Paths to improving postpartum care among Australian Aboriginal and Torres Strait Islander women after gestational diabetes

Campbell, Sandra, Roux, Nicolette, Preece, Cilla, Rafter, Eileen, Davis, Bronwyn, Mein, Jacki, Boyle, Jacqueline, Fredericks, Bronwyn, Nigram, Parul, Matic, Vlad, and Chamberlain, Catherine (2016) Paths to improving postpartum care among Australian Aboriginal and Torres Strait Islander women after gestational diabetes. In: [Presented at the 8th Biennial Are You Remotely Interested Conference], p. 54. From: AYRI 2016: 8th Biennial Are You Remotely Interested Conference, 20-22 July 2016, Mount Isa, QLD, Australia.

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Abstract

Background: Indigenous women in far north Queensland are less likely than non-Indigenous women to present for post-partum screening after gestational diabetes mellitus (GDM) despite a fourfold increased risk of type 2 diabetes within eight years of the pregnancy.

Aim: To understand barriers and enablers to post-natal follow-up.

Methods: We conducted interviews with Indigenous women with previous GDM, focus groups with Indigenous healthworkers and workshops with other health professionals. Data collection included brainstorming, visualisation, sorting and prioritising activities. Data was analysed thematically using the Theoretical Domains Framework. Barriers are presented under the headings of 'capability', 'motivation' and 'opportunity'. Enabling strategies are presented under 'intervention' and 'policy' headings.

Results: Participants generated twenty-eight enabling environmental, educational and incentive interventions, and service provision, communication, guideline, persuasive and fiscal policies to address barriers to screening and improve postpartum support for women. The highest priorities included providing holistic social support, culturally appropriate resources, improving Indigenous workforce involvement and establishing structured follow-up systems.

Conclusions: Understanding Indigenous women's perspectives, developing strategies with healthworkers, and action planning with other health professionals can generate context-relevant feasible strategies to improve postpartum care after GDM. However, we need to better understand how to effectively support Indigenous women and communities during the postpartum period.

Item ID: 45075
Item Type: Conference Item (Abstract / Summary)
Keywords: Australian, Indigenous, gestational diabetes mellitus, postpartum screening
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Date Deposited: 11 Oct 2016 03:58
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 70%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 30%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 100%
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