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Research Article|Articles in Press

First Nations doulas: Training needs and industry support in the Top End, Northern Territory, Australia

Published:November 24, 2022DOI:https://doi.org/10.1016/j.wombi.2022.11.007

      Abstract

      Problem and background

      First Nations doulas offer an innovative approach for strengthening capacity and increasing the Australian First Nations maternity workforce to improve access to services that produce optimal outcomes. Currently, there is no published evidence on the training needs and health sector industry support for developing a First Nations doula workforce.

      Question/aim

      In the context of the ‘Top End,’ Northern Territory, Australia, the aim of this article is to document Industry feedback on the training needs and support for developing a First Nations doula workforce.

      Methods

      Ten purposively recruited Industry representatives participated in a facilitated workshop using the Kaospiolit Vision Backcasting education design tool.

      Findings

      Participants identified and reached consensus on almost all the underpinning skills, knowledge, mindset, and attitudes required to work as a First Nations doula. Overall participants indicated strong Industry appetite and support for formally developing the doula role.

      Discussion

      There was participant consensus that accredited doula training would be a ‘game-changer’, addressing inadequacies and inequities in NT’s reproductive and maternal health services for remote-living First Nations women.

      Conclusion

      More research is required to explore First Nations doula practice in addressing perinatal inequities and workforce issues. Investigation is required to identify funding and appropriate workforce models.

      Keywords

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      References

      1. Anna-Maria, A.-M. , 2018. Birth Doula Sydney. Birth Doula. 〈https://www.annamaria.com.au/anna-maria/doula-sydney〉.

      2. BCAAFC, 2018. Doula Services Grant for Aboriginal Families. BC Association of Aboriginal Friendship Centres. 〈http://www.bcaafc.com/index.php/initiatives/doula-support-program/faq-s〉.

      3. Beets, V.D. , 2014. The emergence of US hospital- based doula programs [Degree of Doctor of Philosophy]. University of South Carolina.

      4. Bey, A., Brill, A., Porchia-Albert, C., Gradilla, M., Strauss, N. , 2019. ADVANCING BIRTH JUSTICE: Community-Based Doula Models as a Standard of Care for Ending Racial Disparities (p. 33). ANCIENT SONG, DOULA SERVICES VILLAGE, BIRTH INTERNATIONAL EVERY MOTHER COUNTS.

      5. Birth for Humankind, 2020. Birth for humankind. Birth for Humankind. 〈https://birthforhumankind.org/〉.

      6. Birthing on Country , 2021. Birthing on Country | Projects | Caring for Mum on Country. Birthing on Country. 〈https://www.birthingoncountry.com/caring4mum〉.

        • Bohern M.
        • Hofmeyr G.
        • Sakala C.
        • Fukuzawa R.
        • Cuthbert A.
        Continuous support for women during childbirth (review).
        Cochrane Database Syst. Rev. 2017; 7: 1-4
        • Cidro J.
        • Doenmez C.
        • Phanlouvong A.
        • Fontaine A.
        Being a good relative: Indigenous doulas reclaiming cultural knowledge to improve health and birth outcomes in Manitoba.
        Front. Women’s Health. 2018; 3https://doi.org/10.15761/FWH.1000157
      7. Congress Alukura , 2014. Minymaku kutju tjukurpa- women’s business manual (5th ed.). Centre for Remote Health. 〈http://remotephcmanuals.com.au/html/About_WBM〉.

      8. Danila Dilba Medical Service,1998. Danila dilba: Biluru butji binnilutlum medical service- women’s business meeting Darwin Nov 2–3 1998 report & recommendations. Danila Dilba Medical Service; Territory Health Service; ATSIC.

      9. Department of Health , 2011. Provision of maternity care. 〈https://www1.health.gov.au/internet/publications/publishing.nsf/Content/pacd-maternityservicesplan-toc∼pacd-maternityservicesplan-chapter3#The%20maternity%20workforce〉.

      10. Department of Health & Families, 2009. Strong Women Strong Babies Strong Culture Program: Information for Strong Women Workers, government and non government professionals. DHF Maternal, Child and Youth Health Program.

      11. DONA, 2017. Birth Doula Code of Ethics and Scope of Practice. DONA.

      12. Essential Baby , 2011. How much does a doula cost—Doulas & Midwives—Essential Baby. Essential Baby Forums. 〈http://www.essentialbaby.com.au/forums/index.php?/topic/930785-how-much-does-a-doula-cost/〉.

