|dc.contributor.author||Creighton, Amy Rose||-|
First Nation pregnant women experience five times the rate of admission to intensive care from influenza compared with non-First Nations women despite the influenza vaccine being found to be safe and effective in pregnancy. Preliminary coverage data already indicates a gap in immunisation coverage between First Nations women and others. To understand this gap this research explored stories around the experience of pregnancy and immunisation through the eyes of the participating communities and the researcher.
The study employed a community-based participatory action research (PAR) framework with decolonising methodologies. Based on the oral tradition of Murri culture, semi-structured interviews (talking listening and yarning) with Mums, family members and key stakeholders were undertaken. Twenty-five interviews were conducted along with two yarning circles. Interviews were recorded and notes taken. PAR phases of planning, action, observation and reflection were conducted.
Five main themes emerged from the data and recommendations for action: Special Bond & Celebrating Survival, “It connects family on so many levels, past and present and future”; Believe In Immunisation, “I don’t think I have ever seen anyone in our community refuse to get their child immunised”; Fear/Trust Balance, “Trust takes a long time to build but can be easily damaged”; Cultural Safety; and Ways Forward.
Gaba Binggi in the language of my people (Gomeroi), and means good needles. This is how immunisation is seen, more than acceptance but a stronger sense of “good needles”. The past, present and future are inextricably connected and this needs to be embraced by health services. What has gone before impacts today and what we do today about immunisation in pregnancy speaks into the future.
Pregnancy is deeply important to families and culture. The balance of fear and trust is integral in decisions about immunisation during pregnancy. Current services that provide immunisation to pregnant First Nations women must be designed to be culturally safe, flexible and empathetic to family and community issues. They must name and address racism in all its forms and further culturally safe research needs to be undertaking surrounding immunisation during pregnancy for/with/by First Nations peoples.||en_AU|
|dc.publisher||University of Sydney||en_AU|
|dc.publisher||Sydney Medical School||en_AU|
|dc.publisher||School of Public Health||en_AU|
|dc.title||Gaba Binggi (Good Needles): Developing an understanding of how two Aboriginal* communities see and experience immunisation during pregnancy||en_AU|
|dc.type.pubtype||Master of Philosophy M.Phil||en_AU|
|Appears in Collections:||Sydney Digital Theses (Open Access)|