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The George Institute for Global Health
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Community Action for Safe Speeds (CASS) Study

Background Speeding remains a major contributing factor in road crashes and associated road trauma. Non-compliance with posted speed limits is a widespread international problem and survey research consistently demonstrates widespread misperceptions about the risks of speeding and negative community attitudes towards speed management initiatives. Having positive public attitudes towards safe travel speeds is critical to speed limit compliance, as is public understanding of the risks associated with unsafe speeds. A widespread challenge relates to how to shift the community’s attitudes on speeding and increase their acceptance of speed management interventions which in turn would increase public demand for safer speeds. These sentiments are reflected in a 2016 Austroads report titled “Public Demand for Safer Speeds: Identification of Interventions for Trial” and are acknowledged by the Australian National Road Safety Strategy as it pushes for a wholistic approach to Speed Management. Trad

Clinical and community trial

We work with civil society groups and networks at local, regional and global levels, sharing evidence and identifying opportunities to influence health-related decisions. Our collective advocacy aims to build momentum and drive changes that reduce inequities and improve the health of millions of people worldwide.We work with civil society groups and networks at local, regional and global levels, sharing evidence and identifying opportunities to influence health-related decisions. Our collective advocacy aims to build momentum and drive changes that reduce inequities and improve the health of millions of people worldwide.We work with civil society groups and networks at local, regional and global levels, sharing evidence and identifying opportunities to influence health-related decisions. Our collective advocacy aims to build momentum and drive changes that reduce inequities and improve the health of millions of people worldwide. About this study Intergenerational programs that bring pre-school

Promoting Healthy and Sustainable Food Choices in Mexican Supermarkets

Background Mexico is experiencing one of the highest rates of obesity and type 2 diabetes globally, with 75% of the population classified as overweight or obese. This public health burden is especially pronounced in the northern region of the country, particularly in the Sonoran Desert, where dietary patterns are influenced by high consumption of ultra-processed foods and sugar-sweetened beverages. Environmental factors such as extreme heat and water scarcity contribute to these dietary behaviours. Supermarkets are the primary source of food purchases in this region. However, unhealthy products are often more accessible and aggressively promoted than healthier alternatives. This, combined with the significant environmental impact of current dietary patterns, especially greenhouse gas emissions from animal-based and processed foods, highlights the urgent need for interventions targeting the retail food environment. Aim The project aims to evaluate whether altering in-store promotion and placement s

Improving quality care delivery: George Institute & Leeder Centre respond to productivity commission inquiry – Pillar 4

Policy & Practice Report

ecoSwitch App

 ecoSwitch The ecoSwitch app provides Australian consumers a way of understanding the greenhouse impact of packaged foods and to choose alternatives to switch to that are less harmful to our planet. The app also displays expanded data on a product that includes sustainability-related information such as its country of origin information; level of processing using the NOVA classification; and sustainability claims, as well as its health and nutrition information.The EcoSwitch app is available in Australia:ecoSwitch Australia - [Android] [iOS]     Planetary HealthPlanetary Health can be defined as “the health of human civilization and the natural systems on which it depends” and recognizes that human health and the health of our planet are inextricably linked. The global food system is estimated to generate 30%-40% of greenhouse gas emissions (GHGe) and is a key contributor to climate change. The Eat-Lancet commission on Food, Planet, Health cited food as “the single s

ChAracterize, RevIve, Support, Monitor and MAnage (CARISMMA) sustainable food systems study

BackgroundIndia is home to 705 individual indigenous tribal communities who are recognised as “Scheduled Tribes” (STs) by the Indian Constitution and constitute 8.6% of the country’s population. Despite their rich traditional ecological knowledge (TEK), access to biodiverse food systems, and schemes supporting tribal welfare, the ST communities have compromised nutritional status and subpar quality of life which could be attributed to socio-economic, environmental and demographic transitions and other factors. Their distinctive food systems are also facing erosion.AimWe aim to characterize, revive, support, monitor and manage sustainable food systems to address malnutrition in indigenous tribal communities of India. Additionally, we will pilot a food systems intervention, co-developed with, and implemented in, one tribal community, with the aim of supporting the nutritional wellbeing of this populationResearch MethodologyDevelop, adapt, standardize and pilot toolkits on food systems, their drivers and a

The SMARThealth Perinatal Mental Health (PRAMH) Study: Improving women’s perinatal mental health in rural communities in India

