Strengthening the primary care system for adolescent indigenous health in Brazil: Integrating community health workers into the school setting
Lead Research Organisation:
King's College London
Department Name: Health Service and Population Research
Abstract
Indigenous people all over the globe experience worse health and living conditions that non-indigenous people. Historic social and political forces are key factors but weak health systems also contribute to the explanation. Adolescent health is important, and represents an opportune time for intervention. This is of critical importance for indigenous communities, as the transition to adulthood is much quicker with earlier parenting and caring responsibilities compared to non-indigenous communities. Health priorities for Brazil, outlined in the United Nations High-Level Political Forum of 2017, include non-communicable diseases and diseases resulting from external causes (especially violence) with a focus on Sustainable Development Goals 1, 2, 3, 5, 9 and 14, and on the central theme "Eradicating Poverty and Promoting Prosperity in a Changing World". Nowhere is this more pertinent than for their Indigenous populations whose children face the challenge of a legacy of social injustice and poor health.
There are ~1 million indigenous people in Brazil, of which ~50% is <24y. Mato Grosso do Sul, the location for the proposed study, contains the 2nd largest concentration of indigenous people (70,000), and 70% are <20y. A lot of thought and investment has gone into the indigenous health system in Brazil but health of indigenous people still lags behind non-indigenous people. Community health workers represent an opportunity for improving the indigenous health system, based on evidence of effectiveness in other country settings. We will co-design an intervention in schools using CHWs to deliver universal and targeted services for health promotion, screening for health problems and early intervention. We will work with the local indigenous adolescents, teachers, and health professionals to design the content of the intervention and evaluation. We will conduct surveys to examine what processes work best and how they works to strengthen the indigenous primary care systems. To assess the influence of CHWs, we will collect data on satisfaction and health literacy. We will also gather information on health outcomes, which together with the other findings from this study will help us plan future large scale studies of the effectiveness of CHWs in schools. This new and important research will help us explore how to help indigenous young people avoid the ill health that their parents' and generations before them have experienced.
There are ~1 million indigenous people in Brazil, of which ~50% is <24y. Mato Grosso do Sul, the location for the proposed study, contains the 2nd largest concentration of indigenous people (70,000), and 70% are <20y. A lot of thought and investment has gone into the indigenous health system in Brazil but health of indigenous people still lags behind non-indigenous people. Community health workers represent an opportunity for improving the indigenous health system, based on evidence of effectiveness in other country settings. We will co-design an intervention in schools using CHWs to deliver universal and targeted services for health promotion, screening for health problems and early intervention. We will work with the local indigenous adolescents, teachers, and health professionals to design the content of the intervention and evaluation. We will conduct surveys to examine what processes work best and how they works to strengthen the indigenous primary care systems. To assess the influence of CHWs, we will collect data on satisfaction and health literacy. We will also gather information on health outcomes, which together with the other findings from this study will help us plan future large scale studies of the effectiveness of CHWs in schools. This new and important research will help us explore how to help indigenous young people avoid the ill health that their parents' and generations before them have experienced.
Technical Summary
There is global recognition of the social injustices and poor health that indigenous people endure. Health priorities for Brazil focus on several Sustainable Development Goals realted to non-communicable diseases and poverty. There are ~1 million indigenous people in Brazil, of which ~50% is <24y. Mato Grosso do Sul, the location for the proposed intervention, contains the 2nd largest concentration of indigenous people (70,000), 70% are <20y. Adolescence is a crucial period for developing health or disease risk trajectories. There is strong evidence for a pivotal role of community health workers (CHWs) in primary care but their effectiveness in secondary schools has not been evaluated. A feasibility study will explore whether CHWs can be trained to deliver universal and targeted services for health promotion, risk screening, and early intervention. We will work with local indigenous adolescents and parents, teachers and health professionals to ensure adaptability in delivery to best suit the needs of the pupils in different schools but all CHWs will have the same roles and responsibilities to promote adolescent health and use evidence-based materials. Based on the principles of realist evaluation and MRC guidelines for the evaluation of complex interventions, we will use a mixed methods approach including: 1) concept mapping with stakeholders to develop a model of factors that could affect implementation in the primary health care system and schools; 2) interviews with pupils, teachers, CHWs, and supervising nurses to understand the barriers and facilitators of implementation and 3) quantitative surveys to obtain useful data for needs assessments, and also examine likely influence of the intervention on adolescent health literacy and satisfaction with the intervention. If the findings are favourable, we will conduct wider testing of the intervention in collaboration with the indigenous communities and the health secretariat.
