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Citations since 2017
7 Research Items
Pauline Dawson currently works at the Department of Women's and Children's Health (WCH) (Dunedin), University of Otago. Pauline research areas are health inequities, social determinants of health and maternity care.
Objectives Aotearoa New Zealand has demonstrable maternal and perinatal health inequity. We examined the relationships between adverse outcomes in a total population sample of births and a range of social determinant variables representing barriers to equity. Methods Using the Statistics New Zealand Integrated Data Infrastructure suite of linked a...
Background: Birthing outcomes in New Zealand are demonstrably inequitable based on governmental reports and research. However, the last Ministry of Health maternal satisfaction survey in 2014 indicated that 77% of women were satisfied or very satisfied with care. This study used data from the maternal satisfaction survey to examine aspects of inequ...
Background Aotearoa New Zealand’s (NZ) socialised health system offers free maternity midwifery-led services in a women-centred model of care. While person-centredness is promoted as a means to provide better care outcomes, including better ‘satisfaction’ with care, maternity outcomes in NZ are not equitable. Aims/Objects Our objective was to ex...
Background: The purpose of this review was to examine the literature for themes of underlying social contributors to inequity in maternal health outcomes and experiences in the high resource setting of Aotearoa New Zealand. These 'causes of the causes' were explored and compared with the international context to identify similarities and New Zeala...
What can the Statistics New Zealand Integrated Data Infrastructure tell us about maternity health inequity in Aotearoa New Zealand? Background: Aotearoa New Zealand’s socialised health system offers free maternity care led by midwives. Yet, large maternal health inequities exist with over-representation of Māori and Pacific women in maternal morta...
Abstract Aotearoa New Zealand has a socialised health care system with a uniquely structured, free maternity care scheme, yet large inequities exist in maternal health. There is over-representation of Māori, and Pacific women in maternal mortality and morbidity statistics and patient experience is also rated poorly by these groups. This presentati...
Immunisation during pregnancy is a safe and effective way of protecting women and their babies against harmful diseases, both during and after pregnancy, however, low maternal immunisation coverage represents a significant public health challenge for Aotearoa/New Zealand. Moreover, inequities exist, with Māori and Pacific women around half as likely to have received maternal pertussis vaccination compared to New Zealand European/’Other’ women. In addition, while geographical variation in maternal immunisation coverage may exist, this has seldom been explored. Researchers and front-line practitioners in midwifery, pharmacy and immunisation/infectious diseases would like to work together to understand regional differences in maternal immunisation coverage. We will map coverage across New Zealand and develop an interactive web application to visualise maternal immunisation coverage for immunisation policymakers. This project represents the first steps towards reducing inequity and to support finding solutions to low regional levels of maternal immunisation coverage across New Zealand, especially for, and with, Māori wāhine.
The purpose of this research is to identify and statistically model social determinates of health as contributing factors to poor perinatal (maternal and neonatal) outcomes, maternal experiences and engagement with services. A more complete understanding of the barriers to equitable service provision and care can lead to structural changes to enable better access and utilization and therefore improved lifelong outcomes for New Zealand women and children.