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Facilitators and Barriers to Young Mothers’ 
Uptake of Paid Parental Leave 
Dr. Cameryn Garrett 
Melbourne School of Population Health 
University of Melbourne 
garrett@unimelb.edu.au 
Dr. Louise Keogh, Maura Bevilacqua, 
Dr. Belinda Hewitt, Prof Anne Kavanagh
Paid Parental Leave (PPL) 
• Introduced 1st January 2011 
• “Financial support for up to 18 weeks to 
help eligible parents take time off work 
to care for a newborn or recently 
adopted child.”
Eligibility Requirements 
• Be the primary carer 
• Meet the Paid Parental Leave work test 
& income test 
• Be on leave or not working when 
receiving the payments
Determining Eligibility 
• Work test eligibility requirement 
– Worked for at least 10 of the 13 months 
before the birth or adoption of your child 
– Worked for at least 330 hours in that 10 
month period (just over one day a week)
Baby Bonus Paid Parental Leave 
$5,000 non-taxed Up to 18 weeks at National 
Minimum Wage (currently 
$606.50 per week before 
tax) 
Installments Installments 
Payment through Centrelink Payment through employer 
or Centrelink
NHMRC Partnership Grant 
• Stage 1: Identify barriers and facilitators to 
applying for Paid Parental Leave (PPL) 
through interviews with young women who 
gave birth at the Royal Women’s Hospital 
• Stage 2: Jointly develop an intervention 
tailored to young mothers to facilitate 
applying for PPL 
• Stage 3: Implement and evaluate the 
intervention at the Royal Women’s Hospital
NHMRC Partnership Grant 
• Stage 1: Identify barriers and facilitators to 
applying for Paid Parental Leave (PPL) 
through interviews with young women who 
gave birth at the Royal Women’s Hospital 
• Stage 2: Jointly develop an intervention 
tailored to young mothers to facilitate 
applying for PPL 
• Stage 3: Implement and evaluate the 
intervention at the Royal Women’s Hospital
Research Design 
• Two groups of women were interviewed 
– Women who received PPL 
– Women who were eligible for PPL, but 
chose the Baby Bonus (BB)
Methods 
• Inclusion criteria for interviews 
– Aged between 16 and 25 years 
– Gave birth at Royal Women’s Hospital 
– Met government’s PPL work requirements 
– Australian resident
Preliminary Results 
• To date, 23 women have taken part in 
the study. 
– 19 took PPL 
– 4 took BB
Women who received PPL 
n= 19
Demographics n=19 
• Avg age of mother: 24 
• # children: 1 
• Baby 2-7 months 
• 5 born overseas (NZ, 
India, Malaysia)
Demographics n= 19
Demographics n= 19
• Overall experience of applying for PPL 
– Easy: 5 
– Neither easy nor difficult: 7 
– Difficult: 7
Barrier 1: Poor Access to PPL Information 
• Government’s PPL website 
– Difficulty finding application 
– Lacking checklist 
– Website was sometimes down
Barrier 1: Poor Access to PPL Information 
• Centrelink staff 
– Long wait on telephone 
– Calling or going into Centrelink and being 
told “go online” 
– Conflicting answers 
“Having to wait on hold for an hour is racking 
up the phone bill, and getting eight different 
answers from all these different people … 
When you’ve got a really small baby, it’s just 
really stressful.” (PPL07)
Barrier 2: Difficulty Understanding the PPL 
Information 
– On Government’s PPL website 
• “You've got all these big long words … I just 
want it in plain, simple English.” (PPL02) 
– On PPL application form 
• “The wording [was confusing], and .. I filled out 
areas that I wasn't supposed to because I didn't 
see that you're supposed to skip.” (PPL01)
Facilitators 
• Workplace assistance in accessing 
information 
– “It was really straightforward. Like the process is 
really good. We had all the information on the 
intranet.” (PPL 06) 
• Assistance from Centrelink 
– “Everyone [at Centrelink has] just been really 
helpful and made it really easy, so it's been really 
nice … The staff at Centrelink's been great.” 
