Academic literature on the topic 'Reporters and reporting Australia Case studies'

Abstract Background The continuing evolution of adult safeguarding legislation, policy and practice in relation to the abuse of vulnerable adults reflects a growing awareness of the nature and extent of such abuse in Ireland. The Adult Safeguarding Bill, 2017 represents a progressive step in safeguarding older people and vulnerable adults. The intention of the Bill is to put in place additional protections for adults, in particular, for those who may be unable to protect themselves, such as older people or those lacking capacity. Part 3 provides for mandatory reporting by specified/named persons/professionals. This paper sets out to critically analyse the concept of mandatory reporting within adult safeguarding using international comparators as case studies. Methods A rapid realist review of adult safeguarding reporting typologies and systems in five key jurisdictions: Australia, Canada, England, Northern Ireland and Scotland, were explored to answer the question: ‘what works, for whom and in what circumstances?’ [1] Results Jurisdictions differ as to who the mandated reporters are, the scope and powers of mandatory reporting, and the types of abuse subject to reporting. Of significance is that the debate on mandatory reporting has increasingly focused on institutional settings, rather than more broadly across services. Key concepts identified are those of protection, empowerment and proportionality. Adult safeguarding legislation must therefore ensure that interventionist and compulsory measures to protect do not excessively restrict the rights of the individual. Conclusion Mandatory reporting may offer professionals increased powers to prevent and reduce the abuse of adults and older people, but this could also change the dynamic of relationships within families, and between families and professionals. Ultimately, the success of any legal approach will rest with professional judgment in balancing autonomy with protection.

ObjectiveTo systematically search for research about the effectiveness of mandatory reporting of child maltreatment and to synthesise qualitative research that explores mandated reporters’ (MRs) experiences with reporting.DesignAs no studies assessing the effectiveness of mandatory reporting were retrieved from our systematic search, we conducted a meta-synthesis of retrieved qualitative research. Searches in Medline (Ovid), Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Sociological Abstracts, Education Resources Information Center, Criminal Justice Abstracts and Cochrane Library yielded over 6000 citations, which were deduplicated and then screened by two independent reviewers. English-language, primary qualitative studies that investigated MRs’ experiences with reporting of child maltreatment were included. Critical appraisal involved a modified checklist from the Critical Appraisal Skills Programme and qualitative meta-synthesis was used to combine results from the primary studies.SettingAll healthcare and social-service settings implicated by mandatory reporting laws were included. Included studies crossed nine high-income countries (USA, Australia, Sweden, Taiwan, Canada, Norway, Finland, Israel and Cyprus) and three middle-income countries (South Africa, Brazil and El Salvador). Participants: The studies represent the views of 1088 MRs.OutcomesFactors that influence MRs’ decision to report and MRs’ views towards and experiences with mandatory reporting of child maltreatment.ResultsForty-four articles reporting 42 studies were included. Findings indicate that MRs struggle to identify and respond to less overt forms of child maltreatment. While some articles (14%) described positive experiences MRs had with the reporting process, negative experiences were reported in 73% of articles and included accounts of harm to therapeutic relationships and child death following removal from their family of origin.ConclusionsThe findings of this meta-synthesis suggest that there are many potentially harmful experiences associated with mandatory reporting and that research on the effectiveness of this process is urgently needed.

Objective.A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia. Data sources.Scopus and relevant journals and websites were searched using the terms: telemedicine, telehealth, telepsychiatry, teledermatology, teleradiology, Australia, and each state and territory. Publications since 1998 were included. Study selection.The initial search resulted in 176 articles, which was reduced to 143 when research reporting on Australian rural, regional or remote populations was selected. Data synthesis.A narrative review was conducted using an existing ‘benefits’ framework. Patients are reported to have benefited from: lower costs and reduced inconvenience while accessing specialist health services; improved access to services and improved quality of clinical services. Health professionals are reported to have benefited from: access to continuing education and professional development; provision of enhanced local services; experiential learning, networking and collaboration. Discussion.Rural Australians have reportedly benefited from telehealth. The reported improved access and quality of clinical care available to rural Australians through telemedicine and telehealth may contribute to decreasing the urban–rural health disparities. The reported professional development opportunities and support from specialists through the use of telehealth may contribute to improved rural medical workforce recruitment and retention. What is known about the topic?An extensive international literature has reported on the efficacy of telehealth, and to a lesser extent the clinical outcomes and cost-effectiveness of telemedicine. Systematic reviews conclude that the quality of the studies preclude definitive conclusions being drawn about clinical and cost-effectiveness, although there is some evidence of effective clinical outcomes and the potential for cost-benefits. Little attention has been paid to the benefits reported for people who live in rural and remote Australia, despite this being a rationale for the use of telehealth in rural and remote locations. What does this paper add?Patients in rural and remote locations in Australia are reported to benefit from telehealth by increased access to health services and up-skilled health professionals. Health professionals are reported to benefit from telehealth by up-skilling from increased contact with specialists and increased access to professional development. The review findings suggest that one strategy, the increased use of telehealth, has the potential to reduce the inequitable access to health services and the poorer health status that many rural Australians experience, and contribute to addressing the on-going problem of the recruitment and retention of the rural health workforce. What are the implications for practitioners?The use of telehealth appears to be a path to up-skilling for rural and remote practitioners.

