Journal articles on the topic 'Police Promotions Victoria'
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1
Heilbrunn-Lang, Adina Y., Lauren M. Carpenter, Seona M. Powell, Susan L. Kearney, Deborah Cole, and Andrea M. de Silva. "Reviewing public policy for promoting population oral health in Victoria, Australia (2007–12)." Australian Health Review 40, no. 1 (2016): 19. http://dx.doi.org/10.1071/ah15013.
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Objective Government policy and planning set the direction for community decisions related to resource allocation, infrastructure, services, programs, workforce and social environments. The aim of the present study was to examine the policy and planning context for oral health promotion in Victoria, Australia, over the period 2007–12. Methods Key Victorian policies and plans related to oral health promotion in place during the 2007–12 planning cycle were identified through online searching, and content analysis was performed. Inclusion of oral health (and oral health-related) promotion initiatives was assessed within the goals, objectives and strategies sections of each plan. Results Six of the 223 public health plans analysed (3%) included oral health ‘goals’ (including one plan representing nine agencies). Oral health was an ‘objective’ in 10 documents. Fifty-six plan objectives, and 70 plan strategies related to oral health or healthy eating for young children. Oral health was included in municipal plans (44%) more frequently than the other plans examined. Conclusion There is a policy opportunity to address oral health at a community level, and to implement population approaches aligned with the Ottawa Charter that address the social determinants of health. What is known about the topic? Poor oral health is a significant global health concern and places a major burden on individuals and the healthcare system, affecting approximately 50% of all children and 75%–95% of adults in Australia. The Ottawa Charter acknowledges the key role of policy in improving the health of a population; however, little is known about the policy emphasis placed on oral health by local government, primary care partnerships and community health agencies in Victoria, Australia. What does this paper add? This is a review of oral health content within local government (municipal) and community health plans in Victoria, Australia. What are the implications for practitioners? The findings identify several opportunities for public health and community health practitioners and policy makers to place greater emphasis on prevention and improvement of the oral health of Victorians through policy development.
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MacDonald, Catherine, Bill Genat, Sharon Thorpe, and Jennifer Browne. "Establishing health-promoting workplaces in Aboriginal community organisations: healthy eating policies." Australian Journal of Primary Health 22, no. 3 (2016): 239. http://dx.doi.org/10.1071/py14144.
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Aboriginal community controlled health organisations (ACCHOs) and cooperatives function at the centre of community life for local Aboriginal people across Victoria. Local Aboriginal people govern them, work within them as managers and service providers, access health and community services from them and form the constituents who determine their directions. Victorian ACCHOs reflect the unique characteristics of the local Aboriginal community. Thus, potentially, Victorian ACCHOs are key strategic sites for health promotion activities that seek to establish and nurture healthy community, family and peer norms. The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) partnered five metropolitan, regional and rural ACCHOs in a pilot project towards the establishment of healthy food policies and practices in their organisations. Project activities combined both ‘top-down’ policy-oriented and ‘bottom-up’ practice-oriented strategies. This paper, drawing upon both baseline and follow-up quantitative and qualitative data, describes initiatives leading to increases in healthy catering choices and related challenges for Aboriginal workplace health promotion practice.
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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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Bensberg, Monica, and Marcus Kennedy. "Health promotion-who, us? Developing health promoting emergency departments." Australian Health Review 24, no. 3 (2001): 39. http://dx.doi.org/10.1071/ah010039.
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This paper describes the initiation of Victoria's Health Promoting Emergency Departments (HPEDs) Program,involving seven of Melbourne's Emergency Departments (EDs). The Program aims to integrate health promotion intothe function of EDs, to complement the clinical and curative emergency care that they already provide. A developmentphase identified the means of achieving this and involved establishing a multi-disciplinary Steering Committee andengaging health promotion specialists to record the opportunities for health promotion within the ED context.A literature review, and consultations with ED staff (focus groups and surveys) and other stakeholders were conducted.A concept paper was published and the development phase findings were documented, including recommendations onthe future of the Program.
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Bensberg, Monica. "Infrastructure and Organisational Development: A Regional Approach to Health Promotion." Australian Journal of Primary Health 6, no. 1 (2000): 67. http://dx.doi.org/10.1071/py00007.
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This paper describes existing health promotion systems in Victoria and explains how infrastructure can be strengthened to influence the delivery of local health promotion action. The Victorian State Government has invested in regional support to facilitate the development and coordination of health promotion at a local level. To achieve this the Regional Infrastructure for Improving Health Promotion (RIIHP) model was developed, providing a framework for strategic action. The model draws upon organisational change theory and capacity building methods to highlight the necessary infrastructure for sustainable health promotion efforts. Forty five local health promotion practitioners, managers, academics, and Department program advisers were interviewed and asked what they thought supported or influenced health promotion. The responses from interviews were combined to develop the RIIHP model. The RIIHP model provides a framework for planning infrastructure improvements. This model is relevant to agencies, regions and state departments who want to succeed in establishing coordinated and effective health promotion systems.
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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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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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Grigsby-Duffy, Lily, Sally Schultz, Liliana Orellana, Ella Robinson, Adrian J. Cameron, Josephine Marshall, Kathryn Backholer, and Gary Sacks. "The Healthiness of Food and Beverages on Price Promotion at Promotional Displays: A Cross-Sectional Audit of Australian Supermarkets." International Journal of Environmental Research and Public Health 17, no. 23 (December 3, 2020): 9026. http://dx.doi.org/10.3390/ijerph17239026.
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Supermarket environments can strongly influence purchasing decisions. Price promotions are recognised as a particularly persuasive tactic, but the healthiness of price promotions in prominent in-store locations is understudied. This study compared the prevalence and magnitude of price promotions on healthy and unhealthy food and beverages (foods) displayed at prominent in-store locations within Australian supermarkets, including analyses by supermarket group and area-level socio-economic position. A cross-sectional in-store audit of price promotions on foods at key display areas was undertaken in 104 randomly selected stores from major Australian supermarket groups (Woolworths, Coles, Aldi and independents) in Victoria, Australia. Of the display space dedicated to foods with price promotions, three of the four supermarket groups had a greater proportion of display space devoted to unhealthy (compared to healthy) foods at each promotional location measured (end of aisles: 66%; island bins: 53%; checkouts: 88%). Aldi offered very few price promotions. Few measures varied by area-level socio-economic position. This study demonstrated that price promotions at prominent in-store locations in Australian supermarkets favoured unhealthy foods. Marketing of this nature is likely to encourage the purchase of unhealthy foods, highlighting the need for retailers and policy-makers to consider addressing in-store pricing and placement strategies to encourage healthier food environments.
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Parkinson, Sharon. "Victorian Health Policy Reform: Impact on Community-based Health Promotion." Australian Journal of Primary Health 3, no. 4 (1997): 7. http://dx.doi.org/10.1071/py97035.
