PHTM - Tropical Health
Patricia Graves
- Adjunct Professorial Research Fellow
- patricia.graves@jcu.edu.au
Dave Sellars
- Senior Lecturer - Environmental Health
- david.sellars@jcu.edu.au
Kris McBain-Rigg
- Senior Lecturer
- kris.mcbain@jcu.edu.au
John Grundy
- Senior Lecturer
- john.grundy@jcu.edu.au
Steph Topp
- Professor
- stephanie.topp@jcu.edu.au
Thu Nguyen
- Research Fellow
- thu.nguyen@jcu.edu.au
Treatment as Prevention in Correctional Facilities in Southern Africa (TasP Prisons) (Old ID 22496)
Limited data from Southern Africa suggest that concentration of HIV-infected individuals and high-risk sexual behaviours in correctional facilities may be driving HIV transmission in incarcerated populations. Despite the implications of incarceration - related HIV transmission on individual and public health, little evidence exists to guide implementation of HIV prevention strategies in these settings. One such strategy, Treatment as Prevention (TasP), offers promise to: (1) prevent HIV transmission among incarcerated men having sex with men and people who use drugs; and (2) improve inmate health and tuberculosis control. In this project we will implement TasP in three correctional facilities - one in Zambia and two in South Africa - and evaluate TasP implementation as a strategy to coordinate the HIV care continuum and assure appropriate TB assessment among HIV-infected inmates.
Governance and accountability: the experience of Aboriginal Health Workers (Old ID 25066)
This program will form a foundational component of Dr. Topp’s long term vision to develop a JCU-based health systems governance research program focussing on Australia’s remote and rural health workforce. The proposed project encompasses the first empirical study on AHW governance in Australia, leveraging collaborations with key industry stakeholders in the tropical north. Outcomes, both publications and established industry relationships, will form the basis for future competitive grant applications that extend Dr. Topp’s research expertise and presence, including by opening up new opportunities for collaborations with international colleagues working in the health system governance and accountability domain.
The impact of emergency care workforce policy on health equity: a comparative analysis (Old ID 27833)
The purpose of this proposal is to develop a cross-country comparative research study on the linkages between emergency care workforce policy and health equity. The activities sponsored by this grant will facilitate the development of a comparative study to be submitted to the Canadian Institutes of Health Research on multi-stakeholder perspectives on the impact of emergency care workforce policy on health equity in Canada, Australia, Rwanda, and South Africa. This proposal uniquely brings together a team with complimentary skills in health policy and systems research, emergency medicine and epidemiology, perspectives that are each essential to unpacking emergency care workforce policy.
Rhetoric to Reality: how the governance of Aboriginal and Torres Strait Islander Health Workers impacts chronic disease prevention and care in Northern Australia (Old ID 26266)
This project will explore the governance arrangements that shape the work practices of Aboriginal and Torres Strait Islander Health Workers (A&TSIHW) in two government services in far North Queensland and the Northern Territory respectively. As the first systematic work relating to A&TSIHW governance the project aims to characterize both the formal and informal rules and norms that influence A&TSIHW roles, and develop new insights into the influence of different geographic, social and administrative structures on A&TSIHW performance. The outcomes are expected to support efforts to strengthen Indigenous health workforce planning across Northern Australia.
Differentiated care for improved health systems efficiency and health outcomes in Zambia (Efficient Health) (Old ID 22391)
Over the last decade, successful roll out of antiretroviral theraph (ART) for HIV infected individuals in Zambia has resulted in over 600,000 adults and children accessing treatment. However, continued scale-up of treatment services is severely straining already overburdened health centres and hospitals. Working with the Government of the Republic of Zambia, this project will conduct formative and operations research to build a body of evidence on the needs for preferences perceptions and feasibility of further decentralised, community-based ART services.
