International Journal of Migration Health and Social Care最新文献

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Analysis of Non-Contrast CT Urography Image Information Using Watermelon Juice as a Diuretic Agent 西瓜汁作为利尿剂的非对比CT尿路成像信息分析
International Journal of Migration Health and Social Care Pub Date : 2023-10-09 DOI: 10.58860/ijsh.v2i8.97
Prapti Indriyani
{"title":"Analysis of Non-Contrast CT Urography Image Information Using Watermelon Juice as a Diuretic Agent","authors":"Prapti Indriyani","doi":"10.58860/ijsh.v2i8.97","DOIUrl":"https://doi.org/10.58860/ijsh.v2i8.97","url":null,"abstract":"This research aims to determine the difference in image results between giving watermelon juice and water as a natural diuretic in producing good image performance. The method used in this research was a true experiment with a posttest-only control group design. There are two groups determined through randomization by taking cards that have been numbered according to arrival. Odd card numbers in the control group were given water, and even card numbers in the treatment group were given watermelon juice; scanning was carried out after 60 minutes. Assessment of distension using measuring distance software, enhancement by measuring the Region of Interest and assessment of artefacts and anatomical information using a questionnaire. Data processing and analysis uses the Mann-Whitney test. The research showed that using watermelon juice as a diuretic in non-contrast CT urography examinations increased distension of the pelvic pelvis and bladder. In contrast, in the ureters, it did not. The p-value of distension of the pelvic rents was 0.003, ureter 0.345 and bladder 0.036. It does not cause enhancement in the pelvis, ureters and bladder; the p-value of the pelvis is 0.599, the ureter is 0.294, and the bladder is 0.345. It does not cause artefacts in the pelvis, ureters and bladder. The p-value of the pelvis is 1.000, the ureter is 0.680, and the bladder is 0.511. Moreover, produces the same anatomical information; the p-value is 1,000. This study concludes watermelon juice as a natural diuretic provides superior imaging performance in pelvic and bladder distension compared to water.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135045901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis Of The Relationship Of Factors Triggering Breast Disorders With The Results Of Ultrasound Image Expectation In The Implementation Of The Mammae Organ Scanning Protocol 乳腺疾病诱发因素与乳腺器官扫描方案超声图像预期结果的关系分析
International Journal of Migration Health and Social Care Pub Date : 2023-10-06 DOI: 10.58860/ijsh.v2i9.96
Puspa Pamella Suci, Diyah Fatmasari, Gatot Murti Wibowo
{"title":"Analysis Of The Relationship Of Factors Triggering Breast Disorders With The Results Of Ultrasound Image Expectation In The Implementation Of The Mammae Organ Scanning Protocol","authors":"Puspa Pamella Suci, Diyah Fatmasari, Gatot Murti Wibowo","doi":"10.58860/ijsh.v2i9.96","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.96","url":null,"abstract":"This study aims to determine the relationship between trigger factors for breast abnormalities with the results of ultrasound image observation. This study is an analytical observational study with a retrospective approach. The research design used was a control case design. Data collection will be carried out from April to June 2023 at the MCU Clinic in the Jabodetabek area. The study data were analyzed using bivariate and multivariate analysis. The results of the bivariate analysis showed p values = 0.000 < 0.005 for each of the internal and external trigger factor variables. The conclusion in this study is that there is a significant relationship between the history of BSE, history of childbirth, history of breastfeeding, history of hormonal birth control use, genetic history, history of alcohol consumption, history of smoking, history of menarche, history of menopause, history of consumption of junk food, and history of consumption of soft drinks (p-value = 0.000) with observation of ultrasound images on the breast organ scanning protocol. Higher Diagnostic Accuracy through consideration of the triggering factors of breast disorders in ultrasound image results. Guide to the Development of Scanning Protocols that are More Effective in detecting breast disorders. Identify Risk Factors that allow special attention in the management of breast health. Increased Public Awareness of the importance of routine breast exams. Direction for Advanced Research to understand more deeply the relationship between trigger factors and ultrasound image outcomes. Potential Improvement of Clinical Practice and Guidelines by considering research findings.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpreter requirements of women from non-English speaking migrant backgrounds in maternity hospitals in Melbourne, Australia 澳大利亚墨尔本妇产医院对非英语移民背景妇女的口译要求
