Australia Awards Fellowship

Implementing Evidence-Based Health Interventions to Close the Healthcare Gap for the Indigenous People of India

Over the course of a year, the Fellowship will provide training and support to strengthen the capacity of participating individuals and the health system to address inequities in indigenous health in India.

This will involve the use of audit and feedback as a framework for the promotion of evidence utilisation in the healthcare setting, and include the following three key stages:

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Stage 1

Stakeholder Engagement and Baseline Audit: During the first stage of this process Fellows will establish their evidence-based improvements projects, ensure they have buy in from key stakeholders and conduct a baseline audit to establish current practice against best practice.

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Stage 2

Design and Implementation of Strategies to Improve Practice: The second stage involves analysis of interim findings and the provision of feedback to relevant stakeholders.

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Stage 3

Follow-up Audit Post Implementation of Practice Improvement Project: The final stage of project implementation involves a follow up audit to assess the impact of the evidence-based interventions implemented in the previous stage.

Following collection of all project data, Fellows will attend a second intensive face-to-face workshop in Australia focussed on evaluation, reporting and strategies for dissemination of project outcomes. They will also work together to develop strategies for scale up and roll out of successful interventions and dissemination of project outcomes. This will include the opportunity to develop a publishable manuscript for submission to a peer reviewed journal, JBI Evidence Implementation Journal, to ensure the outcomes are translated for a global audience.

Outcomes of the Fellowship are expected to include:

1. Building a community of researchers and health practitioners with the motivation, skills, tools, networks and experience to effectively champion the spread of evidence-based interventions which can reduce inequities in health.

2. Improving the quality of healthcare by building local capacity and commitment to implement evidence into interventions to reduce inequities in the healthcare delivered to indigenous people in India.

3. Equipping health professionals with strategies to assist them to lead change, including building productive teams, implementing change, managing difficult behaviour, thereby enabling effective leadership of projects and people.

4. Developing participant’s analytical and writing skills with a view to improving patient, family, and health system outcomes.

5. Forging bilateral relationships with research institutions, government, healthcare organisations, consumers and interest groups that can help to inform the design and support the implementation of effective evidence-based health interventions, as well as amplify their outcomes and impact.

6. Addressing key gaps in data on indigenous health which result from underreporting, misclassification of ethnic groups, incomplete records, limited access to healthcare, cultural and linguistic barriers, and socioeconomic disparities.

Support You Get

  • Return Airfares to Australia (including domestic flight to Canberra)
  • Ground Transportation in Australia (as part of formal travel itinerary)
  • Visa Application Fees to Australia
  • Accommodation in Australia
  • Daily Stipend whilst in Australia (Total AUD $1,323.42 per Fellow)
  • Travel Allowance ($94.53 per Fellow)

Dates and Duration

Fellowship Component

Dates

Location

Component 1: Needs Assessment & Preparatory Reading

October 2024

Remote

Component 2: Opening Workshop

November 2024

India

Component 3: Self-Paced Learning & Project Development

November 2024 – June 2025

Workplace

Component 4: Workshop in Adelaide (visits to Canberra and Sydney)

June 2025 – August 2025

Remote

Component 5: Self-Paced Learning & Project Continuation

June 2025

Australia

Component 6: Results Presentation & Graduation Ceremony

September 2025

India

Fellowship Activities

The Fellowship is delivered over a twelve-month period to provide Fellows with the opportunity to instil and apply the lessons learned within their local health context. Based on our extensive experience delivering Australia Awards Fellowships and Short Courses, the proposed Fellowship will offer a varied learning experience that caters to the unique requirements of adult learners and incorporates a variety of formats and perspectives in our formal sessions, as well as during networking events and site visits, including:

Face to Face Workshops in India and Australia

  • Introductory Workshop in Kolkata, West Bengal, India (5 Days – November 2024)
  • Intensive Workshop in Adelaide/Canberra/Sydney, Australia (16 Days – June 2025)
  • Participant Evaluation and Concluding Workshop in Kolkata, West Bengal, India (2 Days – September 2025)

Monthly Online Learning (9 Months – November 2024 to June 2025)

  • Regular interactive video conferences
  • Online content delivery
  • Interactive activities

Peer-to-peer learning

in and outside the classroom.

