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Dr Hamish Graham
Dr Hamish Graham is a Clinician-Scientist in MCRI's International Child Health group, paediatrician at the Royal Children's Hospital (RCH) and University College Hospital Ibadan (Nigeria), and senior research fellow at the Centre for International Child Health (University of Melbourne).
Dr Graham is a collaborative clinician-researcher, with interests in improving the quality of care for children, pulse oximetry and oxygen therapy, refugee health, and care for children with chronic health conditions and disability.
Dr Graham is internationally recognised for his work on pulse oximetry and oxygen therapy. He currently advises the World Health Organization (WHO) and UNICEF on how to improve oxygen systems, and collaborates with a wide range of local and international child health organisations and researchers to expand oxygen access (e.g. CHAI, UCL, FREO2, EBC coalition, PATH, Save the Children).
Dr Graham completed his medical training at Monash University, and studied International Development through RMIT University – receiving the Vice Chancellor's Award for Excellent. He completed public health training at Johns Hopkins University as a Fulbright scholar, and earned his doctorate at the University of Melbourne on a field trial of improved hospital oxygen systems in Nigeria (awarded the CSL Florey Next Generation Award for best biomedical doctorate).
- Senior Research Fellow (David Bickart Fellow), Department of Paediatrics, University of Melbourne
- Consultant Paediatrician, General and Respiratory Medicine, Royal Children's Hospital Melbourne
- Visiting Consultant, Department of Paediatrics, University College Hospital Ibadan, Nigeria
- 2020-2023: University of Melbourne's David Bickart Clinician Research Fellowship
- 2019: Victorian Government Premier's Award for Health and Medical Research Finalist
- 2019-2023: The Royal Children's Hospital Foundation Melbourne Children's Clinician-Scientist Fellowship
- 2018: Australian Institute of Policy and Science CSL Florey Next Generation Award Winner (for top PhD candidate in health and biomedical sciences)
- 2018: University of Melbourne Department of Paediatric's Research Rising Star Award
- 2018: Every Breath Counts Coalition Global Pneumonia Fighter for World Pneumonia Day
- 2017: University of Melbourne's Henry and Rachel Ackman Travelling Scholarship
- 2017: Australian Government Research Training Program Scholarship
- 2013: Johns Hopkins Bloomberg School of Public Health Delta Omega Society of Excellence
- 2012: Australian/US Fulbright Commission Postgraduate Scholarship
- 2012: Johns Hopkins Center for Global Health Scholarship
- 2012: Johns Hopkins Bloomberg School of Public Health Field Placement Award
- 2008: RMIT University Vice-Chancellor's Award for Academic Excellence
- 2004: Monash University Jane Connor Memorial Scholarship
- 2001: Australian Government John Flynn Scholarship
- 2001: Australian Government Rural Australian Medical Undergraduate Scholarship
- 2000: Monash University Merit & Equity Scholarship
Dr Graham is a collaborative clinician-researcher, with interests in improving the quality of care for children, pulse oximetry and oxygen therapy, refugee health, and care for children with chronic health conditions and disability. He currently leads research programs related to oxygen therapy and child pneumonia in Nigeria and Uganda, and a program on child disability in Afghanistan.
Dr Graham's work has been supported by funding from the Bill and Melinda Gates Foundation, Grand Challenges Canada, and others. He has led systematic reviews on Child Pneumonia, Refugee Child Health, Oxygen Therapy, and Care of Children with Chronic Health Conditions and authored over 35 academic publications.
Dr Graham has been a consultant and advisor to the World Health Organization (WHO) and UNICEF, and is recognised as a global expert on pulse oximetry and oxygen system. He has contributed to policy on oxygen therapy in Nigeria (state and national), Ethiopia (national) and globally (WHO, UNICEF). In Australia, Dr Graham has contributed to state and national health policy, including the Victorian immunisation policy, Victorian tuberculosis guidelines and the Australian Human Right's Commission report on the health of children in Immigration Detention.
- Bringing life-saving oxygen therapy to children worldwide: proposal to scale-up pulse oximetry and oxygen therapy in 5 high-mortality countries. Finalist in MacArthur Foundation $100M "100 and Change" competition. In partnership with CHAI.
- INSPIRING program (Nigeria): evaluation of multi-faceted child pneumonia program. In partnership with UCL and UCH Ibadan, supported by Save the Children UK, GSK.
