Community Coordinated Burn Care
Background
There are very few healthcare services in NSW with the cultural safety or expertise needed for aftercare and recovery of burn injury for Aboriginal and Torres Strait Islander children. However, Aboriginal Community Controlled Health Services (ACCHS) are well placed to provide best practice, comprehensive and culturally safe care.
Burn injuries can have long-term physical, emotional and social impacts on children and their families. For optimal recovery, burn injuries need to be treated with immediate first aid and appropriate ongoing care and aftercare to minimise initial injury and optimise long-term outcomes.
Aboriginal and Torres Strait Islander children are admitted to hospitals with an acute burn injury at a rate three times greater than other Australian children1. Additionally, their length of stay in hospital is approximately 4 days longer compared to other Australian children.
In partnership with ACCHS, the NSW Statewide Burn Injury Service and The Children's Hospital at Westmead,
Understanding and preventing child drowning in the Sundarbans, West Bengal
Drowning is emerging as an important global health issue. In 2018, the World Health Organization reported 320,000 drowning deaths globally, with an estimated 90% of drownings occurring in low-and middle-income countries (LMICs). 62,000 deaths, or almost one fifth of the burden, is in India. Children aged 1-9 are most at risk of drowning.
Children in some coastal regions of India such as the Sundarbans in the northern state of West Bengal are at a high risk of drowning, due to poor infrastructure, rurality, presence of unregulated open water, lack of safety awareness and inadequate health systems.
The World Health Organization has recommended four community-based interventions in rural LMIC settings to reduce drowning in young children. These interventions are: the installing barriers controlling access to water (such as playpens and fencing), the provision of safe spaces away from children with capable child care, teaching school-aged children basic swimming and rescue skills and training adult bystande
Meaningful progress or empty promises? An analysis of how gender features in NCD action plans
Policy & Practice Report
Submission on options for improving the composition of the food supply in relation to industrially-produced trans fats in Australia and New Zealand
Policy & Practice Report
Response to Food Standards Australia New Zealand’s Preliminary Position on the Nutrition Information Panel Review
Policy & Practice Report
Submission to FSANZ on energy labelling on alcoholic beverages
Policy & Practice Report
The CEDAW Index
The United Nations (UN) treaty body system is a powerful mechanism for promoting human rights. The UN influences government action through monitoring, programs, and country-specific recommendations.
In the context of women’s rights, the Committee on the Elimination of All Forms of Discrimination Against Women (CEDAW) influences government action by periodically reviewing 189 countries every four years. Governments report on their progress ahead of each review, and civil society organisations offer grassroots perspectives to the Committee in the form of ‘shadow reports’ which validate or challenge government narratives.
The problem
A significant challenge limiting the potential of the UN treaty body system is that the CEDAW Committee lacks clarity on the implementation of its recommendations, and their overall effectiveness in achieving health and social outcomes.
Despite its 40-year history, CEDAW lacks a systematic monitoring tool to track implementation. Government
Fiji’s 3rd Round of the WHO STEPwise approach to non-communicable disease (NCD) risk factor surveillance
Background
The Fiji Ministry of Health & Medical Services (MHMS) will be conducting its third round of the STEPS Survey in 2024. The George Institute has been engaged to provide the MHMS with technical assistance in the implementation, data analysis and reporting of the survey, as part of Australia’s support to strengthening Fiji’s health sector. The consultancy will be led by Dr Bindu Patel and supported by a team of multidisciplinary experts: Professor Rohina Joshi (UNSW), Dr Anna Campain, Professor Jaime Miranda (USYD), Professor Laurent Billot and Sana Shan.
Why the STEPS Survey?
Fiji is experiencing an alarming rising trend in deaths from non-communicable diseases (NCDs), particularly heart disease and diabetes, before the age of 70.1 According to World Health Organization data from 2017, Fiji is ranked 39 out of 183 countries in the world in fatalities from heart disease.2 The three leading causes of heart disease in Fiji are raised blood pressure, high blood sugar and
The Meniscal Transplant surgery or Optimised Rehabilitation full randomised trial (MeTeOR2)
BackgroundThe meniscus is a c-shaped knee cartilage structure which distributes force between joint surfaces. Meniscal tears can occur, and often the torn parts are removed with keyhole surgery called arthroscopic partial meniscectomy. In Australia approximately 37,000 meniscectomies were performed between 2020-21, 10% were in young adults (< 30 years). Some people have considerable and persistent pain and impaired function after meniscectomy, and how to best treat this is unknown. Meniscal Allograft Transplant (MAT) is a treatment option where a donor meniscus is implanted into the knee. However, there is a lack of evidence whether this procedure is superior to physiotherapy.AimTo see if MAT surgery or Personalised Knee Therapy (PKT) is the most clinically and or cost-effective treatment, for people with knee pain and/or functional loss after a meniscectomy.Research MethodologyMETEOR2 is a two-armed multi-centred pragmatic, international, randomised controlled trial to assess the cost-effectiven
Submission: Draft National Health and Medical Research Strategy consultation
Policy & Practice Report
Understanding the effects of extreme heat in pregnancy, the HiP-India project
Background
Pregnant women, particularly those in low- and middle-income countries, are among the most vulnerable populations to climate change. India has experienced a marked rise in the intensity, frequency, and duration of heatwaves over the last half-century, with 2022 and 2024 being the hottest years since 1901.
Extreme heat exposure has been linked to several adverse pregnancy outcomes, including:
Preterm birth
Stillbirth
Gestational diabetes
Small for gestational age babies
Preeclampsia
However, the biological mechanisms linking environmental heat to these outcomes remain poorly understood.
Aim
The Heat in Pregnancy – India (HiP-India) project is a multi-partner coalition of researchers across India and the UK seeking to understand why exposure to extreme heat leads to adverse birth outcomes. This Wellcome Trust-awarded project is a collaborative effort between the Translational Health Science and Technology Institute (THSTI),
The Resilience Collaborative 2024: Enhancing healthcare worker resilience by co-developing evidence-based solutions for scale (RECONNECTIONS)
BackgroundThe Resilience Collaborative (TRC) is a global learning community that aims to promote healthcare worker resilience, as part of supporting their wellbeing, preventing burnout, improving quality of care in low-resource settings.TRC was launched by the Johnson & Johnson Center for Health Worker Innovation in 2021 to support health workers and the organisations that care about them. As part of the TRC’s evolution, The George Institute for Global Health has taken on the role of the host organisation for this global community of practice since May 2023.AimThe goal is to advance equitable quality of care by prioritising the wellbeing and resilience of healthcare workers (HCWs) and the systems they support, through leadership development and capacity building. To advance learning and drive adoption of evidence-based strategies for health worker resilience and sustain the shared ownership and partnership, The George Institute as the host organisation has drafted an impact pathway that addresses effort