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Record W4407204524 · doi:10.1016/j.srhc.2025.101076

Experiences of African immigrant and refugee women with prenatal and maternal health care services and treatment adherence in Winnipeg, Manitoba

2025· article· en· W4407204524 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueSexual & Reproductive Healthcare · 2025
Typearticle
Languageen
FieldPsychology
TopicMigration, Health and Trauma
Canadian institutionsResearch ManitobaSexuality Education Resource CentreUniversity of ManitobaManitoba Health
FundersCanadian Institutes of Health Research
KeywordsRefugeeImmigrationPrenatal careMedicineEthnic groupFamily medicineHealth careMaternal healthPregnancyAcculturationNursingHealth servicesGerontologyEnvironmental healthPolitical sciencePopulation

Abstract

fetched live from OpenAlex

• Community-Based Participatory Research (CBPR) in partnership with a community organization, Sexuality Education Resource Centre Manitoba (SERC). • African immigrant and refugee woman access maternity services through programs, clinics, and family doctors. • Some African immigrant and refugee women experienced barriers such as language differences and lack of social support when seeking prenatal and maternal services. • African immigrant and refugee woman’s experiences show how systemic oppression/racism may be occurring in the healthcare system. The requirements for adequate perinatal and maternal health care services for African women in Canada continue to rise, given the increased number of African immigrants and refugees coming to the country. The study had three objectives: (1) to explore how East and west African immigrant and refugee women living in Manitoba access perinatal and maternal health care services; (2) describe their interactions with health care providers; and (3) understand how their experience impacts their treatment adherence. The study was guided by Community-Based Participatory Research (CBPR) in partnership with a community organization, Sexuality Education Resource Centre Manitoba (SERC). Purposive sampling methods was used to recruit 16 women. Interpretative Phenomenological Analysis (IPA) and intersectionality guided the analysis of the data. The participants shared accessing these services through the program Healthy Mom and Me, clinics, and family doctors. Some women experienced barriers such as language differences and lack of social support. Several themes emerged from the analysis: it was stressful; left hanging; “they are always and no one explains”; and faith and culture convictions. Five women reported that racism/discrimination or structural barriers affected their experiences. The women also shared that some recommendations were not respectful or relevant to their traditional/cultural way of caring for a newborn. The study offered insights into the lived experiences of African immigrant and refugee women accessing prenatal and maternal health care service. The study also provided insights on ways in which systemic oppression/racism may be occurring in the healthcare system.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.149
Threshold uncertainty score0.932

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.327
Teacher spread0.309 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it