What do women want? Migrant and refugee women’s preferences for the delivery of sexual and reproductive healthcare and information

Hawkey, Alexandra; Ussher, Jane M.; Perz, Janette

doi:10.1080/13557858.2021.1980772

Cited by 15 publications

(18 citation statements)

References 40 publications

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“…Women from priority populations are keen to engage in opportunities to receive PCC, yet challenges exist in its delivery. 35 36 Education and training for health care providers have been suggested to enhance the delivery of equitable PCC. Therefore, further work in education and training for health care providers and implementation guideline tools that promote culturally appropriate provision of PCC are required to address the needs of priority populations.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Clinical Guidelines for Preconception Care

et al. 2022

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Preconception care (PCC) involves a wide-ranging set of interventions to optimize health prior to pregnancy. These interventions seek to enhance conception rates, pregnancy outcomes, childhood health, and the health of future generations. To assist health care providers to exercise high-quality clinical care in this domain, clinical practice guidelines from a range of settings have been published. This systematic review sought to identify existing freely accessible international guidelines, assess these in terms of their quality using the AGREE II tool, and assess the summary recommendations and the evidence level on which they are based. We identified 11 guidelines that focused on PCC. Ten of these were classified as moderate quality (scores ranging from 3.5 to 4.5 out of 7) and only one was classified as very high quality, scoring 6.5. The levels of evidence for recommendations ranged from the lowest possible level of evidence (III) to the highest (I-a): the highest quality evidence available is for folic acid supplementation to reduce risk of neural tube defects and the role of antiviral medication to prevent HIV transmission. This systematic review identified that high-quality guidelines on PCC are lacking and that few domains of PCC recommendations are supported by high-quality evidence.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Clinical Guidelines for Preconception Care

et al. 2022

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“…Due to the unprecedented circumstances of the COVID-19 pandemic, the present study needed to pivot to provide cervical screening health promotion using online videoconferencing. This is a novel way to provide cervical screening health promotion with CALD women [ 31 ]. Online delivery required fewer logistical components (i.e., no requirement for venue, catering, etc.)…”

Section: Discussionmentioning

confidence: 99%

“…Health literacy facilitates informed decision making, contributing to better health outcomes and empowerment [ 29 ]. Many CALD women recognise that they have inadequate knowledge about cervical screening and HPV vaccination, and have identified that is an area of health literacy they would like to improve [ 30 , 31 ]. There is a particular need for cervical screening health literacy programs given recent changes to the national cervical screening program in Australia.…”

Section: Introductionmentioning

confidence: 99%

“…This can include peer education [ 37 ], delivered in the woman’s own language [ 19 ], that aims to increase health literacy and allay fears [ 27 ], by incorporating women’s belief systems into explanations and communications for cervical screening [ 27 ]. Research suggests that information on cancer prevention and screening may be more acceptable for women from CALD backgrounds if it is delivered by community health workers (CHWs), assisted by health care professionals (HCPs) [ 19 , 31 , 38 ]. Even though literature suggests that many CALD women report a desire for information on screening [ 38 ], ideally face-to-face [ 39 ] in a group format [ 31 , 35 ] they are often reluctant to attend cancer focused information sessions.…”

Section: Introductionmentioning

confidence: 99%

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Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study

et al. 2022

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Background Participation of culturally and linguistically diverse (CALD) women from migrant and refugee backgrounds in cervical screening is crucial to eliminate cervical cancer as a public health problem within the next 20 years. However, CALD women report low participation in cervical screening. Barriers to participation can be addressed with culturally tailored, community-based programs. There is a need for research to explore the process, feasibility, acceptability and barriers to cultural tailoring in the delivery and evaluation of cervical screening health education. Methods CALD community health workers took part in a 2 day training program then co-designed, culturally tailored and co-facilitated cervical screening health promotion forums within their communities. Forums were delivered to a total of seven groups, involving 12 sessions and 71 CALD women. The forums were evaluated for feasibility, acceptability, implementation and effectiveness using a survey, interviews and observations. Data were collected from CALD women, facilitators and researchers. Results The co-design and co-delivery of cervical screening health promotion forums was time and resource intensive however allowed for deeper cultural tailoring resulting in engagement with ‘hard to reach’ CALD women, improved health literacy and intention to screen. Flexibility in the intervention implementation was crucial to ensure forums were responsive to community interests and needs. Online delivery of the forums in response to the COVID-19 pandemic was acceptable to most groups. Conclusions Co-designed, culturally tailored cervical screening health promotion forums are feasible and acceptable to CALD women, in both face-to-face and online formats. Adjustments to the intervention protocol were recommended to improve future implementation.

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“…Engaging men is also critical to enable them equitably support their partners' reproductive health and share responsibilities for healthy sexuality and reproduction (Barker et al, 2007). This is signi cant as refugee and migrant women and health care providers in recent research have called for greater engagement of men in SRH care (Hawkey et al, 2021;Mengesha et al, 2017). Furthermore, improved engagement of men in SRH is critical to promote and achieve gender equality and challenge harmful gender roles and attitudes that undermine women's SRH autonomy and rights and discourage men from seeking care (Bustamante-Forest & Giarratano, 2004; Shand & Marcell, 2021).…”

Section: Discussionmentioning

confidence: 99%

Men of refugee and migrant backgrounds resettled in Australia: A scoping review of sexual and reproductive health research

Mengesha¹,

Hawkey

Baroundi

et al. 2022

Preprint

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Background Australia’s National Men’s Health Strategy 2020–2030 identifies men from refugee and migrant backgrounds as priority groups for sexual and reproductive health (SRH) interventions due to their high risk of poor outcomes. Given the traditional focus of SRH research on women, the lack of SRH research focusing on refugee and migrant men is a significant gap to guide implementation of the strategy and future research into this topic. To provide a foundation for rectifying this omission, this review aimed to synthesise the available evidence on refugee and migrant men’s SRH needs, understanding, and experiences of accessing services after resettlement in Australia. Methods We conducted a systematic search of peer reviewed literature in PubMed, Scopus, PsyInfo and Embase. A WHO framework for operationalising sexual health and its relationship with reproductive health was used to map the identified studies. The socio-ecological framework was applied to thematically synthesise data extracted from individual studies and identify factors that influence the SRH of refugee and migrant men. Results We identified and included 38 papers (24 sexual health, 5 reproductive health, 3 intimate relationships, 2 cancer and 4 ‘other’). The majority of sexual health studies (16) were about sexually transmitted infections (STIs), mainly HIV (12), Hepatitis B (3), and safe sexual practices (1). Reproductive health studies focused on contraceptive counselling and provision (3), antenatal, intrapartum and postnatal care (1) and safe abortion care (1). We also identified several factors influencing refugee and migrant men’s SRH including a lack of access to SRH information at the individual level, language and communication barriers at the interpersonal level and stigma at the community level. Conclusions This review indicates that the SRH literature on refugee and migrant men lacks perspectives beyond STIs. The literature does not frame SRH as a human right rather follows a risk-based biomedical approach of health care keeping important aspects of SRH, such as gender-based violence and sexual pleasure, out of health services research. These identified gaps should be addressed to develop effective, equitable and gender sensitive SRH programs for refugee and migrant men in Australia.

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What do women want? Migrant and refugee women’s preferences for the delivery of sexual and reproductive healthcare and information

Cited by 15 publications

References 40 publications

A Systematic Review of Clinical Guidelines for Preconception Care

A Systematic Review of Clinical Guidelines for Preconception Care

Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study

Men of refugee and migrant backgrounds resettled in Australia: A scoping review of sexual and reproductive health research

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