Dental Care And Oral Health For The Indigenous Communities Of South Australia's Mid-north
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
Improving access to dental services and oral health for Indigenous communities is a high priority. This project will initially involve the evaluation of oral health programs for Indigenous children in Port Augusta. This will guide the planning and implementation of programs for the other age groups and for the remote communities serviced by Pika Wiya Health Service. In addition, the project group will investigate the appropriateness of the developed strategies for implementation in other communi ....Improving access to dental services and oral health for Indigenous communities is a high priority. This project will initially involve the evaluation of oral health programs for Indigenous children in Port Augusta. This will guide the planning and implementation of programs for the other age groups and for the remote communities serviced by Pika Wiya Health Service. In addition, the project group will investigate the appropriateness of the developed strategies for implementation in other communities.Read moreRead less
Building Mental Wealth: Improving Mental Health For Better Health Outcomes Among
Funder
National Health and Medical Research Council
Funding Amount
$2,509,816.00
Summary
Mental health issues impact on the health and wellbeing of Indigenous Australians who do not always engage with mainstream mental health services. This project will build the capacity of a critical mass of Indigenous and non Indigenous researchers who will engage, collaborate and work with Indigenous communities, clinicians and health providers to develop a sustainable culturally appropriate mental health policy and service model including adjunctive services to chronic disease management.
Examining A Core Assumption Of Policy And Services For Older Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$133,387.00
Summary
In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous po ....In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous population aged over 70. The evidence for this assumption is not established. It is well documented that the Indigenous population has worse health outcomes across all age groups relative to non-Indigenous Australians. However, our understanding of the details of the observed pattern is far from complete. This project seeks to compare the health status of the Indigenous population aged 50 years or over to the health status of the non-Indigenous population aged 70 years or over. The project will analyse a number of data sets to inform future directions in policy and service provision. A better understanding of these issues is fundamental to informed planning and allocation of resources, to identification of areas amenable to prevention strategies and to the development of approaches to care that meet the needs of Indigenous people.Read moreRead less
An Examination Of The Causes Of Mortality Following Imprisonment In New South Wales Using Data-linkage.
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
Prisoner populations are characterised by poor health status including infectious diseases, injury, risk taking behaviours (eg. smoking and self-harm), mental illness, and substance abuse. Serosurveys of blood borne viruses such as hepatitis C and hepatitis B conducted in Australian and overseas prison settings have found that over one third of inmates have been exposed to these viruses with higher rates detected in injecting drug users and female inmates. Few attempts have been made to examine ....Prisoner populations are characterised by poor health status including infectious diseases, injury, risk taking behaviours (eg. smoking and self-harm), mental illness, and substance abuse. Serosurveys of blood borne viruses such as hepatitis C and hepatitis B conducted in Australian and overseas prison settings have found that over one third of inmates have been exposed to these viruses with higher rates detected in injecting drug users and female inmates. Few attempts have been made to examine the causes of mortality among prisoners following release from detention. Most interest has focused on overdoses in the period immediately following release; the aim of this study will examine all causes of death among individuals exposed to the correctional environment and compare these to death rates for NSW. Correctional centres house a largely male (94% in NSW) population with backgrounds of disadvantage in all areas, including Indigenous Australians, people of lower socio-economic status, those with a mental illness, and the intellectually disabled. There are currently over 21,000 (June 2001) prisoners detained in Australian correctional centres with approximately 39% housed in NSW. Fifteen percent of the NSW prisoners are Indigenous but comprise only 2% of the general population. The aims of this project will be to: (1) Identify all causes of death among ex-prisoners in NSW for the period 1985 to 2001; (2). Compare death rates in the study group with those in the NSW community; (3) Correlate pre-release health information contained in medical records with specific causes of death; (4) Compare causes of mortality among various sub-groups eg. injecting drug users, the mentally ill, violent offenders, and the intellectually disabled; (5) Examine causes of mortality between Indigenous and non-Indigenous inmates; and (6) use this information to develop pre-release programmes aimed at reducing excess mortality among this group.Read moreRead less
Zonal Expression And Persistence Of RAAV Vectors Within The Hepatic Lobule: Towards Gene Therapy For Metabolic Disease.