International Journal of Migration Health and Social Care Pub Date : 2023-10-06 DOI: 10.1108/ijmhsc-08-2023-0073
Joshua Dawe, Ellie McDonald, Elisha Riggs, Josef Szwarc, Jane Yelland
{"title":"Interpreter requirements of women from non-English speaking migrant backgrounds in maternity hospitals in Melbourne, Australia","authors":"Joshua Dawe, Ellie McDonald, Elisha Riggs, Josef Szwarc, Jane Yelland","doi":"10.1108/ijmhsc-08-2023-0073","DOIUrl":"https://doi.org/10.1108/ijmhsc-08-2023-0073","url":null,"abstract":"Purpose\u0000Access to professional interpreter services is a critical facilitator of positive health-care experiences when health-care professionals and women accessing maternity care are not proficient in a shared language. Understanding interpreter demand is essential for the provision of professional interpreter services. This study aims to characterise interpreter requirements among women from nonrefugee and refugee non-English-speaking migrant backgrounds in Australian maternity hospitals.\u0000\u0000\u0000Design/methodology/approach\u0000This study analysed administrative data from four public maternity hospitals in Victoria, Australia. The primary outcome was the proportion of women from non-English speaking migrant backgrounds who required an interpreter during their maternity care, both overall and stratified by refugee and nonrefugee background. Adjusted logistic regression was used to estimate the association between migrant background and interpreter requirements.\u0000\u0000\u0000Findings\u0000Among the 6,771 women from non-English speaking migrant backgrounds included in analyses, 1,344 (19.8%) required an interpreter during their maternity care. The odds of requiring an interpreter were fivefold higher among women from refugee backgrounds compared to migrant women from nonrefugee backgrounds [adjusted odds ratio (aOR): 4.83; 95% confidence interval (CI): 4.13–5.65].\u0000\u0000\u0000Practical implications\u0000The study highlights the diversity in cultural backgrounds and migration experiences of women accessing maternity care within metropolitan public hospitals. The high interpreter requirements, particularly among women from refugee backgrounds, underscores the need for comprehensive and woman-centred interpreter services to attenuate disparities in hospital maternity care.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this study is the first to quantify the interpreter requirements of women from non-English-speaking migrant backgrounds in maternity hospital settings and make women comparisons between women from refugee and nonrefugee backgrounds.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"298 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135303308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metal Artefact Reduction and Iterative Reconstruction Method Adaptive Statistics V In Reducing Metal Artefact Images 金属伪影还原与迭代重建方法自适应统计V在金属伪影图像还原中的应用
International Journal of Migration Health and Social Care Pub Date : 2023-10-06 DOI: 10.58860/ijsh.v2i9.103
Iqmaludin Iqmaludin
{"title":"Metal Artefact Reduction and Iterative Reconstruction Method Adaptive Statistics V In Reducing Metal Artefact Images","authors":"Iqmaludin Iqmaludin","doi":"10.58860/ijsh.v2i9.103","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.103","url":null,"abstract":"CT scan images with metal artefacts may reduce the image quality and diagnosis of CT scan images. Metal Artefact Reduction (MAR) can effectively reduce artifacts caused by metal implants. ASIR-V plays a role in reducing noise and improving image quality. To prove the reduction of metal image artefacts and optimization of CT scan image quality after the application of MAR and ASIR-V (30,60,90) of Head and Neck CT Scan by finding the value of SNR, CNR, anatomical information and the level of metal artefact interference after metal artefact reduction. Quasi-type experimental research design with pre-post test only without control group design. The study sample was 15 CT scan images of head and neck with purposive sampling. SNR and CNR measurements were quantitatively analyzed using the Wilk test, followed by the Wilcoxon test. Anatomical information assessment was performed qualitatively by two radiologists and analyzed by kappa test. Anatomical information and the level of metal artefact interference with CT scan images were carried out by the Friedman test, followed by the Wilcoxon test. There is a difference in SNR Pvalue (p=0.000<0.05), CNR Pvalue (p=0.000>0.05), anatomical information Pvalue (p=0.000<0.05), level of metal artefacts Pvalue (p=0.000<0.05) after using MAR and ASIR V. The use of MAR and ASIR-V methods can reduce metal artefacts in images that contain artefacts with the use of MAR + ASIR-V 90% the most optimal.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Report on Visiting Activities for Pulmonary Tuberculosis Cases with Short Stature in An. S with a Family Medicine Approach 安阳市矮小肺结核病人访视活动报告。用家庭医学的方法
