scholarly journals The Well Person's Health Check: a population screening program in indigenous communities in north Queensland

2002 ◽  
Vol 25 (6) ◽  
pp. 136 ◽  
Author(s):  
Geoffrey Miller ◽  
Robyn McDermott ◽  
Brad McCulloch ◽  
Dympna Leonard ◽  
Kerry Arabena ◽  
...  
Keyword(s):  
Screening Program ◽  
Large Population ◽  
Indigenous Communities ◽  
Health Check ◽  
Indigenous Australians ◽  
Remote Communities ◽  
Community Based ◽  
Health Strategy ◽  
Sexually Transmissible Infections ◽  
High Prevalence

The National Indigenous Australians Sexual Health Strategy 1996-97 to 1998-99 provided the impetus and resources to assess the health of the large population of Aboriginal and Torres Strait Islander people living in rural and remote communities in northern Queensland, Australia. This paper describes the development, implementation and results of a community based screening program designed to detect and treat sexually transmissible infections and a range of non-communicable conditions and attendant risk factors. The Well Person's Health Check, conducted between March 1998 and December 2000,demonstrated a high prevalence of largely preventable health problems and initiated the development of a sustainable early detection strategy for the region.

scholarly journals Western Australia’s Remote Indigenous Communities: A Case Against Closures and a Call For New Governance

AJIL Unbound ◽  
2015 ◽  
Vol 109 ◽  
pp. 209-214 ◽  
Author(s):  
Asta Hill
Keyword(s):  
Western Australia ◽  
Aboriginal People ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
New Governance ◽  
Remote Communities ◽  
Aboriginal Communities ◽  
The Government

In the late 1970s thousands of Indigenous Australians initiated a movement back to the ancestral lands they had been removed from during the assimilationist era. Less than 50 years since their return to country, Aboriginal people living in Western Australia’s (WA) remote communities are again grappling with their impending redispossession. Wa Premier Colin Barnett’s announcement late last year was panic inducing: It is a problem that I do not want and the government does not want, but it is a reality. There are something like 274 Aboriginal communities in Western Australia—I think 150 or so of those are in the Kimberley itself—and they are not viable. They are not viable and they are not sustainable . . . I am foreshadowing that a number of communities are inevitably going to close.

Could point-of-care testing be effective for reducing the prevalence of trichomoniasis in remote Aboriginal communities?

Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 370
Author(s):  
Ben B. Hui ◽  
James Ward ◽  
Louise Causer ◽  
Rebecca J. Guy ◽  
Matthew G. Law ◽  
...  
Keyword(s):  
Mathematical Modelling ◽  
Older Women ◽  
Point Of Care ◽  
Indigenous Communities ◽  
Treatment Programs ◽  
Point Of Care Testing ◽  
Aboriginal Communities ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
The Impact

High prevalence of trichomoniasis is reported for many remote Indigenous communities despite intensive screening and treatment programs. Mathematical modelling has previously been used to show that point-of-care (POC) testing for gonorrhoea and chlamydia has the potential to increase the impact of screening in reducing the prevalence of these sexually transmissible infections. The study was extended to estimate the impact of a rapid POC test for trichomoniasis. The results suggest that POC testing in place of conventional testing will also provide additional reductions in trichomoniasis prevalence. However, more emphasis should be placed on testing for trichomoniasis in older women due to the high prevalence observed in this group.

scholarly journals Early presentation of symptomatic individuals is critical in controlling sexually transmissible infections

Sexual Health ◽  
2015 ◽  
Vol 12 (3) ◽  
pp. 181 ◽  
Author(s):  
Christopher K. Fairley ◽  
Eric P. F. Chow ◽  
Jane S. Hocking
Keyword(s):  
Access To Health Care ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Health Seeking ◽  
Australian Population ◽  
Sexual Risks ◽  
Early Presentation ◽  
Access To Health ◽  
Sexually Transmissible Infections ◽  
General Australian Population

