ArticleBMC health services research2023
Implementation gaps in culturally responsive care for refugee and migrant maternal health in New South Wales, Australia.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 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
- Communication Barriers in Patient-Provider Interactions in Health Care: Scoping Review.Journal of medical Internet research · 2026Article
- Primary care providers' perspectives on barriers and enablers influencing preconception care provision for African migrant and refugee women: qualitative interviews.Health promotion international · 2026Article
- Factors that influence access to primary healthcare services for migrants with a pre-existing mental ill-health diagnosis: a scoping review.BMC primary care · 2026Article
- Navigating perinatal mental health care: migrant women's experiences of support pathways and the role of digital resources.Archives of public health = Archives belges de sante publique · 2026Article
- Perceptions of Healthcare Professionals Regarding the Cultural Food Practices of African Migrant Women During Pregnancy and Postpartum in Australia.Maternal & child nutrition · 2026Article
- Understanding integrated mental healthcare for people experiencing forced migration: a realist review protocol.BMJ open · 2026Article
- Community health assets and refugee wellbeing: Qualitative evidence across mental health, disability inclusion, end-of-life care, and women's health - A global scoping review.PLOS global public health · 2026Article
- Health policy and health system experiences of forcibly displaced populations: a scoping review of qualitative evidence.BMJ public health · 2026Article
- Integrated mental health for refugees: A realist theory building study.PLOS mental health · 2026Article
- Research priorities for stillbirth in Australia: outcomes of a national priority setting partnership.BMC pregnancy and childbirth · 2025Article
- Wellbeing in the First 1000 Days for Syrian and Afghan refugee women living in Australia: a qualitative study.BMC women's health · 2025Article
- Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.Journal of advanced nursing · 2025Article
- Reaching Priority Populations When Scaling Up: A Qualitative Study of Practitioners' Experiences of Implementing Early Childhood Health Interventions in Victoria, Australia.Maternal & child nutrition · 2025Article
- 'I was 'only' seen as a birthing woman:' the pregnancy, birth and postpartum experiences of women with refugee backgrounds in Norway.BMC pregnancy and childbirth · 2025Article
- 'But Because I Don't Know About It, That's Why I Haven't Done It': Experiences of Access to Preventive Sexual and Reproductive Health Care for Refugee Women from Iraq and Syria Living in Melbourne, Australia-A Qualitative Study.International journal of environmental research and public health · 2025Article
- Strategies for incorporating indigenous placenta disposal methods in public healthcare: A Delphi study in Tshwane District, Gauteng, South Africa.Health SA = SA Gesondheid · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Let this be a safe place: a qualitative study into midwifery care for forcibly displaced women in the Netherlands.BMC health services research · 2024Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRefugee and migrant women are at higher risk of childbirth complications and generally poorer pregnancy outcomes. They also report lower satisfaction with pregnancy care because of language barriers, perceived negative attitudes among service providers, and a lack of understanding of refugee and migrant women's needs. This study juxtaposes health policy expectations in New South Wales (NSW), Australia on pregnancy and maternity care and cultural responsiveness and the experiences of maternal healthcare providers in their day-to-day work with refugee and migrant women from non-English speaking backgrounds.
methodsThis study used a qualitative framework method to allow for a comparison of providers' experiences with the policy expectations. Sixteen maternal health service providers who work with refugee and migrant women were recruited from two local health districts in New South Wales, Australia and interviewed (November 2019 to August 2020) about their experiences and the challenges they faced. In addition, a systematic search was conducted for policy documents related to the provision of maternal health care to refugee and migrant women on a state and federal level and five policies were included in the analysis.
resultsFramework analysis revealed structural barriers to culturally responsive service provision and the differential impacts of implementation gaps that impede appropriate care resulting in moral distress. Rather than being the programmatic outcome of well-resourced policies, the enactment of cultural responsiveness in the settings studied relied primarily on the intuitions and personal responses of individual service providers such as nurses and social workers.
conclusionAuthentic culturally responsive care requires healthcare organisations to do more than provide staff training. To better promote service user and staff satisfaction and wellbeing, organisations need to embed structures to respond to the needs of refugee and migrant communities in the maternal health sector and beyond.
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