[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-271815-105":59,"doc-detail-271815-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","enabling-the-context-for-aboriginal-and-torres-strait-islander-community-controlled-birthing-on-country-services","Enabling the context for Aboriginal and Torres Strait Islander Community Controlled Birthing on Country services","","This research paper addresses the persistent barriers faced by Aboriginal and Torres Strait Islander Community Controlled Health Services in establishing Birthing on Country services, despite government policy support since 2012. Existing evidence confirms that these services are acceptable, effective, and cost-saving for First Nations women. The paper synthesizes policy, economic, and legal impediments within two jurisdictions, offering actionable recommendations for scaling up these vital services. Key recommendations include addressing workforce development by reviewing educational and regulatory hurdles for new graduate midwives to practice to their full scope, ensuring affordable professional indemnity insurance, implementing Medicare recommendations from the Primary Maternity Reference Group, developing dedicated funding streams from jurisdictional governments, establishing waivers for private patient adjustments, and leveraging the Queensland Birth Centres' neonatal service framework to ensure access to registered medical practitioners. The paper emphasizes the need for a coordinated approach to overcome these challenges and enhance the provision of culturally safe birthing options.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/enabling-the-context-for-aboriginal-and-torres-strait-islander-community-controlled-birthing-on-country-services/271815/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/enabling-the-context-for-aboriginal-and-torres-strait-islander-community-controlled-birthing-on-country-services/271815.png","ImageObject",300,407,{"name":92,"@type":93},"Aurelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-17","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the main barriers to establishing Birthing on Country services?","Question",{"text":112,"@type":113},"Barriers include policy, economic, and legal impediments. Workforce development, insurance availability, Medicare processes, funding, and specific waivers are also identified as challenges.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the evidence regarding Birthing on Country services?",{"text":117,"@type":113},"There is growing evidence that Birthing on Country services are acceptable, effective, and cost-saving models for women having First Nations babies.",{"name":119,"@type":110,"acceptedAnswer":120},"What are some of the key recommendations to address these barriers?",{"text":121,"@type":113},"Recommendations include reviewing educational barriers for midwives, ensuring affordable professional indemnity insurance, implementing Medicare recommendations, developing dedicated funding streams, and establishing waivers for private patient adjustments.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},271815,1789461647,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81,"preview_page_count":4},1099514068365,"https://ap-avatar.wpscdn.com/avatar/10000253d8d9f28188e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1794309523707217728","Research just published  \nEnabling the context for Aboriginal and Torres Strait Islander Community Controlled Birthing on Country services  \nProblem or issue  \nDespite being supported by government policy since 2012, Aboriginal and Torres Strait Islander Community Controlled Health Services experience barriers to establishing Birthing on Country services.  \nWhat is already known  \nThere is growing evidence that Birthing on Country services are acceptable, effective, and cost-saving models for women having First Nations babies.  \nWhat this paper adds  \nSynthesis of the policy, economic, and legal barriers to Birthing on Country services in two jurisdictions. Actionable recommendations to address barriers and enable scale-up of Birthing on Country services owned and governed by Aboriginal and Torres Strait Islander Community Controlled Health Services.  \nRecommendations  \n1. Workforce  \nReview educational and regulatory barriers to new graduate midwives working to full scope of practice  \n3. Medicare  \nImplement all recommendations made by the Primary Maternity Reference Group to the Medicare Taskforce  \n2. Insurance  \nEnsure availability of an affordable professional indemnity insurance product for healthcare companies that includes labour and birth  \n4. Funding  \nWork with jurisdictional governments to develop a funding stream including start-up funding, operations and infrastructure  \n5. Waiver  \nEstablish a waiver of private patient adjustments for women carrying a First Nations baby admitted to hospital for birth by an endorsed midwife  \n6. QLD Birth Centres  \nNeonatal service, Clinical Service Capability Framework (QLD), enables ‘access—24h—to registered medical practitioner through a higher level service in the network’.","cbCaikFAedutMDSz","https://ap.wps.com/l/cbCaikFAedutMDSz","pdf",187534,"English","# Research published\n## Enabling the context for Aboriginal and Torres Strait Islander Community Controlled Birthing on Country services\n### Problem or issue\n### What is already known\n### What this paper adds\n### Recommendations","[{\"question\":\"What are the main barriers to establishing Birthing on Country services?\",\"answer\":\"Barriers include policy, economic, and legal impediments. Workforce development, insurance availability, Medicare processes, funding, and specific waivers are also identified as challenges.\"},{\"question\":\"What is the evidence regarding Birthing on Country services?\",\"answer\":\"There is growing evidence that Birthing on Country services are acceptable, effective, and cost-saving models for women having First Nations babies.\"},{\"question\":\"What are some of the key recommendations to address these barriers?\",\"answer\":\"Recommendations include reviewing educational barriers for midwives, ensuring affordable professional indemnity insurance, implementing Medicare recommendations, developing dedicated funding streams, and establishing waivers for private patient adjustments.\"}]","Enabling the context for Aboriginal and Torres Strait Islander Community Controlled Birthing on Country services | PDF"]