Professor Anna Ralph

Head of Global Health Division and senior clinical research fellow

Qualifications:

PhD, Australian National University, 2010; Fellow of the Royal Australasian College of Physicians, 2005; Diploma of Hygiene and Tropical Medicine, University of London, 2002; Master of Public Health, University of Sydney, 1999; Bachelor of Medicine and Bachelor of Surgery Honours Class 1, University of New South Wales, 1996; Medical Science Honours Class 1, Australian National University, 1993; Bachelor of Medical Science, University of Tasmania, 1992.

Approved level of HDR supervision at Charles Darwin University:

Supervisor for PhD

Location:

Darwin - Royal Darwin Hospital campus

Biography:
Professor Anna Ralph is the director of Global and Tropical Health at Menzies School of Health Research, Darwin, Northern Territory, Australia. She is a National Health and Medical Research Council Career Development Fellow, and is the co-director of Rheumatic Heart Disease Australia, as well as being a practicing medical specialist in General Medicine and Infectious Diseases at Royal Darwin Hospital. 

Her research fields include rheumatic fever / rheumatic heart disease in Australian Indigenous populations, tuberculosis control especially in neighbouring South-East Asian settings, and improving inter-cultural communication between healthcare providers and clients. She has expertise in a broad range of quantitative and qualitative research methods. 

Professor Ralph is an executive steering committee member of the Australian Clinical Research Network and the Australasian Society for Infectious Diseases Clinical Research Network. 

She supervises a number of PhD students, post doctoral researchers, and Advanced Trainees in Infectious Diseases through the Royal Australasian College of Physicians. 
  1. Ralph AP, de Dassel JL, Kirby A, Read C, Mitchell AG, Maguire GP, Currie BJ, Bailie RS, Johnston V, Carapetis JR. Improving delivery of secondary prophylaxis for rheumatic heart disease in a high-burden setting: outcome of a stepped-wedge, community, randomized trial. J Am Heart Assoc. 2018;7:e009308. DOI: 10.1161/JAHA.118.009308.
  2. Coffey PM, Ralph AP, Krause VL. The role of social determinants of health in the risk and prevention of group A streptococcal infection, acute rheumatic fever and rheumatic heart disease: A systematic review. PLoS Negl Trop Dis. 2018 Jun 13;12(6):e0006577.
  3. Myint NPST, Aung NM, Win MS, Htut TY, Ralph AP, Cooper DA, Nyein ML, Kyi MM, Hanson J. The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: An observational study. PLoS One. 2018 Feb 21;13(2):e0192880. 
  4. de Dassel JL, Ralph AP, Cass A. A systematic review of adherence in Indigenous Australians: an opportunity to improve chronic condition management. BMC Health Services Research 2017
  5. Katzenellenbogen JM, Ralph AP, Wyber R, Carapetis JR. Rheumatic heart disease: infectious disease origin, chronic care approach. BMC Health Serv Res. 2017 Nov 29;17(1):793. 
  6. Mitchell AG, Belton S, Johnston V, Read C, Scrine C, Ralph AP. Aboriginal children and penicillin injections for rheumatic fever: how much of a problem is injection pain? Aust N Z J Public Health. 2017 Nov 22
  7. Ralph AP, Lowell A, Murphy J, Dias T, Butler D, Spain B, Hughes JT, Campbell L, Bauert B, Salter C, Tune K, Cass A. Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia's Northern Territory. BMC Health Serv Res. 2017 Nov 15;17(1):733. doi: 10.1186/s12913-017-2689-y.
  8. Ralph AP, Rashid Ali MRS, William T, Piera K, Parameswaran U, Bird E, Wilkes CS, Lee WK, Yeo TW, Anstey NM. Vitamin D and activated vitamin D in tuberculosis in equatorial Malaysia: a prospective clinical study. BMC Infect Dis. 2017 Apr 27;17(1):312.
  9. Ralph AP, Waramori G, Pontororing GJ, Kenangalem E, Wiguna A, Tjitra E, et al. L-arginine and Vitamin D adjunctive therapies in pulmonary tuberculosis: a randomised, double-blind, placebo-controlled trial. PLoS ONE. 2013;8(8):e70032.
  10. Ralph AP, Lucas RM, Norval M. Vitamin D and solar ultraviolet radiation in the risk and treatment of tuberculosis. Lancet Infect Dis 2013;13:77-88.
Click here to view more Anna Ralph publications in PubMed.
  1. Interpreters for Aboriginal people in hospital

