Background and Aim: The applicability of internationally-accepted infection control guidelines in rural Indonesia is questionable due to differences in resources availability and local contexts. Infection control barriers specific to rural Indonesia therefore need to be identified to assist in developing targeted infection control programs that are resource- and context-appropriate at the institutional, regional and national levels. Methods: This mixed methods study of ten healthcare facilities (hospitals and clinics, public and private) in a rural Indonesian district, all with severely limited resources, explored clinical practices in four areas: intravenous therapy, antibiotic usage, instrument reprocessing and hand hygiene. The quantitative methods used included univariate, multivariate and survival analyses of primary and secondary clinical data. The qualitative methods included a grounded theory analysis of observations, short and in-depth interviews and focus group discussion data. These two components of the study were synthesised to ascertain the magnitude and underlying factors of healthcare-associated infection risks and barriers to infection control programs. Findings: Inappropriate clinical practices caused excessive and unrecognised risks of primary bloodstream infection, surgical site infection, blood borne virus infection, and the development and spread of multi-resistant bacteria. The four diverse clinical practice areas exhibited common and interwoven underlying factors, which were: healthcare workers?? inadequate clinical knowledge, a lack of managerial support, and cultural beliefs shared by the healthcare workers and community members that prevailed over evidence-based knowledge. Non-clinical factors from inside and outside the healthcare facilities were inter-related and cannot be separated from the ensuing clinical practice inadequacies. An analytical framework that categorises infection control barriers into clinical and non-clinical domains as well as internal and external factors is therefore proposed to ensure a comprehensive infection control program design. Conclusion: The current clinically-focused infection control programs are likely to have limited and temporary results in rural Indonesia due to barriers being in the main non-clinical in origin. An effective and sustainable infection control program needs to concurrently address basic clinical practice improvements and the underlying managerial, attitudinal and cultural barriers. This public health aspect of infection control is often neglected yet crucial for the success of any infection control program in rural Indonesia.

Includes bibliographical references (leaves 444-460). / xxi, 460 leaves : ill. (some col.) ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / A study based on a case study with integrated macro and micro approaches to investigate some effects of the development and industrialisation processes in Indonesia. / Thesis (Ph.D.)--University of Adelaide, Dept. of Geographical and Environmental Studies, 2001

This study investigates similar and different nonverbal behaviours of Indonesian and Australian students (focusing on proxemics, kinesics, touching and dress codes), examines the students' perception in relation to the behaviours, and isolates or predicts intercultural problems. It aims at creating learning resources to be used in English classes in Indonesia. The data collection involved observations and interviews. Initial data analysis was conducted at the same time as the data collection, followed by an intensive analysis using a coding process. Some similarities were found. There was a tendency among Indonesian students to sit together, reflecting their collectivist value. This tendency may also be evident among Australian students. Similar patterns of eye gazing, hand movements, sitting posture, body position and body orientation probably demonstrate the universality of communicative behaviour. In both cultures, head nodding indicates paying attention, or in certain situations, may be interpreted as a flattering gesture. However, the flattering meaning may result from a different degree of head nodding display in Indonesian and Australian contexts. Many of these similar behaviours need further investigation using video recording. Many differences were found. In tutorials, Indonesians were more likely to be formal and restrained, in contrast to Australian informality and expressiveness. Different practices in the use of the hand were also identified. Dress code was one of the most significant areas of difference, together with the public display of affective behaviour, and the preference to sit on the floor or to sit and lie on the lawns. Eye contact, gender-mixing in gatherings and some touching behaviours may be problematic for a few Indonesians. Further discussion also shows that smiling to strangers commonly practised by Australians can be unusual in Indonesia. In contrast, head nodding, eye contact and head tossing that have specific cultural meanings in Indonesia appear to be unproblematic in the Australian context. It was concluded that the different behaviours indicate that several issues – including conflict avoidance, face saving, respect for authority, harmony maintenance, ingroup-outgroup divisions and religious regulations – are practiced in different ways and valued to differing degrees in Indonesia and Australia. The analysis also revealed a strong indication that in Indonesian culture, nonverbal behaviour has similar emphasis with, and often can be more significant than, verbal behaviour. In Australia, the emphasis would be more likely to be on verbal expression. It seems that some of the differences did not result in negative perception among students. However, certain things may result in problems at various levels - ranging from uncomfortable feelings, and lack of interactions, up to the formation of negative perception about a culture. Having tolerance and willingness to evaluate a matter from different perspectives can be useful to minimize ethnocentrism and avoid any negative stereotypes. As part of this study I conducted a literature review about intercultural learning and created two examples of learning material, both focusing on nonverbal behaviours. The first material is intended to raise the issue of cultural difference, and the second one raises the ethnocentrism issue. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1458568 / Thesis (M.A.) -- University of Adelaide, School of Humanities, 2009

Doctor of Philosophy(PhD) / N/A

There is no universally applicable privatisation model, and each country needs to adopt an approach which takes account of its local context. This study devises an appropriate design and implementation procedure for the privatization of Indonesia's state enterprises by developing a Corporate Performance Measurement model and an Asset Topography.

