Lower than expected morbidity and mortality for an Australian Aboriginal population: 10-year follow-up in a decentralised community
Kevin G Rowley and others / Medical Journal of Australia
This paper argues that contributors to lower than expected morbidity and mortality in outstation based Aboriginal communities are likely to include the nature of primary health care services, as well as social factors, including connectedness to culture, family and land, and opportunities for self-determination. Posted 10-03-2008
Showing posts with label MJA. Show all posts
Showing posts with label MJA. Show all posts
Thursday, 13 March 2008
Wednesday, 4 July 2007
Sustainable antenatal care services in an urban Indigenous community
Kathryn S Panaretto, Melvina R Mitchell, Lynette Anderson, Sarah L Larkins, Vivienne Manessis, Petra G Buettner and David Watson
MJA 2007; 187 (1): 18-22
Abstract
Objective: To evaluate the impact of a sustained, community-based collaborative approach to antenatal care services for Indigenous women.
Design: Prospective quality improvement intervention, the Mums and Babies program, in a cohort of women attending Townsville Aboriginal and Islanders Health Service, 1 January 2000 – 31 December 2005 (MB group), compared with a historical control group (PreMB group), 1 January 1998 – 30 June 1999.
Main outcome measures: Proportion of women having inadequate antenatal care and screening; perinatal indicators.
Results: The number of antenatal visits per pregnancy increased from three (interquartile range [IQR], two to six) in the PreMB group to six (IQR, four to ten) in the MB group (P < 0.001). There were significant improvements in care planning, completion of cycle-of-care, and antenatal education activities throughout the study period. About 90% of all women attending for antenatal care were screened for sexually transmitted diseases, 89% had measurement of haemoglobin level, and serological tests for hepatitis B and syphilis (minimum antenatal screening). There was increased attendance for dating and morphology scans. In the MB group compared with the PreMB group, there was a significant reduction in perinatal mortality (14 v 60 per 1000 births; P = 0.014).
Conclusion: Sustained access to a community-based, integrated, shared antenatal service has improved perinatal outcomes among Indigenous women in Townsville.
MJA 2007; 187 (1): 18-22
Abstract
Objective: To evaluate the impact of a sustained, community-based collaborative approach to antenatal care services for Indigenous women.
Design: Prospective quality improvement intervention, the Mums and Babies program, in a cohort of women attending Townsville Aboriginal and Islanders Health Service, 1 January 2000 – 31 December 2005 (MB group), compared with a historical control group (PreMB group), 1 January 1998 – 30 June 1999.
Main outcome measures: Proportion of women having inadequate antenatal care and screening; perinatal indicators.
Results: The number of antenatal visits per pregnancy increased from three (interquartile range [IQR], two to six) in the PreMB group to six (IQR, four to ten) in the MB group (P < 0.001). There were significant improvements in care planning, completion of cycle-of-care, and antenatal education activities throughout the study period. About 90% of all women attending for antenatal care were screened for sexually transmitted diseases, 89% had measurement of haemoglobin level, and serological tests for hepatitis B and syphilis (minimum antenatal screening). There was increased attendance for dating and morphology scans. In the MB group compared with the PreMB group, there was a significant reduction in perinatal mortality (14 v 60 per 1000 births; P = 0.014).
Conclusion: Sustained access to a community-based, integrated, shared antenatal service has improved perinatal outcomes among Indigenous women in Townsville.
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