Ethical and Culturally Competent Healthcare for Sexual and Reproductive Health among Refugee Women in Atlanta, Georgia Público
Curran, Autumn (Summer 2022)
Abstract
Introduction: Compared to their U.S. born peers, refugee women experience disparate sexual and reproductive health (SRH) outcomes. While the causes of such disparities are multi-faceted, they may be due in part to lack of access and poor provision of culturally competent care. There are few studies which explore SRH in these populations and even fewer whose focus is cultural in healthcare settings.
Objective: This research aims to explore: (1) how refugee women’s cultural backgrounds influence SRH service utilization; and (2) what providers identify as effective strategies to deliver culturally competent sexual and reproductive healthcare to refugee women.
Methods: In-depth-interview were conducted with 26 refugee women and 17 SRH providers in Metropolitan Atlanta, Georgia. The data were analyzed using a qualitative thematic approach
Results: Modesty, discomfort discussing SRH issues, and social and gender norms influence refugee women’s SRH service utilization. Between women and providers, six strategies for providing culturally competent care were identified: 1) targeted trainings for providers; 2) provision of language services to refugee women; 3) provision of patient navigators to refugee women; 4) group education classes for refugee women; 5) centering refugee women in SRH services; and 6) integration of women’s religious practices into care counseling.
Conclusions: Providing quality SRH care goes beyond understanding the multicultural context of refugee women’s experience. Rather, it requires introspection on the part of the provider and a commitment to developing the skills needed to provide culturally congruent care that adapts to the needs and context of patients.
Table of Contents
Chapter 1. Introduction.............................................1
1.1 Rationale.............................................................1
1.2 Problem statement...............................................2
1.3 Purpose statement................................................2
1.4 Research question.................................................2
1.5 Significance statement...........................................2
1.6 Definition of terms..................................................3
Chapter 2. Comprehensive Review of the Literature........7
Chapter 3. Manuscript.................................................28
Contribution of the student.........................................28
Abstract.....................................................................30
Background................................................................31
Methods.....................................................................32
Results.......................................................................40
Discussion..................................................................53
Manuscript References................................................58
Chapter 4. Public Health Implications...........................61
Chapter 5. Thesis References........................................65
Chapter 6. Appendices.................................................72
About this Master's Thesis
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