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1
Coffey, Brian. "Strategic policy, planning and assessment for sustainability: insights from Victoria, Australia." Sustainability Accounting, Management and Policy Journal 4, no. 1 (May 10, 2013): 56–74. http://dx.doi.org/10.1108/sampj-03-2012-0012.
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PurposeThe purpose of this paper is to assess recent strategic sustainability policy, planning and assessment efforts in Victoria, Australia.Design/methodology/approachAn interpretive approach to policy analysis provides the methodological foundation for the analysis. Evidence is drawn from the analysis of policy texts and semi‐structured interviews.FindingsSustainability attracted considerable policy attention in Victoria during the first decade of the 21st century, with stated ambitions for Victoria to become “the sustainable state” and “world leaders in environmental sustainability”. In pursuing these ambitions, Victoria's efforts centred on hosting a summit, articulating medium‐term directions and priorities, releasing a whole of government framework to advance sustainability, and establishing a Department of Sustainability and Environment, and a Commissioner for Environmental Sustainability. However, the evidence indicates these efforts would have benefited from greater public engagement and input, stronger governance arrangements, and a broader conceptualisation of sustainability.Practical implicationsThe evidence presented highlights the implications associated with efforts to promote sustainability through strategic policy and planning processes.Originality/valueThis paper provides an informed, yet policy relevant, analysis of the strengths, weaknesses, challenges, and possibilities associated with pursuing sustainability at the sub‐national level. It also highlights the ways in which policy objectives can be frustrated by failing to establish the solid foundations necessary for building a robust approach to promoting sustainability. The value of progressing sustainability within a strategic improvement cycle is also highlighted.
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Ackland, Michael J., Bernard CK Choi, and Zahid Ansari. "Guest Editorial: Indicators and Public Health Policy." Australian Journal of Primary Health 11, no. 3 (2005): 7. http://dx.doi.org/10.1071/py05035.
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This issue includes a paper from the Victorian Department of Human Services, Australia, addressing applications of data on ambulatory care sensitive condition hospitalisations. This work has been very important for Victoria as it provides robust new indicators of access and quality of primary care services that have direct application to current public health policy. On the surface, this work appears to be the result of a simple set of analyses of routine hospitalisations data; commonplace data that are usually presented in bureaucratic reports that have a life gathering dust on the desks of public sector health administrators. How could such data excite anybody or provoke a practical policy or strategic response?
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Johnston, Kim, and Jessica Oliva. "COVID-19 Lockdown Landslides: The negative impact of subsequent lockdowns on loneliness, wellbeing, and mental health of Australians." Asia Pacific Journal of Health Management 16, no. 4 (December 13, 2021): 125–33. http://dx.doi.org/10.24083/apjhm.v16i4.855.
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Objective. We previously reported on loneliness, depression, anxiety and stress of Australians living alone during the first COVID-19-related government enforced lockdown in Australia. At this time, those living alone were experiencing relatively low levels of emotional distress. Since then, one state, Victoria, underwent a second extended lockdown period and until now, it was unclear what impact this sequential lockdown might have had on the mental health and wellbeing of Victorian citizens. The current study aimed to add to the emerging literature on the lockdown experience in Australia by directly comparing the levels of anxiety, depression, stress, loneliness, and wellbeing between Victorians in the second extended lockdown and Australians in the first lockdown. Design. Data from our original study of 384 Australians was compared with cross-sectional surveys of 340 Victorians during the second lockdown period. Setting. An online survey was administered with people residing in Victoria self-selecting to complete the study. Outcome Measures. Participants were asked to complete the Depression, Anxiety and Stress Scale (DASS-21), WHO-5 Wellbeing Scale, and the University of California Los Angeles (UCLA) Loneliness Scale. They were also invited to offer their insights into how the second extended lockdown experience had differed from the first. Results. Independent samples t-tests revealed that Australians were significantly more depressed, anxious, stressed, and lonely, and experienced reduced psychological wellbeing in the second lockdown compared to the first however overall, the levels indicated mild psychological distress. Qualitative insights revealed impact on mental health and a feeling of increased restrictions during lockdown two. Conclusions. Participants demonstrated adaptation to the lockdowns, providing support for the measures the Australian government have adopted to physically protect Australians from COVID-19. Management of the negative psychological impact through attention to wellbeing practices is however recommended in light of the increase in mental health concerns and likely further lockdown periods.
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McCann, Warren. "Redeveloping Primary Health and Community Support Services in Victoria." Australian Journal of Primary Health 6, no. 4 (2000): 36. http://dx.doi.org/10.1071/py00032.
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Why Primary Care Reforms?: It gives me very great pleasure to have been asked to speak at this major international Conference about redeveloping primary health and community support services in Victoria. While opening the Conference, the Victorian Minister for Health, the Honourable John Thwaites, launched the Primary Care Partnership Strategy which is one of the most ambitious and far reaching primary health and community support reform agendas in Australia.
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Lovell, Heather. "Are policy failures mobile? An investigation of the Advanced Metering Infrastructure Program in the State of Victoria, Australia." Environment and Planning A: Economy and Space 49, no. 2 (September 28, 2016): 314–31. http://dx.doi.org/10.1177/0308518x16668170.
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This article is about a case of policy failure and negative lesson drawing, namely the implementation of a mandatory smart metering programme – the Advanced Metering Infrastructure Program – in the State of Victoria, Australia, in the period 2009–2013. The article explores the framing of policy failure, and the ways in which failed polices might be mobile. The Advanced Metering Infrastructure Program provides an important empirical counterbalance to existing scholarship on policy learning, transfer and mobility, which is for the most part about positive best practice case studies, emulation and the travelling of ‘fast’ and (by implication) successful policy. There is evidence that the Victorian Advanced Metering Infrastructure Program circulated domestically within Australia and was influential in policy decision making, but that its international mobility was limited. The case is used to explore what gets left behind – or is immobile – in the telling of policy stories about failure. Science and Technology Studies scholarship on the inherent fragility of sociotechnical networks is drawn upon to consider how the concept of assemblage – a popular conceptual lens within policy mobility scholarship – might be applied to better understand instances of policy failure.
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Lim, Allan E. K., Anthony Perkins, and John W. M. Agar. "The carbon footprint of an Australian satellite haemodialysis unit." Australian Health Review 37, no. 3 (2013): 369. http://dx.doi.org/10.1071/ah13022.
