Evidence map›Paper›PMID 42010559›Full record

SynthesisInternational journal for equity in health2026

Understanding equity-oriented maternity care for women of refugee background in high-income countries: a qualitative systematic review.

Aishah Jameel, Nicole Pope, Fran Hearn, Amita Tuteja, Elisha Riggs

Abstract readSystematic Review
In one paragraph

Synthesis in International journal for equity in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Aishah JameelDepartment of General Practice and Primary Care, The University of Melbourne, Melbourne, VIC, Australia. ajameelahmed@student.unimelb.edu.au.
Nicole PopeMonash Centre for Health Research & Implementation, Monash University, Clayton, VIC, Australia.
Fran HearnPolicy and Equity, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Amita TutejaDepartment of General Practice and Primary Care, The University of Melbourne, Melbourne, VIC, Australia.
Elisha RiggsDepartment of General Practice and Primary Care, The University of Melbourne, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen of refugee background in high-income countries experience disproportionately poorer maternity care experiences and maternal health outcomes compared to non-refugee women. Their maternity care needs remain under-recognised and under-researched.

aimThis qualitative systematic review aimed to synthesise evidence on (1) what women of refugee background need from maternity care in high-income countries, and (2) the barriers and enablers experienced by health, social, and community-based maternity care professionals providing maternity care to this population.

methodsFollowing the JBI methodology for systematic reviews, five databases were searched for peer-reviewed qualitative studies published in English between 2013 and 2025. Eligible studies were screened, data were extracted and appraised critically for methodological quality. Findings were synthesised using meta-aggregation and the overall confidence in synthesised findings were assessed using the JBI ConQual approach. The EQUIP framework was applied to the findings to ensure health equity considerations were captured.

findingsFifty-six studies met the inclusion criteria. Three synthesised findings were generated: (1) Structural and systemic factors shape the provision of and access to equity-oriented maternity care; (2) Key components to equity-oriented maternity care are: trauma-informed care, culturally responsive care, woman and family-centred care, and continuity of care and carer; and (3) women’s settlement experiences influence their transition to new healthcare systems.

conclusionAddressing the persistent health inequities faced by women of refugee background in high-income countries requires systemic reform, sustainable workforce investments and specialised training for care providers. Further research on the co-design of equity-oriented care interventions is also needed to ensure maternity services are responsive to the needs of this population.

Indexed as

Developed CountriesHealthcare DisparitiesHealth EquityMaternal Health ServicesRefugeesFemaleHealth Services AccessibilityHumansPregnancyQualitative ResearchEquity-oriented healthcareHigh-income countryMaternity careQualitative systematic reviewRefugee background

Identifiers

PMID42010559
PMCPMC13097718

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.