Journal articles: 'Aboriginal Remote Health'

1

Torzillo, Paul, Stephan Rainow, and Paul Pholeros. "Environmental Health in. Remote Aboriginal Communities." Journal of the Royal Society of Health 113, no. 6 (December 1993): 310–12. http://dx.doi.org/10.1177/146642409311300608.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Gwynne, Kylie, and Michelle Lincoln. "Developing the rural health workforce to improve Australian Aboriginal and Torres Strait Islander health outcomes: a systematic review." Australian Health Review 41, no. 2 (2017): 234. http://dx.doi.org/10.1071/ah15241.

Full text

Abstract:

Objective The aim of the present study was to identify evidence-based strategies in the literature for developing and maintaining a skilled and qualified rural and remote health workforce in Australia to better meet the health care needs of Australian Aboriginal and/or Torres Strait Islander (hereafter Aboriginal) people. Methods A systematic search strategy was implemented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist. Exclusion and inclusion criteria were applied, and 26 papers were included in the study. These 26 papers were critically evaluated and analysed for common findings about the rural health workforce providing services for Aboriginal people. Results There were four key findings of the study: (1) the experience of Aboriginal people in the health workforce affects their engagement with education, training and employment; (2) particular factors affect the effectiveness and longevity of the non-Aboriginal workforce working in Aboriginal health; (3) attitudes and behaviours of the workforce have a direct effect on service delivery design and models in Aboriginal health; and (4) student placements affect the likelihood of applying for rural and remote health jobs in Aboriginal communities after graduation. Each finding has associated evidence-based strategies including those to promote the engagement and retention of Aboriginal staff; training and support for non-Aboriginal health workers; effective service design; and support strategies for effective student placement. Conclusions Strategies are evidenced in the peer-reviewed literature to improve the rural and remote workforce for health delivery for Australian Aboriginal people and should be considered by policy makers, funders and program managers. What is known about the topic? There is a significant amount of peer-reviewed literature about the recruitment and retention of the rural and remote health workforce. What does this paper add? There is a gap in the literature about strategies to improve recruitment and retention of the rural and remote health workforce for health delivery for Australian Aboriginal people. This paper provides evidence-based strategies in four key areas. What are the implications for practitioners? The findings of the present study are relevant for policy makers, funders and program managers in rural and remote Aboriginal health.

APA, Harvard, Vancouver, ISO, and other styles

3

Leggat, Sandra G. "Improving Aboriginal health." Australian Health Review 32, no. 4 (2008): 587. http://dx.doi.org/10.1071/ah080587.

Full text

Abstract:

In recognition of the recent achievements of the Close the Gap campaign, this issue of AHR contains a set of papers focusing on Aboriginal health. At the national Indigenous Health Equality Summit in Canberra in March 2008, the Close the Gap Statement of Intent was signed. This Statement of Intent requires the government, health and social service agencies and the Aboriginal communities to work together to achieve equality in health status and life expectancy between Indigenous and non-Indigenous Australians by the year 2030. (See http:// www.hreoc.gov.au/Social_Justice/health/statement_ intent.html) The first three papers present important policy lessons. Matthews and her colleagues stress the need to strengthen the link between policy formulation and implementation (page 613). Their study found that the lack of progress in improving Aboriginal health may be the result of lack of Indigenous involvement in policy formulation at the senior Australian Government level, limited participation of Indigenous community controlled health organisations in the policy making process and insufficient resources for implementation. Anderson, Anderson and Smylie outline the achievements of the National Indigenous Health Performance Measurement System (page 626), and change management lessons from Aboriginal community controlled health organisations are discussed by Leanne Coombe from the Apunipima Cape York Health Council (page 639). Other papers with a focus on Aboriginal health include a review of emergency department access (page 648), overseas-trained doctors working in rural and remote Aboriginal health settings (page 655) and eye health programs within remote Aboriginal communities (page 664).

APA, Harvard, Vancouver, ISO, and other styles

4

Cuthbert, Kiarah E., Clare Brown, Melinda Hammond, Tiffany A. Williams, Desmond Tayley, Eileen Deemal-Hall, and David P. Thomas. "Engaging with Aboriginal Shire Councils in remote Cape York communities to address smoke-free environments." Australian Journal of Primary Health 25, no. 5 (2019): 419. http://dx.doi.org/10.1071/py19023.

Full text

Abstract:

The high prevalence and health effect of tobacco smoking and secondhand smoke exposure among Aboriginal and Torres Strait Islander people is well known. Due to its significance, the responsibility of tackling smoking among Aboriginal and Torres Strait Islander people should not remain solely with health service providers. The creation of supportive environments and collaboration beyond the health sector are critical elements of comprehensive primary health care practised by Aboriginal Community Controlled Health Services. This paper discusses how Apunipima Cape York Health Council worked with three Aboriginal Shire Councils to create more smoke-free places, using local working groups, information sessions and community-based health promotion. The flexibility and the time allocated to the engagement process with councils, community leaders, organisations and community members were important. All three communities acknowledged the benefits of role modelling and working together to improve health, with addressing tobacco smoking seen as ‘everyone’s business’ and ‘not just service providers’. Aboriginal Shire Councils can play a critical role, in partnership with Aboriginal Community Controlled Health Services, in creating healthy places that enable healthy choices.

APA, Harvard, Vancouver, ISO, and other styles

5

Sheldon, Mark. "Psychiatric Assessment in Remote Aboriginal Communities." Australian & New Zealand Journal of Psychiatry 35, no. 4 (August 2001): 435–42. http://dx.doi.org/10.1046/j.1440-1614.2001.00920.x.

Full text

Abstract:

Objective: The objective of this study was to describe the psychiatric assessment of Aboriginal patients from remote Aboriginal communities in Central Australia. Method: The method consisted of a summary of the experiences gained during a dissertation year placement as senior registrar with the Northern Territory Remote Area Mental Health Team. Results: Remote area Aboriginal psychiatry entails learning a whole new set of skills in terms of history taking and the mental state examination, a knowledge of the importance of extended kinship ties and cultural issues, the use of Aboriginal mental health workers as partners in assessing and managing patients via their families and accepting referrals from a wide range of sources. Conclusions: Working on a service providing psychiatric care to remote area Aboriginal communities can be a deeply rewarding personal and professional experience.

