REACCH: Research Excellence in Aboriginal Community Controlled Health

Date Commenced:
Jan 2010
Project Status
Ongoing
Expected Date of Completion:
Dec 2014
Project Supporters

National Health and Medical Research Council Centre for Research Excellence

Currently recruiting
No
REACCH Logo

About the Project

REACCH is a collaboration between the National Aboriginal Community Controlled Health Organisation (NACCHO) and the Kirby Institute and four Aboriginal Community Controlled Health Services. The aim of REACCH is to improve clinical practice, program delivery and research capacity in the Aboriginal Community Controlled sector through developing service-led, data driven projects

Projects currently being undertaken by the REACCH team are:

  • MESHH:To support clinics in implementing STI and BBV quality improvemt
  • STI Project: To evaluate current STI service delivery and develop service- specific clinical pathways for STI testing, treatment and follow-up. This study will examine STI prevalence, patient and clinic attitudes to testing.
  • Healthy Liver Evaluation: To evaluate hepatitis C treatment
  • MOC Project: To develop a service specific clinical model for people at risk ofcontracting BBV infections. Mixed methods approach including an analysis ofservice level data, interviews and a literature review. Additional funding was received by Lowitja Institute.
  • CAPProject: Development ofculturally appropriate, service-specific research protocols, an evaluation ofresearch through interviews and a literature review.
  • AntenatalProject:Mixedmethodsevaluationofantenatalservicedelivery and the development ofa service-specific, evidence-based model of antenatal care. Service data, audit data, survey, interviews and a literature review will be conducted.
  • Evaluation project:REACCH will undertake an evaluation of capacity development and governance in the final year of operation (2014)

 

Expected benefit to the Community: REACCH will continue to contribute to the evidence base ofSTI and BBV testing and positivity in Aboriginal and Torres Strait Islander Peoples. It has resulted in projects that will improve clinical practice and result in increased STI/BBV testing. REACCH also engages

in community capacity development and has supported three Aboriginal researchers working in participating services.

 

Aboriginal Community involvement: REACCH is jointly managed by the National Aboriginal Community Controlled Health Organisation and the Kirby Institute.

 

Organisations: Four ACCHS in four States are involved in REACCH:

  • Nunkuwarrin Yunti ofSouth Australia, Inc.
  • Goondir Aboriginal Health Service, Queensland
  • Western Sydney Aboriginal Medical Service, NSW
  •  Victorian Aboriginal Health Service, VIC

 

Four State-based NACCHO affiliate organisations also play an active role in REACCH:

  • Queensland Aboriginal and Islander Health Council,
  • Aboriginal Health and Medical Research Council,
  • Aboriginal Health Council ofSouth Australia and
  •  Victorian Aboriginal Community Controlled Health Organisation

 

Funding body: NHMRC

 

Achievements/key findings:

  • REACCH has delivered a model ofAboriginal Community Control of research projects, intellectual property and data that has been used to guide other researchers in best practice ofintellectual property and data ownership
  • REACCH has assisted in the development ofseveral Aboriginal researchers located in Aboriginal Community Controlled Health Services who are taking the lead on research projects
  •  REACCH has increased the evidence base around STI and BBV infections in communities via peer-reviewed publications and a number of conference presentations.
Output

Publications:
Harrod ME, et al., Markers of hepatitis B infection and immunity in patients attending Aboriginal Community Controlled Health Services. Medical Journal of Australia, September 2014.