Two papers in this issue by Williams et al. and Scott et al. describe the sexual risks and health-seeking behaviour of young Indigenous Australians. Their sexual risks and health-seeking behaviours are similar to the general Australian population, yet their risk of past sexually transmissible infections (STIs) is higher. These findings are consistent with previous findings and suggest that access to health care, and not sexual risk, remain critical to STI control in remote Indigenous communities.

scholarly journals Challenges of WASH in remote Australian Indigenous communities

2019 ◽  
Vol 9 (3) ◽  
pp. 429-437 ◽  
Author(s):  
Nina Lansbury Hall
Keyword(s):  
Drinking Water ◽  
Wastewater Treatment ◽  
Indigenous Communities ◽  
Well Being ◽  
Indigenous Australians ◽  
Remote Communities ◽  
Hygiene Practices ◽  
Sanitation And Hygiene ◽  
The Status ◽  
Access And Quality

Abstract Health and well-being are influenced by access and quality to safe drinking water, wastewater treatment, and hygiene practices and settings. This is recognised in the United Nations' Sustainable Development Goals for water and health. As a signatory to the UN Goals, Australia has a commitment to ensure the access and quality of these resources is attained for all, including Indigenous Australians living in remote communities. This research sought to identify the status of water, sanitation and hygiene services within remote communities on mainland Australia. Interviews were conducted with representatives of organisations providing water, sanitation and/or hygiene to communities. The quality and access of WASH services in remote Indigenous communities were revealed in this research as lacking at times in many communities. The qualitative results indicate that drinking water supplies can be contaminated by microbes or naturally occurring chemicals, wastewater treatment can be poorly maintained with irregular monitoring, and the health of residents is negatively impacted by crowding in houses, which affects residents' ability to maintain healthy hygiene levels of people, clothing, bedding and infrastructure. Effective responses require a collaborative and systemic approach by the respective government agencies responsible that effectively partner with – and adequately fund – Indigenous communities to provide options that are ‘fit for purpose, place and people’.

An analysis of reporting of sexually transmissible infections in indigenous Australians in mainstream Australian newspapers

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 9 ◽  
Author(s):  
Sandra C. Thompson ◽  
Stephanie K. Green ◽  
E. Jessamy Stirling ◽  
Ross James
Keyword(s):  
Effective Action ◽  
Media Coverage ◽  
Print Media ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Journalism Education ◽  
Sexually Transmissible Infections ◽  
Control And Prevention ◽  
The Subject ◽  
The Voice

Background: To investigate the nature of, and trends in, Australian print media coverage of sexually transmissible infections (STI) in indigenous Australians. Methods: Newspaper articles from January 1986 to June 2004 were downloaded from the Factiva database. Of 164 articles examined based on our search criteria, 100 were included for analysis. An assessment of the tone and content of each article was made by two reviewers, and data were entered and analysed using EpiInfo (Centers for Disease Control and Prevention, Atlanta, GA) Results: Most articles were serious (89%), matter of fact and information dense (50%) and critical of the subject of the article (44%). Of the articles that were emotive, 78% evoked a sense of shock or frustration. The stimulus for the article was government related in 65%; a purely academic opinion was presented in 82%; and only one viewpoint was presented in 73%. The papers publishing the greatest number of articles were The Sydney Morning Herald (31%) and The Age (18%). From 1996 there was an increase in the number of articles and improvements in the voice given to indigenous informants. This may reflect initiatives in journalism education and release of a protocol on how STI in indigenous communities should be reported. Conclusion: Overall, the style of reporting was heavy, dry and critical, written in an academic style and failed to critically examine or challenge government initiatives. The potential for print media to educate the general public is poorly utilised. Further exploration of how sensitive indigenous issues can be presented to avoid stereotyping, stigma and nihilism, while initiating more effective action, is needed.

