Barrier-free Communication in Maternity Care of Allophone Migrants (Barrierefreie Kommunikation in Der Geburtshilflichen Versorgung Allophoner Migrantinnen)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 82
- 试验地点
- 6
- 主要终点
- Experiences of migrant women by focus group discussions
研究概览
简要总结
The aim of this study is to describe access and communication barriers of migrant women who do not speak the local language in the Swiss maternity care service provision from the perspective of users, health care professionals and interpreters.
详细描述
In Switzerland pregnant migrant women and their families are burdened in multiple ways: pregnancy requires an adjustment process and women have to deal with foreign living conditions, limited communication or the uncertainty of their residence status. An increased maternal and child health morbidity and mortality in migrants is well documented. A poor health outcome seems also to be correlated with a limited access to obstetric and maternity care services for migrants. Nearly 10% of foreigners living in Switzerland for more than one year do not speak any of the official languages. In women native of non-EU27 and -EFTA countries and asylum seekers, these rate is considerably higher.
To improve maternity care services for migrants in Switzerland several measures have been taken in the past, e.g. Hospitals for Equity, promotion of transcultural skills, written multilingual health information and interpreter services in hospitals. The availability of comparable measures in outpatient or home care services is rather an exception. One example is the midwives network "FamilyStart", an outpatient institution that offers a helpline and home visiting services for mothers and thier newborns. It collaborates with the National Telephone Interpreter Service.
It is currently unclear how successfully midwives and other health care professionals communicate with allophone migrants, if they use and benefit from any of the currently available support measures and thus may improve the access of migrant women to maternity care in Switzerland.
The study aims
- to describe the access and communication barriers of allophone women with different migration backgrounds in maternity and obstetric health services from the perspective of users, health care professionals and Interpreters
- to make prioritized recommendations on behalf of the Swiss Midwives Association and other professional associations for improving the quality and access of maternity care Services; the transcultural understanding between professionals and users; and the coordination between the different involved services.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Group 1: Inclusion criteria:
- •healthy women speaking Albanian or Tigrinja
- •mothers of a healthy infant up to one year after birth
排除标准
- •women speaking fluent German
- •women with a serious illness during pregnancy, childbirth and/or postpartum or who's infant was seriously ill or died
- •Group 2: Inclusion criteria:
- •Minimum one year working experience
- •Experience with allophone Tigrinya or Albanian speaking women
- •Group 3: Inclusion criteria:
- •Minimum one year working experience
- •having either telephone or face-to-face interpreting Expertise
- •Group 4: No limitation
结局指标
主要结局
Experiences of migrant women by focus group discussions
时间窗: after 6 weeks, up to 12 months
Qualitative description of experiences made with maternity care services during pregnancy, birth, post partum up to one year after birth
次要结局
- Experiences of health care professionals by focus group discussions(within last five years of their professional experience)
- Experiences of Interpreters by one-to-one interview(within last five years of their professional experience)
- Quality of telephone interpreting consultations with questionnairs(within 24 hours after the consultation)
研究者
Paola Origlia Ikhilor
Prof.
Bern University of Applied Sciences