Fiona Lange, Emma Stanford, Emily O'Kearney, Jessie Motlik, Hugh R TaylorIndigenous Eye Health, The University of Melbourne, Melbourne, Australia

Health Promotion and Healthy Public PolicyBring About Promising Inter-Sectorial Collaboration for

Trachoma Elimination by 2020

Poster prepared for Australian Health Promotion Association, Perth 19-22 June 2016. Fiona Lange: flange@unimelb.du.au (03) 90358241 / Emma Stanford: esta@unimelb.edu.au (03) 90358255

Endemic Trachoma Still Exists in Australia

Melbourne School of Population and Global Health

Andrew J. Shattock, Manoj Gambhir, Hugh R. Taylor, Carleigh S. Cowling, John M. Kaldor, David P. Wilson Control of Trachoma in Australia: A model based evaluation of current interventions. PLoS Negl Trop Dis. 2015, 9(4): e000347Lange FD, Jones K, Ritte R, Brown H, Taylor HR. The impact of trachoma health promotion activities. Submitted to PLos Negl Trop Dis December 2015.National Guidelines for the Public Health Management of Trachoma. Communicable Disease Network of Australia. 2014The Ottawa Charter for Health Promotion. http://www.who.int/healthpromotion/conferences/previous/ottawa/en/index4.html

Inter-Sectorial Collaboration

1.References:

2.

Intervention Strategies

Sustainable Elimination of Trachoma

ConclusionAustralia has committed to eliminate trachoma by 2020.

To do this we need to fully implement the SAFE strategy including the F and E.

All sectors need to work together to encourage clean face behaviour change and to ensure safe bathrooms are available.

Data sharing amongst sectors is a critical foundation for collaboration.

The WHO endorsed SAFE Strategy (Surgery, Antibiotics, Facial cleanliness, Environmental Improvement) is used to eliminate trachoma.

Australia has been doing well on S and A but more work is needed on the F and E.

F: Every dirty face (with eye or nose secretions) is a health hazard for trachoma transmission. Health promotion programs to increase facial cleanliness are ongoing. Australian program target is 85% of children with clean faces.

E: ‘Safe Bathrooms’ have working taps and basins with soap, paper towels, mirrors and tissues.

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3

Agencies Collaboratingin the NT

Early Years EducationPrimary Years EducationDepartment of HousingEnvironmental HealthDepartment of Health-Centre for Disease ControlPrime Minister and Cabinet

Inter-sectorial commitment is critical for successful implementation of ‘Clean Faces, Safe Bathrooms’. Advocacy for clean faces led to successful inclusion of ‘clean faces’ in the Australian Curriculum.

Rates have decreased markedly since 2009 but a continued effort is needed.

Australia is the only high-income country to still have trachoma.

Australia has committed to eliminate trachoma by 2020.

Trachoma is a blinding eye disease spread mainly by infected eye and nose secretions in young children. Repeated infection leads to blindness.

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1

2

Reported Prevalence of Trachoma in Children

STRENGTHEN COMMUNITY ACTION

DEVELOP PERSONAL

SKILLS

CREATE SUPPORTIVE ENVIRONMENTS

REORIENT HEALTH SERVICES

ENABLE

MEDIATE

ADVOCATE

BUILD HEALTHY PUBLIC POLICY

3.

The Ottawa Charter for Health Promotion

Mediation for collaboration with multiple sectors is ongoing.

4.

Health promotion policy requires the identification of obstacles to the adoption of healthy public policies in non-health sectors and ways of removing them.4

Department of Education

Prime Minister and Cabinet

Department of Housing

Environmental Health

Department of Health

Pre-Schools

Schools

Community

Clinics

Clean Faces &

Safe Bathrooms

Data are collected for trachoma and facial cleanliness prevalence at a regional and community level. Data sharing enables sectors outside health to commit resources and ensures evidenced based, targeted strategies.

25%

20%

15%

10%

5%

0%

1-9 years5-9 yearsProjected 5-9 years

PREV

ALEN

CE

2006 2007 2008 2009 2010 2011 2012 2013 2014

For further information please contact us: phone: (03) 8344 9320 email: Indigenous-EyeHealth@unimelb.edu.au

To order ‘The Trachoma Story Kit’ and download resources, visit our website: www.iehu.unimelb.edu.au

The distribution of the Trachoma Story Kit resources is supported by The Australian Government Department of Health

The Trachoma Story Kit supports work in clinics, schools, and community wide programs.

It will enable Aboriginal Health Workers, clinical staff, teachers, pre-school and child care workers, environmental health workers and sport and recreation staff to educate and inform adults and children about trachoma; what it is, how it spreads and how to find, treat and eliminate trachoma in communities.

It contains clinical education and culturally specific, engaging health promotion resources.

Clinic, Community and School Flipcharts

Teacher and Student WorkbooksPoster Series

Trachoma Resources BookKey Messages

Correcting MythsWHO Trachoma Grading Card

Surveillance ReportMilpa TattoosMilpa StampJabby DVD

Trachoma Resources DVD