Bertilone Christina M, McEvoy Suzanne P, Gower Dena, Naylor Nola, Doyle June, Swift-Otero Val
South Metropolitan Population Health Unit, Western Australian Department of Health, Australia.
South Metropolitan Population Health Unit, Western Australian Department of Health, Australia.
Women Birth. 2017 Apr;30(2):121-128. doi: 10.1016/j.wombi.2016.09.007. Epub 2016 Oct 3.
Pregnancy, labour and neonatal health outcomes for Australian Aboriginal women and their infants are frequently worse than those of the general population. Provision of culturally competent services may reduce these differences by improving access to timely and regular antenatal care. In an effort to address these issues, the Aboriginal Maternity Group Practice Program commenced in south metropolitan Perth, Western Australia, in 2011. The program employed Aboriginal Grandmothers, Aboriginal Health Officers and midwives working in a partnership model with pre-existing maternity services in the area.
To identify elements of the Aboriginal Maternity Group Practice Program that contributed to the provision of a culturally competent service.
The Organisational Cultural Competence Assessment Tool was used to analyse qualitative data obtained from surveys of 16 program clients and 22 individuals from partner organisations, and interviews with 15 staff.
The study found that the partnership model positively impacted on the level of culturally appropriate care provided by other health service staff, particularly in hospitals. Two-way learning was a feature. Providing transport, team home visits and employing Aboriginal staff improved access to care. Grandmothers successfully brought young pregnant women into the program through their community networks, and were able to positively influence healthy lifestyle behaviours for clients.
Many elements of the Aboriginal Maternity Group Practice Program contributed to the provision of a culturally competent service. These features could be considered for inclusion in antenatal care models under development in other regions with culturally diverse populations.
澳大利亚原住民妇女及其婴儿的妊娠、分娩和新生儿健康结局往往比普通人群更差。提供具有文化胜任力的服务可能通过改善获得及时和定期产前护理的机会来减少这些差异。为了解决这些问题，2011年在西澳大利亚州珀斯市南部都会区启动了原住民产妇团体实践项目。该项目雇佣了原住民祖母、原住民卫生官员和助产士，与该地区现有的产妇服务机构以合作模式开展工作。
确定原住民产妇团体实践项目中有助于提供具有文化胜任力服务的要素。
使用组织文化胜任力评估工具分析从16名项目客户和22名来自合作组织的个人的调查中获得的定性数据，以及对15名工作人员的访谈。
研究发现，合作模式对其他卫生服务人员，特别是医院提供的文化适宜护理水平产生了积极影响。双向学习是一个特点。提供交通、团队家访和雇佣原住民工作人员改善了获得护理的机会。祖母们通过她们的社区网络成功地将年轻孕妇纳入项目，并能够对客户的健康生活方式行为产生积极影响。
原住民产妇团体实践项目的许多要素有助于提供具有文化胜任力的服务。在其他人口文化多样的地区，在制定产前护理模式时可考虑纳入这些特点。