APA, Harvard, Vancouver, ISO, and other styles

6

Hunter, Ernest M. "An Examination of Recent Suicides in Remote Australia: Further Information from the Kimberley." Australian & New Zealand Journal of Psychiatry 25, no. 2 (June 1991): 197–202. http://dx.doi.org/10.1080/00048679109077735.

Full text

Abstract:

Aboriginal suicide has emerged as an issue of public concern only within the recent past. Within the last decade there has been a substantial increase from levels that were previously low. Under the shadow of the Royal Commission into Aboriginal Deaths in Custody these increases, involving primarily young adult males, raise serious questions. Two years ago the author examined a series of suicides that had occurred in one area of remote Aboriginal Australia, the Kimberley region of Western Australia. This paper examines suicides that have occurred in the following two years, with comparisons both with the previous suicides, and with a group of age-matched Aborigines from the general Kimberley population drawn from a random sample survey.

APA, Harvard, Vancouver, ISO, and other styles

7

Straw, Sarah, Erica Spry, Louie Yanawana, Vaughan Matsumoto, Denetta Cox, Erica Cox, Sally Singleton, Naomi Houston, Lydia Scott, and Julia V. Marley. "Understanding lived experiences of Aboriginal people with type 2 diabetes living in remote Kimberley communities: diabetes, it don't come and go, it stays!" Australian Journal of Primary Health 25, no. 5 (2019): 486. http://dx.doi.org/10.1071/py19021.

Full text

Abstract:

This study aimed to explore the lived experiences of Kimberley Aboriginal people with type 2 diabetes managed by remote Aboriginal Community Controlled Health Services using phenomenological analysis. Semi-structured interviews formulated by Aboriginal Health Workers, researchers and other clinicians were used to obtain qualitative data from 13 adult Aboriginal patients with type 2 diabetes managed in two remote communities in the Kimberley. Together with expert opinion from local Aboriginal Health Workers and clinicians, the information was used to develop strategies to improve diabetes management. Of 915 regular adult patients in the two communities, 27% had type 2 diabetes; 83% with glycated haemoglobin A >10%. Key qualitative themes included: the need for culturally relevant education and pictorial resources; importance of continuous therapeutic relationships with healthcare staff; lifestyle management advice that takes into account local and cultural factors; and the involvement of Aboriginal community members and families in support roles. Recommendations to improve diabetes management in the remote communities have been made collaboratively with community input. This study provides a framework for culturally relevant recommendations to assist patients with diabetes, for collaborative research, and for communication among patients, Aboriginal Health Workers, community members, researchers and other clinicians. Interventions based on recommendations from this study will be the focus of further collaborative research.

APA, Harvard, Vancouver, ISO, and other styles

8

Corrado, Ann Marie. "The detrimental effects of obstetric evacuation on Aboriginal women’s health." University of Western Ontario Medical Journal 86, no. 2 (December 3, 2017): 28–29. http://dx.doi.org/10.5206/uwomj.v86i2.2000.

Full text

Abstract:

In Western society, many colonial practices, such as the removal of Aboriginal women from their communities prior to birth, still detrimentally affects Aboriginal peoples’ lives. Health Canada’s evacuation policy for pregnant Aboriginal women living in rural and remote areas involves nurses, who are employed by the federal government, coordinating the transfer of all pregnant women to urban cities at 36-38 weeks gestational age to await the birth of their baby.1 The policy states that it is founded on concerns for the wellbeing of Aboriginal women, in an attempt to “curb First Nations’ child and maternal mortality rates”.1 However, there is a need to problematize the practice of obstetric evacuation given its colonial roots and its impact on Aboriginal women. The objective of this review paper is to explore and bring awareness to some of the consequences of Canada’s evacuation policy for pregnant Aboriginal women who live in rural and remote regions. Morespecifically, this paper, drawing on ethnographic research previously conducted with Canadian Aboriginal women on their lived experiences of prenatal care and birth, will examine the lack of social support, loss of control, and lack of culturally competent care that Aboriginal women face. The findings demonstrate an urgent need for policy makers to also consider the lived experience of Aboriginal women when making decisions that impact their health.

APA, Harvard, Vancouver, ISO, and other styles

9

Nolan-Isles, Davida, Rona Macniven, Kate Hunter, Josephine Gwynn, Michelle Lincoln, Rachael Moir, Yvonne Dimitropoulos, et al. "Enablers and Barriers to Accessing Healthcare Services for Aboriginal People in New South Wales, Australia." International Journal of Environmental Research and Public Health 18, no. 6 (March 15, 2021): 3014. http://dx.doi.org/10.3390/ijerph18063014.

Full text

Abstract:

Background: Australia’s healthcare system is complex and fragmented which can create challenges in healthcare, particularly in rural and remote areas. Aboriginal people experience inequalities in healthcare treatment and outcomes. This study aimed to investigate barriers and enablers to accessing healthcare services for Aboriginal people living in regional and remote Australia. Methods: Semi-structured interviews were conducted with healthcare delivery staff and stakeholders recruited through snowball sampling. Three communities were selected for their high proportion of Aboriginal people and diverse regional and remote locations. Thematic analysis identified barriers and enablers. Results: Thirty-one interviews were conducted in the three communities (n = 5 coastal, n = 13 remote, and n = 13 border) and six themes identified: (1) Improved coordination of healthcare services; (2) Better communication between services and patients; (3) Trust in services and cultural safety; (4) Importance of prioritizing health services by Aboriginal people; (5) Importance of reliable, affordable and sustainable services; (6) Distance and transport availability. These themes were often present as both barriers and enablers to healthcare access for Aboriginal people. They were also present across the healthcare system and within all three communities. Conclusions: This study describes a pathway to better healthcare outcomes for Aboriginal Australians by providing insights into ways to improve access.

APA, Harvard, Vancouver, ISO, and other styles

10

Stephens, D. "Critical Illness and its Impact on the Aboriginal People of the Top End of the Northern Territory, Australia." Anaesthesia and Intensive Care 31, no. 3 (June 2003): 294–99. http://dx.doi.org/10.1177/0310057x0303100310.

Full text

Abstract:

The Royal Darwin Hospital (RDH) services a relatively large and geographically remote Aboriginal population who account for 45% of intensive care unit admissions. Critical illness in the Aboriginal population is different from the non-Aboriginal population of the “Top End” of the Northern Territory. The critically ill Aboriginal patient is younger, has more chronic health problems and a higher severity of illness at presentation. The city and the hospital environment are foreign to many Aboriginal patients retrieved from remote communities and this adds to the stress of the critical illness. English is a second, third or fourth language for many Aboriginal people from remote communities and strategies must be put in place to ensure informed consent and effective communication are achieved. Despite the increased severity of illness and complexity, the Royal Darwin Hospital ICU achieves the same survival rates for both Aboriginal and non-Aboriginal patients.