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Since the Victorian Coalition Government was elected to office in 1992, community health policy has undergone considerable change as part of broader initiatives within the public sector. In the context of changing policy, concerns have been raised in the field of community health regarding the direction of community-based health promotion. The purpose of this study is to investigate the impact of policy reform on the conceptualisation, priority setting and practice of community-based health promotion. A series of interviews was conducted with a small sample of community health centre managers and staff within metropolitan Melbourne. Findings suggest that there has been a significant shift in the profile of community-based health promotion, with increasing emphasis on health promotion in clinical encounters and in groups, and less project work and community development. In terms of the principles of the Ottawa Charter, health promotion has moved away from the areas of community action and building healthy public policy as the centres focus increasingly on direct service provision. This study discusses the influences on and implications for the changing profile of community-based health promotion and considers directions for the future.
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Tunny, Noeleen. "I Hung Five Posters This Week, is That My Health Promotion Done?' Developing a Framework for Health Promotion Outputs." Australian Journal of Primary Health 6, no. 1 (2000): 97. http://dx.doi.org/10.1071/py00010.
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In health promotion, there is a pressing need for a reporting system, based on measures of output and worker productivity, to assist organisations funding health promotion and enable the management of health promotion activity to proceed on rational lines. Evidence exists to suggest some growth in government support for health promotion at both Commonwealth and state levels. Victoria, for example, has allocated funds to establish Regional Health Promotion Manager positions. Health promotion is explicitly mentioned in documents, such as the Primary Health Program Guidelines-1999/2000 (Co-ordinated Care Branch, 1999), with the expectation that 20% of community health resources are allocated to promoting better health. Currently, there are no standard criteria that can be used to guide, count or assess health promotion activities. This has implications for workers whose productivity can be questioned and for managers who lack guidance in staff deployment. For corporate management, an inability to measure health promotion is an accountability issue. Development of practical tools for determining whether funds allocated to health promotion are achieving health outcomes is a high priority. The purpose of this paper is to explore one aspect of concern in health promotion infrastructure: the absence of adequate output measures for health promotion and its impact on the implementation of health promotion at the local level. A review of the literature is used to generate the basis of a framework for measurement of health promotion outputs in relation to workers' activity levels.
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Battams, Samantha, Toni Delany-Crowe, Matt Fisher, Lester Wright, Anthea Krieg, Dennis McDermott, and Fran Baum. "Applying Crime Prevention and Health Promotion Frameworks to the Problem of High Incarceration Rates for Aboriginal and Torres Strait Islander Populations: Lessons from a Case Study from Victoria." International Indigenous Policy Journal 12, no. 2 (May 14, 2021): 1–29. http://dx.doi.org/10.18584/iipj.2021.12.2.10208.
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This article examines what kinds of policy reforms are required to reduce incarceration rates of Aboriginal and Torres Strait Islander people through a case study of policy in the Australian state of Victoria. This state provides a good example of a jurisdiction with policies focused upon, and developed in partnership with, Aboriginal communities in Victoria, but which despite this has steadily increasing incarceration rates of Indigenous people. The case study consisted of a qualitative analysis of two key justice sector policies focused upon the Indigenous community in Victoria and interviews with key justice sector staff. Case study results are analysed in terms of primary, secondary, and tertiary crime prevention; the social determinants of Indigenous health; and recommended actions from the Ottawa Charter for Health Promotion. Finally, recommendations are made for future justice sector policies and approaches that may help to reduce the high levels of incarceration of Aboriginal and Torres Strait Islander people.
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McCoppin, Brigid. "Guest Editorial: Community Participation in Community Health: A PHACS Information Resource." Australian Journal of Primary Health 5, no. 2 (1999): 6. http://dx.doi.org/10.1071/py99014.
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In his foreword to the recent Department of Human Services (DHS) publication Community participation in community health: A PHACS information resource 3 (1999), the Parliamentary Secretary to the Victorian Minister for Health says that the 'heart' of the current primary health and community support (PHACS) reforms is to ensure that the 'locally based alliances' which are to emerge from them will be responsive to client needs, and notes also that the proposed PHACS demonstration projects will have to include plans for community participation. The aim of this Information Resource in the series Towards a stronger primary health and community support system from the Department of Human Services Victoria, is to guide workers in community health agencies, and in the other PHACS services, in developing ways of encouraging community participation. As such, the document provides both a rationale and practical suggestions, and should be a useful resource for board members and staff of community agencies, as well as for those either teaching or studying in such fields as health promotion and health education, where engaging the interest of members of the public is a central purpose.
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Bagot, Kathleen L., Dominique A. Cadilhac, Joosup Kim, Michelle Vu, Mark Savage, Les Bolitho, Glenn Howlett, et al. "Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme." Journal of Telemedicine and Telecare 23, no. 10 (October 28, 2017): 850–55. http://dx.doi.org/10.1177/1357633x17734004.
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Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-study was used and data were obtained from programme documents, e.g. minutes of governance committees, including the steering committee, the management committee and six working groups; operational and evaluation documentation, interviews and research field-notes taken by project staff. Thematic analysis was undertaken, with results presented in narrative form to provide a summary of the lived experience of developing and scaling the VST programme. The main success factors were attaining funding from various sources, identifying a clinical need and evidence-based solution, engaging stakeholders and facilitating co-design, including embedding the programme within policy, iterative evaluation including performing financial sustainability modelling, and conducting dissemination activities of the interim results, including promotion of early successes.
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Clarke, Brydie, Boyd Swinburn, and Gary Sacks. "Understanding Health Promotion Policy Processes: A Study of the Government Adoption of the Achievement Program in Victoria, Australia." International Journal of Environmental Research and Public Health 15, no. 11 (October 29, 2018): 2393. http://dx.doi.org/10.3390/ijerph15112393.
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Despite the growing health and economic burden associated with overweight and obesity, preventive policy progress has been deficient globally. This study investigated the policy process involved in the adoption of the Achievement Program, a settings-based health promotion intervention that was a key pillar of the Healthy Together Victoria obesity prevention initiative. The qualitative study utilised multiple theories of the policy process, as well as Causal Loop Diagramming (CLD) methods, to understand the policy systems underlying the decision to adopt the Achievement Program. Factors that impacted this obesity prevention policy adoption included problem prioritisation at Federal and state government levels; political risks regarding policy action and inaction, and framing used by policy advocates to reduce risks and highlight the opportunities related to the Achievement Program policy implementation. The use of CLD methods was advantageous to further conceptualise potential leverage points and effective ways to influence obesity prevention policy in future. As such, the findings contribute to the obesity prevention policy evidence base and toward developing a number of recommended actions for policy actors seeking to increase future policy action.
