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ArticleHealth expectations : an international journal of public participation in health care and health policy2024

Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia.

Delia Rambaldini-Gooding, Katarzyna Olcoń, Luke Molloy, Leissa Pitts, Sofia Lema, Eman Baghdadi, Jane Williams, Chris Degeling

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In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Delia Rambaldini-GoodingUniversity of Wollongong, Wollongong, New South Wales, Australia.ORCID 0000-0003-1840-3695
Katarzyna OlcońUniversity of Wollongong, Wollongong, New South Wales, Australia.
Luke MolloyUniversity of Wollongong, Wollongong, New South Wales, Australia.
Leissa PittsMulticultural and Refugee Health Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
Sofia LemaMulticultural and Refugee Health Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
Eman BaghdadiMulticultural and Refugee Health Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
Jane WilliamsUniversity of Wollongong, Wollongong, New South Wales, Australia.
Chris DegelingUniversity of Wollongong, Wollongong, New South Wales, Australia.ORCID 0000-0003-4279-3443

Funding

The study was funded by the University of Wollongong RevITAlising (RITA) Research Grants scheme ($AUD17,896.00 / Project code: S1320).
6 · The paper itself

Abstract

introductionAccess to culturally appropriate healthcare is vital to ensure refugee and migrant women receive optimal care, particularly during the perinatal period. Refugee and migrant women report lower satisfaction with pregnancy care due to language barriers and a perceived lack of understanding of their needs. The aim of this study is to explore how to improve the experiences of migrant and refugee women with maternal health services through the lens of cultural humility.

methodsWorking collaboratively with maternal health service providers and managers and local refugee and migrant women, this research project used a World Café methodology to provide these stakeholders with an opportunity to discuss maternal healthcare in the region. World Café participants (n = 34) included women from multicultural backgrounds (n = 20), maternal healthcare providers such as midwives, social workers and management (n = 5) multicultural healthcare providers (n = 7) and a community-based birth educator (n = 1). Data were analysed thematically.

resultsA key finding of the World Café was the need for staff training that is co-designed and co-delivered with members of multicultural communities and healthcare providers to enhance the practice of cultural humility. Training should focus on women's stories that capture the cultural nuances around pregnancy and birthing, their support needs including trauma-informed care, and the importance of effective cross-cultural communication.

conclusionThis research gave refugee and migrant women a voice in future decision-making, specifically in maternal health staff training. The refugee and migrant women shared their perspectives on how to enhance cultural humility practices in maternity services for them. The research has led to opportunities such as community-based antenatal classes and improvements in maternity services development strategies. PUBLIC CONTRIBUTION: The project actively engaged with maternal healthcare providers, multicultural and refugee healthcare providers and women from multicultural communities in the design of the project and as participants. Their expertise and experience have been invaluable and have informed pilot programmes that emerged from this study.

Indexed as

Health PersonnelMaternal Health ServicesRefugeesTransients and MigrantsAdultAustraliaCultural CompetencyCultural DiversityFemaleHealth Services AccessibilityHumansPregnancyCultural humilityHealth policyMaternal healthMigrant womenRefugee womenService providers

Identifiers

PMID39572885
PMCPMC11581955

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.