DAYARA: Developing and testing An intervention to promote psYchological wellbeing Among Scheduled TRibe communities in Andhra Pradesh
Background:
More than 104 million (approximately 8%) of India’s population belongs to Scheduled Tribe (ST) communities. About 35% of STs live below the poverty line and compared to other social groups, have poorer health and social indicators. Many live in remote areas or forest areas and have poor physical access to health facilities. ST communities have also been disproportionately affected by displacement and forced migration due to development projects. Although ST communities are exposed to a combination of social, economic and environmental factors that may affect their mental health and wellbeing, there is limited data related to mental health needs of tribal communities in India, with few mental health interventions involving tribal communities and limited evidence of appropriate mental health promotion interventions. Mental health promotion (MHP) is based on broader principles of health promotion in which the focus is not on disease or pathology but on promoting overall health and ps
PATANG: Promoting Community Action for Health - A Co-Produced, Technology-Enabled Platform to Achieve National Goals
BackgroundIn the pursuit of Universal Health Coverage (UHC), Community Action for Health (CAH) is considered a crucial strategy. CAH empowers communities to define their healthcare priorities and monitor the effectiveness of implemented reforms. With a long history in India, CAH has been incorporated into national policies like the National Rural Health Mission and the National Health Policy. Globally, CAH is associated with improved health outcomes, increased health literacy, and stronger healthcare systems. However, despite its potential, CAH faces challenges in India. While a pilot program showed positive impacts, concerns about its confrontational nature led to a shift towards less confrontational methods. Currently, CAH is considered underutilized and under-researched.A 2020 review called for more systematic and nuanced documentation of CAH experiences, urging the need to identify contexts that enable or hinder its success, as well as scalable and adaptable tools. Current research is fragmented, focusing
INTErGenerational intervention to Reduce fraIlTY trial (INTEGRITY)
BackgroundIt is a huge achievement that we are living longer than before but sometimes older age also comes with poorer health. Frailty, defined as having an increased vulnerability, and dementia or cognitive decline are more common at older ages and often result in heightened care requirements and transition to aged care. Approximately 12-24 percent of older adults are identified as frail, while an additional 40 percent are categorized as 'prefrail' or mildly frail, and around 10% of adults over 65 have a diagnosis of dementia.But what if we could reduce the risk of becoming frail and help to protect our brain health and thinking or cognitive skills? We know that having greater physical activity, social engagement and using our brains in cognitive activities are linked to lowering the risk of developing frailty and cognitive decline. Increasing these aspects of our day to day life may help us. A fun way to do this can be through intergenerational practice.Intergenerational practice unites different generatio
8quity: Embedding Equity in our Research Processes
Background
Global health research reflects and can either perpetuate or challenge the complex power hierarchies and inequities that characterise our health systems and the societies in which they are situated. The imperative to embed equity in health research aligns with broader efforts globally to promote equitable partnerships among researchers, and between researchers and the communities potentially impacted by their research, or with whom knowledge is co-produced.
Aim
Our primary aim is to increase the capacity of public health researchers all over the globe to enhance equity integration across their research, regardless of their design, size or location. We want to improve conceptual understandings, know how and skills in application of ethical and equity-related principles, and contribute towards growing a culture of ethical praxis in global public health research.
Research Methodology
Case Study
We will develop case studies of research projects at The George
Factors influencing lung cancer outcomes in culturally and linguistically diverse (CALD) populations
Background
Lung cancer remains the leading cause of cancer-related mortality globally and in Australia, with 8,691 deaths recorded nationally in 2023. People from culturally and linguistically diverse (CALD) backgrounds experience disproportionately poorer outcomes, yet the reasons behind these disparities are not fully understood. Given that nearly one-third of Australia's population is born overseas, and a significant proportion come from CALD backgrounds, understanding and addressing these inequities is crucial.