Empirical analysis has found that mandatory reporting legislation has positive effects on case identification of child sexual abuse both initially and over the long term. However, there is little analysis of the initial and ongoing impact on child protection systems of the rate of reports that are made if a reporting duty for child sexual abuse is introduced, especially when compared with rates of reports for other kinds of child maltreatment. This research analysed government administrative data at the unique child level over a seven-year period to examine trends in reports of child sexual abuse, compared with child physical abuse, in two Australian states having different socio-legal dimensions. Data mining generated descriptive statistics and rates per 100,000 children involved in reports per annum, and time trend sequences in the seven-year period. The first state, Western Australia, introduced the legislative reporting duty in the middle of the seven-year period, and only for sexual abuse. The second state, Victoria, had possessed mandatory reporting duties for both sexual and physical abuse for over a decade. Our analysis identified substantial intra-state increases in the reporting of child sexual abuse attributable to the introduction of a new legislative reporting duty, and heightened public awareness resulting from major social events. Victoria experienced nearly three times as many reports of physical abuse as Western Australia. The relative burden on the child protection system was most clearly different in Victoria, where reports of physical abuse were relatively stable and two and a half times higher than for sexual abuse. Rates of children in reports, even at their single year peak, indicate sustainable levels of reporting for child welfare agencies. Substantial proportions of reports were made by both legislatively mandated reporters, and non-mandated community members, suggesting that government agencies would benefit from engaging with communities and professions to enhance a desirable reporting practice.

The Australian Patient Safety Foundation was formed in 1987; it was decided to set up and co-ordinate the Australian Incident Monitoring Study as a function of this Foundation; 90 hospitals and practices joined the study. Participating anaesthetists were invited to report, on an anonymous and voluntary basis, any unintended incident which reduced, or could have reduced, the safety margin for a patient. Any incident could be reported, not only those which were deemed “preventable” or were thought to involve human error. The Mark I AIMS form was developed which incorporated features and concepts from several other studies. All the incidents in this symposium were reported using this form, which contains general instructions to the reporter, key words and space for a narrative of the incident, structured sections for what happened (with subsections for circuitry incidents, circuitry involved, equipment involved, pharmacological incidents and airway incidents), why it happened (with subsections for factors contributing to the incident, factors minimising the incident and suggested corrective strategies), the type of anaesthesia and procedure, monitors in use, when and where the incident happened, the experience of the personnel involved, patient age and a classification of patient outcome. Enrolment, reporting and data-handling procedures are described. Data on patient outcome are presented; this is correlated with the stages at which the incident occurred and with the ASA status of the patients. The locations at which the incidents occurred and the types of procedures, the sets of incidents analysed in detail and a breakdown of the incidents due to drugs are also presented. The pattern and relative frequencies of the various categories of incidents are similar to those in “closed-claims” studies, suggesting that AIMS should provide information of relevance to those wishing to develop strategies to reduce the incidence and/or impact of incidents and accidents.

The greatest danger to public health might be “checkbook science”: research intended not to expand knowledge or to benefit humanity but to sell products. Much of the media coverage of health news stories is based on public relations efforts on behalf of the companies that sell the products, including pharmaceutical companies, diet clinics, or doctors selling new techniques. The author presents three case studies of how companies selling medical products effectively but invisibly shaped recent news coverage of medical products: fen-phen diet pills, breast implants, and hormone replacement therapy. All involve subtle strategies whereby physicians and other experts paid by corporate interests are influential because they are perceived to be objective medical experts. Articles in prestigious medical journals are sometimes ghostwritten by individuals paid by companies or are based on biased analyses or interpretations shaped by corporate interests. Nonprofit organizations that tout the benefits of specific medical products also may be part of the public relations efforts of the companies making the product. Meanwhile, important newsworthy studies are ignored by the mass media when corporate interests do not publicize or pitch the results to influential reporters and producers.

In recent years, a growing literature in journalism studies has discussed the increasing importance of social media in European and American news production. Adding to this body of work, we explore how Indian and foreign correspondents reporting from India used social media during the coverage of the Delhi gang rape; how journalists represented the public sphere in their social media usage; and, what this representation says about the future of India’s public sphere. Throughout our analysis, Manuel Castells’ discussion of ‘space of flows’ informs our examination of journalists’ social media uses. Our article reveals that while the coverage of the Delhi gang rape highlights an emerging, participatory nature of storytelling by journalists, this new-found inclusiveness remains exclusive to the urban, educated, connected middle and upper classes. We also find that today in India, social media usage is rearticulated around pre-existing journalistic practices and norms common to both Indian reporters working for English-language media houses and foreign correspondents stationed in India.

