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Open Access Article << Previous     |     Next >>   Contents Vol 36(1)

Universal for whom? Evaluating an urban Aboriginal population’s access to a mainstream universal health home visiting program

John Widdup A , Elizabeth J. Comino A B , Vana Webster A and Jennifer Knight A

A Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia. Email: z3298958@unsw.edu.au; v.webster@unsw.edu.au; knightj@unsw.edu.au
B Corresponding author. Email: e.comino@unsw.edu.au

Australian Health Review 36(1) 27-33 http://dx.doi.org/10.1071/AH10961
Submitted: 30 August 2010  Accepted: 29 April 2011   Published: 9 February 2012


 
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Abstract

Objective. To investigate access to a Universal Health Home Visit program for families of Aboriginal and non-Aboriginal infants and the effect of a one-off home visit on subsequent health service utilisation.

Methods. A case-control study was undertaken drawing 175 Aboriginal infants from an Aboriginal birth cohort study and 352 matched non-Aboriginal infants. A structured file audit extracted data from child and family health nurse records. Receipt of home visit and effect on ongoing use of child and family nurses services was compared for Aboriginal and non-Aboriginal infants.

Results. Of the 527 infants, 279 (53.0%) were visited at home within 2 weeks. This is below NSW Health benchmarks. Significantly fewer Aboriginal infants (42.9%) compared to non-Aboriginal infants (58.0%) received a home visit within 2 weeks (P < 0.01). Receipt of a single home visit did not affect future service use or the number of child health checks infants received.

Conclusion. This study highlights the challenges of ensuring equitable access to a universal post-natal home visiting program. Assessing ways in which universal services are delivered to ensure equity of access may help to re-evaluate target expectations, reduce demand on nursing staff, improve targeting of vulnerable infants and help in further developing and implementing effective health policy.

What is known about the topic? The rate of home visits within NSW is 45%, which is well below the recommended target rate of 65%. Aboriginal families utilise health services differently than non-Aboriginal families.

What does this paper add? Inequalities in accessing a home visit within 2 weeks were found, with families of Aboriginal infants being less likely than families of non-Aboriginal infants to receive a home visit within 2 weeks. Factors such as being a young mother, an unpartnered mother, a mother with psychosocial risks identified antenatally, or residing in a disadvantaged suburb were associated with not receiving a visit within 2 weeks. Receipt of a home visit did not, despite the program’s aim, affect further health service use.

What are the implications for practitioners? Practitioners and managers need to be aware of the challenges in providing equitable access within a universal post-natal home visiting program.



References

[1]  Alperstein G, Nossar V. Can the Families First initiative contribute to reducing health inequalities? N S W Public Health Bull 2002; 13: 38–41.
CrossRef | PubMed |

[2]  Annual report 2008–09. Sydney: NSW Department of Health; 2009.

[3]  2005–2006 Report on child health from the New South Wales population health survey. Sydney: NSW Department of Health, Centre for Epidemiology and Research; 2008. Available at http://www.health.nsw.gov.au/pubs/2008/pdf/childreport0506.pdf [verified 30 November 2011].

[4]  NSW Health/Families NSW Supporting families early package –maternal and child health primary health care policy. Sydney: NSW Department of Health; 2009. Available at http://www.health.nsw.gov.au/policies/pd/2010/pdf/PD2010_017.pdf [verified 30 November 2011].

[5]  Comino E, Craig P, Harris E, McDermott D, Harris M, Henry R, Jackson Pulver L, Kemp L, Knight J. The Gudaga Study: establishing an Aboriginal birth cohort in an urban community. Aust N Z J Public Health 2010; 34: S9–17.
CrossRef | PubMed |

[6]  My first health record. NSW Department of Health; 2009. Available at http://www.health.nsw.gov.au/pubs/2008/pdf/child_personal_health_record.pdf [verified 30 November 2011].

[7]  National Health and Medical Research Council. The NHMRC roadmap: a strategic framework for improving Aboriginal and Torres Strait Islander health through research. Canberra: Commonwealth of Australia; 2002.

[8]  National Health and Medical Research Council. Values and ethics: guidelines for ethical conduct in Aboriginal and Torres Strait Islander health research. Canberra: Commonwealth of Australia; 2003.

[9]  Knight J, Comino E, Harris E, Jackson Pulver L, Craig P, Gudaga Research Team. Indigenous research: a commitment to walking the talk: the Gudaga Study: an Australian case study. J Bioeth Inq 2009; 6: 467–76.
CrossRef |

[10]  A health profile of Sydney South West: a status report describing the population, their health and the services provided for Sydney South West Area Health Service. Health Service Planning Report 01/2005. Sydney: Sydney South West Area Health Service; 2005.


   
 


    
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