Concepta Wulili Narjic's research while affiliated with Menzies School of Health Research and other places

Publications (6)

Article
Maternity care in remote areas of the Australian Northern Territory is restricted to antenatal and postnatal care only, with women routinely evacuated to give birth in hospital. Using one remote Aboriginal community as a case study, our aim with this research was to document and explore the major changes to the provision of remote maternity care ov...
Article
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Please use this link to download this article - http://www.tandfonline.com/eprint/m3K6n9nRB6njKpvRa3MU/full Sexual health indicators for young remote-living Aboriginal women are the worst of all of Australian women. This study aimed to describe and explore young women's behaviour and knowledge in relation to sexual health, as well as to provide he...
Article
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Background Health services research is a well-articulated research methodology and can be a powerful vehicle to implement sustainable health service reform. This paper presents a summary of a five-year collaborative program between stakeholders and researchers that led to sustainable improvements in the maternity services for remote-dwelling Aborig...
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In this study, we attempted to explore the experiences and beliefs of Aboriginal families as they cared for their children in the first year of life. We collected family stories concerning child rearing, development, behavior, health, and well-being between each infant's birth and first birthday. We found significant differences in parenting behavi...
Article
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to investigate the beliefs and practices of Aboriginal women who decline transfer to urban hospitals and remain in their remote community to give birth. an ethnographic approach was used which included: the collection of birth histories and narratives, observation and participation in the community for 24 months, field notes, training and employmen...

Citations

... Globally, Indigenous people experience significant inequities across many measures of health and wellbeing ( IASG, 2014 ). In Northern Australia and similar remote jurisdictions such as Alaska, these impacts include distress and negative experiences around giving birth alone and unsupported ( Kornelson and Grzybowski, 2005;Lawford et al., 2018 ); disruption to family dynamics and child safety ( Kornelson and Grzybowski, 2005;Varcoe et al., 2013 ); discontinuity and damage to cultural practices and customs ( Adams et al., 2017;Kildea, 1999 ); and at a community and economic level the loss of local career pathways in midwifery ( Ireland et al., 2015 ). ...
... Experiences of gender inequality therefore intersect with risk of infection among potential carriers (117,118). Only two qualitative studies in Brazil have explored gender imbalances in relation to HTLV-1 (40,41) and few Australian studies have highlighted the difficulties encountered by women negotiating condom use in remote settings (119,120). Women with HTLV-1, who often reside in impoverished communities where adherence to recommendations to limit breastfeeding is extremely challenging (121), also bear most of the responsibility for making difficult decisions regarding breastfeeding (38,39). ...
... The study found that women in the intervention group were more likely to access early antenatal care and have five or more antenatal visits, with significantly reduced preterm births, neonatal nursery admissions, planned caesareans, and epidural pain relief, and increased exclusive breastfeeding on discharge from hospital. 10 Other studies have found increased antenatal engagement, 8 increased pregnancy visits, and more antenatal screening 13 and a recent review concluded that there is an urgent need to extend continuity of care for First Nations women in order to improve outcomes. 20 However, implementation of culturally appropriate caseload midwifery care models requires local leadership, specific funding and strong partnerships. ...
... Understanding connections to Country and Dreaming (The "Dreaming" is a reference to a sacred era wherein totemic spirit beings formed the Creation and is often used to refer to an individual's or group's set of beliefs or spirituality [153]) is a significant component of culture for Indigenous youth [84,95,98,[100][101][102]106]. Spending time on Country provides valuable opportunities to learn and connect spiritually [90], particularly with ancestral connections, who are seen to protect youth [100,104]. ...
... Relocation for birth causes significant disruption in the lives of Aboriginal women, often requiring them to leave young children at home being cared for by other family or members of the community ( Ireland et al., 2011 ). Women relocating were often unaccompanied, therefore increasing anxiety and stress for them around their own safety, and that of their unborn child, thus deterring them from antenatal engagement in fear of relocation of care ( Reibel et al., 2015 ). ...