ANFPP National Program Centre Introduction to ANFPP

The Spirit of Wellbeing II ANFPP Artist: Jane Kemarre Doolan Title: ‘The Spirit of Wellbeing II’

About ANFPP The ANFPP is an evidence based nurse home visiting program for mothers who are pregnant with an Aboriginal or Torres Strait Islander baby Voluntary, over 2 years duration Relationship based Nurse Home Visitor supported by Indigenous FPW/ACW The ANFPP is a partnership between implementing agencies, the ANFPP National Program Centre and the Commonwealth Department of Health to achieve: Improved outcomes in pregnancy Improved outcomes in child health and development Improved parental life-course

The Five Client-Centred Principles © 2015 The Regents of the University of Colorado, a body corporate. All rights reserved.The Regents of the University of Colorado

Background to the ANFPP Based on the NFP program from University of Colorado in the USA Significant outcomes of the NFP RCT trials: Increased birth weights Reduced maternal smoking Reduced childhood injuries/child abuse Improved parental skills The program is now established in 7 countries

Program Fidelity Clients Voluntary Context of program actionsIntensive home visiting by a nurse Qualities of nursing staff Minimum training standards to become a Nurse Home Visitor and Nurse Supervisor Application of interventionUse of nursing framework and program theories to deliver program; caseload management Reflection and clinical supervision Reflective practice and field supervision Program monitoring and use of data Data collection and use of CQI Implementing Site characteristics Strengths based philosophy; knowledge of prevention models; committed to supporting infrastructure for successful implementation

Australian Adaptation Pregnant with an Aboriginal or Torres Strait Islander baby Additional team role - Indigenous Family Partnership Worker or Aboriginal Community Worker (FPW/ACW) May include multiparous women Adapted materials to meet cultural context

ANFPP at a Glance Development SUPPORT SERVICE Theories Objectives ELEMENTS RESEARCH Implement Outcomes Long Term Evaluate Review Human Ecology (Brofenbrenners 1979) Self-Efficacy (Bardura 1977) Human Attachment (Bowley’s 1969) 1.Improve outcomes in pregnancy 2.Improved child’s health and development 3.Improve parental life course ↓ Verified Reports of Child Abuse ↓ Arrests for Juvenile Offences 1.↑ Pre-natal health 2.↓ Child Health Visit for injury 3.↑ Interval between pregnancies 4.↑ Participation in mother employment 5.↓ Family Reliance on Welfare 6.↑ In Child School Readiness Workforce Development CQI Planning Data M&E Program Management Family Mums & Bubs

ANFPP National Program Centre National Coordination of ANFPP - Maintain national coordination and linkages across all stakeholders; national management of the Education Curriculum and Data Collection System (DCS) to support program fidelity Establishment and implementation of the program – support development of plans, protocols/procedures; embedding of quality improvement processes; collaborate with international societies; coordinate and monitor ANFPP material adaptation Workforce Development – provide core education, support recruitment and retention of team members, support professional development, support excellence in ANFPP practice Monitoring and Evaluation - analysis of data and production of quarterly fidelity reports and Annual National Data report; assist with establishing the M & E infrastructure required to monitor the program

Local Implementation & Site Planning ANFPP Program Integration Establishing governance – policies, procedures, line management and information management procedures, including required data entry and reporting Establishing Community Reference Group Defining Service Partnerships Determining Geographic Reach

Further Information ANFPP National Program Centre Level 2, 5 Gardner Close Milton, QLD 4064 PO Box 1874 Milton QLD 4064 phone (07)