Experiences of Venezuelan refugee mothers during pregnancy and delivery in Trinidad & Tobago: A qualitative study Public
Escobar, Karla (Spring 2022)
Published
Abstract
The worsening humanitarian crisis in Venezuela has forcibly displaced millions of Venezuelans who are mostly settling in other Latin American countries and the Caribbean. There are currently little data on maternity outcomes and contributing factors to maternal morbidity and mortality within this population. This is made more difficult by the number of Venezuelans finding themselves in irregular situations and with undocumented status in host countries. The proximity of Trinidad & Tobago, in addition to the number of Venezuelans it has received compared to the size of its population, makes Trinidad & Tobago a country of interest. For this reason, fourteen qualitative interviews were conducted with Venezuelan refugees who were pregnant or mothers, living in Trinidad & Tobago. Subsequently, a thematic analysis of transcripts was completed to better understand the lived experiences of this population during prenatal care and delivery. There were five main themes developed that included multi-faceted discrimination, normalization of suboptimal care, mental health burden, significant role of family and friends, and significant role of support organizations. To address the gaps in knowledge that exist for Venezuelan refugees, further research is needed for specific sub-populations that may be facing different challenges to maternity care, including indigenous Venezuelans. More research is also needed to examine the prevalence of maternal morbidity and mortality and how current prenatal care is impacting maternal outcomes.
Table of Contents
Chapter 1 Literature Review.. 1
Displaced Populations Globally. 1
Venezuelan Crisis and Displacement of Venezuelan Population. 3
Maternal Morbidity, Mortality & Humanitarian Crisis. 6
Maternal Morbidity and Mortality Among Venezuelan Displaced Populations. 9
Barriers & Facilitators to Healthcare Access. 12
Chapter 2 Methods. 16
Study Design. 16
Participants. 16
Procedures. 17
Data Analysis. 18
Chapter 3 Results. 19
Multi-faceted Discrimination. 20
Normalization of Suboptimal Care. 26
Mental Health Burden 28
Significant Role of Family and Friends. 33
Significant Role of Support Organizations. 35
Chapter 4: Discussion. 39
Strengths & Limitations. 45
Chapter 5 Public Health & Implications. 46
Venezuelan Government 46
Trinidad & Tobago Government 47
United Nations High Commissioner for Refugees. 49
Living Water Community. 49
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