scholarly journals Uncovering Engagement Networks for Adaptation in Three Regional Communities: Empirical Examples from New South Wales, Australia

Climate ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 21
Author(s):  
Rebecca Cunningham ◽  
Brent Jacobs ◽  
Thomas G. Measham

Climate change is a significant challenge for policy makers, planners and communities. While adaptation responses are generally recognised to be place-based, policy processes on adaptation often reside with central (state or national) governments that may be remote from regional communities. In this paper, we contribute to the literature regarding how diverse regional communities engage with planning and policy for climate adaptation, which is important for successful implementation. We adopt a social network analysis (SNA) approach that enables an exploration of the interaction of community networks with policy information. There are limited empirical studies of information sharing about climate adaptation policy through community knowledge networks. One previous study, located in coastal New South Wales, Australia, mapped the community’s knowledge acquisition and diffusion to reveal the underlying network structures that influenced policy engagement pathways. However, further studies are needed to determine how the features of community networks may change with local context (e.g., coastal versus inland). This paper extends previous studies to compare and contrast adaptation knowledge networks in three NSW communities: Shoalhaven (the original coastal study site), Bega (coastal) and Orange (inland). Findings suggest that the presence of a natural resource-dependent industry, local geographies and boundary spanners acting as network knowledge brokers are factors influencing community knowledge flows. The work further demonstrates the utility of SNA to measure knowledge networks that can inform government engagement and communication with communities on climate adaptation policy.

Sexual Health ◽  
2019 ◽  
Vol 16 (4) ◽  
pp. 332 ◽  
Author(s):  
Rebecca Lorch ◽  
Christopher Bourne ◽  
Leanne Burton ◽  
Larissa Lewis ◽  
Katherine Brown ◽  
...  

Background Patient-delivered partner therapy (PDPT) for chlamydia is an effective and safe additional partner management strategy. Some Australian regulatory changes have been made to support PDPT, but implementation guidance is lacking. This paper describes a pilot implementation program of PDPT in New South Wales (NSW), the Australian Development and Operationalisation of Partner Therapy (ADOPT). Methods: ADOPT involved: (1) clarification of the NSW PDPT legal and policy framework; (2) development and implementation of PDPT service models, resources and data collection tools for select publicly funded sexual health services (PFSHS) and Family Planning (FP) NSW clinics; and (3) evaluation of PDPT uptake. Results: PDPT can be undertaken in NSW if accompanied by adequate provider, patient and partner information. Regulatory amendments enabled medication prescribing. The pilot implementation took place in four PFSHS and five FPNSW clinics from January to December 2016. In PFSHS, 30% of eligible patients were offered PDPT and 89% accepted the offer. In FPNSW clinics, 42% of eligible patients were offered PDPT and 63% accepted the offer. Most partners for whom PDPT was accepted were regular partners. Conclusions: A close collaboration of researchers, policy makers and clinicians allowed successful implementation of a PDPT model for chlamydia in heterosexual patients at select PFSHS and FPNSW clinics, providing guidance on its use as standard of care. However, for the full public health benefits of PDPT to be realised, it must be implemented in general practice, where most chlamydia is diagnosed. Further work is recommended to explore feasibility, develop guidelines and promote the integration of PDPT into general practice.


Author(s):  
Sarath Burgis-Kasthala ◽  
Claudia Slimings ◽  
Marie Smith ◽  
Nicholas Elmitt ◽  
Malcolm Moore

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