Primary Health Reform – Response to the Recommendations by The George Institute
Policy & Practice Report
Submission to the Senate inquiry on definitions of meat and other animal products
Policy & Practice Report
Food is Medicine: developing a Medically-Tailored Meal (MTM) program to tackle type 2 diabetes and heart disease in Australia
Eating an unhealthy diet is a leading risk factor for chronic diseases worldwide. Innovative new programs to improve the diet of millions of Australians at high risk of heart disease, such as those with high blood pressure and type 2 diabetes (T2D), have tremendous potential to save lives and reduce healthcare costs.
‘Food is medicine’ programs aim to integrate healthy food provision into the health care system for the prevention, management, and treatment of disease, especially for food-insecure patients and other vulnerable groups. A particularly promising approach is Medically tailored meals (MTM), whereby doctors ‘prescribe’ evidence-based pre-prepared healthy meals for patients. Prescribing healthy meals offers patients a new way of accessing the foods they need and for many disadvantaged patients with chronic diseases this will also make healthy foods more affordable.
Aim
We will test whether provision of MTM is a feasible and effective way of improving T2D management and reducing
The George Institute and partners call for recognition of unheard voices at the UN Food Systems Summit
Policy & Practice Report
Understanding the economics of Tuberculosis (TB) patients in the private sector
Background
Despite free treatment offered by the government, the private sector plays a significant role in Tuberculosis (TB) treatment in India. The reasons for availing private facilities are dissatisfaction with public sector services, non-availability of public facilities in the neighbourhood, long waiting time etc. A literature review identified that only three studies (covered total of 102 patients) estimated the cost for the TB patients treated in the private sector. Two studies considered only multi-drug resistant TB patients, the third one collected out of pocket expenses data from a convenient sample of 32 drug susceptible TB patients. Therefore, there is a clear dearth of data on the economic burden of TB in the private sector in India.
Aim
The national strategic plan for TB (2017-2025) stated its intention to extend the umbrella of high-quality TB care and control to those treated in the private sector, highlighting private sector engagement (PPE) as an important strategy to eliminate TB.
Community Action for Health in India (CAHI): from the National Rural Health Mission to Universal Health Coverage
Background
The Civil Society Engagement Mechanism for UHC2030 is a global movement advancing citizen engagement, mobilising collective action and political commitment, and is acting as a platform to forge greater collaborations globally for Universal Health Coverage (UHC). With this mandate, the CSEM is interested in understanding lessons in social and community participation in health in various contexts across the world. India has globally been among the champions of community participation in health inspiring global commitments on health equity such as the Alma Ata Declaration on Health for All. The public mobilisation on the Health for All agenda in 2000 by Jan Swasthya Abhiyan (JSA) is a watershed in the history of social movements in India. The advocacy efforts of the JSA, Medico Friends Circle and a range of individuals and collectives from the civil society influenced the emergence and evolution of India’s National Rural Health Mission (NRHM) in 2005. The NRHM is notable on account of nationally
Prioritisation of snakebite in the World Health Organization
Background
Snakebite is a neglected tropical disease, with an estimated 138,000 deaths in a year globally, most of it in South Asia and Africa. In 2018, 31 countries unanimously passed a resolution to develop a roadmap to address the burden of snakebite in the 71st World Health Assembly. Consequently in 2019, the World Health Organization (WHO) developed a strategy to address snakebite and bring down its burden to 50% by 2030. The prioritisation of snakebite as a global health issue in the WHO is expected to lead to development of national and regional-level strategies as well as provision of funding across the world. However there is no research to understand how and why snakebite was prioritised in the WHO.
Aim
To understand how and why did snakebite became a priority in WHO leading to the development of the 71st WHA resolution to develop a roadmap to address its burden in 2018 and the subsequent development of the strategy in 2019?