APA, Harvard, Vancouver, ISO, and other styles

11

Lloyd, C. R. "Washing machine usage in remote Aboriginal communities." Australian and New Zealand Journal of Public Health 22, no. 6 (October 1998): 695–99. http://dx.doi.org/10.1111/j.1467-842x.1998.tb01472.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Lee, Amanda J., Kerin O'Dea, and John D. Mathews. "Apparent dietary intake in remote Aboriginal communities." Australian Journal of Public Health 18, no. 2 (February 12, 2010): 190–97. http://dx.doi.org/10.1111/j.1753-6405.1994.tb00224.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Wilson, John. "REMOTE AREA ABORIGINAL HEALTH SERVICES MANAGERS: KEY PRACTICE CHALLENGES." Australian Journal of Rural Health 9, no. 3 (June 28, 2008): 138–40. http://dx.doi.org/10.1111/j.1440-1584.2001.tb00408.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Wilson, John. "Remote Area Aboriginal Health Services Managers: Key Practice Challenges." Australian Journal of Rural Health 9, no. 3 (June 2001): 138–40. http://dx.doi.org/10.1046/j.1440-1584.2001.00382.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Hall, G. "Health benefits of swimming pools in remote Aboriginal communities." BMJ 327, no. 7412 (August 23, 2003): 407–8. http://dx.doi.org/10.1136/bmj.327.7412.407.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Bell, Stephen, James Ward, Peter Aggleton, Walbira Murray, Bronwyn Silver, Andrew Lockyer, Tellisa Ferguson, et al. "Young Aboriginal people's sexual health risk reduction strategies: a qualitative study in remote Australia." Sexual Health 17, no. 4 (2020): 303. http://dx.doi.org/10.1071/sh19204.

Full text

Abstract:

Background Surveillance data indicate that Aboriginal and Torres Strait Islander young people are more likely than their non-Indigenous counterparts to experience sexually transmissible infections (STIs) and teenage pregnancy. Despite increasing emphasis on the need for strengths-based approaches to Aboriginal sexual health, limited published data document how young Aboriginal people reduce sexual health risks encountered in their everyday lives. Methods: In-depth interviews with 35 young Aboriginal women and men aged 16–21 years in two remote Australian settings were conducted; inductive thematic analysis examining sexual health risk reduction practices was also conducted. Results: Participants reported individual and collective STI and pregnancy risk reduction strategies. Individual practices included accessing and carrying condoms; having a regular casual sexual partner; being in a long-term trusting relationship; using long-acting reversible contraception; having fewer sexual partners; abstaining from sex; accessing STI testing. More collective strategies included: refusing sex without a condom; accompanied health clinic visits with a trusted individual; encouraging friends to use condoms and go for STI testing; providing friends with condoms. Conclusion: Findings broaden understanding of young Aboriginal people’s sexual health risk reduction strategies in remote Aboriginal communities. Findings signal the need for multisectoral STI prevention and sexual health programs driven by young people’s existing harm minimisation strategies and cultural models of collective support. Specific strategies to enhance young people’s sexual health include: peer condom distribution; accompanied health service visits; peer-led health promotion; continued community-based condom distribution; enhanced access to a fuller range of available contraception in primary care settings; engaging health service-experienced young people as ‘youth health workers’.

APA, Harvard, Vancouver, ISO, and other styles

17

Lobo, Roanna, Belinda D'Costa, Linda Forbes, and James Ward. "Young Deadly Free: impact evaluation of a sexual health youth peer education program in remote Australian communities." Sexual Health 17, no. 5 (2020): 397. http://dx.doi.org/10.1071/sh20069.

Full text

Abstract:

Background Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P < 0.001) and number of STI tests (50.8% increase from baseline). Feelings of shame associated with STI testing remained high (39.5% post survey). Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.

APA, Harvard, Vancouver, ISO, and other styles

18

Harrod, Mary Ellen, Sophia Couzos, James Ward, Mark Saunders, Basil Donovan, Belinda Hammond, Dea Delaney-Thiele, et al. "Gonorrhoea testing and positivity in non-remote Aboriginal Community Controlled Health Services." Sexual Health 14, no. 4 (2017): 320. http://dx.doi.org/10.1071/sh16046.

Full text

Abstract:

Background Gonorrhoea occurs at high levels in young Aboriginal and Torres Strait Islander people living in remote communities, but there are limited data on urban and regional settings. An analysis was undertaken of gonorrhoea testing and positivity at four non-remote Aboriginal Community Controlled Health Services participating in a collaborative research network. Methods: This was a retrospective analysis of clinical encounter data derived from electronic medical records at participating services. Data were extracted using the GRHANITE program for all patients aged 15–54 years from 2009 to 2013. Demographic characteristics and testing and positivity for gonorrhoea were calculated for each year. Results: A total of 2971 patients (2571 Aboriginal and/or Torres Strait Islander) were tested for gonorrhoea during the study period. Among Aboriginal and/or Torres Strait Islander patients, 40 (1.6%) tested positive. Gonorrhoea positivity was associated with clinic location (higher in the regional clinic) and having had a positive chlamydia test. By year, the proportion of patients aged 15–29 years tested for gonorrhoea increased in both men (7.4% in 2009 to 15.9% in 2013) and women (14.8% in 2009 to 25.3% in 2013). Concurrent testing for chlamydia was performed on 86.3% of testing occasions, increasing from 75% in 2009 to 92% in 2013. Factors related to concurrent testing were sex and year of test. Conclusions: The prevalence of gonorrhoea among young Aboriginal and/or Torres Strait Islander people in non-remote settings suggests that the current approach of duplex testing for chlamydia and gonorrhoea simultaneously is justified, particularly for women.

APA, Harvard, Vancouver, ISO, and other styles

19

Lobo, Roanna, Belinda D'Costa, Linda Forbes, and James Ward. "Corrigendum to: Young Deadly Free: impact evaluation of a sexual health youth peer education program in remote Australian communities." Sexual Health 17, no. 6 (2020): 547. http://dx.doi.org/10.1071/sh20069_co.

