Caroline Homer
Datos Biográficos
| ID | 1728640 |
|---|---|
| NOMBRE | Caroline Homer |
| NOMBRES | Caroline |
| APELLIDO | Homer |
| FIRMA | HOMER C |
| AFILIACIONES | Burnet Institute |
| ORCID | 0000-0002-7454-3011 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 35 |
| TOTAL DE CITAS | 15 |
| TOTAL COMO AUTOR | 35 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Barriers and enablers in implementing strategies to maintain clinical competence of midwife educators
BACKGROUND: Well-educated and prepared midwife educators are crucial in the provision of high-quality midwifery education, ensuring that midwifery students are equipped with the essential competencies to improve maternal and neonatal health outcomes. The International Confederation of Midwives (ICM) Global Standards for Midwifery Education set out an expectation for midwife educators to remain clinically competent. However, little is known about …
Stakeholder perspectives on task shifting to prevent mother-to-child transmission of hepatitis B
In Vanuatu, the management of hepatitis B is limited to hospital settings whilst antenatal care is decentralised to primary care settings, overseen by nurses and midwives. Scale up of interventions during pregnancy to prevent mother-to-child transmission (PMTCT) of hepatitis B in Vanuatu therefore requires task shifting of care for hepatitis B. This study aims to understand stakeholder perspectives on task shifting hepatitis B PMTCT interventions…
Well-being of health workers providing maternal and newborn care
Health workers providing maternal and newborn care can experience burnout and emotional distress, which harms their well-being and, consequently, their ability to deliver respectful care. The World Health Organization (WHO) Compendium on respectful maternal and newborn care identifies health workers’ well-being as a critical area for intervention, but no specific definition or domains of well-being exist for this group. We conducted a qualitative…
Improving quality of maternal and newborn care
This study evaluates the effectiveness and sustainability of UNFPA-supported Emergency Obstetric and Newborn Care (EmONC) in-service training programs in Bhutan and Lao PDR, aiming to improve maternal and neonatal health services by enhancing health providers’ competencies in performing Basic EmONC signal functions. This study employed qualitative interviews with key informants and healthcare providers to identify enablers and barriers to the tra…
Long-term outcomes of antenatal corticosteroids for preterm birth
Antenatal corticosteroids (ACS) is a critical preterm birth intervention that reduces neonatal mortality and short-term morbidities when administered to women at risk of preterm birth
Midwife-led birthing centres in Bangladesh, Pakistan and Uganda
INTRODUCTION: Achieving the Sustainable Development Goals to reduce maternal and neonatal mortality rates will require the expansion and strengthening of quality maternal health services. Midwife-led birth centres (MLBCs) are an alternative to hospital-based care for low-risk pregnancies where the lead professional at the time of birth is a trained midwife. These have been used in many countries to improve birth outcomes. METHODS: The cost analys…
Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia
INTRODUCTION: Caesarean section (CS) rates in Indonesia are increasing rapidly. Understanding women's preferences about mode of birth is important to help contextualise these rising rates and can help develop interventions to optimise CS. This study aimed to explore Indonesian women's preferences and decision-making about mode of birth, and how their preferences may change throughout pregnancy and birth. METHODS: We conducted a longitudinal quali…
Revisiting health systems to integrate perinatal mental health into maternal and child health services
box There is a growing call for actionable recommendations to promote perinatal mental health and to prevent and treat perinatal mental health conditions, particularly in Africa
Factors affecting the implementation and sustainability of an Australian community-based doula service
Community-based doula support for women and gender-diverse birthing people has a range of benefits in improving maternal outcomes and experiences. However, there is limited research on how doula services operate in Australia. Birth for Humankind is an Australian community-based volunteer doula service, which provides free doula support for women and gender diverse birthing people experiencing social discrimination and financial disadvantage. The …
“If I am alive, I am happy”
Quality maternal and newborn healthcare is essential to improve experiences and health outcomes for mothers and babies. In many low to middle income countries, such as Papua New Guinea, there are initiatives to increase antenatal care attendance and facility births. To develop and implement initiatives that are appropriate, relevant, and contextualised to a community, it is important to understand how quality of care is perceived and defined by d…
Midwife-led birthing centre in the humanitarian setup
In Bangladesh, Midwife Led Birthing Centres (MLBCs) have been established to provide midwifery care and sexual and reproductive health services for the displaced Rohingya population in Cox’s Bazar. The aim of this study was to explore MLBCs in this humanitarian context from the perspectives of women, midwives, and other key stakeholders. A mixed-method case study was conducted at one of the MLBCs within the Rohingya refugee camps in Cox’s Bazar. …
Climate change impacts on health across the life course
CLIMATE CHANGE IS AN IMPORTANT DETERMINANT OF HEALTH ACROSS THE LIFE COURSE Climate change is transforming all aspects of life on earth, including human life. This issue of the journal includes three articles summarising the available reviews on the impact of climate change on maternal and newborn health, child and adolescent health, and older people, [...]
