'Better together': codesign of Aboriginal unintentional child injury prevention programme.

Objective: To describe the co-design of an Aboriginal unintentional child injury prevention programme in partnership with Walgett Aboriginal Medical Service.

Methods: An iterative codesign process using Indigenous research methodology and development of a programme logic model was employed with oversight from a panel of injury experts and key stakeholders. Yarning, stakeholder interviews and a codesign approach to programme development, piloting and evaluation were used. Informed by family and community priority setting, an unintentional child injury prevention programme was designed and delivered through a locational supported playgroup in an Aboriginal community-controlled medical service.

Results: Through an Aboriginal-led codesign approach, a comprehensive injury prevention programme and accompanying manual was developed by the community, for the community. Informed and guided by participants, the researcher's areas of child injury considered of high value within their community were addressed within the developed programme. The key safety areas identified were water safety, road safety and safety around the home. Data collected throughout the iterative design process shaped the delivery of the programme to ensure it met community needs. In addition to the creation of the manuals, the programme included complementary initiatives to support the delivery. Water safety included mums and bubs swim lessons/water familiarisation. Road safety included car restraint fittings. Home safety included a Goonimoo open day collaboration with KidSafe New South Wales with safety promotion information and resources.

Conclusions and public health implications: Codesigning an injury prevention programme with staff at an Aboriginal Medical Service and injury experts provided a culturally tailored response to the needs of the community and partners. This process and approach has demonstrated the feasibility of the use of codesigned processes for the development of community-based injury prevention programmes.