Exploring disparities in prenatal care between refugees and local South African women

Kibiribiri, Edith T; Moodley, Dhayendre; Groves, Allison K.; Sebitloane, Motshedisi

doi:10.1016/j.ijgo.2015.07.007

Cited by 12 publications

(21 citation statements)

References 13 publications

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“…The patient’s confidence in the health system was most commonly measured as care satisfaction [ 35 , 39 , 47 , 53 , 62 , 78 , 79 , 83 ]. The findings around satisfaction were mixed.…”

Section: Resultsmentioning

confidence: 99%

“…The findings around satisfaction were mixed. Some studies reported that patients were dissatisfied with the low quality care they received [ 47 , 78 , 79 ], and Kibiribiri et al found that refugees were more dissatisfied than the general population in South Africa [ 62 ]. However, other studies reported that patient satisfaction was high even where quality was poor [ 35 , 39 , 83 ].…”

Section: Resultsmentioning

confidence: 99%

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Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

2021

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Background There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention. To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings. Methods This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs). We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system. Our outcome of interest was the quality of the health system. We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods. We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain. Results We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review. Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care. There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems. The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety. Conclusion The review highlights a large gap in the measurement of quality both at the point of care and at the health system level. There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings.

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“…The patient’s confidence in the health system was most commonly measured as care satisfaction [ 35 , 39 , 47 , 53 , 62 , 78 , 79 , 83 ]. The findings around satisfaction were mixed.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

2021

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“…The findings that caregivers had to waste a full day waiting to be seen by a healthcare worker and being aware that they had other household responsibilities, such as preparing meals and caring for their other children, have been previously reported [ 33 ]. For full-time caregivers, it seems that spending a full day away from home results in anxiety and anger, which has been reported to impede healthcare seeking behaviour by women in particular [ 34 ]. However, waiting in long queues has been a general complaint of the South African public healthcare delivery system [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare service delivery to refugee children from the Democratic Republic of Congo living in Durban, South Africa: a caregivers’ perspective

Meyer-Weitz

Asante

Lukobeka

2018

BMC Med

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BackgroundRefugees are generally considered a vulnerable population, with refugee children (newborn and young children) being particularly so. Access to healthcare for this population remains a challenge. The main purpose of this study was to explore refugee caregivers’ perceptions of their children’s access to quality health service delivery to their young children in Durban, South Africa.MethodsThis study used an explanatory mixed methods design, purposively sampling 120 and 10 participants for the quantitative and qualitative phases, respectively. Participants were administered a self-developed questionnaire that assessed demographic information of participants, socioeconomic status and living standard, medical history of children, satisfaction and experiences with healthcare services and refugees’ networks and social support. A semi-structured interview schedule was developed to elicit in-depth and more detailed information from the participants on the quantitative areas that were investigated. Frequencies were calculated and a χ2 test was used to explore the factors associated with refugees’ satisfaction of the healthcare provided and thematic analysis was used to analyse the qualitative data.ResultsThe majority (89%) of caregivers were women, with over 70% of them aged between 30 and 35 years. Over 74% of caregivers visited public clinics for their children’s healthcare needs. The majority of caregivers (95%) were not satisfied with healthcare services delivery to their children due to the long waiting hours and the negative attitudes and discriminatory behaviours of healthcare workers, particularly in public healthcare facilities.ConclusionThese findings underscore the need to address health professionals’ attitudes when providing healthcare for refugees. Attitudinal change may improve the relationship between service providers and caregivers of refugee children in South Africa, which may improve the health-related outcomes in refugee children.Electronic supplementary materialThe online version of this article (10.1186/s12916-018-1153-0) contains supplementary material, which is available to authorized users.

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“…Language was significant in women not feeling understood. In a number of studies women did not understand what was happening to them due to language barriers ( Riggs et al., 2017 ; Tobin et al., 2014 ; Niner et al., 2013 ; McLeish, 2005 ; Briscoe and Lavender, 2009 ; Henry et al., 2020 ; Herrel et al., 2004 ; Kibiribiri et al., 2016 ) and on some occasions, unfounded assumptions were made about their level of understanding: “I asked them, “[Can] we cancel the meeting until we get an interpreter… I didn't understand you and you didn't understand me.” She said, “No, it's OK, we can go on—you understand English.”” ( Lephard and Haith-Cooper, 2016 ). …”

Section: Resultsmentioning

confidence: 99%

Navigating new lives: A scoping review and thematic synthesis of forced migrant women's perinatal experiences

Sharma

Howard

Duclos

2020

Journal of Migration and Health

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Highlights The perinatal experiences of forced migrant women are complex and intersecting. Forced migrant women experience multiple liminalities and negotiate changes in social support during the perinatal period. Woman-centred models of maternity care address the needs of forced migrant women and trauma-informed maternity care should be considered for them. Further research is needed to understand the lived perinatal experiences of forced migrant women in refugee camp and transit contexts.

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Exploring disparities in prenatal care between refugees and local South African women

Abstract: There were no significant disparities in prenatal care; however, refugees unable to communicate in the local languages reported that they were not provided with relevant health information and occasionally faced restricted access to prenatal services.

Cited by 12 publications

References 13 publications

Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

Healthcare service delivery to refugee children from the Democratic Republic of Congo living in Durban, South Africa: a caregivers’ perspective

Navigating new lives: A scoping review and thematic synthesis of forced migrant women's perinatal experiences

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