Site visits and guest speakers

from the government and private sectors who can provide alternative perspectives on key issues and share their on-the-ground networks and experience with local healthcare services and communities. This is expected to support the alignment of Fellows projects with national development priorities, open doors to resources, data, and institutional support, and foster deeper cultural understanding and community engagement between our two countries, thereby increasing the effectiveness and contextual relevance of Fellows’s health intervention projects.

Case studies

provide practical examples of government and industry.

Networking opportunities

for Fellows with government agencies, higher education institutions and healthcare organisations, providing opportunities to create meaningful links, expand bilateral networks and collaboration, and increase awareness of Australia’s commitment to and role in the development of the region.

Cultural experiences are designed to facilitate

intercultural understanding, develop positive perceptions of Australia and Australians and create shared experiences for Fellows.

Individual health intervention projects

will provide opportunities to apply the learning in order to make progress on a healthcare challenge faced by indigenous populations in West Bengal State. Projects will involve the following key stages:

  • Fellows will be supported in designing and implementing an evidence-based health intervention over a period of 9 months, using JBI’s Getting Research into Practice (GRiP) approach and Practical Application of Evidence System (JBI PACES). This will involve the use of audit and feedback as a framework for the promotion of evidence utilisation in the healthcare setting and include the following three key stages:
    • Stage 1: Stakeholder Engagement and Baseline Audit: During the first stage of this process, Fellows will establish their evidence-based improvement projects, ensure buy-in from key stakeholders, and conduct a baseline audit to compare current practices with best practices.
    • Stage 2: Design and Implementation of Strategies to Improve Practice: The second stage involves analyzing interim findings and providing feedback to relevant stakeholders.
    • Stage 3: Follow-up Audit Post Implementation of Practice Improvement Project: The final stage of project implementation involves a follow-up audit to assess the impact of the evidence-based interventions implemented in the previous stage.
    • Following the collection of all project data, Fellows will attend a second intensive face-to-face workshop in Australia focussed on evaluation, reporting, and strategies for dissemination of project outcomes. They will also work together to develop strategies for scaling up and rolling out successful interventions and dissemination of project outcomes. This will include the opportunity to develop a publishable manuscript for submission to a peer-reviewed journal, JBI Evidence Implementation Journal, to ensure the outcomes are translated for a global audience. 
    • During the final intensive workshop in Kolkata, West Bengal, Fellows will present the results of their individual projects to a range of key stakeholders, including a baseline audit, GRiP barriers, facilitators and strategies, follow-up audit results, and overall reflections on their project experience.

    Topics

    Held over twelve months, the Fellowship will comprise the following modules:

    Fellowship Preparation (Online)

    Pre-Reading & Needs Assessment

    • Preparatory reading
    • Pre-Course Assessments for individuals and participating organisations

    First Intensive Workshop (5 Days – India – November 2024)

    Program Orientation 

    • Welcome & Orientation to Course Program (Introduction to JBI, overview of course objectives, expectations and support available)
    • Online Induction (Introduction to Learning Management System/ Electronic Course Materials)
    • Learning Support (What is available and how is it accessed?)

    Core Module 1: Introduction to Evidence-based Healthcare and the Implementation of Evidence

      During Module 1, Fellows will learn about evidence-based healthcare, best practice models and concepts and the importance of clinical leadership, including building the capacity of participants to manage, actively lead and facilitate change in their community, including conflict resolution, negotiation, communication and building workplace culture based on current best practice. They will also work together to develop a project plan for an evidence-based health intervention and develop strategies to effectively implement change within their local healthcare context. Topics covered will include:

