+publisher:"University of New South Wales" +contributor:("Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW")

University of New South Wales

1. Pandey, Pushpa Lata. Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.

Degree: Public Health & Community Medicine, 2019, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true

► Adolescent-friendly health services (AFHS) are considered key to addressing the sexual and reproductive health (SRH) of adolescents. Since 2009 Nepal has been integrating AFHS into… (more)

▼ Adolescent-friendly health services (AFHS) are considered key to addressing the sexual and reproductive health (SRH) of adolescents. Since 2009 Nepal has been integrating AFHS into its public health facilities. Despite much attention, and attempts to scale up AFHS, utilisation remains suboptimal. This thesis, therefore, aims to understand the factors contributing to adolescents’ utilisation of AFHS in Nepal.Based on an interpretive research framework, a qualitative case study methodology was employed to understand the utilisation of AFHS. Health service utilisation was assessed through record review and via observations of health facilities, which results were compared with national standards criteria. A social constructionist lens and principles of grounded theory guided my understanding of adolescents’ experience and the factors associated with their accessing SRH services from AFHS; the meaning of AFHS for adolescents; health care providers’ attitudes towards adolescents seeking SRH services; and community perceptions and readiness to accept AFHS. A total of 16 interviews and six focus group discussions with adolescents (n=49), nine interviews with health care providers, and 13 interviews with key informants were conducted. Thematic analysis was applied in the data analysis.The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents, and health care providers’ poor value clarification. For example, health care providers had taken on a policing role in prescribing adolescents’ conformity. In describing their ideal AFHS setting, adolescents spoke about maintaining privacy and confidentiality, and dignified SRH services. In stark comparison, the overriding community perception was to ascribe abstinence-only education from these health facilities. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFHS in Nepal. The recommendations offered can potentially strengthen policy, program and services to improve AFHS, together with creating an enabling and supportive environment for adolescents to access SRH services. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Sexual and reproductive health; Adolescents; Adolescent friendly health services; Nepal

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APA (6^th Edition):

Pandey, P. L. (2019). Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Pandey, Pushpa Lata. “Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.” 2019. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Pandey, Pushpa Lata. “Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal.” 2019. Web. 15 Jan 2021.

Vancouver:

Pandey PL. Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. [Internet] [Doctoral dissertation]. University of New South Wales; 2019. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true.

Council of Science Editors:

Pandey PL. Utilisation of sexual and reproductive health services from adolescent friendly health services in Nepal. [Doctoral Dissertation]. University of New South Wales; 2019. Available from: http://handle.unsw.edu.au/1959.4/63285 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:60121/SOURCE02?view=true

University of New South Wales

2. Lowbridge, Christopher. Informing the control of communicable diseases.

Degree: Public Health & Community Medicine, 2014, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/53822 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12535/SOURCE02?view=true

► Epidemiology provides a foundation for evidence based communicable disease control policy and practice. This thesis contains four discreet epidemiological studies, each utilising different methods and… (more)

▼ Epidemiology provides a foundation for evidence based communicable disease control policy and practice. This thesis contains four discreet epidemiological studies, each utilising different methods and data sources to inform the relevant areas ofcommunicable disease control in Australia.The first study is a descriptive epidemiological review of Q fever notifications in NSW between 2001 and 2010. Results showed that the overall incidence of Q fever has decreased significantly since the implementation of a Q fever control program in NSW in 2002. Despite an overall reduction, the epidemiology has changed with a shift of disease burden towards older age groups and a higher proportion of female cases. Thefindings illustrate the need for ongoing surveillance and targeting of disease control measures including vaccination.The second study investigated long term trends in the epidemiology of invasive pneumococcal disease, following the introduction of universal conjugate pneumococcal vaccination in Australia in 2005. The study demonstrates a large reduction in all invasive pneumococcal disease across young vaccinated cohorts and older nonvaccinated cohorts. The overall reduction in disease is however offset by replacement with non-vaccine serotypes, highlighting the need for improved vaccines protecting against emergent serotypes, and the need for ongoing vigilant disease surveillance.The third study reports vaccination coverage and timeliness in Aboriginal and Torres Strait Islander Australians, using data from the Australian Childhood Immunisation Register. The study identifies a gap between Aboriginal and Torres Strait Islander and non-Indigenous children with regard to vaccination coverage and timeliness. The results highlight the need for targeted strategies to improve timely uptake of vaccinationamongst Aboriginal and Torres Strait Islander Australians.The final study uses disease surveillance data to identify factors associated with delayed diagnosis and treatment of tuberculosis in NSW. This study highlights the role and value of conducting enhanced epidemiological analysis of routine notifiable disease surveillance data to inform complex issues within a disease control program.The work included in this thesis highlights the value of epidemiology as applied to public health practice. By using a range of epidemiological techniques and several key public health datasets, each study demonstrates the contribution of epidemiology ininforming evidence based public health policy. Advisors/Committee Members: Ferson, Mark, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Policy; Epidemiology; Communicable Disease; Public Health

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APA (6^th Edition):

Lowbridge, C. (2014). Informing the control of communicable diseases. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/53822 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12535/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Lowbridge, Christopher. “Informing the control of communicable diseases.” 2014. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/53822 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12535/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Lowbridge, Christopher. “Informing the control of communicable diseases.” 2014. Web. 15 Jan 2021.