Planned Impact
Who might benefit from this research and how?
This proposal seeks to integrate primary care and schools via CHWs to improve health system delivery as well and physical and mental health outcomes in indigenous adolescents. The research will provide improved integration of health services, increasing opportunity for health promotion and public health awareness through the school based curriculum, and delivered by CHWs.
Indigenous youth, families, teachers and healthcare professionals will benefit from this research. Adolescents will benefit from the research through investment in adolescent health and tailored care pathways (e.g. school kiosks) specific for their mental and physical health needs. Early identification of adolescents at risk of mental or physical problems, improved rates of referral to care and access to treatment are key benefits of the proposal. Families and teachers will benefit from the dissemination of health promotion activities and engagement with evidence based advice and support.
The health service will benefit significantly as a result of the proposed research. Improved service delivery tailored to local needs, improved health promotion and diffusion of health promotion messages to local communities, as well as increased rates of referral, and more importantly, appropriate referral are anticipated. Benefits to the health service may also include redistribution of health capital and services (eg doctors, nurses, dentists) who currently deliver health promotion in schools. Integration of the CHWs will allow these health professionals to focus on areas of need elsewhere. CHW may also increase acceptance of the intervention (CHWs are largely members of the indigenous communities they serve) resulting in improve rates of referral for care. These anticipated benefits will directly impact adolescent health and, likely health of future generations, particularly given the early entry of indigenous adolescents to parenthood. The benefits of the proposed research may also extend to the broader health subsystem. If successful the proposed intervention could be tested beyond the target regions of Sidrolândia and Dois Irmãos do Buriti in Mato Grosso do Sul. Schools will also have a beneficial impact of the current study as they will become a focal point for health promotion and improve health service integration. Training delivered to CHWs will include also teachers to assist in the early identification of health needs in adolescent pupils.
Researchers focused on indigenous health, particularly, will also benefit from comprehensive health profile data from a largely unreported, cohort of indigenous youth which can be used to inform future research among indigenous communities. Screening and research tools tailored to the specific needs of the indigenous population will also be derived during the proposed research and will also add value for researcher in indigenous research.
Lastly, the impact of the intervention may also have national significance in that it may assist in strengthening existing health policy to promote improved integration between primary care and schools and extend the role of CHWs. Adjunct policies which could be revised if the results are favourable include the National Policy on Health Care for Indigenous Peoples; National Policy on Continuing Education in Health; National Policy on Health Promotion; National Policy for Comprehensive Health Care for Adolescents and Youth; National Policy on Primary Care.
By leveraging the existing model of care and developing improved interface between schools and primary care there is the potential to significantly strengthen the existing subsystem and improve health outcomes in indigenous youth.
This proposal seeks to integrate primary care and schools via CHWs to improve health system delivery as well and physical and mental health outcomes in indigenous adolescents. The research will provide improved integration of health services, increasing opportunity for health promotion and public health awareness through the school based curriculum, and delivered by CHWs.
Indigenous youth, families, teachers and healthcare professionals will benefit from this research. Adolescents will benefit from the research through investment in adolescent health and tailored care pathways (e.g. school kiosks) specific for their mental and physical health needs. Early identification of adolescents at risk of mental or physical problems, improved rates of referral to care and access to treatment are key benefits of the proposal. Families and teachers will benefit from the dissemination of health promotion activities and engagement with evidence based advice and support.
The health service will benefit significantly as a result of the proposed research. Improved service delivery tailored to local needs, improved health promotion and diffusion of health promotion messages to local communities, as well as increased rates of referral, and more importantly, appropriate referral are anticipated. Benefits to the health service may also include redistribution of health capital and services (eg doctors, nurses, dentists) who currently deliver health promotion in schools. Integration of the CHWs will allow these health professionals to focus on areas of need elsewhere. CHW may also increase acceptance of the intervention (CHWs are largely members of the indigenous communities they serve) resulting in improve rates of referral for care. These anticipated benefits will directly impact adolescent health and, likely health of future generations, particularly given the early entry of indigenous adolescents to parenthood. The benefits of the proposed research may also extend to the broader health subsystem. If successful the proposed intervention could be tested beyond the target regions of Sidrolândia and Dois Irmãos do Buriti in Mato Grosso do Sul. Schools will also have a beneficial impact of the current study as they will become a focal point for health promotion and improve health service integration. Training delivered to CHWs will include also teachers to assist in the early identification of health needs in adolescent pupils.