The first aim of this thesis was to test the hypothesis that the spatial and food resources in the nearshore waters of a subtropical embayment in Western Australia (Shark Bay) will be partitioned within and amongst the main elasmobranch species that occur in that large water body. The size and age compositions, growth rates and reproductive biology of females and males of the nervous shark Carcharhinus cautus in Shark Bay were then determined to better understand the mode of life of this abundant species in this embayment. The second aim was to determine the species and size compositions of chondrichthyans landed by fisheries employing different methods in south-eastern Indonesia. The implications of these data for management were next determined and aspects of the reproductive biology of the most abundant of those species were explored, in a very preliminary manner. The nearshore, shallow waters of Shark Bay are used as a nursery area by several shark species and the different habitats in those waters are partitioned, to a certain degree, amongst those species. Ten species of shark (5 families), five species of ray (4 families) and twelve species of teleost (10 families) were caught in those waters. Carcharhinus cautus was the most abundant species, contributing 59.9% to the total number of elasmobranchs and 42.3% to all fish caught. This species and Negaprion acutidens were collected mainly or entirely from unvegetated sites, whereas Rhizoprionodon acutus, Carcharhinus brevipinna and Chiloscyllium punctatum were caught largely or exclusively at the seagrass site. The number of elasmobranch species and number of individuals of elasmobranchs were greatest in the seagrass site and least in the unvegetated site where no vegetation was present nearby, and they were significantly less in the latter site than in the one where dense mangroves were present nearby. These two biotic variables were also significantly greater in summer and autumn than in winter when temperatures were lowest. The species composition of elasmobranchs in each habitat type almost invariably differed significantly from that in each of the other habitat types and there was evidence that the species composition of elasmobranchs varied in a similar seasonal manner at the three unvegetated sites. Carcharhinus cautus, and probably also Hemigaleus microstoma and Chiloscyllium punctatum, were the only species that completed their life cycles in the nearshore, shallow waters of Herald Bight. However, the capture of the juveniles of a further four species with umbilical scars emphasises the importance of these waters as a nursery habitat for shark species. The dietary compositions of one ray species (Rhinobatus typus) and three shark species (Carcharhinus cautus, Negaprion acutidens, Rhizoprionodon acutus) undergo size-related changes and differ among these species, thereby reducing the potential for competition for food within and among these four species. Rhinobatus typus fed almost exclusively on penaeid prawns and portunid crabs, which is reflected in its narrow dietary breadth, whereas different species of teleosts constituted a major component of the diets of each size class of the three shark species. The relative contributions of the different species of teleost to the diets of the three shark species varied. The variations in dietary composition among the four species reflect differences in behaviour, modes of feeding and relative mouth sizes. Carcharhinus cautus copulates in late October–early November, shortly followed by ovulation (and thus conception) and parturition occurs about 11 months later. The reproductive cycle of C. cautus is biennial. Female and male C. cautus reached ca 28 and 32% of their lengths at their maximum observed ages, respectively, at the time of parturition. Females and males of C. cautus attained maximum total lengths of 1330 and 1110 mm, respectively, and maximum ages after parturition of 16 and 12 years, respectively. Maturity was attained at about 1010 mm by females and 910 mm by males and at least 50% of females and males had become mature by the end of their sixth and fourth years of life, respectively. The three-parameter von Bertalanffy growth curves provided reasonably good fits to the lengths at age of females and males of C. cautus during just postnatal life and throughout the whole of pre- and postnatal life. However, the four-parameter Schnute growth curve significantly improved the fit to these data for both females and males from conception and for females from birth. The question of when, from a biological view point, it might be appropriate to switch from using a von Bertalanffy growth curve to the more complex Schnute growth curve are discussed. A total of 139 chondrichthyan species, comprising 77 species of shark representing 17 families, 61 species of ray representing 11 families and a single species of holocephalan, were recorded at the ten landing sites surveyed in south-eastern Indonesia. However, it should be recognised that up to 49 of the 139 chondrichthyan species recorded have apparently not yet been described and thus assigned a species name. The most speciose and commonly recorded families were the Dasyatidae and Carcharhinidae, which collectively contributed 84.8%, respectively, to the total number of individuals of all species. The use of MDS ordination demonstrated that the species compositions at the eight main landing sites reflected to a greater extent the fishing methods used rather than the geographical location of those sites. Data on the reproductive biology of males demonstrated that a number of elasmobranch species were fished prior to the time that they attained maturity. The three most abundant chondrichthyan species that were caught both as juveniles and adults were Dasyatis kuhlii, Dasyatis zugei and Himantura walga. Since the reproductive cycle of each of these species did not follow a seasonal pattern, the timing of conception and parturition and the duration of gestation of these species could not be determined. The fecundity of these three species was very low, i.e. maximum of two but usually only a single embryo. The size at maturity of the three species, using data on the prevalence of mature fish, ranged from minima of 163 mm for females and males of H. walga to maxima of 237 mm for females and 239 mm for males of D. kuhlii. The translucent zones on the vertebral centra of D. kuhlii were apparently deposited annually and were thus used to estimate the ages of the individuals of this species. The maximum estimated ages of female and male D. kuhlii were 15 and 10 years, respectively.