Research Methodology
The study will use a case-study approac
Antibiotics for preventing wound infections after snakebite
Background
Snakebite is a public health problem in South Asia, Africa and South America, leading to at least 138,000 deaths and 8,076,000 disability-adjusted life years, being lost every year. A lot of focus of research on snakebite is focussed on anti-venom with other adjunct therapies mostly neglected. Wound infections in snakebite patients are an important problem for clinicians with some studies reporting infection rates up to 70%. There is considerable clinical equipoise on the routing use of antibiotics for preventing infection in snakebite wounds. While some clinical practice guidelines (of poor quality) recommend against using antibiotics routinely, many clinicians continue to use it prophylactically citing concerns about infection. An overview of systematic review conducted by researchers in The George Institute for Global Health, India and published in 2020 in PloS Neglected Tropical Diseases found that there are systematic reviews on wound infections for snakebite.
Aim
To assess the effect
INTERventions to Correct Errors and Protect children Through child restraintS (Intercept): Task Analysis
Background
When used correctly, child car restraint systems are highly effective in reducing death and injury among children involved in car crashes.1 However, incorrect use of restraints is a widespread and long-standing unsolved problem affecting more than 50% of children travelling in cars.2 To date, work has focused on ensuring correct use of child restraints at the time of installation. However, ongoing information is required to ensure children are correctly restrained as they grow, as the type of restraint used changes. This study will explore the skills, knowledge, and motivation that parents require in the on-going correct use of child restraints.
1. Du W, Finch CF, Hayen A, Bilston L, Brown J, Hatfield J. Relative benefits of population-level interventions targeting restraint-use in child car passengers. Pediatrics. 2010;125(2):304-12.
2. Brown J, Hatfield J, Du W, Finch CF, Bilston LE. The characteristics of incorrect restraint use among children traveling in cars. Traffic Injury Preventi
INTERCEPTinG: INTERventions to Correct Errors and Protect children Through child restraints - Group discussion
Background
When used correctly, child car restraint systems are highly effective in reducing death and injury among children involved in car crashes.1 However, incorrect use of restraints is a widespread and long-standing unsolved problem affecting more than 50% of children travelling in cars.2 Ongoing correct use requires caregivers to correctly install the restraint in every vehicle in which the child travels, and ensure the child is correctly secured within the restraint on every trip. This impacts every child in Australia, who by law must use a dedicated restraint at least until age 7. For children ≥7 years, parents can choose the Australian Standard-certified restraint that best suits their child, such as seat belts or a booster seat.
To date, work has focused on ensuring correct use of child restraints at the time of installation. However, ongoing information is required to ensure children are correctly restrained as they grow, as the type of restraint used changes. These include challenges ensu
ImPaCt Study - Evaluating the effectiveness of consumer-driven product Information to Promote Correct use of child restraint systems in cars
Background
When used correctly, child car restraint systems are highly effective in reducing death and injury among children involved in car crashes.1 However, incorrect use of restraints is a widespread and long-standing unsolved problem affecting more than 50% of children travelling in cars.2 To date, work has focused on ensuring correct use of child restraints at the time of installation. This study will compare how different types of product information impact correct use of child car seats.
1. Du W, Finch CF, Hayen A, Bilston L, Brown J, Hatfield J. Relative benefits of population-level interventions targeting restraint-use in child car passengers. Pediatrics. 2010;125(2):304-12.
2. Brown J, Hatfield J, Du W, Finch CF, Bilston LE. The characteristics of incorrect restraint use among children traveling in cars. Traffic Injury Prevention. 2010 11(4):391-8
Aim
This research aims to examine the effectiveness of new guidelines developed by child car seat manufactures (based off consumer design
Randomised controlled trials in India: a systematic mapping
Background
Evidence from randomised controlled trials (RCTs) is vital for enabling healthcare providers and policymakers to make informed decisions about healthcare. RCTs are considered the ‘gold standard’ for evaluating the effectiveness of interventions because they represent the highest level of evidence due to the ability to control bias at multiple levels.
The applicability and generalisability of evidence generated in other parts of the world to India has limitations. As such high quality RCTs are required to improve clinical care and build a culture of evidence-based medicines. With resources being limited there is a need to prioritise funding decisions. To inform research prioritisation and science policy related to clinical trials there is a need to understand the landscape of existing randomised controlled trials.
Aim
To systematically map randomised controlled trials (RCTs) from India
Method
We will identify published RCTs conducted among Indians, irrespective of the type of i