Funder
National Health and Medical Research Council
Funding Amount
$84,173.00
Summary
In its most severe form the urea cycle disorder OTC deficiency has a high risk of death. Current therapy is liver transplantation which has significant shortcomings including lack of donor organs. Therefore, a need to provide a safer and more effective alternative treatment exists. Liver directed gene therapy with adeno-associated virus (AAV) can potentially provide this treatment. This project aims to optimise AAV2-8 vectors for liver gene therapy in the treatment of metabolic liver disease.
An Analysis Of Maternal Health Services For Remote Dwelling Aboriginal Women And Infants From The Top End Of Australia
Funder
National Health and Medical Research Council
Funding Amount
$153,222.00
Summary
Indigenous women demand changes in healthcare services. This project occurs at the instigation of women from two Top End remote communities. It will analyse the organization and delivery of maternal health care services for women and infants from Maningrida and Wadeye and identify how services could be improved. This project will help develop strategies for maternal health service redesign and assist in improving health outcomes for Indigenous mothers and infants from these remote communities.
HISTORICAL EXPERTS AND INDIGENOUS LITIGANTS: the role of Historical Expert Evidence in Federal Court Cases. Since Mabo, historians are increasingly being called as expert witnesses in cases involving indigenous litigants. Historians perceive serious difficulties in the Court's treatment of qualitative, historical material, resulting in a possible denial of access to justice. The project investigates this treatment, pursuing issues such as expert evidence generally, the specific relationship betw ....HISTORICAL EXPERTS AND INDIGENOUS LITIGANTS: the role of Historical Expert Evidence in Federal Court Cases. Since Mabo, historians are increasingly being called as expert witnesses in cases involving indigenous litigants. Historians perceive serious difficulties in the Court's treatment of qualitative, historical material, resulting in a possible denial of access to justice. The project investigates this treatment, pursuing issues such as expert evidence generally, the specific relationship between Law and History, and the particularity of cases involving indigenous claims. The investigation asks whether historians as expert witnesses can retain both their historical professionalism and adapt to the requirements of the courts, or whether the courts? rules of evidence themselves require adaptation.
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Evaluation Of Family WellBeing Empowerment Program: A Follow-up Study
Funder
National Health and Medical Research Council
Funding Amount
$82,940.00
Summary
Although relative powerlessnes resulting from colonisation has long been recognised as a major factor shaping Indigenous health, it is difficult to find tested and validated empowerment programs in the Indigenous health literature. The current project will follow-up a previous evaluation of a Family WellBeing empowerment training course which was implemented in Alice Springs in 1998-9. The aim is to find out the extent to which course participants have been able to sustain the high levels of per ....Although relative powerlessnes resulting from colonisation has long been recognised as a major factor shaping Indigenous health, it is difficult to find tested and validated empowerment programs in the Indigenous health literature. The current project will follow-up a previous evaluation of a Family WellBeing empowerment training course which was implemented in Alice Springs in 1998-9. The aim is to find out the extent to which course participants have been able to sustain the high levels of personal empowerment demonstrated at the time of the original evaluation on the medium-long term basis. Among other things, this study will provide valuable insights and understandings about the pathways and conditions under which individuals and groups of people might use personal empowerment skills, especially better analytical and problem-solving skills to achieve greater control in life.Read moreRead less
Learning to Drink:a socio-cultural history of the introduction of alcohol to Indigenous Australians and a critique of existing explanations. The wide distribution of alcohol-related problems among Indigenous people is undoubtedly related to the ongoing legacy of Australia's colonisation. This study examines forces and factors that have shaped distinctive present-day Indigenous alcohol-related behavioural patterns, by analysing the history of interactions between Aborigines and colonisers around ....Learning to Drink:a socio-cultural history of the introduction of alcohol to Indigenous Australians and a critique of existing explanations. The wide distribution of alcohol-related problems among Indigenous people is undoubtedly related to the ongoing legacy of Australia's colonisation. This study examines forces and factors that have shaped distinctive present-day Indigenous alcohol-related behavioural patterns, by analysing the history of interactions between Aborigines and colonisers around alcoholic beverages. In this endeavour, the historical and cultural continuities in the style of drinking are the focus, rather than the number of consumers. Current understandings of problem drinking, emphasising distress and biology, impede progress and will be challenged. In contrast, a social learning model is conducive to optimism about implementing new treatment approaches.Read moreRead less