The Journey to R4D: An institutional history of an Australian Initiative on Food Security in Africa

Internal Revie

Supporting Special-Purpose Health Care Models via Web Interfaces

The potential of the Web, via both the Internet and intranets, to facilitate development of clinical information systems has been evident for some time. Most Web-based clinical workstations interfaces, however, provide merely a loose collection of access channels. There are numerous examples of systems for access to either patient data or clinical guidelines, but only isolated cases where clinical decision support is presented integrally with the process of patient care, in particular, in the form of active alerts and reminders based on patient data. Moreover, pressures in the health industry are increasing the need for doctors to practice in accordance with ¿best practice¿ guidelines and often to operate under novel health-care arrangements. We present the Care Plan On-Line (CPOL) system, which provides intranet-based support for the SA HealthPlus Coordinated Care model for chronic disease management. We describe the interface design rationale of CPOL and its implementation framework, which is flexible and broadly applicable to support new health care models over intranets or the Internet

Groups and communities at risk of domestic and family violence: a review and evaluation of domestic and family violence prevention and early intervention services focusing on at-risk groups and communities

A review and evaluation of domestic and family violence prevention and early intervention services focusing on at-risk groups and communities. Summary This report sets out the findings of research into domestic and family violence (DFV) prevention initiatives focused on groups and communities identified as being at greater risk of experiencing DFV and/or having difficulty accessing support services. These groups include Aboriginal and Torres Strait Islander women, women from Culturally and Linguistically Diverse Communities (CALD), people who identify as Gay, Lesbian, Bisexual, Transsexual, Intersex and Queer (GLBTIQ), young women and women in regional, rural and remote (non-urban) communitie

Spatial modelling of adaptation strategies for urban built infrastructures exposed to flood hazards

The recent 2010/2011 floods in the central and southern Queensland (Australia) prompted this research to investigate the application of geographical information system (GIS) and remote sensing in modelling the current flood risk, adaptation/coping capacity, and adaptation strategies. Identified Brisbane City as the study area, the study aimed to develop a new approach of formulating adaptation/coping strategies that will aid in addressing flood risk management issues of an urban area with intensive residential and commercial uses. Fuzzy logic was the spatial analytical tool used in the integration of flood risk components (hazard, vulnerability, and exposure) and in the generation of flood risk and adaptation capacity indices. The research shows that 875 ha, 566 ha, and 828 ha were described as areas with relatively low, relatively moderate, and relatively high risk to flooding, respectively. Identified adaptation strategies for areas classified as having relatively low (RL), relatively moderate (RM), relatively high (RH), and likely very high (LVH) adaptation/coping capacity were mitigation to recovery phases, mitigation to response phases, mitigation to preparedness phases, and mitigation phase, respectively. Integrating the results from the flood risk assessment, quantitative description of adaptation capacity, and identification of adaptation strategies, a new analytical technique identified as flood risk-adaptation capacity index-adaptation strategies (FRACIAS) linkage model was developed for this study

Children affected by domestic and family violence: a review of domestic and family violence prevention, early intervention and response services

This report sets out the findings of research into domestic and family violence prevention, early intervention and response for children aged 0–8 years in New South Wales. Executive summary The report contributes to the development of the knowledge base on DFV prevention, early intervention and response strategies and the needs of children, and supports the implementation of aspects of the National Plan to Reduce Violence Against Women and Their Children and the NSW Government’s It Stops Here: Standing Together to end Domestic and Family Violence in NSW strategy. The research had two areas of focus: synthesising the literature on the impacts of DFV on children, and on the evidence for primary prevention and early intervention strategies for children aged 0–8 years; and identifying best practice approaches for primary prevention, early intervention and response for children aged 0–8, and identifying the extent to which these needs are met within existing DVF primary prevention, early intervention, and response approaches in Australia