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Objectives. This study aimed to better understand the carbon emission impact of haemodialysis (HD) throughout Australia by determining its carbon footprint, the relative contributions of various sectors to this footprint, and how contributions from electricity and water consumption are affected by local factors. Methods. Activity data associated with HD provision at a 6-chair suburban satellite HD unit in Victoria in 2011 was collected and converted to a common measurement unit of tonnes of CO2 equivalents (t CO2-eq) via established emissions factors. For electricity and water consumption, emissions factors for other Australian locations were applied to assess the impact of local factors on these footprint contributors. Results. In Victoria, the annual per-patient carbon footprint of satellite HD was calculated to be 10.2 t CO2-eq. The largest contributors were pharmaceuticals (35.7%) and medical equipment (23.4%). Throughout Australia, the emissions percentage attributable to electricity consumption ranged from 5.2% to 18.6%, while the emissions percentage attributable to water use ranged from 4.0% to 11.6%. Conclusions. State-by-state contributions of energy and water use to the carbon footprint of satellite HD appear to vary significantly. Performing emissions planning and target setting at the state level may be more appropriate in the Australian context. What is known about the topic? Healthcare provision carries a significant environmental footprint. In particular, conventional HD uses substantial amounts of electricity and water. In the UK, provision of HD and peritoneal dialysis was found to have an annual per-patient carbon footprint of 7.1 t CO2-eq. What does this paper add? This is the first carbon-footprinting study of HD in Australia. In Victoria, the annual per-patient carbon footprint of satellite conventional HD is 10.2 t CO2-eq. Notably, the contributions of electricity and water consumption to the carbon footprint varies significantly throughout Australia when local factors are taken into account. What are the implications for practitioners? We recommend that healthcare providers consider local factors when planning emissions reduction strategies, and target setting should be performed at the state, as opposed to national, level. There is a need for more comprehensive and current emissions data to enable healthcare providers to do so.
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Swamikannu, X., D. Radulescu, R. Young, and R. Allison. "A comparative analysis: storm water pollution policy in California, USA and Victoria, Australia." Water Science and Technology 47, no. 7-8 (April 1, 2003): 311–17. http://dx.doi.org/10.2166/wst.2003.0704.
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Urban drainage systems historically were developed on principles of hydraulic capacity for the transport of storm water to reduce the risk of flooding. However, with urbanization the percent of impervious surfaces increases dramatically resulting in increased flood volumes, peak discharge rates, velocities and duration, and a significant increase in pollutant loads. Storm water and urban runoff are the leading causes of the impairment of receiving waters and their beneficial uses in Australia and the United States today. Strict environmental and technology controls on wastewater treatment facilities and industry for more than three decades have ensured that these sources are less significant today as the cause of impairment of receiving waters. This paper compares the approach undertaken by the Environmental Protection Authority Victoria for the Melbourne metropolitan area with the approach implemented by the California Environmental Protection Agency for the Los Angeles area to control storm water pollution. Both these communities are largely similar in population size and the extent of urbanization. The authors present an analysis of the different approaches contrasting Australia with the USA, comment on their comparative success, and discuss the relevance of the two experiences for developed and developing nations in the context of environmental policy making to control storm water and urban runoff pollution.
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Bernard, Diana, Susan Kippax, and Don Baxter. "Effective partnership and adequate investment underpin a successful response: key factors in dealing with HIV increases." Sexual Health 5, no. 2 (2008): 193. http://dx.doi.org/10.1071/sh07078.
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Background: Australia has mounted an effective response to HIV and AIDS by investing in evidence-informed policy. Recently, in response to increases in HIV in some states in Australia, the New South Wales Department of Health set up a ‘think tank’ to examine differences in epidemiological and behavioural data, policies, strategies and community responses in order to account for state-based differences and ensure an effective ongoing response to HIV. Methods: The National Centre in HIV Social Research undertook key informant interviews with major stakeholders to help understand differences in responses by the three states most affected by HIV in Australia – Queensland, New South Wales and Victoria. In parallel, the Australian Federation of AIDS Organisations completed an analysis of the investments in HIV-prevention activities targeting gay men in all jurisdictions in Australia. The Australian Federation of AIDS Organisations also analysed the strategic contexts and government responses to HIV in the three states. Results: There were significant differences between New South Wales, Queensland and Victoria in the way the HIV partnership functions. Type of prevention strategy and level of financial investment in prevention activities appear to be related to the effectiveness of the ongoing response to HIV. Conclusions: An active commitment to and adequate resourcing of HIV prevention by all stakeholders in the HIV partnership – government and non-government departments, researchers and gay community organisations – is crucial if Australia is to respond effectively to HIV among gay and other men who have sex with men.
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Winter, I., and T. Brooke. "Urban Planning and the Entrepreneurial State: The View from Victoria, Australia." Environment and Planning C: Government and Policy 11, no. 3 (September 1993): 263–78. http://dx.doi.org/10.1068/c110263.
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It is argued that the state in Victoria, Australia, has pursued five key trends in urban planning throughout the 1980s: Privatisation, liberalisation, subsidisation, commercialisation, and elitism. These trends are a response to conditions wrought by global economic restructuring, the dominance of economic fundamentalism as a political discourse in Australia, the institutional structure of federal–State government financial relations, and a resultant perception of fiscal crisis. These developments in urban planning have resulted in financial costs and a loss of democratic accountability to the Victorian community.
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Ansari, Z., MJ Ackland, NJ Carson, and BCK Choi. "Small Area Analysis of Diabetes Complications: Opportunities for Targeting Public Health and Health Services Interventions." Australian Journal of Primary Health 11, no. 3 (2005): 72. http://dx.doi.org/10.1071/py05045.
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The objective of this paper is to present small area analyses of diabetes complications in Victoria, Australia, and to illustrate their importance for targeting public health and health services interventions. Local government areas in Victoria were aggregated into 32 Primary Care Partnerships (PCP), which are voluntary alliances of primary care providers. The 32 PCP areas were used as the basic geographic units for small area analyses. Admission rates for diabetes complications were age and sex standardised using the direct method and the 1996 Victorian population as the reference. Admission rate ratios were calculated using the Victorian admission rates as the reference. The 95 per cent confidence intervals for the standardised admission rate ratios were based on the Poisson distribution. There was a wide variation (almost fivefold) in admission rates for diabetes complications across the PCP catchments, with the lowest standardised rate ratio of 0.37 and the highest of 1.75. There were 11 PCPs (seven metropolitan, four rural) with admission rate ratios significantly higher than the Victorian average. The seven metropolitan PCPs contributed more than 43% of all admissions and bed days for diabetes complications in Victoria. Small area analyses of diabetes complications are an exciting new development aimed at stimulating an evidence-based dialogue between local area health service providers, planners and policy-makers. The purpose is to provide opportunities to target public health and health services interventions at the local level to improve the management of diabetes complications in the community.
