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Culturally safe spaces enabled deep reflection, open dialogue and collective decision making. With this, we developed a model of care that included a vision statement, guiding principles, a conceptual framework and 18 priority areas. In addition, eight health system enablers were identified to support implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This project demonstrates the value of Aboriginal women's leadership in shaping health systems. This process highlights the value of culturally grounded, community\u2010led co\u2010design approaches to health service and system reform. For health systems and service providers and managers, this is an opportunity to foster meaningful change by listening to and acting on the voices of Aboriginal women. In doing so, they will meet their responsibility to address inequities. Researchers and health organisations must do more than amplify these voices; rather, they must listen, act and ensure that systems respond to what women say they need. This is a pivotal moment to drive systemic change for equitable and culturally safe maternal and child health care.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.70033","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T18:56:46Z","timestamp":1756234606000},"page":"312-319","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Aboriginal women\u2010led approach to design a maternal and child health model when cardiometabolic complications are experienced in pregnancy in South Australia"],"prefix":"10.5694","volume":"223","author":[{"given":"Karrina","family":"DeMasi (Barkandji)","sequence":"first","affiliation":[{"name":"Kids Research Institute Australia  Adelaide SA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Shen (Ngarrindjeri)","sequence":"additional","affiliation":[{"name":"DS Consultancy  Adelaide 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