Vancouver:

Lowbridge C. Informing the control of communicable diseases. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/53822 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12535/SOURCE02?view=true.

Council of Science Editors:

Lowbridge C. Informing the control of communicable diseases. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/53822 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:12535/SOURCE02?view=true

University of New South Wales

3. Mark, Andrew. Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?.

Degree: Community Medicine, 2016, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/56264 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40406/SOURCE02?view=true

► Exposure to secondhand tobacco smoke (SHS) is a risk factor for illness and disease. Most studies and legislation have focussed on SHS in indoor settings.… (more)

▼ Exposure to secondhand tobacco smoke (SHS) is a risk factor for illness and disease. Most studies and legislation have focussed on SHS in indoor settings. However, research increasingly demonstrates exposure to SHS is measurable in outdoor locations and potentially harmful. This has resulted in interest in establishing policy and legislation for smoke-free outdoor areas (SFOA). This study aimed to examine the proportion of NSW councils with SFOA policy and to explore the enablers and barriers to councils introducing SFOA policy. In addition, we explored whether the diffusion of innovation theory explained the uptake of SFOA policy by councils.In 2011, a survey of NSW Council staff members was undertaken to examine the existence and specifics of SFOA policy, and enablers and barriers associated with its introduction. The perceived usefulness of a resource kit was also measured. Eighty-five (57%) NSW councils had SFOA policy, with playgrounds (99%) most likely to be covered. More urban councils (79.5%) had SFOA policy compared to rural councils (33%). The most frequently cited enabler was direct advocacy letters, followed by having a champion councillor or council staff member. The most commonly mentioned barrier was a lack of resources to implement the policy. Cost of implementing the policy varied between councils, with the average cost being $18,747. Uncertainty of how the policy would be enforced was another barrier to adoption. However, most councils reported the policy was self-regulated by the community, rather than enforced with infringement notices. Of participants that had seen the SFOA resource kit over 80% indicated that it was useful. We found that urban councils more readily adopted SFOA policy, with advocacy and support from NGOs being important elements increasing the likelihood of policy being introduced. It appears that urban councils are more likely to be innovators or early adopters in the introduction of SFOA policy. With this in mind, public health advocates in other jurisdictions may work with such councils in the early stages of similar projects to accelerate the adoption of public health and tobacco control policies. Strategies that support rural councils also need to be implemented to address disparities in policy introduction. Advisors/Committee Members: Richmond, Robyn, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Advocacy; Smoke-free Outdoor Areas; Tobacco Control; Diffusion of Innovations

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APA (6^th Edition):

Mark, A. (2016). Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?. (Masters Thesis). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/56264 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40406/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Mark, Andrew. “Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?.” 2016. Masters Thesis, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/56264 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40406/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Mark, Andrew. “Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?.” 2016. Web. 15 Jan 2021.

Vancouver:

Mark A. Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?. [Internet] [Masters thesis]. University of New South Wales; 2016. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/56264 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40406/SOURCE02?view=true.

Council of Science Editors:

Mark A. Smoke-free outdoor areas: Can tobacco control advocacy with local government be effective?. [Masters Thesis]. University of New South Wales; 2016. Available from: http://handle.unsw.edu.au/1959.4/56264 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:40406/SOURCE02?view=true

University of New South Wales

4. Dawson, Greer. Extending the epidemiological imagintion through qualitative research.

Degree: Community Medicine, 2017, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/57402 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:43366/SOURCE02?view=true

► In this thesis I present four discrete yet methodologically congruent pieces of research. These works challenge traditional conceptualisations of epidemiology as a purely quantitative science… (more)

