Sue Kildea1, Sophie Hickey2, Lesley Barclay3, Sue Kruske4, Carmel Nelson4, Juanita Sherwood3, Jyai Allen5, Yu Gao6, Renee Blackman7, Yvette L Roe2. 1. Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Australia. Electronic address: sue.kildea@cdu.edu.au. 2. Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia. 3. The University of Sydney, Australia. 4. The Institute for Urban Indigenous Health, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Australia. 5. Mater Research Institute-University of Queensland, Australia; Griffith University, Australia. 6. Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Australia. 7. Aboriginal and Torres Strait Islander Community Health Service, Brisbane Ltd., Australia; Gidgee Healing, Australia.
Abstract
BACKGROUND: Birthing on Country is an international movement to return maternity services to First Nations communities and community control for improved health and wellbeing. QUESTION: How can we implement Birthing on Country services for Aboriginal and/or Torres Strait Islander families across Australia? METHODS: We have developed a framework from theoretical, policy and research literature on Birthing on Country; Aboriginal and Torres Strait Islander voices from across Australia; reviews exploring programs that have improved outcomes for Indigenous mothers and infants; and the retrospective synthesis of learnings from two empirical studies that have redesigned maternal infant health services and improved outcomes for Aboriginal and Torres Strait Islander families. RESULTS: The RISE Framework has four pillars to drive important reform: (1) Redesign the health service; (2) Invest in the workforce; (3) Strengthen families; and, (4) Embed Aboriginal and/or Torres Strait Islander community governance and control. We present the evidence base for each pillar and practical examples of moving from the standard 'western' model of maternity care towards Birthing on Country services. CONCLUSIONS: Application of the RISE framework to plan, develop and monitor Birthing on Country services is likely to result in short and long-term health gains for Aboriginal and Torres Strait Islander families.
BACKGROUND: Birthing on Country is an international movement to return maternity services to First Nations communities and community control for improved health and wellbeing. QUESTION: How can we implement Birthing on Country services for Aboriginal and/or Torres Strait Islander families across Australia? METHODS: We have developed a framework from theoretical, policy and research literature on Birthing on Country; Aboriginal and Torres Strait Islander voices from across Australia; reviews exploring programs that have improved outcomes for Indigenous mothers and infants; and the retrospective synthesis of learnings from two empirical studies that have redesigned maternal infant health services and improved outcomes for Aboriginal and Torres Strait Islander families. RESULTS: The RISE Framework has four pillars to drive important reform: (1) Redesign the health service; (2) Invest in the workforce; (3) Strengthen families; and, (4) Embed Aboriginal and/or Torres Strait Islander community governance and control. We present the evidence base for each pillar and practical examples of moving from the standard 'western' model of maternity care towards Birthing on Country services. CONCLUSIONS: Application of the RISE framework to plan, develop and monitor Birthing on Country services is likely to result in short and long-term health gains for Aboriginal and Torres Strait Islander families.
Keywords:
Aboriginal and Torres Strait Islander community control; Co-design/redesign; Community control; Health service research; Health workforce; Maternal infant health; Midwifery continuity
Authors: Helen L McLachlan; Michelle Newton; Fiona E McLardie-Hore; Pamela McCalman; Marika Jackomos; Gina Bundle; Sue Kildea; Catherine Chamberlain; Jennifer Browne; Jenny Ryan; Jane Freemantle; Touran Shafiei; Susan E Jacobs; Jeremy Oats; Ngaree Blow; Karyn Ferguson; Lisa Gold; Jacqueline Watkins; Maree Dell; Kim Read; Rebecca Hyde; Robyn Matthews; Della A Forster Journal: EClinicalMedicine Date: 2022-05-04
Authors: Michelle Bovill; Catherine Chamberlain; Jessica Bennett; Hayley Longbottom; Shanell Bacon; Belinda Field; Paul Hussein; Robert Berwick; Gillian Gould; Peter O'Mara Journal: Int J Environ Res Public Health Date: 2021-02-02 Impact factor: 3.390