‘Partnerships are crucial’: an evaluation of the Aboriginal Family Birthing Program in South Australia

Middleton, Philippa; Bubner, Tanya; Glover, Karen; Rumbold, Alice; Weetra, Donna; Scheil, Wendy; Brown, Stephanie

doi:10.1111/1753-6405.12599

Cited by 28 publications

(47 citation statements)

References 10 publications

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“…Post-hoc analyses were frequently utilised in studies and few conducted significance testing. A possible explanation for this might be associated with the challenges of developing culturally-appropriate training programs and tools since considerable time may be necessary to negotiate and build partnerships with Indigenous communities [ 32 ]. There is also the ethical challenge of conducting rigorous research while ensuring that healthcare is not compromised for this vulnerable population.…”

Section: Discussionmentioning

confidence: 99%

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Villarosa

Salamonson

et al. 2018

BMC Public Health

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BackgroundEarly childhood caries is the most common chronic childhood disease worldwide. Australian Aboriginal and Torres Strait Islander children are twice more likely to develop dental decay, and contributing factors include poor maternal oral health and underutilisation of dental services. Globally, Indigenous health workers are in a unique position to deliver culturally competent oral healthcare because they have a contextual understanding of the needs of the community.MethodsThis scoping review aimed to identify the role of Indigenous health workers in promoting maternal oral health globally. A systematic search was undertaken of six electronic databases for relevant published literature and grey literature, and expanded to include non-dental health professionals and other Indigenous populations across the lifespan when limited studies were identified.ResultsTwenty-two papers met the inclusion criteria, focussing on the role of Indigenous health workers in maternal oral healthcare, types of oral health training programs and screening tools to evaluate program effectiveness. There was a paucity of peer-reviewed evidence on the role of Indigenous health workers in promoting maternal oral health, with most studies focusing on other non-dental health professionals. Nevertheless, there were reports of Indigenous health workers supporting oral health in early childhood. Although some oral health screening tools and training programs were identified for non-dental health professionals during the antenatal period, no specific screening tool has been developed for use by Indigenous health workers.ConclusionsWhile the role of health workers from Indigenous communities in promoting maternal oral health is yet to be clearly defined, they have the potential to play a crucial role in ‘driving’ screening and education of maternal oral health especially when there is adequate organisational support, warranting further research.

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Section: Discussionmentioning

confidence: 99%

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Villarosa

Salamonson

et al. 2018

BMC Public Health

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“…The studies conducted in the Top End of Australia predominantly focused on Aboriginal community-controlled health services and remote health centres [1,5,6,10,19,29,40], and, in some instances, also included a regional hospital where Aboriginal women relocated for birth [5]. The studies that were conducted across multiple locations usually included a metropolitan or regional hospital as well as a number of remote health centres and explored whether there were links or established referral pathways between these services [1,5,6,8,13,19,24,29,44].…”

Section: Study Settingsmentioning

confidence: 99%

“…The observed lack of continuity of care and carer was attributed to inappropriate or inadequate resourcing of remote health services, poor care coordination, poor discharge documentation and communication between hospitals and remote health centres, lack of Aboriginal leadership, a focus on a western model of care provision, attitudes and practices of clinicians, time constraints placed on midwives and other health care providers, staff turnover and rotation, and inflexible hospital policies and procedures [1,6,8,10,44,45].…”

Section: Key Themes Lack Of Continuity Of Care Across the First 1000 mentioning

confidence: 99%

“…Compared to non-Indigenous Australians, Aboriginal Australians experience a significant level of disadvantage in health, life expectancy, education, employment and living standards [1][2][3][4][5][6][7][8]. These disparities are evident when considering maternal and infant health outcomes, with higher rates of gestational diabetes and smoking during pregnancy among Aboriginal women, rates of preterm birth and low birth weight nearly double among Aboriginal babies, perinatal mortality rates of Aboriginal infants 50% higher than those of non-Aboriginal infants, and maternal mortality rates of Aboriginal women nearly three times higher compared to their non-Aboriginal counterparts [1,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Maternal and infant health outcomes worsen with increasing remoteness, due to challenges in health service provision and delivery [6].…”

Section: Introductionmentioning

confidence: 99%

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Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature

Sivertsen

Anikeeva

Deverix

et al. 2020

BMC Health Serv Res

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Background: Aboriginal women and their infants experience significant disadvantage in health outcomes compared to their non-Aboriginal counterparts. Access to timely, effective and appropriate maternal and child healthcare can contribute to reducing these existing health disparities. However, accessing mainstream healthcare services often results in high levels of fear and anxiety, and low attendance at subsequent appointments among Aboriginal women, due to inefficient communication, poor service coordination and a lack of continuity of care. Methods: This integrative literature review sought to explore factors that contribute to continuity of care and consider service features that contribute to positive care experiences and satisfaction with care received by Aboriginal women and their infants. In total, 28 studies were included in the review and were thematically analysed using Braun and Clarke's six steps of thematic analysis. This was followed by a collaborative, computer-assisted qualitative analysis, which resulted in the emergence of five key themes: lack of continuity of care, impact of lack of continuity of care, continuity of care interventions, impact of continuity of care interventions, and strategies to improve continuity of care. Results: Most studies focused on health services in rural or remote Aboriginal communities and there was a lack of documented evidence of continuity of care (or lack thereof) for Aboriginal women living and birthing in regional and metropolitan areas. The majority of studies focused explicitly on continuity of care during the antenatal, birthing and immediate postnatal period, with only two studies considering continuity through to an infant's first 1000 days. Conclusion: The review highlights a lack of studies exploring continuity of care for Aboriginal families from the antenatal period through to an infants' first 1000 days of life. Included studies identified a lack of continuity in the antenatal, peri-and postnatal periods in both regional and metropolitan settings. This, along with identified strategies for enhancing continuity, have implications for communities, and healthcare services to provide appropriate and culturally safe care. It also marks an urgent need to incorporate and extend continuity of care and carer through to the first 1000 days for successful maternal and infant health outcomes for Aboriginal peoples.

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“…Interventions are usually provided by health professionals, many of whom are unfamiliar with working collaboratively with women's groups. Yet, we know that working partnerships in Indigenous health are fundamental (25); PHC staff and managers need to be supported to understand the importance of community participation in co-producing responsive MCH services that aim to improve patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

WOmen's Action for Mums and Bubs (WOMB) Trial Protocol: A Non-randomized Stepped Wedge Implementation Trial of Participatory Women's Groups to Improve the Health of Aboriginal and Torres Strait Islander Mothers and Children in Australia

Carlisle

Felton-Busch

Cadet‐James

et al. 2020

Front. Public Health

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‘Partnerships are crucial’: an evaluation of the Aboriginal Family Birthing Program in South Australia

Cited by 28 publications

References 10 publications

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature

WOmen's Action for Mums and Bubs (WOMB) Trial Protocol: A Non-randomized Stepped Wedge Implementation Trial of Participatory Women's Groups to Improve the Health of Aboriginal and Torres Strait Islander Mothers and Children in Australia

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