Researchers focused on indigenous health, particularly, will also benefit from comprehensive health profile data from a largely unreported, cohort of indigenous youth which can be used to inform future research among indigenous communities. Screening and research tools tailored to the specific needs of the indigenous population will also be derived during the proposed research and will also add value for researcher in indigenous research.
Lastly, the impact of the intervention may also have national significance in that it may assist in strengthening existing health policy to promote improved integration between primary care and schools and extend the role of CHWs. Adjunct policies which could be revised if the results are favourable include the National Policy on Health Care for Indigenous Peoples; National Policy on Continuing Education in Health; National Policy on Health Promotion; National Policy for Comprehensive Health Care for Adolescents and Youth; National Policy on Primary Care.
By leveraging the existing model of care and developing improved interface between schools and primary care there is the potential to significantly strengthen the existing subsystem and improve health outcomes in indigenous youth.
Organisations
- King's College London (Lead Research Organisation)
- University of Coimbra (Collaboration)
- Academic Medical Center (Collaboration)
- University of West Indies (Collaboration)
- University of Western Australia (Collaboration)
- UNSW Sydney (Collaboration)
- University of Brasilia (Collaboration)
- Medical Research Council (MRC) (Collaboration)
- QUEEN'S UNIVERSITY BELFAST (Collaboration)
- KING'S COLLEGE LONDON (Collaboration)
- Jamaica Ministry of Health (Collaboration)
Publications
Volpe Chaves CE
(2020)
Accuracy of serological tests for diagnosis of chronic pulmonary aspergillosis: A systematic review and meta-analysis.
in PloS one
Silva V
(2019)
Physical activity for lower urinary tract symptoms secondary to benign prostatic obstruction.
in The Cochrane database of systematic reviews
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Is the levonorgestrel-releasing intrauterine system a risk factor for breast cancer?
in Acta obstetricia et gynecologica Scandinavica
Sbardelotto ML
(2019)
Improvement in muscular strength and aerobic capacities in elderly people occurs independently of physical training type or exercise model.
in Clinics (Sao Paulo, Brazil)
Rosa Silva B
(2018)
Non-Puerperal Uterine Inversion: A Systematic Review
in Gynecologic and Obstetric Investigation
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Metabolic syndrome and risk of stroke: Protocol for an update systematic review and meta-analysis.
in Medicine
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Epicardial adipose tissue and carotid artery disease: Protocol for systematic review and meta-analysis.
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Roever L
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Statins in adult patients with HIV: Protocol for a systematic review and network meta-analysis.
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Roever L
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Epicardial adipose tissue and metabolic syndrome: An update protocol for systematic review and meta-analysis.
in Medicine
Peixoto C
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Dehydroepiandrosterone for depressive symptoms: A systematic review and meta-analysis of randomized controlled trials
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Dehydroepiandrosterone (DHEA) for Depression: A Systematic Review and Meta-Analysis
in CNS & Neurological Disorders - Drug Targets
Meller FO
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Overweight and its associated factors among employees of a university from the state of Santa Catarina.
in Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
Macedo ACL
(2019)
Accuracy of Messenger RNA Human Papillomavirus Tests for Diagnostic Triage of Minor Cytological Cervical Lesions: A Systematic Review and Meta-Analysis.
in Sexually transmitted diseases
Macedo ACL
(2019)
Accuracy of mRNA HPV tests as a predictor of recurrence of precursor lesions and cervical cancer after conization: a systematic review and meta-analysis.
in Biomarkers in medicine
Macedo ACL
(2019)
Accuracy of mRNA HPV Tests for Triage of Precursor Lesions and Cervical Cancer: A Systematic Review and Meta-Analysis.
in Journal of oncology
Lowe J
(2020)
Development and Validation of a New Diabetes Risk Score in Guyana.
