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Ministerial Briefing Note

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Submitted By yaweeh
Words 1008
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TO: MINISTER FOR HEALTH

FROM: DIRECTOR XXX DATE: 30th March 2011

SUBJECT: A NATIONAL INSURANCE FOR HOMEBIRTH ATTENDED BY MIDWIFE
______________________________________________________________________

PURPOSE: To provide you with information related to a contemporary controversial debate on national indemnity insurance for homebirth attended by midwives.

BACKGROUND (Policy History) 1. Childbirth especially homebirths - is a contemporary issue of competing within two occupations -medical practitioners and nurses qualified in midwifery. 2. Homebirth is about 0.2% of births in Australia, preferred by some women from Indigenous background or residence in remote areas. In Australia, legislation requires all services provided by health professionals be covered by appropriate indemnity insurance but homebirth attended by a midwife in Australia is not included in national insurance. 3. In other developed countries such as Canada, UK, New Zealand and Holland, homebirth is offered under public funding. Homebirth in Holland is 30 %, in the UK is 2 %, and in New Zealand is 14 times higher than that of WA. 4. In 1984, the issue of independent midwifery was on the formal policy agenda when the Medicare Benefits Review Committee recommended a pilot program so that Medicare benefits could be extended to homebirth midwifery. However, this pilot program has not been implemented. 5. In 1989, under the Alternative Birthing Program introduced by the Commonwealth Government, midwives have managed birthing services in hospital but not homebirths. 6. In 1992, a discussion paper released by the New South Wales Department of Health and the issue paper of the National Health Strategy 1992 acknowledged that nurse practitioners could deliver some services efficiently in some specified demographic areas. 7. In 1999, only after pilot

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