实施原住民和托雷斯海峡岛民家庭的“本土生育服务”：RISE 框架。
Implementing Birthing on Country services for Aboriginal and Torres Strait Islander families: RISE Framework.
机构信息
Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Australia.
Mater Research Institute-University of Queensland, Australia; Charles Darwin University, Australia.
出版信息
Women Birth. 2019 Oct;32(5):466-475. doi: 10.1016/j.wombi.2019.06.013. Epub 2019 Jul 4.
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.
背景
“本土分娩”是一项国际性运动，旨在将产妇服务回归原住民社区，并实现社区管控，以改善原住民的健康和福祉。
问题
我们如何在澳大利亚为原住民和/或托雷斯海峡岛民家庭实施“本土分娩”服务？
方法
我们从关于“本土分娩”的理论、政策和研究文献；来自澳大利亚各地的原住民和托雷斯海峡岛民的声音；探索改善土著母亲和婴儿预后的项目的综述；以及重新设计母婴健康服务并改善原住民和托雷斯海峡岛民家庭预后的两项实证研究的回顾性综合中，制定了一个框架。
结果
RISE 框架有四个支柱来推动重要改革：（1）重新设计医疗服务；（2）投资于劳动力；（3）加强家庭；以及（4）嵌入原住民和/或托雷斯海峡岛民社区治理和管控。我们展示了每个支柱的证据基础，并提供了从标准的“西方”模式的产妇护理转向“本土分娩”服务的实际例子。
结论
应用 RISE 框架来规划、开发和监测“本土分娩”服务，可能会给原住民和托雷斯海峡岛民家庭带来短期和长期的健康收益。
Zotero 插件