The effects of Covid-19 on maternal, newborn and child health services in Papua New Guinea
Papua New Guinea's health system faces ongoing challenges in the provision of maternal and child health and has some of the poorest health indicators in the world. In this paper, we describe the impact of COVID-19 on maternal and child health, as examples of primary health care services. We conducted 131 semi-structured interviews with different population groups in seven provinces (Jul-Nov 2021). A deductive analysis focused on identifying the i…
Protektem pikinini blong yu trial
Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN: ACTRN12623001202651p. Registered 21 November 2023
Health and economic benefits of achieving contraceptive and maternal health targets in Small Island Developing States in the Pacific and Caribbean
INTRODUCTION: Reducing unmet need for modern contraception and expanding access to quality maternal health (MH) services are priorities for improving women's health and economic empowerment. To support investment decisions, we estimated the additional cost and expected health and economic benefits of achieving the United Nations targets of zero unmet need for modern contraceptive choices and 95% coverage of MH services by 2030 in select Small Isl…
An evaluation of the introduction of telehealth for remote antenatal and postnatal contacts in Bangladesh and Lao People’s Democratic Republic during the Covid-19 pandemic
From 2020, COVID-19 spread rapidly around the globe and continues to have a major impact on health system functioning, with a disproportionate impact on low- and middle-income countries (LMIC). Reduced service utilisation and coverage of essential childbirth interventions is likely impacting maternal and newborn morbidity and mortality. Telehealth has been identified as an important tool in the continued provision of essential healthcare services…
Impact of Covid-19 on routine childhood immunisations in low- and middle-income countries
Routine vaccines are critical to child health. The COVID-19 pandemic significantly impacted essential health services, particularly in low-and middle-income countries (LMICs). We reviewed literature to determine the impact of COVID-19 on service delivery and uptake of routine childhood immunisation in LMICs. We reviewed papers published between March 2020 and June 2022 using a scoping review framework, and assessed each paper across the World Hea…
Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries
The evidence for the benefits of midwifery has grown over the past two decades and midwife-led birthing centres have been established in many countries. Midwife-led care can only make a sustained and large-scale contribution to improved maternal and newborn health outcomes if it is an integral part of the health care system but there are challenges to the establishment and operation of midwife-led birthing centres. A network of care (NOC) is a wa…
Educational interventions targeting pregnant women to optimise the use of caesarean section
We identified four key essential intervention components which can lead to successful interventions targeting women to reduce CS. These four components are 1) group-based delivery, 2) provision of IEC materials, 3) partner or family member involvement, and 4) opportunity for women to interact with health providers. Maternal health services and hospitals aiming to better prepare women for vaginal birth and reduce CS can consider including the iden…
Community-based doulas for migrant and refugee women
Enhancing quality midwifery care in humanitarian and fragile settings
Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea
Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding …
Midwifery continuity of care
Systems of care that provide midwifery care and services through a continuity of care model have positive health outcomes for women and newborns. We conducted a scoping review to understand the global implementation of these models, asking the questions: where, how, by whom and for whom are midwifery continuity of care models implemented? Using a scoping review framework, we searched electronic and grey literature databases for reports in any lan…
Private provider incentives in health care
Birth models of care and intervention rates
Responding to the health needs of women from migrant and refugee backgrounds—Models of maternity and postpartum care in high‐income countries
Pregnant women from migrant and refugee backgrounds living in high-income countries (HIC) are at increased risk of adverse perinatal outcomes compared with women born in the host country. Women from migrant and refugee background have perinatal healthcare needs that are recognised internationally as a public health priority. The aim of this study was to identify, appraise and synthesise available evidence on the effectiveness of models of care in…
Task shifting and sharing in maternal and reproductive health in low-income countries
Reducing maternal mortality and providing universal access to reproductive health in resource poor settings has been severely constrained by a shortage of health workers required to deliver interventions. The aim of this article is to determine evidence to optimize health worker roles through task shifting/sharing to address Millennium Development Goal 5 and reduce maternal mortality and provide universal access to reproductive health. A narrativ…
Implementing a national approach to universal child and family health services in Australia
Australia has a well-accepted system of universal child and family health (CFH) services. However, government reports and research indicate that these services vary across states and territories, and many children and families do not receive these services. The aim of this paper was to explore professionals' perceptions of the challenges and opportunities in implementing a national approach to universal CFH services across Australia. Qualitative …
