Refugee women's experiences with contraceptive care after resettlement in high-income countries: A critical interpretive synthesis

Chalmiers, Morgen A.; Karaki, Fatima; Muriki, Maneesha; Mody, Sheila K.; Chen, Andy; Bocanegra, Heike Thiel de

doi:10.1016/j.contraception.2021.11.004

Cited by 10 publications

(12 citation statements)

References 59 publications

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“…We will also identify key barriers, facilitators, and social determinants, of postpartum contraception access and utilization in sub-Saharan African immigrant and refugee women. Some of these include, access to insurance coverage, literacy levels, language, patient-provider factors, childcare, transportation, stigma, and knowledge/awareness of available/preferred methods [ 9 , 24 , 35 ].…”

Section: Methodsmentioning

confidence: 99%

Mapping the evidence on factors related to postpartum contraception among sub-Saharan African immigrant and refugee women in the United States of America: A scoping review protocol

Olorunsaiye,

Badru,

Osborne

et al. 2024

PLoS ONE

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Background Postpartum contraception is essential to sexual and reproductive health (SRH) care because it encourages healthy spacing between births, helps women avoid unwanted pregnancies, and lessens the risks of health problems for mothers and babies. Sub-Saharan African immigrant and refugee populations are rapidly increasing in the United States, and they come from a wide range of cultural, linguistic, religious, and social origins, which may pose challenges in timely access to culturally acceptable SRH care, for preventing mistimed or unwanted childbearing. The objective of this scoping review is to assess the extent of the available literature on postpartum contraception among sub-Saharan African immigrant and refugee women living in the United States. Methods We developed preliminary search terms with the help of an expert librarian, consisting of keywords including birth intervals, birth spacing, contraception, postpartum contraception or family planning, and USA or America, and sub-Saharan African immigrants, or emigrants. The study will include the following electronic databases: PubMed/MEDLINE, PsycINFO, CINAHL, EMBASE, and the Global Health Database. The sources will include studies on postpartum care and contraceptive access and utilization among sub-Saharan African immigrants living in the US. Citations, abstracts, and full texts will be independently screened by two reviewers. We will use narrative synthesis to analyze the data using quantitative and qualitative methods. Factors associated with postpartum contraception will be organized using the domains and constructs of the PEN-3 Model as a guiding framework. Conclusion This scoping review will map the research on postpartum contraception among sub-Saharan African immigrant and refugee women living in the US. We expect to identify knowledge gaps, and barriers and facilitators of postpartum contraception in this population. Based on the findings of the review, recommendations will be made for advocacy and program and policy development toward optimizing interpregnancy intervals in sub-Saharan African immigrants living in the US. Trial registration Review registration Open Science Framework: https://osf.io/s385j.

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Section: Methodsmentioning

confidence: 99%

Mapping the evidence on factors related to postpartum contraception among sub-Saharan African immigrant and refugee women in the United States of America: A scoping review protocol

Olorunsaiye,

Badru,

Osborne

et al. 2024

PLoS ONE

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“…Around 59% of Women Refugees do not follow Ante Natal Care (ANC) and do not provide exclusive breast milk due to nutritional deficiencies and experience obstacles in evaluating health services impacted by the difficulty of communicating between Women Refugees and health workers and restricted corroborated health facilities. The impact is quite fatal for the development of their child's growth (Chalmiers et al, 2022). Maternal depression is frequently encountered by female refugees.…”

Section: Literature Reviewmentioning

confidence: 99%

Synergy of Multi-actors in the Empowerment of Women Refugees in Indonesia

Dewi¹,

Wang²

2022

Proceedings of the International Conference on Sustainable Innovation on Humanities, Education, and Social Sciences (ICOSI-HESS

