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The Challenge

The rate of diabetic retinopathy (DR) is higher for Indigenous Australians than other Australians and a major cause of vision loss. 

Access to regular screening is limited in rural and remote communities due to health and medical workforce shortages, and inconsistent outreach services.  

Theory of Change

Anticipated Outcomes

Short-Intermediate Term

  1. Increase in the number of diabetic people with access to retinal scanning

  2. Improvement in Diabetes and Health Literacy

  3. Increased Patient Satisfaction

Long Term Outcomes

  1. Reduction in vision loss due to preventable retinopathy



Number of People with Diabetes Provided an Annual Retinal Check

Health Literacy

Number of people attending education sessions held about diabetes


Patient satisfaction with access to diabetic retinopathy

8 December 2023

The CRE for Strengthening Health Systems in Remote Australia is an NMHRC funded centre of research excellence led by the Menzies School of Health Research

Social Impact


  1. Quinn N, Yang F, Ryan C, Bursell SE, Keech A, Atkinson-Briggs S, Jenkins A, Brazionis L; Centre of Research Excellence in Diabetic Retinopathy Study and TEAMSnet Study Groups. Screening for diabetic retinopathy and reduced vision among Indigenous Australians in Top End primary care health services: a TEAMSnet sub-study. Intern Med J. 2021 Nov;51(11):1897-1905. doi: 10.1111/imj.14971. Epub 2021 Oct 24. PMID: 33196133.


Improving access to retinal scanning, coupled with community education, will reduce the rate of vision loss in rural and remote Aboriginal communities in north western NSW.

Improving access to diabetic retinopathy (DR) to reduce the risk of vision loss in Indigenous communities in north western NSW.

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