Engaging stakeholders in the north-west first 1000 days project: building a strong community support ecosystem

The first 1000 days (F1D) (from conception to 2 years of age) is a pivotal period for maternal and child health. Engaging stakeholders at key stages of research and policy development can bridge the gap between scientific evidence, policymaking, and community needs, and contribute to the generation of culturally sensitive and evidence-based strategies to enhance maternal and child health. This research presents a mixed-methods analysis of stakeholder consultation associated with the North-West First 1000 Days (NW F1D) project. To gain deeper insights into the perspectives of stakeholders regarding the importance of the F1D and what is required to best support all families in the NW of Tasmania. Key stakeholders from the local government areas (LGAs) of Burnie, Circular Head, and Devonport were recruited through a purposive snowball sampling approach based on their influence, interest or expertise in the F1D. A semi-structured interview protocol developed by the research team and guided by a pre-prepared inquiry framework was utilized to gather pertinent information, with a subsequent team-based researcher triangulation approach to extracting key insights. Stakeholders highlighted the need for foundational knowledge on F1D principles, including brain development and toxic stress mitigation, while ensuring information remains accessible and not overwhelming. They emphasized addressing mental health challenges for new parents and identified traditional information sources such as family networks, but noted accessibility and equity gaps affecting Aboriginal, Torres Strait Islander, and culturally and linguistically diverse (CALD) communities. Structural challenges, including financial stress and lack of support for high-risk pregnancies, were key concerns. Stakeholders recommended sharing information in multiple ways through trusted professionals and community leaders. Sustainability and longevity of programs, institutional integration, and continuous feedback were identified as crucial for long-term success. The true impact of a co-designed, evidence-based, and context-specific approach to the F1D is still unfolding. Integrating rich qualitative data on stakeholders' lived experiences is crucial for fostering long-term partnerships, gaining community support, and enhancing the sustainability and effectiveness of F1D initiatives. The first 1,000 days-from conception to age two-are crucial for the health of both mothers and babies. It is essential to prioritize this period to give children the best start in life. Many people play a role in making this happen, and any program designed to support mothers and babies should begin by listening to key community members. This ensures programs are culturally appropriate, evidence-based, and meet real needs. The North-West First 1000 Days (NW F1D) project in Tasmania is a great example. This research aimed to understand what influential community members think about this important period and what support young families in NW Tasmania need. Stakeholders shared valuable insights. They stressed the need for basic knowledge on early brain development and reducing toxic stress, delivered in a way that is easy to understand. Mental health support for new parents was also a major concern. They found that most people rely on family and friends for information but highlighted gaps in accessibility, particularly for Aboriginal, Torres Strait Islander, and culturally diverse communities. Financial stress and limited support for high-risk pregnancies were also key issues. Stakeholders recommended sharing information through multiple channels, including trusted professionals and community leaders, to encourage positive health practices across communities.