TY - JOUR
AU - K. Ostojic
AU - N. Hu
AU - M. Hodgins
AU - K. D. Lawson
AU - M. Jubelin
AU - H. J. Rogers
AU - N. Hopwood
AU - A. Henry
AU - C. Kaplan
AU - J. Kohlhoff
AU - K. Baird
AU - A. Dadich
AU - T. Szanto
AU - R. Lingam
AU - S. Raman
AU - V. Eapen
AU - T. Rimes
AU - S. Woolfenden
A1 - 
AB - BACKGROUND AND OBJECTIVES: Migrant families have reduced access to universal child and family health (CFH) services, including CFH nursing visits, wherein infant and maternal surveillance offers a key opportunity to identify maternal health and child developmental concerns. Evidence is emerging on the effectiveness of integrated health and social care hubs (Hubs) to improve access to CFH services. Our aim was to evaluate the impact of Hubs at 2 sites in Sydney, Australia for migrant women and their infants on attendance to CFH nursing visits until 12 months postpartum for infant and maternal surveillance. METHODS: We conducted a nonrandomized trial to compare Hubs (intervention) with routine CFH nursing services (control). Pregnant and/or recently birthed migrant women were allocated to Hubs (n = 119) or routine care (n = 120), with allocation based on residential proximity to the Hubs. Mothers and their infants were followed until the child was aged 12 months. RESULTS: Compared with routine care, the Hub group demonstrated a more than 4-fold higher rate of attendance at CFH nursing visits (12-month visit: adjusted relative risk, 4.68; 95% CI, 2.48-8.84) and a 2-fold increase in completion of maternal postnatal depression and psychosocial surveillance at visits. There was no difference in completion of infant surveillance between Hubs and routine care at visits. CONCLUSIONS: There was a significant improvement in attendance of CFH nursing visits for migrant women and their infants attending Hubs compared with routine CFH nursing services. Completion of maternal surveillance was higher in Hubs. Hubs are important service models to be considered when addressing disparities in access to CFH nursing services for migrant communities.
AD - The University of Sydney, Sydney, New South Wales, Australia.; The University of New South Wales, Sydney, New South Wales, Australia.; Western Sydney University, Sydney, New South Wales, Australia.; Child, Youth & Family Services, South Eastern Sydney Local Health District, Caringbah, New South Wales, Australia.; University of Technology Sydney, Ultimo, New South Wales, Australia.; St George Hospital, South Easter Sydney Local Health District, Kogarah, New South Wales, Australia.; The George Institute for Global Health, UNSW Medicine and Health, Sydney, New South Wales, Australia.; Karitane, Sydney, New South Wales, Australia.; New South Wales Agency for Clinical Innovation, St Leonards, New South Wales, Australia.; Community Paediatrics, South Western Sydney Local Health District, Caringbah, New South Wales, Australia.; Academic Unit of Child Psychiatry South-Western Sydney (AUCS), Ingham Institute and South Western Sydney Local Health District, Kogarah, New South Wales, Australia.
AN - 40887093
BT - Pediatrics
C5 - Education & Workforce; Healthcare Disparities
CP - Suppl 1
DA - Sep 1
DO - 10.1542/peds.2025-070739A
DP - NLM
IS - Suppl 1
JF - Pediatrics
LA - eng
N2 - BACKGROUND AND OBJECTIVES: Migrant families have reduced access to universal child and family health (CFH) services, including CFH nursing visits, wherein infant and maternal surveillance offers a key opportunity to identify maternal health and child developmental concerns. Evidence is emerging on the effectiveness of integrated health and social care hubs (Hubs) to improve access to CFH services. Our aim was to evaluate the impact of Hubs at 2 sites in Sydney, Australia for migrant women and their infants on attendance to CFH nursing visits until 12 months postpartum for infant and maternal surveillance. METHODS: We conducted a nonrandomized trial to compare Hubs (intervention) with routine CFH nursing services (control). Pregnant and/or recently birthed migrant women were allocated to Hubs (n = 119) or routine care (n = 120), with allocation based on residential proximity to the Hubs. Mothers and their infants were followed until the child was aged 12 months. RESULTS: Compared with routine care, the Hub group demonstrated a more than 4-fold higher rate of attendance at CFH nursing visits (12-month visit: adjusted relative risk, 4.68; 95% CI, 2.48-8.84) and a 2-fold increase in completion of maternal postnatal depression and psychosocial surveillance at visits. There was no difference in completion of infant surveillance between Hubs and routine care at visits. CONCLUSIONS: There was a significant improvement in attendance of CFH nursing visits for migrant women and their infants attending Hubs compared with routine CFH nursing services. Completion of maternal surveillance was higher in Hubs. Hubs are important service models to be considered when addressing disparities in access to CFH nursing services for migrant communities.
PY - 2025
SN - 0031-4005
ST - Integrated Health-Social Hubs for Migrant Women and Infants
T1 - Integrated Health-Social Hubs for Migrant Women and Infants
T2 - Pediatrics
TI - Integrated Health-Social Hubs for Migrant Women and Infants
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.1542/peds.2025-070739A
VL - 156
VO - 0031-4005
Y1 - 2025
ER -