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Access to and use of sexual and reproductive health services provided by midwives among rural immigrant women in Spain: midwives’ perspectives
- Source :
- Global Health Action; Vol 6 (2013): incl Supplements, Repositorio Abierto de la UdL, Universitad de Lleida, Global Health Action, Repisalud, Instituto de Salud Carlos III (ISCIII), Recercat. Dipósit de la Recerca de Catalunya, instname, Scopus-Elsevier
- Publication Year :
- 2013
- Publisher :
- Co-Action Publishing, 2013.
-
Abstract
- Background : There is insufficient information regarding access and participation of immigrant women in Spain in sexual and reproductive health programs. Recent studies show their lower participation rate in gynecological cancer screening programs; however, little is known about the participation in other sexual and reproductive health programs by immigrant women living in rural areas with high population dispersion. Objecti v es : The objective of this study is to explore the perceptions of midwives who provide these services regarding immigrant women’s access and participation in sexual and reproductive health programs offered in a rural area. Design : A qualitative study was performed, within a larger ethnographic study about rural primary care, with data collection based on in-depth interviews and field notes. Participants were the midwives in primary care serving 13 rural basic health zones (BHZ) of Segovia, a region of Spain with high population dispersion. An interview script was designed to collect information about midwives’ perceptions on immigrant women’s access to and use of the healthcare services that they provide. Interviews were recorded and transcribed with participant informed consent. Data were analyzed based on the qualitative content analysis approach and triangulation of results with fieldwork notes. Results : Midwives perceive that immigrants in general, and immigrant women in particular, underuse family planning services. This underutilization is associated with cultural differences and gender inequality. They also believe that the number of voluntary pregnancy interruptions among immigrant women is elevated and identify childbearing and childrearing-related tasks and the language barrier as obstacles to immigrant women accessing the available prenatal and postnatal healthcare services. Conclusions : Immigrant women’s underutilization of midwifery services may be linked to the greater number of unintended pregnancies, pregnancy terminations, and the delay in the first prenatal visit, as discerned by midwives. Future research should involve samples of immigrant women themselves, to provide a deeper understanding of the current knowledge, attitudes, and practices of the immigrant population regarding reproductive and sexual health to provide better health services. Keywords : gender; health ser v ices accessibility; immigrants; midwi v es; primary health care; qualitati v e research; rural population; sexual and reproducti v e health; utilization; women’s health (Published: 08 November 2013) Citation : Citation: Glob Health Action 2013, 6 : 22645 - http://dx.doi.org/10.3402/gha.v6i0.22645 This paper is part of the Cluster Gender and health . More papers from this cluster can be found here and here . Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;}
- Subjects :
- Rural Population
medicine.medical_specialty
Attitude of Health Personnel
Culture
utilization
Emigrants and Immigrants
Language barrier
Midwifery
Specialties in Nurging (Midwifes)
Health Services Accessibility
sexual and reproductive health
Interviews as Topic
Arbetsmedicin och miljömedicin
Nursing
Pregnancy
Informed consent
Cultural diversity
Health care
gender
Anthropology
Ethics
Demography
Health Systems
Gender Studies
Humans
Medicine
Maternal Health Services
rural population
Reproductive health
business.industry
immigrants
Health Policy
Health services accessibility
Public Health, Environmental and Occupational Health
Cluster: Gender and Health
Gender
Public Health, Global Health, Social Medicine and Epidemiology
Occupational Health and Environmental Health
women's health
primary health care
midwives
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Spain
Family planning
Family Planning Services
Family medicine
health services accessibility
qualitative research
women’s health
Female
Rural area
business
Qualitative research
Subjects
Details
- Language :
- English
- ISSN :
- 16549880 and 16549716
- Database :
- OpenAIRE
- Journal :
- Global Health Action; Vol 6 (2013): incl Supplements, Repositorio Abierto de la UdL, Universitad de Lleida, Global Health Action, Repisalud, Instituto de Salud Carlos III (ISCIII), Recercat. Dipósit de la Recerca de Catalunya, instname, Scopus-Elsevier
- Accession number :
- edsair.doi.dedup.....8be811b825155f98e56e9fb98ce55708