Full text

Abstract:

Background:Aboriginal and Torres Strait Islander people in remote and very remote communities in Australia experience high rates of sexually transmissible infections (STIs), 4- to 29-fold the rates reported for non-Aboriginal people living in remote areas. Young people aged 16–29 years are particularly vulnerable to STIs. The Young Deadly Free (YDF) sexual health youth peer education program was implemented in 15 remote or very remote communities in four Australian jurisdictions in an effort to address endemic STI rates in these communities. The present study sought to evaluate the effect of YDF for Aboriginal young people. Methods: Young people (n = 128) participated in youth peer educator training to deliver peer education sessions on sexual health topics to other young people in their communities. Pre and post surveys were used to examine changes in STI knowledge, attitudes and behavioural intentions of the young people attending the peer education sessions. GHRANITE software extracted deidentified STI testing data for young people attending 13 community health services. Results: Young people (n = 426) attended peer education sessions delivered by trained youth peer educators. Pre and post surveys were completed by 174 and 172 young people respectively (median age 20 years). Gains were reported in STI knowledge, intentions to test (χ2 = 10.58, d.f. = 4, n = 142, P Conclusions: Peer education can enhance the sexual health literacy of young Aboriginal people residing in remote communities. The extent to which knowledge gains result in behaviours that prevent STI transmission requires further evaluation. Normalising STI testing among Aboriginal young people would help reduce feelings of shame.

APA, Harvard, Vancouver, ISO, and other styles

20

Gunzburg, S., M. Gracey, V. Burke, and B. Chang. "Epidemiology and microbiology of diarrhoea in young Aboriginal children in the Kimberley region of Western Australia." Epidemiology and Infection 108, no. 1 (February 1992): 67–76. http://dx.doi.org/10.1017/s0950268800049517.

Full text

Abstract:

Infectious diarrhoea is common in young Australian Aborigines [1–3] and is one of the main causes for their unsatisfactory health standards with consequent widespread failure to thrive and undernutrition [4–5]. Most published reports relate to patients in hospital or to hospital admission statistics and give little indication of the extent or severity of diarrhoeal disease in children in Aboriginal communities.The present investigation involved more than 100 Aboriginal children up to 5 years of age living in remote communities in the tropical north of Western Australia who were studied prospectively over a 12–month period.

APA, Harvard, Vancouver, ISO, and other styles

21

Bell, Stephen, Peter Aggleton, Andrew Lockyer, Tellisa Ferguson, Walbira Murray, Bronwyn Silver, John Kaldor, Lisa Maher, and James Ward. "Working with Aboriginal young people in sexual health research: a peer research methodology in remote Australia." Qualitative Health Research 31, no. 1 (October 3, 2020): 16–28. http://dx.doi.org/10.1177/1049732320961348.

Full text

Abstract:

In a context of ongoing colonization and dispossession in Australia, many Aboriginal people live with experiences of health research that is done “on” rather than “with” or “by” them. Recognizing the agency of young people and contributing to Aboriginal self-determination and community control of research, we used a peer research methodology involving Aboriginal young people as researchers, advisors, and participants in a qualitative sexual health study in one remote setting in the Northern Territory, Australia. We document the methodology, while critically reflecting on its benefits and limitations as a decolonizing method. Findings confirm the importance of enabling Aboriginal young people to play a central role in research with other young people about their own sexual health. Future priorities include developing more enduring forms of coinvestigation with Aboriginal young people beyond data collection during single studies, and support for young researchers to gain formal qualifications to enhance future employability.

APA, Harvard, Vancouver, ISO, and other styles

22

Reeve, Carole, John Humphreys, John Wakerman, Vicki Carroll, Maureen Carter, Tim O'Brien, Carol Erlank, Rafik Mansour, and Bec Smith. "Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service." Australian Journal of Primary Health 21, no. 4 (2015): 409. http://dx.doi.org/10.1071/py14073.

Full text

Abstract:

The aim of this study was to describe the reorientation of a remote primary health-care service, in the Kimberley region of Australia, its impact on access to services and the factors instrumental in bringing about change. A unique community-initiated health service partnership was developed between a community-controlled Aboriginal health organisation, a government hospital and a population health unit, in order to overcome the challenges of delivering primary health care to a dispersed, highly disadvantaged Aboriginal population in a very remote area. The shared goals and clear delineation of responsibilities achieved through the partnership reoriented an essentially acute hospital-based service to a prevention-focussed comprehensive primary health-care service, with a focus on systematic screening for chronic disease, interdisciplinary follow up, health promotion, community advocacy and primary prevention. This formal partnership enabled the primary health-care service to meet the major challenges of providing a sustainable, prevention-focussed service in a very remote and socially disadvantaged area.

APA, Harvard, Vancouver, ISO, and other styles

23

Gunaratnam, Praveena, Gill Schierhout, Jenny Brands, Lisa Maher, Ross Bailie, James Ward, Rebecca Guy, et al. "Qualitative perspectives on the sustainability of sexual health continuous quality improvement in clinics serving remote Aboriginal communities in Australia." BMJ Open 9, no. 5 (May 2019): e026679. http://dx.doi.org/10.1136/bmjopen-2018-026679.

Full text

Abstract:

ObjectivesTo examine barriers and facilitators to sustaining a sexual health continuous quality improvement (CQI) programme in clinics serving remote Aboriginal communities in Australia.DesignQualitative study.SettingPrimary health care services serving remote Aboriginal communities in the Northern Territory, Australia.ParticipantsSeven of the 11 regional sexual health coordinators responsible for supporting the Northern Territory Government Remote Sexual Health Program.MethodsSemi-structured in-depth interviews conducted in person or by telephone; data were analysed using an inductive and deductive thematic approach.ResultsDespite uniform availability of CQI tools and activities, sexual health CQI implementation varied across the Northern Territory. Participant narratives identified five factors enhancing the uptake and sustainability of sexual health CQI. At clinic level, these included adaptation of existing CQI tools for use in specific clinic contexts and risk environments (eg, a syphilis outbreak), local ownership of CQI processes and management support for CQI. At a regional level, factors included the positive framing of CQI as a tool to identify and act on areas for improvement, and regional facilitation of clinic level CQI activities. Three barriers were identified, including the significant workload associated with acute and chronic care in Aboriginal primary care services, high staff turnover and lack of Aboriginal staff. Considerations affecting the future sustainability of sexual health CQI included the need to reduce the burden on clinics from multiple CQI programmes, the contribution of regional sexual health coordinators and support structures, and access to and use of high-quality information systems.ConclusionsThis study contributes to the growing evidence on how CQI approaches may improve sexual health in remote Australian Aboriginal communities. Enhancing sustainability of sexual health CQI in this context will require ongoing regional facilitation, efforts to build local ownership of CQI processes and management of competing demands on health service staff.

