scholarly journals More than just numbers! Perceptions of remote area nurse staffing in Northern Territory Government health clinics

2019 ◽  
Author(s):  
Terry Dunbar ◽  
Lisa Bourke ◽  
Lorna Murakami‐Gold
Keyword(s):  
Nurse Staffing ◽  
Northern Territory ◽  
Remote Area ◽  
Government Health ◽  
Health Clinics ◽  
Territory Government ◽  
Remote Area Nurse

scholarly journals PARACETAMOL DISPENSING PRACTICE OF GOVERNMENT HEALTH CLINICS POST INFANTS’ VACCINATION IN MALAYSIA

2019 ◽  
pp. 33-39
Author(s):  
NURAIN SULEIMAN ◽  
SITI HADIJAH SHAMSUDIN ◽  
RAZMAN MOHD RUS ◽  
SAMSUL DRAMAN
Keyword(s):  
Data Collection ◽  
Positive Association ◽  
Future Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Total Period ◽  
Government Health ◽  
Health Clinics ◽  
Potential Risk Factors ◽  
Collection Form

Objective: This study obtained information on Paracetamol (PCM) Dispensing Practice of Government Health Clinics (GHC) post infants’ vaccination in Malaysia as well as identify its possible factors. Methods: This descriptive cross-sectional retrospective study (with convenient sampling) using a data collection form (DCF) to collect data. The pharmacist who is the representative of the GHC filled the DCF. Potential risk factors were evaluated by Pearson chi-square tests (expected count<5 is<20%) for an independent sample. Results: A total number of 254 samples were collected all over Malaysia within the period of data collection, but only 248 that met inclusion criteria. The PCM dispensing practice of GHC in Malaysia for a total period of 3 y back (from 2015-2017), tend not to give PCM post immunization with respect to age of the upon vaccination and types of vaccination, conversely for gender. Trends of PCM dispensing practice were increasing for “Not Give PCM” with respect to gender, age of the baby upon vaccination, and types of vaccination from 2015 till 2017. The PCM dispensing practice had no association with no statistically significant value (p=0.804) on genders and a weak positive association with statistically significant value (p<0.05 each) on age of the baby (≤ 1year) upon vaccination and types of vaccination. Conclusion: Future research which may include the actual practice in which practices of prescribers or mother may be conducted in determining more accurate data on the giving PCM post infant’s vaccination.

THE MEREENIE LEASE NEGOTIATIONS IN THE AMADEUS BASIN-AN HISTORICAL PERSPECTIVE

1999 ◽  
Vol 39 (1) ◽  
pp. 562
Author(s):  
R. Liddle
Keyword(s):  
Historical Perspective ◽  
Joint Venture ◽  
Oil And Gas ◽  
South Australia ◽  
Land Rights ◽  
Northern Territory ◽  
Power Station ◽  
Channel Island ◽  
Central Australia ◽  
Territory Government

Following the discovery of oil and gas, the Mereenie Joint Venture (MJV) applied for a production lease in November 1973. However, the Aboriginal Land Rights Act NT 1976 came into operation in January 1977 and the MJV was thereby required to negotiate with the Central Land Council in order to be granted the lease. The CLC was reluctant to proceed with negotiations because of the difficulty of identifying traditional owners. After 22 communications with the Council, the MJV grew impatient and the Northern Territory Government advised them to engage the author to assist in expediting the negotiations. After an intense period from March to November 1979 in which the traditional owners were identified and some violent exchanges occurred, agreement was reached on the financial terms. The Mereenie lease, which was the first petroleum lease on Aboriginal land, was granted on 18 November 1981. At present oil is piped to Brewer Estate in Alice Springs and then transported by rail to Port Stanvac in South Australia. Gas is transported to the Channel Island Power Station near Darwin via a 1,485 km pipeline. Aboriginal traditional owners receive royalty payments from all petroleum produced from Mereenie, in addition to sharing a 10% statutory royalty under the NT petroleum ordinance. The Mereenie agreement stands as a precursor to all agreements on Aboriginal land in central Australia.

HIV-1 Infection in Patients Referred for Malaria Blood Smears at Government Health Clinics in Uganda

2007 ◽  
Vol 46 (5) ◽  
pp. 624-630 ◽  
Author(s):  
Lisa M Bebell ◽  
Anne Gasasira ◽  
Moses Kiggundu ◽  
Christian Dokomajilar ◽  
Moses R Kamya ◽  
...  
Keyword(s):  
Government Health ◽  
Health Clinics ◽  
Blood Smears ◽  
Hiv 1

Representatives in orbit: livelihood options for Aboriginal people in the administration of the Australian desert

2011 ◽  
Vol 33 (4) ◽  
pp. 385 ◽  
Author(s):  
Elizabeth Ganter
Keyword(s):  
Aboriginal People ◽  
Northern Territory ◽  
Publicly Funded ◽  
Public Servants ◽  
Livelihood Options ◽  
Government Bureaucracy ◽  
The Government ◽  
Territory Government ◽  
Numeric Representation ◽  
High Degree