This research addressed two important issues concerning conservation of orang-utans in Indonesia, the prevalence of diseases in orang-utans at reintroduction centres and the extent of intra-subspecific genetic variation between isolated populations of Bornean orang-utans. The research was conducted at the Wanariset Orang-utan Reintroduction Centre in East Kalirnantan fiom 1994 to 1997, during which time extensive field excursions were made throughout Borneo, and at the Biomedical Primate Research Centre in the Netherlands in 1998. Analysis of clinical records fiom 1991 to 1997 showed that during this period 339 orang-utans were admitted to Wanariset, of which 96 (28.3%) died and 108 (31.8%) were released. Studies were designed to identify and determine the prevalence of diseases, specifically gastro-intestinal parasites, tuberculosis and certain viral diseases. Further studies defined the factors associated with mortalities of orang-utans at the reintroduction centre. Gastro-intestinal parasites, in particular Strongyloides spp. and Balantidium coli, posed health problems for rehabilitant orang-utans. Strongyloides spp. and Strongyle sp. eggs and B. coli were detected in faecal samples from new arrivals, rehabilitant, released and wild individuals. Trichuris trichura was present in new arrivals, released and rehabilitant orang-utans, whereas Ascaris sp., and Cyclospora sp. were present only in rehabilitants. There was a high prevalence of B. coli in new arrivals (41.6%), rehabilitants (100%) and released individuals (100%) and a low prevalence in wild individuals (12.5%). Faecal egg counts of individuals infected with Strongyloides spp. showed that 47.8% of rehabilitants and 14.3% of new arrivals had egg counts over 1000 eggs/gm, 81.8% of released individuals had egg counts less than 500 eggslgm and all wild individuals had egg counts less than 100 eggs/mg. Strongyloidosis was the primary cause of death (21.9%) of rehabilitant orang-utans, prior to the incorporation of oral ivermectin into the parasite control program. There was a low prevalence of tuberculosis, which was detected in one individual (0.8%) and suspected to have caused the death of two others (2.1% of deaths). Diagnosis of tuberculosis in orang-utans was complicated by inaccuracies and difficulties in interpreting the diagnostic tests commonly used in humans and nonhuman primates. Further research is required to develop more reliable and accurate tests for the diagnosis of tuberculosis in orang-utans. A study of the serological prevalence of a number of viral infections in captive orangutans showed evidence of exposure to hepatitis B virus (42.6%), hepatitis A virus (34.9%), herpes simplex viruses (14.7%), simian D-type retroviruses (11.2%) and human T-lymphotrogic viruses (1.4%). There was no evidence of exposure to simian or human immunodeficiency viruses. Molecular studies to determine the origin of the hepatitis B virus, showed the virus was not of human origin as has been generally assumed, but was an indigenous virus which also occurred naturally in wild populations. The virus was subsequently named Orangutan Hepadnavirus. A molecular study using mitochondrial DNA was undertaken to determine whether there was significant genetic diversity between six isolated populations of wild orangutans within Borneo. It was concluded that there are at least four genetically distinct populations located in East Kalimantan, southwest Kalirnantdcentral Kalirnantan, northwest KalimantdSarawak, and Sabah. The findings of this research are discussed in terms of the implications for management policies for reintroduction centres, as well as for the conservation of wild populations. They will also be of relevance to zoos and primate centres.

Thesis (B.A. Hons. 1978)--from the Department of Politics, University of Adelaide.

Thesis (Ph. D.)--University of New South Wales, 2005. / Also available online.

Thesis (Ph.D.)--Murdoch University, 1997. / Thesis submitted to the Division of Arts. Bibliography: p. 265-294.