APA, Harvard, Vancouver, ISO, and other styles

24

Kruger, Estie, Irosha Perera, and Marc Tennant. "Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia." Australian Journal of Primary Health 16, no. 4 (2010): 291. http://dx.doi.org/10.1071/py10028.

Full text

Abstract:

Australians living in rural and remote areas have poorer access to dental care. This situation is attributed to workforce shortages, limited facilities and large distances to care centres. Against this backdrop, rural and remote Indigenous (Aboriginal) communities in Western Australia seem to be more disadvantaged because evidence suggests they have poorer oral health than non-Indigenous people. Hence, provision of dental care for Aboriginal populations in culturally appropriate settings in rural and remote Western Australia is an important public health issue. The aim of this research was to compare services between the Aboriginal Medical Services (AMS)-based clinics and a typical rural community clinic. A retrospective analysis of patient demographics and clinical treatment data was undertaken among patients who attended the dental clinics over a period of 6 years from 1999 to 2004. The majority of patients who received dental care at AMS dental clinics were Aboriginal (95.3%), compared with 8% at the non-AMS clinic. The rate of emergency at the non-AMS clinic was 33.5%, compared with 79.2% at the AMS clinics. The present study confirmed that more Indigenous patients were treated in AMS dental clinics and the mix of dental care provided was dominated by emergency care and oral surgery. This indicated a higher burden of oral disease and late utilisation of dental care services (more focus on tooth extraction) among rural and remote Indigenous people in Western Australia.

APA, Harvard, Vancouver, ISO, and other styles

25

McGrath, Pam, and Hamish Holewa. "End-of-life Care of Aboriginal Peoples in Remote Locations: Language Issues." Australian Journal of Primary Health 13, no. 1 (2007): 18. http://dx.doi.org/10.1071/py07003.

Full text

Abstract:

To date, there is scant research literature that explores the provision of end-of-life care to Aboriginal peoples in Australia. In particular, there is a lack of published research available on issues at the interface of Aboriginal languages and English during palliative care. The complexity and importance of the issue for palliative care provision, however, is demonstrated by the fact that in Australia, Aboriginality is itself a very broad category, containing many distinct language groups and subcultures. Thus, although to date there is some mention of the problems associated with language in the literature, there is scant research on the topic of the provision of palliative care to Aboriginal peoples in remote areas. The following findings from a recent two-year National Health and Medical Research Council (NHMRC) study are provided to address this hiatus. The findings provide insights on the impact of language difference on palliative care practice for Aboriginal peoples in the Northern Territory of Australia.

APA, Harvard, Vancouver, ISO, and other styles

26

Stock, Carolin, Sarah Mares, and Gary Robinson. "Working together in a good way: Relationships between local Indigenous and fly-in workers delivering a parent–child programme in remote Aboriginal communities." International Social Work 62, no. 1 (June 12, 2017): 48–61. http://dx.doi.org/10.1177/0020872817710545.

Full text

Abstract:

This article considers what successful working relationships between fly-in professionals and Aboriginal community workers involve. Interviews with six Aboriginal workers and the experience of the jointly delivered Let’s Start parent–child programme in remote north Australian Indigenous communities confirm the importance of developing positive relationships within a both-ways learning approach, drawing on each other’s strengths, and the significance of reflection on practice. Working cooperatively enables effective programme implementation, supports incorporation of new learning into practice, and benefits local Aboriginal community members through employment and development opportunities. This model has relevance for health and community programmes delivered in remote Aboriginal communities.

APA, Harvard, Vancouver, ISO, and other styles

27

Ward, Jeanette E. "Aboriginal staff leading partnership in remote Australia." Journal of Paediatrics and Child Health 53, no. 6 (June 2017): 607. http://dx.doi.org/10.1111/jpc.13558.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Emden, Carolyn, Inge Kowanko, Charlotte de Crespigny, and Helen Murray. "Better medication management for Indigenous Australians: findings from the field." Australian Journal of Primary Health 11, no. 1 (2005): 80. http://dx.doi.org/10.1071/py05011.

Full text

Abstract:

This paper reports findings from interviews and focus groups conducted within a multi-dimensional action research project concerning medication management among Indigenous Australians. Participants were Aboriginal people with mental health problems, carers and family members, and health and social service workers from different regions in South Australia. A meta-analysis of findings from each regional project component was conducted, and major themes conceptualised and developed into a coherent summary. The findings revealed problems of a magnitude not previously realised - mental health problems (including alcohol and drug problems) and medication management among Aboriginal people clearly are major issues requiring immediate and sustained attention if the health and welfare of the Australian Indigenous population are to be improved. Findings concerned eight major areas: social and emotional wellbeing issues; stressors on Aboriginal health services and providers; training for the Aboriginal health workforce; mainstream health services for Aboriginal people; trust and confidentiality within Aboriginal health services; English language literacy and numeracy skills of Aboriginal clients; remote living arrangements for many Aboriginal people; problems with alcohol use; and institutionalised and individual racism in the community at large.

APA, Harvard, Vancouver, ISO, and other styles

29

Reath, Jennifer, and Tim Usherwood. "Improving cervical screening in a remote Aboriginal community." Australian and New Zealand Journal of Public Health 22, no. 6 (October 1998): 659–63. http://dx.doi.org/10.1111/j.1467-842x.1998.tb01465.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Gibb, Heather. "Distance Education and the Issue of Equity Online: Exploring the Perspectives of Rural Aboriginal Students." Australian Journal of Indigenous Education 35 (2006): 21–29. http://dx.doi.org/10.1017/s1326011100004130.

Full text

Abstract:

AbstractThis paper explores Aboriginal perspectives of tertiary education “online” from rural and remote community locations in New South Wales. It does so within a frame of enquiry as to how neo-liberal educational policy reforms are impacting on equity issues in distance education “online”. Accounts from Aboriginal university students in health point to a range of tensions between changes brought about by the reform in relation to student subjectivity and university governance, and culturally preferred ways of learning for many Aboriginal people. The paper offers suggestions for how these forms of educational governance can be reconciled with educational support needs of remote Aboriginal learners.

