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Experiences of health service providers establishing an Aboriginal-Mainstream partnership to improve maternity care for Aboriginal and Torres Strait Islander families in an urban setting
Affiliation:1. Midwifery Research Unit, Mater Research Institute, The University of Queensland Level 2, Aubigny Place, South Brisbane, Queensland, 4101, Australia;2. The Molly Wardaguga Research Centre, Charles Darwin University;3. Institute for Urban Indigenous Health, 23 Edgar Street, Bowen Hills, Queensland, 4006, Australia;4. School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Queensland, 4072, Australia;1. Molly Wardaguga Research Centre, Charles Darwin University, Australia;2. Te Tātai Hauora O Hine — Centre for Women’s Health Research, Te Wāhanga Tātai Hauora—Wellington Faculty of Health, Te Herenga Waka—Victoria University of Wellington, Aotearoa New Zealand;3. Katoa Ltd., Aotearoa New Zealand;4. The Dragon Institute for Innovation, Aotearoa New Zealand;5. Faculty of Health Sciences, University of Manitoba, Canada;6. Southern District Health Board, Aotearoa New Zealand;7. Otago Medical School, University of Otago, Aotearoa New Zealand;8. Center for Research on Women & Gender, Department of Obstetrics & Gynecology, University of Illinois, United States;9. College of Medicine, University of Saskatchewan, Canada;10. Well Living House Action Research Centre for Indigenous Infant, Child and Family Health and Wellbeing, St. Michael’s Hospital, Dalla Lana School of Public Health, University of Toronto, Canada;11. School of Midwifery, Ryerson University, Canada;12. Seventh Generation Midwives Toronto, Canada;13. Waminda South Coast Women’s Health and Welfare Aboriginal Corporation, Australia;14. Institute for Urban Indigenous Health, Australia;15. Aboriginal and Torres Strait Islander Community Health Service Brisbane Limited, Australia;p. Northern Institute, Charles Darwin University, Australia;q. Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, Australia;r. La Trobe University, Australia;s. James Cook University, Australia;t. Charles Sturt University, Australia;1. Gukwonderuk Unit, Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton Campus, Australia;2. Monash Indigenous Studies Centre, Faculty of Arts, Monash University, Clayton Campus, Australia;1. Menzies Health Institute Queensland, First Peoples Health Unit Griffith University, Australia;2. Griffith Health Centre (G40) 8.36 School of Medicine, Gold Coast Campus, Griffith University Parklands Drive, Southport, QLD 4222, Australia;3. Menzies Health Institute Queensland, School of Nursing & Midwifery, Griffith University, Australia;4. College of Medicine and Dentistry and the Centre for Nursing and Midwifery Research, James Cook University, Townsville, Australia;5. School of Nursing, Midwifery & Indigenous Health, Charles Sturt University, NSW, Australia;1. Intergenerational Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia;2. Department of Paediatrics and Department of General Practice, University of Melbourne, Parkville, Victoria, Australia;3. South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia;4. Women’s and Children’s Health Network, SA Health, Adelaide, South Australia, Australia;5. Southern Health Network, SA Health, Adelaide, South Australia, Australia;6. Aboriginal Health Council of South Australia Ltd., Adelaide, South Australia, Australia;1. Mount Isa Centre for Rural & Remote Health, Division of Tropical Health & Medicine, James Cook University, P.O. Box 2572, Mount Isa, Queensland, 4825, Australia;2. College of Medicine & Dentistry, Division of Tropical Health & Medicine, James Cook University, Townsville, Queensland, 4811, Australia;1. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria 3086, Australia;2. School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria 3052, Australia;3. The Royal Women’s Hospital, Parkville, Victoria 3052, Australia
Abstract:Australian policy encourages multiagency partnerships between hospitals and Aboriginal Community Controlled Health Organisations to improve the health of Aboriginal and Torres Strait Islander people. Service planners remain unsure about how to implement such partnerships in maternity care, and there is a lack of appropriate tools designed to gauge the state of such partnerships for the Australian Indigenous context. In 2013, two Aboriginal health services and a major tertiary hospital partnered to deliver best practice maternity care to Indigenous families in Brisbane, Australia. A participatory action research approach underpinned this study. Semi-structured qualitative interviews and focus groups were conducted with 21 of the partnership staff. All interviewees emphasized the partnership’s commitment to improving long-term health and wellbeing for Indigenous families. Strategic planners were more likely to report a positive partnership than staff involved in service delivery who had diverse views. This highlights the challenges of change management when conducting such a significant service redesign in this cross-cultural context. We detail changes made within the partnership in response to the findings and provide suggestions for future development of an evaluation tool to review the state of Aboriginal-Mainstream Partnerships.
Keywords:Health services research  Qualitative research  Indigenous people  Change management  Aboriginal-mainstream partnerships  Maternity services
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