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Campbell, Lachlan. "Wimmera River (Victoria, Australia) – Increasing Use of a Diminishing Resource." Water Science and Technology 21, no. 2 (February 1, 1989): 245–49. http://dx.doi.org/10.2166/wst.1989.0058.
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The Wimmera River is central western Victoria's most important river, rising in the Grampians National Park, filling storages that supply the major water supply to the vast Wimmera and Mallee regions. It passes through the Little Desert National Park, an area of significant scenic, recreation, historical and conservation value and terminates in Victoria's largest inland freshwater lakes (Lakes Hindmarsh and Albacutya). The brittleness of the whole closed Wimmera River system, and the over committal of the water resources was brought to the public's attention when appeals were lodged against the proposal to licence a discharge of high standard secondary effluent from an extended aeration oxidation ditch and lagoon treatment facility at Horsham. Residents, user and community groups, Municipal Councils and Government Departments, aware of the deterioration of the Wimmera River had somewhere to focus their attention. Victoria's and possibly Australia's longest environmental appeal, lasting twenty-five days, and a State Environment Protection Policy, determined that all major point sources of nutrients should be removed from the River. More resources for clearing of unwanted emergent weeds, more facilities for protection of Crown Land and catchments generally, and the implementation of environmental summer flows as piping of the Wimmera-Mallee Stock and Domestic System proceeds, are all required. A River Management Board with strength, wealth, good public relations and a dedication to the task could make the Wimmera River an example for all Australia and a tourist attraction of immense value to the region.
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Bennett, Noleen J., Ann L. Bull, David R. Dunt, Lyle C. Gurrin, Denis W. Spelman, Philip L. Russo, and Michael J. Richards. "MRSA infections in smaller hospitals, Victoria, Australia." American Journal of Infection Control 35, no. 10 (December 2007): 697–99. http://dx.doi.org/10.1016/j.ajic.2006.12.011.
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Jessup, Brad, and David Mercer. "Energy Policy in Australia: A comparison of environmental considerations in New South Wales and Victoria." Australian Geographer 32, no. 1 (February 2001): 7–28. http://dx.doi.org/10.1080/00049180020036222.
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Paxton, Georgia A., Pete C. G. Spink, Margaret H. Danchin, Lauren Tyrrell, Chelsea L. Taylor, Susan Casey, and Hamish R. Graham. "Catching up with catch-up: a policy analysis of immunisation for refugees and asylum seekers in Victoria." Australian Journal of Primary Health 24, no. 6 (2018): 480. http://dx.doi.org/10.1071/py17049.
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This study examines catch-up immunisation for people of refugee-like background in Victoria, exploring effective models of service delivery to complete catch-up vaccinations. The analysis is based on: (i) review of the medical literature, Commonwealth and Victorian government immunisation policy and immunisation patient information; (ii) review of vaccination coverage and service delivery data; and (iii) stakeholder interviews completed in 2014 with 45 people from 34 agencies, including 9 local government areas in Victoria. Although refugees and asylum seekers all need catch-up vaccinations on arrival, they face significant barriers to completing immunisation in Australia. Analysis suggests missed opportunities by service providers and perceptions that catch-up vaccination is time-consuming, difficult and resource-intensive. Service delivery is fragmented across primary care and local government, and pathways depend on age, location and healthcare access. There are strengths, but also limitations in all current service delivery models. Gaps in vaccine funding for refugee-like populations have now been addressed through Commonwealth initiatives, however migration is still not well considered in immunisation policy, and existing systems for notification payments do not capture catch-up vaccination for these groups. Providers identify areas for improvement in professional development and support, patient information, patient-held records and immunisation surveillance data.
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Upadhyaya, Jyoti Kumari, and Graham Moore. "Sustainability indicators for wastewater reuse systems and their application to two small systems in rural Victoria, Australia." Canadian Journal of Civil Engineering 39, no. 6 (June 2012): 674–88. http://dx.doi.org/10.1139/l2012-057.
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Currently there is no tool to assess the sustainability performance of reuse systems in Australia. This research fulfills that gap by developing a set of sustainability indicators (SIs). A unique methodology was developed based on understanding of the reuse systems, reviewing and examining the issues related to reuse, and Australian policy and guidelines in terms of sustainability. It was established that a sustainable reuse system should be based beyond the triple bottom line approach, and involve consumers in decision making, address institutional issues, and focus on the outcomes rather than the output, with a system approach. Twenty seven SIs were identified under five categories: environmental, technical, social, economical, and institutional. The case studies demonstrated the application of the SIs in sustainability assessment of two reuse systems: (1) tree plantation and (2) lake discharge for augmenting environmental flow. The evaluation was done based on multi criteria decision assessment.
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Bennett, N., C. Boardman, A. Bull, M. Richards, and P. Russo. "Surgical Antibiotic Prophylaxis in Smaller Hospitals, Victoria, Australia." American Journal of Infection Control 34, no. 5 (June 2006): E82—E83. http://dx.doi.org/10.1016/j.ajic.2006.05.152.
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Doyal, Lesley. "Keynote Addresses: What Makes Women Sick? Promoting Women's Health: The Changing Agenda for Health Promotion." Australian Journal of Primary Health 4, no. 3 (1998): 8. http://dx.doi.org/10.1071/py98027.
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The creation of a National Women's Health Policy in 1989 put Australia at the forefront of developments in women's health. By contrast, in the United Kingdom there is still no clear strategy for improving gender equity in the health service, and many of the principles taken for granted in Australia are not even on the National Health Service agenda. The current reforms of our health service do reflect a backing away from the 'quasi markets' of the Conservative era. However, little attention has been paid during this process to the specific needs of women. So Australia is still ahead, with Victoria in particular playing a key role in disseminating examples of good practice, both at home and internationally. The Australian Women's Health Policy and Program provides a fertile environment for innovation in good practice, but this does not mean that there is nothing left to achieve. Indeed, it may well require considerable effort just to maintain what has already been put in place. To move forward will mean continuing to confront those challenges in trying to improve women's health around the world. These are addressed by looking at three key themes: reconfiguring medicine; dealing with diversity; and gendering the social model of health. In each case these themes are placed in a global context.
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Ronnau, Peggy, Arthur Papakotsias, and Glen Tobias. ""Not for" sector in community mental health care defines itself and strives for quality." Australian Journal of Primary Health 14, no. 2 (2008): 68. http://dx.doi.org/10.1071/py08025.
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This paper briefly describes the history and service context of the Psychiatric Disability Rehabilitation and Support sector (PDRSS) in Victoria, and, to a lesser extent, in New South Wales, South Australia and Western Australia. In describing the sector we will call upon the experience of a particular PDRSS - Neami - in operating and developing services, and the challenges it faced in establishing a culture of quality that directly improves consumer outcomes. Elements of this experience may serve as a guide in the development of mental health service policy at state and federal level.
