PMSEIC Working Group on Aboriginal & Torres Strait Islander health ...
PMSEIC Working Group on Aboriginal & Torres Strait Islander health ...
PMSEIC Working Group on Aboriginal & Torres Strait Islander health ...
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<str<strong>on</strong>g>PMSEIC</str<strong>on</strong>g> <str<strong>on</strong>g>Working</str<strong>on</strong>g> <str<strong>on</strong>g>Group</str<strong>on</strong>g> <strong>on</strong> <strong>Aboriginal</strong> &<br />
<strong>Torres</strong> <strong>Strait</strong> <strong>Islander</strong> <strong>health</strong><br />
focussing <strong>on</strong> maternal, fetal and post-natal <strong>health</strong><br />
Presenters: Professors Michael Good (Chair) & Cindy Shann<strong>on</strong> (Deputy Chair)
<str<strong>on</strong>g>Working</str<strong>on</strong>g> <str<strong>on</strong>g>Group</str<strong>on</strong>g> Members<br />
• Prof Michael Good (Chair)<br />
Nati<strong>on</strong>al Health and Medical Research Council<br />
Queensland Institute of Medical Research<br />
• Prof Cindy Shann<strong>on</strong> (Deputy Chair)<br />
University of Queensland<br />
• Prof J<strong>on</strong>athan Carapetis<br />
Menzies School of Health Research<br />
• Assoc Prof Gail Garvey<br />
Queensland Institute of Medical Research<br />
• Prof Caroline McMillen<br />
University of South Australia<br />
• Dr Sue Sayers<br />
Menzies School of Health Research<br />
• Dr Tarun Weeramanthri<br />
Former NT Dept of Health and Community Services<br />
• Prof Emma Whitelaw<br />
Queensland Institute of Medical Research<br />
• Dr Tim Williams<br />
Comm<strong>on</strong>wealth Dept of Health and Ageing
The <strong>health</strong> of the adult begins in the womb
Maternal & Infant Mortality<br />
Maternal - per 100,000<br />
50<br />
45<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Maternal<br />
•Indigenous<br />
Infant<br />
•N<strong>on</strong>-Indigenous<br />
Infant - per 1,000
Risks<br />
• Smoking<br />
• Teen pregnancy<br />
• Lack of antenatal<br />
care<br />
• Nutriti<strong>on</strong> & anaemia<br />
•Infecti<strong>on</strong><br />
• Alcohol & drugs
Healthy fast food
Healthy fast food
Grocery Item<br />
Food costs<br />
Community Store<br />
(Remote QLD)<br />
Supermarket<br />
(Brisbane)<br />
Stir Fry Veg $7.99 $1.25<br />
Grapes $7.45 $2.50<br />
Coleslaw $4.59 $1.55<br />
Cucumber $5.76 $4.48<br />
Milk $6.62 $3.19<br />
Cheese $5.62 $4.75<br />
Mince $8.00 $8.00<br />
Baked Beans $1.54 $0.49<br />
Party pies $4.75 $3.95<br />
Pizza $3.78 $3.08<br />
TOTAL $56.10 $33.24
Nurturing
Low birth weight<br />
World regi<strong>on</strong>s<br />
% of infants<br />
(less than 2,500g)<br />
N<strong>on</strong>-Indigenous Australians 6.1<br />
Industrialised countries 7<br />
<strong>Aboriginal</strong> & <strong>Torres</strong> <strong>Strait</strong><br />
<strong>Islander</strong>s<br />
13<br />
Developing Countries 16<br />
Least developed countries 19<br />
World 15
Fetal Alcohol<br />
Syndrome<br />
Up to 54% Indigenous women<br />
drank alcohol while pregnant
Cycle of disease
State of play<br />
Risk factors<br />
• Evidence underutilised by service<br />
providers in Indigenous <strong>health</strong><br />
Service delivery<br />
• Gaps in evidence for Indigenous<br />
communities
Applicati<strong>on</strong> of<br />
Evidence<br />
• Apply what exists<br />
• Address research gaps<br />
• Build <strong>on</strong> existing work<br />
& capacity
Gaps in evidence<br />
Behavioural risk factors<br />
Service factors<br />
Parenting and infant nutriti<strong>on</strong><br />
Prec<strong>on</strong>cepti<strong>on</strong><br />
Pregnancy<br />
BIRTHH<br />
Early<br />
childhood
Research needed<br />
• Causal pathways<br />
• Interventi<strong>on</strong>al studies<br />
• Policy & practice<br />
research
Research principles<br />
• Evidence-based<br />
approach<br />
• Unique c<strong>on</strong>siderati<strong>on</strong>s<br />
– Methodologies<br />
–C<strong>on</strong>sultati<strong>on</strong><br />
– Capacity Building
Capacity building<br />
• Individual researcher<br />
• Research team<br />
• <strong>Aboriginal</strong> & <strong>Torres</strong><br />
<strong>Strait</strong> <strong>Islander</strong> communities<br />
• Research Instituti<strong>on</strong>s<br />
Dr Mark Mayo
Summary<br />
• Importance of <strong>health</strong><br />
of mothers & babies<br />
•Gaps in evidence<br />
• Lack of capacity<br />
• More nati<strong>on</strong>al<br />
approach
C<strong>on</strong>clusi<strong>on</strong>
Recommendati<strong>on</strong>s<br />
Immediate Acti<strong>on</strong><br />
Virtual Centre<br />
C<strong>on</strong>sultati<strong>on</strong>
Immediate Acti<strong>on</strong>
Immediate Acti<strong>on</strong>
Virtual Centre<br />
Quality Research<br />
Translati<strong>on</strong><br />
Capacity Building<br />
IMPROVED HEALTH
C<strong>on</strong>sultati<strong>on</strong><br />
COMMUNITIES<br />
GOVERNMENTS<br />
VIRTUAL<br />
CENTRE<br />
RESEARCHERS<br />
SERVICE<br />
PROVIDERS
Questi<strong>on</strong>s
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