Objective The aim of the present study was to identify all evidence about the prevalence and severity of clinically measured caries and periodontal disease in Indigenous adults in Australia published in peer-reviewed journals and to summarise trends over time. In addition, we examined whether the studies investigated associations between putative risk factors and levels of caries and periodontal disease. Methods PubMed was searched in September 2014, with no date limitations, for published peer-reviewed articles reporting the prevalence rates and/or severity of caries and periodontal disease in Indigenous adults living in Australia. Articles were excluded if measurement was not based on clinical assessment and if oral disease was reported only in a specific or targeted sample, and not the general population. Results The search identified 18 papers (reporting on 10 primary studies) that met the inclusion criteria. The studies published clinical data about dental caries and/or periodontal disease in Australian Indigenous adults. The studies reported on oral health for Indigenous adults living in rural (40%), urban (10%) and both urban and rural (50%) locations. Included studies showed that virtually all Indigenous adults living in rural locations had periodontal disease. The data also showed caries prevalence ranged from 46% to 93%. Although 10 studies were identified, the peer-reviewed literature was extremely limited and no published studies were identified that provided statistics for a significant proportion of Australia (Victoria, Tasmania, Queensland or the Australian Capital Territory). There were also inconsistencies in how the data were reported between studies, making comparisons difficult. Conclusions This review highlights a lack of robust and contemporary data to inform the development of policies and programs to address the disparities in oral health in Indigenous populations living in many parts of Australia. What is known about the topic? Many studies report that Indigenous people in Australia have poorer general health compared with non-Indigenous people. What does this paper add? This paper documents the available caries and periodontal disease prevalence and experience for Indigenous adults in Australia published in peer-reviewed journals. It demonstrates significant limitations in the data, including no data in several large Australian jurisdictions, inconsistency with reporting methods and most data available being for Indigenous adults living in rural locations. Therefore, the oral health data available in the peer-reviewed literature do not reflect the situation of all Indigenous people living in Australia. What are the implications for practitioners? It is important for oral health practitioners to have access to current and relevant statistics on the oral health of Indigenous Australians. However, we have highlighted significant evidence gaps for this population group within the peer-reviewed literature and identified the limitations of the available data upon which decisions are currently being made. This paper also identifies ways to capture and report oral health data in the future to enable more meaningful comparisons and relevance for use in policy development.

Carbon reporting and emissions trading in Australia—both of which, in 2007, seemed unlikely—came into effect with the implementation of mandatory data reporting from July 2008 (Australia) and January 2010 (USA); the onus lies with emitting corporations to determine whether they must report. At the time of writing it is also likely that Australia and the USA will join Europe in placing a price on carbon by 2013. The background to the Australian regulations will be explored in this paper, along with comparisons made to regulations in other jurisdictions, including the new reporting scheme in the USA. To date, much of the public discussion in these countries has centred on the financial aspects of a carbon tax or emissions trading scheme; however, significant challenges exist in identifying and quantifying the emissions that the financial community seeks to trade, and business community understanding of the details of greenhouse emissions is not strong. Case studies from the Australian oil and gas and related industries will be used to explain counter-intuitive aspects of greenhouse gas emissions and their regulation, and to illustrate challenges in emissions measurement and reporting.

The general purpose of this study was to duplicate research conducted by Beverley Joyce Miller Pitts, Ph.D., regarding the newswriting process of practicing journalists. (Future reference regarding this study will be termed the Pitts study.) In an effort to update previous research, this study sought to: review literature published between 1981 and 1987, update research conducted since 1981, support or disprove previous findings as documented in the Pitts study, and provide further research regarding the journalist's newswriting process. The study was conducted separately from previous research; thereby adopting an objective atmosphere in which research and data were obtained. The methodology and procedure of this study were replicated from the Pitts study to ensure consistency in research methods. All analyses, discussions, summaries, conclusions, observations, and recommendations, presented in this study, are based solely on data gathered during the research and presentation phases of this study.
Department of Journalism

