Understanding the Experiences of Refugee Women in Accessing Maternal Health Services in Canada
Notice bibliographique
Résumé
Introduction: In 2023, over 43.4 million refugees were forced to leave their countries due to worldwide conflicts, persecutions, human rights violations, and political unrest. Over 51,100 of these refugees were resettled in Canada. Women largely account for this population, with the majority in the childbearing age. Refugee women face a higher risk of adverse maternal health outcomes due to limited knowledge regarding reproductive health, language barriers, inadequate health insurance, as well as discrimination and racism. To address these barriers, metropolitan areas in Canada have established community health centres (CHCs) to support refugee women seeking maternal health services via centralized and culturally appropriate services. However, the role of CHCs in facilitating maternal health access for refugee women remains poorly understood. In Edmonton, the New Canadians Health Centre (NCHC) opened its doors in 2021 to support government-assisted refugees with their overall healthcare needs, and it provides context for this thesis research. Women comprise a significant portion of the NCHC’s patient population; however, the lived-experiences of refugee women patients in accessing maternal health services at the centre and the role of the NCHC in overcoming the barriers they face have not been fully explored. Methods: This community-engaged multi-study thesis aims to: (1) identify barriers and facilitators for refugee women accessing maternal health services through CHCs in Canada via a scoping review based on Joanna Briggs Institute methodology; and (2) explore the experiences of refugee women patients via a qualitative descriptive study, outlined as a study protocol. The scoping review included searches in peer-reviewed databases EMBASE, CINAHL, Medline, and Scopus, as well as the inclusion of grey literature. Additionally, the study protocol delineates a qualitative descriptive study which sets to explore the lived-experiences of 10 refugee women\npatients at the NCHC via semi-structured interviews. Thematic analysis will be used to understand patients’ perspectives. Results: Out of the 504 records that were identified, 47 sources of evidence were included (41 peer-reviewed and 6 grey literature) in the scoping review. Scoping review results highlight key barriers to accessing healthcare, including language, cultural differences, transportation challenges, racism and discrimination faced by refugee women in healthcare settings, gender roles, and low socioeconomic status. The facilitators identified were CHCs providing detailed information to refugee women, employing interpreter and translation services, adopting healthcare models surrounding culturally-safe care, and empathizing and advocating for refugee women patients. Conclusion: This community-engaged study utilizes diverse evidence to understand the complex issue surrounding refugee women's access to maternal health services. Scoping review outcomes outline current strategies and healthcare models that facilitate maternal health service access for refugee women in Canada; however, without further improvements and interventions, the barriers faced by refugee women will continue. Furthermore, the qualitative descriptive study will be essential in highlighting lived-experiences of refugee women patients at the NCHC. Its findings will not only help inform NCHC’s practices and programs to optimize access to maternal health services but will also contribute to the broader discourse on maternal health of refugee women and deepen our understanding of the role CHCs play in improving maternal health outcomes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,017 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,003 | 0,008 |
| Études des sciences et des technologies | 0,014 | 0,006 |
| Communication savante | 0,008 | 0,003 |
| Science ouverte | 0,002 | 0,006 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».