Menzies. Aboriginal Health in 21st century 6/07/2014. Menzies Vision. Research Divisions. Where do we work? Making a Difference in Indigenous Health

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1 . 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 alan.cass@menzies.edu.au alan.cass@menzies.edu.au 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 Where do we work? 1

2 Non-Indigenous Indigenous Age at birth and NAPLAN (% above national minimum standard) SA-NT Datalink preliminary data 2

3 Child Health Darwin Birth Cohort 1987 to babies Further NHMRC grant in Wave 4 24 to 26 year olds 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 3

4 W&PCD Julie Brimblecombe Leisa McCarthy Gambling Matt Stevens Clinical Louise Maple- Brown Business Manager Kylie Sullivan Renal Gill Gorham Jaqui Hughes Alan Cass Tobacco David Thomas 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 Community engagement, capacity building and informing policy underlie what we do Energy-dense low-cost 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 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 cohort 600 people across spectrum CKD/ diabetes Validation egfr Follow-up predictors of progressive disease Intervention study NT DIP Partnership Tobacco Talking about the smokes 35 sites with 2522 Indigenous community members and 645 health service staff Evaluation smoke free prisons Use of social media in tobacco control Review of current models of care Development of clinical register PANDORA focus on short- and long-term pregnancy outcomes DRUID follow-up study 4

5 Mental health Alcohol/ other drugs / addictive behaviours Aboriginal and Islander Mental health initiative (AIMhi) Develop a range of tools to recognise and overcome problems causing mental illness Trained service providers Develop online training and range of apps Evaluation roll out of aromatic fuels Evaluation of alcohol management plans 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