- Oxygen scale up (Uganda): evaluation of oxygen scale up activities. In partnership with CHAI and Federal MOH, supported by BMGF, ELMA Foundation.
- Innovative oxygen systems (Uganda): evaluation of FREO2's innovative oxygen systems. In partnership with FREO2.
- Oxygen for Life Initiative (Nigeria): implementation of improved oxygen systems. In partnership with state and federal MOH, CHAI, supported by DAK Foundation.
- Mighty Children program (Afghanistan): pilot of caregiver support groups for children living with disability. In partnership with RHDO, supported by GCC.
- Nigeria Oxygen Implementation program (Nigeria): stepped wedge trial of improved oxygen systems in 12 Nigerian hospitals. In partnership with University College Hospital Ibadan, supported by BMGF, WHO, Nigeria MOH.
- Papua New Guinea oxygen program (Papua New Guinea): multi-faceted quality improvement program providing solar oxygen to small hospitals. In partnership with MOH, Paediatric Association, supported by BMGF and WHO.
- Tuberculosis (Australia): quality improvement work to improve detection and treatment of latent TB in Victoria, Australia. In partnership with Victorian TB program, supported by John Burge Trust.
Graham HR, Sheillah B, Bakare AA, Olayo BO, Peterson SS, Duke T, Falade AG. Improving hospital oxygen systems for COVID-19 in low-resource settings. Global Health Science and Practice 2020 (in press).
Lam F, Subhi R, Houdek J, Schroder K, Battu A, Graham HR. The prevalence of hypoxemia among pediatric and adult patients presenting to healthcare facilities in low- and middle-income countries: protocol for a systematic review and meta-analysis. Systematic Reviews 2020: 9 (67).
Graham HR, Bakare AA, Ayede AI, et al. Diagnosis of pneumonia and malaria in Nigerian hospitals: A prospective cohort study. Pediatric Pulmonology 2020: 1-14.
Bakare AA, Graham HR, Ayede AI, et al. Providing oxygen to children and newborns: a multi-faceted technical and clinical assessment of oxygen access and oxygen use in secondary-level hospitals in southwest Nigeria. International Health 2020:12:60-68.
Bakare AA, Graham HR, Agwai IC, et al. Community and caregivers' perceptions of pneumonia and care-seeking experiences in Nigeria: A qualitative study. Pediatric Pulmonology 2020: 1-9.
Shittu F, Agwai IC, Falade AG, Bakare AA, Graham, H, et al. Health system challenges for improved childhood pneumonia case management in Lagos and Jigawa, Nigeria. Pediatric Pulmonology 2020: 1-13.
Iuliano A, Aranda Z, Colbourn T… Graham HR, et al. The burden and risks of pediatric pneumonia in Nigeria: A desk-based review of existing literature and data. Pediatric Pulmonology 2002: 1-12.
King C, Iuliano A, Burgess RA… Graham HR, et al. A mixed-methods evaluation of stakeholder perspectives on pediatric pneumonia in Nigeria-priorities, challenges, and champions. Pediatric Pulmonology 2020: 1-9.
Kwambana-Adams BA, Mulholland K, Satzke C and the ISPPD group, State-of-the-art in the pneumococcal field: Proceedings from the 11th International Symposium on Pneumococci and Pneumococcal Diseases (ISPPD-11). Pneumonia 2020.
Ahmed S, Mvalo T, Akech S, Graham H, et al. Protecting children in low-income and middle-income countries from COVID-19. BMJ global health. 2020; 5:e002844.
Graham HR, Bakare AA, Fashanu C, et al. Oxygen therapy for children: A key tool in reducing deaths from pneumonia. Pediatric Pulmonology 2020: 1-4.
McCollum E, King C, Colbourn T, Graham H, Bernstein M, Wilson IH, Checkley W. Pulse oximetry in paediatric primary care: Catalyzing implementation in low-income and middle-income countries, Lancet Respiratory Medicine. 2019
Graham HR, Bakare AA, Ayede AI, et al. Oxygen systems to improve clinical care and outcomes for children and neonates: a stepped-wedge cluster-randomised trial in Nigeria. PLoS Med 2019; 16(11): e1002951.