▼ In this thesis I present four discrete yet methodologically congruent pieces of research. These works challenge traditional conceptualisations of epidemiology as a purely quantitative science by presenting insights derived from qualitative research. Collectively I use these studies as a basis from which to argue for greater recognition of the contribution of qualitative methods, highlighting the opportunity they provide to ‘extend our epidemiological imaginations’ by exploring and responding to population and public health issues in new and innovative ways.The first study addresses the epidemiological challenge of suboptimal bowel screening participation in New South Wales (NSW) by exploring the factors that influence decisions to screen. In this study the qualitative paradigm facilitated an understanding of how knowledge and awareness of bowel cancer and screening contributed to perceived risk and susceptibility, subsequently motivating intention to screen. The second study examines the role of General Practitioners (GPs) in promoting bowel screening participation to patients. The qualitative approach used here offered insight into how GPs conceptualise asymptomatic population screening, and the impact of these perceptions on their approach to recommending screening to patients.The third study is based on an evaluation of a policy directive mandating the delivery of smoking cessation brief interventions in public oral health services in NSW. In this study the use of qualitative methods helped elucidate the range of factors (from the personal to the contextual) that may affect the translation of health policy and health promotion activities in the clinical setting.The fourth study is drawn from an evaluation of the NSW influenza surveillance system, undertaken to inform system strengthening. Here, adopting a qualitative approach enabled mapping of the operation and function of the surveillance system and an assessment of its attributes from the perspective of key stakeholders.Together these studies provide illustrative examples of how qualitative research can contribute to, and extend our understanding of epidemiological issues. The findings provide important information about the ‘real world’ translation of policies and programs and have been used to inform a range of policy and practice strategies that ultimately seek to improve the health of the NSW population. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Travaglia, Joanne, Faculty of Health, University of Technology Sydney.

Subjects/Keywords: Epidemiology; Reserch methods; Qualitative research; Applied public health

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APA (6^th Edition):

Dawson, G. (2017). Extending the epidemiological imagintion through qualitative research. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/57402 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:43366/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Dawson, Greer. “Extending the epidemiological imagintion through qualitative research.” 2017. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/57402 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:43366/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Dawson, Greer. “Extending the epidemiological imagintion through qualitative research.” 2017. Web. 15 Jan 2021.

Vancouver:

Dawson G. Extending the epidemiological imagintion through qualitative research. [Internet] [Doctoral dissertation]. University of New South Wales; 2017. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/57402 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:43366/SOURCE02?view=true.

Council of Science Editors:

Dawson G. Extending the epidemiological imagintion through qualitative research. [Doctoral Dissertation]. University of New South Wales; 2017. Available from: http://handle.unsw.edu.au/1959.4/57402 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:43366/SOURCE02?view=true

University of New South Wales

5. Kaur, Rajneesh. Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.

Degree: Public Health & Community Medicine, 2018, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true

► Despite hand hygiene (HH) being considered the most cost-effective measure to control healthcare associated infections, healthcare workers (HCWs) are known to have poor HH compliance,… (more)

▼ Despite hand hygiene (HH) being considered the most cost-effective measure to control healthcare associated infections, healthcare workers (HCWs) are known to have poor HH compliance, especially doctors. One of the primary contributing factors is a failure of doctors to learn this behaviour as medical students. Previous studies have reported improvements in HCWs’ HH as a result of improvements in knowledge through increased education. However, there have been few studies that have focused on HH education of medical students, and even fewer that have reported long term retention of knowledge. We aimed to address this gap by developing and evaluating a teaching module for medical students. This thesis therefore aimed to explore the barriers and facilitators impacting on the teaching of HH to medical students. It also aimed to use that knowledge to develop a new teaching module to improve knowledge and attitudes of undergraduate medical students around HH. This thesis is the first of its kind to have evaluated a teaching module for undergraduate medical students and tested the retention of impact of the tool on knowledge and attitude over a period of time. Four studies were conducted which employed both qualitative and quantitative approaches. In the first study, an Australian wide survey of Deans of Medical Education was undertaken to explore the different HH teaching approaches currently being utilised. The second study involved qualitative in-depth interviews of medical students and medical education and infection control experts and explored the barriers and facilitators around teaching HH to medical students. These studies found that scenario based learning activities were considered to be the best mode of teaching HH at the university level and that repetition of the teaching materials throughout the students medical training was considered very important. Based on these recommendations and a review of the literature and other available resources, a new teaching module was developed. Feedback on the developed module was sought in the third study using group interviews of medical students. The module was revised as per their feedback and the final study was then conducted to evaluate the impact of this module on student’s knowledge and attitudes as well as the retention over time. The results showed an overall and sustained improvement in HH knowledge of medical students and their attitudes towards HH. These studies provide new knowledge around the factors that are currently impacting on the delivery of education around HH to undergraduate medical students. The four published studies presented in this thesis fill a gap in the around HH teaching for medical students in Australian literature. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Razee, Husna, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Learning and teaching approaches; Hand Hygiene; Medical students; Infection Prevention; Medical Education; Health Promotion

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APA (6^th Edition):

Kaur, R. (2018). Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Kaur, Rajneesh. “Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Kaur, Rajneesh. “Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches.” 2018. Web. 15 Jan 2021.

