了解少数群体 (罗姆人) 在产妇服务获取和质量的经验
Jaspreet Kaur Dullat1, Thérèse McDonnell1, Louise Hendrick2
1Centre for Interdisciplinary Research, Education and Innovation in Health Systems (IRIS), UCD School of Nursing, Midwifery and Health Systems, Dublin, Ireland.
概括
爱尔兰的罗姆人妇女面临着严重的孕产妇护理障碍,包括语言和歧视,影响获得和增加痛苦. 文化定制的干预措施对于公平和响应性的孕产妇医疗保健至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 移民健康 移民健康
- 少数民族健康 少数民族健康
背景情况:
- 孕产妇的健康是人权,但少数群体和移民群体面临着难以获得的挑战.
- 罗姆人是欧洲最大的边缘化族群,对他们在爱尔兰的母亲护理经历的研究有限.
- 让罗姆妇女参与共同设计的研究解决了公平,可访问和对文化敏感的孕产妇医疗保健的障碍.
研究的目的:
- 确定爱尔兰罗姆妇女获得产妇护理的障碍.
- 了解罗姆妇女在怀孕,分娩和产后护理方面的经历.
- 增强罗姆人社区在孕产妇医疗保健中的公平性,可访问性和文化响应性.
主要方法:
- 与社区卫生组织Cairde合作,采用了共同设计的方法.
- 四个在线研讨会和一个调查问卷让八名罗姆妇女分享她们的产妇护理经验.
- 罗姆人的翻译和口译确保了可访问性,随后进行了感应性的专题分析.
主要成果:
- 罗姆妇女遇到严重的语言障碍和不充分的翻译/口译服务.
- 系统性歧视,包括与工作人员的负面互动,导致护理延迟和情绪困扰.
- 尽管存在障碍,但女性更喜欢爱尔兰的产妇护理,而不是尊重的待遇和产后支持.
结论:
- 罗姆人妇女在爱尔兰面临着大量的孕产妇护理障碍,包括语言,财务,文化和歧视问题.
- 有限的英语水平和缺乏支持有助于延迟或不充分的护理,增加健康风险.
- 文化上定制的干预措施和罗姆妇女的包容对于公平和文化上有能力的孕产妇医疗保健至关重要.
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