The Internet and World Wide Web have become dominant newsgathering tools in a sholi period of time. While the body of research, particularly in the First World, has developed quickly along with the Web, many unanswered questions remain on how journalists in developing countries make use of the Internet for newsgathering purposes. This study combined social constructivist theory with the socio-organisational and cultural approaches to news production in order to critically investigate how journalists at The Post newspaper in Zambia relate to, and make use of, the Internet as a newsgathering resource, in the context of Third World conditions. The study critiqued technological detelminism perspectives on journalists' use of the new information technology. The technological determinism theory, which has largely been advanced by some scholars from the developed world, takes a celebratory approach to journalists' use of the Internet in the newsroom. Using qualitative semi-structured interviews and observations, the study established that while journalists at The Post acknowledged the lnternet's potential in news gathering, factors such as unreliable telecommunications infrastructure, poor Internet skills, lack of local content on the World Wide Web, and organisational and occupational demands inhibited the use of the Internet as a journalistic newsgathering resource. The study established further that online reporting is only a tool within the broader news gathering and production process; and in the case of The Post, it does not replace the traditional news gathering techniques used by journalists, particularly direct contacts with human sources. The respondents cited face-to-face interviews, a traditional means of newsgathering, as the main driving force in news gathering routines at the newspaper. However, although the respondents saw some mixed blessings in the Internet as a reporting tool, they also believed that the benefits outweighed the problems.
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Assignment (MPhil)--University of Stellenbosch, 2007.
ENGLISH ABSTRACT: The media, in its ongoing task to inform and educate South Africans, seemingly set the agenda in such a way that depicts poor black African people as the only racial group that is affected and infected by HIV/Aids. Photographs of poor black Africans are also used to inform and educate the public about the pandemic. In short, the media has set an agenda that has given HIV/Aids a black African face: vulnerable, helpless and living in squalid conditions. The hypothesis of this research is that it is racial stereotyping of poor black Africans, and that it is perpetuated by the Daily Dispatch and other media. It is also important to note that the voices of the affected and infected are not prominent in news reports about the pandemic. Their stories are either told by the journalists themselves or someone else as a spokesperson. The media must begin to give space to the heroes and heroines who are affected and infected by the HIV/Aids pandemic to tell their stories in their own words. Qualitative content analysis of the Daily Dispatch from 1 to 31 December 2004 was conducted. News stories, photographs, headlines and captions were analysed. This analysis shows that the voices of the affected and infected are still lacking in news reports and that poor black African people are used as the only visuals in HIV/Aids news stories. This study recommends that more attention should be given to upholding and respecting the rights of the affected and infected by the disease. The media should also allow their voices to be heard, not through spokespeople, but from their own mouths.
AFRIKAANSE OPSOMMING: Dit lyk of die media in sy voortgaande taak om Suid-Afrikaners in te lig en op te voed, die agenda op so ’n manier stel dat dit arm swart Afrikane as die enigste rassegroep voorstel wat deur MIV/Vigs geaffekteer en geïnfekteer word. Foto’s van arm swart Afrikane word ook gebruik om die publiek oor die pandemie in te lig en op te voed. In ’t kort, die media het ’n agenda gestel wat MIV/Vigs ’n swart, Afrika-gesig gee: een wat arm, ontvanklik en hulpeloos is, en wat in haglike toestande leef. Die hipotese van hierdie navorsing berus daarop dat dit rasse-stereotipiering is van arm swart Afrikane, en dat die Daily Dispatch en ander media dit perpetueer. Dit is ook belangrik om daarop te let dat die stemme van die geaffekteerde en geïnfekteerde nie so prominent in nuusberige oor die pandemie is nie. Hul stories word vertel deur die joernaliste self, of iemand anders wat ’n segspersoon is. Die media moet begin om hierdie helde en heldinne wat deur die siekte geaffekteer en geïnfekteer is, self hul storie te laat vertel, in hul eie woorde. Kwalitatiewe inhoudsanalise van die Daily Dispatch van 1 tot 31 Desember 2004 is uitgevoer. Nuusstories, foto’s, opskrifte en onderskrifte is geanaliseer. Hierdie analise toon dat die stemme van die geaffekteerde en geïnfekteerde steeds in ons nuusberigte ontbreek en dat arm swart Afrikane die enigste visuele onderwerpe in MIV-Vigs nuusstories is. Hierdie studie beveel aan dat meer aandag gegee moet word om die regte van die geaffekteerde en geïnfekteerde te bewaar en te respekteer. Die media moet ook toelaat dat diegene se stemme gehoor word, nie deur segspersone nie, maar uit hul eie monde.
ISISHWANKATHELOL: Kubonakala ngathi amajelo eendaba kwinzame zawo zokufundisa nokwazisa uluntu loMzantsi Afrika ngesifo sikaGawulayo neNtsholongwane yaso, abonakalisa abantu abaMnyama beli njengohlanga ekukuphela kwalo oluthi luchatshazelwe sesi sifo. Nkqu nemifanekiso ethi isetyenziswe kumabalili athetha ngesi sifo, yileyo yabantu abaMnyama abazimpula zikalujacu ezingathathi ntweni. Ngokufutshane amajelo eendaba anika isizwe umzobo osengqondweni othi, uGawulayo neNtsholongwane yakhe uchaphazela ze ubulale abantu abaMnyama abahluphekileyo nabaphila phantsi kweemeko zobugxwayiba. Kusenjalo olu hlalutyo lubonakalise ukuba amazwi abantu abanesifo sikaGawulayo nabo bachaphazelekayo awakho kupapasho lweendaba. Kwakhona iingxelo ngesi sifo zinika ingqwasela kubantu abaMnyama abahluphekileyo neminifanekiso yabo kuphela. Akukho nto ithethekayo ngezinye intlanga. Okokuqala, olu phando ngoko ke lucebisa ukuba makuhlonitshwe umGaqo Siseko weli ngokubhekiselele kumalungelo abantu ingakubi abo banesifo sikaGawulayo neNtsholongwane yaso. Okwesibini, amajelo eendaba mawaqinisekise ukuba abantu abagula sesi sifo nabo sibachaphazelayo bayazithethela ngemilomo yabo kuba ngabo abajamelene neentlungu umhla nezolo.

