Tobacco control practices among Aboriginal health professionals in Western Australia

2009 ◽  
Vol 15 (2) ◽  
pp. 152 ◽  
Author(s):  
Albert (Sonny) A. G. Pilkington ◽  
Owen B. J. Carter ◽  
Alexander S. Cameron ◽  
Sandra C. Thompson
Keyword(s):  
Smoking Cessation ◽  
Aboriginal People ◽  
Health Workers ◽  
Aboriginal Health ◽  
Current Smoking ◽  
Attitudes And Practices ◽  
Telephone Interviews ◽  
Knowledge Attitudes And Practices ◽  
Major Impediment ◽  
Do So

Smoking among Aboriginal people is extremely widespread (50 v. 17% of the general population). Aboriginal Health Workers (AHW) are at the vanguard of tackling this problem but many themselves smoke and little is known of their knowledge, attitudes and practices regarding smoking cessation. Structured telephone interviews were conducted with 36 AHW, including 31% current smokers, 31% ex-smokers and 38% non-smokers, to assess their current smoking cessation practices and knowledge of health risks, nicotine dependence, cessation strategies and pharmacotherapies. AHW considered diabetes, alcohol use and heart disease more problematic than smoking among Aboriginal people. Fear of appearing hypocritical stopped many who smoke from discussing smoking cessation with clients but also stopped some non-smoking AHW whose colleagues or family smoked. Cultural concerns about telling others ‘what to do’ was also a major impediment. Knowledge of the health effects of smoking was good, but knowledge of appropriate advice around cessation pharmacotherapies was suboptimal. AHW trained in smoking cessation were more knowledgeable and active in smoking cessation, but most AHW had received no training, despite being keen to do so. Specific smoking cessation training is sought and appears needed by AHW, particularly in the areas of brief interventions, motivational interviewing, dependence assessment and pharmacotherapies.

scholarly journals Community Health Workers’ knowledge, attitudes and practices about malaria prevention in Gicumbi District, Rwanda

2016 ◽  
Vol 3 (1) ◽  
pp. 27
Author(s):  
Amos Habimana ◽  
Alexis Harerimana ◽  
Domina Asingizwe ◽  
Theogene Nyandwi ◽  
Kato J. Njunwa
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Malaria Prevention ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Keepin Ya Mob Healthy: Aboriginal Community Participation and Aboriginal Health Worker Training in Victoria

2001 ◽  
Vol 7 (1) ◽  
pp. 116 ◽  
Author(s):  
Karen Adams ◽  
Merilyn Spratling
Keyword(s):  
Training Program ◽  
Health Worker ◽  
Aboriginal People ◽  
Health Workers ◽  
Aboriginal Health ◽  
Successful Implementation ◽  
Community Consultation ◽  
Worker Training ◽  
Health Worker Training ◽  
Aboriginal Health Worker

This article outlines the development of accredited Aboriginal Health Worker training in Victoria. The processes of community consultation are presented as the primary reason for the successful implementation of the training program in its first year of delivery. The most important community consultation processes involved the active input of Elders and Aboriginal Health Workers. The training was seen as more credible by other Koorie people because of the input of these groups. The supportive role played by both the State and Commonwealth governments as well as industry groups are also explored. The successful implementation of the Aboriginal Health Worker training program demonstrates that Aboriginal people know what is best for them and can effectively initiate, organise and deliver their own culturally appropriate training programs.

Ngu-ng-gi-la-nha (to exchange) knowledge. How is Aboriginal and Torres Strait Islander people's empowerment being upheld and reported in smoking cessation interventions during pregnancy: a systematic review

2019 ◽  
Vol 25 (5) ◽  
pp. 395
Author(s):  
Michelle Bovill ◽  
Catherine Chamberlain ◽  
Yael Bar-Zeev ◽  
Maree Gruppetta ◽  
Gillian S. Gould
Keyword(s):  
Systematic Review ◽  
Smoking Cessation ◽  
Capacity Building ◽  
Assessment Tool ◽  
Aboriginal People ◽  
Grey Literature ◽  
Aboriginal Health ◽  
Community Empowerment ◽  
Aboriginal Women ◽  
The Government

Smoking during pregnancy is a national priority to improve Aboriginal health. Empowerment approaches underpin the priorities set by the government to improve Aboriginal health and wellbeing; however, empowerment is seldom evaluated within interventions for Aboriginal people. Literature was searched to April 2018 and data was extracted using an assessment tool with domains of individual and community empowerment in smoking cessation during pregnancy studies with Aboriginal women. Three interventions were found in published and grey literature. Elements of individual empowerment were embedded in all interventions. Interventions considered barriers for Aboriginal women to quit smoking and areas for capacity building. Interventions used health education resources. There was limited reporting of community empowerment domains. Aboriginal ethics and capacity building was the only criterium addressed by all studies. Interventions are incorporating individual empowerment, but seldom report community empowerment. The development of reporting guidelines or extensions of current guidelines would be beneficial to set a consistently high standard reporting across Aboriginal health interventions, similar to the work conducted to develop the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Equity (PRISMA-E) for health equity in systematic review reporting. Reporting empowerment domains would reflect the government priority of empowerment to improve Aboriginal health, as well as enhancing knowledge translation into practice.

