Conference presentation
Measuring the Effectiveness of the Pēpi-Pod® Program in Reducing Infant Mortality in Queensland
ISA-ISPID Digital Conference, 2021 (Online, 11-Nov-2021 - 13-Nov-2021)
2021
Abstract
Background: The Pēpi-Pod® Program was successfully introduced as a staged research intervention targeted at high risk infants in selected communities in Queensland. The research method confirmed the cultural, community, and individual acceptability of the Program but was not designed to detect mortality benefit. Some communities have continued the Program post research. The Pēpi-Pod® Program has demonstrated a temporal association with a reduction in infant mortality in New Zealand. There was interest in determining whether this is true in Queensland.
Methods: Using research participant data (n=617) and linked Queensland population data, research locations were stratified into three subgroups based on participation rate within each geographic location and participant Indigeneity as a proportion of the location’s Indigenous population. The outcome was Study Infant Mortality Rate (IMR), defined as all-cause post-neonatal infant mortality between one and six months of age. The study compared outcomes within and between research location subgroups, and whole of Queensland Study IMR before and after the research intervention.
Results: The Study IMR fell after the Pēpi-Pod® Program intervention in two of the three research location subgroups, with the greatest fall in the subgroup with the highest rate of participation and participant Indigeneity (Rate Ratio 0.25, {95% Confidence Intervals 0.06,1.08}, P=0.08). The whole of Queensland Study IMR decreased significantly after the intervention (RR 0.78 {95%CI 0.65,0.92}, P=0.004).
Conclusions: We hypothesise that the Pēpi-Pod® Program was responsible for this reduction in Study IMR. This Program presents a practical and tangible strategy to reduce infant mortality experienced by priority populations.
Details
- Title
- Measuring the Effectiveness of the Pēpi-Pod® Program in Reducing Infant Mortality in Queensland
- Authors
- Julie A McEniery (Author) - Children’s Health Queensland Hospital and Health ServiceJeanine Young (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyDiane Cruice (Author)John Thompson (Author) - University of Auckland
- Conference details
- ISA-ISPID Digital Conference, 2021 (Online, 11-Nov-2021 - 13-Nov-2021)
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99603882102621
- Output Type
- Conference presentation
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