Thesis (MPhil)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: This study is a feminist investigation of the reporting on the female politicians in the Mail & Guardian using the SADC Protocol on Gender and Development media requirements on content as the yardstick. The Protocol is a regional policy adopted in 2008 by regional governments aimed at achieving gender equity in key sectors by 2015. The Protocol is a regional instrument set up to assist in meeting the Millennium Development Goals (MDGs). The study investigated whether the Protocol’s media requirements were being observed by the Mail&Guardian. The media’s role of providing information can assist the MDGs to be met. These requirements encourage the media in the region to reach gender parity in the use of news sources and writing of news reports that help to reduce gender-based violence and the portrayal of women that is not stereotypic and oppressive. The themes of the study, which were “gender-based violence”, “gender oppression” and “stereotypes against women” were influenced by these requirements. Gender-based violence is a major impediment to development in Africa because of the heavy financial burden it puts on governments and communities to treat victims and offer them shelter and counselling. Gender-based violence affects women’s full productivity in society because it results in death or victims remaining absent from work while they seek treatment. Stereotypes and gender oppression are viewed as dangerous because not only do they deny younger generations role models but they perpetuate the insubordination of women in society. The study linked the themes to female parliamentarians because being legislators and policy makers, they have a strategic and critical role to play in helping to achieve gender equity. There is a perception that female politicians offer different perspectives to issues. The media can be a vehicle through which these female politicians can express their opinions. This is because the media is supposed to offer freedom of expression to all its citizens regardless of gender. In order to examine if the female ideology had a place in the Mail & Guardian a feminist theoretical approach was used. The study employed a triangulation approach in which both the qualitative and quantitative research methodologies were used. The quantitative method was employed to a small extent to quantify the coverage of female politicians. Triangulation in data collection entailed using both the content analysis and in-depth interviews. Findings of the study showed a violation of the Protocol’s media requirements. News reporting about female politicians centred on scandals and controversies and journalists and editors were ignorant of the Protocol’s media requirements.
AFRIKAANSE OPSOMMING: Die studie was ’n feministiese ondersoek na die Mail & Guardian se verslaggewing oor vrouepolitici. Dis gedoen met die interregeringsorganisasie, die Suider-Afrikaanse Ontwikkelingsgemeenskap (SAOG), se Protokol oor Geslag en Ontwikkeling as maatstaf. Die Protokol is ’n beleid wat in 2008 deur die owerhede van die SAOG-lidlande van stapel gestuur is, met die oog op geslagsgelykheid in sleutelsektore teen 2015. Dit dien as instrument en hulpmiddel in die nastreef van bogenoemde. Die studie stel ondersoek in na die handhawing, al dan nie, van die Protokol se mediavereistes deur die Mail & Guardian. Die media se rol as verskaffer van inligting kan die strewe hierna bevorder. Die vereistes moedig die media in die onderskeie streke aan om geslagsgelykheid toe te pas wat betref die gebruik van nuusbronne, die skep van nuusberigte wat bydra tot die vermindering van geslagsgebaseerde geweld en die uitbeeld van vroue wat wegskram van stereotipering en onderdrukking. Die temas van die studie-"geslagsgebaseerde geweld", "geslagsonderdrukking" en “stereotipering van vroue" is gevolglik deur die Protokol se vereistes beïnvloed. Geslagsgebaseerde geweld is ’n wesenlike struikelblok in die pad van ontwikkeling in Afrika, deels weens die swaar finansiële las wat dit plaas op gemeenskaplike en regeringsvlak. Só moet slagoffers dikwels behandeling, skuiling en berading ontvang. Dit het ook ’n besliste impak op vroue se produktiwiteit in die breër samelewing, aangesien slagoffers van geslagsgebaseerde geweld in sommige gevalle afwesig is uit die werksomgewing om behandel te word of-in meer ernstige gevalle-sterf. Stereotipering en onderdrukking word as uiters gevaarlik beskou, aangesien dit nie nét die ondergeskiktheid van vroue laat voortleef nie; maar boonop jonger generasies van rolmodelle ontneem. Die temas van die studie word verbind met vroulike parlementslede weens hul rolle as beleidsopstellers en wetmakers. Dié vroue het strategiese en belangrike verpligtinge om na te kom in die strewe na geslagsgelykheid. Die persepsie bestaan dat vroue-politici dikwels ’n ander, nuwe perspektief op kwessies bied. Die media kan in dié opsig as ’n waardevolle voertuig aangewend word om die perspektiewe tuis te bring. Die media het ook ’n plig om vryheid van uitdrukking te verseker aan alle landsburgers - ongeag hulle geslag. Ten einde te bepaal of die ideologie deur die Mail & Guardian toegepas is, is ’n feministiese teoretiese aanslag gevolg. Die studie het gebruik gemaak van triangulasie, waartydens beide kwalitatiewe en kwantitatiewe navorsingsmetodologieë ingespan is. Die kwantitatiewe metode is gebruik om die mediadekking van vroue-politici te kwantifiseer. Triangulasie is ook tydens die data-insamelingsproses gebruik. Dit het ingesluit die aanwend van inhoudsanalises, asook in-diepte onderhoude. Die bevinding van die studie dui op die oortreding van die Protokol se mediavereistes. Verslaggewing oor vroue-politici is grootliks toegespits op skandale en omstredenheid en beide joernaliste en inhoudsredakteurs blyk onkundig te wees oor die vereistes.