APA, Harvard, Vancouver, ISO, and other styles

31

Pacza, Tom, Lesley Steele, and Marc Tennant. "DEVELOPMENT OF ORAL HEALTH TRAINING FOR RURAL AND REMOTE ABORIGINAL HEALTH WORKERS." Australian Journal of Rural Health 9, no. 3 (June 2001): 105–10. http://dx.doi.org/10.1046/j.1440-1584.2001.00294.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

Gruen, Russell L., and Theresa F. M. Yee. "Dreamtime and awakenings: facing realities of remote area Aboriginal health." Medical Journal of Australia 182, no. 10 (May 16, 2005): 538–40. http://dx.doi.org/10.5694/j.1326-5377.2005.tb00023.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Adams, Tony, and Ernest Hunter. "Aboriginal Health and History: Power and Prejudice in Remote Australia." Journal of Public Health Policy 15, no. 3 (1994): 367. http://dx.doi.org/10.2307/3342913.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Napaljarri, T. Matthews, C. Nicholls, J. Henssler, and M. Prosser. "The Junior Health Worker Program at Lajamanu." Aboriginal Child at School 17, no. 1 (March 1989): 3–7. http://dx.doi.org/10.1017/s0310582200006568.

Full text

Abstract:

Lajamanu is a remote, traditionally oriented Aboriginal community on the Northern edge of the Tanami Desert. The population comprises about 700 Warlpiri people, and 40 white people most of whom are involved in the delivery of public services.

APA, Harvard, Vancouver, ISO, and other styles

35

Conte, Kathleen P., Josephine Gwynn, Nicole Turner, Claudia Koller, and Karen E. Gillham. "Making space for Aboriginal and Torres Strait Islander community health workers in health promotion." Health Promotion International 35, no. 3 (June 1, 2019): 562–74. http://dx.doi.org/10.1093/heapro/daz035.

Full text

Abstract:

Abstract Despite a clear need, ‘closing the gap’ in health disparities for Aboriginal and Torres Strait Islander communities (hereafter, respectfully referred to as Aboriginal) continues to be challenging for western health care systems. Globally, community health workers (CHWs) have proven effective in empowering communities and improving culturally appropriate health services. The global literature on CHWs reflects a lack of differentiation between the types of roles these workers carry out. This in turn impedes evidence syntheses informing how different roles contribute to improving health outcomes. Indigenous CHW roles in Australia are largely operationalized by Aboriginal Health Workers (AHWs)—a role situated primarily within the clinical health system. In this commentary, we consider whether the focus on creating professional AHW roles, although important, has taken attention away from the benefits of other types of CHW roles particularly in community-based health promotion. We draw on the global literature to illustrate the need for an Aboriginal CHW role in health promotion; one that is distinct from, but complementary to, that of AHWs in clinical settings. We provide examples of barriers encountered in developing such a role based on our experiences of employing Aboriginal health promoters to deliver evidence-based programmes in rural and remote communities. We aim to draw attention to the systemic and institutional barriers that persist in denying innovative employment and engagement opportunities for Aboriginal people in health.

APA, Harvard, Vancouver, ISO, and other styles

36

Page, Jane, Lisa Murray, Megan L. Cock, Patricia Eadie, Victor Nossar, Frank Niklas, Janet Scull, and Joseph Sparling. "Aboriginal children’s health, playgroup participation and early learning outcomes in two remote Northern Territory communities." Health Education Journal 80, no. 5 (March 9, 2021): 596–610. http://dx.doi.org/10.1177/0017896921994162.

Full text

Abstract:

Objectives: This study aimed to explore the impact of early health risks on young Aboriginal children’s attendance in playgroups and their early learning outcomes. Design: The study used a cross-sectional design to identify associations between children’s early health characteristics, their attendance at a Families as First Teachers (FaFT) playgroup and their early learning outcomes. Setting: A total of 128 Aboriginal children from two remote Northern Territory (NT) communities attending FaFT playgroups participated in the study. Method: Health data were coded as risk factors and associated with children’s attendance and learning outcome data. Results: Children in the cohort experienced relatively high rates of health risks: ear infections (otitis media, 57%), anaemia (37%), skin infections (28%), low birthweight (22%), low weight for age (19%) and a high proportion were born to teenage mothers (26%). However, these rates were lower than previously recorded rates for Aboriginal children in remote NT communities. Despite the presence of multiple health risks, low weight for age was the only risk factor found to be negatively associated with children’s learning outcomes (language skills) and only two health risks (teenage motherhood and lower child haemoglobin levels) were negatively associated with children’s attendance at playgroup. Most children (65%) experienced one or two health risks during the study and no significant associations were found between the number of health risks experienced and children’s attendance or learning outcomes. Conclusion: The study highlights the importance of culturally responsive, evidence-based and integrated health and education programmes within remote Aboriginal Australian communities as a means to mitigate risks to poor learning and development outcomes.

APA, Harvard, Vancouver, ISO, and other styles

37

Sinclair, Craig, Peter Keelan, Samuel Stokes, Annette Stokes, and Christine Jeffries-Stokes. "Participatory video making for research and health promotion in remote Australian Aboriginal communities." International Journal of Critical Indigenous Studies 8, no. 1 (January 1, 2015): 2–16. http://dx.doi.org/10.5204/ijcis.v8i1.129.

Full text

Abstract:

This paper describes the participatory video (PV) method as a means of engaging children in remote Aboriginal communities as participants in health research. The PV method was piloted in two remote communities in the Goldfields region of Western Australia. There was widespread community acceptance of this approach and preliminary findings are discussed with reference to the key themes of perspectives on health, benefits to participants and benefits to communities. The PV method has a number of strengths, including flexibility to respond to community priorities, a lack of dependence on verbal or written data collection and the capacity to generate immediate benefits for participants. While not without methodological problems, these pilot projects suggest that the PV method is well suited to the remote Aboriginal communities who participated. The ethical implications of the PV method are discussed with specific reference to published ethical guidelines.

APA, Harvard, Vancouver, ISO, and other styles

38

Seear, Kimberley H., David N. Atkinson, Matthew P. Lelievre, Lynette M. Henderson-Yates, and Julia V. Marley. "Piloting a culturally appropriate, localised diabetes prevention program for young Aboriginal people in a remote town." Australian Journal of Primary Health 25, no. 5 (2019): 495. http://dx.doi.org/10.1071/py19024.

