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Quality Improvement Reports: 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). Quality Improvement Reports: 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.

Document type: Journal Article

IRMA ID CDUzdowdingxPUB1
Title Quality Improvement Reports: Measuring what matters in delivering services to remote-dwelling Indigenous mothers and infants in the Northern Territory, Australia
Author Steenkamp, Malinda
Rumbold, Alice R.
Kildea, Sue
Bar-Zeev, Sarah J.
Kruske, Sue
Dunbar, Terry
Barclay, Lesley
Journal Name Australian Journal of Rural Health
Publication Date 2012
Volume Number 20
Issue Number 4
ISSN 1038-5282   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84864305032
Start Page 228
End Page 237
Total Pages 10
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
HERDC Category C1 - Journal Article (DIISR)
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. 
Keywords indicator
Indigenous health
infant health
maternal health
remote health
DOI http://dx.doi.org/10.1111/j.1440-1584.2012.01279.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Fri, 17 Jan 2014, 01:29:55 CST