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Dickson-Swift, Virginia, Christopher Fox, Karen Marshall, Nicky Welch, and Jon Willis. "What really improves employee health and wellbeing." International Journal of Workplace Health Management 7, no. 3 (September 2, 2014): 138–55. http://dx.doi.org/10.1108/ijwhm-10-2012-0026.
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Purpose – Factors for successful workplace health promotion (WHP) are well described in the literature, but often sourced from evaluations of wellness programmes. Less well understood are the features of an organisation that contribute to employee health which are not part of a health promotion programme. The purpose of this paper is to inform policy on best practice principles and provide real life examples of health promotion in regional Victorian workplaces. Design/methodology/approach – Individual case studies were conducted on three organisations, each with a health and wellbeing programme in place. In total, 42 employers and employees participated in a face to face interview. Interviews were transcribed verbatim and the qualitative data were thematically coded. Findings – Employers and senior management had a greater focus on occupational health and safety than employees, who felt that mental/emotional health and happiness were the areas most benefited by a health promoting workplace. An organisational culture which supported the psychosocial needs of the employees emerged as a significant factor in employee's overall wellbeing. Respectful personal relationships, flexible work, supportive management and good communication were some of the key factors identified as creating a health promoting working environment. Practical implications – Currently in Australia, the main focus of WHP programmes is physical health. Government workplace health policy and funding must expand to include psychosocial factors. Employers will require assistance to understand the benefits to their business of creating environments which support employee's mental and emotional health. Originality/value – This study took a qualitative approach to an area dominated by quantitative biomedical programme evaluations. It revealed new information about what employees really feel is impacting their health at work.
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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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Andrews, Fiona. "From Policy to Practice: The Development of an Integrated Health Promotion Plan for Children's Services at Plenty Valley Community Health Inc." Australian Journal of Primary Health 9, no. 1 (2003): 71. http://dx.doi.org/10.1071/py03009.
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Current changes in the funding of health promotion in community health in Victoria require community health agencies to integrate health promotion with service delivery. This provides both opportunities and challenges for community health staff. Members of the Children's Service Team at Plenty Valley Community Health Inc. addressed these changes by developing an integrated health promotion plan. The approach used involved identifying client pathways and then integrating opportunities for health promotion interventions into these pathways. Staff perceptions of the process involved in developing the plan were examined. The use of client pathways to integrate health promotion into everyday practice proved a successful approach for members of the Children's Services Team, and provides a useful model for health promotion planning in community health that helps staff to see the relevance of health promotion to their practice, and engages staff in the planning process. Members of the Children's Services Team reported that the process involved in developing their integrated health promotion plan was a very worthwhile experience that allowed them a strong sense of ownership of the plan.
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Bourke-Taylor, Helen, Aislinn Lalor, Louise Farnworth, Julie F. Pallant, Elizabeth Knightbridge, and Gayle McLelland. "Investigation of the self-reported health and health-related behaviours of Victorian mothers of school-aged children." Australian Journal of Primary Health 21, no. 1 (2015): 66. http://dx.doi.org/10.1071/py13056.
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Lifestyle may influence many health-related issues currently facing Australian women. The extent to which women with school-aged children attend to their own health is unknown and the associations between health behaviours and health status requires investigation. This study aimed to investigate the prevalence of health behaviours (alcohol consumption, health-promoting activities) and their impact on self-reported health (weight, sleep quality, mental health) among mothers of school-aged children in Victoria. Mail-out survey design (n = 263) including the Depression Anxiety Stress Scale (DASS) and Health Promoting Activities Scale was used to explore issues. The results indicated that substantial numbers of mothers reported moderate to extreme DASS scores: depression (n = 45, 17%); anxiety (n = 41, 15.6%); stress (n = 57, 21.7%). The majority participated in physical activity less often than daily. High rates of daily alcohol use (20%) and poor sleep quality were reported. Nearly one-half (n = 114, 46%) of the sample were overweight or obese and also reported poorer mental health than other women in the sample (P < 0.001). Significant associations were detected between maternal weight, mental health and participation in health-promoting activities. The findings indicate that there is a need for increased health education and services for women with school-aged children. Direct services and population-based health promotion strategies may be required to address healthy lifestyle issues and educate mothers about the possible health legacy of poor health behaviours.
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Hayes, Rick. "Primary Health and The Problem with Men?" Australian Journal of Primary Health 8, no. 1 (2002): 83. http://dx.doi.org/10.1071/py02013.
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It would be a brave health promotion coordinator who would suggest to Primary Care Partnership health promotion sub-committee members that just providing "information" to "people who are problems" is a "best-practice" approach (Legge et aI., 1996). One, and only one, of the many reasons for the change has been the creation and dissemination of the Men's Health Promotion Strategic Framework (Hayes, 1999). This framework was developed through a project funded by the Victorian Health Promotion Foundation and commissioned by the North East Health Promotion Centre (NEHPC), Melbourne.
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Ore, Timothy. "Trends and disparities in sepsis hospitalisations in Victoria, Australia." Australian Health Review 40, no. 5 (2016): 511. http://dx.doi.org/10.1071/ah15106.
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Objective The aim of the present study was to determine the clinical and epidemiological characteristics of patients with sepsis admitted to hospitals in Victoria, Australia, during the period 2004–14. The data include incidence, severity and mortality. Methods In all, 44 222 sepsis hospitalisations were identified between 2004–05 and 2013–14 from the Victorian Admitted Episodes Dataset. The dataset contains clinical and demographic information on all admissions to acute public and private hospitals. Using the International Classification of Diseases (10th Revision) Australian Modification codes, incidence rates, severity of disease and mortality were calculated. Results Sepsis hospitalisation rates per 10 000 population increased significantly (P < 0.01) over the period, from 6.9 (95% confidence interval (CI) 5.6–7.8) to 10.0 (95% CI 9.1–11.1), an annual growth rate of 3.8%. The age-standardised in-hospital death rates per 100 000 population grew significantly (P < 0.01) from 9.2 (95% CI 7.8–10.4) in 2004–05 to 13.0 (95% CI 11.7–14.6) in 2013–14, an annual growth rate of 3.1%. Among people under 45 years of age, the 0–4 years age group had the highest hospitalisation rate (3.0 per 10 000 population; 95% CI 2.7–3.4). Nearly half (46.2%) of all sepsis hospitalisations were among patients born overseas, with a rate of 14.5 per 10 000 population (95% CI 12.4–16.2) in that group compared with a rate of 5.9 per 10 000 population (95% CI 5.3–6.7) for patients born in Australia. The age-standardised sepsis hospitalisation rate was 2.6-fold greater in the lowest compared with highest socioeconomic areas (12.7 per 10 000 population (95% CI 11.2–13.8) vs 4.8 per 10 000 population (95% CI 4.1–5.7), respectively). Conclusion This paper shows a significant upward trend in both sepsis separation rates and in-hospital death rates over the period; unlike sepsis, in-hospital death rates from all diagnoses fell over the same period. The results can be used to stimulate review of clinical practice. Greater understanding of the epidemiology of sepsis could improve care quality and outcomes. What is known about the topic? Sepsis is associated with high mortality rates and severe sepsis is the most common cause of death in intensive care units (ICU). The last published study of sepsis in Victoria (in 2005) showed a gradual rise in rates; since then, there is little information as to whether there has been any significant improvement in treatment outcomes. What does this paper add? This paper provides new information by analysing trends and variations in sepsis hospitalisations in Victoria by several demographic groups from 2004–05 to 2013–14. What are the implications for practitioners? Patients with severe sepsis consume approximately half the ICU resources. Reliable and recent data on the growth of this disease are important for prevention, allocation of resources and to track the effectiveness of care. A key area for intervention is promoting greater adherence to clinical guidelines.