Graham HR, Bakare AA, Ayede AI, et al. Hypoxaemia in hospitalised children and neonates: a prospective cohort study in Nigerian secondary-level hospitals. EClinicalMedicine 2019.
Walker PJ, Bakare AA, Ayede AI, Oluwafemi RO, Olubosede OA, Olafimihan IV, Duke T, Falade AG, Tan Kennetth, Graham HR, Using intermittent pulse oximetry to guide neonatal oxygen therapy in a low-resource context. Archives of Disease in Childhood: Fetal Neonatal Ed. 2019.
Heenan RC, Volkman T, Stokes S, Tosif S, Graham H, Smith A, Tran D, Paxton G, 'I think we've had a health screen': new offshore screening, new refugee health guidelines, new Syrian and Iraqi cohorts - recommendations, reality, results and review. J Paediatr Child Health 2019:55:95-103.
King C, Graham H, McCollum E. 'Point-of-care pulse oximetry for children in low-resource settings' in Revolutionizing Tropical Medicine: Point of Care Tests, New Imaging Technologies, and Digital Health. Eds K Atkinson and D Mabey. John Wiley and Sons Inc, Hoboken, New Jersey, USA. 2019. ISBN 978-1-119-28264-8 [book chapter]
Paxton GA, Spink PCG, Danchin MH, Tyrell L, Taylor CL, Casey S, Graham HR. Catching up with catch-up: a policy analysis of immunisation for refugees and asylum seekers in Victoria. Australian Journal of Primary Health 2018; 24(6) 480-490.
Graham HR, Bakare AA, Gray A, Ayede AI, Qazi S, McPake B, Izadnegahdar R, Duke T, Falade AG. Adoption of paediatric and neonatal pulse oximetry by 12 hospitals in Nigeria: a mixed-methods realist evaluation. BMJ global health 2018;3(3):e000812.
Graham HR, Ayede AI, Bakare AA, et al. Improving oxygen therapy for children and neonates in secondary hospitals in Nigeria: study protocol for a stepped-wedge cluster randomised trial. Trials 2017;18(1):502.
Duke T, Hwaihwanje I, Kaupa M, Karubi J, Panaewe D, Sa'avu M, Pulsan F, Prasad P, Maru F, Tenambo H, Kwaramb A, Neal E, Graham H, Izadnegahdar R. Solar powered oxygen systems in remote health centers in Papua New Guinea: a large scale implementation effectiveness trial. Journal of global health 2017;7(1)
Minhas R, Graham H, Jegathesan T, Huber J, Young E, Barozzino T. Supporting the developmental health of refugee children and youth. Paediatr Child Health. 2017, 22 (2), p68-71.
Graham H, Tosif S, Gray A, Qazi S, Campbell H, Peel D, McPake B, Duke T. Providing oxygen to children in hospitals: a realist review. Bulletin WHO. 2017; 95:288-302.
Graham H, Minhas RS, Paxton G. Learning Problems in Children of Refugee Background: A Systematic Review. Pediatrics. 2016; 137(6).
Graham H, Tokhi M, Duke T. Scoping review: strategies of providing care for children with chronic health conditions in low- and middle-income countries. Trop Med Int Health 2016;21(11):1366-88.
Graham H, Ayede AI, Bakare AA, Oyewole OB, Peel D, Falade AG, Duke T. Oxygen for children and newborns in non-tertiary hospitals in South-west Nigeria: A needs assessment. African Journal of Medicine and Medical Sciences. 2016; 45:31-49.
Graham H, Tokhi M, Edward A, Salehi AS, Turkmani S, Duke T, Bartlett L. Use of Clinical Guidelines: Perspectives from Clinicians in Paediatric and Maternity Hospitals in Kabul, Afghanistan. East Mediterr Health J. 2015; 21 (2):100-10.
Duke T, Graham H, Peel D, Izadnegahdar R, Duke C. Solar powered health care. The International Journal of Tuberculosis and Lung Disease. 2016; 20(5):572-573.
Paxton G, Tosif S, Graham H, et al. Perspective: 'The forgotten children: National inquiry into children in immigration detention (2014)'. Journal of Paediatrics and Child Health 2015; 51: 365-368.
- Bill and Melinda Gates Foundation (BMGF)
- Grand Challenges Canada (GCC)
- World Health Organization (WHO)
- John Burge Trust