Developing and evaluating Birthing on Country services for First Nations Australians: the Building On Our Strengths (BOOSt) prospective mixed methods birth cohort study protocol.

Haora, P; Roe, Y; Hickey, S; Gao, Y; Nelson, C; Allen, J; Briggs, M; Worner, F; Kruske, S; Watego, K; Maidment, S-J; Hartz, D; Sherwood, J; Barclay, L; Tracy, S; Tracy, M; Wilkes, L; West, R; Grant, N; Kildea, S

Developing and evaluating Birthing on Country services for First Nations Australians: the Building On Our Strengths (BOOSt) prospective mixed methods birth cohort study protocol.

Haora, P Roe, Y Hickey, S Gao, Y Nelson, C Allen, J Briggs, M Worner, F Kruske, S

Watego, K Maidment, S-J Hartz, D Sherwood, J Barclay, L Tracy, S Tracy, M Wilkes, L West, R Grant, N Kildea, S

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: BMC Pregnancy Childbirth, 2023, 23, (1), pp. 77
Issue Date:: 2023-01-28

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Field	Value	Language
dc.contributor.author	Haora, P
dc.contributor.author	Roe, Y
dc.contributor.author	Hickey, S
dc.contributor.author	Gao, Y
dc.contributor.author	Nelson, C
dc.contributor.author	Allen, J
dc.contributor.author	Briggs, M
dc.contributor.author	Worner, F
dc.contributor.author	Kruske, S https://orcid.org/0000-0002-2317-3954
dc.contributor.author	Watego, K
dc.contributor.author	Maidment, S-J
dc.contributor.author	Hartz, D
dc.contributor.author	Sherwood, J
dc.contributor.author	Barclay, L
dc.contributor.author	Tracy, S
dc.contributor.author	Tracy, M
dc.contributor.author	Wilkes, L
dc.contributor.author	West, R
dc.contributor.author	Grant, N
dc.contributor.author	Kildea, S
dc.date.accessioned	2023-09-19T01:42:47Z
dc.date.available	2022-12-01
dc.date.available	2023-09-19T01:42:47Z
dc.date.issued	2023-01-28
dc.identifier.citation	BMC Pregnancy Childbirth, 2023, 23, (1), pp. 77
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/172188
dc.description.abstract	BACKGROUND: With the impact of over two centuries of colonisation in Australia, First Nations families experience a disproportionate burden of adverse pregnancy and birthing outcomes. First Nations mothers are 3-5 times more likely than other mothers to experience maternal mortality; babies are 2-3 times more likely to be born preterm, low birth weight or not to survive their first year. 'Birthing on Country' incorporates a multiplicity of interpretations but conveys a resumption of maternity services in First Nations Communities with Community governance for the best start to life. Redesigned services offer women and families integrated, holistic care, including carer continuity from primary through tertiary services; services coordination and quality care including safe and supportive spaces. The overall aim of Building On Our Strengths (BOOSt) is to facilitate and assess Birthing on Country expansion into two settings - urban and rural; with scale-up to include First Nations-operated birth centres. This study will build on our team's earlier work - a Birthing on Country service established and evaluated in an urban setting, that reported significant perinatal (and organisational) benefits, including a 37% reduction in preterm births, among other improvements. METHODS: Using community-based, participatory action research, we will collaborate to develop, implement and evaluate new Birthing on Country care models. We will conduct a mixed-methods, prospective birth cohort study in two settings, comparing outcomes for women having First Nations babies with historical controls. Our analysis of feasibility, acceptability, clinical and cultural safety, effectiveness and cost, will use data including (i) women's experiences collected through longitudinal surveys (three timepoints) and yarning interviews; (ii) clinical records; (iii) staff and stakeholder views and experiences; (iv) field notes and meeting minutes; and (v) costs data. The study includes a process, impact and outcome evaluation of this complex health services innovation. DISCUSSION: Birthing on Country applies First Nations governance and cultural safety strategies to support optimum maternal, infant, and family health and wellbeing. Women's experiences, perinatal outcomes, costs and other operational implications will be reported for Communities, service providers, policy advisors, and for future scale-up. TRIAL REGISTRATION: Australia & New Zealand Clinical Trial Registry # ACTRN12620000874910 (2 September 2020).
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	BMC Pregnancy Childbirth
dc.relation.isbasedon	10.1186/s12884-022-05277-8
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Humans
dc.subject.mesh	Australia
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Parturition
dc.subject.mesh	Population Groups
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Humans
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Population Groups
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Female
dc.subject.mesh	Pregnancy
dc.subject.mesh	Humans
dc.subject.mesh	Australia
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Prospective Studies
dc.subject.mesh	Parturition
dc.subject.mesh	Population Groups
dc.subject.mesh	Health Services, Indigenous
dc.title	Developing and evaluating Birthing on Country services for First Nations Australians: the Building On Our Strengths (BOOSt) prospective mixed methods birth cohort study protocol.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Provost
pubs.organisational-group	/University of Technology Sydney/Provost/Jumbunna
utslib.copyright.status	open_access	*
dc.date.updated	2023-09-19T01:42:46Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	23
utslib.citation.issue	1

Abstract:

BACKGROUND: With the impact of over two centuries of colonisation in Australia, First Nations families experience a disproportionate burden of adverse pregnancy and birthing outcomes. First Nations mothers are 3-5 times more likely than other mothers to experience maternal mortality; babies are 2-3 times more likely to be born preterm, low birth weight or not to survive their first year. 'Birthing on Country' incorporates a multiplicity of interpretations but conveys a resumption of maternity services in First Nations Communities with Community governance for the best start to life. Redesigned services offer women and families integrated, holistic care, including carer continuity from primary through tertiary services; services coordination and quality care including safe and supportive spaces. The overall aim of Building On Our Strengths (BOOSt) is to facilitate and assess Birthing on Country expansion into two settings - urban and rural; with scale-up to include First Nations-operated birth centres. This study will build on our team's earlier work - a Birthing on Country service established and evaluated in an urban setting, that reported significant perinatal (and organisational) benefits, including a 37% reduction in preterm births, among other improvements. METHODS: Using community-based, participatory action research, we will collaborate to develop, implement and evaluate new Birthing on Country care models. We will conduct a mixed-methods, prospective birth cohort study in two settings, comparing outcomes for women having First Nations babies with historical controls. Our analysis of feasibility, acceptability, clinical and cultural safety, effectiveness and cost, will use data including (i) women's experiences collected through longitudinal surveys (three timepoints) and yarning interviews; (ii) clinical records; (iii) staff and stakeholder views and experiences; (iv) field notes and meeting minutes; and (v) costs data. The study includes a process, impact and outcome evaluation of this complex health services innovation. DISCUSSION: Birthing on Country applies First Nations governance and cultural safety strategies to support optimum maternal, infant, and family health and wellbeing. Women's experiences, perinatal outcomes, costs and other operational implications will be reported for Communities, service providers, policy advisors, and for future scale-up. TRIAL REGISTRATION: Australia & New Zealand Clinical Trial Registry # ACTRN12620000874910 (2 September 2020).

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http://hdl.handle.net/10453/172188