in Diabetes therapy : research, treatment and education of diabetes and related disorders
Lima CTS
(2022)
Pelvic floor ultrasound finds after episiotomy and severe perineal tear: systematic review and meta-analysis.
in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Karamanos A
(2023)
Associations between air pollutants and blood pressure in an ethnically diverse cohort of adolescents in London, England
in PLOS ONE
Jardim PTC
(2020)
COVID-19 experience among Brasil's indigenous people.
in Revista da Associacao Medica Brasileira (1992)
Huang P
(2019)
Fruit and vegetable consumption and mental health across adolescence: evidence from a diverse urban British cohort study.
in The international journal of behavioral nutrition and physical activity
Harding S
(2018)
Global cities and cultural diversity: challenges and opportunities for young people's nutrition.
in The Proceedings of the Nutrition Society
Grenzel M
(2018)
Tuberculosis among correctional facility workers: A systematic review and meta-analysis
in PLOS ONE
Grande AJ
(2020)
Mental health interventions for suicide prevention among indigenous adolescents: a systematic review protocol.
in BMJ open
Gonçalves JCN
(2019)
Accuracy of Anal Cytology for Diagnostic of Precursor Lesions of Anal Cancer: Systematic Review and Meta-analysis.
in Diseases of the colon and rectum
Gomiero AB
(2018)
Sensory-motor training versus resistance training among patients with knee osteoarthritis: randomized single-blind controlled trial.
in Sao Paulo medical journal = Revista paulista de medicina
Goff LM
(2019)
Associations of dietary intake with cardiometabolic risk in a multi-ethnic cohort: a longitudinal analysis of the Determinants of Adolescence, now young Adults, Social well-being and Health (DASH) study.
in The British journal of nutrition
Goberdhan S
(2022)
Formative Exploration of the Feasibility of Embedding Community Assets Into Primary Health Care: Barbershop and Place of Worship Readiness in Guyana.
in Journal of primary care & community health
Feuser Z
(2020)
Efficacy of the DEET, IR3535, and Picaridin Topical Use Against Aedes Aegypti Systematic Review
in Infectious Diseases in Clinical Practice
Elia C
(2020)
Weight misperception and psychological symptoms from adolescence to young adulthood: longitudinal study of an ethnically diverse UK cohort.
in BMC public health
Dos Santos CCM
(2021)
Hyaluronic Acid in Postmenopause Vaginal Atrophy: A Systematic Review.
in The journal of sexual medicine
Dias IMÁV
(2021)
University indigenous uses social media to report the impact of COVID-19 on their communities.
in Revista da Associacao Medica Brasileira (1992)
Delgado-Angulo EK
(2018)
Ethnicity, migration status and dental caries experience among adults in East London.
in Community dentistry and oral epidemiology
Da Silva DE
(2019)
High-Intensity Interval Training in Patients with Type 2 Diabetes Mellitus: a Systematic Review.
in Current atherosclerosis reports
Colonetti T
(2021)
Effect of exercise on epicardial adipose tissue in adults: a systematic review and meta-analyses.
in Heart failure reviews
Colonetti T
(2018)
Accuracy of immunoglobulin M and immunoglobulin A of saliva in early diagnosis of dengue: Systematic Review and Meta-analysis.
in Anais da Academia Brasileira de Ciencias
Cardoso DL
(2018)
Should splenic autotransplantation be considered after total splenectomy due to trauma?
in Revista do Colegio Brasileiro de Cirurgioes
C Jardim PT
(2023)
Co-developing a health promotion programme for indigenous youths in Brazil: A concept mapping report.
in PloS one
Bavaresco DV
(2020)
Efficacy of infliximab in treatment-resistant depression: A systematic review and meta-analysis.
in Pharmacology, biochemistry, and behavior
Bavaresco DV
(2019)
Efficacy of Celecoxib Adjunct Treatment on Bipolar Disorder: Systematic Review and Meta-Analysis.
in CNS & neurological disorders drug targets
Almughamisi M
(2022)
Adolescent Obesity Prevention in Saudi Arabia: Co-identifying Actionable Priorities for Interventions.