Thesis (MPhil) -- Stellenbosch University, 2012.
ENGLISH ABSTRACT: In a time of uncertainty for newspapers due in part to dwindling circulation, loss of advertising revenue and declining readership, Internet-based technologies have continued to grow. The unprecedented rise of social media, of which Facebook and Twitter are wellknown examples, has not gone unnoticed by the newspaper community. Despite their initial misgivings about the credibility of the information disseminated on these media, mainstream journalists worldwide have gradually started to adopt social media as professional tools. Social media serve as channels that help to funnel information towards journalists. Some newspaper journalists also use these media to broadcast news and promote their personal brands. The continued use of social media on a professional level will arguably have an impact on the daily routines and cultures within a newsroom. Academic research in this area is limited, especially within the South African context. This study explores whether the professional use of social media, with specific reference to Facebook and Twitter, influences the processes and cultures of news selection and presentation at the South Africa newspapers Rapport and the Mail & Guardian. A newsroom study within a social constructionism paradigm employed a combination of quantitative and qualitative research methodologies, including self-administered questionnaires, semi-structured interviews and ethnography. The main findings of this study were that the majority of journalists at Rapport and the Mail & Guardian used Facebook and Twitter actively on a professional level – mainly for trend tracking. The newsroom cultures were open and encouraging towards social media use. Journalists were also aware that social media create opportunities for their audiences to challenge the traditional roles of journalists and the realities constructed by the mainstream media. According to the journalists from Rapport and the Mail & Guardian the professional use of social media had not significantly altered their processes of news selection and presentation.
AFRIKAANSE OPSOMMING: Terwyl koerante ’n onsekere tyd beleef, deels weens dalende sirkulasiesyfers, ’n verlies aan advertensie-inkomste en ’n afname in lesertalle, het Internetgebaseerde tegnologieë aanhou groei. Die ongekende groei van sosial media, waarvan Facebook en Twitter welbekende voorbeelde is, het nie ongesiens by die koerantgemeenskap verby gegaan nie. Ondanks hul aanvanklike bedenkinge oor die geloofwaardigheid van inligting wat op dié media versprei word, het hoofstroomjoernaliste wêreldwyd geleidelik begin om sosiale media as professionele hulpmiddels te aanvaar. Sosial media dien as kanale waardeur inligting na joernaliste vloei. Sommige koerantjoernaliste gebruik ook die media om nuus uit te saai en hul persoonlike handelsmerk te bemark. Die volgehoue gebruik van sosial media op ’n professionele vlak sal bes moontlik ’n impak op die daaglikse roetine en kulture binne ’n nuuskantoor hê. Akademiese navorsing op die gebied is beperk, veral binne die Suid-Afrikaanse konteks. Hierdie navorsing ondersoek of die professionele gebruik van sosiale media, met spesifieke verwysing na Facebook en Twitter, ’n invloed het op die prosesse en kulture van nuusseleksie en -aanbieding by die Suid-Afrikaanse koerante Rapport en die Mail & Guardian. ’n Nuuskantoorstudie, binne ’n sosiale konstruktivisme paradigma, het ’n kombinasie van kwantitatiewe en kwalitatiewe navorsingsmetodologieë ingespan, insluitende: selfgeadministreerde vraelyste, halfgestruktureerde onderhoude en etnografie. Die hoofbevindinge van die studie was dat die meerderheid van die joernaliste by Rapport en die Mail & Guardian Facebook en Twitter aktief op ’n professionele vlak gebruik het – hoofsaaklik om tendense dop te hou. Die nuuskantoorkulture was oop en aanmoedigend teenoor die gebruik van sosiale media. Joernaliste was ook bewus daarvan dat sosiale media geleenthede skep vir hul gehore om die tradisionele rol van joernaliste, sowel as die realiteite wat deur die hoofstroommedia geskep word, te betwis. Volgens die joernaliste van Rapport en die Mail & Guardian het die professionele gebruik van sosiale media nie hul nuusinsamelings- en aanbiedingsprosesse noemenswaardig beïnvloed nie.

Background: It is feasible to collect data rapidly and online using IT solutions. Objectives: To present a data collection platform for COVID-19 suspected patients in private offices and clinics without a standard software. Methods: The proposed system for collecting and sharing data of patients with respiratory symptoms was designed to be simple to use, without the need for special technology, and with proper security to authenticate reporters. Results: Two methods were developed to collect data from private physicians and offices. Finally, the data collected by both approaches is integrated and provided to primary healthcare staff to arrange appropriate healthcare measures. Conclusion: Our platform can provide an easy-to-use case reporting system for private physicians.

Background: The prevalence of depression is two to three times higher in diabetic patients, while most cases remain undiagnosed. The quality of life is substantially and adversely affected by depression. This study aimed to estimate the effect of depression comorbidity on patients’ quality of life with type 2 diabetes mellitus. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collecting published articles from PubMed, ProQuest, Science Direct, Scopus, Spinger Link, Clinical Key, and Google Scholar databases. Keywords used “comorbidity depression and DM”, “depression and quality of life and DM and cross sectional study”, “depression and quality of life and DM and adjusted odd ratio”, “depression or diabetes”, “depression or quality of life or DM or adjusted odd ratio”. The study criteria were full text, using cross-sectional study design, and reporting adjusted Odds Ratio (aOR). The selected articles were analyzed using Revman 5.3 with fixed effect models. Results: 8 studies from Uganda, Iran, United States, United Kingdom, Australia, Nigeria, Brazil, and Nepal, were selected for this study. Current study reported that type 2 DM patients with depression had lower quality of life than those without depression (aOR= 2.72; 95% CI= 0.73 to 10.07; p<0.0001) Conclusion: Type 2 DM patient with depression has lower quality of life than those without depression. Keywords: depression, quality of life, diabetes mellitus Correspondence: Rofana Aghniya. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rofanaaa@gmail.com. Mobile: +685523528340.

People’s lives have been severely disrupted by COVID-19, with high numbers in hospitals and many deaths after the initial outbreak in China. If the efforts of many statistics educators were fulfilled to increase the number of statistically literate citizens who can make evidence-based decisions based on accurate data, we may have had lower infection and death rates. Unfortunately, the data is rather unreliable, especially with the use of self-testing and reporting. In this paper, we assert that statistics requires context to quantify risk. We present data and a summary of developments in Australia and England with the hope that case studies can be developed for students to understand risk better.

Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.