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Refugees are a severe problem encountering numerous countries, encompassing Indonesia. Although Indonesia is not a country which signed the Refugee Convention of 1951 and the Refugee Protocol of 1967, it is actively a stopover country providing a place for refugees from other countries before they are located in the destination country. The United Nations High Commissioner for Refugees (UNHCR) stated that until July 2020, there were 13,653 refugees, with 27% female and 73% male. Women refugees possess different challenges than men because they have to provide daily food needs, education, and health for their families, particularly their children. Women refugees own problems when menstruating or pregnant. They require clean sanitation to assure reproductive health. Women refugees are also prone to sexual harassment, violence, and human trafficking. This condition encourages UNHCR to conduct programs in empowering women refugees. However, the single role of UNHCR is not sufficient. This research identifies the synergy of the roles of the primary actors in empowering women refugees in Indonesia, particularly Afghan refugees by employing the qualitative method. The results signify a mutually supportive role of various actors in encouraging women refugees. UNHCR collaborates with the Indonesian government and non-governmental organizations to generate workshops and training for women refugees. Skills and training escalate the economic independence of women refugees. However, there are still obstacles which have to be resolved, that is increasing women's capacity and fulfilling women's rights.

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“…Nonetheless, studies conducted in high‐income countries show that compared with nonmigrant women, migrant women experience barriers when accessing cancer screening programs, 5 family planning services, 6 and gynecologic wellness visits 7 . Moreover, they undertake poorer diagnosis and treatment of STIs, 8 and perinatal care provided to this population shows important deficiencies that increase maternal and fetal morbidity and mortality 9 .…”

Section: Introductionmentioning

confidence: 99%

“…3 The use of SRH services is essential to ensure women's health as it has been associated with improved nutrition, mental health, and clinical benefits such as reduced rates of STIs and unintended pregnancies. 4 Nonetheless, studies conducted in high-income countries show that compared with nonmigrant women, migrant women experience barriers when accessing cancer screening programs, 5 family planning services, 6 and gynecologic wellness visits. 7 Moreover, they undertake poorer diagnosis and treatment of STIs, 8 and perinatal care provided to this population shows important deficiencies that increase maternal and fetal morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Language and Cultural Barriers and Facilitators of Sexual and Reproductive Health Care for Migrant Women in High‐Income European Countries: An Integrative Review

Barrio‐Ruiz,

Ruiz de Viñaspre‐Hernandez,

Colaceci

et al. 2023

J Midwife Womens Health

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IntroductionDealing with intercultural communicative barriers in European countries’ national health services is an increasing and necessary challenge to guarantee migrant women's right to health care. This integrative review describes the communication barriers and facilitators that migrant women encounter to access and use sexual and reproductive health (SRH) services in Europe.MethodsA literature search was performed to identify original studies in PubMed, CINAHL, PsycINFO, Web of Science, and Scopus, using keywords associated with migrant women and SRH services. This was supplemented by scanning the reference lists from relevant studies and similar reviews. Studies exploring the perspective of migrant women about communication barriers and facilitators to the access and use of SRH services were included, whereas those that solely explored health professional's experiences were excluded. Findings were organized into 4 themes: (1) verbal‐linguistic barriers, (2) nonverbal language barriers, (3) cultural barriers, and (4) communication facilitators.ResultsNineteen studies met the inclusion criteria. Results showed that when women had problems understanding or being understood by health professionals, they experienced feelings of anxiety, fear, insecurity, and discrimination that discouraged them from using SRH services. The most requested facilitators by women were health education, access to professional interpreters and translation of written information, and increasing the practitioners’ cultural competence.DiscussionCommunication barriers undermine migrant women's right to benefit from preventive SRH programs and to make informed decisions concerning their health. It is necessary to establish tailored plans in each health care center to improve intercultural communication that integrate facilitators proposed by women. Future research should provide solid evidence on the effectiveness of each facilitator implemented.

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Refugee women's experiences with contraceptive care after resettlement in high-income countries: A critical interpretive synthesis

Cited by 10 publications

References 59 publications

Mapping the evidence on factors related to postpartum contraception among sub-Saharan African immigrant and refugee women in the United States of America: A scoping review protocol

Mapping the evidence on factors related to postpartum contraception among sub-Saharan African immigrant and refugee women in the United States of America: A scoping review protocol

Synergy of Multi-actors in the Empowerment of Women Refugees in Indonesia

Language and Cultural Barriers and Facilitators of Sexual and Reproductive Health Care for Migrant Women in High‐Income European Countries: An Integrative Review

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