Full text

Abstract:

Lifestyle changes are central to preventing type 2 diabetes. Embarking upon and sustaining change is challenging, and translation of prevention approaches into a wider range of real-world settings is needed. In this study, a locally adapted community-led diabetes prevention program with local young Aboriginal facilitators was created and trialled through the Derby Aboriginal Health Service (DAHS). The 8-week program highlighted causes and consequences of diabetes, incorporated physical activity and healthy eating topics with a focus on practical activities, and included stress management to support healthy lifestyles. Ten Aboriginal women and men aged 18–38 years participated in the pilot program. The program was found to be acceptable and appropriate, and other community members and organisations expressed interest in future participation. Participants reported that they gained important new knowledge and made changes in behaviours including shopping choices, portioning and soft drink consumption. Limitations included participant recruitment and attendance difficulties, which were attributed to program timing and competing demands. While this program was designed to be sustainable, and there were indications of feasibility, resource constraints impeded its integration into routine primary health care. Prevention of diabetes is a high priority for DAHS, and this program, with appropriate resources, provides a basis for ongoing practical prevention strategies.

APA, Harvard, Vancouver, ISO, and other styles

39

Smith, Kaye, Yaqoot Fatima, and Sabina Knight. "Are primary healthcare services culturally appropriate for Aboriginal people? Findings from a remote community." Australian Journal of Primary Health 23, no. 3 (2017): 236. http://dx.doi.org/10.1071/py16110.

Full text

Abstract:

This study explored the views of key stakeholders on cultural appropriateness of primary health care (PHC) services for Aboriginal people. A total of 78 participants, including healthcare providers, administrative team members (n=24, ~30% of study sample) and Aboriginal community members (n=54, ∼70% of study sample) living in remote North West Queensland participated in the study. Outcome measures were assessed by administering survey questionnaires comprising qualitative questions and various subscales (e.g. provider behaviours and attitudes, communication, physical environment and facilities, and support from administrative staff). Descriptive statistics were used to present quantitative findings, whereas inductive thematic analysis was used for qualitative data. In contrast to the views of PHC providers, a significant number of Aboriginal people did not perceive that they were receiving culturally appropriate services. Although PHC providers acknowledged cultural awareness training for familiarising themselves with Aboriginal culture, they found the training to be general, superficial and lacking prospective evaluation. PHC providers should understand that culturally inappropriate clinical encounters generate mistrust and dissatisfaction. Therefore, a broad approach involving culturally respectful association between PHC providers, Aboriginal consumers and administrative staff is required to bring sustainable changes at the practice level to improve the health of Aboriginal people.

APA, Harvard, Vancouver, ISO, and other styles

40

Flood, Louise, Matthew McConnell, Luda Molchanoff, Zell Dodd, Jana Sisnowski, Melissa Fidock, Tina Miller, Karli Borresen, Hannah Vogt, and Andrew Lane. "Lessons from a community vaccination programme to control a meningococcal disease serogroup W outbreak in remote South Australia, 2017." Western Pacific Surveillance and Response Journal 12, no. 1 (March 31, 2021): 26–31. http://dx.doi.org/10.5365/wpsar.2019.10.2.002.

Full text

Abstract:

Problem: From December 2016 to February 2017, two cases of invasive meningococcal disease and one case of meningococcal conjuctivitis, all serogroup W, occured in Aboriginal children in the Ceduna region of South Australia. The clustering of cases in time and place met the threshold for a community outbreak. Context: The Ceduna region is a remote part of South Australia, with more than 25% of the population identifying as Aboriginal or Torres Strait Islander. Action: As part of the outbreak response, a community-wide meningococcal vaccination programme against serogroups A, C, W and Y was implemented in a collaboration among different agencies of the South Australian Department for Health and Wellbeing, Aboriginals health and community services providers, and other local service providers and government agencies. Outcome: Between March and June 2017, 3383 persons were vaccinated, achieving an estimate coverage of 71-85% of the target population, with 31% (n = 1034) of those vaccinated identifying as Aboriginal or Torres Strait Islander. No local cases of serogroup W occurred during the vaccination programme, but two further cases were notified by the end of 2018. Discussion: The participation of a large number of local and non-health-sector stakeholders in programme planning and implementation, a clear response management structure and high community acceptability were identified as key factors that contributed to the programme achieving high vaccination coverage. The need to develop standard procedures for community-based outbreak response interventions to ease logistical challenges was considered an important lessons learnt.

APA, Harvard, Vancouver, ISO, and other styles

41

Fitts, Michelle S., John Humphreys, Terry Dunbar, Lisa Bourke, Edward Mulholland, Steven Guthridge, Yuejen Zhao, et al. "Understanding and responding to the cost and health impact of short-term health staffing in remote and rural Aboriginal and Torres Strait Islander community-controlled health services: a mixed methods study protocol." BMJ Open 11, no. 8 (August 2021): e043902. http://dx.doi.org/10.1136/bmjopen-2020-043902.

Full text

Abstract:

IntroductionAccess to high-quality primary healthcare is limited for remote residents in Australia. Increasingly, remote health services are reliant on short-term or ‘fly-in, fly-out/drive-in, drive-out’ health workforce to deliver primary healthcare. A key strategy to achieving health service access equity, particularly evident in remote Australia, has been the development of Aboriginal Community Controlled Health Services (ACCHSs). This study aims to generate new knowledge about (1) the impact of short-term staffing in remote and rural ACCHSs on Aboriginal and Torres Strait Islander communities; (2) the potential mitigating effect of community control; and (3) effective, context-specific evidence-based retention strategies.Methods and analysisThis paper describes a 3-year, mixed methods study involving 12 ACCHSs across three states. The methods are situated within an evidence-based programme logic framework for rural and remote primary healthcare services. Quantitative data will be used to describe staffing stability and turnover, with multiple regression analyses to determine associations between independent variables (population size, geographical remoteness, resident staff turnover and socioeconomic status) and dependent variables related to patient care, service cost, quality and effectiveness. Qualitative assessment will include interviews and focus groups with clinical staff, clinic users, regionally-based retrieval staff and representatives of jurisdictional peak bodies for the ACCHS sector, to understand the impact of short-term staff on quality and continuity of patient care, as well as satisfaction and acceptability of services.Ethics and disseminationThe study has ethics approval from the Human Research Ethics Committee of the Northern Territory Department of Health and Menzies School of Health Research (project number DR03171), Central Australian Human Research Ethics Committee (CA-19-3493), Western Australian Aboriginal Health Ethics Committee (WAAHEC-938) and Far North Queensland Human Research Ethics Committee (HREC/2019/QCH/56393). Results will be disseminated through peer-reviewed journals, the project steering committee and community/stakeholder engagement activities to be determined by each ACCHS.

