ANUMATI 2.0: Adolescent resilience-building in urban slums – A multifaceted implementation trial of life skills education in India
Background Adolescence is a period of rapid physical, mental and social change that can be stressful, and which might have an adverse impact on the mental wellbeing of adolescents. Stress and depression in young people are highly correlated with other non-communicable disease (NCD) risk factors such as smoking, alcohol and substance use and physical activity. Adolescents, especially older ones (15-19 years) experience many key transitions such as developing intimate relationships with peers and increasing responsibility in decision-making. Successfully navigating these transitions can reduce stress and NCD risk factors and have a lasting impact on the quality of life right into adulthood. Aim To evaluate the feasibility, clinical effectiveness and cost-effectiveness of two community-based implementation strategies for life skills education among older adolescents with or at high risk of depression.Research MethodologyA life skills education program will be developed to promote physica
The Resilience Collaborative 2024: Enhancing healthcare worker resilience by co-developing evidence-based solutions for scale (RECONNECTIONS)
BackgroundThe Resilience Collaborative (TRC) is a global learning community that aims to promote healthcare worker resilience, as part of supporting their wellbeing, preventing burnout, improving quality of care in low-resource settings.TRC was launched by the Johnson & Johnson Center for Health Worker Innovation in 2021 to support health workers and the organisations that care about them. As part of the TRC’s evolution, The George Institute for Global Health has taken on the role of the host organisation for this global community of practice since May 2023.AimThe goal is to advance equitable quality of care by prioritising the wellbeing and resilience of healthcare workers (HCWs) and the systems they support, through leadership development and capacity building. To advance learning and drive adoption of evidence-based strategies for health worker resilience and sustain the shared ownership and partnership, The George Institute as the host organisation has drafted an impact pathway that addresses effort
Submission to the Australian Government consultation on Australia’s draft ninth periodic report under Article 18 of the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW)
Policy & Practice Report
ASHVINS: Managing Depression in Cancer Patients in India
BackgroundDepression has a prevalence of around 30% in patients with cancer. Research shows that managing comorbid depression can be beneficial for overall care of cancer. But in India, there is no systematic identification or treatment of comorbid depression in such cases. Even in tertiary care centres, depression is managed only if patients express florid symptoms, and routine screening is not done. The effect of not treating depression both on the health of the individual and the economic impact on the health system can be quite significant as it reduces treatment adherence, increases emergency visits and hospital admissions, and prolongs illness.Monitoring mood fluctuations and linking them with stressors, both those related to cancer or those related to psychosocial issues, are key components of integrated cancer care. Strategies to increase awareness about one’s mental health status through self-monitoring and facilitate contact with mental health professionals using an algorithm-based referral system
Review of the Food Standards Australia New Zealand Act 1991 (the Act) submission on the impact analysis
Policy & Practice Report
COHESION-I: Implementation of the COmmunity HEalth System InnovatiON project in low- and middle-income countries
BackgroundCOHESION-I, a unique collaborative research initiative, is being implemented across Peru, Mozambique, Nepal, and India. Its primary focus is on understanding and enhancing the responsiveness of health systems. In India, the project takes a distinct approach, targeting the rural communities in the states of Telangana and Chhattisgarh. It will engage local communities in co-designing and implementing strategies to improve access to and utilisation of primary health care services provided by the public health system.The COHESION-I project aims to comprehensively understand primary healthcare responses for tracer conditions such as hypertension and diabetes mellitus for non-communicable diseases (NCDs) and lymphatic filariasis for neglected tropical diseases (NTDs). This research is crucial as it addresses pressing health challenges in low-resource settings, emphasising community engagement and participatory approaches. By focusing on national priorities such as improving primary health care and address
The RENAL LIFECYCLE Trial: Assessing the effect of dapagliflozin on patients with severe chronic kidney disease
BackgroundSGLT2 inhibitors are a relatively new class of agents, originally developed as oral antihyperglycemic drugs. SGLT2 inhibitors are clinically available since 2012 for the treatment of patients with diabetes mellitus type 2. Later, SGLT2 inhibitors appeared to also have specific reno- and cardioprotective effects. Notably, the trials that have been performed thus far have excluded patients with an eGFR below 25 mL/min/1.73m2 at inclusion, prevalent dialysis patients, and kidney transplant recipients. These patients are at greater risk of developing kidney failure requiring dialysis, cardiovascular complications and mortality, however currently there are only a few proven effective therapies for these conditions. There is emerging evidence from experimental studies and post hoc-analyses of randomised clinical trials that SGLT2 inhibitors may also be effective in preventing cardiovascular and mortality outcomes in patients with severe CKD, including patients receiving dialysis or living with a
Preparing for the future of the Health Star Rating (HSR) System
Policy & Practice Report
Feasibility study on options to limit unhealthy food marketing to children
Policy & Practice Report
Submission to inquiry into Australia’s response to the priorities of Pacific Island countries and the Pacific region
Policy & Practice Report
Food and Water for Life: working with indigenous communities to improve food and water security
BackgroundFood and water insecurity are critical factors contributing to poor nutrition and impacting planetary health. When communities lack access to an adequate and diverse food supply or clean water, they often resort to consuming nutritionally deficient options, leading to malnutrition and its associated health issues.By tackling these interconnected challenges, we can improve nutrition outcomes and safeguard the health of both people and the planet.AimThe overall goal of this five-year program is to mobilise communities and support them to transform local food systems.With a focus on remote communities in Australia, the Pacific Islands and India, this program will support communities to measure the impact of community-led initiatives to strengthen food and water security.Research Methodology:The program will the Household Food Insecurity Access Index Scale (HFIAS) and the Household Water Security Index Scale (HWISE) which are internationally recognised tools, to measure food and water security in commun
Submission to the House of Lords Committee on Food, Diet and Obesity Call for Evidence on Food, Diet and Obesity
Policy & Practice Report
