A qualitative study on African immigrant and refugee families’ experiences of accessing primary health care services in Manitoba, Canada: it’s not easy!

International Journal for Equity in Health

Research

Maryanne Crockett¹  Pierre J. Plourde²  Miriam R. Amaladas³  David Shiyokha Busolo⁴  Ruth Anne Dean⁴  Roberta Lynn Woodgate⁴ 

[1] Departments of Pediatrics and Child Health, Rady Faculty of Health Sciences, Max Rady College of Medicine, Medical Microbiology and Community Health Sciences, University of Manitoba, R3E 3P5, Winnipeg, MB, Canada;Medical Officer of Health, Winnipeg Regional Health Authority, 490 Hargrave Street, R3A 0X7, Winnipeg, MB, Canada;Nor-West Co-op Access Center, 785 Keewatin Street, Winnipeg, MB, Canada;Rady Faculty of Health Sciences, College of Nursing, University of Manitoba, R3T 2N2, Winnipeg, MB, Canada;

关键词: Immigrant;    Refugee;    Primary care;    Health services’ access and use;    Social determinants of health;    Qualitative research;   

DOI  :  10.1186/s12939-016-0510-x

 received in 2016-09-01, accepted in 2016-12-28,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundImmigrant and refugee families form a growing proportion of the Canadian population and experience barriers in accessing primary health care services. The aim of this study was to examine the experiences of access to primary health care by African immigrant and refugee families.MethodsEighty-three families originating from 15 African countries took part in multiple open ended interviews in western Canada. Qualitative data was collected in six different languages between 2013 and 2015. Data analysis involved delineating units of meaning from the data, clustering units of meaning to form thematic statements, and extracting themes.ResultsAfrican immigrant and refugee families experienced challenges in their quest to access primary health care that were represented by three themes: Expectations not quite met, facing a new life, and let’s buddy up to improve access. On the theme of expectations not quite met, families struggled to understand and become familiar with a new health system that presented with a number of barriers including lengthy wait times, a shortage of health care providers, high cost of medication and non-basic health care, and less than ideal care. On the theme of facing a new life, immigrant and refugee families talked of the difficulties of getting used to their new and unfamiliar environments and the barriers that impact their access to health care services. They talked of challenges related to transportation, weather, employment, language and cultural differences, and lack of social support in their quest to access health care services. Additionally, families expressed their lack of social support in accessing care. Privately sponsored families and families with children experienced even less social support. Importantly, in the theme of let’s buddy up to improve access, families recommended utilizing networking approaches to engage and improve their access to primary health care services.ConclusionsAfrican immigrant and refugee families experience barriers to accessing primary health care. To improve access, culturally relevant programs, collaborative networking approaches, and policies that focus on addressing social determinants of health are needed.

【 授权许可】

CC BY   
© The Author(s). 2017