    Interpreters for Aboriginal people in hospital

    Date

    On Health Report with Dr Norman Swan - Prof Anna Ralph - Menzies School of Health Research and Infectious Diseases Physician, RDH

  2. Sunday Territorian | Interpreters vital at RDH

    Sunday Territorian | Interpreters vital at RDH

    Date

    A year-long study conducted by Royal Darwin Hospital has found an increase in the use of Aboriginal interpreters in hospitals is associated with a decline in the number of patients who leave treatment early.

  3. More Aboriginal interpreters result in less self-discharges from hospitals, new research finds

    More Aboriginal interpreters result in less self-discharges from hospitals, new research finds

    Date

    The Communicate study, led by Professor Anna Ralph, has found that employing Aboriginal interpreters in hospitals can impact the rate of patients leaving treatment early.

  4. Interpreter boost reduces patient self-discharge

    Interpreter boost reduces patient self-discharge

    Date

    A study conducted at RDH has found that increased use of Aboriginal interpreters was associated with a decrease in patients leaving treatment early.

  5. Increased interpreter use linked to decrease in patient self-discharges

    Increased interpreter use linked to decrease in patient self-discharges

    Date

    A new study in the MJA has found that an increase in using Aboriginal interpreters in a hospital was associated with a decrease in patients leaving treatment early.

  6. The Magic Cure: A book to help Australian parents talk to kids about coronavirus

    The Magic Cure: A book to help Australian parents talk to kids about coronavirus

    Date

    The Magic Cure, written by Professor Anna Ralph, tells the story of two human siblings, an elf, a wizard and the search for a cure for a mystery illness.

  7. The Magic Cure Book - Bridget Myerscough and Professor Anna Ralph

    The Magic Cure Book - Bridget Myerscough and Professor Anna Ralph

    Date

    This storybook inspired by the 2020 coronavirus pandemic aims to empower young children who have been impacted by the social or health consequences of this infection.

  8. History of tuberculosis control in Australia

    History of tuberculosis control in Australia

    Date

    This case study focuses on the role played by NHMRC and Australian governments in the virtual eradication of tuberculosis in Australia during the 20th century.

  9. Coronavirus assistance to Pacific and Timor-Leste

    Coronavirus assistance to Pacific and Timor-Leste

    Date

    Coronavirus [COVID-19] is now affecting 75 countries, with the total number of cases over 90,000 and the global death toll at more than 3000.

  10. Coronavirus assistance to Pacific and Timor-Leste

    Coronavirus assistance to Pacific and Timor-Leste

    Date

    Coronavirus [COVID-19] is now affecting 75 countries, with the total number of cases over 90,000 and the global death toll at more than 3000.

  11. The fight against rheumatic heart disease continues into the new decade

    The fight against rheumatic heart disease continues into the new decade

    Date

    Health experts from across Australia and New Zealand have teamed up with cultural advisors to address what they say is the greatest cardiovascular inequality between Indigenous and non-Indigenous Australians.

  12. Trial shows using two drugs not better than one when treating MRSA blood infections

    Trial shows using two drugs not better than one when treating MRSA blood infections

    Date

    Researchers attempting to improve the treatment for methicillin-resistant Staphylococcus aureus (MRSA) blood infections have discovered the combination of two antibiotics was no better than one, and led to more adverse effects.

  13. Trial shows using two drugs not better than one when treating MRSA blood infections

    Trial shows using two drugs not better than one when treating MRSA blood infections

    Date

    Researchers of methicillin-resistant Staphylococcus aureus (MRSA) blood infections say combination of two antibiotics was no better than one.