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J. Mann, Leona. "Integrated Assessment: A Rural Model in Practice." Australian Journal of Primary Health 7, no. 1 (2001): 106. http://dx.doi.org/10.1071/py01018.
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Integrated assessment in Victoria, Australia is held to be a new and innovative process, but in Gippsland, Victoria, integrated assessment has been a reality for the past four years. The purpose of this paper is to identify the elements of integrated assessment in a rural setting. The research has found that identifying the components of such a model was a key factor in achieving the ideals of integrated assessment. The paper suggests that integrated assessment may be more easily achieved in rural areas than its metropolitan counterparts.
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Thorns, D. C. "New Solutions to Old Problems: Housing Affordability and Access within Australia and New Zealand." Environment and Planning A: Economy and Space 20, no. 1 (January 1988): 71–82. http://dx.doi.org/10.1068/a200071.
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During the 1970s and 1980s the Australian and New Zealand economies have been passing through a period of restructuring. This has had important impacts upon the housing sector, leading to rises in house and land prices, in interest rates, and therefore in the costs of house purchase. Under these conditions a new agenda of housing issues has appeared concerning the affordability of housing and the continued access of modest and lower income households to the dominant form of tenure, owner-occupation. The 1980s saw the election of Labour governments committed to action in the area of housing. However, somewhat paradoxically, both in Australia and in New Zealand the policies pursued have been those of deregulation to produce a more competitive financial market. To preserve access to housing, new mortgage schemes have been designed. Two such schemes, the Capital Loan Scheme of Victoria and New Zealand's Equity Share Scheme are evaluated in the paper to show the nature of the adopted policy-response. The article is concluded with the demonstration of the limitations of such policy-based solutions to what are macroeconomic problems which are produced by moving towards an economic and social policy shaped by market monetarism.
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Anderson, Ian, Harriet Young, Milica Markovic, and Lenore Manderson. "Koori Primary Health Care in Victoria: Developments in Service Planning." Australian Journal of Primary Health 6, no. 4 (2000): 24. http://dx.doi.org/10.1071/py00031.
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The Alma Ata 1978 Declaration on primary health care has conventionally been applied in developing countries, where medically trained personnel and other highly skilled health professionals and medical infrastructure are limited. Although such concepts have salience in relatively resource rich countries such as Australia, it is in Aboriginal and Torres Strait Islander health policy that they have become pivotal. A growing national focus on the development of Aboriginal primary health care capacity followed the release of the National Aboriginal Health Strategy (NAHS) in 1989 (Anderson, 1997). This focus consolidated further, following the evaluation of the National Aboriginal Health Strategy implementation in 1994 which preceded the transfer of administrative responsibility for the Commonwealth Aboriginal health program from the Aboriginal and Torres Strait Islander Commission (ATSIC) to the Commonwealth Health portfolio (DHFS, 1994). Within the strategic framework provided by federal state agreements, the development of primary health care services is a priority. In the current national policy framework domains of policy and strategy development have been identified as key developmental themes.
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Holland, Grant. "Child Abuse and Mandatory Reporting." Australian Journal of Primary Health 2, no. 4 (1996): 73. http://dx.doi.org/10.1071/py96058.
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In Victoria, and to some extent Australia, the last two decades have seen some clarification in the classification of the various forms of child maltreatment and abuse. Currently, the major forms of child abuse are acknowledged as being:In Victoria, and to some extent Australia, the last two decades have seen some clarification in the classification of the various forms of child maltreatment and abuse. Currently, the major forms of child abuse are acknowledged as being physical abuse or non-accidental physical injury; sexual abuse and exploitation; emotional/psychological abuse and neglect. These forms of maltreatment often convey an implied message of non-accidental or committed harm against children. Abuse, however, can often occur by neglect or a failure to protect children, and therefore can be characterised as abuse by ommission. Many practitioners and professionals now use the term 'child abuse and neglect' rather than the single 'child abuse' term.
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Jayasuriya, Rohan, and A. B. Sim. "Strategic planning in hospitals in two Australian States: An exploratory study of its practice using planning documentation." Australian Health Review 21, no. 3 (1998): 17. http://dx.doi.org/10.1071/ah980017.
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Hospitals are under pressure to respond to new challenges and competition. Manyhospitals have used strategic planning to respond to these environmental changes. Thisexploratory study examines the extent of strategic planning in hospitals in twoAustralian States, New South Wales and Victoria, using a sample survey. Based onplanning documentation, the study indicated that 47% of the hospitals surveyed didnot have a strategic or business plan. A significant difference was found in thecomprehensiveness of the plans between the two States. Plans from Victorian hospitalshad more documented evidence of external/internal analysis, competitor orientation and customer orientation compared with plans from New South Wales hospitals. The paper discusses the limitations of the study and directions for future research.
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McLennan, Fiona, Kate Vickers, Kylie Mason, Karen Bloomberg, Victoria Leadbetter, and Meg Engel. "Capacity Building and Complex Communication Needs: A New Approach to Specialist Speech Pathology Services in Rural Victoria." Australian Journal of Primary Health 12, no. 2 (2006): 66. http://dx.doi.org/10.1071/py06024.
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The aim of this article is to provide a description of the establishment of an innovative approach to improving speech pathology services and community inclusion of people with complex communication needs in rural Victoria. The East Hume Regional Communication Service was established by Ovens and King Community Health Service in partnership with Wodonga Regional Health Service in 2004 as part of a "hub and spoke" network of services across Victoria for people with complex communication needs. Unlike traditional speech pathology services that historically have focused on clinical one-to-one intervention, the Regional Communication Service has a strong focus on community capacity building, enhancing inclusion of people with complex communication needs through improved knowledge, skills and attitudes. This paper will review the relevant literature and outline the Victorian Government policy context within which the service was established. Service highlights and successful initiatives will be described and key factors contributing to the success of the East Hume Regional Communication Service will be explored. Areas for process improvement during the initial two years of operation will also be discussed. This article will provide an insight into establishment of a service delivery model addressing both individual needs and community inclusion that has the potential to be extended across multiple disciplines and areas of practice within rural Australia.
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Holst, Heather, and Clogagh Walsh. "A reflection on Victoria's Statewide Homelessness Assessment and Referral Framework as a quality improvement initiative." Australian Journal of Primary Health 14, no. 2 (2008): 64. http://dx.doi.org/10.1071/py08024.
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This paper reflects on one of several recent quality initiatives in homelessness services in Victoria, Australia. The question, "Are we confident that this will improve service quality?" is considered in the context of the development and implementation of the Statewide Homelessness Assessment and Referral Framework.
