'We have a lot of home deliveries' A qualitative study on the impact of COVID-19 on access to and utilization of reproductive, maternal, newborn and child health care among refugee women in urban Eastleigh, Kenya
| العنوان: | 'We have a lot of home deliveries' A qualitative study on the impact of COVID-19 on access to and utilization of reproductive, maternal, newborn and child health care among refugee women in urban Eastleigh, Kenya |
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| المؤلفون: | Michela Martini, Adelaide Lusambili, Faiza Abdirahman, Stanley Luchters, Rose Maina, Sharon Ochieng, Abena Asante, Joseph N Guni |
| المصدر: | Journal of Migration and Health, Vol 1, Iss, Pp 100025-(2020) JOURNAL OF MIGRATION AND HEALTH Journal of Migration and Health |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Postnatal Care, medicine.medical_specialty, LMIC, low- to middle-income country, ANC, ante-natal care, Refugee, lcsh:Colonies and colonization. Emigration and immigration. International migration, Psychological intervention, PI, principal investigator, PNC, post-natal care, Context (language use), Antenatal care, Migrants, Article, AKU, Aga Khan University, CHV, community health volunteer, HCW, health care workers, Health care, medicine, Medicine and Health Sciences, RMNCH, reproductive, maternal, new-born and child health, MNCH, maternal, new-born and child health, SSA, sub-Saharan Africa, Qualitative Inquiry, Reproductive health, IOM, International Organisation of Migration, Refugees, business.industry, Public health, lcsh:Public aspects of medicine, fungi, HIC, high-income country, COVID-19, lcsh:RA1-1270, NACOSTI, National Commission for Science, Technology and Innovation, Kenya, Home deliveries, FP, family planning, Postnatal care, Family medicine, lcsh:JV1-9480, business, HIV, Human Immunodeficiency Virus, Qualitative research |
| الوصف: | Background Little is known about how pregnant refugee women, and the frontline health care workers who serve them, are affected by the COVID-19 pandemic in terms of health, and health service access. Women refugees are classified as a vulnerable group with regard to pregnancy outcomes and access to maternal care, and may be disproportionally at risk for COVID-19 infection as they are likely to face unique barriers to information and access to reproductive health services during the pandemic. Few studies identify gaps that could inform potential interventions to improve service uptake for refugee women, particularly in the context of COVID-19. Yet, understanding how pregnant refugees are impacted in the context of the pandemic is critical to developing and implementing strategies and measures that can help in their care and the delivery of health services. Aims This study aimed to improve understanding of the impact of COVID-19 on women refugees’ access to and utilisation of antenatal care, delivery and postnatal care in Eastleigh, Kenya. Methods The study was conducted in Eastleigh, a semi-urban centre in Nairobi. We conducted 25 in-depth interviews with facility and community health care staff (n = 10) and women attending antenatal (n = 10) and postnatal care services (n = 5) in October 2020. Data was analysed using NVIVO 12 software. Findings Our findings suggest that within the first eight months of COVID-19, preferences for home deliveries by refugee women increased and health care workers reported having observed reduced utilisation of services and delayed care. Fear, economic challenges and lack of migrant-inclusive health system policies were key factors influencing home deliveries and delayed and low uptake of facility-based care. Conclusions The findings highlight the need to mitigate and lower barriers that prevent refugee women from seeking care at health facilities. One approach includes the development of refugee-inclusive public health policies, particularly during a pandemic, and the need to tailor health care services for refugees at facilities and in the communities. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2666-6235 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::31be2089e3d6b077d69e012df192e6cd http://www.sciencedirect.com/science/article/pii/S2666623520300258 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....31be2089e3d6b077d69e012df192e6cd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 26666235 |
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