PHTM - Tropical Health


Patricia Graves

Patricia Graves

Dave Sellars

Dave Sellars

Richard Bradbury

Richard Bradbury

Treatment as Prevention in Correctional Facilities in Southern Africa (TasP Prisons) (Old ID 22496)
Steph Topp
01 Aug 2015 - 31 Dec 2017
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)
Steph Topp
01 Jul 2018 - 31 Dec 2018
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)
Steph Topp
01 Jun 2022 - 31 May 2023
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)
Steph Topp
01 Jan 2019 - 31 Dec 2019
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)
Steph Topp
01 Oct 2015 - 31 Mar 2018
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)
Steph Topp
01 Jan 2020 - 30 Dec 2024
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)
Steph Topp
01 Jan 2020 - 31 Dec 2021
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)
Steph Topp
15 Jun 2022 - 15 Dec 2022
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.
Securing the frontline for health secure communities (Old ID 26522)
Tammy Allen
01 Aug 2020 - 31 Dec 2023
The aim is to build capacity to detect/respond to infectious disease outbreaks through frontline public health (human and animal) workforce which includes community members, volunteers, community health workers, environmental health workers, biosecurity and environmental officers and primary health care staff. This will be achieved through: Strengthened capability at community/primary care levels to anticipate outbreaks; Improved response at early stages of potential outbreaks; A quality timely and thorough response to outbreaks at the frontline level ; An operational learning and feedback process for continued improvement and currency of detection of and response to infectious diseases outbreaks.
Parasitic Disease Wastewater Surveillance to Inform Public Health Action in Remote Northern Queensland
Richard Bradbury
15 Nov 2024 - 30 Nov 2027
Intestinal parasites are chronic preventable infectious disease of poverty which disproportionately affects Aboriginal and Torres Strait Islander communities in northern Australia. Public Health Surveillance for these diseases is time consuming costly, difficult and intrusive, requiring faecal and blood testing of community members. This project will validate and pilot the use of wastewater testing for the surveillance of important intestinal parasites, including strongyloidiasis, whipworm, giardiasis, and amoebic dysentery infecting people in north Queensland. The use of wastewater sampling will augment the capacity for public health surveillance by facilitating time and cost-efficient parasitic disease surveillance simultaneously in multiple communities.
Reseracher: Richard Bradbury (Associate Professor, Tropical Public Health and Medicine)
Start Date: 01 Jan 2003
End Date: 01 Jan 2010
Reseracher: Richard Bradbury (Associate Professor, Tropical Public Health and Medicine)
Start Date: 01 Jan 1995
End Date: 01 Jan 1997
Reseracher: Dave Sellars (Senior Lecturer - Environmental Health)
End Date: 01 Jan 1993
Reseracher: Dave Sellars (Senior Lecturer - Environmental Health)
End Date: 01 Jan 2006
Reseracher: Steph Topp (Professor)
Start Date: 01 Jan 2019
Start Date: 01 Jan 2018