Developing Population Interventions with Migrant Women for Maternal-Child Health: a Focused Ethnography

Developing Population Interventions with Migrant Women for Maternal-Child Health: a Focused Ethnography

Developing Population Interventions with Migrant Women for Maternal-Child Health: a Focused Ethnography

Developing Population Interventions with Migrant Women for Maternal-Child Health: a Focused Ethnographys

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Référence bibliographique [11372]

Gagnon, Anita J., Carnevale, Franco, Mehta, Praem, Rousseau, Hélène et Stewart, Donna E. 2013. «Developing Population Interventions with Migrant Women for Maternal-Child Health: a Focused Ethnography ». BMC Public Health, vol. 13, no 1, p. 1-14.

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1. Objectifs


Intentions :
«Many international migrant women have lived through extremely difficult situations and yet have managed to maintain their health and that of their infants and as such are a group from whom we can learn much. We seek to begin to fill this knowledge void in the current focused ethnography.» (p. 4)

Questions/Hypothèses :
«Our research questions are as follows: 1. What individual processes (e.g., actions, cognitions) are used by migrant women to respond to maternal-child health and psychosocial concerns during the early months and years after birth? 2. What contextual factors (e.g., physical, social, structural) and related processes enhance or impede their resiliency (i.e., strength to deal with, confront, and endure) to maternal-child health and psychosocial concerns? 3. What policy and/or program interventions are suggested by them and by key stakeholders to be effective or ineffective for maternal-child health and psychosocial concerns? 4. What nursing interventions are suggested by them and by key stakeholders to be effective or ineffective for maternal-child health and psychosocial concerns?» (p. 4)

2. Méthode


Échantillon/Matériau :
«A total of 16 participants were interviewed (8 Montreal; 8 Toronto). Participants were originally from Burundi, Columbia, Ghana, Guyana, Iraq, Mexico, Nigeria, Rwanda, Sri Lanka, St. Vincent, and Yugoslavia. Women were between the ages of 27–38 years, had been in Canada ≤ 8 years, and had between 1–4 children each.» (p. 6)

Instruments :
Guide d’entretien

Type de traitement des données :
Analyse de contenu

3. Résumé


«Among the six thematic categories of coping strategies identified by participants, several strategies were reported predominantly by vulnerable women, one was described by resilient participants, while remaining strategies were identified among both groups. Five categories of coping resources were reported by participants as either present or absent – facilitating or impeding their coping. All coping resources were reported as having been used by both resilient and vulnerable groups of women, although some were more prominent in one group or another. Social inclusion was identified as an overarching concern for all study participants. […] In examining policy and/or program interventions that participants regarded as effective or ineffective, eleven categories of interventions were identified. Seven types of services were provided by these programs. Participants reported a balance of positive and negative accounts regarding the quality of service for each intervention. Overall, both vulnerable and resilient mothers described most services in more positive terms than negative. Several recommended modifications to existing programs or the needed creation of new programs were identified.» (p. 11-12)