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Rumbold, Bruce, and Andrea Grindrod. "OA48 Engaging communities: the impact of a decade of health promoting palliative care policy in victoria." BMJ Supportive & Palliative Care 5, Suppl 1 (April 2015): A15.2—A15. http://dx.doi.org/10.1136/bmjspcare-2015-000906.48.
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Meiklejohn, Sarah, Tammie Choi, Anna Peeters, Lisa Ryan, and Claire Palermo. "Policymakers’ perspectives on designing school-based health initiatives for Victorian adolescents." Health Promotion International 35, no. 6 (March 10, 2020): 1462–73. http://dx.doi.org/10.1093/heapro/daaa020.
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Abstract Initiatives based on the Health Promoting Schools (HPS) framework have previously been successful in improving health and well-being yet there is little evidence of how these findings translate into policy. This study therefore aimed to analyse the political considerations that underpinned policymakers’ decisions for the design and implementation of a programme based on HPS in middle and high schools in Victoria, Australia. Interpretive policy analysis was undertaken using interviews with a purposive sample of government and non-government policy actors. Interviews explored factors influencing programme design and implementation and were analysed using thematic analysis. Ten in-depth interviews, including 11 participants, were conducted. The analysis revealed four themes. The Achievement Program was designed through (i) the establishment of strategic collaborations and good governance, involving people that made valuable and diverse contributions to the design process while acknowledging their (ii) positions of power, (iii) ensuring careful attention was paid to evidence-informed programme design and (iv) incorporation of real-time feedback from other settings. Policymakers believe this approach has the potential to improve policy adoption. There is a need to explore if this approach to policy development influences adherence and improves health outcomes.
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Willmott, Lindy, Ben White, Danielle Ko, James Downar, and Luc Deliens. "Restricting conversations about voluntary assisted dying: implications for clinical practice." BMJ Supportive & Palliative Care 10, no. 1 (August 7, 2019): 105–10. http://dx.doi.org/10.1136/bmjspcare-2019-001887.
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ObjectivesOn 19 June 2019, assisted dying became lawful in Victoria, the second most populous state in Australia. Section 8 of the Voluntary Assisted Dying Act is a legislative safeguard that is designed to ensure a patient’s request for assistance to die is voluntary. This section prohibits health practitioners from initiating a conversation about assisted dying with the patient. This article explores the potential implications of this prohibition for effective communication between doctors and their patients, and the ability of doctors to provide high quality end-of-life (EOL) care in some cases.MethodThe authors reviewed and analysed literature on the importance of communication at the EOL including the need to understand and appropriately respond to Desire to Die or Desire to Hasten Death statements. A legal critique of section 8 of the Victorian Voluntary Assisted Dying Act was also undertaken to determine the scope of this new duty and how it aligns with existing legal obligations that would otherwise require doctors to provide information about EOL options requested by a patient.ResultsContemporary literature suggests that open and honest communication between doctor and patient including the provision of information about all EOL options when sought by the patient represents good clinical practice and will lead to optimal EOL care. The provision of such information also reflects professional, ethical and legal norms.ConclusionDespite (arguably) promoting an appropriate policy objective, the legislative prohibition on health professionals initiating conversations about voluntary assisted dying may, in cases where patients seek information about all EOL options, lead to less optimal patient outcomes.
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Ollis, Debbie, and Lyn Harrison. "Lessons in building capacity in sexuality education using the health promoting school framework." Health Education 116, no. 2 (February 1, 2016): 138–53. http://dx.doi.org/10.1108/he-08-2014-0084.
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Purpose – The health promoting school model is rarely implemented in relation to sexuality education. This paper reports on data collected as part of a five-year project designed to implement a health promoting and whole school approach to sexuality education in a five campus year 1-12 college in regional Victoria, Australia. Using a community engagement focus involving local and regional stakeholders and with a strong research into practice component, the project is primarily concerned with questions of capacity building, impact and sustainability as part of whole school change. The paper aims to discuss this issue. Design/methodology/approach – Using an action research design, data were collected from parents, students, teachers and key community stakeholders using a mixed methods approach involving surveys, interviews, document analysis and participant observation. Findings – Sexuality education has become a key school policy and has been implemented from years 1 to 9. Teachers and key support staff have engaged in professional learning, a mentor program has been set up, a community engagement/parent liaison position has been created, and parent forums have been conducted on all five campuses. Research limitations/implications – The translation of research into practice can be judged by the impact it has on teacher capacity and the students’ experience. Classroom observation and more longitudinal research would shed light on whether the espoused changes are happening in reality. Originality/value – This paper reports on lessons learned and the key enabling factors that have built capacity to ensure that sexuality education within a health promoting, whole school approach will remain sustainable into the future. These findings will be relevant to others interested in building capacity in sexuality education and health promotion more generally.
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Mendes, Philip. "Setting a conservative policy agenda: The Victorian print media, young people in care and chroming." Children Australia 27, no. 1 (2002): 10–14. http://dx.doi.org/10.1017/s1035077200004910.
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The tabloid print media has played a crucial role in recent Australian social policy debates, particularly those pertaining to drug use and child and adolescent welfare. Much of the media's contribution has been around promoting simplistic and often conservative solutions to complex social problems.This article examines the recent media-inspired furore over so-called ‘safe-sniffing’ practices in a Victorian welfare agency. It is acknowledged that other forms of media such as talk back radio may have had influential roles, as might other factors also. Particular attention, however, is drawn here to the Herald Sun's role in this affair, and to similarities with its intervention in earlier policy debates. Some comparisons are also drawn with the coverage of the affair by the Age and the Australian.It is argued that the Herald Sun's specific campaign on chroming reflects a broader conservative agenda to undermine progressive social policy interventions including harm minimisation. This agenda may have significant implications for the Victorian community welfare sector given the tendency of politicians – whether in government or opposition – to bow to the demands of the tabloid media.
