Bulundidi Gudaga Clinical Trial

The Bulundidi Gudaga project is built on a partnership between the South Western Sydney Local Health District (SWSLHD) and researchers from CHETRE. This Sustained Home Visiting Program has been developed as an important part of the SWSLHD's intention to 'Close the Gap' by improving child health and development outcomes for Aboriginal infants in Campbelltown. Another key stakeholder and collaborator is the Tharawal Aboriginal Corporation.

According to the best international evidence, the Maternal Early Childhood Sustained Home-visiting (MECSH) program, a review of PANOC services, and the draft NSW Health Home Visiting Guidelines, the appropriate service responses for families changes as their level of vulnerability changes. Results of the MECSH trial in Miller indicate that antenatal home visiting significantly improves early parenting confidence. Study of the activities undertaken by the nurses in the home visits demonstrates that all women with at least one risk factor for poor child health and development outcomes benefit from a comprehensive intervention dealing with the child, mother, family and environment.

In response to local need and the existing evidence base, the Bulundidi Gudaga research program is based on the MECSH program. We are running a clinical trial to examine whether or not this Sustained Home Visiting program is as effective in improving outcomes for Aboriginal children and their families as it has been shown to be for a non-Aboriginal cohort.