Health system governance and tuberculosis control in the Torres Strait: an institutional analysis (Old ID 26306)
Using institutional analysis, the project will address a gap in knowledge regarding the nature and robustness of health system governance for tuberculosis (TB) control in the Torres Strait Protected Zone. The Torres Strait Protected Zone is an area of strategic public health importance due to high rates of TB and multi-drug resistant TB and proximity to Papua New Guinea where the disease is endemic. The project will identify and characterise the role(s) of different stakeholders and evaluate the formal and informal rules that drive TB-related decisions in this unique cross-border region. In doing so, it will deliver critical insights into the resilience and adaptive capacity of health system responses to TB, and produce recommendations to strengthen governance capabilities to counter existing and emerging communicable disease threats.
Who’s steering the ship? A case comparison of the governance of Aboriginal and Torres Strait Islander Health Workers across Northern Australia (Old ID 26650)
Using a qualitative cross-case design, this project will expand on current Queensland-based work to address this gap in knowledge by exploring the governance arrangements that shape the work practices of A&TSIHW across both Queensland and the Northern Territory. Continuing the first systematic work relating to A&TSIHW governance carried out in Queensland as part of a 2019 with Hot North support, this project will: a) extend the project scope and characterize both the formal and informal rules and norms that influence A&TSIHW roles in the Top End Health Service of the NT, and b) through cross-case analysis of QLD and NT data, develop new insights into the influence of different geographic, social and administrative structures on A&TSIHW performance. The outcomes are expected to support efforts to strengthen Indigenous health workforce planning across Northern Australia.
North Queensland Aboriginal and Torres Strait Islander Sexually Transmissable Infections Action Plan 2016-2021 - Synthesis of Key Learnings. (Old ID 27708)
The project will undertake a synthesis of key learnings of the North Queensland Aboriginal and Torres Strait Islander Sexually Transmissible Infections (STIs) Action Plan 2016-2021and related initiatives and available evidence base to inform the development, through place-based, co-design processes, of sustainable sexual health models to manage the risk of STIs to First Nations people in Northern Queensland. The project will also undertake an epidemiological analysis of STIs in Northern Queensland and develop an an evaluation framework that can be applied to the development, implementation and evaluation of sustainable sexual health models to manage the risk of STIs to First Nations people in Northern Queensland.
Sexual and Reproductive Health Co-design with Pacific Island Nation Farm Workers
Collaborating with CQU researcher Dr Haylee Fox to undertake co-design sessions in rural North Queensland with Pacific Island Farm Workers
Lowitja Foundation Grant in Support of PhD Candidate Jenifer Darr
PhD Candidate Ms Jenifer Darr received funding from the Lowitja Institute to conduct her research project on CQI in Aboriginal Community Controlled Services in Australia.
Indigenous Health: burden or opportunity?
- 2006
- Australasian Medical Publishing Company
- Researchers:Kris McBain-Rigg
Cultural barriers to health care for Aboriginal and Torres Strait Islanders in Mount Isa
- 2011
- Wiley-Blackwell
- Researchers:Kris McBain-Rigg
The challenges of remote area medical education
- 2011
- Australasian Medical Publishing Company
- Researchers:Kris McBain-Rigg
Who cares?: Aboriginal and Torres Strait Islander health care choices and access barriers in Mount Isa
- 2011
- Researchers:Kris McBain-Rigg
Start Date:
01 Jan 2017
End Date:
01 Jan 2019
Title:
Education Committee
Start Date:
01 Jan 2017
End Date:
01 Jan 2019
Start Date:
01 Jan 2017
End Date:
01 Jan 2019
Start Date:
01 Jan 2016
End Date:
01 Jan 2017
Start Date:
01 Jan 2019
End Date:
01 Jan 2023
Start Date:
01 Jan 2016
End Date:
01 Jan 1993
Title:
GCertMgt(QldHealth), QUT
End Date:
01 Jan 2006
Title:
Overall Discipline Winner, Award for Research Excellence, Public Health and Tropical Medicine
Start Date:
01 Jan 2020
Start Date:
01 Jan 2020