Vancouver:

Kaur R. Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true.

Council of Science Editors:

Kaur R. Improving the knowledge and receptiveness of medical students towards hand hygiene: Exploring new approaches. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/59810 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:49871/SOURCE02?view=true

University of New South Wales

6. Quinn, Emma. Improving the health of vulnerable groups: addressing health inequities through applied public health research.

Degree: Community Medicine, 2014, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/54408 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34922/SOURCE02?view=true

► In Australia, there continues to be large gaps in health outcomes between the most vulnerable in our population and those with the available resources e.g.… (more)

▼ In Australia, there continues to be large gaps in health outcomes between the most vulnerable in our population and those with the available resources e.g. income, education, housing and employment to advance their health. In this thesis, I present five applied public health research projects that share a common theme, an intention to improve the health of vulnerable groups in New South Wales (NSW). These vulnerable groups include: Aboriginal people, rural and remote communities (including mothers and babies) and people from culturally and linguistically diverse backgrounds.Chapter Two describes the process of redesigning the population-based Get Healthy Telephone and Information Service for Aboriginal people, which was undertaken in order to strengthen efforts to prevent the chronic disease burden experienced by this vulnerable group.Chapter Three describes a research study conducted to better understand the barriers and facilitators to implementing a midwifery-led care model for pregnant women in remote communities, in order to address inequities in perinatal and maternal health and provide more locally appropriate care for these vulnerable women.Chapter Four presents two related but methodologically distinct research studies. The first systematically synthesises the evidence on the epidemiology and social determinants of communicable diseases in rural and remote communities. The second investigates the social and environmental reasons behind why human – bat exposures continue to occur in northern rural NSW at the risk of Australian bat lyssavirus infection. These studies provide new understanding of how to better design primary prevention strategies to alleviate the disease risk experienced by rural and remote communities as a vulnerable group.Chapter Five presents an investigation into routine communicable disease surveillance data in Australia and how these data can be analysed to describe disease risk for diverse ethnocultural groups in our population, in order to inform community-level prevention and control activity for this vulnerable group.These five applied public health research projects are shown to have generated new evidence or insights about application of evidence in public health practice to improve the health of vulnerable groups in NSW. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Torvaldsen, Siranda, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Applied research; Health equity; Vulnerable groups

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APA (6^th Edition):

Quinn, E. (2014). Improving the health of vulnerable groups: addressing health inequities through applied public health research. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/54408 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34922/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Quinn, Emma. “Improving the health of vulnerable groups: addressing health inequities through applied public health research.” 2014. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/54408 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34922/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Quinn, Emma. “Improving the health of vulnerable groups: addressing health inequities through applied public health research.” 2014. Web. 15 Jan 2021.

Vancouver:

Quinn E. Improving the health of vulnerable groups: addressing health inequities through applied public health research. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/54408 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34922/SOURCE02?view=true.

Council of Science Editors:

Quinn E. Improving the health of vulnerable groups: addressing health inequities through applied public health research. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/54408 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34922/SOURCE02?view=true

University of New South Wales

7. Scott, Nicola. Informing public health policy and practice in populations with diverse needs.

Degree: Community Medicine, 2014, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/54416 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34936/SOURCE02?view=true

► In Australia there is a gap between those with the best and poorest health, which has implications for the health outcomes of some of the… (more)

Subjects/Keywords: Disadvantaged populations; Public health; Equity

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APA (6^th Edition):

Scott, N. (2014). Informing public health policy and practice in populations with diverse needs. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/54416 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34936/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Scott, Nicola. “Informing public health policy and practice in populations with diverse needs.” 2014. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/54416 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34936/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Scott, Nicola. “Informing public health policy and practice in populations with diverse needs.” 2014. Web. 15 Jan 2021.

Vancouver:

Scott N. Informing public health policy and practice in populations with diverse needs. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/54416 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34936/SOURCE02?view=true.

Council of Science Editors:

Scott N. Informing public health policy and practice in populations with diverse needs. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/54416 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:34936/SOURCE02?view=true

University of New South Wales

8. Thomas, Susan. Collaborating to Improve Access to Primary Health Care for Vulnerable Populations.

Degree: Community Medicine, 2012, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/52295 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10967/SOURCE01?view=true

► Primary health care (PHC) services in Australia are well placed to provide a range of health services. While most Australians have ready access to these… (more)

