Closing The Gap: Early Childhood Sustained Home Visiting For Families Of Aboriginal Infants In An Urban Community
Funder
National Health and Medical Research Council
Funding Amount
$2,244,402.00
Summary
The study aims to determine whether a sustained structured nurse home visiting (SSNVH) program is effective for Aboriginal families. In the context of increased government investment in home visiting programs for Indigenous children, this study will help to answer three critical questions: (1) Does SSNHV result in improved outcomes for Aboriginal infants? (2) Is SSNHV equally effective for Aboriginal and non-Aboriginal infants?(3) What are the issues in adaptation and implementation?
Immunising Aboriginal Mothers With Pneumococcal Polysaccharide Vaccine To Prevent Infant Ear Disease And Carriage
Funder
National Health and Medical Research Council
Funding Amount
$1,131,530.00
Summary
Aboriginal children experience the highest rates of acute and chronic ear infections in the world, with resultant permanent ear damage, hearing loss and educational disadvantage. These infections are mainly bacterial, and Streptococcus pneumoniae (pneumococcus) is the predominant pathogen. Pneumococcal colonisation and infection begins within days of birth, many months before any potential immunological protection from infant pneumococcal conjugate vaccine may be expected. New strategies are nee ....Aboriginal children experience the highest rates of acute and chronic ear infections in the world, with resultant permanent ear damage, hearing loss and educational disadvantage. These infections are mainly bacterial, and Streptococcus pneumoniae (pneumococcus) is the predominant pathogen. Pneumococcal colonisation and infection begins within days of birth, many months before any potential immunological protection from infant pneumococcal conjugate vaccine may be expected. New strategies are needed to eliminate, or at least delay, this early-onset pneumococcal colonisation. One such strategy is the administration to the mother of pneumococcal vaccine, which may protect the newborn infant by leading to higher titres of transplacental or breast milk pneumococcal antibodies and-or by reducing carriage (and transmission to the infant) of maternal pneumococci. Previous small studies using this strategy have been encouraging, but there have been no studies properly evaluating carriage or disease endpoints in infants. The polysaccharide pneumococcal vaccine is currently recommended for all Aboriginal and Torres Islander persons aged 15 years or more in the Northern Territory but uptake of the vaccine has been poor. We propose to conduct a pilot study to determine if maternal immunisation with this vaccine, either in the third trimester of pregancy of immediately following delivery, can reduce pneumococcal carriage and the prevalence of middle ear disease among Aboriginal infants at seven months of age. We aim to recruit 210 Aboriginal women who have uncomplicated pregnancies from Darwin and remote communities in the Top End of the Northern Territory. Each subject and their infant offspring will be followed-up after vaccination and at birth, one , two and seven months after birth.Read moreRead less
Understanding Burn Injuries In Aboriginal And Torres Strait Islander Children: Treatment, Access To Services And Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$911,798.00
Summary
This is the first large scale study to systematically examine the burden of burn injury in Aboriginal and Torres Strait Islander children, including care and cost of treatment, and relationship between access to treatment and functional outcomes. With a team comprising epidemiologists, burns clinicans and Aboriginal health researchers, this study will generate important new research evidence to improve care in this over-represented and vulnerable population.
Achieving true representation of Indigenous people in nursing and midwifery. This project aims to address an absence of true representation of Aboriginal and Torres Strait Islander peoples and knowledges in nursing and midwifery. Significantly it intends to co-create an Aboriginal and Torres Strait Islander nurse and midwife theory and principles for practice. An anticipated goal of the research is to better understand how the theory and practice can be implemented in nurse and midwifery educati ....Achieving true representation of Indigenous people in nursing and midwifery. This project aims to address an absence of true representation of Aboriginal and Torres Strait Islander peoples and knowledges in nursing and midwifery. Significantly it intends to co-create an Aboriginal and Torres Strait Islander nurse and midwife theory and principles for practice. An anticipated goal of the research is to better understand how the theory and practice can be implemented in nurse and midwifery education (inclusive of clinical settings) in regional and urban areas. The intended outcome is to provide improved cultural safety in nursing and midwifery, greater cultural safety for health consumers and; stronger recruitment and retention of Indigenous nurses and midwives.