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Werdiningtyas, Ratri, Yongping Wei, and Andrew W. Western. "The evolution of policy instruments used in water, land and environmental governances in Victoria, Australia from 1860–2016." Environmental Science & Policy 112 (October 2020): 348–60. http://dx.doi.org/10.1016/j.envsci.2020.06.012.
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Bennett, N., C. Boardman, A. Bull, M. Richards, P. Russo, and M. Clin Epid. "Educating Smaller Rural Hospital Infection Control (IC) Nurses, Victoria, Australia." American Journal of Infection Control 34, no. 5 (June 2006): E64. http://dx.doi.org/10.1016/j.ajic.2006.05.123.
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Bell, James, Henry Chan, Michael Chan, and Sungkon Moon. "COVID-19 and Construction: Impact Analysis on Construction Performance during Two Infection Waves in Victoria, Australia." Sustainability 14, no. 5 (February 23, 2022): 2580. http://dx.doi.org/10.3390/su14052580.
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This research outlines the fluctuation in confirmed active cases of coronavirus disease 2019 (COVID-19), as related to the changes in the Victoria state government’s rules and restrictions. Further, this study examines the impact of government restrictions on the performance of construction in Victoria, Australia. The data analyses in this paper identify the specific effects on industrial production, during the different lockdown stages, in three local construction companies. Companies were selected from different points along the supply chain. Company A is a supplier involved in the manufacturing of structural steel. Company B conducts logistics and procurement. Company C is a construction engineering business specializing in foundations. After reviewing relevant case studies and theories, data analyses were developed in collaboration with these companies. The results revealed that the impact of restrictions on the workers on individual construction projects was not significant. Stage 4 restrictions (Victoria’s highest lockdown level) significantly impacted overall income by limiting construction to only servicing essential infrastructure or essential businesses. The novel contribution of this study is the data analysis outcome for Victoria, where a high level of restrictions were experienced, such as curfew and enforced isolation at home, relative to other countries. In 2021 and 2022 (omicron variant dominated), Victoria was again at the brink of an infection wave, which showed a similar pattern to July 2020, and endured the world’s longest COVID-19 lockdown. The research findings contribute to the body of knowledge by providing empirical data analysis of each company, representing the economic impact of ordinary small and medium enterprises (SMEs) in construction.
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Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Barriers and enablers to providing preventative and early intervention diabetes-related foot care: a qualitative study of primary care healthcare professionals' perceptions." Australian Journal of Primary Health 27, no. 4 (2021): 319. http://dx.doi.org/10.1071/py20235.
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This study explored the perceived healthcare system and process barriers and enablers experienced by GPs and Credentialled Diabetes Educators (CDEs) in Australian primary care, in the delivery of preventative and early intervention foot care to people with diabetes. A qualitative design with inductive analysis approach was utilised and reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Semi-structured interviews were conducted with two GPs and 14 CDEs from rural, urban and metropolitan areas of Australia. Participants were from New South Wales, South Australia, Victoria, Western Australia, the Northern Territory and Queensland. Barriers to providing foot care constituted five broad themes: (1) lack of access to footcare specialists and services; (2) education and training insufficiencies; (3) human and physical resource limitations related to funding inadequacies; (4) poor care integration such as inadequate communication and feedback across services and disciplines, and ineffectual multidisciplinary care; and (5) deficient footcare processes and guidelines including ambiguous referral pathways. Enablers to foot care were found at opposing ends of the same spectra as the identified barriers or were related to engaging in mentorship programs and utilising standardised assessment tools. This is the first Australian study to obtain information from GPs and CDEs about the perceived barriers and enablers influencing preventative and early intervention diabetes-related foot care. Findings offer an opportunity for the development and translation of effective intervention strategies across health systems, policy, funding, curriculum and clinical practice, in order to improve outcomes for people with diabetes.
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Ansari, M. Z., D. Simmon s, W. G. Hart, F. Cicuttin i, N. J. Carson, N. I. A. G. Brand, M. J. Ackland, and D. J. Lang. "Preventable Hospitalisations for Diabetic Complications in Rural and Urban Victoria." Australian Journal of Primary Health 6, no. 4 (2000): 261. http://dx.doi.org/10.1071/py00060.
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The objective of the study was to describe and explain variations in rates of hospital admissions for long-term complications of diabetes mellitus in rural and urban Victoria as an indicator of the adequacy of ambulatory care services. The Victorian Inpatient Minimum Database (VIMD), Health Insurance Commission data for 1998, Medical Labour Force Annual Survey 1998, Socioeconomic Indexes for Areas 1996 (SEIFA) and Accessibility/Remoteness Index of Australia (ARIA) were merged to determine the extent to which hospitalisation for complications of diabetes can be predicted from accessibility and utilisation of general practitioner services. The rural and urban differentials for long-term diabetic complications and their strong relationship with GP services, the degree of remoteness, lack of insurance, and Aboriginality reflect issues related to equity and access, patient and GP education, and inclination to seek care, all of which have implications for planning of primary health services in rural areas. This study describes a model for the analysis of ambulatory care sensitive conditions, and illustrates the important use of routine databases combined with other sources of information in quantifying the impact of factors related to primary care services.
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Wood, Christopher. "Environmental Impact Assessment in Victoria: Australian Discretion Rules EA!" Journal of Environmental Management 39, no. 4 (December 1993): 281–95. http://dx.doi.org/10.1006/jema.1993.1071.
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Goller, Jane L., Jacqueline Coombe, Christopher Bourne, Deborah Bateson, Meredith Temple-Smith, Jane Tomnay, Alaina Vaisey, et al. "Patient-delivered partner therapy for chlamydia in Australia: can it become part of routine care?" Sexual Health 17, no. 4 (2020): 321. http://dx.doi.org/10.1071/sh20024.
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Abstract Background Patient-delivered partner therapy (PDPT) is a method for an index patient to give treatment for genital chlamydia to their sexual partner(s) directly. In Australia, PDPT is considered suitable for heterosexual partners of men and women, but is not uniformly endorsed. We explored the policy environment for PDPT in Australia and considered how PDPT might become a routine option. Methods: Structured interviews were conducted with 10 key informants (KIs) representing six of eight Australian jurisdictions and documents relevant to PDPT were appraised. Interview transcripts and documents were analysed together, drawing on KIs’ understanding of their jurisdiction to explore our research topics, namely the current context for PDPT, challenges, and actions needed for PDPT to become routine. Results: PDPT was allowable in three jurisdictions (Victoria, New South Wales, Northern Territory) where State governments have formally supported PDPT. In three jurisdictions (Western Australia, Australian Capital Territory, Tasmania), KIs viewed PDPT as potentially allowable under relevant prescribing regulations; however, no guidance was available. Concern about antimicrobial stewardship precluded PDPT inclusion in the South Australian strategy. For Queensland, KIs viewed PDPT as not allowable under current prescribing regulations and, although a Medicine and Poisons Act was passed in 2019, it is unclear if PDPT will be possible under new regulations. Clarifying the doctor–partner treating relationship and clinical guidance within a care standard were viewed as crucial for PDPT uptake, irrespective of regulatory contexts. Conclusion: Endorsement and guidance are essential so doctors can confidently and routinely offer PDPT in respect to professional standards and regulatory requirements.
