Experiences of African immigrant/refugee women with prenatal and maternal health care services and treatment adherence in Winnipeg, Manitoba
Bibliographic record
Abstract
In recent years, the number of immigrants who come to Canada seeking health care has increased. The study had three objectives: (1) describe how some African immigrant/refugee women living in Manitoba access perinatal and maternal health care services; (2) describe their interactions with health care providers and (3) describe how their experience impacts their treatment adherence. The study utilized principles of community-based participatory research in partnership with Sexuality Education Resources Centre Manitoba (SERC) representative leaders. Purposive and snowball sampling methods were used to recruit 16 women from SERC and local African community organizations. Data collection included in-depth interviews, and analysis was based on interpretative phenomenological analysis (IPA) and intersectionality from a black feminist tradition. IPA facilitated the description of meanings provided by the women of their experiences and intersectionality enabled to highlight issues such as how perceived racism can intersect with being immigrants/refugees facing unique challenges while accessing health care. The participants shared accessing these services through Mom and Me program, clinics, and family doctors. The women who arrived while pregnant or became pregnant within the first two years of their stay in Winnipeg experienced barriers such as language differences and lack of social support. Some of the main themes that emerged from the women’s experiences with accessing care included: it was tough, trying to understand and left hanging. The women described positive and negative experiences with health care providers. The lack of understanding of the health care system led the women feeling unsure if their experience was due to racism/discrimination or to structural barriers. The women also shared not following some recommendations due to their traditional/cultural way of caring for a newborn. To our knowledge this is the first study that focused on African immigrant/refugee women’s experience with prenatal and maternal services in Manitoba. The findings from the study may help health care professionals to provide more holistic care. The study may also inform policy and advocacy actions to improve health services to this population.
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.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.016 | 0.006 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".