Journal of Immigrant and Minority Health
Volume 20, Issue 2, 2018, Pages 307-316

Challenges in the Provision of Sexual and Reproductive Health Care to Refugee and Migrant Women: A Q Methodological Study of Health Professional Perspectives (Article)

Mengesha Z.B.* , Perz J. , Dune T. , Ussher J.
  • a Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia
  • b Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia
  • c Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia, School of Science and Health, Western Sydney University, Sydney, NSW 2751, Australia
  • d Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia

Abstract

This Q methodological study was conducted to examine the perspectives of health professionals in providing sexual and reproductive health (SRH) care to refugee and migrant women. Forty-seven health professionals rank-ordered 42 statements and commented on their rankings in subsequent open-ended questions. A bi-person factor analysis was performed and factors were extracted according to the centroid method with a varimax rotation. Seven factors each with a distinct and meaningful viewpoint were identified. These factors are: “Communication difficulties—hurdles to counselling”, “Lack of access to culturally appropriate care”, “Navigating SRH care”, “Cultural constraints on effective communication”, “Effects of the lack of cultural competency”, “Impacts of low income and language barrier” and “SRH services are accessible, but not culturally relevant”. A more culturally adaptive healthcare model that considers refugee and migrant women’s linguistic, cultural and socio-economic backgrounds; and engages health professionals on an ongoing process of building cultural competency is central to improve SRH access to these women. © 2017, Springer Science+Business Media, LLC.

Author Keywords

Women migrant sexual and reproductive health Q methodology Refugee

Index Keywords

patient care communication barrier Communication Barriers refugee Communication interpersonal communication human Refugees middle aged health service Aged Patient Navigation Cultural Competency cultural competence qualitative research health personnel attitude Attitude of Health Personnel Reproductive Health Services Humans male female Socioeconomic Factors socioeconomics Health Knowledge, Attitudes, Practice standards organization and management adult migration Culturally Competent Care transcultural care Transients and Migrants attitude to health Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85020532512&doi=10.1007%2fs10903-017-0611-7&partnerID=40&md5=6e196ffd50b1ac7d585aaf315da3f176
DOI: 10.1007/s10903-017-0611-7
ISSN: 15571912
Cited by: 3
Original Language: English