Cultural safety and belonging for refugee background women attending group pregnancy care: An Australian qualitative study

Riggs, Elisha; Muyeen, Sumaiya; Brown, Stephanie; Dawson, Wendy; Petschel, Pauline; Tardiff, Waan; Norman, Fiona; Vanpraag, Dannielle; Szwarc, Jo; Yelland, Jane

doi:10.1111/birt.12272

Cited by 68 publications

(119 citation statements)

References 31 publications

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“…Thus, understanding contextual factors is pivotal for interpreting the findings of a specific evaluation [18].Generally, immigrant-targeted maternity care interventions are, so far, few and some initiatives lack scientific evaluation of the intervention's implementation process as well as its effect [3]. Interventions targeting immigrant women in maternity care include the use of doulas for emotional, informational and physical support and antenatal preparation initiatives seeking to promote pregnancy and birth-related learning as well as network [21][22][23][24]. To our knowledge, initiatives that specifically focus on system and immigrant women's response to pregnancy complications have not been examined so far [3].…”

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confidence: 99%

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Johnsen

Christensen

Juhl

et al. 2020

IJERPH

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In western countries, immigrant women have an increased risk of negative birth outcomes. Immigrant women’s and maternity care system’s delayed response to pregnancy complications contribute to ethnic inequities in reproductive health. The MAMAACT intervention was developed to improve midwives’ and women’s response to pregnancy complications in Denmark. The study examines the context of the implementation of the MAMAACT intervention and investigates how the intended intervention mechanisms regarding response to pregnancy complications were affected by barriers in non-Western immigrant women’s everyday life situations. Twenty-one interviews with non-Western immigrant women were undertaken. Systematic text condensation and the situational-adaptation framework by Alonzo were used to analyze data. Four main categories were identified: ‘Sources of knowledge during pregnancy’, ‘Containment of pregnancy warning signs’, ‘Barriers during the onset of acute illness’ and ‘Previous situations with maternity care providers’. Attention to potential pregnancy complications may conflict with immigrant women’s everyday life situations and result in the containment of symptoms as well as causing delays in seeking medical assistance. It is probable that barriers in women’s everyday life will impact the intended intervention mechanisms and thus the full potential of the intervention may not be reached.

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Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Johnsen

Christensen

Juhl

et al. 2020

IJERPH

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“…Members of refugee communities can play positive roles supporting the wellbeing of their communities through participation in trauma-informed capacity-building initiatives. While such roles are variously conceptualised and designated in the literature (e.g.ethnic cultural broker [1], bicultural worker [2,3], refugee liaison [4], multicultural health broker [5,6], community healthcare worker [7] [6,8] and outreach support worker/bi-lingual support outreach community development worker [9]), central to all such roles is that Liaison Workers are members of a refugee community who are engaged in facilitating a liaison between the community and health, mental health and social services.…”

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confidence: 99%

“…The literature demonstrates that Liaison Workers are able to facilitate access to a range of social services including nancial [10] and employment services [1], educational institutions [4,11], housing services [1,10], legal services [1], faith-based communities [1], culturally-responsive health resources and services [3,10], as well as supporting the development of networks between families with similar needs [12].…”

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confidence: 99%

“…Liaison Workers are a resource for mainstream service providers in their role as cultural consultants that extends beyond the role of interpreters [3,10,13]. Liaison Workers are able to provide interpretation of various aspects of mainstream culture for refugees to assist them in their integration in community activities and to access services [1,5,11].…”

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confidence: 99%

“…VFST delivers counselling and support services to survivors, and works together with government, service providers, the corporate sector as well as refugee background and broader communities to achieve its mission. VFST comprises of four integrated programs: (1) Direct services, (2) Community & Sector Development, (3) Practice Development & Learning, and (4) Human resources and administration operations [25].…”

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confidence: 99%

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The capacity-building role of Community Liaison Workers with refugee communities in Victoria, Australia

Chopra

Wei

Strehlow³

et al. 2020

Preprint

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Background A range of services within Australia and internationally have been developed that are focused on the engagement of individuals who are of refugee background to work as a liaison between their communities and mental health services. The Community Liaison Worker (CLW) role at the Victorian Foundation for Survivors of Torture (VFST) was developed in 2008 in order to engage in such capacity-building initiatives. Aims To review and document the establishment, evolution and current status of the VFST CLW role, and examine the perspectives of CLWs on their role in trauma-informed community capacity-building. Methods The study comprised of two stages: a historical case study of the development of the CLW role, and a qualitative research study based on interviews with CLWs in order to identify key themes regarding various aspects of their role and understand the facilitators and barriers to their work of trauma-informed capacity-building with their respective communities. Results The CLW role has evolved from the provision of direct services through joint work with Counsellor Advocates at VFST to a broader role that is focused on building the capacity of community members. Thematic analysis of interviews with the seven current CLWs identified the complexity of their dual role as members of their community and employees of VFST, their role in addressing short-term goals to meet community needs, and the long-term objective of empowering their community to become integrated and self-sufficient. Conclusions CLWs at VFST demonstrate important work of Liaison Workers in facilitating trauma-informed capacity-building initiatives that are of benefit to members of their communities and also to service providers.

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Inclusion, belonging and intercultural spaces: A narrative policy analysis of playgroups in Australia

Townley

2021

Aust J Social Issues

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This article employs narrative policy analysis to examine how community playgroups are constructed in the ECEC policy framework, in order to understand what might exclude families, and how more families can be included in community playgroups. Playgroups are a widespread and important component of early childhood education and care (ECEC) provision in Australia, where parents and carers meet weekly with their babies, toddlers and preschool children. They are sites of social support for parents, together with play-based learning and socialisation activities for the children. Through the lens of intersectionality theory, four narratives are constructed through analysis of interviews with policy elite informants. The classic narrative draws on the enduring model of community playgroups from the 1970s, and the vulnerability narrative centres the supported playgroup model. The belonging narrative and the intercultural narrative indicate possibilities for future policy approaches to community playgroups.

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Cultural safety and belonging for refugee background women attending group pregnancy care: An Australian qualitative study

Abstract: Group pregnancy care has the potential to increase refugee background women's access to pregnancy care and information, sense of belonging, cultural safety using services, preparation for labor and birth, and care of a newborn.

Cited by 68 publications

References 31 publications

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

The capacity-building role of Community Liaison Workers with refugee communities in Victoria, Australia

Inclusion, belonging and intercultural spaces: A narrative policy analysis of playgroups in Australia

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