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

BMC Pregnancy and Childbirth

Rhonda Small¹  Jennifer Zeitlin^1,10  Carolyn Roth⁸  Christine McCourt⁵  Dineke Korfker²  Zeinab Jeambey⁶  Maureen Heaman⁴  Mika Gissler³  Birgitta Essén⁹  Rebecca DeBruyn⁶  Anita J Gagnon⁷ 

[1]Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia

[2]Netherlands Organization for Applied Scientific Research TNO, Department of Child Health, Leiden, Netherlands

[3]THL National Institute for Health and Welfare, Helsinki, Finland and NHV Nordic School of Public Health, Gothenburg, Sweden

[4]Faculty of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada

[5]Midwifery and Child Health, School of Community and Health Sciences, City University, London, UK

[6]Ingram School of Nursing, McGill University, Montreal, Quebec, Canada

[7]McGill University Health Centre Research Institute, Montreal, QC, Canada

[8]School of Nursing & Midwifery, Faculty of Health, Keele University, Staffordshire, UK

[9]Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden

[10]INSERM, UMR S953 Epidemiological Research Unit on Perinatal Health and Women's and Children’s Health, Université Pierre et Marie Curie-Paris 6, Paris, France

关键词: Women;    Questionnaires;    Quality of health care;    Pregnancy;    Patient satisfaction;    Patient-centred care;    Maternal-child health services;    Immigration and emigration;    Ethnicity;    Childbirth;   

Others  :  1127209
DOI  :  10.1186/1471-2393-14-200

 received in 2013-07-05, accepted in 2014-04-30,  发布年份 2014

【 摘 要 】

Background

Through 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.

Methods

This 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.

Results

A 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.

Conclusions

A 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.

【 授权许可】

   
2014 Gagnon et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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