Dr Joshua Francis

Honorary clinical fellow


MBBS, University of Queensland, 2006; FRACP, Royal Australasian College of Physicians, 2013; Bachelor of Applied Science (Medical Science), Queensland University of Technology, 2002


Darwin Royal Darwin Hospital


Dr Joshua Francis is a paediatric infectious diseases specialist from Darwin in the Northern Territory. His work is largely focused on Indigenous and global child health, with involvement across the Top End and in Timor-Leste. Josh has established strong links between health services in Timor-Leste and the Northern Territory for the provision of clinical services, training opportunities for Timorese and Australian clinicians, and collaboration in clinical research with a focus on rheumatic heart disease, tuberculosis and clinical microbiology.

  • Pedriño Study 
  • Resistance in Urine and Skin isolates in Timor-Leste (RUSTLE)
  • Tuberculosis culture and drug susceptibility testing in Timor-Leste
  • Rheumatic heart disease in Timor-Leste
  1. Ostrowski JA, MacLaren G, Alexander J, Stewart P, Gune S, Francis JR, Ganu S, Festa M, Erickson SJ, Straney L, Schlapbach LJ. (2017) The burden of invasive infections in critically ill Indigenous children in Australia. Med J Aust. Feb; 206(2):78-84. 

  2. Francis JR, Richmond P, Robins C, Lindsay K, Levy A, Effler PV, Borland M, Blyth CC. (2016) An observational study of febrile seizures: the importance of viral infection and immunization. BMC Pediatr. Dec; 16(1):202. 

  3. Asgari S, McLaren PJ, Peake J, Wong M, Wong R, Bartha I, Francis JR, Abarca K, Gelderman KA, Agyeman P, Aebi C, Berger C, Fellay J, Schlapbach L. (2016) Exome sequencing reveals primary immunodeficiencies in children with community-acquired Pseudomonas aeruginosa sepsis. Front Immunol. Sep; 7:357. 

  4. Francis JR, Robson J, Wong D, Walsh M, Astori I, Gill D, Nourse C. (2016) Chronic recurrent multifocal Q fever osteomyelitis in children: an emerging clinical challenge. Pediatr Infect Dis J. Sep; 35(9):972-6. 

  5. McMullan B, Andresen D, Blyth CC, Avent ML, Bowen A, Britton PN, Clark JE, Cooper CM, Curtis N, Goeman E, Hazelton B, Haeusler GM, Khatami A, Newcombe J, Osowicki J, Palasanthiran P, Starr M, Lai T, Nourse C, Francis JR, Isaacs D, Bryant PA. (2016) Antibiotic duration and timing of the switch from intravenous to oral route for bacterial infections in children: systematic review and guidelines. Lancet Infect Dis. Aug; 16(8):e139-52. 

  6. Nourse CB, Robson, Whitby MR, Francis JR. (2016) First report of Entamoeba histolytica infection from Timor-Leste – acute amoebic colitis and concurrent late development of amoebic liver abscess in returned travellers to Australia. J Travel Med. Feb; 23(2):603-4. 

  7. Hall C, Sukijthamapan P, Santos R, Nourse C, Murphy D, Gibbons M, Francis JR. (2015) Challenges to delivery of isoniazid preventive therapy in a cohort of children exposed to tuberculosis in Timor-Leste. Trop Med Int Health. Jun; 20(6):730-6. 

  8. Osowicki J, Gwee A, Noronha J, Palasanthiran P, McMullan B, Isaacs D, Lai T, Nourse C, Avent M, Moriarty P, Clark J, Francis JR, Blyth CC, Cooper C, Bryant PA. (2014) Australia-wide point prevalence survey on the use and appropriateness of antimicrobial prescribing for children in hospital. Med J Aust. Dec; 201(11):657-62. 

  9. Francis JR, Blyth CC, Colby S, Fagan J, Waring J. (2014) Multidrug-resistant tuberculosis in Western Australia. Med J Aust. Apr; 200(6):328-32. 

  10. Francis JR, Nourse C, Vaska VL, Calvert S, Northill JA, McCall B, Mattke AC. (2014) Australian Bat Lyssavirus in a child: the first reported case. Pediatrics. Apr; 133(4):e1063-7. 

  1. Timorese Government prepares plan to prevent and combat rheumatic heart disease

    Timorese Government prepares plan to prevent and combat rheumatic heart disease


    The Timorese Ministry of Health is designing a prevention and diagnosis plan, part of the Family Health program, to combat rheumatic fever and rheumatic heart disease, the ministry's minister announced today.

  2. DN Lusa - Timor-Leste Pedriño Study

    DN Lusa - Timor-Leste Pedriño Study


    An Australian study has shown that Timor-Leste has one of the highest rates of rheumatic heart disease in the world, with most cases being diagnosed, until children and young people develop serious problems.

  3. Saving Lives of remote children | NT News

    Saving Lives of remote children | NT News


    Darwin researchers have uncovered alarming rates of rheumatic heart disease in East Timorese children.

  4. Cardiologists identify alarming levels of rheumatic heart disease in Timor-Leste

    Cardiologists identify alarming levels of rheumatic heart disease in Timor-Leste


    Research by Australian cardiologists has found the rates of rheumatic heart disease (RHD) in Timor-Leste are among the highest in the world. The landmark study was published in the Medical Journal of Australia.

  5. Rheumatic heart disease program in East Timor 'saving lives' with 'simple' penicillin injections

    Rheumatic heart disease program in East Timor 'saving lives' with 'simple' penicillin injections


    Australian doctors are working with East Timorese health workers to screen and treat children and young people with the illness, using methods similar to those used in Australia.