Positive impact of a long-running urban Aboriginal medical service midwifery program

Wong, Raphael C.; Herceg, Ana; Patterson, Carolyn E.; Freebairn, Louise; Baker, Ann Sullivan; Sharp, Peter; Pinnington, Peter; Tongs, Julie

doi:10.1111/j.1479-828x.2011.01326.x

Cited by 18 publications

(30 citation statements)

References 7 publications

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“…Midwifery services and midwifery education programs are deemed culturally safe maternal healthcare options for remote communities 85 . Midwifery programs have provided maternal healthcare for indigenous populations in other countries, such as Australia, where an Indigenous midwifery program was associated with lower proportions of preterm babies, lower birthweight babies and a lower Caesarean section delivery rate than the regional average 89 …”

Section: Discussionmentioning

confidence: 99%

“…Some of these initiatives have resulted in reports of positive patient experiences, but futher areas of improvement have been identified to increase respect of Indigenous peoples and recognition of traditional knowledge [86][87][88][89] . Midwifery services and midwifery education programs are deemed culturally safe maternal healthcare options for remote communities 85 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

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Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people's experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women's experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990( -March 2015 in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous peoples (n=918) and non-Indigenous peoples (n=125) who were mothers or pregnant women (n=814), healthcare providers or workers in a health-related field (n=132), and fathers, Elders, or other community members (n=97). Availability of healthcare resources, healthcare services' consideration of socio-economic or lifestyle barriers to health, and the impact of colonization on interactions with healthcare providers were main factors that impacted Indigenous women's maternal health experiences. Medical evacuation was often due to limited maternity care options available in remote communities, and was associated with emotional, physical, and financial stress. This review highlights the importance of consistent health policies and practices for maternal health in Canada and providing culturally safe and patient-centered maternity healthcare services within indigenous communities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

View full text Add to dashboard Cite

show abstract

“…However, Aboriginal women in Australia have a much higher incidence of perinatal mortality and morbidity (Murphy & Best, 2012). Poorer maternal outcomes have been attributed to Aboriginal women being less inclined to access care, presenting later in their pregnancy, and receiving fewer antenatal visits from midwives than non-Indigenous Australians (Wong et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Student’s Corner

Elliott¹

2013

Contemporary Nurse

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Internationally Australia is considered one of the safest countries in the world for women to birth in. However, Aboriginal women in Australia have a much higher incidence of perinatal mortality and morbidity. One strategy to address this higher mortality and morbidity is to increase the numbers of Indigenous people working in healthcare. This paper discusses cultural competence in healthcare programs and higher education, including a reflection on midwifery education from the perspective of an Indigenous undergraduate midwife.

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“…Biddle recommends taking the most efficient approach possible to data collection and analysis in order to minimise participant burden. 180 In summary, research data published in the last five years and indexed on PubMed, 107 Aboriginal health liaison 8,041 b No O'Connor et al 115 Chlamydia 7,103 b Yes Dutton et al 170 Health 128 Albuminuria 860 No Lopez et al 114 Ischaemic heart disease 833 b Yes Hopkins et al 105 Psychological resilience 677 No Arjunan et al 106 Tobacco use 663 No Jamieson et al 164 Oral 113 Stressful events in children 344 b No Lalla et al 103 Oral mucosal disease 342 No Radford et al 104 Dementia 336 No Whish-Wilson et al 99 Birth outcomes 301 Yes Roberts-Thomson et al 117 Oral health 251 No Dorrington et al 174 Pap smears 213 No Gardener et al 102 Children 205 No Wong et al 126 Midwifery 177 Infant health 175 Yes Luke et al 181 Suicidal 169 Breast feeding 159 Yes Webster et al (Gudaga study) 166 Child growth 157 No Scott et al 110 Sexual health 155 No Miller et al (Gudaga study) 118 Child language assessment 150 No Arrow 100 Oral …”

Section: Sparse Research In Urban Populationsmentioning

confidence: 99%

“…One of my concerns when planning the community consultation research described in Chapter 7 was that key informants would not discuss any health priorities that services, 126 and mental health liaison. 153 Thus, the database of computerised…”

Section: Health Areas Covered By Computerised Health Assessmentsmentioning

confidence: 99%

Computerised Aboriginal and Torres Strait Islander health assessments in primary health care research

Spurling¹

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There has been insufficient research involving Aboriginal and Torres Strait Islander peoples living in urban areas to inform strategies required to improve inequitable health outcomes and life expectancy for Aboriginal and Torres Strait Islander peoples. The injustice of these health inequities motivated me to investigate the use of computerised Aboriginal and Torres Strait Islander health assessments in primary care as a source of research data which can be used to respond to community priorities. I conducted this research at the Inala Indigenous Health Service, a Queensland Government funded primary health care service for Aboriginal and Torres Strait Islander peoples. Inala is a suburb in south-western Brisbane with a strong sense of community and identity, but also significant social and economic challenges. Staff at the Inala Indigenous Health Service have been using Aboriginal and Torres Strait Islander health assessments for both clinical and research purposes since their introduction in 2004 for adults, and 2006 for children.In this thesis, I used a mixed methods approach. The first two research projects of this thesis are situated in the postpositivist paradigm where researchers accept that scientific research produces evidence which helps establish the probability that a finding is true rather than truth itself. The first research project evaluated the feasibility of implementing computerised health assessments in primary care for dual clinical and research purposes.After finding that it was feasible, the second research project established that computerised health assessment data were sufficiently representative, complete, reliable, and valid to produce credible research findings.The final two research projects of this thesis are situated in the transformative paradigm with the explicit goal of improving the social world. I acknowledge that my position as a white, non-Indigenous, male, medical researcher influenced the conduct and outcome of all the research projects in this inquiry. To minimise the risk that this research would reproduce the damaging effects of research for Aboriginal and Torres Strait Islander peoples conducted by non-Indigenous researchers, I listened to community voices to inform my approach to research using computerised health assessment information.I conducted a qualitative study involving thematic analysis of semi-structured interviews with key informants in the Inala Aboriginal and Torres Strait Islander community regarding their priorities for health and research based on health assessment data. Rather than a discrete set of health priorities, key informants articulated an authoritative understanding of how interrelated, inter-generational, social, cultural, and environmental determinants of iii health operated in a "cycle" to influence the community's health. Furthermore, some key informants were ambivalent about Aboriginal and Torres Strait Islander health assessments because of their biomedical emphasis. These findings supported the addition of questions to health...

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Positive impact of a long-running urban Aboriginal medical service midwifery program

Abstract: Aboriginal Midwifery Access Program provides high-quality antenatal care in a trusted environment. The high rate of smoking in pregnancy needs to be addressed.

Cited by 18 publications

References 7 publications

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Student’s Corner

Computerised Aboriginal and Torres Strait Islander health assessments in primary health care research

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