Development of community based Alcohol and Other Drug (AOD) workers in remote Indigenous communities in the Northern Territory

1999 ◽  
Vol 11 (2) ◽  
pp. 72-80
Author(s):  
Carol Atkinson ◽  
Janice Jessen
Keyword(s):  
Community Development ◽  
Development Process ◽  
Substance Misuse ◽  
Early Stage ◽  
Indigenous Communities ◽  
Northern Territory ◽  
Residential Facility ◽  
Health Clinic ◽  
Remote Communities ◽  
Community Based

AbstractThe aim of this paper is to document community development initiatives undertaken to address substance misuse issues in remote Indigenous communities in the Northern Territory (NT). This paper is describing work in progress that primarily focuses on the early stage of an evolving community development process to provide alcohol and drug services, particularly in the “treatment” domain, in remote NT communities. Treatment in this context refers to counselling and various support and caring activities, which can take place in a variety of settings, such as a residential facility, a health clinic, a women's or community drop-in centre. The context is community development as the paper explores options to address a community defined need to have effective alcohol and other drug programs available to people living in remote communities.

scholarly journals Developer/Adapter Method: A Community-Based Approach to Improve Health in Indigenous Communities

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Janet E. McElhaney ◽  
Joyce Helmer ◽  
Marion CE Briggs ◽  
Melissa K Andrew ◽  
Katherine S McGilton ◽  
...  
Keyword(s):  
First Nations ◽  
Research Method ◽  
Indigenous Communities ◽  
Practice Change ◽  
Remote Communities ◽  
Policy And Practice ◽  
Community Based ◽  
Northern Ontario ◽  
Age In Place ◽  
Timely Access

The purpose of this paper is to provide a narrative of our experience with community-driven change using our “Developer/Adapter” research method in Northern Ontario, Canada, so it can be explored in other First Nations contexts. The goal of our currently funded research is to identify community solutions and knowledge and implement community-developed interventions to better support older Indigenous persons, especially those in rural and remote communities, to “age in place” and remain independent in the community through timely access to relevant care. Our Developer/Adapter research method was developed in response to the community-identified need for self-determination to overcome the limitations of traditional Western approaches and effectively plan and execute change in Indigenous communities. Our approach commits to supporting a self- determining voice for Indigenous people and working collaboratively to develop wholistic care interventions. We believe this approach can generate compelling data for policy and practice change in both Canada and Australia.

scholarly journals Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand

2021 ◽  
Vol 18 (17) ◽  
pp. 9390
Author(s):  
Boworn Klongnoi ◽  
Vanvisa Sresumatchai ◽  
Siribang-on Piboonniyom Khovidhunkit ◽  
Pornpoj Fuangtharnthip ◽  
Rachatawan Leelarungsun ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Screening ◽  
Oral Cancer ◽  
Screening Program ◽  
Large Population ◽  
Community Based ◽  
Screening Programs ◽  
Pilot Model ◽  
Cancer Screening Program ◽  
Oral Cancer Screening

Management of advanced-stage oral cancer adds a great burden to individuals and health care systems. Community-based oral cancer screening can be beneficial in early detection and treatment. In this study, a novel oral cancer screening program was conducted utilizing an existing network of health care personnel, facilities, and digital database management for efficient coverage of a large population. The screening program considered 392,396 individuals aged ≥40 from four northeastern provinces in Thailand. Three levels of screening were performed: S1 by village healthcare volunteers to identify risk groups, S2 by dental auxiliaries to visually identify abnormal oral lesions, and S3 by dentists for final diagnosis and management. A total of 349,318 individuals were interviewed for S1, and 192,688 were identified as a risk group. For S2, 88,201 individuals appeared, and 2969 were further referred. Out of 1779 individuals who appeared for S3, oral potentially malignant disorders (OPMDs) were identified in 544, non-OPMDs in 1047, doubtful lesions in 52, and no results in 136 individuals. Final treatment was carried out in 704 individuals that included biopsies of 504 lesions, exhibiting 25 cancerous lesions and 298 OPMDs. This study is so far one of the largest oral cancer screening programs conducted in Thailand and showed effective implementation of community-based oral cancer screening.

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