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Keith, Ken J. "Promoting Safety Through Law, National and International, and by Other Means." Victoria University of Wellington Law Review 49, no. 2 (August 1, 2018): 229. http://dx.doi.org/10.26686/vuwlr.v49i2.5322.
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The Woodhouse family, friends of Sir Owen Woodhouse and the law faculties of the Victoria University of Wellington and the University of Auckland decided on the occasion of what would have been Sir Owen Woodhouse's 100th birthday that a fellowship and lectureship should be established in recognition of the great contributions he has made to law and policy in New Zealand and beyond. The fellows and lecturers are not to see themselves as limited to the law and are encouraged to address broader matters challenging people here and abroad. Sir Kenneth Keith gave the inaugural Sir Owen Woodhouse Memorial Lecture in Wellington on 29 August 2017 and in Auckland on 30 August 2017. The address considers in turn the dangers and perils at work, at sea and on the battlefield. It reflects on New Zealand's accident compensation scheme and suggests possible extensions to the scheme.
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Callister, Valerie, and Julie Geilman. "Getting it Together: A Rural Health Promotion Program." Australian Journal of Primary Health 6, no. 4 (2000): 194. http://dx.doi.org/10.1071/py00053.
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The Getting It Together Rural Health Promotion project was established by a group of community health providers in Gippsland, Victoria. The overall aim of Getting It Together was to extend and improve health promotion practice amongst participating organisations. This was achieved through collaboration around health promotion training and planning. Complementary strategies addressing Cardio-Vascular Disease (CVD) were developed across four Local Government Areas (LGAs). Central resourcing was provided for coordination of the project, and for marketing and network support tasks. The project was based on an integrated and coordinated health promotion model, which contained overlapping strategies combining to create a broadly based partnership of action. At the commencement of the project, health promotion workers from each LGA were provided with a three-day training course conducted by the Royal Melbourne Institute of Technology University (RMIT). Participants developed Action Plans based around the three driving strategies of community wide-strategies, targeted strategies and marketing. A special feature of Getting It Together was a common media strategy, to support and reinforce action at the local level. An overall slogan was adopted, 'Slicker Ticker - A Gippsland Healthy Heart Project'. Uniting themes included 'Stress Less Week' and 'Gippsland Get Up and Go'. Latrobe Community Health Service facilitated the project and senior managers from the partnering agencies formed a Steering Committee, which met at key intervals to monitor the project.
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Verrinder, Glenda. "The Ottawa Charter for Health Promotion as a Framework to Design an Interview Schedule." Australian Journal of Primary Health 5, no. 4 (1999): 66. http://dx.doi.org/10.1071/py99052.
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The municipalities of Mildura in Victoria and Wentworth in NSW undertook a review of public health issues within their communities in preparation for the development of a Municipal Public Health Plan. The Ottawa Charter for Health Promotion provided an appropriate framework to develop an interview schedule used in focus groups to investigate the community perceptions of public health issues. The interview schedule provided a rich source of data and subsequently, provided a framework for the development of a Municipal Public Health Plan. This is a new use for the Ottawa Charter. It provided a vehicle that enabled the community to reflect upon, and discuss, public health issues within their municipality. Moreover, the schedule was easily administered, applied in a number of settings, and provided an approach that was acceptable to diverse community groups.
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Francis, Diane, Anne McEvoy, Tracey Roney, and L. Michelle Gibson. "Farm Safety - A Family Priority: The Implementation of a Collaborative Approach to Primary Health Care in a Rural Setting." Australian Journal of Primary Health 6, no. 4 (2000): 202. http://dx.doi.org/10.1071/py00054.
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Farm Safety - A Family Priority' was a collaborative, integrated primary health care promotion conducted during Rural Health Week, starting 27th May 1999 in the rural town of Elmore, Victoria. Five primary schools in surrounding districts were invited to participate: Goornong, Colbinabbin, Drummartin, Our Lady of the Sacred Heart, Elmore, and Elmore Primary School. Involving 113 children and five teachers, issues concerning safety on the farm included riding on tractors, horses and agriculture bikes, the safe use and storage of chemicals, safe places to play, the importance of displaying emergency telephone numbers, and a demonstration on Expired Air Resuscitation. By using a demonstration and an interactive teaching method it was envisaged that student participation would be encouraged and learning through practical application reinforced. Further, students were provided with ample time to ask questions of the demonstrators regarding any displays and activities. At the conclusion of the day a questionnaire was distributed to all children while teachers' perceptions were recorded by interview. Children took away some clear messages about farm safety, and the coordination and content of the activities impressed teachers. The activity clearly demonstrated the need for more integrated, collaborative approaches in promoting primary health care in rural settings, that are relevant to the community concerned in order to create a sustainable healthy community.
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Wilson, Gai, Paul Butler, Tricia Szirom, and Jenny Cameron. "Indirect Services Funded by the National Women's Health Program in Victoria." Australian Journal of Primary Health 4, no. 2 (1998): 77. http://dx.doi.org/10.1071/py98023.
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Victoria's Women's Health Services and Centres Against Sexual Assault have implemented a range of indirect activities utilising various strategies and methods with a particular focus on information and resource provision, education and training, community development and promotional activity. They have increased women's access to existing services by working to make those services more appropriate and relevant. To achieve this they have involved women in the community in program management, design and implementation. Collaboration with other agencies in health and related services has also been a key strategy in achieving changes to mainstream services and fulfilling the aims of the dual strategy.
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Cameron, Melainie, Natalie Chahine, Steve Selig, and Pam Newton. "A pilot program of physical activity promotion among clients receiving home and community care." Australian Health Review 32, no. 3 (2008): 439. http://dx.doi.org/10.1071/ah080439.
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Three Victorian local governments cooperated in a pilot study of physical activity promotion as part of home and community care (HACC) service delivery. Thirty-one people receiving HACC volunteered to participate, including completing the Transtheoretical Stages of Change Exercise Questionnaire and the short-form Stanford Health Assessment Questionnaire (HAQ) just before and at 3 months and 6 months after starting regular self-selected physical activity. Twenty-one participants returned questionnaires at 3 months, and 17 participants returned questionnaires at 6 months. Data were analysed using paired t tests and effect sizes were calculated as mean differences. At 3 months, mean improvements were identified on 6 of the 8 HAQDI (disability index) subscales, and in the overall HAQ-DI score. Improvement in dressing and grooming was preserved at 6 months. At either 3 or 6 months, improvements in dressing and grooming, reach, hygiene, and daily activities, and overall HAQ-DI score exceeded the minimum clinically important difference. No improvements were statistically significant, as is likely in a pilot study with a small sample, however, these results suggest that even very small increases in physical activity may afford clinically meaningful improvements in some areas of physical function required for independent living.
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Collins, Lillith, and John Turner. "Coordination and Integration in the Bentleigh Bayside Community Health Service." Australian Journal of Primary Health 6, no. 4 (2000): 241. http://dx.doi.org/10.1071/py00058.
