ArticleImplementation science : IS2015
Bridging the Gap: using an interrupted time series design to evaluate systems reform addressing refugee maternal and child health inequalities.
Article in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Community-based doulas for migrant and refugee women: a mixed-method systematic review and narrative synthesis.BMJ global health · 2022Pooled it
- Community health assets and refugee wellbeing: Qualitative evidence across mental health, disability inclusion, end-of-life care, and women's health - A global scoping review.PLOS global public health · 2026Article
- Wellbeing in the First 1000 Days for Syrian and Afghan refugee women living in Australia: a qualitative study.BMC women's health · 2025Article
- 'I was 'only' seen as a birthing woman:' the pregnancy, birth and postpartum experiences of women with refugee backgrounds in Norway.BMC pregnancy and childbirth · 2025Article
- Geography and age drive racial and ethnic disparities in hospital mortality for paediatric community-acquired pneumonia in the United States: a retrospective population based cohort study of hospitalized patients.Lancet regional health. Americas · 2025Article
- Maternal region of birth and stillbirth trends in Victoria, Australia, 2012-2019: a cohort study.BMJ public health · 2025Article
- Health of refugee children upon arrival in high-income countries: A scoping review.Journal of migration and health · 2025Review
- Having a Say in Research Directions: The Role of Community Researchers in Participatory Research with Communities of Refugee and Migrant Background.International journal of environmental research and public health · 2022Article
- Article
- Teach-Back in Interpreter-Mediated Consultations: Reflections from a Case Study.Health literacy research and practice · 2021Article
- Maternal region of origin and Small for gestational age: a cross-sectional analysis of Victorian perinatal data.BMC pregnancy and childbirth · 2021Article
- Cross Cultural Workers for women and families from migrant and refugee backgrounds: a mixed-methods study of service providers perceptions.BMC women's health · 2021Article
- Evaluation of systems reform in public hospitals, Victoria, Australia, to improve access to antenatal care for women of refugee background: An interrupted time series design.PLoS medicine · 2020Article
- Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic.Journal of immigrant and minority health · 2020Article
- Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices.Healthcare (Basel, Switzerland) · 2020Article
- Designs and methods for implementation research: Advancing the mission of the CTSA program.Journal of clinical and translational science · 2020Article
- Driving Precision Policy Responses to Child Health and Developmental Inequities.Health equity · 2019Article
- The Who, What, Why and When of Gynaecological Referrals for Refugee Women.Journal of immigrant and minority health · 2018Article
- Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation.BMC health services research · 2018Article
- Article
Corrections and comments
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Authors and funding
19 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe risk of poor maternal and perinatal outcomes in high-income countries such as Australia is greatest for those experiencing extreme social and economic disadvantage. Australian data show that women of refugee background have higher rates of stillbirth, fetal death in utero and perinatal mortality compared with Australian born women. Policy and health system responses to such inequities have been slow and poorly integrated. This protocol describes an innovative programme of quality improvement and reform in publically funded universal health services in Melbourne, Australia, that aims to address refugee maternal and child health inequalities. METHODS/
designA partnership of 11 organisations spanning health services, government and research is working to achieve change in the way that maternity and early childhood health services support families of refugee background. The aims of the programme are to improve access to universal health care for families of refugee background and build organisational and system capacity to address modifiable risk factors for poor maternal and child health outcomes. Quality improvement initiatives are iterative, co-designed by partners and implemented using the Plan Do Study Act framework in four maternity hospitals and two local government maternal and child health services. Bridging the Gap is designed as a multi-phase, quasi-experimental study. Evaluation methods include use of interrupted time series design to examine health service use and maternal and child health outcomes over a 3-year period of implementation. Process measures will examine refugee families' experiences of specific initiatives and service providers' views and experiences of innovation and change. DISCUSSION: It is envisaged that the Bridging the Gap program will provide essential evidence to support service and policy innovation and knowledge about what it takes to implement sustainable improvements in the way that health services support vulnerable populations, within the constraints of existing resources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.