Measuring what matters in delivering services to remote-dwelling Indigenous mothers and infants in the Northern Territory, Australia

Steenkamp, Malinda, Rumbold, Alice R., Kildea, Sue, Bar-Zeev, Sarah J., Kruske, Sue, Dunbar, Terry and Barclay, Lesley (2012) Measuring what matters in delivering services to remote-dwelling Indigenous mothers and infants in the Northern Territory, Australia. Australian Journal of Rural Health, 20 4: 228-237. doi:10.1111/j.1440-1584.2012.01279.x


Author Steenkamp, Malinda
Rumbold, Alice R.
Kildea, Sue
Bar-Zeev, Sarah J.
Kruske, Sue
Dunbar, Terry
Barclay, Lesley
Title Measuring what matters in delivering services to remote-dwelling Indigenous mothers and infants in the Northern Territory, Australia
Journal name Australian Journal of Rural Health   Check publisher's open access policy
ISSN 1440-1584
1038-5282
Publication date 2012-08-01
Year available 2012
Sub-type Article (original research)
DOI 10.1111/j.1440-1584.2012.01279.x
Volume 20
Issue 4
Start page 228
End page 237
Total pages 10
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Problem:  In the Northern Territory, 64% of Indigenous births are to remote-dwelling mothers. Delivering high-quality health care in remote areas is challenging, but service improvements, informed by participative action research, are under way. Evaluation of these initiatives requires appropriate indicators. Few of the many existing maternal and infant health indicators are specifically framed for the remote context or exemplify an Indigenous consumer perspective. We aimed to identify an indicator framework with appropriate indicators to demonstrate improvements in health outcomes, determinants of health and health system performance for remote-dwelling mothers and infants from pregnancy to first birthday.

Design:  We reviewed existing indicators; invited input from experts; investigated existing administrative data collections and examined findings from a record audit, ethnographic work and the evaluation of the Darwin Midwifery Group Practice.

Setting:  Northern Territory.

Process:  About 660 potentially relevant indicators were identified. We adapted the Aboriginal and Torres Strait Islander Health Performance Framework and populated the resulting framework with chosen indicators. We chose the indicators best able to monitor the impact of changes to remote service delivery by eliminating duplicated or irrelevant indicators using expert opinion, triangulating data and identifying key issues for remote maternal and infant health service improvements.

Lessons learnt:  We propose 31 indicators to monitor service delivery to remote-dwelling Indigenous mothers and infants. Our inclusive indicator framework covers the period from pregnancy to the first year of life and includes existing indicators, but also introduces novel ones. We also attempt to highlight an Indigenous consumer.
Keyword Indicator
Indigenous health
Infant health
Maternal health
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 422503
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Fri, 23 May 2014, 22:27:13 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work