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Exploring disparities in prenatal care between refugees and local South African women
Journal article   Peer reviewed

Exploring disparities in prenatal care between refugees and local South African women

Edith T Kibiribiri, Dhayendre Moodley, Allison K Groves and Motshedisi H Sebitloane
International journal of gynecology and obstetrics, v 132(2), pp 151-155
Feb 2016
PMID: 26489487

Abstract

Adult Communication Barriers Cross-Sectional Studies Female Healthcare Disparities Humans Infant Infant, Newborn Medical Audit Patient Satisfaction Pregnancy Prenatal Care - psychology Qualitative Research Refugees - psychology South Africa Surveys and Questionnaires
To explore possible disparities in prenatal care between refugees and South African women attending public health facilities in an urban setting in South Africa. A cross-sectional, mixed methods study was conducted at four public health clinics providing prenatal services in Durban between January 29, 2013, and June 15, 2013. Pretested client-satisfaction questionnaires were administered to 200 women attending immunization services at the clinics whose infants were aged 6 months or younger. An additional 16 refugees participated in in-depth interviews. Finally, a maternity chart audit was conducted to compare the quality of basic prenatal care. Among the women enrolled, 78 (39.0%) were refugees and 122 (61.0%) were South African citizens. Dissatisfaction was reported by 23 (19.3%) of 119 citizens and 32 (43.2%) of 74 refugees (P<0.001). However, the maternity chart audit of 68 participants (31 refugees, 37 citizens) did not reveal significant disparities in the quality of prenatal care. The most recurring categories arising in the in-depth interviews were linguistic barriers and the challenges faced when using informal interpreters. There were no significant disparities in prenatal care; however, refugees unable to communicate in the local languages reported that they were not provided with relevant health information and occasionally faced restricted access to prenatal services.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Obstetrics & Gynecology
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