Top_Paint-1_.jpg

Birthing on Country

Centre for Research Excellence

Achieving equity in birth outcomes, health status and life expectancy for Aboriginal and Torres Strait Islander families in urban Southeast Queensland.

Photograph: Pat Josse

 

About the Birthing on Country Centre for Research Excellence (BoC CRE)

For the past ten years there has been little or no improvement in key MNCH indicators when comparing First Nations to other Australian women. Maternal death remains 4.6 times higher, perinatal deaths 1.7 times higher with preterm birth 1.6 times higher, and unchanged in 10 years. Preterm birth is the largest contributor to child mortality ( x 2.4 times ), associated with significant childhood disability and chronic diseases in adulthood. First Nations children are eight times more likely to be involved with government agencies for possible child apprehension, and 10 times more likely to be removed from their families than other children.

We have the following resources that will help us to achieve our goals:

1. BOC CRE $2.5 mill funding

2. First Nations leadership

3. Experts with years of experience in the field and strong networks

4. Committed, enthusiastic team within the BOC CRE and the Molly Centre

5. Community support

6. Strong partnerships

7. University support- In kind and financial

8. 5years to make a difference

Our goals are to have redesigned maternal, newborn and child health (MNCH) and support services in multiple locations making a positive impact on Australia’s First Nations families. R1. Estimating the life long impact of the Birthing in Our Community (BiOC) Service on health adjusted life expectancy (HALE) BOOST 2: Extending the Building on Our Strengths (BOOSt) Study, NHMRC (GNT1135125) 2018-22 Redesigning services and developing the remote exemplar site North West Qld.

Primarily, mothers, babies, families and communities are the target group . We plan to grow the number of First Nations midwives, MNCH nurses and researchers. Djagamirrs will be trained and employed in several sites across the NT and QLD.

Within 2-3 years we will have established exemplar redesigned maternal, newborn and child health (MNCH) and support services in demonstration sites in Brisbane, Queensland (urban), Nowra, NSW (regional), Alice Springs, NT (remote) and very remote (Galiwin’ku, Elcho Island, NT). We will have developed, trialled and evaluated djagamirr programs in several sites in remote areas of the NT and norht Queensland.

In 5 yrs we will have supported the establishment and evaluation of redesigned maternal, newborn and child health (MNCH) and support services in multiple locations making a positive impact on Australia’s First Nations families; including a reduction in preterm birth (<37-weeks) and family strengthening to reduce infant removal (<12-months). Our research is underpinned by the understanding that effective interventions during pregnancy and early life must address the social and cultural determinants of health including income, employment, education and access to culturally safe health care. Our participatory action research approach will have privileged First Nations ways of seeing, knowing and doing, bringing community knowledge into the research framework. This will have formed the interface of our entire program of research.

Projects

Estimating the life long impact of the Birthing in Our Community (BiOC) Service on health adjusted life expectancy (HALE)
BOOST 2: Extending the Building on Our Strengths (BOOSt) Study, NHMRC (GNT1135125) 2018-22
Redesigning services and developing the remote exemplar site North West Qld
Reducing preterm birth First Nations Australians: A cluster RCT comparing Birthing on Country Services to standard care
Australian Yolŋu Doula Support Course, Prime Ministers and Cabinet 2018-20
Supporting the retention of First Nations students in midwifery5 Jul 2019
The RISE Birthing on Country short course and toolkit to support scale-up
Preventing unborn notifications in pregnancy, and child removal at birth
Healing the Past by Nurturing the Future: Implementing trauma-integrated care
Increasing support within the first 1,000 days for vulnerable babies
Father Inclusive Practice for the Birthing in Our Community Service
Community engagement & ownership: Identifying causal pathways for health gains
The best start in life for Yolŋu famlies in the Galiwin’ku community
Show More
 

Timeline Year 1

2-Women-walking_01.jpg
BOC TIMELINE Nov 2020.jpg
 
 

BoC CRE Publications