256465 Improving Culturally Relevant Care for Refugee Expectant Mothers

Monday, October 29, 2012 : 9:00 AM - 9:15 AM

Angela Kaloush, MPH , College of Nursing and Health Innovation, Arizona State University, Scottsdale, AZ
Crista Johnson, MD, MSc, FACOG , Refugee Women's Health Clinic, Maricopa Integrated Health System, Phoenix, AZ
Joan E. Dodgson, RN MPH PhD , College of Nursing and Healthcare Innovation, Arizona State University, Phoeniz, AZ
Women who are refugees from non-English speaking countries and who become pregnant face many barriers in navigating the US health care system than do native born women. A lack of knowledge about when to secure transportation when in labor, resulting in increased maternal stress and perinatal risk related to delivering in hospitals ill-equipped to deal with the needs of this special population, has been a growing issue in the Phoenix metropolitan area. Refugee women have identified the inability to communicate with or understand providers as a major stressor. Perinatal risk is increased when intrapartum providers cannot obtain needed information and/or obtain patient cooperation. The aim of this project was to teach refugee women how best to access culturally-relevant and appropriate translation services. An intervention was created by the project team and interpreters incorporating culturally appropriate teaching materials in the women's native language. Prenatal women (N=25) who had refugee status and received prenatal care at a refugee women's health clinic attended a prenatal class with content on identification of the early signs of labor and securing appropriate transportation.. A post-class focus group was conducted to determine the effectiveness of the class materials. A content analysis process was used to identify key themes; ‘feeling more comfortable' and ‘ways to make it better.' Recommendations for improving the program were developed and will be discussed. To determine if the intervention was effective in changing behavior, medical record data will be used to determine if any change in delivery patterns has occurred.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe three major barriers that refugee women face in accessing health care within the U.S. Identify three ways to improve access to perinatal care for immigrant and refugee women

Keywords: Refugees, Prenatal Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed the project, obtained funding, and managed the implementation of the project. I am currently completing an MPH program at Arizona State University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.