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The paper examines the development of coordinated and integrated primary care services through the establishment of community health centres in Victoria, with specific reference to the Bentleigh Bayside Community Health Service. In 1985 a random sample of 412 case records indicated that 52.4% of patients had seen more than one discipline at the Centre, and 34.7% of these patients received integrated care through case planning meetings. Fourteen criteria derived from the current literature were used to evaluate the integration and coordination of treatments and of health promotion activities. A repeat study demonstrated gains in health promotion, especially with respect to establishing support groups and the local coordination of community interventions. Integrated casework with external agencies has not changed. The analysis provides a base line for examining the effects of policy developments such as Primary Care Partnerships that address the issues of common assessments, exchange of client information and health promotion. Primary Care Partnerships are an extension of the structures in Community Health Centres. Primary Care Partnerships need to encourage personal contacts between agencies in order for individual and community health plans to be as effective as possible.
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Roussy, Véronique, and Charles Livingstone. "Service planning in the Victorian community health sector." Australian Journal of Primary Health 21, no. 3 (2015): 268. http://dx.doi.org/10.1071/py14076.
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Until now, comprehensive service planning has been uncommon in the Victorian community health sector. Where it has occurred, it has primarily been undertaken by community health services embedded within larger, hospital-based health services. Reflections on the utility and efficacy of community health service planning are largely absent from the Australian peer-reviewed literature. Using a case study focussed on a specific centre in Melbourne’s outer suburbs, this paper explores how community health service planning is shaped by the current policy context, the legal status of registered community health services, and the data and methodologies available to inform planning. It argues that regular and systematic service planning could support registered community health centres to better understand their unique position within the primary health-care landscape, having regard to their inherent opportunities and vulnerabilities. Furthermore, consistent and effective service planning is proposed to benefit agencies in establishing themselves as critical players in promoting local population health initiatives and driving improved health outcomes.
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Leshinsky, Rebecca, and Clare M. Mouat. "Towards better recognising ‘community’ in multi-owned property law and living." International Journal of Housing Markets and Analysis 8, no. 4 (October 5, 2015): 484–501. http://dx.doi.org/10.1108/ijhma-07-2015-0031.
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Purpose – This paper aims to advance best practice by gaining insights into key multi-owned property (MOP) issues challenging policymakers and communities. Ontario (Canada) and Victoria (Australia) are internationally recognised for best practice in MOP living and law. Yet, both jurisdictions struggle with the emerging urbanism related to condominium MOP. Design/methodology/approach – Different ways of recognising community in MOP urbanism will be examined against public policy and political theory perspectives promoting social sustainability. A rich mixed-data and content analysis method is relied upon which synthesises three pillars of MOP community governance: harmonious high-rise living; residential-neighbourhood interface; and metropolitan community engagement. The article cross-examines Canadian policy and law reform documents and Australian dispute case law from the state of Victoria to explore and showcase critical MOP management, residential and policy issues. Findings – A theory-building typology formally recognises “community” as an affective performance across MOP governance contexts: cosmopolitan, civic-citizen and neighbourly. These ideal types differentiate community affects in and beyond (case) law and land-use planning: from determining alternative dispute resolution remedies; addressing neighbourhood and metropolitan NIMBY-ism in urban consolidation to bridging the critical policy and civic gap between the limits and aims of socially sustainable MOP vertical-tenured community affects. Research limitations/implications – Strong cross-jurisdictional MOP community lessons exist, as other cities follow best practice in legal and governance structures to effect change at the frontiers of twenty-first century urbanism. Originality/value – Past studies emphasise classifying dispute issues, single-issue concerns or historical and life cycle evaluations. This theory-building article advances why and how community must be better understood holistically across community contexts to inform cutting-edge governance practices.
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Fabb, Linda. "Community Health and the Environment." Australian Journal of Primary Health 2, no. 3 (1996): 85. http://dx.doi.org/10.1071/py96045.
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Case Study One: The Lead Project: Public Health On The Ground: Doutta Galla Community Health Service (DGCHS) is located in Victoria, in Melbourne's inner West. It aims to provide health care services, and health education and promotion to a culturally diverse and changing community. It currently services two local council areas and a population of 146,000 people, with a further 249,000 coming into the area daily for work, study or shopping. It covers four of Melbourne's largest public housing estates and large groups of people from Non-English Speaking Background including South America, the Horn of Africa, Turkey, Vietnam and China.
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Holbery, Eileen, and Marie Quinn. "Mealmakers Program: Linkages for Health." Australian Journal of Primary Health 2, no. 1 (1996): 138. http://dx.doi.org/10.1071/py96020.
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The Mealmakers Program is an initiative for the promotion of health through early intervention. Community members and three health agencies linked together to plan and implement a program aimed at improving the wellbeing of children attending a pre-school in a disadvantaged area of Victoria. The Program has four components: a food program providing nutritious meals daily; a dental health monitoring and treatment program; the provision of accessible information on healthy eating for the children and their families; and practical education on growing vegetables. The Program now has assured funding, and community ownership, which is responsible for the Program's functions, the employment of staff, and extensive networking with health care professionals.
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Etiegni, ChristineAdhiambo, Michelle Kooy, and Kenneth Irvine. "Promoting Social Accountability for Equitable Fisheries Within Beach Management Units in Lake Victoria (Kenya)." Conservation and Society 17, no. 1 (2019): 63. http://dx.doi.org/10.4103/cs.cs_18_10.
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Devlin, Brooke L., Kiera Staley, Gina L. Trakman, Adrienne J. Forsyth, Matthew G. Nicholson, Grant Cosgriff, Melanie Chisholm, and Regina Belski. "Attitudes and Opinions of Parents towards Water-Only Drink Policy at Junior Triathlon Events." International Journal of Environmental Research and Public Health 19, no. 14 (July 12, 2022): 8529. http://dx.doi.org/10.3390/ijerph19148529.
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Rates of childhood obesity within Australia continue to rise, with consumption of sugar-sweetened beverages one contributing factor. Community sport provides an opportunity to implement policies promoting water as the beverage of choice. However, the attitudes of parents toward a water-only policy are not known. This cross-sectional study aimed to investigate parents’ opinions towards beverage consumption and a water-only policy. Data were collected from participants (n = 159) using an investigator-designed questionnaire, administered using iPads, at a junior Triathlon Victoria event. Water was the most popular beverage provided before (75%), during (85%) and after (61%) sport. Parents were more likely to provide sports drinks to children older than 14 years (27%). Three-quarters (77%) of parents reported having received no information regarding hydration requirements. Parents rated the importance of hydration prior to, during and after a triathlon as high (9.08 ± 1.2, 8.76 ± 1.3 and 9.30 ± 0.4 out of 10, respectively). Parents were supportive of a water-only policy at all junior triathlon events and all junior sporting events (7.94 ± 1.3 and 7.86 ± 1.9, respectively). There was less support for a water-only policy for adult triathlons (6.40 ± 3.1). A water-only drink policy at junior sport is viewed positively by parents. This warrants further research and policy development to facilitate behaviour change.
