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Published (Version of Record)CC BY-NC-ND V4.0, Open Access
Journal article
Identifying barriers and facilitators for the effective diagnosis and provision of primary health care for otitis media from the perspective of carers of Aboriginal children
Journal of paediatrics and child health, Early View
2024
PMID: 39032110
Abstract
Aim
To identify the barriers and facilitators for timely detection and optimal management of otitis media (OM) in Aboriginal children in a primary care setting from the perspective of carers of Aboriginal children.
Methods
A qualitative, Aboriginal co-designed, participatory action research study with interviews and focus groups in a large town in the Kimberley, Western Australia. The Consolidated Framework for Implementation Research informed stakeholder group identification and interview framework development. Data underwent thematic analysis using NVivo software.
Results
Thirty-two carers of Aboriginal children participated. Key barriers identified for the detection of OM were limited information about OM provided to carers and carers feeling disempowered to express their concerns. Key facilitators identified were the provision of health information through health promotion and the use of culturally secure resources. Having a culturally secure clinical environment was identified as essential, with Aboriginal Health Workers playing a vital role in clinical care. No barriers to management of OM in primary care were reported. Facilitators included health care practitioners (HCPs) emphasising the importance of completing antibiotic course and the clinic providing necessary medications.
Conclusions
A culturally secure health promotion strategy with health promotion teams, campaigns and resources is needed to increase community awareness of OM signs and symptoms and facilitate appropriate health seeking. It is essential that the local Aboriginal community co-lead and co-develop these initiatives to ensure the unique wisdom and knowledge of Aboriginal people are captured. HCPs and the clinic effectively facilitate management of OM by providing medications and emphasising completion of antibiotics.
Details
- Title
- Identifying barriers and facilitators for the effective diagnosis and provision of primary health care for otitis media from the perspective of carers of Aboriginal children
- Authors/Creators
- Gloria Lau - The Kids Research Institute AustraliaRoz Walker - Murdoch UniversityPamela Laird - The Kids Research Institute AustraliaPhilomena Lewis - Broome Regional Aboriginal Medical ServiceJafri Kuthubutheen - The University of Western AustraliaAndré Schultz - The Kids Research Institute Australia
- Publication Details
- Journal of paediatrics and child health, Early View
- Publisher
- John Wiley & Sons Ltd. on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians)
- Identifiers
- 991005687747607891
- Copyright
- © 2024 The Author(s).
- Murdoch Affiliation
- Ngangk Yira Institute for Change
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.23 Antibiotics & Antimicrobials
- 1.23.347 Streptococcus Pneumoniae
- Web Of Science research areas
- Pediatrics
- ESI research areas
- Clinical Medicine