The AMIHS evaluation – all components now underway!
Since our last project update, there are many things to report about the progress of the evaluation of AMIHS!
Interviews with relevant peak organisations and statewide policy and program areas have started and will continue in the coming months. Organisations that will be invited to participate include
- the Aboriginal Health and Medical Research Council of NSW
- the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives
- the NSW Branch of the Australian College of Midwives
- the National Aboriginal and Torres Strait Islander Health Worker Association.
We are also excited to announce that case study site visits have kicked off, which are an important part of the qualitative data collection process.
Six case study sites were selected and confirmed through discussions with the Evaluation Advisory Committee and the Cultural Reference Group. The first part of the evaluation found five main ways that AMIHS is being delivered across NSW. The case study sites were selected based on these main service models. Other important factors were considered too, such as ensuring a mix of urban, rural and remote sites and including sites with high and low birth numbers.
The aim of the case studies is to identify and describe the ways that AMIHS is being implemented. At each site, interviews with clients, staff and stakeholders will also explore experiences and perspectives of AMIHS. We hope that the information collected will provide a deeper understanding of how stakeholders feel about AMIHS, how the program has contributed to the health and wellbeing of clients, and what are the most (or least) useful aspects of the program.
The six case study sites are:
- Maari Ma Health (Broken Hill / Wilcannia)
- Galambila Aboriginal Health Service (Coffs Harbour)
- Birra Li Aboriginal Maternal and Child Health Service (Newcastle)
- Griffith AMIHS
- Binji and Boori (Shoalhaven)
- Parkes AMIHS
Site Specific Assessment approvals are needed to undertake research in local health districts (districts). The process for approvals has taken some time but we are pleased to announce that things are now moving quickly with approvals confirmed for five districts and one approval pending (as at February 2018).
Two case study sites completed
The HCA and Murawin team have completed consultations for two case study sites at Broken Hill and Parkes. Data collection at Maari Ma Health was completed in mid-November 2017. Carol Vale, Kate Kelleher and Lee Ridoutt spent several days at Broken Hill and Wilcannia.
In the first week of February 2018, Kate Kelleher and Lee Ridoutt visited Parkes AMIHS and the surrounding area.
At each of the sites the team consulted with a wide range stakeholders including:
- AMIHS clients
- AMIHS Aboriginal health workers, AMIHS midwives, maternity staff from local hospitals
- managers and workers from related programs
- community members including fathers, other family members of clients and local elders.
The data collected provided an invaluable insight into the workings of the AMIHS program in each of the locations and the way each particular service model operates more generally.
Thank you to all who gave their time to be interviewed and those who helped coordinate the consultations.
We are now working with each of the remaining sites to coordinate dates and consultations with participants for site visits during March, April and May 2018.
Analysis of the AMIHS Data Collection (AMDC) and Maternal and Child Health Register (MCHR) – Component 5
Exciting progress is also being made with the analysis of the AMIHS Data Collection (AMDC). Analysis of the AMDC data has examined whether there is a detectable difference in health outcomes between mothers and babies who attend an AMIHS program and those that access a mainstream maternity service.
The team is now analysing MCHR data (which includes long term data from the Perinatal Data Collection), which will allow us to further examine outcomes for clients using a time series analysis.
Economic evaluation – Component 6
The final part of the evaluation is an economic evaluation of AMIHS. This will involve:
- investigating the costs of implementing AMIHS, including if these vary by location and service delivery model;
- quantifying the benefits of AMIHS and comparing these to the costs of its implementation;
- examining the value for money of the main service delivery models.
Development of a detailed methodology for the economic evaluation is underway. More news about this component of the evaluation will be provided in the next update.
If you would like more information or would like to send us information that might be relevant to the evaluation, please contact Debbie Stanford, HCA Staff Consultant.
If you haven’t already signed up, you can also join the mailing list to receive regular updates about the evaluation.