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An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada
University of Nottingham, UK.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Alberta, Canada.
University of Alberta, Canada.
University of Alberta, Canada.
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2016 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1, 1-15 p., 20Article in journal (Refereed) Published
Abstract [en]

Background

Canada is among the top immigrant-receiving nations in the world. Immigrant populations may face structural and individual barriers in the access to and navigation of healthcare services in a new country. The aims of the study were to (1) generate new understanding of the processes that perpetuate immigrant disadvantages in maternity healthcare, and (2) devise potential interventions that might improve maternity experiences and outcomes for immigrant women in Canada.

Methods

The study utilized a qualitative research approach that focused on ethnographic research design and data analysis contextualized within theories of organizational behaviour and critical realism. Data were collected over 2.5 years using focus groups and in-depth semistructured interviews with immigrant women (n = 34), healthcare providers (n = 29), and social service providers (n = 23) in a Canadian province. Purposive samples of each subgroup were generated, and recruitment and data collection – including interpretation and verification of translations – were facilitated through the hiring of community researchers and collaborations with key informants.

Results

The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care, such as lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock.

Conclusions

Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.

Place, publisher, year, edition, pages
BioMed Central, 2016. Vol. 16, no 1, 1-15 p., 20
Keyword [en]
Diversity, Ethnographic study, Healthcare access, Maternity care, Immigrant woman, Canada
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-49498DOI: 10.1186/s12884-015-0773-zISI: 000368876000001PubMedID: 26818961OAI: oai:DiVA.org:lnu-49498DiVA: diva2:899440
Available from: 2016-02-01 Created: 2016-02-01 Last updated: 2016-03-16Bibliographically approved

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Safipour, Jalal
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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
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