Please use this identifier to cite or link to this item: https://swslhd.intersearch.com.au/swslhdjspui/handle/1/13361
Title: The Building Blocks for Successful Hub Implementation for Migrant and Refugee Families and Their Children in the First 2000 Days of Life
Authors: Hodgins, M.
Ostojic, K.
Rimes, T.
Edwards, K.
Lawson, K.
Fonseka, M.
Crespo, C.
Lyle, K.
Dadich, A.
Eapen, V.
Grace, R.
Green, M.
Henry, A.
Hopwood, N.
Kaplun, C.
Kohlhoff, J.
Raman, S.
Szanto, T.
Woolfenden, S.
Affiliates: Population Child Health Research Group, School of Clinical Medicine, UNSW Medicine and Health, University of New South Wales, Sydney, Australia Community Paediatrics Research Group, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia Child, Youth and Family Services, Population and Community Health, South Eastern Sydney Local Health District, Sydney, Australia Counterpoint Consulting Pty Ltd, Sydney, Australia Health Economics, Psychiatry and Mental Health, University of New South Wales, Sydney, Australia Translational Health Research Institute, Western Sydney University, Sydney, Australia UNSW Medicine and Health, University of New South Wales, Sydney, Australia Child, Youth and Family Primary and Community Health, North Sydney Local Health District, Sydney, Australia School of Business, Western Sydney University, Sydney, Australia Discipline of Psychiatry and Mental Health/School of Clinical Medicine, UNSW Medicine & Health, University of New South Wales, Sydney, Australia Academic Unit of Infant Child and Adolescent Psychiatry Services, South Western Sydney Local Health District, Sydney, Australia Transforming early Education and Child Health (TeEACH), Western Sydney University, Sydney, Australia School of Clinical Medicine, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, Australia Neuroscience Research Australia, Sydney, Australia Discipline of Women's Health, School of Clinical Medicine, UNSW Medicine and Health, University of New South Wales, Sydney, Australia University of Technology Sydney, Sydney, Australia University of Stellenbosch, Stellenbosch, South Africa Ingham Institute for Applied Medical Research, Western Sydney University, Sydney, Australia Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Medicine and Health, University of New South Wales, Sydney, Australia Karitane, Sydney, Australia Community Paediatrics, South Western Sydney Local Health District, Sydney, Australia NSW Agency for Clinical Innovation, Sydney, Australia Sydney Institute Women, Children and their Families, Sydney, Australia Community Paediatrics, Sydney Local Health District, Sydney, Australia
Issue Date: 2025
Journal: Health Expectations
Publisher: John Wiley and Sons Inc
Abstract: Background and Objective: Migrant and refugee women, families, and their children can experience significant language, cultural, and psychosocial barriers to engage with child and family services. Integrated child and family health Hubs are increasingly promoted as a potential solution to address access barriers; however, there is scant literature on how to best implement them with migrant and refugee populations. Our aim was to explore with service providers and consumers the barriers, enablers, and experiences with Hubs and the resulting building blocks required for acceptable Hub implementation for migrant and refugee families. Design, Setting and Participants: This project was undertaken in Sydney, New South Wales, in communities characterised by cultural diversity. In this qualitative study, we used semi-structured interviews guided by the consolidated framework for implementation research, with service providers from health and social services (32 participants) and migrant and refugee parents (14 parents) of children who had accessed Hubs. Research and Discussion: Our initial qualitative data themes were developed into step-by-step building blocks, representing a way to address contextual determinants to establish and sustain a Hub that can support migrant and refugee families. These include the setting-up phase activities of buy-in and partnership development, which outlines mechanisms to foster collective action and collaboration between health and social services. Following this, our orientation model articulates the need to establish Hub coordination and navigation, activities that enhance a Hub's relevance for migrant and refugee families and ongoing integration mechanisms, such as engagement of same-language general practitioners. This is the first study to explore the building blocks required for acceptable Hub implementation to meet the needs of migrant and refugee families in the first 2000 days of a child's life?a critical time to optimise child development and health. Patient or Public Contribution: The research questions were developed based on qualitative research undertaken with Hub participants, community members, and service providers. The original investigator team had a consumer representative who has since relocated and consultation was undertaken with local Hub partner services. The researchers also consulted multicultural health services, including cultural support workers, to ensure research materials were culturally nuanced. Patients or participants have not directly been involved in the current study design. Clinical Trial Registration: This trial was registered with the Australian New Zealand Clinical Trials (ACTRN12621001088831). � 2025 The Author(s). Health Expectations published by John Wiley & Sons Ltd.
URI: https://swslhd.intersearch.com.au/swslhdjspui/handle/1/13361
ISSN: 13696513 (ISSN)
Digital object identifier: 10.1111/hex.70082
Appears in Collections:South Western Sydney Local Health District

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