Developing population interventions with migrant women for maternal-child health: a focused ethnography

BMC Public Health

Donna E Stewart²  Hélène Rousseau³  Praem Mehta⁴  Franco Carnevale¹  Anita J Gagnon¹ 

[1] McGill University Health Centre, Montreal QC H3H 2R9, Canada;University of Toronto and University Health Network 200 Elizabeth St, EN-7-229 Toronto ON M5G 2C4 Canada;McGill University and CSSS de la Montagne 5700 Côte-des-Neiges Montreal QC H3T 2A8 Canada;Ingram School of Nursing, McGill University, 3506 University St., Room 207, Montreal QC H3A 2A7, Canada

关键词: Childbirth;    Qualitative research;    Health services;    Women;    Immigrants;   

Others  :  1162210
DOI  :  10.1186/1471-2458-13-471

 received in 2012-10-04, accepted in 2013-02-06,  发布年份 2013

【 摘 要 】

Background

Literature describing effective population interventions related to the pregnancy, birth, and post-birth care of international migrants, as defined by them, is scant. Hence, we sought to determine: 1) what processes are used by migrant women to respond to maternal-child health and psychosocial concerns during the early months and years after birth; 2) which of these enhance or impede their resiliency; and 3) which population interventions they suggest best respond to these concerns.

Methods

Sixteen international migrant women living in Montreal or Toronto who had been identified in a previous study as having a high psychosocial-risk profile and subsequently classified as vulnerable or resilient based on indicators of mental health were recruited. Focused ethnography including in-depth interviews and participant observations were conducted. Data were analyzed thematically and as an integrated whole.

Results

Migrant women drew on a wide range of coping strategies and resources to respond to maternal-child health and psychosocial concerns. Resilient and vulnerable mothers differed in their use of certain coping strategies. Social inclusion was identified as an overarching factor for enhancing resiliency by all study participants. Social processes and corresponding facilitators relating to social inclusion were identified by participants, with more social processes identified by the vulnerable group. Several interventions related to services were described which varied in type and quality; these were generally found to be effective. Participants identified several categories of interventions which they had used or would have liked to use and recommended improvements for and creation of some programs. The social determinants of health categories within which their suggestions fell included: income and social status, social support network, education, personal health practices and coping skills, healthy child development, and health services. Within each of these, the most common suggestions were related to creating supportive environments and building healthy public policy.

Conclusions

A wealth of data was provided by participants on factors and processes related to the maternal-child health care of international migrants and associated population interventions. Our results offer a challenge to key stakeholders to improve existing interventions and create new ones based on the experiences and views of international migrant women themselves.

【 授权许可】

   
2013 Gagnon et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2Figure 2.

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