▼ Primary health care (PHC) services in Australia are well placed to provide a range of health services. While most Australians have ready access to these services, more vulnerable groups may experience barriers. This thesis explores barriers and enablers to accessing PHC services for some vulnerable groups including children, Aboriginal people and the elderly and explores strategies to improve access. These five studies, undertaken as part of the NSW Public Health Officer Training Program, provide information useful to public health policy makers, service planners, managers and health workers. The first study develops an evaluation framework for community child health services. The second study demonstrates application of the framework and focuses on how paediatric outreach services in an Aboriginal community in Sydney work in partnership with families, the community and other services. Recommendations were made to formalise collaboration in the planning of care for Aboriginal children. Early intervention for more children with resulting better outcomes is an anticipated benefit of this evaluation. The third study was undertaken in Broken Hill, NSW and investigates the decline in participation at blood lead screening services, particularly by Aboriginal children. Strategies to improve screening rates include better communication between services, better use of public health data and more support for families whose children have elevated blood lead levels. The fourth study examines public health partnerships between government health services and Aboriginal Community Controlled Health Services at the state and local level, with a focus on communicable disease control. Collaborations between services could be strengthened by the creation of organisational opportunities, strengthening the workforce and further developing cultural awareness. The final study looks at fall-related injuries requiring an ambulance in Sydney in 2008. Falls are the second most common reason for the dispatch of an ambulance and paramedics are well placed to expand their role in assessing fall risk, treating injuries on the scene and referring patients to community based PHC services. Improvements in the collection and linking of ambulance data would allow further analysis of characteristics and outcomes of fall-related injury. This thesis demonstrates how collaboration between services can strengthen access to PHC for some vulnerable populations. Advisors/Committee Members: Jackson Pulver, Lisa, Public Health & Community Medicine, Faculty of Medicine, UNSW, Jalaludin, Bin, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: public health; primary health care; access; aboriginal health; child health; collaboration

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APA (6^th Edition):

Thomas, S. (2012). Collaborating to Improve Access to Primary Health Care for Vulnerable Populations. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52295 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10967/SOURCE01?view=true

Chicago Manual of Style (16^th Edition):

Thomas, Susan. “Collaborating to Improve Access to Primary Health Care for Vulnerable Populations.” 2012. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/52295 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10967/SOURCE01?view=true.

MLA Handbook (7^th Edition):

Thomas, Susan. “Collaborating to Improve Access to Primary Health Care for Vulnerable Populations.” 2012. Web. 15 Jan 2021.

Vancouver:

Thomas S. Collaborating to Improve Access to Primary Health Care for Vulnerable Populations. [Internet] [Doctoral dissertation]. University of New South Wales; 2012. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/52295 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10967/SOURCE01?view=true.

Council of Science Editors:

Thomas S. Collaborating to Improve Access to Primary Health Care for Vulnerable Populations. [Doctoral Dissertation]. University of New South Wales; 2012. Available from: http://handle.unsw.edu.au/1959.4/52295 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:10967/SOURCE01?view=true

University of New South Wales

9. Li, Junhua. e-Health preparedness for a pandemic.

Degree: Information Systems, Technology & Management, 2013, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/52395 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11068/SOURCE01?view=true

► An influenza pandemic or outbreak of unknown respiratory disease can increase morbidityand mortality levels and, as a result, cause social disruption and economic losses. e-Health,an… (more)

▼ An influenza pandemic or outbreak of unknown respiratory disease can increase morbidityand mortality levels and, as a result, cause social disruption and economic losses. e-Health,an application of information and communication technologies (ICT) across the whole rangeof functions which affect health, may mitigate the impact of a pandemic by facilitatingpandemic surveillance and control activities, and improving performance of medicalpractices. The implementation of e-health requires proper planning and management. e-Health preparedness assessment represents an important step in change management, andincluding this step in its planning process increases the chances of its implementationsuccess.This thesis presents an e-health preparedness assessment model for a pandemic (eHPM4P)which was newly developed and also reports the results of the models operationalization inhealthcare settings. Throughout the project, a three-phase methodology was utilised: 1) asystematic literature review was conducted to identify e-health preparedness components,which led to the conceptual development of an initial e-health preparedness model; 2) theinitial model was validated and enhanced using 20 contextual interviews with domainexperts. The enhancement involved the quantification of the preparedness constructs byapplying the graph theory and Analytic Hierarchy Process (AHP); and 3) the enhancedmodel (eHPM4P) was operationalized by case studies at two hospitals within differentcultures.This PhD project contributes to the body of knowledge on change management for clinicalICT innovations. The eHPM4P would be useful for practically assessing an organisationspreparedness status if the organisation plans to implement an e-health system. Theassessment results may assist decision makers at the organisation to take action to addressdeficient areas in their preparedness and thus facilitate the e-health implementationssuccess. These results may also provide policy makers at national, state and local levels withempirical evidence and insights in order to refine relevant public health policies for theplanning and management of pandemics from the ICT perspective. The last chapter of thethesis suggests future studies for further investigation in this research area. Advisors/Committee Members: Ray , Pradeep, Information Systems, Technology & Management, Australian School of Business, UNSW, MacIntyre, Raina, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Pandemic Response; e-Health; Preparedness; Change Management; Australia; China; Evaluation

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Li, J. (2013). e-Health preparedness for a pandemic. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/52395 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11068/SOURCE01?view=true

Chicago Manual of Style (16^th Edition):

Li, Junhua. “e-Health preparedness for a pandemic.” 2013. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/52395 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11068/SOURCE01?view=true.