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Western, Sally. "Preventing Childhood Injury: Developing a Home Safety Display in a Community Health Centre." Australian Journal of Primary Health 5, no. 1 (1999): 76. http://dx.doi.org/10.1071/py99009.
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Childhood injury is a major health issue, with approximately 20,000 children under five hospitalised each year in Australia. The home is a common site for childhood injuries, with some of the more frequent episodes including falls, poisoning, burns, cuts and crush injuries. A regional initiative to develop a coordinated approach towards minimising injuries sustained by children between 0-4 years, resulted in the development of 'Childsafe Now', a health promotion program which involved training of child care providers, and the establishment of several home safety displays in the Eastern metropolitan region of Victoria. One of the home safety displays was developed in a Community Health Centre, utilising a pre-existing child care facility and the multidisciplinary skills of the staff. Community Health Centres were established with a focus on health promotion - encouraging illness and injury prevention through a holistic combination of education, community involvement, behavioural and social modification and multi-disciplinary primary health care services - yet the opportunity to establish a permanent, functional display which combines all of these aspects of health promotion is becoming increasingly rare. However, the skills and knowledge which have traditionally been nurtured within the Community Health Program make Community Health Centres a particularly appropriate location for establishing a Home Safety Display.
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Clarke, Valerie, Sally Savage, Barbara Hanna, and Helen Cox. "Self-reported health beliefs of government housing tenants." Australian Health Review 25, no. 4 (2002): 132. http://dx.doi.org/10.1071/ah020132.
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Our aim was to provide a description of the self-reported health beliefs of a sample of Victorian public housing tenants, and to identify how gender, age and geographic location relate to these beliefs. Telephone interviews were conducted with a stratified random sample of 360 tenants, asking questions such as what they believe are the major health problems for men and women, what they do to keep healthy, and what makes it difficult to keep healthy. There were many differences in the beliefs held by older participants compared with those of younger participants. By asking about health in general, rather than specific aspects of health, this research identified the views about health which are most salient to participants, rather than those prompted by a survey on a particular disease or health behaviour. The health promotion implications of these findings are discussed.
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Cooper, Margaret, and Dianne Temby. "Towards Healthy Ageing of Women with Long Term Disabilities." Australian Journal of Primary Health 4, no. 3 (1998): 112. http://dx.doi.org/10.1071/py98038.
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Women with longterm or lifelong disabilities are invisible in Australian statistics on disabilities or ageing. Current literature indicates unrecognised and untreated secondary conditions may lead to increased disability. Definitions of disability are explored for their relevance to the experience of women with disabilities and for health promotion within this group. A Victorian study included anecdotal accounts by some women with disabilities which identified both a knowledge of the wider meaning of health, and specific social issues which prevented their achievement of maximum wellbeing. Strategies are suggested for enabling women with disabilities to age more healthily.
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M. Brown, Rhonda. "Community Health Within the Context of Health Reform." Australian Journal of Primary Health 6, no. 1 (2000): 85. http://dx.doi.org/10.1071/py00009.
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Recent health reforms in Victoria based on a market model characterised by competition and market control of health services, have radically changed the funding and management of community health organisations and the way health services are provided. Community health has sustained ongoing funding cuts, restructures, amalgamations, and corporatisation over the past decade. Within the context of reform community health has been forced to become competitive through improvement in the efficiency and effectiveness of services. At the same time organisations must collaborate to ensure a co-ordinated approach to health care and continue to provide services which are responsive to community needs. With diminishing government funding community health organisations must seek alternative funding sources through the tendering process. A 1998 study of one of the largest metropolitan community health organisations in Victoria gives some insights into the impact of these reforms. The findings of this study show that health reforms based on market principles are not compatible with the delivery of health care, and in particular with primary health care, the underlying philosophy of community health. Organisations are becoming more bureaucratic and hierarchical with decision making being driven by management rather than by consultation with community and staff. Resources are being diverted from health promotion and community development activities to direct services, that are individual and problem focused rather than community and prevention focused.
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TOYOGUCHI, Maiko. "THE PROMOTION OF MODERN DESIGN BY THE VICTORIA AND ALBERT MUSEUM : A study on the collecting and exhibiting policy in the 1960s." Journal of Architecture and Planning (Transactions of AIJ) 67, no. 557 (2002): 333–38. http://dx.doi.org/10.3130/aija.67.333_3.
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Waite, David, and Kevin Morgan. "City Deals in the polycentric state: The spaces and politics of Metrophilia in the UK." European Urban and Regional Studies 26, no. 4 (September 25, 2018): 382–99. http://dx.doi.org/10.1177/0969776418798678.
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This paper draws attention to the burgeoning phenomenon of Metrophilia, the fashionable yet uncritical embrace of city-centric narratives of development in place-based policymaking. Within this narrative, City Deals have emerged as mechanisms that pit places in competition with each other through the promotion of local economic growth compacts. Despite being launched with great fanfare as localised victories, City Deals raise important questions regarding the shape of the UK state system and the objectives of spatial policy. Addressing these concerns, and focusing on the tripartite political arrangement in the UK’s devolved administrations nations, we argue that political tensions between nationalism and city-regionalism may be exacerbated through deal-making approaches.
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Wong, Kevin, Kris Christmann, Michelle Rogerson, and Neil Monk. "Reality versus rhetoric: Assessing the efficacy of third-party hate crime reporting centres." International Review of Victimology 26, no. 1 (April 11, 2019): 79–95. http://dx.doi.org/10.1177/0269758019837798.
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The underreporting of hate crime is recognised as problematic for jurisdictions across Europe and beyond. Within the UK, the landmark inquiry report into the murder of Stephen Lawrence 25 years ago has seen governments faithfully adhering to a policy of promoting the increased reporting of hate crime. An enduring legacy of the inquiry, third-party reporting centres (TPRCs) have been equally faithfully promoted as the primary vehicle for achieving such increases. While the nations of the United Kingdom have pioneered the development of TPRCs, their function and form have been adopted in other jurisdictions, including Victoria, Australia. Nevertheless, despite their reliance on TPRCs, policymakers have given limited attention to their efficacy. The evidence from a plethora of small scale studies has consistently found that TPRCs have been limited by public awareness, capability, capacity and poor oversight difficulties. Responding to these long-standing problems, the authors have developed the first ‘TPRC assessment tool’ which offers a diagnostic facility to improve effectiveness. This paper describes the development and piloting of this tool and highlights its potential to inform policy and practice both in the UK and internationally, providing an original contribution to the limited evidence base around third-party reporting.