in Frontiers in public health
| Description | Indigenous peoples welcomed the opportunity of a system intervention for adolescent healh but were anxious about sustainable support |
| Exploitation Route | Informs a wiider global collbaoration on indiegnos health |
| Sectors | Education,Healthcare,Government, Democracy and Justice |
| Description | Training of local researchers in soft system methods |
| Sector | Education,Healthcare |
| Description | Member of advisory public policy. Fatima Alice Quadros was invited to be a member of a indigenous advisory group for the State of Mato Grosso do Sul |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Membership of a guideline committee |
| Description | 005-2018-PIBEX-PROEC-UEMS. University Funding for undergraduate student |
| Amount | R$ 400 (BRL) |
| Funding ID | 005-2018-PIBEX-PROEC-UEMS. Samira Dias dos Passos supervised by Paulo de Tarso Coelho Jardim. |
| Organisation | Mato Grosso do Sul State University |
| Sector | Academic/University |
| Country | Brazil |
| Start | 07/2018 |
| End | 07/2019 |
| Description | KCL Together |
| Amount | £50,000 (GBP) |
| Organisation | King's College London |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 04/2017 |
| End | 03/2018 |
| Description | Newton Fund |
| Amount | £136,604 (GBP) |
| Funding ID | MR/R022739/1 |
| Organisation | Medical Research Council (MRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 04/2018 |
| End | 10/2019 |
| Description | Rapid Response Research Grants |
| Amount | £144,000 (GBP) |
| Funding ID | MR/R022739/1 |
| Organisation | Medical Research Council (MRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 03/2018 |
| End | 02/2019 |
| Title | Training of local researchers in concept mapping |
| Description | 4 x 3 hour sessions with 25 researchers and medical students at University of Mato Grosso du sul brazil |
| Type Of Material | Improvements to research infrastructure |
| Year Produced | 2018 |
| Provided To Others? | No |
| Impact | Researchers used the method in the study with indigenous communities |
| Title | Training of researchers |
| Description | 4 day course on qualitative methods covering theory, methods, process evaluation and role play |
| Type Of Material | Improvements to research infrastructure |
| Provided To Others? | No |
| Impact | not yet assessed |
| Description | CVD in the Caribbean |
| Organisation | Jamaica Ministry of Health |
| Country | Jamaica |
| Sector | Public |
| PI Contribution | Analysis of data Co-authorship of papers and conference presentations |
| Collaborator Contribution | Collection and analysis of data Co-authorship of papers and conference presentations |
| Impact | 2 papers published/submitted and 2 poster presentations Multi-disciplinary collaboration: social and clinical epidemiology, cardiovascular medicine, child health |
| Start Year | 2009 |
| Description | CVD in the Caribbean |
| Organisation | King's College London |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Analysis of data Co-authorship of papers and conference presentations |
| Collaborator Contribution | Collection and analysis of data Co-authorship of papers and conference presentations |
| Impact | 2 papers published/submitted and 2 poster presentations Multi-disciplinary collaboration: social and clinical epidemiology, cardiovascular medicine, child health |
| Start Year | 2009 |
| Description | CVD in the Caribbean |
| Organisation | University of West Indies |
| Country | Jamaica |
| Sector | Academic/University |
| PI Contribution | Analysis of data Co-authorship of papers and conference presentations |
| Collaborator Contribution | Collection and analysis of data Co-authorship of papers and conference presentations |
| Impact | 2 papers published/submitted and 2 poster presentations Multi-disciplinary collaboration: social and clinical epidemiology, cardiovascular medicine, child health |
| Start Year | 2009 |
| Description | Colaboration between local University and University of Brasilia-UNB |
| Organisation | University of Brasilia |
| Country | Brazil |
| Sector | Academic/University |
| PI Contribution | Local team is providing data on the preparedness of Indigenous Terena Community to receive health promotion programs. These data will subsidize the development of material and programs in association to researchers from both Universities. |
| Collaborator Contribution | So far, consultations with Terena students, village leaders, teachers, parents, health practitioners to obtain their perspectives on important and feasible actions for an intervention program, and on the readiness of the school and the Polo Base systems for delivery of an adolescent health promotion programme were held and data shared with partners. |