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McMorris, Barbara J., Sheryl A. Hemphill, John W. Toumbourou, Richard F. Catalano, and George C. Patton. "Prevalence of Substance Use and Delinquent Behavior in Adolescents From Victoria, Australia and Washington State, United States." Health Education & Behavior 34, no. 4 (May 31, 2006): 634–50. http://dx.doi.org/10.1177/1090198106286272.
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This article compares prevalence estimates of substance use and delinquent behavior in Washington State, United States and Victoria, Australia, two states chosen for their different policy environments around problem behavior. Few comparisons of international differences on rates of multiple problem behavior exist, and most are based on methods that are not matched, raising the question of whether findings are based on methodological differences rather than actual rate differences. The International Youth Development Study used standardized methods to recruit and administer an adaptation of the Communities That Care Youth Survey to representative state samples of fifth-, seventh-, and ninth-grade students in each state. Rates of delinquent behavior were generally comparable. However, striking differences in substance use were noted, with Victoria students reporting higher rates of alcohol use, alcohol misuse, smoking, and inhalant use, whereas Washington State students reported higher rates of marijuana use. Implications for conducting international comparisons are discussed.
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Ansari, Zahid, Stacey Rowe, Humaira Ansari, and Colin Sindall. "Small Area Analysis of Ambulatory Care Sensitive Conditions in Victoria, Australia." Population Health Management 16, no. 3 (June 2013): 190–200. http://dx.doi.org/10.1089/pop.2012.0047.
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Liamputtong Rice, Pranee. "Childhood Health and Illness: Cultural Beliefs and Practices among the Hmong in Victoria." Australian Journal of Primary Health 4, no. 4 (1998): 44. http://dx.doi.org/10.1071/py98060.
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This paper examines the cultural construction of childhood illness among Hmong refugees from Laos who are living in Australia. It focuses on traditional patterns of beliefs and practices related to health and illness of newborn infants and young children. The Hmong treat childhood health and illness seriously, and for them there are several causes of childhood illness, including nature, souls, supernatural beings and human aggression. The roles of traditional healers who play an important part in childhood health and illness are also discussed. Lastly, the paper attempts to make clear some implications for child health services for immigrants such as the Hmong in Australia and elsewhere. The paper intends to contribute an anthropological perspective on child health which is particularly important in a multicultural society. A clear understanding by health professionals of cultural beliefs and expectations is essential if misunderstanding is to be avoided, and culturally appropriate and sensitive health care for immigrant children, such as the Hmong to be available.
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Naccarella, Lucio, Theonie Tacticos, Jane Sims, and Maria Potiriadis. "Capacity building initiatives within the Divisions of General Practice setting in Victoria, Australia." Australian Journal of Primary Health 11, no. 2 (2005): 128. http://dx.doi.org/10.1071/py05031.
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The General Practice Education, Support and Community Linkages Program (the Program) supported uptake of the Enhanced Primary Care (EPC) Medicare Benefits Schedule items. A goal underpinning the Program was to build the capacity of Divisions of General Practice to support GPs' EPC item usage. Capacity building was operationalised as: workforce development, organisational development, and resource allocation. This paper reports on the extent to which the Program built the Divisions' capacity to support GPs' EPC item usage. Telephone interviews were conducted with participating Division Chief Executive Officers (CEOs), EPC Coordinators and GP Trainers. Division CEOs, EPC Coordinators and GP trainers corroborated that the Program contributed to Divisions' capacity to support GPs' EPC item usage. Responses reflected interviewees' respective roles and position in Divisions. Given CEOs' strategic roles, they were more positive about the Program, EPC Coordinators and GP Trainers were less positive, given their pragmatic roles. It appeared that respondents had not explicitly considered the Program as a capacity building exercise. We infer that they may have been too close to implementation to see the Program's overarching policy and strategy. The evaluation highlighted the importance of implementing and evaluating capacity building initiatives explicitly using capacity building frameworks. To assist program sustainability, future schemes in the general practice setting would benefit from an explicit reference to capacity building in their stated objectives.
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Cheng, I.-Hao, Jacquie McBride, Miriam Decker, Therese Watson, Hannah Jakubenko, and Alana Russo. "The Asylum Seeker Integrated Healthcare Pathway: a collaborative approach to improving access to primary health care in South Eastern Melbourne, Victoria, Australia." Australian Journal of Primary Health 25, no. 1 (2019): 6. http://dx.doi.org/10.1071/py18028.
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It is important to address the health needs of asylum seekers within the early stages of their arrival in Australia, as this impacts all aspects of their resettlement. However, asylum seekers face a range of barriers to accessing timely and appropriate health care in the community. In 2012, the increasing number of asylum seekers in Australia placed additional demand on health and social services in high-settlement regions. Health providers experienced a substantial increase in Medicare ineligible clients and avoidable presentations to Emergency Departments, and the health needs of new asylum seeker arrivals were not being fully addressed. In response, South Eastern Melbourne Medicare Local, Monash Health, the Australian Red Cross and local settlement support agencies collaborated to develop an integrated healthcare pathway in South Eastern Melbourne to facilitate healthcare access for asylum seekers released from detention. From September 2012 to December 2014, a total of 951 asylum seekers transitioned through the pathway. Seventy-eight percent required primary healthcare assistance, and were provided with a service appointment within 3 weeks of their arrival in Melbourne. This initiative has demonstrated the value of partnership and collaboration when responding to emergent asylum seeker health needs.
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Ward, Bernadette M., and Pamela C. Snow. "Parents's plans to supply their adolescents with alcohol." Australian Journal of Primary Health 17, no. 2 (2011): 169. http://dx.doi.org/10.1071/py10039.
