ANFPP National Program Centre

Introduction to ANFPP

The Spirit of Wellbeing II ANFPP

Artist: Jane Kemarre DoolanTitle: ‘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 durationRelationship 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 pregnancyImproved outcomes in child health and developmentImproved parental life-course

The Five Client-Centred Principles

© 2015 The Regents of the University of Colorado, a body corporate. All rights reserved.

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 weightsReduced maternal smoking Reduced childhood injuries/child abuseImproved parental skills

The program is now established in 7 countries

Program Fidelity

Clients Voluntary

Context of program actions Intensive home visiting by a nurse

Qualities of nursing staff Minimum training standards to become a Nurse Home Visitor and Nurse Supervisor

Application of intervention Use 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 GlanceDevelopment

SUPPORT SERVICETheories

Objectives

ELEMENTS

RESEARCH

Implement

OutcomesLong Term

EvaluateReview

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 health2. ↓ Child Health

Visit for injury3. ↑ 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

FamilyMums & 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 adaptationWorkforce 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 Centrewww.anfpp.com.au

Level 2, 5 Gardner Close Milton, QLD 4064PO Box 1874 Milton QLD 4064

phone (07) 3114 4609info@anfpp.com.au