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The George Institute for Global Health
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Rapid evidence synthesis (RES) on palmer angle tri-radius for breast cancer screening in women

Policy & Practice Report

Healthy Housing

Improving communication pathways between housing, health and social services working with Aboriginal and Torres Strait Islander and non-Aboriginal families in South East and South West SydneyBackgroundSafe and secure housing is a basic human right and a social and cultural determinant of health and wellbeing. Housing conditions, housing security and surrounding home environments all impact on people’s health and wellbeing.The Healthy Housing study arose from conversations at a Community Health Forum at La Perouse, Sydney. Aboriginal staff from a social service, Barnardos, highlighted an urgent need to address the poor housing conditions experienced by their clients living in social housing in urban Sydney and described frustration and trauma experienced navigating the social housing system. Barnardos staff expressed the impact housing has on health and wellbeing, such as asthma and other respiratory illnesses, and child injury. The community paediatrician, Aboriginal health workers and other health and soci

Scale-up of a primary care intervention for cardiovascular risk management in Indonesia

Background: The SMARThealth program has been shown to be effective in improving the use of cardiovascular disease (CVD) preventive drugs, and in lowering blood pressure levels among people at high CVD risk in pilot studies. The Malang District Health Authority has committed to fund the implementation of this program across 100 villages to provide proof-ofconcept for sustainable scale-up, in partnership with a consortium of researchers. Aims: To facilitate the process of SMARThealth scale-up in Malang District, East Java, Indonesia. To evaluate the effectiveness and costs of scale-up in the local context. To evaluate the scale-up process and thereby contribute to knowledge around expanding similar innovations globally. Methods: Phase I will comprise a nine- to 12-month development period using implementation science methods to institutionalise critical components of the intervention. Phase II will involve a six-month test of scale-up in 20 villages to allow rapid end-user dr

Scaling-up food policy interventions to reduce non-communicable diseases in the Pacific Islands

Background: The burden of non-communicable diseases (NCDs) is unacceptably high in the Pacific Island region. Increasing rates of NCDs are linked with the transition from traditional diets, based on locally-grown foods, to diets high in salt, fat and sugar from processed packaged foods. There is a need to ensure food policies are implemented successfully in order to improve the food environment and decrease the NCD burden in Pacific Island countries. Aims:  The overall goal of this five-year project is to take a comprehensive, empirical approach to understanding and strengthening the policy making process, with an emphasis on implementing, at scale, best possible policy to improve the food environment in the Pacific. The project will identify which interventions are the most feasible in the Pacific, and what factors lead to effective implementation.  Methods: The Reach, Effectiveness, Adoption, Implementation and Maintenance (REAIM) framework, together with a quasi-

GRIT: The Glomerular Disease Registry

Background: Glomerulonephritis are comprised of more than 20 different types of diseases characterised by an injury to the glomerulus (the basic filtration unit of the kidney). Although overall, these are rare diseases with a global primary incidence of 0.2 – 2.5 per 100,000 people/ year, they cause serious morbidity and high mortality and account for approximately 19% of incident ESRD cases in Australia in 2016. There has been limited advancement in the discovery of novel therapeutic agents for glomerulonephritis due to knowledge gaps of underlying glomerular disease mechanisms. International registries/biobanks for these rare diseases have shed novel insights into the epidemiology and causation of various types of glomerulonephritis especially with the advent of developments in genomics and new technologies. There has been no such network in Australia and therefore no method to comprehensively and systematically collect data, biological samples or easy identification of patients with glomerulonephr

Response to NHMRC consultation on National Statement on Ethical Conduct in Human Research

Policy & Practice Report

Support for the Data Availability and Transparency Bill 2020

Policy & Practice Report

The Online Grocery Shopping (OGS) trial – how do people shop for groceries online?

Background Australians are increasingly shopping for groceries using supermarkets’ online stores. However, we don’t know much about how people are doing their shopping online and how their purchasing habits might be affected by the information available on these online stores. Aim We are interested in understanding how purchasing choices may change depending on the information being presented. Method Over a period of approximately 4 months, we will monitor your online grocery purchases. We will do this through a web-browser extension – the Online Grocery Shopping (OGS) tool. The extension cannot capture any transaction details. Who we are looking for Adults that: Are generally healthy Have high blood pressure or are currently taking a stable dose of blood pressure medication Regularly purchase most of their groceries online and plan to continue for the duration of the study OR Would be willing to shop for their groceries online for the study We are offering

Women Leaders in Global Health (WLGH)

Background: The role of women, as primary caregivers in families, health workers and key decision makers for population health is globally understood. Approximately 38 % of India’s workforce is female; 30% of this workforce comprises nurses and midwives, alongside a cadre of close to a million strong frontline health workers, or ASHAs. At higher levels of qualification, female representation dwindles: only 16% of biomedical doctors are female; only 6% in rural areas. Women are not commonly found in very senior positions in the health domain in India, in line with global trends. In these situations nationally and globally, the south Indian state of Kerala presents a refreshingly different picture. Kerala has the highest female health workforce (64.5%) in India  and eight times the female doctor density than other Indian states like Uttar Pradesh and Bihar. Apart from having a female Health Minister, all the technical Directors – Allopathic medicine, Ayurveda, Homeopathy, and Medical Education –

Controlled evaLuation of Angiotensin Receptor Blockers for COVID-19 respIraTorY Disease (CLARITY)

Background: Angiotensin Receptor Blockers (ARBs) inhibit the Angiotensin II Type 1 Receptor (AT1R). In the non-COVID-19 setting, AT1R promotes vasoconstriction, inflammation and fibrosis, and facilitates endocytosis and cleavage of extracellular membrane-bound ACE2. ACE2 is used by SARS-CoV-2, the virus responsible for COVID-19, to gain entry into host cells and is expressed on type 2 alveolar lung cells, cardiomyocytes and renal tubular cells, among others, reflecting the clinical manifestations of severe COVID-19. ARBs may ameliorate the effects of SARS-CoV-2 infection by two mechanisms: inhibiting AT1R-dependent internalisation of ACE2, interrupting viral cellular entry reducing AT1R-dependent cleavage of ACE2, thereby restoring anti-inflammatory ACE2 activity. Aim: CLARITY aims to establish whether ARBs can shorten the duration of severe COVID-19 disease and reduce the risk of severe disease. Research Methodology: The CLARITY trial is an investigator-initiated, multicentre, int

Interventions to improve quality of care in patients with chronic obstructive pulmonary disease in primary healthcare settings: rapid policy brief

Policy & Practice Report

Implications of the cluster-containment strategy for COVID-19 control on snakebite care in India

The study results will help understand the implications of cluster-containment and control responses to inform decision-making in response to COVID-19 and future pandemics.

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