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The aim was to determine the extent to which parent and adolescent characteristics and patterns of alcohol use influence parents’ plans to supply their adolescent aged 14–16 years with full serves of alcohol (i.e. not necessarily initiation) in the next 6 months. A cross-sectional sample of parents from Victoria, Australia, completed an online survey. Parents’ plans to supply alcohol in the next 6 months was significantly associated with their reports of supplying alcohol in the previous 3 months (β = 0.51, P < 0.01), perceptions that their adolescent drinks (β = 0.34, P < 0.01), reports of not practising religion (β = 0.13, P < 0.01), and Alcohol Use Disorders Identification Test scores (β = 0.09, P = 0.04). The total variance explained by the model was 57.4% F (9, 242) = 36.2, P < 0.01. Parents’ plans to supply their adolescent with alcohol might be a reflection of the normalisation of alcohol use in Australia. There is a need to support Australian parents to review their own alcohol use, clarify their views on alcohol use by their adolescent and confidently restrict their child’s access to alcohol, irrespective of their own drinking patterns.
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Cohn, Amanda, Mya Cubitt, Anita Goh, Allison Hempenstall, Rebekah Hoffman, Christine Lai, Jane Munro, et al. "Gender Equity in Australian Health Leadership." Asia Pacific Journal of Health Management 16, no. 1 (February 28, 2021): 6–10. http://dx.doi.org/10.24083/apjhm.v16i1.519.
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Objective: To ascertain the gender distribution across public health boards in Australia. Design & Setting: Analysis of data and information obtained from a cross sectional audit of online publicly listed health boards within Australia from October to December 2019. Results: The majority of public health boards have close to equal representation of women as board members however women are underrepresented in Chair roles. Victoria has significantly more women on health boards, whereas New South Wales has significantly less women on health boards and in Chair positions. Conclusions: Further efforts are required to drive gender equity in senior leadership roles in public health boards across Australia
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Savic, Michael, S. Fiona Barker, David Best, and Dan I. Lubman. "Alcohol problems among migrants in substance use treatment: the role of drinking patterns in countries of birth." Australian Journal of Primary Health 20, no. 3 (2014): 220. http://dx.doi.org/10.1071/py14028.
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Migrants’ beliefs about when to seek help for alcohol problems may differ from host-country norms. We undertook an audit of 393 cases of screening in specialist alcohol and other drug services in Victoria, Australia, to examine whether alcohol problem severity at the time of help-seeking was influenced by drinking norms in countries of birth. Alcohol problem severity was measured using the Alcohol Use Disorders Identification Test, and World Health Organization per capita alcohol consumption data was used to form three categories of clients relative to Australian consumption: (1) Australian born; (2) born in low alcohol consumption countries; and (3) born in high alcohol consumption countries. Clients born in high consumption countries such as those in Europe and the UK had significantly higher levels of alcohol problem severity at intake compared with Australian-born clients and clients born in low consumption countries. This suggests that clients from high consumption countries might have delayed seeking help in line with the alcohol norms in their country of origin. Screening this group for alcohol problems in primary health care might avoid significant cumulative harm.
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Harris, Edwyna. "Development and Damage: Water and Landscape Evolution in Victoria, Australia." Landscape Research 31, no. 2 (April 2006): 169–81. http://dx.doi.org/10.1080/01426390600638687.
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Moore, Cameron Alastair, and Caroline Gross. "Great Big Hairy Bees! Regulating the European Bumblebee, Bombus Terrestris L. What does it say about the Precautionary Principle?" International Journal of Rural Law and Policy, no. 1 (June 2, 2012): 1–19. http://dx.doi.org/10.5130/ijrlp.i1.2012.2627.
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The previous Commonwealth Minister for the Environment, Mr Garrett, recently rejected a request to allow the importation of live bumblebees (Bombus terrestris L.) to mainland Australia. New South Wales and Victoria had already listed the introduction of bumblebees as, respectively, a key threatening process and a potentially threatening process. The Commonwealth, however, had previously declined an application to list the introduction of bumblebees as a key threatening process, although its Threatened Species Scientific Committee urged ‘that extreme caution be shown in considering any proposal to introduce this species to the mainland.’ The potential threat from bumblebees would appear to beg the questions posed by the precautionary principle. Would the presence of bumblebees to mainland Australia pose a threat of serious or irreversible environmental damage? Should a lack of full scientific certainty be used as a reason for postponing measures to prevent environmental degradation? This paper considers the role of the precautionary principle in regulatory approaches to the bumblebee. It seeks to establish the application of the precautionary principle to this particular potential environmental threat, including its relationship to the principle of conservation of biological diversity. It concludes that, despite widespread adoption of the precautionary principle in policy, legislation and case law in Australia, its impact on regulating bumblebees has not been consistent.
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Peiris, Sujanie, Janneke Berecki-Gisolf, Stuart Newstead, Bernard Chen, and Brian Fildes. "Development of a Methodology for Estimating the Availability of ADAS-Dependent Road Infrastructure." Sustainability 13, no. 17 (August 24, 2021): 9512. http://dx.doi.org/10.3390/su13179512.
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Advanced driver assist systems are being promoted with the expectation that enhanced driver support will mitigate road trauma. While these technologies are optimised for certain road and traffic conditions, not all roads across Australasia are equipped with ADAS-supportive infrastructure. This study developed a desk-top methodology for using road classes (disaggregated by remoteness levels) to estimate the presence of quality roads, road delineation and speed signage in Victoria, Australia. Aerial imagery and mapping data were used to assess a number of random locations based on a developed protocol. The methodology demonstrated that in Victoria, major and arterial roads across all remoteness levels had high-quality sealed surfaces but 42% of all remote roads were unsealed. Delineation (crucial for lane support systems) were absent across 73% of sub-arterial roads independent of remoteness, and absent across 96% of sub-arterial roads in regional and remote areas. Speed sign availability across remote and regional areas was sparse, with only 65% of all roads assessed having signage. Results are reflective of Victoria’s road funding model and consistent with on-road audits conducted by other researchers. This methodology enables the proportion ADAS-ready roads to be estimated so the benefits of ADAS technologies can be quantified and investments into ADAS-supportive infrastructure be readily allocated.
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Ibrahim, Mohammad Nabil, David B. Logan, Sjaan Koppel, and Brian Fildes. "Fatal and Serious Injury Rates for Different Travel Modes in Victoria, Australia." Sustainability 14, no. 3 (February 8, 2022): 1924. http://dx.doi.org/10.3390/su14031924.
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While absolute injury numbers are widely used as a road safety indicator, they do not fully account for the likelihood of an injury given a certain level of exposure. Adjusting crash and injury rates for travel exposure can measure the magnitude of travel activity leading to crash outcomes and provide a more comprehensive indicator of safety. Fatal and serious injury (FSI) numbers were adjusted by three measures of travel exposure to estimate crash and injury rates across nine travel modes in the Australian state of Victoria. While car drivers accounted for the highest number of injuries across the three modes, their likelihood of being killed or seriously injured was substantially lower than that of motorcyclists across all exposure measures. Cyclists accounted for fewer injuries than car passengers and pedestrians but had a higher risk per exposure. The results varied by both injury severity and exposure measure. The results of this study will assist with high level transport planning by allowing for the investigation of the changes in travel-related FSI resulting from proposed travel mode shifts driven by safety, environmental reasons or other reasons as part of the holistic goal of transforming the transport system to full compliance with Safe System principles.
