ArticleBMC pregnancy and childbirth2021
Midwives' experiences of cultural competency training and providing perinatal care for migrant women a mixed methods study: Operational Refugee and Migrant Maternal Approach (ORAMMA) project.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding equity-oriented maternity care for women of refugee background in high-income countries: a qualitative systematic review.International journal for equity in health · 2026Pooled it
- Understanding the needs and key determinants of maternal, newborn, and child health among migrants in transit: a scoping review.Global health action · 2026Article
- Challenges in implementing optimal perinatal regionalization: a scoping review.Maternal health, neonatology and perinatology · 2026Review
- Review
- Maternal outcomes and access to maternal healthcare services among migrant, refugees and forced displaced women in the Middle East and North Africa: A systematic scoping review.International journal of nursing studies advances · 2026Review
- Person-centred, community-oriented, and diversity sensitive primary care for migrants; a EFPC position paper.Primary health care research & development · 2026Review
- Nutrition in Perinatal Midwifery Care: A Narrative Review of RCTs, Current Practices, and Future Directions.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Article
- Experiences of seeking and receiving maternity care during a health-system shock: a qualitative study with women and partners in the UK with a focus on marginalised groups.BMJ public health · 2026Article
- A scoping review of cultural competence training gaps among healthcare professionals in low-and middle-income countries.BMC health services research · 2025Article
- Childbirth Experience, Mistreatment, and Migrant Status: A Retrospective Cross-Sectional Study.Birth (Berkeley, Calif.) · 2025Article
- Exploring Barriers To Sexual and Reproductive Healthcare for Latina Women in South Carolina.Journal of immigrant and minority health · 2025Article
- Tackling healthcare providers bias: a systematic review of interventions with implications for inclusive clinical research.EClinicalMedicine · 2025Article
- An educational program for enhancing cultural competence and cultural self-efficacy in healthcare providers: a quasi-experimental single-group study in Southern Iran.BMC medical education · 2025Article
- Person-centred integrated primary care for refugees: a mixed-methods, stepped wedge design study to assess the impact.Primary health care research & development · 2025Article
- Let this be a safe place: a qualitative study into midwifery care for forcibly displaced women in the Netherlands.BMC health services research · 2024Article
- Enablers of and Barriers to Perinatal Mental Healthcare Access and Healthcare Provision for Refugee and Asylum-Seeking Women in the WHO European Region: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Cultural Competence Interventions in European Healthcare: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Cultural competency of GP trainees and GP trainers: a cross-sectional survey study.Scandinavian journal of primary health care · 2024Article
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Authors and funding
13 authors.
Funding
Abstract
backgroundThe number of international migrants continues to increase worldwide. Depending on their country of origin and migration experience, migrants may be at greater risk of maternal and neonatal morbidity and mortality. Having compassionate and culturally competent healthcare providers is essential to optimise perinatal care. The "Operational Refugee and Migrant Maternal Approach" (ORAMMA) project developed cultural competence training for health professionals to aid with providing perinatal care for migrant women. This presents an evaluation of ORAMMA training and explores midwives' experiences of the training and providing care within the ORAMMA project.
methodsCultural competence was assessed before and after midwives (n = 35) received ORAMMA compassionate and culturally sensitive maternity care training in three different European countries. Semi-structured interviews (n = 12) explored midwives' experiences of the training and of caring for migrant women within the ORAMMA project.
resultsA significant improvement of the median score pre to post-test was observed for midwives' knowledge (17 to 20, p < 0.001), skills (5 to 6, p = 0.002) and self-perceived cultural competence (27 to 29, p = 0.010). Exploration of midwives' experiences of the training revealed themes of "appropriate and applicable", "made a difference" and "training gaps" and data from ORAMMA project experiences identified three further themes; "supportive care", "working alongside peer supporters" and "challenges faced".
conclusionsThe training improved midwives' knowledge and self-perceived cultural competence in three European countries with differing contexts and workforce provision. A positive experience of ORAMMA care model was expressed by midwives, however clearer expectations of peer supporters' roles and more time within appointments to assess the psychosocial needs of migrant women were desired. Future large-scale research is required to assess the long-term impact of the ORAMMA model and training on practice and clinical perinatal outcomes.
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