(PPL03)
Why Women Chose PPL Instead of BB 
“It was by far a lot more money, almost 
double, for me to get the Paid Parental 
Leave.” (PPL07)
Benefits of Receiving PPL 
• “It's put food in his mouth, it's helping put a 
roof over his head and clothes on his back. 
Without that money, I wouldn't have 
anything.” (PPL02) 
• “I think it's a fantastic thing … Nobody wants 
to go through pregnancy and have a child 
and return to work as soon as they've had it. 
It enables you, I guess, to stay at home with 
your baby.” (PPL01)
Women who received BB 
but were eligible for PPL 
n= 4
PPL n=19 BB n=4 
Average age 24 24 
# children 1 1 
Baby’s age 2 to 7 months 3 to 7 months 
# single 2 1 
# born overseas 5 1 
# sometimes struggle 
8 1 
paying bills 
Returned to work 0 1 
Has certificate, diploma, 
12 2 
or Bachelor’s
BB01 BB02 BB03 BB04 
Why didn’t 
take PPL 
Didn’t 
understand 
PPL, 
application 
process more 
confusing 
than BB 
Originally 
applied for 
PPL. Took 
BB because 
better 
financially 
Uninformed; 
“took easy 
option” 
Uninformed; 
not interested
Informing the Intervention
Informing the Intervention- Views on Speaking 
to Someone at RWH 
• Assistance filling out the forms 
– “It’s very lengthy, and at some stages it gets 
confusing, so just mainly support for that” (PPL08) 
• Individual advice about whether PPL or BB is 
the better option financially 
– “If you could just talk to them and say look, this is 
how much I’m roughly gonna be earning, and this 
is my situation, and all of that kind of stuff, what do 
you think would be better?” (BB01)
Informing the Intervention 
• Mix of preferences for telephone, online, 
in person contact 
– “I think in person because you can take the 
form with you, get clarification on the areas 
that you’re not sure of” (PPL04) 
– “If you just had a baby, you don’t really 
wanna go anywhere” (BB01)
Conclusion 
• Most women eligible for PPL received it 
(19/23) 
• Main barriers: accessing and 
understanding information around PPL 
• Main facilitator: assistance from 
workplace
Next Steps 
• Continue with data collection 
• Developing, implementing, and 
evaluating an intervention at the Royal 
Women’s Hospital
Acknowledgements 
• Karen Potter, Louise Bourchier, Lauren 
Krnjacki 
• Funding: NHMRC Partnership Grant 
and VicHealth Funding
Thank you

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2.4.2 dr cameryn garrett

  • 1. Facilitators and Barriers to Young Mothers’ Uptake of Paid Parental Leave Dr. Cameryn Garrett Melbourne School of Population Health University of Melbourne garrett@unimelb.edu.au Dr. Louise Keogh, Maura Bevilacqua, Dr. Belinda Hewitt, Prof Anne Kavanagh
  • 2. Paid Parental Leave (PPL) • Introduced 1st January 2011 • “Financial support for up to 18 weeks to help eligible parents take time off work to care for a newborn or recently adopted child.”