      • Introduction to Health Workforce Development in Evidence Implementation Fellowship
      • Introduction to JBI
      • Introduction to Evidence-based Healthcare
      • Introduction to Evidence Implementation and Implementation Science
      • Introduction to Theories, Models and frameworks to guide implementation
      • Leading change in a clinical setting
      • The role of facilitation within evidence implementation
      • Leading people through change
      • Engaging with and managing conflict in the healthcare setting
      • Identifying your problem
      • Engaging change agents
      • Assessing content and readiness for change
      • Revieing practice against evidence-based criteria
      • Evidence implementation strategies
      • Evaluating Implementation
      • Introduction to the Practice Application of Clinical Evidence System (JBI PACES)
      • Identifying audit criteria to measure compliance
      • Guided development of an implementation protocol
      • Presentation of practice improvement projects and associated implementation protocols

      Work Based Practice Improvement Project (9 Months – 2 Days/Month – November 2024 To July 2025)

      Core Module 2: Participant Evidence Implementation Projects

      During Module 2, Fellows will be supported to design and implement their evidence-based health intervention projects within their local health context over a period of 9 months, using JBI’s Getting Research into Practice (GRiP) approach and Practical Application of Evidence System (JBI PACES). This will involve the use of audit and feedback as a framework for the promotion of evidence utilisation in the healthcare setting and include the following three key stages:

      1. Stakeholder Engagement and Baseline Audit

      During the first stage of this process, Fellows will establish their evidence-based health intervention projects, ensure they have buy-in from key stakeholders, and conduct a baseline audit to establish current practices against best practices. It will involve the following activities:

      • Establishing a project team
      • Implementing a stakeholder engagement plan to educate colleagues and patients
      • Engaging with executive leadership to ensure buy-in
      • Establishing audit criteria for their practice improvement project
      • Conducting a baseline audit to assess current practice against best practice

      1. Design and Implementation of Strategies to Improve Practice

      The second stage involves the analysis of interim findings and the provision of feedback to relevant stakeholders. It will involve the following activities:

      • Implementing the evidence-based health intervention process
      • Monitoring adherence to process and compliance with audit criteria
      • Providing ongoing feedback to participating healthcare workers
      • Identifying barriers to implementation of the evidence-based process and implementing strategies to overcome these.

      1. Follow-up Audit Post Implementation of Practice Improvement Project

      The final stage of project implementation involves a follow-up audit to assess the impact of the evidence-based interventions implemented in the previous stage. It will involve the following activities:

      • Conducting a follow-up audit to assess current practices against best practices. 
      • Finalising data collection in preparation for the second intensive workshop in Adelaide

      Second Intensive Workshop (16 Days – Adelaide/ Canberra/ Sydney – June 2025)

      • Core Module 3: Post-Project Workshop

      During Module 3, Fellows will attend a second intensive face-to-face workshop focussed on evaluation, reporting and strategies for disseminating project outcomes. They will also work together to develop strategies to scale up and roll out successful interventions and disseminate project outcomes.

      • Analysing the data collected over the project’s life and evaluating the implementation process’s effectiveness.
      • Analysing the data collected over the life of the project and evaluating the effectiveness of the change in practice.
      • Preparing a detailed implementation report.
      • Develop a dissemination strategy to maximise the impact of your project results.

      Fellows will have the opportunity to develop a publishable manuscript for submission to the JBI Evidence Implementation Journal, which will ensure that the outcomes are translated for a global audience.

      Third Intensive Workshop (2 Days – India – August 2025)

      • Core Module 4: Dissemination of Outcomes

      During the final workshop, Fellows will share the results of their individual projects, including baseline audit, GRiP barriers, facilitators and strategies, follow-up audit results and overall reflections on their project experience. Topics covered will include:

      • Presentation of outcomes
      • Identifying and implementing strategies for sustainability
      • Building the community of practice
      • Summation, evaluation and close

      All program content will be tailored to ensure that it meets the specific requirements of the Australia Awards and CPHR at MANT and delivers the best possible learning experience for participating health care professionals.  

      In alignment with the requirements of the Australia Awards, the program will incorporate content designed to build capability in the areas of climate and disaster risk, as well as promote gender equity and women in leadership. This content will be delivered through a combination of discrete sessions delivered by leading experts in these respective fields, and these important themes will be integrated into the core modules over the course of the program.