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Developing antenatal education resources for CALD women: First steps, exploring what women from CALD backgrounds want
Delnia Palani1, Julie Tucker2, Annette Briley3
1Women and Children's Division Northern Adelaide Local Health Network, Haydown Rd Elizabeth Vale SA 5112, Australia.
Problem:
There are significant health risks for women from culturally and linguistically diverse backgrounds accessing perinatal care.
Background:
Disparity exists for accessing perinatal care. In Australia, women from culturally and linguistically diverse (CALD) backgrounds have higher rates of obstetric complications compared to others. Reasons are often complex and multifactorial. Low health literacy is commonly reported amongst CALD communities as a contributor to reduced antenatal care participation and utilisation, compromising recognition of pregnancy complications, and understanding of educational resources. Typically, antenatal education follows generic formats. The usefulness and appropriateness may not be suitable or understood amongst CALD women.
Aim:
This project aims to derive deeper understanding of the needs and barriers of CALD women accessing antenatal resources.
Method:
Qualitative study utilising in-depth semi-structured interviews in two focus groups (n = 10) with CALD pregnant women. Antenatal education resources were reviewed. Thematic analysis was used to uncover themes and subthemes.
Findings:
Three themes were identified 1) Health Literacy, 2) Navigating service and 3) Identity.
Discussion:
Improved health literacy was cited the main finding, with participants stating accessing information should be simplified and meet the cultural needs throughout a woman's perinatal journey. Women wanted information in multiple formats and variations to accommodate cultural sensitivities on taboo topics.
Conclusion:
Improvements in current prenatal information are required for CALD women accessing care. Changes in content and format reflecting cultural needs would aid understanding and potentially improve pregnancy outcomes for this group. Further research is required understanding of the diverse cultural needs of maternity care for CALD women.
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