Client perspectives on an Aboriginal community led oral health service in rural Australia

Irving, Michelle; Gwynne, Kylie; Angell, Blake; Tennant, Marc; Blinkhorn, Anthony

doi:10.1111/ajr.12307

Cited by 19 publications

(24 citation statements)

References 13 publications

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“…25 Extensive cultural competence training provided prior to relocation, gave them some cultural awareness but they reported it was the immersion into the culture through living and working in the community and being open to learning from the community members, that increased their ability to be culturally competent. A survey of children and their parents who used the service during 2014 showed that they felt valued and respected when receiving care, 26 indicating that this learned cultural competence had translated into helping to build a culturally competent health service.…”

Section: Discussionmentioning

confidence: 99%

‘I miss my family, it's been a while…’ A qualitative study of clinicians who live and work in rural/remote Australian Aboriginal communities

Irving

Short

Gwynne

et al. 2016

Australian J Rural Health

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Relocation to rural and remote communities to provide health services is a complex but rewarding process. Providing personal and professional support, to relocating clinicians resulted in an overall positive experience for the participants, where they increased their professional skills and developed personally. Living and working in the community increased their cultural competence. Barriers were overcome through effective communication, flexibility and teamwork. Funding for rural placements, such as these, is critical for rural and remote health services and should include long-term appropriate funding for mentoring and support.

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Section: Discussionmentioning

confidence: 99%

‘I miss my family, it's been a while…’ A qualitative study of clinicians who live and work in rural/remote Australian Aboriginal communities

Irving

Short

Gwynne

et al. 2016

Australian J Rural Health

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“…Some studies with Australian Aboriginal communities revealed that the effectiveness of a health program is linked to how well the program adopts the community's cultural practices, knowledge, and involves community members to participate and lead the program. [50][51][52][53] These factors highlight the importance of the community to be directly involved with the development of the training program. In the context of the broader PAR program of research, the team will need to build the training program integrating the participants' suggested content and delivery, using the insights gained through these focus groups.…”

Section: Discussionmentioning

confidence: 99%

“Got to build that trust”: Aboriginal Health Workers’ perspectives and experiences of maternal oral health

Kong

Sousa

Ramjan

et al. 2020

Preprint

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Background: In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do not consider the need to ensure cultural safety for Aboriginal and Torres Strait Islander women. This study aimed to explore the perceptions and experiences of Aboriginal Health Workers and Family Partnership Workers towards oral health care during pregnancy. It is part of a larger program of research to develop a new, culturally appropriate model of oral health care for Aboriginal pregnant women and new mothers.Methods: A participatory action research methodology informed the study. Focus groups were convened to yarn with Aboriginal Health Workers, Family Partnership Workers and Aboriginal management staff at two antenatal health services in Sydney, Australia. Results: A total of 14 people participated in the focus groups. There were four themes that were constructed. These focussed on the importance of trust to build relationships with clients, and the need to receive training to better address the oral health needs of Aboriginal pregnant women and new mothers. Further, the staff work in a system fundamentally driven by the legacy of colonisation and its subsequent effects of integenerational trauma on Aboriginal people and communities. This has significantly contributed to the systemic barriers Aboriginal continue to face in accessing health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care for Aboriginal pregnant women and new mothers.Conclusions: There is the need for an individual and systems approach to promote oral health among Aboriginal pregnant women and new mothers. This approach should cultivate trust between Aboriginal women and both care providers and healthcare systems. A new model of care is needed that provides oral health training to Aboriginal Health Workers and addresses the systemic factors that create barriers to accessing dental care for Aboriginal women.

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“…Two published studies by Irving et al report positively on the experience of the service from the community perspective (Irving et al, 2016a) and the clinicians living in the communities (Irving et al, 2016b). In addition, a paper comparing this model of oral health care with a visiting service model over two years (2014 and 2015) found that this service model delivered 47% more treatment at 25.2% of the cost of a visiting service .…”

Section: Shared Aspects Of Controlmentioning

confidence: 99%

Applying Collective Impact to Wicked Problems in Aboriginal Health

Gwynne¹,

Cairnduff²

2017

MUJ

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Aboriginal people fare worse than other Australians in every measure of health, including in a ten-year gap in life expectancy, infant mortality, cardiovascular disease, dental disease, mental health, chronic disease and maternal health. Despite sustained government effort, progress to improve Aboriginal health has been very slow. The collective impact tool may offer a solution. This paper provides examples of the application of collective impact, to address the significant gap in Aboriginal health and as a tool to enable community control. Three case studies in Aboriginal health demonstrate the stages and phases of collective impact to facilitate positive change.

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Client perspectives on an Aboriginal community led oral health service in rural Australia

Cited by 19 publications

References 13 publications

‘I miss my family, it's been a while…’ A qualitative study of clinicians who live and work in rural/remote Australian Aboriginal communities

‘I miss my family, it's been a while…’ A qualitative study of clinicians who live and work in rural/remote Australian Aboriginal communities

“Got to build that trust”: Aboriginal Health Workers’ perspectives and experiences of maternal oral health

Applying Collective Impact to Wicked Problems in Aboriginal Health

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