A. Renzaho

The study assessed the anthropometric status of 337 sub-Saharan African children aged between 3-12 years who migrated to Australia. These children were selected using a snowball sampling method stratified by age, gender and region of origin. The prevalence rates for overweight and obesity were 18.4% (95%CI: 14 - 23%) and 8.6% (95%CI: 6% -12%) respectively. The prevalence rates for the indicators of undernutrition were: wasting 4.3% (95%CI: 1.6%-9.1%), underweight 1.2% (95%CI: 0.3%-3.0%), and stunting 0.3 (95%CI: 0.0%-1.6%). Higher prevalence of overweight/obesity was associated with lower household income level, fewer siblings, lower birth weight, western African background, and single parent households (after controlling for demographic and socio-economic factors). Higher prevalence rates for underweight and wasting were associated with lower household income and shorter lengths of stay in Australia respectively. No effect was found for child's age, gender, parental education a...

ABSTRACT Objective: To evaluate the public health and nutritional situation of refugee children in Katale camp, Eastern Zaire, after two years of nutritional and health intervention from 1994 to 1996.Design: Cross-sectional survey using a two-stage cluster sampling method. Anthropometric data were collected from 28 May 1996 to 4 June 1996. Retrospective review of food basket monitoring data over the preceding six months and the United Nations High Commission for Refugees' weekly mortality data was conducted. Measles immunisation coverage data were surveyed simultaneously, using child health records.Main outcome measures: Nutritional status measured by weight-for-height index (W/H), measles immunisation status, average daily energy content of the general food ration and crude mortality rate.Setting: Katale refugee camp, Zaire, June 1996.Analysis: Weight-for-height index and proportion of immunised children were computed using EPINUT, part of EPINFO computer package.Results: Malnutrition was found to be most prevalent in children aged six to 29 months old (W/H < -2 Z-score and/or oedema: 6.2%; 95% CI: 3.4%, 10.6%), among whom the malnutrition rate was almost double the overall malnutrition prevalence (W/H < -2 Z-score and/or oedema: 3.5% (95% CI: 1.5%, 7.2%). The general food ration, although conforming to the World Food Program minimum standards of adequacy in terms of variety (being composed of cereals, oil, beans, blended cereal and legume mixes and salt), provided only 6240 kJ on average (95% CI: 5040, 7140 kJ) per person per day, thus meeting only 57% to 84% of the minimum energy requirements for an adult, and falling well below the needs for sub groups with higher nutritional requirements such as children, pregnant and breastfeeding women and the sick. Measles immunisation coverage in children nine to 59 months was 88.6%. The crude mortality rate was found to be 0.3 per 10 000 per day. Refugees received 15 litres of clean water per person per day.Conclusion: Public health interventions in Katale camp 1994 to 1996 had reduced mortality and morbidity rates dramatically. This was not reflected in the malnutrition rates for children under five years, that remained stable after an initial fall despite two years of nutritional intervention. The factors contributed to this were related to an inadequate general food ration (due to food shortages), lack of ability to supplement the diet, (due to economic restrictions that were imposed in the camp) and inequities in the food distribution process (due to food being siphoned off by camp leaders for military purposes).

Abstract Australia has a long history of migration. Up to 1945 there was a? white Australia? policy, which changed to accepting a more diverse migrant pool, including forced migrants (eg refugees). There is increasingly a need to understand and cater for the specific health needs of migrants, especially those from non-English speaking (NES) backgrounds, many of whom are not adequately recognised in population health planning. The vast increase in investment in prevention and health promotion may not cater for their needs without their ...

... Waters, E., Gibbs, L., Riggs, E., Priest, N., Renzaho, A. and Kulkens, M. 2008, Cultural competence in public health, in International encyclopedia of public health, Elsevier/Academic Press, Amsterdam, The Netherlands, pp.38-44. ... Editor(s), Heggenhougen, Kris. Quah, Stella R. ...

Abstract Hepatitis B is a serious global infection disease and a major cause of mortality and morbidity worldwide. However, data on Occult Hepatitis B in Iran are scare. The current study assessed the frequency of Anti-HBc and HBV DNA in serum sample of healthy blood donors negative for HBsAg stratified by sex and age; and also investigated the relationship between detection of HBV-DNA and anti-HBc positivity. Since anti-HBc screening is not performed in Iranian Blood Bank, we assessed whether anti-HBc could be adopted as a ...

To establish blood donation rates among African refugees and migrants and identify demographic and socio-economic factors that are associated with their blood donation. A cross-sectional survey of 425 migrants and refugees living in Victoria and South Australia was used to assess blood donation status. The association between blood donation and demographic and socio-economic factors was assessed using multiple logistic regression analysis. Overall, 73 participants (17·2%; 95% CI: 13·6-20·8) reported having donated blood previously. Of the total sample, 2·4% (95% CI: 0·9-3·8) reported having given blood in Australia; 12·9% (95% CI: 9·7-16·1) had given blood prior to migration to Australia (i.e. country of birth or transition); and 1·9% (95% CI: 0·6-3·2) indicated they had given blood in an unspecified country. In the univariate model, age, country of birth, blood donation knowledge, religion, educational attainment, migration and employment status were all associated with blood donation status. However, in the multivariate model, only age >45 years (odds ratio [OR] 5·72; 95% CI 2·11-15·46), African region of origin (OR 15·89; 95% CI 3·89-65) and blood donation knowledge (OR 4·46; 95% CI 1·57-12·7) were associated with blood donation. In order to increase the number of blood donors among African migrants, promoting knowledge and awareness of issues associated with blood donation in Australia should be emphasized. Consideration should be given to identifying these potential migrant donors to improve the availability of compatible blood for patients of African descent.

The aim of this research was to assess whether perceived discrimination, the level of acculturation, and medical mistrust are associated with knowledge about blood donation processes and blood donation status. This cross-sectional study involved 425 African migrants recruited in Melbourne and Adelaide, Australia. Participants were surveyed face-to-face using bilingual workers to maximize the inclusion across different levels of literacy in the community. In the adjusted model, the scores for knowledge about blood donation were positively associated with a longer stay in Australia (β = 0.12, p = 0.001), significantly higher among those with a tertiary education (β = 0.75; p = 0.049), those who came from rural areas (β = 1.54, p = 0.015), and Christians (β = 1.83, p < 0.01) but significantly lower among those from the western African region (β = -1.10, p = 0.032). Scores for knowledge about blood donation were lower among those who were marginalized (β = -1.01, p = 0.026). Medical mistrust and perceived discrimination were not associated with knowledge about blood donation. Participants who were traditionally orientated were 69% less likely to have ever given blood than those who were bicultural or integrated (odds ratio [OR]: 0.31, p = 0.044), whereas the effects of perceived discrimination and medical mistrust were not significant. We also examined whether to restrict the analysis to those who had given blood in Australia postmigration and found that the level of acculturation and medical mistrust were not significant but that perceived discrimination, especially personal discrimination, mattered (OR = 0.63, p = 0.005). Efforts to increase blood donation among African migrants need to address the issues related to perceived personal discrimination as an important intervention target.

To investigate the differences in acculturation experiences between parent and adolescent refugees from the Horn of Africa in Melbourne, Australia and to explore food beliefs and perceived health risks from an intergenerational perspective. Qualitative cross-sectional study involving a combination of semi-structured one-on-one interviews and focus group discussions. North-West suburbs of Melbourne, Australia. Eritrean, Ethiopian, Somali and Sudanese refugees. Using a purposeful sampling technique, twelve semi-structured face-to-face interviews (nine adults and three adolescents) and four in-depth focus groups (two with adolescents each containing six participants and two with adults one containing six participants and the other ten participants) were carried out. Thus overall data were obtained on fifteen adolescents and twenty-five parents. Qualitative analysis identified differences between parents and adolescents in relation to lifestyle, diet and physical activity. Views regarding health consequences of their changed diets also differed. Parental feeding practices encompassed a variety of methods and were enforced in an attempt by parents to control their children's dietary behaviours and prevent their drift away from traditional eating habits. These findings call for more research to contextualise dietary acculturation among refugee youth and the impact of migration on parenting styles and feeding practices in communities from the Horn of Africa. Preventive health programmes with Horn of Africa refugees need to acknowledge the effect of acculturation on diet and physical activity levels and a socio-cultural framework needs to be developed with respect to the importance and influence of the family environment.

ABSTRACT The current study aims investigate the relationship between participants neighbourhood perceptions and social capital and resident well-being using data from the Neighbourhood Renewal Project (NRP; n = 7855). Resident well-being was positively associated with the quality of the physical environment and safety of the neighbourhood, but negatively associated with government trustworthiness and community connections. Life satisfaction had a positive relationship with community connections, resident well-being, as well as quality of community services and safety. We conclude that free or low-cost opportunities to engage and connect with neighbours through participation in activities such as sporting groups, volunteer organizations, and leisure/hobby groups may increase life satisfaction of individuals in a neighbourhood, particularly for those living in low socioeconomic or stigmatized areas.

... critical trends (for example, trends in population demographics, economics or governance) as well as shocks ... HIV/AIDS, and tracking the impacts of HIV/AIDS on livelihood assets. By understanding the concepts of ... 4. Susceptibility: The Impact of Food and Nutrition ...

... Bedson, Jamie and Renzaho, Andre MN 2007, Good practice in microfinance: the challenges of a poverty focus in an evolving industry, in ... poverty and impact assessments and argues that the effective funding of microfinance is dependent on the ability of an NGO to recognise ...

... Hence, it has been suggested that nutritional status be used as a predictor of child survival (Schroeder & Brown, 1994). ... Serving portion size influences 5 year old but not 3 year old children' s food intake. J-Am-Diet-Assoc . 2000;100(2):232-239. Schroeder DG, Brown KH. ...

Green, Julie, Renzaho, Andre, Eisenbruch, Maurice, Williamson, Lara, Waters, Elizabeth, Lo Bianco, Joseph and Oberklaid, Frank 2008, Parent-centred and culturally-competent literacies for health promotion with newly arrived African communities : a literature review Centre ...

Australia is a multicultural country, with 44% of the population either born overseas or having one overseas born parent (Australian Bureau of Statistics 2007). While Australia purports to embrace and leverage these cultural differences, this does possibly raise issues in regards to marketing to a range of culturally different groups within the community