CALD patients often face barriers such as language difficulties, cultural insensitivity, stigma, and limited health literacy, which can hinder access to timely diagnosis and treatment. About one-third of lung cancer patients in NSW present through emergency departments, often due to delays in care or lack of continuity. Bulk-billing practices, while more accessible, can be time-constrained and less conducive to preventive care discussions, particularly for patients requiring longer
Strengthening cancer care in the Asia-Pacific region
Background
Cancer incidence is rising rapidly worldwide, with projections estimating 24 million new cases annually by 2035. Low- and middle-income countries are expected to bear over 70% of this burden, with the Asia-Pacific region (APAC) particularly affected. In 2020, APAC accounted for nearly 60% of global cancer deaths, and cancer remains the second leading cause of mortality in the region, responsible for approximately 4.5 million deaths in 2016. A significant challenge in APAC is the shortfall in radiotherapy services, with projections indicating that over 5 million cancer patients annually will require radiotherapy by 2035. Despite technological advancements, audits of radiotherapy services across the region have highlighted gaps in quality and accessibility, underscoring the urgent need for investment in infrastructure and data-driven improvements.
A key factor in enhancing radiotherapy services is the effective use of information systems, which can store and analyse crucial data on pa
Ethnicity, migration and cancer Understanding disparities in access and outcomes
Background
Cancer remains a major public health challenge in New South Wales (NSW), responsible for over 14,000 deaths in 2017. The state’s diverse population, with approximately 30% of residents born overseas, reflects the broader global trend of increased migration. Worldwide, more than 272 million people are classified as migrants, with nearly 30% being refugees or displaced individuals. Refugees, asylum seekers, and other migrants at risk face significant healthcare barriers, including financial constraints, language difficulties, and unfamiliarity with local health systems. These challenges contribute to disparities in disease detection and outcomes, particularly for conditions like cancer.Emerging research suggests that infection-related cancers are more prevalent in certain migrant populations compared to Australian-born individuals. However, due to the absence of refugee status identifiers in health datasets, these vulnerable groups remain underrepresented in cancer research and policy plan
RESist-NCD: Building resilient and people-centred health systems for non-communicable disease prevention and control in Pacific and Southeast Asian countries
The RESist-NCD Partnership
RESist-NCD comprises a comprehensive four-year program of work (2024-2028) to support governments in Fiji, Papua New Guinea, the Philippines, Vietnam and Cambodia to develop interventions for the prevention and early treatment of diabetes and hypertension (a key cardiovascular disease risk factor). The RESist-NCD consortium includes: The George Institute for Global Health; UNSW, Sydney; and the Clinton Health Access Initiative (CHAI), and embeds strong partnership with relevant interest-holders in governments, health services, academic institutions, civil society organisations, communities and international agencies in the RESist-NCD partner countries.
Our program will not only strengthen high quality, equitable diabetes and hypertension prevention, screening and management services integrated with primary health care but enhance critical health system building blocks required to support the sustainability of these services and withstand future shocks.
Backgro
Revolutionising food choices in Mexico
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 pl
Sex and gender equity in health - The evidence
Discover the importance of considering sex and gender in health and medical research through these background and reference materials.
Sex and gender reporting in Australian health and medical research publicationsLearn more
Fifth anniversary of the Sex and Gender Equity in Research guidelines: taking stock and looking aheadLearn more
Sex and gender in health research: updating policy to reflect evidenceLearn more
Sex and gender equity in health - Our research and news
Explore the impacts of the sex and gender health gap – and the solutions we’re building to close it – through a selection of our research and news.
Centre for Sex and Gender Equity in Health and Medicine confirms leadershipLearn more
Effects of environmental change on health and the critical need for sex- and gender-disaggregated dataLearn more
Theory of change for addressing sex and gender bias, invisibility and exclusion in Australian health and medical research, policy and practiceLearn more
Where is women’s healthcare in the political party manifestos?Learn more
Neglecting sex and gender in research is a public-health riskLearn more
World-class centre tackles sex and gender inequities in health and medicineLearn more
The Results: Global Women in Healthcare AwardsLearn more
Top UK biomedical research funders support first-of-its-kind sex and gender policy in major sector turning pointLearn more
Multi-country dementia study sho
Sex and gender equity in health - Our position
Delve into why we are considering the influence of sex and gender on health and medical research with our key policy reads and perspectives.
Australia has new health research gender standards – and centuries of inequity to fixLearn more
Integrating sex and gender into biomedical research requires policy and culture changeLearn more
Women’s Health: A New Global Agenda Policy PaperLearn more
A roadmap for sex- and gender-disaggregated health researchLearn more
Women’s health needs beyond sexual, reproductive, and maternal health are missing OpinionLearn more
Closing the Gender Health Gap: A Call for Sex and Gender Equity in Biomedical Research PoliciesLearn more