Cash Transfers And Behaviour Change Communications To Reduce Child Undernutrition In Rural Bangladesh: A Cluster Randomized Controlled Trial To Determine The Most Effective Combination Of Interventions.
Funder
National Health and Medical Research Council
Funding Amount
$3,415,801.00
Summary
Under-nutrition of children remains a major global public health problem. Tackling this problem will require more evidence about what combination of nutrition-specific and nutrition sensitive interventions is most effective in reducing child undernutrition. We plan a large scale trial in rural Bangladesh to compare the effects of communications about nutrition with mobile phones and cash transfers in preventing child malnutrition.
Understanding The Origins Of Diabetes And Kidney Disease In Aboriginal Children And Their Mothers
Funder
National Health and Medical Research Council
Funding Amount
$1,784,613.00
Summary
Aboriginal people experience increased rates of diabetes and kidney disease than non-Aboriginal Australians. This project seeks to understand the role played by the intrauterine events, maternal nutrition, breastfeeding and early growth in the development of diabetes and kidney failure in both Aboriginal mothers and their children.
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.
Title: ‘Indigenous Counselling And Nicotine (ICAN) QUIT In Pregnancy’ - A Cluster Randomised Trial To Implement Culturally Competent Evidence-based Smoking Cessation For Pregnant Aboriginal And Torres Strait Islander Smokers
Funder
National Health and Medical Research Council
Funding Amount
$2,259,016.00
Summary
‘ICAN QUIT in Pregnancy’ tackles smoking through training health providers caring for expectant mothers of Indigenous babies in real-world primary care settings. The intervention was co-developed with Aboriginal communities. We will assess how many Indigenous women, cared for by the trained services, quit smoking, compared to the women that receive usual care. We anticipate that babies born to mothers in the intervention group will have less respiratory illness in their first six months.
Translating Evidence Based Smoking Cessation Care For Pregnant Indigenous Smokers
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Smoking is a major cause of poor health in mothers and babies, yet smoking rates remain high in Indigenous pregnant women. This fellowship supports a trial of a culturally competent targeted intervention for Indigenous pregnant women who smoke. The intervention provides webinar training of health providers in participating Aboriginal Medical Services. A control group will use their standard care practices. Smoking rates of the women cared for by health providers in each group will be compared.
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 Dietary Intervention In Gestational Diabetes To Reduce Child Obesity: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$354,715.00
Summary
Women with gestational diabetes (GDM) whose blood glucose levels (BGL) are not well controlled have a higher chance of giving birth to large babies. These babies are at high risk of becoming overweight children and adults. Preventing child obesity therefore requires appropriate intervention during pregnancy complicated with GDM. This study will determine the ability of specific dietary advice (aimed at reducing maternal BGL) to reduce the risk of large babies in a typical ante-natal setting.
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
Improving Strategies To Support Pregnant Aboriginal Women To Quit Smoking
Funder
National Health and Medical Research Council
Funding Amount
$380,891.00
Summary
The overall objective of this project is to produce new knowledge about effective strategies for decreasing the smoking rates in pregnant Aboriginal women. The studies aim to: 1. Understand pregnant Aboriginal smokers attitudes to and experiences of using quit smoking methods 2. Understand what behaviour change techniques may be useful for pregnant Aboriginal women who smoke 3. Explore clinicians’ knowledge, attitudes and practices of providing behavioural counselling and nicotine replacemen
Developing Salient Messages For Indigenous Tobacco Control In Rural Aboriginal Smokers
Funder
National Health and Medical Research Council
Funding Amount
$117,331.00
Summary
I am a General Practitioner with a keen interest in smoking cessation particularly for Aboriginal people, who have a high rate of smoking. Media messages are not to date being completely effective in this group, so I am investigating how to make more relevant and persuasive messages to support Indigenous smokers and their families (importantly pregnant smokers) to become smoke-free and encourage them to use effective treatments to do so.