[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-271819-105":59,"doc-detail-271819-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 barriers faced by Aboriginal and Torres Strait Islander Community Controlled Health Services in establishing Birthing on Country services, despite government policy support since 2012. It builds upon existing evidence demonstrating the acceptability, effectiveness, and cost-saving benefits of these services for First Nations mothers and babies. The paper synthesizes policy, economic, and legal obstacles within two Australian jurisdictions, offering actionable recommendations to overcome these challenges and facilitate the expansion of Birthing on Country services that are owned and governed by Indigenous communities. Key recommendations focus on workforce development, ensuring affordable professional indemnity insurance, implementing Medicare Taskforce recommendations, establishing dedicated funding streams, providing waivers for private patient adjustments, and developing national guidelines for freestanding birth centers. The document aims to provide a clear pathway and actionable strategies for scaling up culturally appropriate birthing services for Aboriginal and Torres Strait Islander peoples.",{"@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":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",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/271819/",{"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/271819.png","ImageObject",300,407,{"name":92,"@type":93},"Aurelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"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 challenges. Specifically, issues related to workforce education and regulation, insurance availability, Medicare recommendations, funding streams, and the establishment of birth centers are highlighted.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What evidence supports 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 the key recommendations to enable Birthing on Country services?",{"text":121,"@type":113},"Recommendations include reviewing educational and regulatory barriers for midwives, ensuring affordable professional indemnity insurance, implementing Medicare Taskforce suggestions, developing dedicated funding streams, establishing waivers for private patient adjustments, and creating national tools to guide freestanding birth center operations.","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},271819,1789461653,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"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},1099514068365,"https://ap-avatar.wpscdn.com/avatar/10000253d8d9f28188e?_k=1776742907772140068","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. Birth Centres  \nDevelop an evidence-based national tool to guide operation of freestanding birth centresalign with enabling legislation","cbCaijNcwl3Jt3Rq","https://ap.wps.com/l/cbCaijNcwl3Jt3Rq","pdf",186624,"English","# Research Just 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\n# Workforce\n# Insurance\n# Medicare\n# Funding\n# Waiver\n# Birth Centres","[{\"question\":\"What are the main barriers to establishing Birthing on Country services?\",\"answer\":\"Barriers include policy, economic, and legal challenges. Specifically, issues related to workforce education and regulation, insurance availability, Medicare recommendations, funding streams, and the establishment of birth centers are highlighted.\"},{\"question\":\"What evidence supports 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 the key recommendations to enable Birthing on Country services?\",\"answer\":\"Recommendations include reviewing educational and regulatory barriers for midwives, ensuring affordable professional indemnity insurance, implementing Medicare Taskforce suggestions, developing dedicated funding streams, establishing waivers for private patient adjustments, and creating national tools to guide freestanding birth center operations.\"}]","Enabling the context for Aboriginal and Torres Strait Islander Community Controlled Birthing on Country services | PDF"]