International Journal of Migration Health and Social Care Pub Date : 2023-10-04 DOI: 10.58860/ijsh.v2i9.102
Jerica Anggraini, Elsa Mathica Naibaho
{"title":"Report on Visiting Activities for Pulmonary Tuberculosis Cases with Short Stature in An. S with a Family Medicine Approach","authors":"Jerica Anggraini, Elsa Mathica Naibaho","doi":"10.58860/ijsh.v2i9.102","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.102","url":null,"abstract":"Tuberculosis (TB) is still a serious health problem in the world. TB in children is an important indicator of transmission. Tuberculosis in children occurs at the age of 0-14 years. Indonesia has a high burden of TB disease, especially in Banten Province. The global prevalence of TB in 2021 increased by around 600,000 cases compared to 2022 of 10.6 million cases. The purpose of this study is to know, analyze and help solve problems faced by patients. The methods in this report are used to confirm the diagnosis of RO TB based on the Mtb susceptibility test using phenotypic and genotypic TCM and LPA methods. Diagnosis of tuberculosis in suspected TB is carried out by TCM examination. Based on the plotting results, there is a girl with the initials S who is diagnosed with pulmonary tuberculosis and is short in stature, so it is necessary to intervene through a family medicine approach. After intervening holistically and comprehensively, An's complaint. S is showing improvement and is currently still undergoing treatment. The source of TB transmission in An is known to S is thought to come from the patient's grandfather. TB infection experienced by patients has an impact on inhibiting patient growth so that the patient's height and weight do not increase. After thorough treatment and education, the patient's family understands TB disease, transmission, and prevention. It is hoped that treatment can be carried out completely and can achieve age-appropriate growth.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135645193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Combination of Treatment for Glaucoma 青光眼的综合治疗
International Journal of Migration Health and Social Care Pub Date : 2023-10-03 DOI: 10.58860/ijsh.v2i9.75
Maria Evane Navy Cahaya Putri, Empi Irawan
{"title":"The Combination of Treatment for Glaucoma","authors":"Maria Evane Navy Cahaya Putri, Empi Irawan","doi":"10.58860/ijsh.v2i9.75","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.75","url":null,"abstract":"Glaucoma is the leading cause of permanent vision loss worldwide. Because the disease may be asymptomatic until an advanced stage, diagnosis is often delayed.1 An estimated 57.5 million people worldwide develop primary open-angle glaucoma (POAG). The purpose of this study was to determine the comparison of intraocular pressure reduction in open-angle primary glaucoma patients between monotherapy, double therapy, and triple combination therapy. This study is a type of observational analytical research with a cross sectional approach. Which is a research design in which data collection of both independent and dependent variables and factors that influence them are collected at the same time. The research was conducted at the Eye Clinic of RSPAL dr. Ramelan Surabaya. The population taken was a 53-year-old female patient diagnosed with open-angle primary glaucoma at the Eye Clinic of RSPAL dr. Ramelan Surabaya. The results showed that trabeculectomy had a statistically significant result that was very high on IOP reduction and decrease in the number of antiglaucoma drops. Untreated glaucoma can lead to permanent vision loss or blindness that occurs more quickly. The earlier treatment is given, the more vision loss can be delayed or reduced.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135738738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the Influence of Leadership Style, Organizational Culture, and Motivation on Performance Through Discipline as Intervening Variables at PT. Gapa Citramandiri 领导风格、组织文化和动机对绩效的影响:以纪律为中介变量的分析[j]