  14. KSU interview with Associate Professor Anna Ralph

    KSU interview with Associate Professor Anna Ralph

    Date

    Interview with Kansas State University's Fulbright Scholar Associate Professor Anna Ralph with the host of "Agriculture Today" Eric Atkinson.

  15. Management of Tuberculosis: a guide for clinicians

    Management of Tuberculosis: a guide for clinicians

    Date

    The TB Forum has published "Management of Tuberculosis", edited and composed by many of the TB-CRE's key investigators. Including Menzies Associate Professor Anna Ralph

  16. How we can end TB by 2030

    How we can end TB by 2030

    Date

    A regional research collaboration with the Menzies School of Health Research has been highly productive in building capacity in PNG and Indonesia,.

  17. Tuberculosis services in PNG in the journal Public Health Action.

    Tuberculosis services in PNG in the journal Public Health Action.

    Date

    A major output from the Tropical Disease Research Regional Collaborative Initiative between Menzies School of Health Research and the Burnet Institute was launched last week at the Papua New Guinea (PNG) Annual Medical Symposium in Port Moresby. A series of papers have been published by PNG health workers who provide tuberculosis services in PNG in a special supplement in the journal Public Health Action.

  18. Supporting TB health systems

    Supporting TB health systems

    Date

    This research was conducted as part of several initiatives led by a Menzies-Burnet regional consortium in partnership with institutions in Indonesia and PNG.

  19. Heartfelt song beats back infection

    Heartfelt song beats back infection

    Date

    The song debuted at the Barunga Festival, after a collaboration between Skinnyfish Music, the Bupa Health Foundation, Telethon Kids and the Menzies School of Health Research.

  20. Catchy new song could save thousands of children from deadly RHD

    Catchy new song could save thousands of children from deadly RHD

    Date

    Indigenous children in Barunga have put together a catchy song in the hope it will save others from a crippling disease killing thousands.

  21. RN Breakfast | Rheumatic heart disease on COAG health agenda

    RN Breakfast | Rheumatic heart disease on COAG health agenda

    Date

    The Federal Government will outline a national plan to eradicate rheumatic heart disease at next week's COAG meeting of health ministers.

  22. RN Breakfast | Rheumatic heart disease on COAG health agenda

    RN Breakfast | Rheumatic heart disease on COAG health agenda

    Date

    The Federal Government will outline a national plan to eradicate rheumatic heart disease at next week's COAG meeting of health ministers.

  23. Research offers hope for rheumatic fever sufferers

    Research offers hope for rheumatic fever sufferers

    Date

    Northern Territory data has been used to prove that timely treatment for people with rheumatic fever reduces the risk of recurring illness and death.

  24. Words from Arnhem land: Aboriginal health messages need to be made with us rather than for us

    Words from Arnhem land: Aboriginal health messages need to be made with us rather than for us

    Date

    When researchers from Menzies School of Health Research starting working with us on rheumatic heart disease, we explained that the children needed better nutrition.

  25. Media Release|True burden of rheumatic fever in NZ currently underestimated, new research reveals

    Media Release|True burden of rheumatic fever in NZ currently underestimated, new research reveals

    Date

    Media Release | University of Otago

  26. True burden of rheumatic fever in NZ underestimated

    True burden of rheumatic fever in NZ underestimated

    Date

    The joint study by researchers from the University of Otago, ESR, University of Auckland and the Menzies School of Health Research, Australia.

  27. ABC | Rheumatic heart disease going undiagnosed by NT's fly-in doctors, cardiologist warns

    ABC | Rheumatic heart disease going undiagnosed by NT's fly-in doctors, cardiologist warns

    Date

    The Northern Territory is home to some of the highest known rates of rheumatic heart disease in the world, but the transient nature of the region's medical practitioners could be hindering the fight to stop it.

  28. The ‘Communicate’ Study : Poster

    The ‘Communicate’ Study : Poster

    Date

    A poster presentation on a study of patient-provider intercultural communication at Royal Darwin Hospital and consequently Aboriginal patient health outcomes, measured using quantitative and qualitative data.

  29. PNG-Aust researchers to combine under new grant program

    PNG-Aust researchers to combine under new grant program

    Date

    Australian and Papua New Guinean research groups will work in partnership to address malaria, tuberculosis and other health security threats, under a new grants program funded by the Australian government.

