A new gynaecological and maternity healthcare model for Aboriginal and Torres Strait Islander women is seeing a 40 per cent decrease in missed medical appointment attendance, set to result in better long-term health outcomes in a culturally safe environment.

The Women’s Business Shared Pathway was developed to deliver culturally appropriate patient-centred care for First Nations women, aiming to support care closer to home and remove barriers to healthcare appointment attendance related to all things “women’s business”, specifically barriers to attending gynaecology and maternity appointments

The model is a collaboration between Royal Brisbane and Women’s Hospital, Metro North Health and the Institute for Urban Indigenous Health (IUIH).

Current data identifies that on average, Aboriginal and Torres Strait Islander women have a life expectancy almost ten years shorter than the general Australian female population and are four times more likely to die from cervical cancer.

This is due to lack of early detection of health concerns fuelled by poor engagement with health services, limited access to transport, perceived lack of cultural safety, cost and negative past experiences for these women.

The Women’s Business Shared Pathway provides Aboriginal and Torres Strait Islander women with a range of supports, including a partnership approach with community organisations who they know and trust, a ‘one-stop shop’ in the community for women’s related healthcare needs, transport to and from appointments, ongoing support from staff of Aboriginal and Torres Strait Islander descent, continuity of care across health sectors and multiple referral pathways. Aboriginal and Torres Strait Islander women can also choose between three different clinic locations to receive care.

Metro North Aboriginal and Torres Strait Islander Leadership Team Director Sherry Holzapfel said that there are a range of barriers to accessing medical treatment for First Nations women, particularly in relation to gynaecological and maternity appointments.

“Culturally, there can be a lot of stigma around seeking care for women’s business in the Aboriginal and Torres Strait Islander communities,” she said.

“We identified an urgent need to remove the barries to care for these women and provide them with support from someone of Aboriginal and Torres Strait Islander decent who understands their culture and concerns.”

Royal Brisbane and Women’s Hospital Physiotherapist and Women’s Business Shared Pathway Project Officer and Palawa woman Edwina Powe said that both the gynaecology and maternity pathways have seen great success since they commenced in December 2020 and April 2021 respectively.

“Across both gynaecology and maternity patients, we have seen a 21 per cent increase in appointment attendance,” she said.

“The feedback we’ve received so far from our patients has been overwhelmingly positive, with one patient recently stating that women in her family may have lived much longer if a pathway of this kind was available when they had their illnesses.”

Proud Aboriginal woman and RBWH patient Marlene Wilson has been involved with the Women’s Business Pathway team for two months and says the support provided to her has made a huge difference in her healthcare journey.

“Receiving healthcare can be a very nerve-racking experience for Aboriginal and Torres Strait Islander people like myself,” she said.

“The Women’s Business Shared Pathway team have gone out of their way to show thoughtfulness and kindness to me. They check in with me all the time to see how I am going and make arrangements so my appointments are easier to get to, which makes the world of difference.

“I feel like I can talk to them about anything I’m feeling or experiencing now because they’ve shown an interest in me. That kind of support is so lacking in our world today.

“It makes me want to keep going back for my appointments.

“I’ve been telling all my friends and family about the Pathway. When you experience something so positive and supportive, you can’t help but talk about it.”