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.
| Original language | English |
|---|---|
| Pages (from-to) | 466-475 |
| Number of pages | 10 |
| Journal | Women and Birth |
| Volume | 32 |
| Issue number | 5 |
| Early online date | 4 Jul 2019 |
| DOIs | |
| Publication status | Published - Oct 2019 |
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Implementing Birthing on Country services for Aboriginal and Torres Strait Islander families : RISE Framework. / Kildea, Sue; Hickey, Sophie; Barclay, Lesley; Kruske, Sue; Nelson, Carmel; Sherwood, Juanita; Allen, Jyai; Gao, Yu; Blackman, R.; Roe, Yvette L.
In: Women and Birth, Vol. 32, No. 5, 10.2019, p. 466-475.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Implementing Birthing on Country services for Aboriginal and Torres Strait Islander families
T2 - RISE Framework
AU - Kildea, Sue
AU - Hickey, Sophie
AU - Barclay, Lesley
AU - Kruske, Sue
AU - Nelson, Carmel
AU - Sherwood, Juanita
AU - Allen, Jyai
AU - Gao, Yu
AU - Blackman, R.
AU - Roe, Yvette L.
PY - 2019/10
Y1 - 2019/10
N2 - 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.
AB - 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.
KW - Aboriginal and Torres Strait Islander community control
KW - Co-design/redesign
KW - Community control
KW - Health service research
KW - Health workforce
KW - Maternal infant health
KW - Midwifery continuity
UR - http://www.scopus.com/inward/record.url?scp=85068261528&partnerID=8YFLogxK
U2 - 10.1016/j.wombi.2019.06.013
DO - 10.1016/j.wombi.2019.06.013
M3 - Article
VL - 32
SP - 466
EP - 475
JO - Women and Birth
JF - Women and Birth
SN - 1871-5192
IS - 5
ER -