A5038441675- Global Health Workforce Issues
- Indigenous Health, Education, and Rights
- Primary Care and Health Outcomes
- Child Abuse and Trauma
- Healthcare Policy and Management
- Health disparities and outcomes
- Indigenous Studies and Ecology
- Birth, Development, and Health
- Gestational Diabetes Research and Management
- Injury Epidemiology and Prevention
- Prenatal Substance Exposure Effects
- Homicide, Infanticide, and Child Abuse
- Education Systems and Policy
- Public Health Policies and Education
- Suicide and Self-Harm Studies
- Pregnancy and preeclampsia studies
- Acute Ischemic Stroke Management
- Hearing Impairment and Communication
- Child Nutrition and Water Access
- Hearing Loss and Rehabilitation
- Global Health and Surgery
- Global Maternal and Child Health
- Maternal Mental Health During Pregnancy and Postpartum
- Census and Population Estimation
- Diabetes, Cardiovascular Risks, and Lipoproteins
Charles Darwin University
2009-2024
Menzies School of Health Research
1995-2024
Maari Ma Health
2024
Macquarie University
2018-2024
Western Sydney University
2024
Monash University
2024
Flinders University
2013-2024
Ngaanyatjarra Health Service
2024
Northern Territory Health Services
2006-2019
Government of Western Australia Department of Health
2010-2018
The geographical maldistribution of the health workforce is a persisting global issue linked to inequitable access services and poorer outcomes for rural remote populations. In Northern Territory (NT), anecdotal reports suggest that primary care in Aboriginal communities characterised by high turnover, low stability use temporary staffing; however, there lack reliable information guide policy improvements. This study quantifies current turnover retention NT investigates correlations between...
International evidence suggests that a key to improving health and attaining more equitable outcomes for disadvantaged populations is system with strong primary care sector. Longstanding problems workforce supply turnover in remote Aboriginal communities the Northern Territory (NT), Australia, jeopardise delivery effort overcome substantial gaps this population. This research describes temporal changes government-operated clinics NT through period which there has been increase funding....
Indigenous residents living in remote communities Australia's Northern Territory experience higher rates of preventable chronic disease and have poorer access to appropriate health services compared other Australians. This study outcomes costs at different levels primary care utilisation determine if represents an efficient use resources for patients with common diseases namely hypertension, diabetes, ischaemic heart disease, obstructive pulmonary renal disease.This was historical cohort...
To estimate the prevalence and incidence of dementia in Northern Territory Indigenous non-Indigenous populations.
To assess the prevalence and incidence of diabetes among Aboriginal peoples in remote communities Northern Territory (NT), Australia. Retrospective cohort analysis linked clinical administrative data sets from 1 July 2012 to 30 June 2019. Remote health centres using NT Government Primary Care Information System (51 out a total 84 NT). All clients residing serviced by these (N=21 267). Diabetes diagnoses were established hospital primary care coding, biochemistry prescription data. across all...
Poor housing conditions in remote Indigenous communities Australia are a major underlying factor poor child health, including high rates of skin infections. The aim this study is to test approaches data collection, analysis and feedback for follow-up the impact on health.
To examine trends in Northern Territory Indigenous mortality from chronic diseases other than cancer.A comparison of rates six (ischaemic heart disease [IHD], obstructive pulmonary [COPD], cerebrovascular [CVD], diabetes mellitus [DM], renal failure [RF] and rheumatic [RHD]) the NT population with those total Australian population.NT populations, 1977-2001.Estimated average annual change rate ratios.Death IHD DM among peoples increased between 1977 2001, but this increase slowed after 1990....
There is limited epidemiological research that provides insight into the complex web of causative and moderating factors links housing conditions to a variety poor health outcomes. This study explores relationship between (with primary focus on functional state infrastructure) common childhood illness in remote Australian Aboriginal communities for purpose informing development interventions improve child health. Hierarchical multi-level analysis association carer report illnesses hygienic...