MLA Handbook (7^th Edition):

Li, Junhua. “e-Health preparedness for a pandemic.” 2013. Web. 15 Jan 2021.

Vancouver:

Li J. e-Health preparedness for a pandemic. [Internet] [Doctoral dissertation]. University of New South Wales; 2013. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/52395 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11068/SOURCE01?view=true.

Council of Science Editors:

Li J. e-Health preparedness for a pandemic. [Doctoral Dissertation]. University of New South Wales; 2013. Available from: http://handle.unsw.edu.au/1959.4/52395 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:11068/SOURCE01?view=true

University of New South Wales

10. Mahimbo, Abela. Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia.

Degree: Public Health & Community Medicine, 2018, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/60066 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51317/SOURCE2?view=true

► Refugees are at increased risk of being under-immunised due to a range of factors associated with fragile public health systems and limited access to basic… (more)

▼ Refugees are at increased risk of being under-immunised due to a range of factors associated with fragile public health systems and limited access to basic services in their country of origin and while in exile. It is unlikely that a new arrival will be fully immunised according to Australia’s National Immunisation Program (NIP). While a few studies examine the underlying causes of under-immunisation from the refugees’ perspective, little research explores the overarching health system and provider-specific issues that may contribute to under-immunisation in this group. Based on the premise of equity, refugees should be immunised equivalent to Australian-born residents of the same age. This thesis examines the policies and practices with regards to immunising refugees in Australia with the aim of advocating and informing evidence-based policy and practice changes to improve vaccine coverage for refugees. Immunisation policies for refugees across all jurisdictions in Australia were analysed to identify gaps and opportunities for improvement in future policy developments. From a policy perspective, the key issues identified included a dissonance between national and jurisdictional policies and significant gaps in funding and mechanisms to monitor immunisation coverage of this group. In-depth interviews were conducted with key immunisation stakeholders across Australia to gain a rich understanding of the barriers and facilitators impacting service delivery; and strategies for enhancing vaccine uptake among refugees. Key themes arising from this research were need for training on refugee-specific immunisation needs among general practitioners and clarity of roles and responsibilities for catch-up, both impediments to service delivery. The final component of this doctoral research was the development of an online training program targeting Australian general practitioners informed by data gathered collectively from the literature review, interviews and policy review.This thesis established a clear need for a national strategy for refugees to ensure there is consistency and improved immunisation coverage among refugees across Australia. This research has identified the need for strategies including improved data collection nationally, improved integration between key stakeholders in service delivery, increased guidance and support for general practitioners on catch-up vaccine delivery and universal funding for vaccines for refugees of all ages to ensure equitable access. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Heywood, Anita, Public Health & Community Medicine, Faculty of Medicine, UNSW, Smith, Mitchell, NSW Refugee Health Service.

Subjects/Keywords: Immunisation practice; Refugees; Immunisation policy; Australia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mahimbo, A. (2018). Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60066 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51317/SOURCE2?view=true

Chicago Manual of Style (16^th Edition):

Mahimbo, Abela. “Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/60066 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51317/SOURCE2?view=true.

MLA Handbook (7^th Edition):

Mahimbo, Abela. “Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia.” 2018. Web. 15 Jan 2021.

Vancouver:

Mahimbo A. Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/60066 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51317/SOURCE2?view=true.

Council of Science Editors:

Mahimbo A. Policies, practices, and future directions in the provision of immunisation services to newly arrived refugees in Australia. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/60066 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:51317/SOURCE2?view=true

University of New South Wales

11. Nicholl, Sonya. Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people.

Degree: Public Health & Community Medicine, 2018, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/60439 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:52222/SOURCE02?view=true

► Although the benefits of immunisation are well documented in the literature, there continue to be outbreaks of vaccine preventable diseases such as measles and pertussis… (more)

