Care provided to women during and after a pregnancy complicated by hyperglycaemia: the impacts of a multi-component health systems intervention

Aboriginal and Torres Strait Islander women experience a disproportionate burden of hyperglycaemia in pregnancy. A multi-component health systems intervention aiming to improve antenatal and postpartum care was implemented across Australia’s Northern Territory (NT) and Far North Queensland (FNQ) between 2016 and 2019. Components included clinician education, improving recall systems, enhancing policies and guidelines, and embedding Diabetes in Pregnancy (DIP) Clinical Registers in systems of care. This program was evaluated to determine impacts on clinical practice and maternal health.

Citation:
MacKay D, Boyle JA, Campbell S, ……. Brown A, Shaw JE, Kirkham R, Maple-Brown L. Care provided to women during and after a pregnancy complicated by hyperglycaemia: the impacts of a multi-component health systems intervention. Lancet Reg Health West Pac. 2025;57.

Keywords:
Diabetes in pregnancy; Gestational diabetes; Type 2 diabetes; Health systems; Quality improvement; Aboriginal and Torres Strait Islander; First Nations

Abstract:
Aboriginal and Torres Strait Islander women experience a disproportionate burden of hyperglycaemia in pregnancy. A multi-component health systems intervention aiming to improve antenatal and postpartum care was implemented across Australia’s Northern Territory (NT) and Far North Queensland (FNQ) between 2016 and 2019. Components included clinician education, improving recall systems, enhancing policies and guidelines, and embedding Diabetes in Pregnancy (DIP) Clinical Registers in systems of care. This program was evaluated to determine impacts on clinical practice and maternal health.