ArticleBMC pregnancy and childbirth2018
Implementing the Baby One Program: a qualitative evaluation of family-centred child health promotion in remote Australian Aboriginal communities.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis.Archives of women's mental health · 2023Pooled it
- Association between maternal mental health-related hospitalisation within the first postnatal year and potentially avoidable hospitalisation among their children in the Northern Territory of Australia, using 16 years of linked administrative data.Archives of women's mental health · 2026Article
- Perinatal Health Promotion in Indigenous Maternal Health: A Scoping Review of Peer-Reviewed Evidence and Australian Community-Controlled Programs.International journal of environmental research and public health · 2026Article
- Conceptions of child development, assessment, and health among indigenous families in primary care: a qualitative study.Frontiers in public health · 2026Article
- Models of care for Indigenous children in rural and remote settings: A global scoping review.PLOS global public health · 2025Article
- What is Indigenous cultural health and wellbeing? A narrative review.The Lancet regional health. Western Pacific · 2024Review
- Factors of success, barriers, and the role of frontline workers in Indigenous maternal-child health programs: a scoping review.International journal for equity in health · 2024Article
- Adapting an equity-focused implementation process framework with a focus on ethnic health inequities in the Aotearoa New Zealand context.International journal for equity in health · 2024Review
- Culturally Informed Australian Aboriginal and Torres Strait Islander Evaluations: A Scoping Review.International journal of environmental research and public health · 2023Article
- Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies.International journal of environmental research and public health · 2023Review
- Clinical yarning with Aboriginal and/or Torres Strait Islander peoples-a systematic scoping review of its use and impacts.Systematic reviews · 2022Article
- Article
- "When I got the news": Aboriginal fathers in the Kimberley region yarning about their experience of the antenatal period.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2021Article
- The ongoing effect of diabetes during pregnancy and the impact on infants.The Lancet regional health. Western Pacific · 2020Article
- Working together in Aboriginal health: a framework to guide health professional practice.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA healthy start predicts better health in later life. Many remote-living Aboriginal and Torres Strait Islander Australian families lack access to consistent, culturally-safe health services. This paper presents a study of implementation of the Baby One Program (BOP). The BOP was designed as a family-centred, Indigenous Healthworker-led, home-visiting model of care focused on promoting family health to give children the best start to life. It was developed by Aboriginal community-controlled Apunipima Cape York Health Council and delivered in Queensland Cape York remote communities. We aimed to determine how the BOP was implemented, enablers, strategies used and formative implementation outcomes.
methodsThe qualitative approach utilised theoretical and purposive sampling to explore people's experiences of a program implementation process. Data were generated from semi-structured interviews with four family members enrolled in the BOP and 24 Apunipima staff members. In addition, twenty community members, including two program users, participated in a men's community focus group. The findings are presented according to themes arising from the data.
resultsThe BOP was rolled out in nine remote Cape York communities between July 2014 and December 2015 and there was high uptake. Indigenous Healthworkers were supported by midwives and maternal and child health nurses to deliver health education to 161 eligible families. The key to effective implementation of family-centred care appeared to be the relationships formed between health practitioners, especially Indigenous Healthworkers, and families. The data revealed the following themes: challenging environments for new families and valuing cultural ways, resourcing program delivery, working towards a team approach, negotiating the cultural interface, engaging families, exchanging knowledge through 'yarning', strengthening the workforce, and seeing health changes in families. Healthworker education and training, and knowledge exchange between Healthworkers, midwives and nurses was critical to program effectiveness. The program continues to grow despite substantial logistic, financial and practical challenges.
conclusionsThis study describes an evolving process and explores how health providers connect with families and how the program responds to family and cultural issues. Program development is ongoing; strengthened by more community-level involvement, embedded strategies for ongoing self-evaluation and continuous quality improvements that are responsive to family needs.
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