▼ Although the benefits of immunisation are well documented in the literature, there continue to be outbreaks of vaccine preventable diseases such as measles and pertussis in New South Wales (NSW), Australia. Immunisation program planners need to consider new approaches to engage immunisation providers and recipients to ensure optimal vaccine uptake, particularly during a new program. This thesis is based on four applied research activities associated with implementing a measles catch-up Supplementary Immunisation Activity (SIA) in high schools and an antenatal pertussis vaccination program. The first two applied research activities address a gap in knowledge regarding the use of SIAs. Focus groups were conducted with Public Health Unit (PHU) staff responsible for implementing the measles SIA to identify program strengths and areas of improvement. A survey was undertaken with parents to gain insight into their experience of the program and seek suggestions for improvement. Key findings from both research activities have already informed subsequent time-limited SIAs and the routine school-based vaccination program. This is the first time that a NSW Health immunisation officer has engaged formally with parents and PHU staff and it is recommended that this engagement continues regularly. The second research activities focus on the design and implementation of an antenatal pertussis vaccination program and development of an educational program to support midwives and maternity staff. Pre- and post-program audits were undertaken with frontline staff to determine their needs and verify consistent program implementation. The pre-program audit identified the need for an online education program to increase midwives’ confidence and promote high vaccine uptake. Pre and post surveys were undertaken with learners completing the education program. This work identified the importance of program planners’ engagement with frontline staff before and during the roll-out of a new immunisation program. These are important findings as an informed and confident maternity workforce will facilitate high maternal vaccine uptake and incorporate pertussis vaccination consistently into routine antenatal care in NSW. The importance of engagement with key stakeholders is demonstrated in this work to inform immunisation program implementation, which contributes to essential knowledge on immunisation program planning and implementation. Advisors/Committee Members: Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, MacIntyre, Raina, Public Health & Community Medicine, Faculty of Medicine, UNSW, Campbell-Lloyd, Sue, Health Protection NSW.

Subjects/Keywords: Measles; Immunisation; Vaccine-preventable diseases; Pertussis; Vulnerable people

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Nicholl, S. (2018). Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60439 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:52222/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Nicholl, Sonya. “Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/60439 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:52222/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Nicholl, Sonya. “Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people.” 2018. Web. 15 Jan 2021.

Vancouver:

Nicholl S. Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/60439 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:52222/SOURCE02?view=true.

Council of Science Editors:

Nicholl S. Preventing the spread of vaccine preventable diseases in NSW – exploring new strategies to improve vaccine uptake in vulnerable people. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/60439 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:52222/SOURCE02?view=true

University of New South Wales

12. Neyhouser, Camille. Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation.

Degree: Community Medicine, 2018, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/60739 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:53077/SOURCE02?view=true

► There is some evidence in the literature that organisational learning (OL) is gaining momentum among international non-governmental organisations (INGOs), as a means to strengthen capacity… (more)

▼ There is some evidence in the literature that organisational learning (OL) is gaining momentum among international non-governmental organisations (INGOs), as a means to strengthen capacity to serve the most vulnerable populations in a context of increasing economic constraints. Following a major operational change undertaken in 2014-2015 at The Fred Hollows Foundation, a public health INGO focused on treating and preventing blindness and other vision problems in developing countries, the need to become a better learning organisation was identified. This thesis examines the processes of identifying suitable initiatives for OL at The Foundation, as well as the findings from and outcomes of those processes, which include the development of a strategy addressing its OL and knowledge management needs.Conducted from a practitioner-researcher perspective, a mixed-method approach was undertaken including a survey, semi-structured interviews and focus-group discussions with staff members from the Foundation. Their purpose was to examine perceptions of The Foundation’s performance as a learning organisation and implications for the future. In addition, semi-structured interviews were conducted with representatives from other INGOs and public health NGOs that had a reputation for performing well as learning organisations. Empirical findings show that in a complex and rapidly changing operating environment, INGOs have a strong incentive to become learning organisations. Factors influencing OL include: allocation of resources; developing structures, systems and processes; inspired leadership that acts as a role model; and fostering a culture of learning, including by promoting relevant skillsets and behaviours. Eight categories identified in the literature to classify specific mechanisms were validated by this study and a new category emerged outlining the importance of sharing the knowledge produced within the organisation with the wider sector. Based on these findings, an evidence-informed strategy tailored to the needs of The Foundation was developed. There is a need for INGOs to proactively engage with the burgeoning OL field to achieve optimal programming outcomes and cost-effectiveness. It is recommended that they apply a similar methodology to the one described in this study, including a rigorous assessment process against the categories identified, and the development of a comprehensive, custom-made strategy. Advisors/Committee Members: Bunde-Birouste, Anne, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Meyer, Lois, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Organisational learning; NGOs; Knowledge management; International development; Learning organisations; Organizational learning; Organizational development; INGOs; Charities; Not-for-profit; NGO; INGO; Charity; Not-for-profits; Organisational development

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Neyhouser, C. (2018). Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/60739 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:53077/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Neyhouser, Camille. “Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation.” 2018. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/60739 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:53077/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Neyhouser, Camille. “Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation.” 2018. Web. 15 Jan 2021.

