STRIVE: STI in Remote communities: ImproVed & Enhanced primary health care

Date Commenced:
2009
Project Status
Ongoing
Expected Date of Completion:
2013
Project Supporters

National Health and Medical Research Council

Currently recruiting
No
image - Strive Logo 284x284 0

About the Project

Rationale

STRIVE is a randomised community trial with an intervention of a sexual health quality improvement program. The trial is being conducted in 65 remote communities comprised of 23 clusters of communities in northern and central Australia. 

Aims

Primary aims of this project are:

1. To determine whether targeted clinical review and support provided to health services can achieve substantive and sustained improvements in the provision of sexual health clinical services in remote Aboriginal communities. 
2. To determine whether the attainment of best practice levels in clinical activity can reduce the prevalence of STIs in these communities.

Secondary aims of this project are:
1. To measure the impact of the STRIVE trial on health service staff. 
2. To measure other non-STRIVE activities which may influence sexual health service delivery.

Design & Method

The Sexual Health Quality Improvement Program comprises five main elements: 
(i) quality improvement and trial coordinators based in each region
(ii) development of a set of agreed best practice targets in STI control such as coverage, interval time to treatment, retests for cure of infection, and contact tracing with clinic staff 
(iii) modifications to patient information management systems
(iv) incentive payments to health services for reaching best practice targets and 
(v) health promotion initiatives. 

Progress/Update

STRIVE will use a stepped wedge approach design, meaning that over the next three years, eight clusters of communities will be randomly assigned to receive the intervention. Currently the STRIVE team are collecting baseline prevalence data for chlamydia, gonorrhoea and trichomonas from each of the 65 clinics.

Project Members
image - 1339124418 Jk2
Professor and Program Head
Ph +61 (0)2 9385 0961
image - Rguy
Associate Professor and Program Head
Ph +61 (0)2 9385 0900
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Professor and Program Head
Ph +61 (0)2 9385 9956
image - 1338340968 Matthew Law.jpg
Professor and Program Head
Ph (02) 93850966
image - 1340850769 Lm Work Photo
Professor and Program Head and NHMRC Senior Research Fellow
Ph +61 (0)2 9385 0936
image - 1338424583 Linda Garton
Conjoint Lecturer
Ph +61 (0)2 9385 0942
image - Handan Wand 220415
Associate Professor
Ph +61 (0)2 9385 0861
image - Skye Mcgregor
Epidemiologist
Ph +61 (0)2 9385 0900
Other Investigators

Project members:  Rumbold A, McDermott R, Fairley C. 

Project Collaborators: External

Menzies School of Health Research

Northern Territory Department of Health and Families

Aboriginal Medical Services Alliance of the Northern Territory

University of Adelaide

Central Australian Aboriginal Congress

Project Research Area

Project Contacts

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