Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia

Bar-Zeev, Sarah, Barclay, Lesley, Kruske, Sue and Kildea, Sue (2014) Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia. Midwifery, 30 3: 289-296. doi:10.1016/j.midw.2013.04.009

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Author Bar-Zeev, Sarah
Barclay, Lesley
Kruske, Sue
Kildea, Sue
Title Factors affecting the quality of antenatal care provided to remote dwelling Aboriginal women in northern Australia
Journal name Midwifery   Check publisher's open access policy
ISSN 0266-6138
1532-3099
Publication date 2014-03-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.midw.2013.04.009
Volume 30
Issue 3
Start page 289
End page 296
Total pages 8
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Formatted abstract
Objective: there is a significant gap in pregnancy and birth outcomes for Australian Aboriginal and Torres Strait Islander women compared with other Australian women. The provision of appropriate and high quality antenatal care is one way of reducing these disparities. The aim of this study was to assess adherence to antenatal guidelines by clinicians and identify factors affecting the quality of antenatal care delivery to remote dwelling Aboriginal women.

Setting and design: a mixed method study drew data from 27 semi-structured interviews with clinicians and a retrospective cohort study of Aboriginal women from two remote communities in Northern Australia, who gave birth from 2004–2006 (n=412). Medical records from remote health centres and the regional hospital were audited.

Measurements and findings: the majority of women attended antenatal care and adherence to some routine antenatal screening guidelines was high. There was poor adherence to local guidelines for follow-up of highly prevalent problems including anaemia, smoking, urinary tract infections and sexually transmitted infections. Multiple factors influenced the quality of antenatal care.

Key conclusions and implications for practice: the resourcing and organisation of health services and the beliefs, attitudes and practices of clinicians were the major factors affecting the quality of care. There is an urgent need to address the identified issues in order to achieve equity in women's access to high quality antenatal care with the aim of closing the gap in maternal and neonatal health outcomes.
Keyword Aboriginal
Antenatal care
Remote
Quality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
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Created: Fri, 23 May 2014, 23:40:13 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work