Malinda Steenkamp

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OBJECTIVE to compare the cost-effectiveness of two models of service delivery: Midwifery Group Practice (MGP) and baseline cohort. DESIGN a retrospective and prospective cohort study. SETTING a regional hospital in Northern Territory (NT), Australia. METHODS baseline cohort included all Aboriginal mothers (n=412), and their infants (n=416), from two(More)
BACKGROUND Comparisons of birth outcomes between Australian Indigenous and non-Indigenous populations show marked inequalities. These comparisons obscure Indigenous disparities. There is much variation in terms of culture, language, residence, and access to services amongst Australian Indigenous peoples. We examined outcomes by region and remoteness for(More)
STUDY OBJECTIVE There is little information about sexual violence cases treated in emergency departments (EDs). This study describes ED visits associated with sexual violence and considers the associated health care burden. METHODS A descriptive analysis was conducted using nationally representative data on nonfatal injury-related ED visits identified in(More)
OBJECTIVES To examine the contribution of alcohol to drowning deaths in Australia. METHODS Drowning deaths that occurred in Australia (excluding Queensland) from 1 July 2000 to 30 June 2001 were identified using the National Coroners Information System (NCIS). The current analysis was based on those deaths for which the Coronial process was completed by(More)
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 Aboriginal(More)
OBJECTIVE to compare the quality of care before and after the introduction of the new Midwifery Group Practice. DESIGN a cohort study. SETTING the health centers (HCs) in two of the largest remote Aboriginal communities (population 2200-2600) in the Top End of the Northern Territory (NT), each located approximately 500km from Darwin. The third study(More)
OBJECTIVE To examine the accuracy of birth counts for two remote Aboriginal communities in the Top End of the Northern Territory. METHODS We compared livebirth counts from community birth records with birth registration numbers and perinatal counts. RESULTS For 2004-06, for Community 1, there were 204 recorded local livebirths, 190 birth registrations(More)
PROBLEM In the Northern Territory, 64% of Indigenous births are to remote-dwelling mothers. Delivering high-quality health care in remote areas is challenging, but service improvements, informed by participative action research, are under way. Evaluation of these initiatives requires appropriate indicators. Few of the many existing maternal and infant(More)
BACKGROUND The science underpinning the study of mass-gathering health (MGH) is developing rapidly. Current knowledge fails to adequately inform the understanding of the science of mass gatherings (MGs) because of the lack of theory development and adequate conceptual analysis. Defining populations of interest in the context of MGs is required to permit(More)
BACKGROUND Current knowledge about mass-gathering health (MGH) fails to adequately inform the understanding of mass gatherings (MGs) because of a relative lack of theory development and adequate conceptual analysis. This report describes the development of a series of event lenses that serve as a beginning "MG event model," complimenting the "MG population(More)