Conference Presentations
1.    Harrod ME, Delaney-Thiele D, REACCH: the use of health technology to enhance STI and BBV service delivery within an Aboriginal Community Controlled led research collaboration Australasian Sexual Health Conference. 2014: Sydney (invited presentation)
2.    Harrod ME, Couzos S, Donovan B, Kaldor J, Williams S, Hammond B, Gregson S, Delaney-Thiele D, Saunders M, Ward J, Opportunistic testing for gonorrhoea in four Aboriginal Community Controlled Health Services. 2014: Australasian Sexual Health Conference, Sydney(oral presentation)
3.    Harrod ME; Dore G, Gregson S; Belfrage M; Delaney-Thiele D, Hammond B, Williams S, Donovan B; Mooney-Somers J, Saunders M, Kaldor J; Ward J, A Descriptive Analysis of Routine HCV Testing Data from Four Aboriginal Community Controlled Health Services: Testing, Positivity, Follow Up and Context of Testing. World Indigenous People’s Conference on Viral Hepatitis. 2014: Alice Springs. (oral presentation)
4.    Mooney-Somers J, Nori A, Hammond B, Harrod, ME, Kaldor, J.  Client Experiences of Undertaking HCV Treatment Through an Aboriginal Community Controlled Health Service: Insights from a Qualitative Evaluation World Indigenous People’s Conference on Viral Hepatitis. 2014: Alice Springs. (oral presentation)
5.    Mooney-Somers J1, Nori A2, Hammond B2, Harrod, ME3, Kaldor, J3 What makes a community-based HCV treatment program acceptable to clients? Insights from health care providers and clients. 9th Australasian Conference on Viral Hepatitis. 2014: Alice Springs. (oral presentation)
6.    Harrod ME on behalf of the REACCH Collaboration, The use of routinely collected clinical data to illuminate gaps in current research into STI and BBV infections in the urban Aboriginal and Torres Strait Islander population, in UNSW School of Public Health and Community Medicine Annual Research Symposium. 2014: Kensington. (oral presentation)
7.    Delaney-Thiele, D. Antenatal care and infectious disease risk at Aboriginal Medical Service Western Sydney, in UNSW School of Public Health and Community Medicine Annual Research Symposium. 2014: Kensington. (oral presentation)
8.    Harrod ME, et al., A descriptive analysis of routine HCV testing data from four Aboriginal Community Controlled Health services: testing, positivity, follow up and context of testing, in World Indigenous Peoples Conference - Viral Hepatitis. 2014: Alice Springs. (oral presentation)
9.    Harrod ME on Behalf of the REACCH Collaboration, Service-driven quality improvement in STI and BBV testing, in NACCHO Healthy Futures Summit. 2014: Melbourne. (oral presentation)
10.    Williams S, Harrod ME, Ford B, Leedie F, Dodd M, Saunders M, Kaldor J. Implementing and evaluating a sexual health quality improvement initiatives and a service-based model of care in a regional Aboriginal Community Controlled Health Service, The Lowitja Institute 2nd National Conference on Continuous Quality Improvement (CQI) in Aboriginal and Torres Strait Islander Primary Health Care, Melbourne 2014(oral presentation)
11.    Hammond B, Miller W, Pratt E, Duszynski A, Healy V, Harrod ME, Kaldor J. Developing an evidence based model of care for people at risk of or living with a blood borne viral illness in an Aboriginal Community Controlled Health Service The Lowitja Institute 2nd National Conference on Continuous Quality Improvement (CQI) in Aboriginal and Torres Strait Islander Primary Health Care, Melbourne 2014. (oral presentation)
12.    Delaney-Thiele D, Gillor G, Harrod ME, Culturally Appropriate Protocols (CAP) for research from an Aboriginal community perspective, Australasian Ethics Network Conference, Fremantle 2013. (oral presentation)
13.    Williams S, Harrod ME, Leedie F,  Dodd M, Saunders M, Kaldor J, The role of Aboriginal Health Workers in STI testing at an Aboriginal Community Controlled Health Service, Australasian Sexual Health Conference, Darwin 2014 (poster)
14.    Delaney-Thiele D, Hure S, Harrod ME, Gillor G, Dorn C, Saunders M, Couzos S, Kaldor J, Antenatal STI and BBV testing at Aboriginal Medical Service Western Sydney Australasian Sexual Health Conference, Darwin 2014 (oral presentation)
15.    Ford B, Williams S, Leedie F, Harrod ME, Jamil MS, Saunders M, Donovan B, Mooney-Somers J, Kaldor J, Health knowledge and behaviour in an Aboriginal Community Controlled Health Service in QLD Australasian Sexual Health Conference, Darwin 2014 (poster)
16.    Harrod ME, Ward J, Couzos S, Dore G, Saunders M, Delaney-Thiele D, Kaldor JM, Hepatitis B testing and positivity in four Aboriginal Community Controlled Health Services: Data from the REACCH collaboration Australasian Sexual Health Conference, Darwin 2014 (poster)
17.    Williams S, Harrod ME, Ford B, Knox J, Leedie F, Dodd M, Cuffe S, Saunders, Kaldor JM,Implementing and evaluating STI quality improvement initiatives and a service-based model of care within Goondir Health Services Australasian Sexual Health Conference, Darwin 2014 (poster)
18.    Sandra Gregson, Kim Dick, Mary Belfrage, Mary Ellen Harrod, Peter Waples-Crowe, Sophie Couzos, Mark Saunders, James Ward, John Kaldor, Hepatitis B Management and Clinical Quality Improvement at Victorian Aboriginal Health Service Australasian Sexual Health Conference, Darwin 2014 (oral presentation)
19.    Harrod ME, Kaldor J, Couzos S, Donovan B, Dea Delaney-Thiele D, Saunders M, Fernando T, Hammond B, Nori A, Healey V, Tolhurst B, Gately J, Belfrage M, Gregson S, James Ward. Chlamydia testing and follow up in young people attending urban and regional Aboriginal Community Controlled Health Services. 13th International Union against Sexually Transmitted Infections (IUSTI) World Congress, Melbourne, October 2012  (oral presentation)
20.    Harrod ME, Thiele D, Dore G, Couzos S, Ward J, Saunders M, Tollhurst B, Gately J, Leedie F, Kaldor J on behalf of the REACCH Collaboration. Markers of hepatitis B infection and immunity in five Aboriginal Community Controlled Health Services, 2009-2011. 12th Australasian Viral Hepatitis Conference, Auckland, New Zealand, Sep 2012 (oral presentation)

Project Members
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Professor and Program Head
Ph +61 (0)2 9385 0961
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Professor and Program Head
Ph 02 9385 0900
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Professor and Program Head
Ph +61 (0)2 9385 9956
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Miss Belinda Ford
Project Officer
Other Investigators

Project members: Dea Delaney-Thiele, Sophie Couzos, Jenny Hunt, David Scrimgeour.

Other investigators: Julie Mooney Somers, Mark Saunders, Peter Waples-Crowe, Sidney Williams.

Project Collaborators: External

Nunkuwarrin Yunti ofSouth Australia, Inc.

Goondir Aboriginal Health Service, Dalby, Queensland

Western Sydney Aboriginal Medical Service, NSW

Victorian Aboriginal Health Service Melbourne, VIC

Queensland Aboriginal and Islander Health Council

Aboriginal Health and Medical Research Council

Aboriginal Health Council of South Australia

Victorian Aboriginal Community Controlled Health Organisation

Project Research Area

Project Contacts

  • image - Bel
    Miss Belinda Ford
    Project Officer

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