  • 3. Eligibility Requirements • Be the primary carer • Meet the Paid Parental Leave work test & income test • Be on leave or not working when receiving the payments
  • 4. Determining Eligibility • Work test eligibility requirement – Worked for at least 10 of the 13 months before the birth or adoption of your child – Worked for at least 330 hours in that 10 month period (just over one day a week)
  • 5. Baby Bonus Paid Parental Leave $5,000 non-taxed Up to 18 weeks at National Minimum Wage (currently $606.50 per week before tax) Installments Installments Payment through Centrelink Payment through employer or Centrelink
  • 6. NHMRC Partnership Grant • Stage 1: Identify barriers and facilitators to applying for Paid Parental Leave (PPL) through interviews with young women who gave birth at the Royal Women’s Hospital • Stage 2: Jointly develop an intervention tailored to young mothers to facilitate applying for PPL • Stage 3: Implement and evaluate the intervention at the Royal Women’s Hospital
  • 7. NHMRC Partnership Grant • Stage 1: Identify barriers and facilitators to applying for Paid Parental Leave (PPL) through interviews with young women who gave birth at the Royal Women’s Hospital • Stage 2: Jointly develop an intervention tailored to young mothers to facilitate applying for PPL • Stage 3: Implement and evaluate the intervention at the Royal Women’s Hospital
  • 8. Research Design • Two groups of women were interviewed – Women who received PPL – Women who were eligible for PPL, but chose the Baby Bonus (BB)
  • 9. Methods • Inclusion criteria for interviews – Aged between 16 and 25 years – Gave birth at Royal Women’s Hospital – Met government’s PPL work requirements – Australian resident
  • 10. Preliminary Results • To date, 23 women have taken part in the study. – 19 took PPL – 4 took BB
  • 11. Women who received PPL n= 19
  • 12. Demographics n=19 • Avg age of mother: 24 • # children: 1 • Baby 2-7 months • 5 born overseas (NZ, India, Malaysia)
  • 15. • Overall experience of applying for PPL – Easy: 5 – Neither easy nor difficult: 7 – Difficult: 7
  • 16. Barrier 1: Poor Access to PPL Information • Government’s PPL website – Difficulty finding application – Lacking checklist – Website was sometimes down
  • 17. Barrier 1: Poor Access to PPL Information • Centrelink staff – Long wait on telephone – Calling or going into Centrelink and being told “go online” – Conflicting answers “Having to wait on hold for an hour is racking up the phone bill, and getting eight different answers from all these different people … When you’ve got a really small baby, it’s just really stressful.” (PPL07)
  • 18. Barrier 2: Difficulty Understanding the PPL Information – On Government’s PPL website • “You've got all these big long words … I just want it in plain, simple English.” (PPL02) – On PPL application form • “The wording [was confusing], and .. I filled out areas that I wasn't supposed to because I didn't see that you're supposed to skip.” (PPL01)
  • 19. Facilitators • Workplace assistance in accessing information – “It was really straightforward. Like the process is really good. We had all the information on the intranet.” (PPL 06) • Assistance from Centrelink – “Everyone [at Centrelink has] just been really helpful and made it really easy, so it's been really nice … The staff at Centrelink's been great.” (PPL03)
  • 20. Why Women Chose PPL Instead of BB “It was by far a lot more money, almost double, for me to get the Paid Parental Leave.” (PPL07)
  • 21. Benefits of Receiving PPL • “It's put food in his mouth, it's helping put a roof over his head and clothes on his back. Without that money, I wouldn't have anything.” (PPL02) • “I think it's a fantastic thing … Nobody wants to go through pregnancy and have a child and return to work as soon as they've had it. It enables you, I guess, to stay at home with your baby.” (PPL01)
  • 22. Women who received BB but were eligible for PPL n= 4
  • 23. PPL n=19 BB n=4 Average age 24 24 # children 1 1 Baby’s age 2 to 7 months 3 to 7 months # single 2 1 # born overseas 5 1 # sometimes struggle 8 1 paying bills Returned to work 0 1 Has certificate, diploma, 12 2 or Bachelor’s
  • 24. BB01 BB02 BB03 BB04 Why didn’t take PPL Didn’t understand PPL, application process more confusing than BB Originally applied for PPL. Took BB because better financially Uninformed; “took easy option” Uninformed; not interested
  • 26. Informing the Intervention- Views on Speaking to Someone at RWH • Assistance filling out the forms – “It’s very lengthy, and at some stages it gets confusing, so just mainly support for that” (PPL08) • Individual advice about whether PPL or BB is the better option financially – “If you could just talk to them and say look, this is how much I’m roughly gonna be earning, and this is my situation, and all of that kind of stuff, what do you think would be better?” (BB01)
  • 27. Informing the Intervention • Mix of preferences for telephone, online, in person contact – “I think in person because you can take the form with you, get clarification on the areas that you’re not sure of” (PPL04) – “If you just had a baby, you don’t really wanna go anywhere” (BB01)
  • 28. Conclusion • Most women eligible for PPL received it (19/23) • Main barriers: accessing and understanding information around PPL • Main facilitator: assistance from workplace
  • 29. Next Steps • Continue with data collection • Developing, implementing, and evaluating an intervention at the Royal Women’s Hospital
  • 30. Acknowledgements • Karen Potter, Louise Bourchier, Lauren Krnjacki • Funding: NHMRC Partnership Grant and VicHealth Funding