ArticleBMC women's health2021
Cross Cultural Workers for women and families from migrant and refugee backgrounds: a mixed-methods study of service providers perceptions.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 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
- Moving together to facilitate equity and inclusion in research. The co-production of interventions for clinical trials to facilitate participation of people from ethnically diverse communities.Health research policy and systems · 2026Article
- Editorial: Addressing the maternity needs of newly settled migrant mothers.Frontiers in global women's health · 2026Article
- Perspectives of women from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a qualitative study.Frontiers in global women's health · 2025Article
- Co-Design Model of Support for Child and Family Health Nurse Practice with Culturally and Linguistically Diverse Families.International journal of environmental research and public health · 2024Article
- Perspectives of women and partners from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a survey study.BMC health services research · 2023Article
- Cultural brokering in pregnancy care: A critical review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Review
- Drivers of the Australian Health System towards Health Care for All: A Scoping Review and Qualitative Synthesis.BioMed research international · 2023Article
- Migrating Populations and Health: Risk Factors for Cardiovascular Disease and Metabolic Syndrome.Current hypertension reports · 2022Review
- Study protocol for a real-world evaluation of an integrated child and family health hub for migrant and refugee women.BMJ open · 2022Article
- Experiences and Perspectives of Perinatal Care for Women of Refugee Background, Interpreters, and Care Providers: A Scoping Review.Journal of midwifery & women's healthArticle
- The Barriers and Enablers to Implementing Child and Family Health Hubs for Migrant Families.International journal of integrated careArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen from migrant and refugee backgrounds who live in high-income countries are at increased risk of adverse perinatal outcomes, including mental health issues, preterm birth and maternal and infant mortality. There is a need to implement and evaluate models of care to meet their specific needs in order to improve health outcomes, their experiences of care, and overcome barriers to access. In Sydney, Australia, a unique model of care was implemented to support women and families from migrant and refugee backgrounds to access health and community-based services through the continuum of pregnancy to the early parenting period. This model of care is known as the Cross Cultural Workers (CCWs) in Maternity and Child and Family Health Service (the CCW Service). The aim of this study was to explore the perceptions of service providers regarding the CCW Service and identify recommendations for improvement.
methodsA mixed-methods study was conducted consisting of surveys and face to face semi-structured interviews. Service providers were recruited from hospital-based maternity and community-based services. Survey data were analysed descriptively. Interviews were analysed using qualitative content analysis.
resultsSixty-nine service providers completed surveys and 19 were interviewed. The CCW Service was highly regarded by service providers who perceived it to be critical in improving care for women from migrant and refugee backgrounds. The overarching theme from the interviews was the ability of the CCW Service to act as a 'bridge to health' through the provision of culturally responsive care. There were three main categories; supporting access to health and community-based services, improving the healthcare experience, and organisational factors, including part-time hours, capacity, heavy workloads and confusion/lack of clarity regarding the CCW role, which affected CCWs' capacity to optimally support service providers in providing culturally responsive care. These limitations meant CCWs were not able to meet demand, and fully operationalise the model.
conclusionService providers perceived the CCW model to be a culturally responsive model of care tailored to the needs of women and families from migrant and refugee backgrounds, that reduces barriers to access, and has the potential to improve perinatal outcomes, and women's experience and satisfaction with care.
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