Vancouver:

Neyhouser C. Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation. [Internet] [Doctoral dissertation]. University of New South Wales; 2018. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/60739 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:53077/SOURCE02?view=true.

Council of Science Editors:

Neyhouser C. Building a learning NGO by design, not by accident. A study of change at The Fred Hollows Foundation. [Doctoral Dissertation]. University of New South Wales; 2018. Available from: http://handle.unsw.edu.au/1959.4/60739 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:53077/SOURCE02?view=true

University of New South Wales

13. Gunaratnam, Praveena Jayanthini. Evidence-based public health: challenges and opportunities.

Degree: Public Health & Community Medicine, 2014, University of New South Wales

URL: http://handle.unsw.edu.au/1959.4/54250 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13715/SOURCE02?view=true

► This thesis contains eight studies, all of which are concerned with the generation and/or use of evidence to inform public health policy and practice in… (more)

▼ This thesis contains eight studies, all of which are concerned with the generation and/or use of evidence to inform public health policy and practice in New South Wales (NSW).The first three studies use surveillance data to better understand the epidemiology of certain notifiable diseases in NSW and make recommendations for targeted public health action. The first study explores the association between selected enteric and vector-borne diseases and overseas travel, in particular return to ones country of origin. The second study extends this analysis with respect to one disease (typhoid fever) to consider the importance of reason for travel in disease risk. The third study examines trends in invasive meningococcal disease in NSW, with a particular focus on people aged 65 years and over. The fourth, fifth and sixth studies are concerned with infectious disease control. The fourth study uses evidence from the scientific literature and relevant guidelines to develop a simple tool for use by general practitioners in diagnosing and managing patients with a zoonotic illness. The fifth study describes the investigation of an outbreak of gastrointestinal illness in South West Sydney, and demonstrates how decisive public health action can be taken even while understanding of the cause of the outbreak is evolving. The sixth reviews data collected at clinics held at Sydney International Airport to examine the effectiveness of airport screening in detecting cases of pandemic influenza A(H1N1)2009.The final two studies are evaluations of health promotion interventions with culturally and linguistically diverse communities. Mixed methods were used in the seventh study to assess the effectiveness of a hepatitis C campaign in generating information perceived as useful by the target audience in the Arabic, Chinese and Vietnamese press. The final study evaluates the impact of a multi-lingual oral health DVD in Arabic and Dari speaking refugees, by comparing relevant knowledge and behaviours immediately pre and post DVD screening, and six weeks later. Throughout this thesis, I reflect on the contribution of these studies to filling knowledge gaps, the challenges to evidence-based public health illustrated through the conduct and use of these studies, and future opportunities. Advisors/Committee Members: Torvaldsen, Siranda, Public Health & Community Medicine, Faculty of Medicine, UNSW, Seale, Holly, Public Health & Community Medicine, Faculty of Medicine, UNSW, Smith, Mitchell, Public Health & Community Medicine, Faculty of Medicine, UNSW.

Subjects/Keywords: Public health policy New South Wales; Notifiable diseases; Infectious disease control

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gunaratnam, P. J. (2014). Evidence-based public health: challenges and opportunities. (Doctoral Dissertation). University of New South Wales. Retrieved from http://handle.unsw.edu.au/1959.4/54250 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13715/SOURCE02?view=true

Chicago Manual of Style (16^th Edition):

Gunaratnam, Praveena Jayanthini. “Evidence-based public health: challenges and opportunities.” 2014. Doctoral Dissertation, University of New South Wales. Accessed January 15, 2021. http://handle.unsw.edu.au/1959.4/54250 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13715/SOURCE02?view=true.

MLA Handbook (7^th Edition):

Gunaratnam, Praveena Jayanthini. “Evidence-based public health: challenges and opportunities.” 2014. Web. 15 Jan 2021.

Vancouver:

Gunaratnam PJ. Evidence-based public health: challenges and opportunities. [Internet] [Doctoral dissertation]. University of New South Wales; 2014. [cited 2021 Jan 15]. Available from: http://handle.unsw.edu.au/1959.4/54250 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13715/SOURCE02?view=true.

Council of Science Editors:

Gunaratnam PJ. Evidence-based public health: challenges and opportunities. [Doctoral Dissertation]. University of New South Wales; 2014. Available from: http://handle.unsw.edu.au/1959.4/54250 ; https://unsworks.unsw.edu.au/fapi/datastream/unsworks:13715/SOURCE02?view=true

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Open Access Theses and Dissertations