Molly Wardaguga Research Centre, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0909, Australia; The Northern Institute, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0909, Australia.
The Northern Institute, Charles Darwin University, Ellengowan Drive, Casuarina, NT 0909, Australia.
Women Birth. 2021 Sep;34(5):487-492. doi: 10.1016/j.wombi.2020.09.017. Epub 2020 Oct 17.
BACKGROUND & PROBLEM: Birthing On Country (BOC) is an international movement for returning childbirth to First Nations peoples and their communities. The RISE Framework was developed to guide evidence-based BOC implementation but has not yet been tested in a remote Australian community setting.
To test the transferability and acceptability of the RISE Framework in a remote multilingual setting in a Yolŋu (First Nations) community in Northern Australia.
Working in partnership with one remote Yolŋu community, we used a decolonising participatory action research (D-PAR) approach to begin co-designing services and test the acceptability of the RISE Framework. A three-phased transferability process was developed: Warming the ground; Co-Interpreting; and Acceptability Testing.
The RISE Framework was customized to the local Yolŋu context and called 'Caring for Mum on Country'. It was articulated in two languages: Djambarrpuyŋu and English. We successfully used it to guide discussions at a community gathering privileging the voices of senior women to inform the design of local maternity services.
Using the D-PAR approach, the RISE Framework was readily adapatable to this complex, remote and multilingual setting. It resonated with the Yolŋu community and proved useful for identifying current limitations of existing maternity services and importantly facilitating the design of Yolŋu centred strength-based maternity services.
The RISE Framework, combined with our transformative methodology, offers a promising approach to guiding complex interventions for returning services to First Nations communities in diverse contexts. Testing in other settings will further contribute to growing an evidence-base for BOC service planning and implementation.
“本土生育”（Birthing On Country，BOC）是一项旨在使原住民及其社区重新获得生育自主权的国际运动。“提升原住民生育经验（RISE）”框架旨在指导基于证据的“本土生育”实施，但尚未在澳大利亚偏远社区环境中进行测试。
在澳大利亚北部的一个偏远的、多语言的、有 Yolŋu（原住民）社区中，测试“提升原住民生育经验（RISE）”框架在远程多语言环境中的可转移性和可接受性。
我们与一个偏远的 Yolŋu 社区合作，采用去殖民化参与式行动研究（D-PAR）方法，开始共同设计服务，并测试“提升原住民生育经验（RISE）”框架的可接受性。我们制定了一个三阶段的可转移性过程：预热；共同解释；和可接受性测试。
“提升原住民生育经验（RISE）”框架被定制为当地的 Yolŋu 背景，并称为“在本土上照顾妈妈”。它以两种语言表达：Djambarrpuyŋu 和英语。我们成功地使用它来指导社区聚会的讨论，优先考虑资深女性的声音，为当地产妇服务的设计提供信息。
通过使用 D-PAR 方法，“提升原住民生育经验（RISE）”框架很容易适应这种复杂、偏远和多语言的环境。它与 Yolŋu 社区产生共鸣，并被证明对于确定现有产妇服务的当前局限性以及重要的是促进以 Yolŋu 为中心的基于优势的产妇服务的设计非常有用。
“提升原住民生育经验（RISE）”框架，结合我们的变革性方法，为指导在不同背景下将服务返还给原住民社区的复杂干预措施提供了一个有前途的方法。在其他环境中的测试将进一步为“本土生育”服务规划和实施的证据基础做出贡献。