61. GP PERSPECTIVES ON PARTNER NOTIFICATION FOR CHLAMYDIA

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 308
Author(s):  
N. Pavlin ◽  
R. Parker ◽  
C. A. Hopkins ◽  
M. J. Temple-Smith ◽  
C. K. Fairley ◽  
...  
Keyword(s):  
Financial Incentives ◽  
Health Workers ◽  
Partner Notification ◽  
Aboriginal Health ◽  
Index Patient ◽  
Role Of Government ◽  
Practice Nurses ◽  
Telephone Interviews ◽  
Computer Based ◽  
Privacy And Confidentiality

As part of a larger, combined qualitative-quantitative study of partner notification, 40 semi-structured in-depth telephone interviews were conducted with General Practitioners (GPs), from Victoria, ACT and Queensland, who had diagnosed at least one case of chlamydia in the last year. Rural doctors and those who had experience working with Aboriginal patients were over-sampled to ensure their views were represented in the study. The interviews explored GPs' current practices with regard to partner notification for chlamydia, barriers they perceived to partner notification for chlamydia in the general practice setting and what resources/incentives they felt would improve partner notification for chlamydia. The GPs in our study primarily ask the index patient to carry out partner notification themselves. It was relatively rare for GPs to have experience of notifying partners on the patient's behalf. Half of the GPs report that they only encourage notification of the patient's current/immediate past partners. There was considerable confusion amongst the GPs interviewed as to the role of government partner notification officers. Many thought that support from a government agency would allow partner notification to occur more effectively. Some were under the impression that this process is automatically activated when they 'notify' that they have diagnosed someone with chlamydia. Some of the main barriers perceived include confusion about issues of privacy and confidentiality with regard to partner notification and the sense that there is a lack of clarity as to what is expected of them in terms of partner notification for chlamydia. Most GPs feel that access to decision support tools and clear guidelines would be helpful. Financial incentives for doing partner notification were seen as particularly important to fund allied health workers' time rather than to pay GPs themselves e.g. for practice nurses and Aboriginal health workers. GPs were enthusiastic about computer based resources to aid in partner notification

Patient, staffing and health centre factors associated with annual testing for sexually transmissible infections in remote primary health centres

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 274 ◽  
Author(s):  
Belinda Hengel ◽  
Handan Wand ◽  
James Ward ◽  
Alice Rumbold ◽  
Linda Garton ◽  
...  
Keyword(s):  
Aboriginal People ◽  
Health Workers ◽  
Health Centre ◽  
Randomised Trial ◽  
Laboratory Data ◽  
Aboriginal Health ◽  
Guideline Recommendation ◽  
Cluster Randomised Trial ◽  
Factors Associated ◽  
Sexually Transmissible Infections

Background: In high-incidence Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) settings, annual re-testing is an important public health strategy. Using baseline laboratory data (2009–10) from a cluster randomised trial in 67 remote Aboriginal communities, the extent of re-testing was determined, along with the associated patient, staffing and health centre factors. Methods: Annual testing was defined as re-testing in 9–15 months (guideline recommendation) and a broader time period of 5–15 months following an initial negative CT/NG test. Random effects logistic regression was used to determine factors associated with re-testing. Results: Of 10 559 individuals aged ≥16 years with an initial negative CT/NG test (median age = 25 years), 20.3% had a re-test in 9–15 months (23.6% females vs 15.4% males, P < 0.001) and 35.2% in 5–15 months (40.9% females vs 26.5% males, P < 0.001). Factors independently associated with re-testing in 9–15 months in both males and females were: younger age (16–19, 20–24 years); and attending a centre that sees predominantly (>90%) Aboriginal people. Additional factors independently associated with re-testing for females were: being aged 25–29 years, attending a centre that used electronic medical records, and for males, attending a health centre that employed Aboriginal health workers and more male staff. Conclusions: Approximately 20% of people were re-tested within 9–15 months. Re-testing was more common in younger individuals. Findings highlight the importance of recall systems, Aboriginal health workers and male staff to facilitate annual re-testing. Further initiatives may be needed to increase re-testing.

scholarly journals Assessing Knowledge, Attitudes, and Practices of Healthcare Workers regarding Biomedical Waste Management at Biyem-Assi District Hospital, Yaounde: A Cross-Sectional Analytical Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sylvain Honoré Woromogo ◽  
Gwladys Guetsé Djeukang ◽  
Félicité Emma Yagata Moussa ◽  
Jesse Saint Saba Antaon ◽  
Kingsley Ngah Kort ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Health Workers ◽  
District Hospital ◽  
Cross Sectional ◽  
Biomedical Waste ◽  
Attitudes And Practices ◽  
Good Level ◽  
Research Activities ◽  
Level Of Knowledge ◽  
Knowledge Attitudes And Practices

Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (56.0%). Overall, the level of knowledge was satisfactory at 50.0%, that of attitudes was as unfavorable at 83.0%, and that of practices was as poor at 50.0%. Favorable attitudes were associated to satisfactory level of knowledge (ORa = 5.14 [3.10–8.51] and p=0.005). Good practices were associated to good level of knowledge (ORa = 5.26 [3.17–8.7] and p<0.001) and a favorable attitude (ORa = 7.30 [2.25–23, 71] and p<0.001). Conclusion. The level of knowledge was considered unsatisfactory for half of the staff interviewed. Attitudes were unfavourable at 83.0% and poor practices at 50.0%. Staff with a good level of knowledge were more likely to have favourable attitudes towards BWM. Also, good knowledge and attitude positively influenced the practice with regard to BMW management.

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