Background Australia is a multi-cultural society with increasing rates of people from culturally and linguistically diverse (CALD) backgrounds. On average, CALD groups have higher rates of tobacco use, lower participation in cancer screening programs, and poorer health outcomes than the general Australian population. Lower cancer screening and smoking cessation rates are due to differing cultural norms, health-related attitudes, and beliefs, and language barriers. Interventions can help address these potential barriers and increase tobacco cessation and cancer screening rates among CALD groups. Cancer Council NSW (CCNSW) aims to reduce the impact of cancer and improve cancer outcomes for priority populations including CALD communities. In line with this objective, CCNSW commissioned this rapid review of interventions implemented in Australia and comparable countries. Review questions This review aimed to address the following specific questions: Question 1 (Q1): What smoking cessation interventions have been proven effective in reducing or preventing smoking among culturally and linguistically diverse communities? Question 2 (Q2): What screening interventions have proven effective in increasing participation in population cancer screening programs among culturally and linguistically diverse populations? This review focused on Chinese-, Vietnamese- and Arabic-speaking people as they are the largest CALD groups in Australia and have high rates of tobacco use and poor screening adherence in NSW. Summary of methods An extensive search of peer-reviewed and grey literature published between January 2013-March 2022 identified 19 eligible studies for inclusion in the Q1 review and 49 studies for the Q2 review. The National Health and Medical Research Council (NHMRC) Levels of Evidence and Joanna Briggs Institute’s (JBI) Critical Appraisal Tools were used to assess the robustness and quality of the included studies, respectively. Key findings Findings are reported by components of an intervention overall and for each CALD group. By understanding the effectiveness of individual components, results will demonstrate key building blocks of an effective intervention. Question 1: What smoking cessation interventions have been proven effective in reducing or preventing smoking among culturally and linguistically diverse communities? Thirteen of the 19 studies were Level IV (L4) evidence, four were Level III (L3), one was Level II (L2), none were L1 (highest level of evidence) and one study’s evidence level was unable to be determined. The quality of included studies varied. Fifteen tobacco cessation intervention components were included, with most interventions involving at least three components (range 2-6). Written information (14 studies), and education sessions (10 studies) were the most common components included in an intervention. Eight of the 15 intervention components explored had promising evidence for use with Chinese-speaking participants (written information, education sessions, visual information, counselling, involving a family member or friend, nicotine replacement therapy, branded merchandise, and mobile messaging). Another two components (media campaign and telephone follow-up) had evidence aggregated across CALD groups (i.e., results for Chinese-speaking participants were combined with other CALD group(s)). No intervention component was deemed of sufficient evidence for use with Vietnamese-speaking participants and four intervention components had aggregated evidence (written information, education sessions, counselling, nicotine replacement therapy). Counselling was the only intervention component to have promising evidence for use with Arabic-speaking participants and one had mixed evidence (written information). Question 2: What screening interventions have proven effective in increasing participation in population cancer screening programs among culturally and linguistically diverse populations? Two of the 49 studies were Level I (L1) evidence, 13 L2, seven L3, 25 L4 and two studies’ level of evidence was unable to be determined. Eighteen intervention components were assessed with most interventions involving 3-4 components (range 1-6). Education sessions (32 studies), written information (23 studies) and patient navigation (10 studies) were the most common components. Seven of the 18 cancer screening intervention components had promising evidence to support their use with Vietnamese-speaking participants (education sessions, written information, patient navigation, visual information, peer/community health worker, counselling, and peer experience). The component, opportunity to be screened (e.g. mailed or handed a bowel screening test), had aggregated evidence regarding its use with Vietnamese-speaking participants. Seven intervention components (education session, written information, visual information, peer/community health worker, opportunity to be screened, counselling, and branded merchandise) also had promising evidence to support their use with Chinese-speaking participants whilst two components had mixed (patient navigation) or aggregated (media campaign) evidence. One intervention component for use with Arabic-speaking participants had promising evidence to support its use (opportunity to be screened) and eight intervention components had mixed or aggregated support (education sessions, written information, patient navigation, visual information, peer/community health worker, peer experience, media campaign, and anatomical models). Gaps in the evidence There were four noteworthy gaps in the evidence: 1. No systematic review was captured for Q1, and only two studies were randomised controlled trials. Much of the evidence is therefore based on lower level study designs, with risk of bias. 2. Many studies provided inadequate detail regarding their intervention design which impacts both the quality appraisal and how mixed finding results can be interpreted. 3. Several intervention components were found to have supportive evidence available only at the aggregate level. Further research is warranted to determine the interventions effectiveness with the individual CALD participant group only. 4. The evidence regarding the effectiveness of certain intervention components were either unknown (no studies) or insufficient (only one study) across CALD groups. This was the predominately the case for Arabic-speaking participants for both Q1 and Q2, and for Vietnamese-speaking participants for Q1. Further research is therefore warranted. Applicability Most of the intervention components included in this review are applicable for use in the Australian context, and NSW specifically. However, intervention components assessed as having insufficient, mixed, or no evidence require further research. Cancer screening and tobacco cessation interventions targeting Chinese-speaking participants were more common and therefore showed more evidence of effectiveness for the intervention components explored. There was support for cancer screening intervention components targeting Vietnamese-speaking participants but not for tobacco cessation interventions. There were few interventions implemented for Arabic-speaking participants that addressed tobacco cessation and screening adherence. Much of the evidence for Vietnamese and Arabic-speaking participants was further limited by studies co-recruiting multiple CALD groups and reporting aggregate results. Conclusion There is sound evidence for use of a range of intervention components to address tobacco cessation and cancer screening adherence among Chinese-speaking populations, and cancer screening adherence among Vietnamese-speaking populations. Evidence is lacking regarding the effectiveness of tobacco cessation interventions with Vietnamese- and Arabic-speaking participants, and cancer screening interventions for Arabic-speaking participants. More research is required to determine whether components considered effective for use in one CALD group are applicable to other CALD populations.