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Lumsden, IF, and AF Bennet. "Bats of a semi-arid environment in south-eastern Australia: biogeography, ecology and conservation." Wildlife Research 22, no. 2 (1995): 217. http://dx.doi.org/10.1071/wr9950217.
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A total of 2075 captures of 11 taxa of bats was recorded during an extensive survey of the vertebrate fauna of the semi-arid Mallee region of Victoria. A further two species, Pteropus scapulatus and Saccolaimus flaviventris, are known from previous records, thus bringing the total to 13 taxa known from the region. There was a marked seasonality in activity patterns and in reproduction. Activity, as revealed by trap captures, peaked over the spring to early autumn months when daytime temperatures are high and nights are mild. Births occurred from October to December, lactating females were recorded from November to February, and juveniles were trapped between December and late February, with minor variation in timing between species. Morphometric measurements revealed that females were generally larger and heavier than males. There was a high level of overlap of species between broad vegetation types. Woodland habitats, especially Riverine Woodland, tended to have a higher frequency of capture and a greater species richness of bats per trapping event than did Mallee Shrubland. The assemblage of bats in the Mallee region, Victoria, like those in other semi-arid regions of southern Australia, includes species that are widespread in Australia (e.g. Chalinolobus gouldii and Nyctophilus geoffroyi), together with species that primarily occur in semi-arid and arid environments (e.g. N. timoriensis, Scotorepens balstoni and Vespadelus baverstocki). This region, which includes mesic riverine habitats, also supports a group of species that are characteristic of temperate south-eastern Australia (e.g. C. morio, V. regulus and V. vulturnus). In comparison with assemblages from temperate and tropical environmental regions, those from the semi-arid region tend to have a lower species richness with fewer families represented, a higher level of insectivory, and a smaller modal body size. The conservation status of bats from the Mallee region, Victoria, is believed to be secure, although the status of N. timoriensis warrants further attention.
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Grills, Nathan, Bruce Bolam, and Leonard Sunil Piers. "Balancing absolute and relative risk reduction in tobacco control policy: the example of antenatal smoking in Victoria, Australia." Australian and New Zealand Journal of Public Health 34, no. 4 (August 2010): 374–78. http://dx.doi.org/10.1111/j.1753-6405.2010.00569.x.
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Llewellyn-Jones, Lorraine, and David Harvey. "The development of a Health Promotion Community Participation Framework." Australian Journal of Primary Health 11, no. 2 (2005): 136. http://dx.doi.org/10.1071/py05032.
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This paper reports on research conducted through Monash University located in the state of Victoria, Australia. The outcome of the research was the development of a Health Promotion Community Participation Framework, providing guidelines for health professionals in community health centres and services to assist them with facilitating community participation in health promotion. A literature review was conducted and information collected from health professionals working in metropolitan and rural community health centres and services across the state of Victoria, Australia. The Framework does not emphasise levels of community participation as a hierarchy, but instead proposes using the levels or types of participation across a continuum. This has been done to encourage the use of appropriate transparent strategies that will enable both individual community members and different sections of communities to participate in health promotion activities. This is particularly important where government policies dictate the direction of health promotion, as this "top down" approach can lead to the community being excluded for health promotion processes. The use of a continuum promotes the concept that participation can be effective at different levels, even when the issue to be addressed has already been identified. The Framework also proposes that in order for community participation strategies to take place, there needs to be capacity building at both the organisational level and the community level.
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Beaumont, Marilyn. "Development of the 2000-2005 Victorian Women's Health Plan: A Case Study." Australian Journal of Primary Health 6, no. 4 (2000): 248. http://dx.doi.org/10.1071/py00059.
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The paper describes and assesses the development of the 2000 to 2005 Victorian Women's Health Plan; a policy overtaken by a range of political processes. It provides a working example of health promotion policy development including mapping the history and context behind the development of the policy. The paper is written from the author's view that good health policy behind funding arrangements is critical for good health practice. It is also important for health service providers to have an understanding of the politics and processes surrounding health policy development and implementation surrounding their practice and to work with this understanding to improve health outcomes. This is particularly the case with health promotion policy because outcomes are generally only identifiable in the longer term. Within Victoria, during the period 1995-1998, a number of things occurred to provide an environment for renewal of interest and potential for progress in women's health policy development. This included an increasing understanding of the relationship between gender and health outcomes. The complex economic, political and environmental elements, understanding of opportunities available, actions developed and taken, and the results are all expanded upon in the paper. The activity resulted in the launch, in August 1999, of the five-year Victorian Women's Health Plan. It was hailed by the then Victorian Premier on the launch occasion as the 'first comprehensive women's health plan to be developed by any Australian state, which leads the way for other States to follow'. The launch coincided with the calling of a State government election. Four weeks later there was a change of government and the process to develop policy has began again.
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Kleve, Sue, Zoe E. Davidson, Emma Gearon, Sue Booth, and Claire Palermo. "Are low-to-middle-income households experiencing food insecurity in Victoria, Australia? An examination of the Victorian Population Health Survey, 2006–2009." Australian Journal of Primary Health 23, no. 3 (2017): 249. http://dx.doi.org/10.1071/py16082.
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Food insecurity affects health and wellbeing. Little is known about the relationship between food insecurity across income levels. This study aims to investigate the prevalence and frequency of food insecurity in low-to-middle-income Victorian households over time and identify factors associated with food insecurity in these households. Prevalence and frequency of food insecurity was analysed across household income levels using data from the cross-sectional 2006–09 Victorian Population Health Surveys (VPHS). Respondents were categorised as food insecure, if in the last 12 months they had run out of food and were unable to afford to buy more. Multivariable logistic regression was used to describe factors associated with food insecurity in low-to-middle-income households (A$40000–$80000 in 2008). Between 4.9 and 5.5% for total survey populations and 3.9–4.8% in low-to-middle-income respondents were food insecure. Food insecurity was associated with limited help from friends, home ownership status, inability to raise money in an emergency and cost of some foods. Food insecurity exists in households beyond those on a very low income. Understanding the extent and implications of household food insecurity across all income groups in Australia will inform effective and appropriate public health responses.
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Tovey, Jane Patricia. "Whose rights and who's right? Valuing ecosystem services in Victoria, Australia." Landscape Research 33, no. 2 (April 2008): 197–209. http://dx.doi.org/10.1080/01426390801908426.
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