6/07/2014 . Aboriginal Health in 21st century Australia Menzies – Bridging the gap Making a Difference in Indigenous Health Professor Alan Cass Professor Alan Cass Director, Menzies School of Health Director, Menzies SchoolResearch of Health Research [email protected] [email protected] Menzies Vision To improve the health of Aboriginal and Torres Strait Islander Australians and populations across our region These improvements will be measurable and sustainable Research Divisions Where do we work? 1 6/07/2014 Global and tropical health Global and tropical health Child health Global and tropical health Research Divisions Child health Non-Indigenous Indigenous Age at birth and NAPLAN (% above national minimum standard) SA-NT Datalink preliminary data 2 6/07/2014 Child health Child Health • • • • Darwin Birth Cohort 1987 to 1989 686 babies Further NHMRC grant in 2012 • 2013 Wave 4 – 24 to 26 year olds Research Divisions Epidemiology and Health Systems • 2013 Launch of National Indigenous Cancer Network (NICaN), of which Menzies is a core partner • Encourages and supports collaboration around Indigenous cancer research • Sharing of educational resources and delivery of support services to Indigenous people with cancer, their carers and families Epidemiology and Health Systems Research Divisions 3 6/07/2014 Nutrition W&PCD Clinical Louise MapleBrown Nutrition Julie Brimblecombe Leisa McCarthy Tobacco David Thomas Business Manager Kylie Sullivan Gambling Matt Stevens Renal Gill Gorham Jaqui Hughes Alan Cass Mental health/ AOD* Tricia Nagel/ Kylie Dingwall Peter D’Abbs Researching the causes, prevention and treatment of chronic conditions, and translating the results into practical solutions Energy-dense low-cost Community engagement, capacity building and informing policy underlie what we do Nutrient-dense high-cost Brimblecombe MJA 2009 Shop@RIC A stepped wedge design project to test the impact and cost effectiveness of a store-based price reduction intervention in promoting the purchase of fruit, vegetables and low joule soft drinks/water and in reducing the purchase of sweetened soft drinks among residents in remote Aboriginal communities in the Northern Territory. §Partnership with remote community store boards, ALPA and Outback Stores §Intervention in 20 communities across NT §Provide evidence on the effectiveness and cost-effectiveness of price discounts on food and drink purchasing §Intervention in a socio-economically disadvantaged population in a real-life setting Nutrition • The Good Food Systems: a participatory CQI approach to improving food security • The RIST tool: reporting on point of sale data • Salt reduction intervention • Capacity building Clinical/ diabetes • eGFR study ü cohort 600 people across spectrum CKD/ diabetes ü Validation eGFR ü Follow-up predictors of progressive disease ü Intervention study • NT DIP Partnership Tobacco • Talking about the smokes ü 35 sites with 2522 Indigenous community members and 645 health service staff • Evaluation smoke free prisons • Use of social media in tobacco control ü Review of current models of care üDevelopment of clinical register üPANDORA – focus on short- and long-term pregnancy outcomes • DRUID follow-up study 4 6/07/2014 Mental health Alcohol/ other drugs / addictive behaviours • Aboriginal and Islander Mental health initiative (AIMhi) üDevelop a range of tools to recognise and overcome • Evaluation roll out of aromatic fuels problems causing mental illness • Evaluation of alcohol management plans üTrained service providers üDevelop online training and range of apps Renal disease • Wendy Hoy Tiwi Islands study • IKTO national workshop Oct 2013 • Renal health/ transplant documentary and development educational materials • NHMRC partnership project models of dialysis delivery address health, social and cultural needs of people living in remote communities • Evaluation renal disease prevention and treatment services across NT and CA region • Top End, CA, FNQ and WA collaboration renal research 5