International Journal of Migration Health and Social Care Pub Date : 2023-10-03 DOI: 10.58860/ijsh.v2i9.100
Irpan Hidayat Hasibuan, Fadilah Izhari, Nazifah Husainah
{"title":"Analysis of the Influence of Leadership Style, Organizational Culture, and Motivation on Performance Through Discipline as Intervening Variables at PT. Gapa Citramandiri","authors":"Irpan Hidayat Hasibuan, Fadilah Izhari, Nazifah Husainah","doi":"10.58860/ijsh.v2i9.100","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.100","url":null,"abstract":"This research aims to determine and analyze the influence of leadership style, organizational culture, and motivation on performance through discipline as an intervening variable. The research method used is quantitative research. The research was conducted from January to June 2023, at PT. Address Gapa Citramandi Jl. H. Zinuddin No. 47 C Radio In South Jakarta. The data collection method uses research instruments. The population used is employees of PT. GCM consists of 60 people. Sampling was carried out using the Saturated Sampling technique method. The research results stated that leadership style and organizational culture did not have a significant effect on discipline. However, motivation has a significant influence. Discipline has a significant influence. This also means that discipline fails to work in mediating the influence of leadership style on performance among PT employees. Gapa Citramandri. Organizational culture through discipline has an insignificant effect on the performance of PT employees. Gapa Citramandri. This means that discipline fails to work in mediating the influence of organizational culture on the performance of PT employees. Gapa Citramandri. On the other hand, motivation through discipline has a significant effect on performance. Thus, discipline succeeded in mediating the influence of motivation on performance among PT employees. Gapa Citramandri. From the managerial aspect, it can be seen that efforts to improve employee performance require a very high organizational culture. Efforts are also made to improve employee performance, a very high level of leadership style is also required.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135689369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceived discrimination, adaptation and saudade among African migrants 对非洲移民的歧视、适应和欺骗
International Journal of Migration Health and Social Care Pub Date : 2023-09-27 DOI: 10.1108/ijmhsc-06-2023-0055
Félix Neto
{"title":"Perceived discrimination, adaptation and saudade among African migrants","authors":"Félix Neto","doi":"10.1108/ijmhsc-06-2023-0055","DOIUrl":"https://doi.org/10.1108/ijmhsc-06-2023-0055","url":null,"abstract":"Purpose For Lusophones, saudade is a common psychological experience related with the physical separation from loved ones and/or familiar locations. This study aims to examine the relationships between perception of discrimination, adaptation and saudade. Design/methodology/approach The sample consisted of 655 African migrants from Angola, Cape Verde, Guinea-Bissau and Mozambique living in Portugal with a mean age of 38 years. The average duration of stay in Portugal was 22 years. Findings Results indicated that length of residence impacted the difficulties experienced with saudade: respondents with longer lengths of stay in the society of settlement experienced less difficulty with saudade. As predicted, the results indicated that higher perceptions of discrimination and loneliness correlated positively with experienced saudade, while sociocultural adaptation correlated negatively with experienced saudade. Originality/value Path analysis was conducted to investigate mediation impacts of sociocultural adjustment and loneliness on the relationship between perception of discriminatory events and difficulty with saudade. This study suggests that sociocultural adaptation and loneliness partially mediated the relation between perception of discrimination and saudade. Notwithstanding the low level of perceived discrimination found in this African background sample, this antecedent plays a relevant role in the saudade experienced. This evidence may be useful in targeting programs to improve sociocultural adjustment and to reduce loneliness which may help to alleviate the difficulty with feeling saudade among African migrants.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135476828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Variation of Tin Filter on Noise Values in CT Scan Mastoid Protocol Using CT Scan Single Source: Phantom Study 单源CT扫描乳突协议中锡滤波器对噪声值变化的分析:幻象研究
International Journal of Migration Health and Social Care Pub Date : 2023-09-26 DOI: 10.58860/ijsh.v2i9.92