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A New Model For The Pathogenesis Of Rheumatic Fever: Superantigen Priming Of The Immune Response To Group A Streptococci
Funder
National Health and Medical Research Council
Funding Amount
$248,820.00
Summary
Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, c ....Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, control of this ARF will partly depend on new and better treatment and prevention strategies. To achieve these goals a deeper understanding of the immune mechanisms underlying this disease is urgently needed. It is known that ARF is caused by an abnormal immune response following streptococcal infection. This leads to the production of cells called T cells that attack the body s own tissues rather than the bacteria itself. This autoimmune disease is responsible for the heart damage that underlies ARF. It is believed that this proces only occurs when susceptible individuals are infected with specific rheumatogenic strains of streptococci. However there are a number of deficiencies in this model and it is proposed that there is an additional factor responsible for the abnormal immune response in ARF. This project will explore the possibility that bacterial toxins called superantigens are the critical missing factor , by studying the immune response in ARF. Superantigens are produced by certain streptococci and staphylococci, and are potent in minute quantities causing widespread activation of the immune system. They have been found to play an important role in a number of autoimmune diseases and the type of immune response found in ARF fits well with that expected if superantigens were involved. If superantigens play an important role in causing the abnormal immune response in ARF then a number of new avenues would open for the treatment and prevention of this disease.Read moreRead less
From the Desert to the Sea: Managing Rock Art, Country and Culture. This Project will expand our understanding of Aboriginal settlement and land-use in north-west Australia by investigating how the mythological narratives of Australia’s deserts enable the transmission of knowledge in water-limited environments. Combining traditional ecological knowledge and novel scientific approaches (e.g. anthracology, remote sensing, oxygen-isotopes) will provide new insights into human behaviours at rock art ....From the Desert to the Sea: Managing Rock Art, Country and Culture. This Project will expand our understanding of Aboriginal settlement and land-use in north-west Australia by investigating how the mythological narratives of Australia’s deserts enable the transmission of knowledge in water-limited environments. Combining traditional ecological knowledge and novel scientific approaches (e.g. anthracology, remote sensing, oxygen-isotopes) will provide new insights into human behaviours at rock art site complexes. It will develop management regimes and formal certification for Indigenous rangers while building heritage capacity in these partner communities: enabling intergenerational, culturally appropriate knowledge transfer protocols are in place to ensure sustainable economic heritage futures.Read moreRead less
ARC Centre of Excellence for Indigenous and Environmental Histories and Futures. ARC Centre of Excellence for Indigenous and Environmental Histories and Futures. The proposed Centre aims to generate a new direction in knowledge creation based on Aboriginal- and Torres Strait Islander-led approaches to managing Land and Sea Country. The Centre expects to make a legacy contribution by developing complementary Indigenous and Western knowledge frameworks for modelling environmental, cultural, and hi ....ARC Centre of Excellence for Indigenous and Environmental Histories and Futures. ARC Centre of Excellence for Indigenous and Environmental Histories and Futures. The proposed Centre aims to generate a new direction in knowledge creation based on Aboriginal- and Torres Strait Islander-led approaches to managing Land and Sea Country. The Centre expects to make a legacy contribution by developing complementary Indigenous and Western knowledge frameworks for modelling environmental, cultural, and historical change in Australia over the last millennium and into the near future. Expected outcomes focus on sustainable Indigenous land and sea management planning for future decades. Benefits include improved forecasting of the trajectory of environmental change, an increase in the capacity of Indigenous research, creation of a pipeline for Indigenous students into research, and evidence-based policy-making.Read moreRead less
Special Research Initiatives - Grant ID: SR120100005
Funder
Australian Research Council
Funding Amount
$3,198,392.00
Summary
National Indigenous Research and Knowledges Network. The National Indigenous Research and Knowledges Network will capacity build and increase Indigenous higher degree, early and mid career researchers to develop new approaches to undertaking research and producing outcomes. NIRAKN's members include a number of universities, AIATSIS, and partner organisations.
ARC Centre of Excellence for Indigenous Futures. ARC Centre of Excellence for Indigenous Futures. The ARC Centre of Excellence for Indigenous Futures aims to transform and improve the life chances of Indigenous Australians by utilising Indigenous knowledges in unique trans-disciplinary cross-sector designed research to enhance our understanding about the complex nature of Indigenous intergenerational inequity. The Centre expects to generate new knowledge to enable evidence-based policy formulati ....ARC Centre of Excellence for Indigenous Futures. ARC Centre of Excellence for Indigenous Futures. The ARC Centre of Excellence for Indigenous Futures aims to transform and improve the life chances of Indigenous Australians by utilising Indigenous knowledges in unique trans-disciplinary cross-sector designed research to enhance our understanding about the complex nature of Indigenous intergenerational inequity. The Centre expects to generate new knowledge to enable evidence-based policy formulation and implementation including best practice models. The Centre will be entirely led by Indigenous researchers working with communities, government agencies and practitioners to strengthen the delivery of outcomes and linkages intentionally focused on all four of the National Agreement Close The Gap -2020’s Priority Reform areas.Read moreRead less
Re-integrating Central Australian community cultural collections. This project aims to apply current research on archiving and community access to find practical solutions to managing the large amounts of recorded cultural material of interest to the Central Land Council, the peak Indigenous representative body covering the southern half of the Northern Territory. The project aims to identify and integrate information in a common database, work with community members to create a prioritised list ....Re-integrating Central Australian community cultural collections. This project aims to apply current research on archiving and community access to find practical solutions to managing the large amounts of recorded cultural material of interest to the Central Land Council, the peak Indigenous representative body covering the southern half of the Northern Territory. The project aims to identify and integrate information in a common database, work with community members to create a prioritised list of any at-risk materials and apply locally meaningful categories for managing the archival materials relevant to their community, and deliver appropriate documentation of process, permissions and reports to support ongoing sustainability of the collections.Read moreRead less