| Impact | In participatory analyses of concept mapping data, adults identified 10 themes, with emphasis on disease prevention, access to health care, school/Polo Base support, parent-child communication problems and loss of culture. Students' themes emphasised family life, friendships, economic disadvantage and sports. Barriers to intervention included poor access to internet and computers, long distances between Villages and the Polo Base, absence of integrated school- community health programs, inadequate number of indigenous community health workers, and previous negative experiences with non-government organisations. Numerous meetings between researchers, school/Polo Base staff and village leaders established a dialogue of trust and led to a significant impact of commitment and enthusiasm for a joint school-Polo Base programme. |
| Start Year | 2018 |
| Description | Collaboration with University of New South Wales (Australia) |
| Organisation | University of New South Wales |
| Country | Australia |
| Sector | Academic/University |
| PI Contribution | CI on grant application that will combine community participatory techniques with epidemiological and political-ecological assessments to examine the effects of climate change and water related environmental degradation, and exclusion from management and governance of local environment on mental health in indigenous people, particularly young people, in regions vulnerable to climate extremes, and to provide pilot data and protocol development for a larger multi-country study. |
| Collaborator Contribution | Australia - expertise and experience of research with indigeneity |
| Impact | Research yet to begin |
| Start Year | 2020 |
| Description | International comparative studies |
| Organisation | Academic Medical Center |
| Country | Netherlands |
| Sector | Academic/University |
| PI Contribution | Provison of UK data sets to MEHO; Lead or co-author on peer reviewed papers |
| Collaborator Contribution | Expertise in ethnicity and health in Portugal; Co-authorExpertise in ethnicity and health in Australia; Co-authorExpertise in analysing large data sets; Co-authorExpertise in sexual health; Co-authorLead on the Migrant and Ethnic Health Observatory (MEHO) study |
| Impact | -Presentations at academic meetings and publications 19525262 19349162 18779736 17690159 17353202 16464611 16280368 16464611 18215540 16126153 18460352 18752157 19068281 17367725 20522433 19349162 +3 submitted MEHO's project |
| Description | International comparative studies |
| Organisation | Medical Research Council (MRC) |
| Department | MRC Social & Public Health Sciences Unit |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Provison of UK data sets to MEHO; Lead or co-author on peer reviewed papers |
| Collaborator Contribution | Expertise in ethnicity and health in Portugal; Co-authorExpertise in ethnicity and health in Australia; Co-authorExpertise in analysing large data sets; Co-authorExpertise in sexual health; Co-authorLead on the Migrant and Ethnic Health Observatory (MEHO) study |
| Impact | -Presentations at academic meetings and publications 19525262 19349162 18779736 17690159 17353202 16464611 16280368 16464611 18215540 16126153 18460352 18752157 19068281 17367725 20522433 19349162 +3 submitted MEHO's project |
| Description | International comparative studies |
| Organisation | Queen's University Belfast |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Provison of UK data sets to MEHO; Lead or co-author on peer reviewed papers |
| Collaborator Contribution | Expertise in ethnicity and health in Portugal; Co-authorExpertise in ethnicity and health in Australia; Co-authorExpertise in analysing large data sets; Co-authorExpertise in sexual health; Co-authorLead on the Migrant and Ethnic Health Observatory (MEHO) study |
| Impact | -Presentations at academic meetings and publications 19525262 19349162 18779736 17690159 17353202 16464611 16280368 16464611 18215540 16126153 18460352 18752157 19068281 17367725 20522433 19349162 +3 submitted MEHO's project |
| Description | International comparative studies |
| Organisation | University of Coimbra |
| Country | Portugal |
| Sector | Academic/University |
| PI Contribution | Provison of UK data sets to MEHO; Lead or co-author on peer reviewed papers |
| Collaborator Contribution | Expertise in ethnicity and health in Portugal; Co-authorExpertise in ethnicity and health in Australia; Co-authorExpertise in analysing large data sets; Co-authorExpertise in sexual health; Co-authorLead on the Migrant and Ethnic Health Observatory (MEHO) study |
| Impact | -Presentations at academic meetings and publications 19525262 19349162 18779736 17690159 17353202 16464611 16280368 16464611 18215540 16126153 18460352 18752157 19068281 17367725 20522433 19349162 +3 submitted MEHO's project |
| Description | International comparative studies |
| Organisation | University of Western Australia |
| Country | Australia |
| Sector | Academic/University |
| PI Contribution | Provison of UK data sets to MEHO; Lead or co-author on peer reviewed papers |