BackgroundPerinatal mental disorders have been classified as significant complications of women’s pregnancy and postpartum periods. 1 in 5 women experience common mental health problems during the perinatal phase (CPMDs), and the rates are even higher for women in low- and middle-income countries (LMICs). Yet, most women with CPMDs do not receive care, with little research existing on how to best address CPMDs in low resource, rural settings. The ‘treatment gap’ (difference between actual and treated CPMDs) is linked to a lack of promotion, prevention and early intervention of perinatal mental health (PMH).The Perinatal Mental Health project (PRAMH) is a mixed-methods, single-arm feasibility study developing a complex intervention to support women with CPMDs in rural India, by integrating mental health into maternity care within the communities.AimTo understand the local context of perinatal mental health and collaboratively develop a complex, community-based intervention with community members, includi

VERONICA: deliVERy of Optimal blood pressure coNtrol in afrICA

Background High blood pressure (BP) is the leading cause of preventable morbidity and mortality globally. The benefits of BP lowering in reducing cardiovascular (CV) events are well established and there is clear evidence that greater BP lowering confers a greater reduction in CV events. However, control of high BP is poor globally, with only one in three treated patients achieving traditional BP goals. Most treated patients receive only monotherapy, despite guidelines recognising that most patients require multiple medications to achieve target BP. Over the recent decades, the burden of non-communicable diseases (NCD)s in Sub-Saharan Africa (SSA) has rapidly increased and high BP is the leading cause and increase continues, the burden of NCDs will soon surpass that of “traditional” communicable, maternal, neonatal and nutritional diseases. Nigeria, with a population of 207 million, is anticipated to become the 3rd most populous country in 2050. This portends a huge increase in the number

Effects of Advanced Trauma Life Support® training compared to standard care on adult trauma patient outcomes

BackgroundMost deaths from trauma occur within the first 24-48 hours. Most preventable trauma deaths are caused by clinical judgement errors during initial resuscitation or early care, including airway management and haemorrhage control.The proprietary Advanced Trauma Life Support® (ATLS®) is the most established trauma life support training program.AimsCompare the effects of ATLS® training with standard care on outcomes in adult trauma patients in low- and middle-income countries (LMICs), including recovery before discharge and functional outcomes at and after discharge such as pain, mobility and self-care activities.MethodsThis is a stepped-wedge cluster randomised trial. All clusters (hospitals) will transition through three phases: a standard care phase; transition phase during which the training is delivered; and an intervention phase. Adult trauma patients presenting to the emergency departments of 30 hospitals will be recruited for the study. The total sample size will include 4,320 patients ac

Pregnancy as an opportunity to improve lifelong health, SMARThealth Pregnancy

Background Pregnancy complications such as high blood pressure (also known as hypertension), gestational diabetes and anaemia increase risks to the mother and baby during pregnancy the world over, but the burden is particularly great in certain contexts, including many parts of rural India. These complications can have longer-term consequences after birth. For instance, up to 50% of women who experience gestational diabetes will go on to develop type 2 diabetes within 5-10 years. Meanwhile, following preeclampsia (a disorder of pregnancy that is marked by the onset of high blood pressure), women are at increased risk of cardiovascular complications, while anaemia (which over half of the women in India experience during their pregnancy) can markedly affect a woman’s well-being, energy and productivity in society if it persists. These challenges are coupled with the reality that non-communicable diseases (NCDs) such as cardiovascular diseases and diabetes are two of the l

Clinical and community trials

About this study Individuals receiving dialysis are at risk of heart failure and heart-related death. There is an urgent need for treatments that reduce the risk of these problems in patients that require dialysis. Spironolactone is a medication used to prevent heart failure and related deaths in patients that do not require dialysis. It works by blocking a hormone (aldosterone) in your body that causes high blood pressure and can damage the heart. Although spironolactone is very effective in patients that do not require dialysis, we do not know if spironolactone is effective in dialysis patients. Our research will help determine if spironolactone reduces heart failure and heart related deaths in dialysis patients. Eligibility criteria Inclusion Age ≥45 years or ≥18 with a history of diabetes On dialysis ≥ 90 days On either Haemodialysis prescribed at least 2 treatments per week or Peritoneal dialysis prescribed with at least 1 exc

ASHVINS: Managing Depression in Cancer Patients in India

BackgroundDepression has a prevalence of around 30% in patients with cancer. Research shows that managing comorbid depression can be beneficial for overall care of cancer. But in India, there is no systematic identification or treatment of comorbid depression in such cases. Even in tertiary care centres, depression is managed only if patients express florid symptoms, and routine screening is not done. The effect of not treating depression both on the health of the individual and the economic impact on the health system can be quite significant as it reduces treatment adherence, increases emergency visits and hospital admissions, and prolongs illness.Monitoring mood fluctuations and linking them with stressors, both those related to cancer or those related to psychosocial issues, are key components of integrated cancer care. Strategies to increase awareness about one’s mental health status through self-monitoring and facilitate contact with mental health professionals using an algorithm-based referral system

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