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雅尔比林亚·米亚(共同学习):一项由社区主导的计划,旨在在原住民和托雷斯海峡岛民妇女的母乳喂养过程中为她们提供支持——一项方案。

Yalbilinya Miya (learn together): community-led program to support Aboriginal and Torres Strait Islander women through their breastfeeding journey-a protocol.

作者信息

Rowley Chelsea, Kalucy Deanna, Honeysett Hilary, Brown Tarnie, Elliott-Rudder Megan, Finlay Summer M, Nepal Smriti, Williams Kristy, Fikkers Rachael, Nixon Janice, Smith Natalie, Larsen Peta, Honeysett Annika, Dickson Michelle, Sherriff Simone

机构信息

Poche Centre for Indigenous Health, The University of Sydney, Sydney, New South Wales, Australia.

Riverina Medical and Dental Aboriginal Corporation, Wagga Wagga, New South Wales, Australia.

出版信息

BMJ Open. 2025 May 11;15(5):e096288. doi: 10.1136/bmjopen-2024-096288.

Abstract

INTRODUCTION

Aboriginal and Torres Strait Islander women have been nurturing and sustaining babies through breastfeeding for over 65 000 years. Breastfeeding is an important practice for nutrition, culture, connection and well-being, and is associated with positive short- and long-term health and well-being outcomes for the mother and baby. Developing community-led supports that empower Aboriginal and Torres Strait Islander mothers through their breastfeeding journeys is vital for supporting the health and well-being of the next generations.

METHODS AND ANALYSIS

Yalbilinya Miya is a holistic and culturally responsive breastfeeding project being designed and led by an Aboriginal Community Controlled Health Service in New South Wales (NSW). This project aims to identify, implement and evaluate the breastfeeding supports preferred by Aboriginal and Torres Strait Islander women. Phase 1 will use yarning methodology to gather the experiences of local Aboriginal and Torres Strait Islander women and their recommendations for breastfeeding support. The information gathered will inform the development of a culturally responsive breastfeeding support programme. In phase 2, Aboriginal and Torres Strait Islander women who were ≥28 weeks gestation will be invited to participate in the pilot breastfeeding support programme. Phase 3 will evaluate the appropriateness and effectiveness of the holistic breastfeeding supports provided in the pilot programme and provide key recommendations based on the findings of the evaluation.

ETHICS AND DISSEMINATION

Ethical approval was granted by the Aboriginal Health and Medical Research Council of NSW (#2132/23). The findings from this project will be disseminated through community presentations, videos, brochures, infographics, social media, reports, conference presentations and peer-reviewed journal articles.

摘要

引言

原住民及托雷斯海峡岛民女性通过母乳喂养养育婴儿已有超过65000年的历史。母乳喂养对于营养、文化、情感联结和幸福安康而言是一项重要的行为,并且与母婴的短期和长期健康及幸福的积极成果相关。发展由社区主导的支持措施,使原住民及托雷斯海峡岛民母亲在母乳喂养过程中获得力量,对于支持下一代的健康和幸福至关重要。

方法与分析

Yalbilinya Miya是一个由新南威尔士州(NSW)的原住民社区控制卫生服务机构设计和主导的全面且具有文化适应性的母乳喂养项目。该项目旨在识别、实施和评估原住民及托雷斯海峡岛民女性所偏好的母乳喂养支持措施。第一阶段将使用交流方法收集当地原住民及托雷斯海峡岛民女性的经验以及她们对母乳喂养支持的建议。所收集的信息将为制定具有文化适应性的母乳喂养支持计划提供依据。在第二阶段,孕周≥28周的原住民及托雷斯海峡岛民女性将被邀请参与母乳喂养支持试点项目。第三阶段将评估试点项目中提供的全面母乳喂养支持措施的适宜性和有效性,并根据评估结果提供关键建议。

伦理与传播

新南威尔士州原住民健康与医学研究委员会已批准该项目的伦理审查(#2132/23)。该项目的研究结果将通过社区演讲、视频、宣传册、信息图表、社交媒体、报告、会议演讲以及同行评审期刊文章进行传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74c8/12067767/e7bae7789367/bmjopen-15-5-g001.jpg

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