  30. New evidence supports radical treatment of  widespread form of malaria

    New evidence supports radical treatment of widespread form of malaria

    Date

    A team of malaria experts from a large international research collaboration has today published results supporting the need for a radical cure strategy to tackle one of the most debilitating forms of malaria caused by the Plasmodium vivax parasite.

  31. Preventing RHD through community-driven activities

    Preventing RHD through community-driven activities

    Date

    Health activities driven by remote Indigenous communities may be key to the sustainable and successful treatment and prevention of a potentially fatal disease, a study has found.

  32. Tuberculosis elimination course for Indonesian health workers

    Tuberculosis elimination course for Indonesian health workers

    Date

    Menzies is collaborating with the Burnet Institute to deliver training in the prevention and eradication of tuberculosis (TB) to 25 visiting Indonesian health professionals.

  33. Rheumatic heart disease focus for NT Fulbright Scholar

    Rheumatic heart disease focus for NT Fulbright Scholar

    Date

    Associate Professor Anna Ralph awarded an internationally renowned Fulbright Scholarship to help eliminate rheumatic heart disease (RHD) in Australia.

  34. Funding fillip for fever tool - NT News

    Funding fillip for fever tool - NT News

    Date

    DARWIN’S Menzies School of Health Research will work with the Telethon Kids Institute to develop a cutting edge diagnostic tool to detect acute rheumatic fever.

  35. Territory Q features HOT NORTH

    Territory Q features HOT NORTH

    Date

    Read about our HOT NORTH collaboration in the latest Territory Q Magazine.

  36. Tuberculosis, Why haven’t we eliminated TB already?

    Tuberculosis, Why haven’t we eliminated TB already?

    Date

    Tuberculosis - Medical Republic Why haven’t we eliminated TB already?

  37. Rheumatic heart disease researchers on mission

    Rheumatic heart disease researchers on mission

    Date

    The Northern Territory has the highest rate of rheumatic heart disease in the world, which is partly due to poor living conditions such as overcrowded housing, said Associate Professor Anna Ralph from the Menzies School of Health Research.

  38. Funding boost to tackle health challenges in northern Australia

    Funding boost to tackle health challenges in northern Australia

    Date

    Work will begin to help close critical gaps in healthcare across northern Australia as the result of a $6m grant awarded today to Menzies School of Health Research (Menzies) by the National Health and Medical Research Council (NHMRC).

  39. $2m grant to combat drug resistant malaria and tuberculosis

    $2m grant to combat drug resistant malaria and tuberculosis

    Date

    A $2m research grant to work towards the prevention, control and elimination of malaria and tuberculosis (TB) in Southeast Asia and the Pacific has been awarded to a consortium led by Menzies School of Health Research, in collaboration with Burnet Institute, the Department of Foreign Affairs and Trade announced today.

  40. The Conversation: Lung gas holds clue for future tuberculosis treatment

    The Conversation: Lung gas holds clue for future tuberculosis treatment

    Date

    Australian researchers have uncovered a link between low levels of the gas nitric oxide in the lungs of tuberculosis patients and the body’s ability to fight the deadly disease, opening the door to potential new treatments.

  41. Journal of Infectious Diseases: Impaired Pulmonary Nitric Oxide Bioavailability in Pulmonary Tuberculosis

    Journal of Infectious Diseases: Impaired Pulmonary Nitric Oxide Bioavailability in Pulmonary Tuberculosis

    Date

    Impaired Pulmonary Nitric Oxide Bioavailability in Pulmonary Tuberculosis: Association with Disease Severity and Delayed Mycobacterial Clearance with Treatment.

  42. Research reveals new target to fight tuberculosis

    Research reveals new target to fight tuberculosis

    Date

    New research from the Menzies School of Health Research could open the door to the development of new treatments for Tuberculosis (TB).

  43. Disease of the month: tuberculosis

    Disease of the month: tuberculosis

    Date

    With a history as long as mankind’s, TB lies dormant in one third of our global population.