      13. FSD, 2018. Full Spectrum Doulas. 〈http://www.fullspectrumdoulas.org/〉.

        • Gruber K.J.
        • Cupito S.H.
        • Dobson C.F.
        Impact of doulas on healthy birth outcomes.
        J. Perinat. Educ. 2013; 22: 49-58https://doi.org/10.1891/1058-1243.22.1.49
        • Harrison H.
        • Birks M.
        • Franklin R.
        • Mills J.
        Case study research: foundations and methodological orientations.
        Forum Qual. Soz. / Forum: Qual. Soc. Res. 2017; 18: 1-17
        • Ireland S.
        • Maypilama E.
        • Ḻäwurrpa, Roe Y.
        • Lowell A.
        • Kildea S.
        Caring for mum on country: exploring the transferability of the birthing on country RISE framework in a remote multilingual Northern Australian context.
        Women Birth. 2020; 0https://doi.org/10.1016/j.wombi.2020.09.017
        • Ireland S.
        • Montgomery-Andersen R.
        • Geraghty S.
        Indigenous Doulas: a literature review exploring their role and practice in western maternity care.
        Midwifery. 2019; 75: 52-58https://doi.org/10.1016/j.midw.2019.04.005
        • Ireland S.
        • Roe Y.
        • Moore S.
        • Maypilama E.
        • Ḻäwurrpa, Bukulatjpi D.Y.
        • Bukulatjpi E.D.
        • Kildea S.
        Birthing on Country for the best start in life: Returning childbirth services to Yolŋu mothers, babies and communities in North East Arnhem, Northern Territory.
        Med. J. Aust. 2022; 217: 5-8https://doi.org/10.5694/mja2.51586
      14. Kavanagh, S. (n.d.). Vision Backcasting: How to design transformational Education & Package the Pursuit of Knowledge. Kaospilot. Retrieved 31 January 2019, from 〈https://shop.kaospilot.dk/images/shopdownloadfiles/A&CFLS%20-%20Vision%20backcasting%20framework%20INSTRUCTIONS.pdf〉.

      15. Kildea, S. , 1999. And the Women Said.Reporting on Birthing Services For Aboriginal Women From Remote Top End Communities. Government Printer of the Northern Territory.

        • Kildea S.
        • Hickey S.
        • Barclay L.
        • Kruske S.
        • Nelson C.
        • Sherwood J.
        • Allen J.
        • Gao Y.
        • Blackman R.
        • Roe Y.L.
        Implementing birthing on Country services for aboriginal and torres strait islander families: RISE framework.
        Women Birth: J. Aust. Coll. Midwives. 2019; 32: 466-475https://doi.org/10.1016/j.wombi.2019.06.013
      16. Lowell, A., Kildea, S., Esden, T. , 2008. Strong women, Strong Babies, Strong Culture Program: A participatory evaluation. Charles Darwin University and the Northern Territory Department of Health and Families.

      17. Mahoney, M., Mitchell, L. , 2016. The Doulas Radical care for pregnant people (Ist). First Feminist Press Chain.

        • Marmot M.
        • Friel S.
        • Bell R.
        • Houweling T.A.
        • Taylor S.
        Closing the gap in a generation: Health equity through action on the social determinants of health.
        Lancet. 2008; 372: 1661-1669https://doi.org/10.1016/S0140-6736(08)61690-6
      18. Morton, C.H., Clift, E.G. , 2014. Birth Ambassadors Doulas and the re-emergence of woman-supported birth in America. Praeclarus Press.

      19. Northern Territory Birthing Review Task Force, 1992). Review of birthing services in the Northern Territory of Australia- commissioned by the Northern Territory Women’s Advisory Council. Dept. of Health and Community Services.

      20. ONE20 Productions, 2021. DJÄKAMIRR THE DOCUMENTARY. Birthing on Country- DJÄKAMIRR. 〈https://www.birthingoncountry.com/djakamirr〉.

        • Quist J.
        • Vergragt P.
        Past and future of backcasting: the shift to stakeholder participation and a proposal for a methodological framework.
        Futures. 2006; 38: 1027-1045https://doi.org/10.1016/j.futures.2006.02.010
      21. SFGH Doulas, 2018. San Francisco General Hospital Doula Volunteer. San Francisco General Hospital Doula Volunteer. 〈http://www.sfghdoulas.org〉.

        • Vaismoradi M.
        • Turunen H.
        • Bondas T.
        Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.
        Nurs. Health Sci. 2013; 15: 398-405https://doi.org/10.1111/nhs.12048
      22. Zoila Perez, M., 2012). The radical doula guide. A political primer for full spectrum pregnancy and childbirth support. Self-published.