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“It Empowers You to Empower Them”: Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Intervention

Author

Listed:
  • Diana MacKay

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia
    Department of Endocrinology, Royal Darwin Hospital, Darwin 0810, Australia)

  • Louise Maple-Brown

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia
    Department of Endocrinology, Royal Darwin Hospital, Darwin 0810, Australia)

  • Natasha Freeman

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia)

  • Jacqueline A. Boyle

    (Eastern Health Clinical School, Monash University, Melbourne 3128, Australia)

  • Sandra Campbell

    (Jawun Research Centre, Central Queensland University, Cairns 4870, Australia)

  • Anna McLean

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia
    Department of Diabetes and Endocrinology, Cairns and Hinterland Hospital and Health Service, Cairns 4870, Australia)

  • Sumaria Corpus

    (Department of Diabetes, Royal Darwin Hospital, Darwin 0810, Australia
    Danila Dilba Health Service, Darwin 0800, Australia)

  • Cherie Whitbread

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia
    Department of Diabetes, Royal Darwin Hospital, Darwin 0810, Australia)

  • Paula Van Dokkum

    (Alice Springs Hospital, Alice Springs 0870, Australia)

  • Christine Connors

    (Northern Territory Department of Health, Darwin 0800, Australia)

  • Elizabeth Moore

    (Aboriginal Medical Services Alliance Northern Territory, Darwin 0800, Australia)

  • Ashim Sinha

    (Department of Diabetes and Endocrinology, Cairns and Hinterland Hospital and Health Service, Cairns 4870, Australia)

  • Yvonne Cadet-James

    (Apunipima Cape York Health Council, Bungalow 4870, Australia)

  • John Boffa

    (Central Australian Aboriginal Congress, Alice Springs 0800, Australia)

  • Sian Graham

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia)

  • Jeremy Oats

    (Melbourne School of Population and Global Health, University of Melbourne, Melbourne 3053, Australia)

  • Alex Brown

    (College of Health and Medicine, Australian National University, Canberra 2601, Australia
    Telethon Kids Institute, Perth 6009, Australia)

  • H. David McIntyre

    (Mater Research, The University of Queensland, Brisbane 4101, Australia)

  • Renae Kirkham

    (Menzies School of Health Research, Charles Darwin University, Darwin 0810, Australia)

Abstract

The Northern Territory (NT) and Far North Queensland (FNQ) have a high proportion of Aboriginal and Torres Strait Islander women birthing who experience hyperglycaemia in pregnancy. A multi-component health systems intervention to improve antenatal and postpartum care in these regions for women with hyperglycaemia in pregnancy was implemented between 2016 and 2019. We explored health professional perspectives on the impact of the intervention on healthcare. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) underpinned this mixed-methods evaluation. Clinicians were surveyed before ( n = 183) and following ( n = 137) implementation. The constructs explored included usual practice and satisfaction with care pathways and communication between services. Clinicians, policymakers and the implementation team were interviewed ( n = 36), exploring the impact of the health systems intervention on practice and systems of care. Survey and interview participants reported improvements in clinical practice and systems of care. Self-reported glucose screening practices improved, including the use of recommended tests (72.0% using recommended first-trimester screening test at baseline, 94.8% post-intervention, p < 0.001) and the timing of postpartum diabetes screening (28.3% screening at appropriate interval after gestational diabetes at baseline, 66.7% post-intervention, p < 0.001). Health professionals reported multiple improvements to care for women with hyperglycaemia in pregnancy following the health systems intervention.

Suggested Citation

  • Diana MacKay & Louise Maple-Brown & Natasha Freeman & Jacqueline A. Boyle & Sandra Campbell & Anna McLean & Sumaria Corpus & Cherie Whitbread & Paula Van Dokkum & Christine Connors & Elizabeth Moore &, 2024. "“It Empowers You to Empower Them”: Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Intervention," IJERPH, MDPI, vol. 21(9), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1139-:d:1466006
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    References listed on IDEAS

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    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    2. Chris Clarkson & Zenobia Jacobs & Ben Marwick & Richard Fullagar & Lynley Wallis & Mike Smith & Richard G. Roberts & Elspeth Hayes & Kelsey Lowe & Xavier Carah & S. Anna Florin & Jessica McNeil & Dely, 2017. "Human occupation of northern Australia by 65,000 years ago," Nature, Nature, vol. 547(7663), pages 306-310, July.
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