Measuring Perinatal Health Equity and Migration Indicators for International Comparisons

Gagnon, Anita J.; Small, Rhonda; Sarasua, Irene; Lang, Carly

doi:10.1080/07399332.2014.942899

Cited by 4 publications

(3 citation statements)

References 50 publications

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“…Women from minority groups are particularly vulnerable. Lack of education, low income and low social status harm their ability to maintain good health [6,7].…”

Section: Introductionmentioning

confidence: 99%

To connect between worlds, to bridge over gaps: learning about the complex role of cultural mediators in perinatal health promotion from a case in Israel

Peres

Sharaby

2020

Int J Equity Health

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Background: Reduction of health gaps between ethno-cultural groups has become a major concern for health services, with a strong emphasis on eliminating social and cultural barriers and improving accessibility for diverse populations. Methods: The study is based on a Participatory Action Research where an involved researcher accompanied the project for a decade, as well as on eleven in-depth interviews with Bedouin women-mediators working in a perinatal health promotion project in Israel. Results: The research analyzes the work of Bedouin women health mediators who mediate between their Bedouin community and institutional health services and bridge over cultural gaps. The study presents the complex task of transferring messages across cultures, dealing with socio-cultural imperatives and the intricacy of multilayered power relations. The findings reveal an evolving process, beginning with a pragmatic mediation model in which the mediators are limited to instruction of pre-defined health materials, toward a transformative model of creating a ground for encouraging the mediators to act creatively according to socio-cultural circumstances. Conclusion: The research elaborates on the adoption and implementation of the transformative approach in mediation and provides further understanding of the complexity of mediation role in sensitive issues such as pregnancy, birth and infant care.

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“…Women from minority groups are particularly vulnerable. Lack of education, low income and low social status harm their ability to maintain good health [6,7].…”

Section: Introductionmentioning

confidence: 99%

To connect between worlds, to bridge over gaps: learning about the complex role of cultural mediators in perinatal health promotion from a case in Israel

Peres

Sharaby

2020

Int J Equity Health

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“…[24]. We also adapted questions from the Canadian Maternity Experiences Survey [25] and other questionnaires developed and used previously by one or more authors [26,27].…”

Section: Methodsmentioning

confidence: 99%

“…The initial questionnaire was drafted from components of existing questionnaires including the Migrant Friendliness Quality Questionnaire , developed and used in twelve European hospitals to capture recommended general care for migrants [ 6 ], and the Mothers In a New Country (MINC) Questionnaire , developed and used in Australia [ 13 , 22 , 23 ] and revised for use in Canada by altering particulars of English language use that differed between the two countries, how incomes were reported, etc. [ 24 ]. We also adapted questions from the Canadian Maternity Experiences Survey [ 25 ] and other questionnaires developed and used previously by one or more authors [ 26 , 27 ].…”

Section: Methodsmentioning

confidence: 99%

Development of the Migrant Friendly Maternity Care Questionnaire (MFMCQ) for migrants to Western societies: an international Delphi consensus process

Gagnon

DeBruyn

Essén

et al. 2014

BMC Pregnancy Childbirth

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BackgroundThrough the World Health Assembly Resolution, ‘Health of Migrants’, the international community has identified migrant health as a priority. Recommendations for general hospital care for international migrants in receiving-countries have been put forward by the Migrant Friendly Hospital Initiative; adaptations of these recommendations specific to maternity care have yet to be elucidated and validated. We aimed to develop a questionnaire measuring migrant-friendly maternity care (MFMC) which could be used in a range of maternity care settings and countries.MethodsThis study was conducted in four stages. First, questions related to migrant friendly maternity care were identified from existing questionnaires including the Migrant Friendliness Quality Questionnaire, developed in Europe to capture recommended general hospital care for migrants, and the Mothers In a New Country (MINC) Questionnaire, developed in Australia and revised for use in Canada to capture the maternity care experiences of migrant women, and combined to create an initial MFMC questionnaire. Second, a Delphi consensus process in three rounds with a panel of 89 experts in perinatal health and migration from 17 countries was undertaken to identify priority themes and questions as well as to clarify wording and format. Third, the draft questionnaire was translated from English to French and Spanish and back-translated and subsequently culturally validated (assessed for cultural appropriateness) by migrant women. Fourth, the questionnaire was piloted with migrant women who had recently given birth in Montreal, Canada.ResultsA 112-item questionnaire on maternity care from pregnancy, through labour and birth, to postpartum care, and including items on maternal socio-demographic, migration and obstetrical characteristics, and perceptions of care, has been created - the Migrant Friendly Maternity Care Questionnaire (MFMCQ) – in three languages (English, French and Spanish). It is completed in 45 minutes via interview administration several months post-birth.ConclusionsA 4-stage process of questionnaire development with international experts in migrant reproductive health and research resulted in the MFMCQ, a questionnaire measuring key aspects of migrant-sensitive maternity care. The MFMCQ is available for further translation and use to examine and compare care and perceptions of care within and across countries, and by key socio-demographic, migration, and obstetrical characteristics of migrant women.

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Reproductive health research of women migrants to Western countries: A systematic review for refining the clinical lens

Gagnon

Redden

2016

Best Practice & Research Clinical Obstetrics & Gynaecol

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Measuring Perinatal Health Equity and Migration Indicators for International Comparisons

Cited by 4 publications

References 50 publications

To connect between worlds, to bridge over gaps: learning about the complex role of cultural mediators in perinatal health promotion from a case in Israel

To connect between worlds, to bridge over gaps: learning about the complex role of cultural mediators in perinatal health promotion from a case in Israel

Development of the Migrant Friendly Maternity Care Questionnaire (MFMCQ) for migrants to Western societies: an international Delphi consensus process

Reproductive health research of women migrants to Western countries: A systematic review for refining the clinical lens

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