A community-led breastfeeding program designed by Aboriginal women has completed its pilot phase in regional New South Wales, with researchers saying it offers a culturally grounded alternative to mainstream maternal health care.

The program, known as Yalbilinya Miya (Learn Together), was developed through yarning circles with Aboriginal and Torres Strait Islander women on Wiradjuri Country (Wagga Wagga) and delivered by the Riverina Medical and Dental Aboriginal Corporation.

It was created in response to evidence that Aboriginal women are less likely to receive culturally safe breastfeeding support, despite the health and cultural importance of breastfeeding.

The pilot ran from May to November 2024 and involved weekly group sessions for pregnant Aboriginal women and new mothers, combining lactation support with cultural mentoring, shared meals and practical assistance such as transport and breastfeeding packs.

Rather than focusing on clinical targets, the study places women's voices at the centre of care.

One participant described wellbeing as "feeling safe to be who I am, with my mobs and culture close to me", a sentiment researchers say shaped how the program was designed and delivered.

The study's authors argue that mainstream health systems often overlook what Aboriginal women say they need, relying instead on standardised models that do not reflect cultural realities.

"Wellbeing isn't just a checklist of services, it's about identity, connection and community support," one of the researchers said.

Evaluation of the pilot is now underway, with early findings indicating strong engagement and high rates of breastfeeding initiation among participants.

Researchers say the results could inform future Aboriginal-led maternal health programs and provide a model for culturally safe care beyond the Riverina.

The study comes as governments review maternal health and Closing the Gap policies, with advocates calling for greater investment in community-controlled, culture-led approaches that support Aboriginal women and families on their own terms.