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Hier, Sean P. "Monumental Panic: Reconciliation, Moral Regulation, and the Polarizing Politics of the Past." Critical Sociology 46, no. 4-5 (April 19, 2019): 661–75. http://dx.doi.org/10.1177/0896920519844568.
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In 2018, the City of Victoria, British Columbia, Canada removed a statue of Sir John A. Macdonald from the grounds of City Hall. As Canada’s first prime minister, Macdonald is both revered for the role he played in Confederation and vilified for enacting and promoting racist if not culturally genocidal policy initiatives aimed at destroying Indigenous cultures in the last part of the 19th century. Set in the context of truth and reconciliation politics playing out across the country, this article explains the removal of the monument and the social reactions it provoked, using the sociologies of moral panic and moral regulation. By focusing on one city council’s efforts to interpret and act on the moral imperatives associated with political reconciliation in post-colonial Canada, insights are provided into some of the practical challenges and potential contradictions that municipal governments can encounter when they adopt idiosyncratic strategies to atone for historical injustices in non-transitional democratic nations.
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Walker, Shelley, Peter Higgs, Mark Stoové, and Mandy Wilson. "Narratives of Young Men With Injecting Drug Use Histories Leaving Adult Prison." International Journal of Offender Therapy and Comparative Criminology 62, no. 12 (December 28, 2017): 3681–707. http://dx.doi.org/10.1177/0306624x17747829.
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This research focuses on an under-examined aspect of the post-release prison trajectory for a seldom-researched cohort. Narratives of the immediate days/weeks surrounding release were gathered from young men with histories of injecting drug use (IDU). Twenty-eight participants (aged 19-24) released from adult prisons in Victoria, Australia, participated in face-to-face in-depth qualitative interviews after release. Analysis of findings through the lens of a “risk environment” framework reveals how their experiences were compromised by risk factors embedded in the physical spaces and social situations they inhabited, as well as the multi-sectoral policy environments under which they were governed. A complex interplay between these factors, young men’s drug use and broader issues of structural vulnerability, including institutionalization and social disadvantage, combined to limit young men’s chances of “success”1 on the outside. Narratives provide evidence for interventions that transform risk environments into enabling environments, thereby promoting a more successful transition from prison to community for young men with IDU histories.
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Etiegni, Christine Adhiambo, Kenneth Irvine, and Michelle Kooy. "Participatory governance in Lake Victoria (Kenya) fisheries: whose voices are heard?" Maritime Studies 19, no. 4 (July 21, 2020): 489–507. http://dx.doi.org/10.1007/s40152-020-00195-x.
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AbstractCo-management is advocated as a means to improve human equity and the ecological sustainability of common-pool resources. The promotion of co-management of fisheries often assumes the participation of resource users in decision-making ensures more ecologically sustainable outcomes than top–down management approaches while improving livelihoods and food security. However, in fisheries co-management approaches, participation is often poorly defined and measured by co-management proponents. For resource users, it may not be clear what their participation in co-management entails, and what such participation might involve or achieve. For the fisheries of Lake Victoria (Kenya), the introduction of co-management established Beach Management Units (BMUs) on a model of participatory decision-making. Unsurprisingly, given global experiences of institutions for resource users’ participation in co-management, the structures established across Lake Victoria (Kenya) have not resulted in effective participation of fisher folk. We examine why this is so. Specifically, we examine the influence of institutions on fisher folks’ participation in co-management, using critical institutionalism to explain how participation of resource users is shaped by the relation between formal government institutions and informal social norms. We take four BMUs as case studies to investigate how historical administrative structures shape the development of co-management, how power relationships within co-management are negotiated at the local beach level and the fisher folks’ understanding of their participation in co-management. We document how informal institutions undermine and replace formal institutions at the local beach level, while formal institutions suppress and ignore informal ones at the national and regional levels. From this, we argue power sharing between the government and fisher folk is key for fisher folk participation in fisheries co-management, capable of addressing both social and ecological challenges facing fisheries management.
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Birnbaum, David, Kathryn Gretsinger, Marcy G. Antonio, Elizabeth Loewen, and Paulette Lacroix. "Revisiting public health informatics: patient privacy concerns." International Journal of Health Governance 23, no. 2 (June 4, 2018): 149–59. http://dx.doi.org/10.1108/ijhg-11-2017-0058.
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Purpose Expanding networks of data portals and repositories linked to electronic patient record systems, along with advances in information technology, have created both new opportunities in improving public health and new challenges in protecting patient privacy. The purpose of this paper is to review stakeholder perspectives and provide a framework for promoting implementation of current privacy protection improvement recommendations. Design/methodology/approach This paper summarizes a workshop session discussion stemming from the 2017 Information Technology and Communication in Health (ITCH) biennial international conference in Victoria, British Columbia, Canada. The perspectives within health service research, journalism, informatics and privacy protection were represented. Findings Problems underlying gaps in privacy protection in the USA and Canada, along with then-current changes recommended by public health leaders as well as Information and Privacy Commissioners, were identified in a session of the 2015 ITCH conference. During the 2017 conference, a workshop outlined the current situation, identifying ongoing challenges and a lack of significant progress. This paper summarizes that 2017 discussion identifying political climate as the major impediment to progress on this issue. It concludes with a framework to guide the path forward. Originality/value This paper provides an international perspective to problems, resources and solution pathways with links useful to readers in all countries.
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Karantzas-Savva, Eleni, and Amy Kirwan. "Ethnic community stakeholders as partners in primary and secondary diabetes prevention." Australian Journal of Primary Health 10, no. 3 (2004): 61. http://dx.doi.org/10.1071/py04048.
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Recently renamed ?Listening to Ethnic Communities about Diabetes?, this project was a winner of the 2003 Innovation and Excellence in Primary Health Care Award, Community and Consumer Participation category. The project is also being promoted as a model of best practice in culturally and linguistically diverse (CALD) community engagement. Listening to Ethnic Communities about Diabetes focused on Type 2 diabetes by developing, piloting and evaluating culturally appropriate primary and secondary prevention health promotion strategies with Maltese, Filipino and Vietnamese communities in the municipality of Brimbank, Victoria. One of the critical success factors for the project was that, while the project was grounded in a health promotion framework, the lead agency did not have a great deal of health expertise. Rather, the focus of its expertise was on relationships with ethnic communities. This allowed for a shift in traditional power structures as the communities were given a real voice and decision-making powers. While the health service providers had the clinical and practical knowledge and expertise in diabetes, it was the involvement of the ethno-specific organisations and ethnic community representatives that enabled the project to develop and pilot models of service provision which had relevance and accessibility to the target community. The project also demonstrated the value in utilising a diverse range of strategies that reflect the cultural practices and preferences of the target communities through being developed and tested in partnership with the communities.