the 'fly in/fly out' workforce and the impact of community control which can inform new policy that will stabilise the remote health workforce, save money and contribute to 'closing the gap' in health outcomes.Read moreRead less
The melioidosis agent Burkholderia pseudomallei in the anthropogenic environment of northern Australia. This project will analyse environmental factors contributing to the persistence of the soil bacterium and melioidosis agent, Burkholderia pseudomallei in the anthropogenic environment. This will increase understanding of the consequences of land use manipulations upon these bacteria and will suggest remediation measures to reduce the risk of exposure.
Community Foundations of Resilience of Young People. Understanding and promoting resilience in young people is one of the most important health priorities of the Federal Government. The proposed project advances resilience research in a new direction. It is highly innovative in bringing together a research team from disciplines and professional knowledge domains that generally do not inform each other, to fill the conceptual gap in current knowledge around care, control and social resilience usi ....Community Foundations of Resilience of Young People. Understanding and promoting resilience in young people is one of the most important health priorities of the Federal Government. The proposed project advances resilience research in a new direction. It is highly innovative in bringing together a research team from disciplines and professional knowledge domains that generally do not inform each other, to fill the conceptual gap in current knowledge around care, control and social resilience using an applied community development project and a methodology of engagement with young people, to bring about social change.Read moreRead less
Indigenous birth and family: Pathways, places and professionals. The research complements the National Research Priority Goal A Healthy Start to Life and the National Agenda for Early Childhood. These emphasise pregnancy through to five years as critical for later social competence and physical wellbeing. Maternal and infant mortality and morbidity are significantly worse for Indigenous Australians, predisposing them to poorer health and social wellbeing as children and adults, reducing life po ....Indigenous birth and family: Pathways, places and professionals. The research complements the National Research Priority Goal A Healthy Start to Life and the National Agenda for Early Childhood. These emphasise pregnancy through to five years as critical for later social competence and physical wellbeing. Maternal and infant mortality and morbidity are significantly worse for Indigenous Australians, predisposing them to poorer health and social wellbeing as children and adults, reducing life potential and adding costs. This solution-focused research conducted with Aboriginal and health service partners, is theoretically innovative while pragmatic, as we seek to inform reform of services in urban and remote NT communities and learn lessons applicable nationally.Read moreRead less
A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. Th ....A study investigating the feasibility of implementing a national approach to child and family health services. Understanding and strengthening the way in which universal health services are provided to pregnant women, children and families has the potential to impact over a million Australian families annually. The findings of this study will have national application as federal, state and territory governments work towards implementing a national approach to child and family health services. The findings will inform effective multidisciplinary collaboration and service integration, address service gaps and duplication and lead to increased access to services. This study will generate new knowledge about characteristics of organisations, service delivery and professions that facilitate or hinder innovation.Read moreRead less
Mothers' little helper: Alcohol use in working mothers. This project aims to generate unique insights into the strains that Australian working mothers face in their daily lives and the impact these strains have on their alcohol consumption. Using innovative methods to understand strains resulting from two major life domains, family and work, the project expects to generate new knowledge which can be used to develop interventions to address this important issue. The results of this study can prov ....Mothers' little helper: Alcohol use in working mothers. This project aims to generate unique insights into the strains that Australian working mothers face in their daily lives and the impact these strains have on their alcohol consumption. Using innovative methods to understand strains resulting from two major life domains, family and work, the project expects to generate new knowledge which can be used to develop interventions to address this important issue. The results of this study can provide significant benefits not only to the quality of life of working mothers in Australia but also has society-wide implications. This is due to alcohol use being a leading avoidable cause for productivity loss alongside other social, community and economic costs.Read moreRead less
Assessing supportive care needs of Indigenous cancer survivors' caregivers. This project aims to gather data about the needs of partners and caregivers of Aboriginal and Torres Strait Islander cancer survivors. The project will undertake a comprehensive exploration of the experiences of caregivers and develop a psychometrically tested tool to assist in identifying unmet needs. The project expects to provide new knowledge about the needs of this population and a validated tool to better assess th ....Assessing supportive care needs of Indigenous cancer survivors' caregivers. This project aims to gather data about the needs of partners and caregivers of Aboriginal and Torres Strait Islander cancer survivors. The project will undertake a comprehensive exploration of the experiences of caregivers and develop a psychometrically tested tool to assist in identifying unmet needs. The project expects to provide new knowledge about the needs of this population and a validated tool to better assess these needs. The project will result in improvements in the assessment of unmet supportive care needs in caregivers of Indigenous cancer survivors, leading to more timely interventions, and a better quality of life for patients and caregivers.Read moreRead less