The estimated gap in life expectancy (LE) between Indigenous and non-Indigenous Australians was 12 years for men 10 women, whereas the Northern Territory LE at least 50% greater than national figures. This study aims to explain by common modifiable risk factors.This covered period from 1986 2005. Unit record death data were used assess differences birth populations socioeconomic disadvantage, smoking, alcohol abuse, obesity, pollution, intimate partner violence. population attributable...
Understanding health inequity is necessary for addressing the disparities in outcomes many populations, including gap between Indigenous and non-Indigenous Australians. This report investigates links socioeconomic disadvantage Northern Territory of Australia (NT). Data sources include deaths, public hospital admissions 2005 2007, Socio-Economic Indexes Areas from 2006 Census. Age-sex standardisation, standardised rate ratio, concentration index Poisson regression model are used statistical...
Abstract Background Aboriginal Community Controlled Health Services (ACCHSs) in Australia aim to optimise access comprehensive and culturally safe primary health care (PHC) for populations. Central quality service provision is the retention of staff. However, there lack published research reporting patterns staff turnover specific ACCHSs. This study quantified regional remote ACCHSs Northern Territory (NT) Western (WA), examined correlations between metrics, ACCHSs’ geographical demographic...
To quantify the burden of disease and injury for Aboriginal non-Aboriginal populations in Northern Territory.
To compare the costs and effects of higher turnover resident nurses Aboriginal health practitioners use agency-employed in remote primary care (PC) services quantify associations between staffing patterns outcomes PC clinics Northern Territory (NT) Australia.
High prevalence of chronic middle ear disease has persisted in Australian Aboriginal children, and the related hearing impairment (HI) been implicated a range social outcomes. This study investigated association between HI early childhood youth offending.This was retrospective cohort 1533 children (born 1996 2001) living remote Northern Territory communities. The used linked individual-level information from health, education, child protection justice services. outcome variable being "found...
Abstract Background The prevalence of otitis media (OM) and related hearing loss has remained persistently high among some groups Australian Aboriginal children who are also reported to have poor academic outcomes. general literature remains inconclusive about the association between OM-related performance in primary school. This study aimed investigate this living Northern Territory (NT) Australia. Methods A retrospective, observational cohort was conducted for 2208 NT children, aged 8...
Background Stroke is a leading cause of death and disability in Australia. The impact stroke on the Australia Indigenous people is, however, unclear. Aim This study describes hospital-based incidence case fatality Northern Territory population Methods Retrospective residents with first-ever episode among 1999–2011. Results rate ratio age-adjusted between non-Indigenous populations was 2·8 for men 2·7 women, similar to those reported elsewhere increased 3·8 (95% confidence interval: 3·4–4·3)...
BackgroundEarly-life risk factors, including maternal hyperglycaemia and birthweight, are thought to contribute the high burden of cardiometabolic disease experienced by Indigenous populations. We examined rates pre-existing diabetes in pregnancy, gestational mellitus (GDM) extremes birthweight over three decades Northern Territory (NT) Australia.MethodsWe performed a retrospective cohort analysis NT Perinatal Data Collection from 1987 2016, all births >20 weeks gestation, stratified...
Abstract Aims/hypothesis The aim of this work was to investigate the risk developing chronic kidney disease (CKD) or end-stage (ESKD) following a pregnancy complicated by gestational diabetes mellitus (GDM) pre-existing among Aboriginal women in Northern Territory (NT), Australia. Methods We undertook longitudinal study linked healthcare datasets. All who gave birth between 2000 and 2016 were eligible for inclusion. Diabetes status index as recorded NT Perinatal Data Collection. Outcomes...
Housing programmes in indigenous Australian communities have focused largely on achieving good standards of infrastructure function. The impact this approach was assessed three potentially important housing-related influences child health at the community level: (1) crowding, (2) functional state house and (3) hygienic condition houses.