Aboriginal people comprise ~30% of the Northern Territory population, but make up well under 10% of the government bureaucracy designed to serve that population. This paper is based on PhD research into Aboriginal experiences of participating in this bureaucracy. Interviews were conducted in 2007 with 76 people of Aboriginal and/or Torres Strait Islander background who had worked in the Northern Territory Government since self-government in 1978. The process of recruiting interviewees revealed a high degree of career mobility between government and the Indigenous sector of publicly funded organisations which operates at arm’s length from government. This finding was quite pronounced in the desert centre of Alice Springs, at the periphery of the Northern Territory administration, where those who were encouraged as a livelihood option to build Aborigines’ numeric representation in government were unable to represent their people in more substantive ways without coming into tension either with the terms of their employment or with their communities. The paper explores the ways in which Aboriginal public servants sought substantively to represent others and the phenomenon whereby many who sought representative roles in the government of the desert were in orbit and thus neither inside nor outside but somewhere at the edges of government. The paper concludes by observing that the knowledge and experience of Aboriginal people who orbit at the edges of government may be made more accessible through collaborations with the Indigenous sector than solely through government employment.

scholarly journals The remote area nurse model of consultation

2015 ◽  
Vol 4 (2) ◽  
pp. 149 ◽  
Author(s):  
Sue Lenthall ◽  
Sabina Knight ◽  
Sally Foxley ◽  
Vicki Gordon ◽  
Terrie Ivanhoe ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Care Facilities ◽  
Remote Area ◽  
Remote Areas ◽  
Building Trust ◽  
Care Facilities ◽  
Consultation Model ◽  
Episodes Of Care ◽  
Remote Area Nurse

<p>Registered nurses working in remote areas of Australia are often called remote area nurses (RANs). RANs have traditionally used models of client consultation designed for acute presentations and episodes of care. However, presentations to health care facilities in remote Australia are more likely to be chronic, complex, multi-system and multifactorial in origin and subsequent management. This paper describes a consultation model developed from a combination of expert opinion, literature and trial and feedback from RANs. The model is comprehensive, systematic and puts the person at the centre of care. It aims to mitigate risk for the client; the RAN and the health service while at the same time building trust and health literacy between the client and the RAN to encourage the client to continue with the partnership in care.</p>

scholarly journals Transforming Customary Title to Individual Title: Revisiting the Cathedral

2006 ◽  
Vol 11 (1) ◽  
pp. 63
Author(s):  
Samantha Hepburn
Keyword(s):  
United States ◽  
New Zealand ◽  
Complex Network ◽  
Land Rights ◽  
Indigenous Communities ◽  
The United States ◽  
Northern Territory ◽  
Cultural Foundations ◽  
Territory Government

<p>At the date of writing, the proposed amendments to the Aboriginal Land Rights Act 1976 (NT) endorsing the transfer of customary ownership to the Northern Territory government in exchange for a re-grant of a sub-lease, had not yet been passed. This article examines the rationalisations underlying this proposed change and the broader implications for customary ownership. Individuated title cannot accurately encompass the cultural foundations of indigenous ownership because it is sourced in a different ontological perspective. It is argued that the transformation of customary ownership into individual title will destroy its unique communal foundation, dislocate indigenous ‘tenants’ from their customary identity and produce a complex network of fractionalised interests. It is argued that such a shift is ultimately a retrograde step which, as experience in the United States and New Zealand has clearly shown, cannot provide an economic solution for remote indigenous communities.</p>

scholarly journals Doctors' perceived barriers and enablers of deprescribing among elderly patients in government health clinics in Northeast Penang Island District (NPID): A qualitative study

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Vijitha Rajendran ◽  
Balamurugan Tangiisuran
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Inappropriate Medication ◽  
Perceived Barriers ◽  
Saturation Point ◽  
Face To Face ◽  
Psychological Barriers ◽  
Government Health ◽  
Barriers And Enablers ◽  
Health Clinics

Deprescribing has been identified as the most appropriate way to reduce polypharmacy. Deprescribing is the process of withdrawal of inappropriate medication, supervised by a health care professional with the goal of managing polypharmacy and improving outcomes. The objective of this study is to explore the doctors’ perspectives on the barriers and enablers of deprescribing among geriatrics in government health clinics of NPID. A qualitative study was undertaken using the semi-structured, face-to-face interview in 8 government health clinics in NPID. Interviews were recorded with permission and transcribed verbatim. Transcripts were read at least 3 times until themes were identified. Themes were identified with iterative building of a coding list until all data was accounted for. Interviews continued until saturation of ideas occurred. A thematic analysis was applied to identify themes related to deprescribing barriers or enablers. Interview was sought from 55 doctors, but only 15 responded. A saturation point was attained after interviewing 11 GPs. From the interview, 9 themes related to barriers, and 14 themes related to enablers of deprescribing were generated. The 9 barriers fall into 3 main categories, namely patients' factors, prescribers' factors, and health care system/processes. The 14 enablers fall 2 into 4 main categories, viz. prescriber deprescribing competencies, medication-specific outcomes, availability of empirical evidences, and pharmacist's role. Psychological barriers were the major barriers to deprescribing while prescribers’ deprescribing competencies were found to be the major enablers to deprescribing in geriatrics. Therefore, understanding the doctors’ perspectives on the barriers and enablers of deprescribing is crucial.

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