Evaluation of Services Our Way

An evaluation of Services Our Way, a NSW Government service model designed to build the capacity of Aboriginal people to have greater access to mainstream and disability services and encourage self-directed support. Overview Services Our Way is a NSW Government service model designed to build the capacity of Aboriginal people to have greater access to mainstream and disability services and encourage self-directed support. The Social Policy Research Centre was commissioned to evaluate the Services Our Way pilot in Nowra, New South Wales, and did so through interviews with families and service providers. Services Our Way had positive impacts on Aboriginal people with disability and their families. The program helped Aboriginal people access a range of services, meeting immediate priorities of the families. The program was successful in engaging with the Aboriginal community using a culturally appropriate approach – an approach which could be shared with other staff and services to improve the appropriateness of service delivery more broadly. Through the program, families were able to access support and services to participate in social, economic and cultural activities, that helped strengthen and support community and social relationships. The evaluation could not determine the degree to which families transitioned to mainstream services – the research found that families had urgent needs to be met prior to transitioning to other services. The Services Our Way program in Nowra was a pilot, which developed from the initial concept in response to local needs. The evaluation identifies a range of issues in providing person centred approaches to Aboriginal people with disability and their families and communities which should influence the future directions under the National Disability Insurance Scheme (NDIS).&nbsp

Toward a global coal mining moratorium? A comparative analysis of coal mining policies in the USA, China, India and Australia

To stop global warming at well below 2° C, the bulk of the world’s fossil fuel reserves will have to be left in the ground. Coal is the fossil fuel with the greatest proportion that cannot be used, and various advocacy groups are campaigning for a ban on the opening of new coal mines. Recently, both China and the USA implemented temporary moratoria on the approval of new coal mining leases. This article examines whether these coal mining bans reflect the emergence of a global norm to keep coal under the ground. To that end, we review recent coal mining policies in the four largest coal producers and explain them comparatively with a framework based on interests, ideas and institutions. We find that the norm of keeping coal in the ground remains essentially contested. Even in those countries that have introduced some form of a coal mining moratorium, the ban can easily be, or has already been, reversed. To the extent that the norm of keeping coal in the ground has momentum, it is primarily due to non-climate reasons: the Chinese moratorium was mostly an instance of industrial policy (aiming to protect Chinese coal companies and their workers from the overcapacity and low prices that are hitting the industry), while the USA’s lease restrictions were mainly motivated by concerns over fiscal justice. We do not find evidence of norm internalisation, which means that the emerging norm fails to gain much traction amid relevant national actors and other (large) coal producing states. If proponents of a moratorium succeed in framing the issue in non-climate terms, they should have a greater chance of building domestic political coalitions in favour of the norm

RESPOND – A patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a mixed methods programme evaluation.

Background Programme evaluations conducted alongside randomised controlled trials (RCTs) have potential to enhance understanding of trial outcomes. This paper describes a multi-level programme evaluation to be conducted alongside an RCT of a falls prevention programme (RESPOND). Objectives 1) To conduct a process evaluation in order to identify the degree of implementation fidelity and associated barriers and facilitators. 2) To evaluate the primary intended impact of the programme: participation in fall prevention strategies, and the factors influencing participation. 3) To identify the factors influencing RESPOND RCT outcomes: falls, fall injuries and ED re-presentations. Methods/ Design Five hundred and twenty eight community-dwelling adults aged 60–90 years presenting to two EDs with a fall will be recruited and randomly assigned to the intervention or standard care group. All RESPOND participants and RESPOND clinicians will be included in the evaluation. A mixed methods design will be used and a programme logic model will frame the evaluation. Data will be sourced from interviews, focus groups, questionnaires, clinician case notes, recruitment records, participant-completed calendars, hospital administrative datasets, and audio-recordings of intervention contacts. Quantitative data will be analysed via descriptive and inferential statistics and qualitative data will be interpreted using thematic analysis. Discussion The RESPOND programme evaluation will provide information about contextual and influencing factors related to the RCT outcomes. The results will assist researchers, clinicians, and policy makers to make decisions about future falls prevention interventions. Insights gained are likely to be transferable to preventive health programmes for a range of chronic conditions