Merry Suzana, Kusworo Adi, Darmini Darmini
{"title":"Analysis of Variation of Tin Filter on Noise Values in CT Scan Mastoid Protocol Using CT Scan Single Source: Phantom Study","authors":"Merry Suzana, Kusworo Adi, Darmini Darmini","doi":"10.58860/ijsh.v2i9.92","DOIUrl":"https://doi.org/10.58860/ijsh.v2i9.92","url":null,"abstract":"Since its introduction in 1972, CT Scan technology has developed rapidly from year to year, especially in reducing radiation dose; various technologies have been developed, including dual-energy or dual source technology with a technique of only a quarter of the gantry rotation. The aim of this research is to find out and analyze tin filter variations on noise in the mastoid CT scan protocol using a single source CT scan: phantom study. The method used in this research is Pre-Experimental with Posttest-Only Control Design. The noise value research results showed a difference in noise and SNR values with a p-value (p<0.05), and there was a reduction in radiation dose of 41.95% compared to the standard protocol. NPS values are at a frequency of 0.28, except for the Sn100 protocol. Subjective Analysis by two radiologists with a kappa value of 0.75 indicated that there was a moderate level of agreement. The Tin Filter Sn100 protocol can reduce the radiation dose, and the resulting image quality is good enough for diagnostic purposes, so the Tin Filter Sn100 protocol can be used as a Standard Operational Procedure for Mastoid CT Scan examination at Hermina Depok Hospital. This study has implications that may contribute to refining mastoid CT scanning protocols, leading to improved image quality, reduced radiation exposure, and improved diagnostic capabilities in clinical practice.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134885568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Structural and cultural competencies in maternity care for ethnic minority and migrant women: practitioner perspectives from Aotearoa New Zealand 少数民族和移民妇女产妇保健的结构和文化能力:来自新西兰奥特罗阿的从业者观点
International Journal of Migration Health and Social Care Pub Date : 2023-09-22 DOI: 10.1108/ijmhsc-12-2022-0122
Vartika Sharma, Nikki Singh, Annie Chiang, Janine Paynter, Rachel Simon-Kumar
{"title":"Structural and cultural competencies in maternity care for ethnic minority and migrant women: practitioner perspectives from Aotearoa New Zealand","authors":"Vartika Sharma, Nikki Singh, Annie Chiang, Janine Paynter, Rachel Simon-Kumar","doi":"10.1108/ijmhsc-12-2022-0122","DOIUrl":"https://doi.org/10.1108/ijmhsc-12-2022-0122","url":null,"abstract":"Purpose With global migration, the number of ethnic minority and migrant women receiving maternity health care in dominantly Anglo-European societies has increased significantly but they consistently have among the worst pregnancy and maternal outcomes. This paper aims to analyse gaps in structural (migration-related inequalities) and cultural (responsiveness to ethno-cultural practices) competencies among maternal health practitioners in Aotearoa New Zealand (NZ). Design/methodology/approach Using a semi-structured interview guide, in-depth interviews were conducted with 13 maternal health practitioners in NZ. Data were analysed using a thematic analysis framework. Findings The results highlight significant barriers around language and communication, cultural stereotyping by professionals, ethnic women’s own constraints around family and cultural expectations and their lack of knowledge about reproductive health. In addition, practitioners’ own ethnic differences are inseparable from their approach to structural and cultural competencies; there were instances of ‘over-’ or ‘under-’ reading of culture, practitioner constructions of ideal pregnancies and anti-racism concerns that shaped maternal care practices that were sensitive to, but also marginalised, ethnic migrant women who attended maternity services. Originality/value To the best of the authors’ knowledge, this is the only study in NZ that examines the impact of complex dynamics of migration and culture on knowledge, beliefs and values of practitioners, in context of their own personal biographies. Identifying strategies to improve the way diversity is practiced in hospital settings can be transformational in improving maternal outcomes for ethnic migrant women in NZ.","PeriodicalId":44967,"journal":{"name":"International Journal of Migration Health and Social Care","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136010965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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