APA, Harvard, Vancouver, ISO, and other styles

42

Dunbar, Terry. "Aboriginal People's Experiences of Health and Family Services in the Northern Territory." International Journal of Critical Indigenous Studies 4, no. 2 (June 1, 2011): 2–16. http://dx.doi.org/10.5204/ijcis.v4i2.60.

Full text

Abstract:

This paper presents the findings of a community-based participatory action research study that investigates Aboriginal people‘s experience of health and family services in the Northern Territory, Australia. The research is part of a larger program of work that addresses the multi-level change management required for implementation of the Northern Territory Government‘s Aboriginal Cultural Security Policy. Using empirical evidence generated from Aboriginal people—ranging across urban services through to remote locations—on the cultural security and cultural competence of current health service delivery in the Northern Territory, this article proposes a range of options for systemic, structural and individual level policy implementation and development of services.

APA, Harvard, Vancouver, ISO, and other styles

43

Hunter, Ernest M. "The Social and Family Context of Aboriginal Self-Harmful Behaviour in Remote Australia." Australian & New Zealand Journal of Psychiatry 25, no. 2 (June 1991): 203–9. http://dx.doi.org/10.1080/00048679109077736.

Full text

Abstract:

In the preceding paper information was presented on a series of recent Aboriginal suicides in the Kimberley region of Western Australia. In this paper the author proceeds to an examination of the social and historical context of these events, which have occurred in conjunction with increases in other violent behaviours. Drawing from information generated by a survey of a stratified random sample of Aborigines from across the region, the rapidly changing environment of childhood is discussed, with particular attention to the structural and functional changes in caretaking roles. The inter-cultural context of these, as yet, largely intra-cultural manifestations of disadvantage, are emphasised.

APA, Harvard, Vancouver, ISO, and other styles

44

WILLIAMS, WM, JJ NICHOLAS, PB NUNGURRAYI, and CR NAPURRULA. "Paediatric urolithiasis in a remote Australian Aboriginal community." Journal of Paediatrics and Child Health 32, no. 4 (August 1996): 344–46. http://dx.doi.org/10.1111/j.1440-1754.1996.tb02567.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Donovan, Robert J., and Ross Spark. "Towards guidelines for survey research in remote Aboriginal communities." Australian and New Zealand Journal of Public Health 21, no. 1 (February 1997): 89–95. http://dx.doi.org/10.1111/j.1467-842x.1997.tb01660.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

Wang, Zhiqiang, Wendy Hoy, and Stephen McDonald. "Body Mass Index in Aboriginal Australians in remote communities." Australian and New Zealand Journal of Public Health 24, no. 6 (December 2000): 570–75. http://dx.doi.org/10.1111/j.1467-842x.2000.tb00519.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Hengel, Belinda, Lisa Maher, Linda Garton, James Ward, Alice Rumbold, Debbie Taylor-Thomson, Bronwyn Silver, et al. "Reasons for delays in treatment of bacterial sexually transmissible infections in remote Aboriginal communities in Australia: a qualitative study of healthcentre staff." Sexual Health 12, no. 4 (2015): 341. http://dx.doi.org/10.1071/sh14240.

Full text

Abstract:

Background Remote Aboriginal communities in Australia experience high rates of bacterial sexually transmissible infections (STIs). To control the transmission and decrease the risk of complications, frequent STI testing combined with timely treatment is required, yet significant delays in treatment have been reported. Perceived barriers to timely treatment for asymptomatic patients in remote communities were explored. Methods: A qualitative study was undertaken as part of the STRIVE (STIs in Remote communities, ImproVed and Enhanced primary health care) project; a cluster randomised controlled trial of a sexual health quality improvement program. During 2012, we conducted 36 in-depth interviews with staff in 22 clinics in remote Australia. Results: Participants included registered nurses (72%) and Aboriginal health practitioners (28%). A key barrier to timely treatment was infrequent transportation of specimens to laboratories often hundreds of kilometres away from clinics. Within clinics, there were delays checking and actioning test results, and under-utilisation of systems to recall patients. Participants also described difficulties in physically locating patients due to: (i) high mobility between communities; and (ii) low levels of community knowledge created by high staff turnover. Participants also suggested strategies to overcome some barriers such as dedicated clinical time to follow-up recalls and taking treatment out to patients. Conclusions: Participants identified barriers to timely STI treatment in remote Aboriginal communities, and systems to address some of the barriers. Innovative strategies such as point-of-care testing or increased support for actioning results, coupled with incentives to individual patients to attend for results, may also assist in decreasing the time to treatment.

APA, Harvard, Vancouver, ISO, and other styles

48

Hengel, Belinda, Handan Wand, James Ward, Alice Rumbold, Linda Garton, Debbie Taylor-Thomson, Bronwyn Silver, et al. "Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres." Sexual Health 14, no. 3 (2017): 274. http://dx.doi.org/10.1071/sh16123.

Full text

Abstract:

Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9–15 months (guideline recommendation) and a broader time period of 5–15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged ≥16 years with an initial negative CT/NG test (median age = 25 years), 20.3% had a re-test in 9–15 months (23.6% females vs 15.4% males, P < 0.001) and 35.2% in 5–15 months (40.9% females vs 26.5% males, P < 0.001). Factors independently associated with re-testing in 9–15 months in both males and females were: younger age (16–19, 20–24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25–29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9–15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing.

APA, Harvard, Vancouver, ISO, and other styles

49

Willis, EM, and KE Ross. "Review of principles governing dog health education in remote Aboriginal communities." Australian Veterinary Journal 97, no. 1-2 (January 2019): 4–9. http://dx.doi.org/10.1111/avj.12776.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

McDonald, E., R. Bailie, J. Grace, and D. Brewster. "An ecological approach to health promotion in remote Australian Aboriginal communities." Health Promotion International 25, no. 1 (February 18, 2010): 42–53. http://dx.doi.org/10.1093/heapro/daq004.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Aboriginal Remote Health'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles