Posts by Hamish Graham
"For an already jaded demographic of young voters, climate change isn’t a hypothetical, and broken promises will only drive us further away from traditional party politics," writes Grace Tame. "Older generations are no longer the dominant voice in the debate."
On why we should be strengthening Medicare and steering away from healthcare privatisation. From a quick witted Canadian to a US senator... #auspol
As Australia votes, don’t lose sight of the Trump Administration’s assaults on health – Croakey Health Media www.croakey.org/as-australia...
#AusVotes2025
#GlobalHealth
#AusPol
Conduct of clinical trials is grossly inequitable:
👉Only 10% of trials included children.
👉Only 9% were conducted in low-income and middle-income countries (LMICs), 1% in low-income countries
thelancet.com/journals/lan...
New guidance from @thelancet.bsky.social
is charting a new direction for clinical trials.
thelancet.com/series/clini...
"Rather than being satisfied with the current research, we should ask ourselves which children in the world still do not benefit from these advancements."
👉Failure to benefit those without financial riches
👉Mismatch between research priorities and disease burden
Good news - there were 540 publications from clinical trials on children and adolescents in LMICs in the past 10 years, with hugely important discoveries that will improve health.
However, ...
adc.bmj.com/content/110/...
"Physicians and medical societies have a moral imperative to advocate for the enduring protection of health care workers, patients, and health care infrastructure in conflict zones."
#medical #humanitarian
onlinelibrary.wiley.com/doi/full/10....
“Bold leadership is needed now. This is an opportunity for Africa to build resilient arrangements for self-sufficient financing for healthcare.”
@ckyobutungi.bsky.social @seyeabimbola.bsky.social
www.bmj.com/content/388/...
Brilliant, powerful, inspiring piece by Ben Phillips..Phew!
Bottom line: we cannot, should not and will not stay silent or comply
speakingofmedicine.plos.org/2025/02/13/w...
"It’s hard to argue against the general premise that aid dependency is bad. Period. No society should have to go through the humiliating tragedies we are already witnessing at scale based on electoral outcomes in far off lands" www.africanistperspective.com/p/african-co... @kopalo.bsky.social
Join author @seyeabimbola.bsky.social to launch this amazing book in Melbourne, April 4, hosted by the Australian Global Health Alliance:
ausglobalhealth.org/events/the-a...
Reckless political decisions destroy lives and undo decades of hard won progress.
Irresponsible and ignorant leadership is not just a US problem. It is endemic and will continue to grow if we stay silent.
#auspol #health #justice
Israeli authorities are violating the International Court of Justice’s legally binding orders in South Africa’s genocide case by denying the entry of lifesaving aid and services into Gaza.
Ceasefire or not, Israel is obligated legally as the occupier to facilitate entry of aid.
Important new study reporting the prevalence of critical illness in 22 nations in Africa.
👉12.5% of hospitalised patients were critically ill, and 1 in 5 died. ⚠️Less than 50% of those needing oxygen, fluids, or airway safety received it.
@thelancet.bsky.social www.thelancet.com/journals/lan...
Speaking truth to power at the #Oscars. Inspirational!
www.theguardian.com/film/2025/ma...
Could the US vandalism of global health financing prompt recipient countries to liberate themselves from aid dependence? @sojiadeyi.bsky.social
www.development-today.com/archive/2025...
Book cover: The Foreign Gaze, essays on Global Health by Seye Abimbola
Finished 1st reading of wonderfully challenging book by @seyeabimbola.bsky.social. Coming from a colonised country that also exported religious missionaries, these essays articulate many imp. perspectives, sentiments & paradoxes.
Thinking a lot now about connecting a system to more of itself.
What is up with PubMed?
It's looking weird from Australia. Hoping this is not more idiotic destruction of core health infrastructure by USG!?! But sadly would not be surprised 😯
But oxygen for all needs action - so we make 52 recommendations for governments, the oxygen industry, global health actors, advocacy groups, academics, and professional bodies to work towards by 2030...
Read more and find out what you can do 🫵
www.thelancet.com/commissions/...
Solution 5 - harness data for decision making with standardised oxygen coverage indicators, ATMOS policy scorecard, fostering a learning health system to continually generate and translate new learning into practice...
#data #impact #monitoring
Photo of liquid oxygen tank. Photo credit: Brian Otieno/ The Global Fund
Solution 4 - foster fair markets and regulation with transparent tendering and pricing, representation from LMICs, regulation that allows multiple oxygen production sources and makes devices fit for purpose...
Solution 3 - coordinate oxygen system management with a national oxygen plan, stakeholder involvement across vertical programs, funding to match need and gaps...
Photo of health worker with oxygen concentrator in hospital ward. Photo credit: PATH/Ragul Krishnan
Solution 2 - build resilient oxygen supply systems with context-appropriate solutions that build on what exists, biomedical support and essential infrastructure (especially power), planning for total cost of ownership...
Photo of health worker with pulse oximeter probes. Photo credit: Isabeau Walker/Lifebox
Solution 1 - link patients to care with routine pulse oximetry, SpO2 a vital sign, capable and supported frontline health workers, and evidence-based expansion of pulse oximetry to smaller facilities...
#oximetry #vitalsign #oxygen
We identified 5 priority areas for action to ensure equitable access to oxygen...
#solutions
Image showing the many components that go into getting oxygen to patients. Starting with the production to patient level - we need care seeking, early diagnosis, uninterrupted oxygen availability, health worker and technician expertise. Next, ensuring this complex system functions relies on effective management and planning, including costed maintenance and repair plans. Data on these steps is glaringly absent and prohibits effective planning by facility managers and district health staff, meaning stock-outs are common and unpredictable. Given the need for medical oxygen and pulse oximetry across all levels of the health system and multiple patient groups, oxygen is often without a clear “home” among government ministries and has too often been left out of policies, programmes, and data collection systems. At the national level, different parts of the oxygen system often sit with different ministries and public agencies, and oversight of procurement and quality control of oxygen fragmented and subject to inefficiencies. This is partly a result of absent coordinating structures that bring all national and sub-national actors and regional and international stakeholders together. And then, these failures in oxygen supply, quality control, and system inefficiencies are linked to how the global oxygen market functions, and deficiencies in regulations, standards and financing. Therefore, solutions need to consider how technological innovations, workforce capacity, market dynamics, and political systems intersect, considering each solution as one piece of a bigger puzzle. Many of the solutions we present are also not limited to oxygen systems – oxygen is part of the wider health system, and therefore solutions need to take a broader systems perspective.
Getting oxygen to patients requires a systems approach. Might not sound sexy but it is sooo important...
#healthsystems #oxygen
There should be no question as to whether investment in oxygen-system strengthening is value for money. Rather, the focus should be on how much funding is needed and how this money would be most effectively spent...
#investinoxygen
Figure showing lower oxygen access in Sub-Saharan Africa, South Asia, and East Asia and Pacific compared to other parts of the world.
Oxygen access is poorer in rural areas, smaller facilities, and poorer communities, with people in Sub-Saharan Africa, South Asia, and East Asia and the Pacific facing the biggest oxygen access gaps...
#equity #rural #oxygen