Australian parents’ use of universal child and family health services
This study aimed to explore Australian parents' use of universally available well-child health services. It used an online survey of 719 parents of children aged from birth to 5 years in all states and territories to examine patterns of service use and consumer preferences. In Australia, several health professional groups provide advice to pregnant women, infants, children, and parents, offering health promotion, developmental screening, parentin…
Private provider incentives in health care
Evaluating the Experience of Jordanian Women With Maternity Care Services
Evaluation of women's experiences about the care they receive during childbirth is important to assess the quality of maternity services. We explored the experiences of Jordanian women to examine whether they were satisfied with their childbirth experiences. Semistructured interviews were conducted with 460 women after giving birth. A content analysis was conducted on the qualitative data. Four themes were identified that represented the women's …
Implementing a national approach to universal child and family health services in Australia
Australia has a well-accepted system of universal child and family health (CFH) services. However, government reports and research indicate that these services vary across states and territories, and many children and families do not receive these services. The aim of this paper was to explore professionals' perceptions of the challenges and opportunities in implementing a national approach to universal CFH services across Australia. Qualitative …
Task shifting and sharing in maternal and reproductive health in low-income countries
Reducing maternal mortality and providing universal access to reproductive health in resource poor settings has been severely constrained by a shortage of health workers required to deliver interventions. The aim of this article is to determine evidence to optimize health worker roles through task shifting/sharing to address Millennium Development Goal 5 and reduce maternal mortality and provide universal access to reproductive health. A narrativ…
Development and Validation of Women’s Satisfaction With Hospital-Based Intrapartum Care Scale in Jordan
Background: Measuring satisfaction with care during labor is an important way to improve maternity services for women. This study was undertaken to develop an instrument to measure women’s satisfaction with intrapartum hospital-based care. Method: A multidimensional instrument was initially developed, using three core aspects identified from the literature. An expert panel was convened to further modify the instrument. Finally, a total of 300 low…
How do social discourses of risk impact on women’s choices for vaginal breech birth? A qualitative study of women’s experiences
In this article, we aim to explore the impact of social discourses of risk around childbirth on the decisions made for birth by women who planned to have a breech baby late in pregnancy. This article uses data from a qualitative descriptive study in New South Wales, Australia in 2013. In the study, we talked to 22 women about their decision-making process for planned a vaginal breech birth and the impact of social discourses of risk on this decis…
Short-term and long-term effects of caesarean section on the health of women and children
Australian parents’ use of universal child and family health services
This study aimed to explore Australian parents' use of universally available well-child health services. It used an online survey of 719 parents of children aged from birth to 5 years in all states and territories to examine patterns of service use and consumer preferences. In Australia, several health professional groups provide advice to pregnant women, infants, children, and parents, offering health promotion, developmental screening, parentin…
Birth models of care and intervention rates
Misoprostol for the prevention of post-partum haemorrhage in Mozambique
BACKGROUND: Mozambique has high maternal mortality which is compounded by limited human resources for health, weak access to health services, and poor development indicators. In 2011, the Mozambique Ministry of Health (MoH) approved the distribution of misoprostol for the prevention of post-partum haemorrhage (PPH) at home births where oxytocin is not available. Misoprostol can be administered by a traditional birth attendant or self-administered…
Understanding the Experiences and Needs of Migrant Women Affected by Female Genital Mutilation Using Maternity Services in Australia
Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for non-therapeutic reasons. Changing patterns of migration in Australia and other high-income countries has meant that maternity care providers and health systems are caring for more pregnant women affected by this practice. The aim of the study was to identify strategies to inform culturally safe and quality woman-cent…
Responding to the health needs of women from migrant and refugee backgrounds—Models of maternity and postpartum care in high‐income countries
Pregnant women from migrant and refugee backgrounds living in high-income countries (HIC) are at increased risk of adverse perinatal outcomes compared with women born in the host country. Women from migrant and refugee background have perinatal healthcare needs that are recognised internationally as a public health priority. The aim of this study was to identify, appraise and synthesise available evidence on the effectiveness of models of care in…
Community-based doulas for migrant and refugee women
