Indigenous birth support worker (IBSW) program evaluation: a qualitative analysis of program workers and clients'...

Area of Science:

• Maternal Health
• Indigenous Health
• Healthcare Program Evaluation

Background:

• The Indigenous Birth Support Worker (IBSW) Program provides culturally safe, trauma-informed care to Indigenous women during labor and delivery.
• The program, located at Jim Pattison Children's Hospital, served 1023 clients between December 2019 and January 2021.

Purpose of the Study:

• To explore the perspectives of Indigenous Birth Support Workers (IBSWs) and program clients one year after program implementation.
• To evaluate the effectiveness and client satisfaction of the IBSW program.

Main Methods:

• Qualitative research design utilizing focus groups and individual interviews.
• A focus group was conducted with four IBSWs, and ten clients participated in individual interviews.
• The research plan was developed collaboratively with program staff and health department partners.

Main Results:

• Clients highly valued the IBSWs' cultural support, compassion, and nonjudgmental care.
• IBSWs highlighted the need for strengthened relationships with Elders and community healthcare providers for improved prenatal and postnatal care.
• IBSWs expressed a desire for enhanced collaboration with community healthcare professionals and rural teams.

Conclusions:

• The IBSW Program delivers safe, client-centered care aligned with perinatal best practices, positively impacting Indigenous women's mental health.
• Persistent insensitivity from healthcare providers towards Indigenous clients was identified, indicating a need for improved role clarity and collaboration.
• Addressing systemic issues and fostering genuine collaboration are crucial for decolonization and reconciliation in Indigenous maternal healthcare, aligning with national and international calls for justice.