| Collaborator Contribution | Expertise in ethnicity and health in Portugal; Co-authorExpertise in ethnicity and health in Australia; Co-authorExpertise in analysing large data sets; Co-authorExpertise in sexual health; Co-authorLead on the Migrant and Ethnic Health Observatory (MEHO) study |
| Impact | -Presentations at academic meetings and publications 19525262 19349162 18779736 17690159 17353202 16464611 16280368 16464611 18215540 16126153 18460352 18752157 19068281 17367725 20522433 19349162 +3 submitted MEHO's project |
| Description | Religious segregation and health |
| Organisation | Queen's University Belfast |
| Department | Department of Epidemiology and Public Health |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Expertise in social epidemiology |
| Collaborator Contribution | Overall management of study, analysis and writing up of findings |
| Impact | Gaining knowledge on public health implication of religious segregation in North Ireland |
| Start Year | 2009 |
| Description | "I Simpósio sobre o impacto da Covid-19 nos indígenas de MS' : First Symposium about COVID-19 impact on Indigenous peoples from Mato Grosso do Sul, Brasil. |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | A group of 17 academics guided by professors Prof. Dr. Erika Kaneta Ferri, Prof. Dr. Fatima Alice Quadros and Prof. Dr. Paulo de Tarso Coelho Jardim of the Medicine course of the State University of Mato Grosso do Sul, participants of the Group of Studies and Research in Indigenous Health of the Medicine Course, the GEPSI-UEMS, promoted the "I Symposium of the GEPSI UEMS: the impact of Covid-19 in the indigenous people of Mato Grosso do Sul". The objective of the Event was "the exchange of knowledge between academics, indigenous leaders and professionals who work directly with the indigenous community on the impacts of COVID 19 on this population". |
| Year(s) Of Engagement Activity | 2021 |
| URL | http://www.uems.br/noticias/detalhes/uemscampo-grande-grupo-de-estudos-promove-i-simposio-sobre-o-im... |
| Description | Co-development of a school -Polo Base (primary care) indigenous adolescent health promotion programme: findings from the Xunati Uti study in the indignous Tereré Village, Mato Grosso do Sul |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | The purpose was to disseminate findings related to the readiness assessment and concept mapping that were conducted in the Indigenou Village and embedded Local adult and young stakeholders. "Co-development of a school -Polo Base (primary care) indigenous adolescent health promotion programme: findings from the Xunati Uti study in the indignous Tereré Village, Mato Grosso do Sul.."Was presented In: 65th Annual CARPHA Health Resarch Conference, 2021. Pandemia, NCDs and Climate Change: The Caribbean's Triple Threat, 2021. |
| Year(s) Of Engagement Activity | 2021 |
| URL | https://www.healthycaribbean.org/carpha-health-research-conference-2021/ |
| Description | Concept Mapping |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Study participants or study members |
| Results and Impact | Meetings to perform the Concept mapping with indigenous leadership, school teachers and indigenous community health workers to assess what they think is important and feasible to promote better nutritional and mental health among indigenous local youth and how that could be done through indigenous comunnity health workers in school setting. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Meetings with Local Indigenous Health Secretariat |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Policymakers/politicians |
| Results and Impact | The aim of these meetings was to engage local indigenous health authorities in the research, as it was essential to have Indigenous Health Community workers on board for that, authorizations and support were needed. |
| Year(s) Of Engagement Activity | 2018 |
| Description | NCD Prevention |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Third sector organisations |
| Results and Impact | Sensitization to planned intervnetion programme |
| Year(s) Of Engagement Activity | 2017 |
| Description | Readiness Assessment from Polo Base |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | The purpose of this intervention was to evaluate the potential of local health workers (nurses, indigenous health workers, oral surgeon, nutritionist, physician) to engage in a health program and support activities focused on the participation of indigenous health workers in school programs that intend to improve mental and nutritional health of young indigenous sutdents. The activity had a positive outcome as it improved relations between University researchers and local health team. |
| Year(s) Of Engagement Activity | 2018 |
| Description | community workshops with indigenous people |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | 18 Kalinago residents in Dominica attended 4 workshops to discuss priorities for prevention of NCDs |
| Year(s) Of Engagement Activity | 2017 |