Enhancing quality midwifery care in humanitarian and fragile settings
Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea
Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding …
Midwifery continuity of care
Systems of care that provide midwifery care and services through a continuity of care model have positive health outcomes for women and newborns. We conducted a scoping review to understand the global implementation of these models, asking the questions: where, how, by whom and for whom are midwifery continuity of care models implemented? Using a scoping review framework, we searched electronic and grey literature databases for reports in any lan…
Private provider incentives in health care
Health and economic benefits of achieving contraceptive and maternal health targets in Small Island Developing States in the Pacific and Caribbean
INTRODUCTION: Reducing unmet need for modern contraception and expanding access to quality maternal health (MH) services are priorities for improving women's health and economic empowerment. To support investment decisions, we estimated the additional cost and expected health and economic benefits of achieving the United Nations targets of zero unmet need for modern contraceptive choices and 95% coverage of MH services by 2030 in select Small Isl…
An evaluation of the introduction of telehealth for remote antenatal and postnatal contacts in Bangladesh and Lao People’s Democratic Republic during the Covid-19 pandemic
From 2020, COVID-19 spread rapidly around the globe and continues to have a major impact on health system functioning, with a disproportionate impact on low- and middle-income countries (LMIC). Reduced service utilisation and coverage of essential childbirth interventions is likely impacting maternal and newborn morbidity and mortality. Telehealth has been identified as an important tool in the continued provision of essential healthcare services…
Impact of Covid-19 on routine childhood immunisations in low- and middle-income countries
Routine vaccines are critical to child health. The COVID-19 pandemic significantly impacted essential health services, particularly in low-and middle-income countries (LMICs). We reviewed literature to determine the impact of COVID-19 on service delivery and uptake of routine childhood immunisation in LMICs. We reviewed papers published between March 2020 and June 2022 using a scoping review framework, and assessed each paper across the World Hea…
Exploring networks of care in implementing midwife-led birthing centres in low- and middle-income countries
The evidence for the benefits of midwifery has grown over the past two decades and midwife-led birthing centres have been established in many countries. Midwife-led care can only make a sustained and large-scale contribution to improved maternal and newborn health outcomes if it is an integral part of the health care system but there are challenges to the establishment and operation of midwife-led birthing centres. A network of care (NOC) is a wa…
Educational interventions targeting pregnant women to optimise the use of caesarean section
We identified four key essential intervention components which can lead to successful interventions targeting women to reduce CS. These four components are 1) group-based delivery, 2) provision of IEC materials, 3) partner or family member involvement, and 4) opportunity for women to interact with health providers. Maternal health services and hospitals aiming to better prepare women for vaginal birth and reduce CS can consider including the iden…
Midwife-led birthing centres in Bangladesh, Pakistan and Uganda
INTRODUCTION: Achieving the Sustainable Development Goals to reduce maternal and neonatal mortality rates will require the expansion and strengthening of quality maternal health services. Midwife-led birth centres (MLBCs) are an alternative to hospital-based care for low-risk pregnancies where the lead professional at the time of birth is a trained midwife. These have been used in many countries to improve birth outcomes. METHODS: The cost analys…
Rising caesarean section rates and factors affecting women’s decision-making about mode of birth in Indonesia
INTRODUCTION: Caesarean section (CS) rates in Indonesia are increasing rapidly. Understanding women's preferences about mode of birth is important to help contextualise these rising rates and can help develop interventions to optimise CS. This study aimed to explore Indonesian women's preferences and decision-making about mode of birth, and how their preferences may change throughout pregnancy and birth. METHODS: We conducted a longitudinal quali…
Revisiting health systems to integrate perinatal mental health into maternal and child health services
box There is a growing call for actionable recommendations to promote perinatal mental health and to prevent and treat perinatal mental health conditions, particularly in Africa
Factors affecting the implementation and sustainability of an Australian community-based doula service
Community-based doula support for women and gender-diverse birthing people has a range of benefits in improving maternal outcomes and experiences. However, there is limited research on how doula services operate in Australia. Birth for Humankind is an Australian community-based volunteer doula service, which provides free doula support for women and gender diverse birthing people experiencing social discrimination and financial disadvantage. The …
Medicine (29 obras) · Maternal and Perinatal Health Interventions (19 obras) · Nursing (19 obras) · Global Maternal and Child Health (17 obras) · Health care (15 obras) · Political science (13 obras) · Pregnancy (13 obras) · Environmental health (12 obras) · Economic growth (11 obras) · Psychology (10 obras)