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Anaemia management in three remote Aboriginal communities

Evaluation of anaemia management in three remote Aboriginal communities in the Katherine East region, Northern Territory  

Project aims 

This project sought to evaluate an anaemia prevention program and fidelity to anaemia best practice guidelines in three East Katherine regional communities.  

Project team 

Program leader: Dr Therese Kearns, epidemiologist and Senior Research Fellow, Menzies School of Health Research 

Project partners:  

The project was co-led by Raelene Wing, a Wanyii/Garrawa woman from Katherine who was an Aboriginal Health Practitioner, coordinator for Child Health and the Mothers and Babies Program, and Child and Maternal Cluster Manager within Sunrise Health. 

Project timeline: 1 December 2015-31 December 2018  

Methodology  

The researchers sought to determine:  

Record reviews were conducted on electronic primary health care (PHC) records of primary health care presentations in the first 2 years of life for children born between January 2010 and July 2014 in all three East Katherine communities.  

They sought to assess the fidelity of anaemia best practice guidelines and identify any perinatal or child risk factors associated with the development of childhood anaemia.  

Elements of the programs included. 

Project findings  

The findings of the project include:  

Knowledge  

  • Insight into factors that predict anaemia in children, particularly that anaemia in the final trimester of pregnancy is a stronger predictor of anaemia than being born pre-term or with low birth weight.  
  • Rates of anaemia among pregnant women in East Kimberley communities were higher than previously reported.  
  • Community A, which received the anaemia prevention program, had lower rates of anaemia than other communities.  

Awareness  

  • Improved awareness of the associations of infant anaemia with maternal anaemia in pregnancy and the benefits of iron supplementation to prevent infant anaemia.  

Behaviour  

  • Changes to public health practice and policy regarding preventative treatment to infants born to mothers with anaemia in the last trimester of pregnancy.  
  • Incorporating factors identified to enable more effective anaemia prevention (i.e. Aboriginal leadership, community acceptance, strong relationships between the community and health clinic, choice of iron medication used, method of administration and continuity of the program provider). 
  • Introduction of Communicare SMS messaging to recall mothers and their babies for preventative iron supplementation.  

Skills  

  • Community members were employed and trained to conduct research activities through the Certificate II in Community Health Research.  
  • Two students undertaking Masters of Public Health investigated the high prevalence of maternal anaemia, and the development and delivery of the anaemia prevention program, respectively.  

 

Related Resources 

Project leader

Dr Thérèse Kearns

Administering institution:

Menzies School of Health Research