Background An estimated 292 million people are living with chronic hepatitis B virus (HBV) infection globally, including 223,000 people in Australia. HBV diagnosis and linkage of people living with HBV to clinical care is suboptimal in Australia, with 27% of people living with HBV undiagnosed and 77% not receiving regular HBV clinical care. This systematic review aimed to characterize population-level interventions implemented to enhance all components of HBV care cascade and analyse the effectiveness of interventions. Review questions Question 1: What population-level interventions, programs or policy approaches have been shown to be effective in reducing the incidence of hepatitis B; and that may not yet be fully rolled out or evaluated in Australia demonstrate early effectiveness, or promise, in reducing the incidence of hepatitis B? Question 2: What population-level interventions and/or programs are effective at reducing disease burden for people in the community with hepatitis B? Methods Four bibliographic databases and 21 grey literature sources were searched. Studies were eligible for inclusion if the study population included people with or at risk of chronic HBV, and the study conducted a population-level interventions to decrease HBV incidence or disease burden or to enhance any components of HBV care cascade (i.e., diagnosis, linkage to care, treatment initiation, adherence to clinical care), or HBV vaccination coverage. Studies published in the past 10 years (since January 2012), with or without comparison groups were eligible for inclusion. Studies conducting an HBV screening intervention were eligible if they reported proportion of people participating in screening, proportion of newly diagnosed HBV (participant was unaware of their HBV status), proportion of people received HBV vaccination following screening, or proportion of participants diagnosed with chronic HBV infection who were linked to HBV clinical care. Studies were excluded if study population was less than 20 participants, intervention included a pharmaceutical intervention or a hospital-based intervention, or study was implemented in limited clinical services. The records were initially screened by title and abstract. The full texts of potentially eligible records were reviewed, and eligible studies were selected for inclusion. For each study included in analysis, the study outcome and corresponding 95% confidence intervals (95%CIs) were calculated. For studies including a comparison group, odds ratio (OR) and corresponding 95%CIs were calculated. Random effect meta-analysis models were used to calculate the pooled study outcome estimates. Stratified analyses were conducted by study setting, study population, and intervention-specific characteristics. Key findings A total of 61 studies were included in the analysis. A large majority of studies (study n=48, 79%) included single-arm studies with no concurrent control, with seven (12%) randomised controlled trials, and six (10%) non-randomised controlled studies. A total of 109 interventions were evaluated in 61 included studies. On-site or outreach HBV screening and linkage to HBV clinical care coordination were the most frequent interventions, conducted in 27 and 26 studies, respectively. Question 1 We found no studies reporting HBV incidence as the study outcome. One study conducted in remote area demonstrated that an intervention including education of pregnant women and training village health volunteers enhanced coverage of HBV birth dose vaccination (93% post-intervention, vs. 81% pre-intervention), but no data of HBV incidence among infants were reported. Question 2 Study outcomes most relevant to the HBV burden for people in the community with HBV included, HBV diagnosis, linkage to HBV care, and HBV vaccination coverage. Among randomised controlled trials aimed at enhancing HBV screening, a meta-analysis was conducted including three studies which implemented an intervention including community face-to-face education focused on HBV and/or liver cancer among migrants from high HBV prevalence areas. This analysis demonstrated a significantly higher HBV testing uptake in intervention groups with the likelihood of HBV testing 3.6 times higher among those participating in education programs compared to the control groups (OR: 3.62, 95% CI 2.72, 4.88). In another analysis, including 25 studies evaluating an intervention to enhance HBV screening, a pooled estimate of 66% of participants received HBV testing following the study intervention (95%CI: 58-75%), with high heterogeneity across studies (range: 17-98%; I-square: 99.9%). A stratified analysis by HBV screening strategy demonstrated that in the studies providing participants with on-site HBV testing, the proportion receiving HBV testing (80%, 95%CI: 72-87%) was significantly higher compared to the studies referring participants to an external site for HBV testing (54%, 95%CI: 37-71%). In the studies implementing an intervention to enhance linkage of people diagnosed with HBV infection to clinical care, the interventions included different components and varied across studies. The most common component was post-test counselling followed by assistance with scheduling clinical appointments, conducted in 52% and 38% of the studies, respectively. In meta-analysis, a pooled estimate of 73% of people with HBV infection were linked to HBV clinical care (95%CI: 64-81%), with high heterogeneity across studies (range: 28-100%; I-square: 99.2%). A stratified analysis by study population demonstrated that in the studies among general population in high prevalence countries, 94% of people (95%CI: 88-100%) who received the study intervention were linked to care, significantly higher than 72% (95%CI: 61-83%) in studies among migrants from high prevalence area living in a country with low prevalence. In 19 studies, HBV vaccination uptake was assessed after an intervention, among which one study assessed birth dose vaccination among infants, one study assessed vaccination in elementary school children and 17 studies assessed vaccination in adults. Among studies assessing adult vaccination, a pooled estimate of 38% (95%CI: 21-56%) of people initiated vaccination, with high heterogeneity across studies (range: 0.5-93%; I square: 99.9%). A stratified analysis by HBV vaccination strategy demonstrated that in the studies providing on-site vaccination, the uptake was 78% (95%CI: 62-94%), significantly higher compared to 27% (95%CI: 13-42%) in studies referring participants to an external site for vaccination. Conclusion This systematic review identified a wide variety of interventions, mostly multi-component interventions, to enhance HBV screening, linkage to HBV clinical care, and HBV vaccination coverage. High heterogeneity was observed in effectiveness of interventions in all three domains of screening, linkage to care, and vaccination. Strategies identified to boost the effectiveness of interventions included providing on-site HBV testing and vaccination (versus referral for testing and vaccination) and including community education focussed on HBV or liver cancer in an HBV screening program. Further studies are needed to evaluate the effectiveness of more novel interventions (e.g., point of care testing) and interventions specifically including Indigenous populations, people who inject drugs, men who have sex with men, and people incarcerated.