Department of Nursing, Faculty of Health and Environmental Sciences, Auckland University of Technology, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand.
School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Health Promot Int. 2020 Dec 1;35(6):1484-1494. doi: 10.1093/heapro/daaa010.
Refugees are forced to flee their native country to escape war or oppression. They are resilient and generally have a high level of motivation to rebuild their lives, as well as to make a meaningful contribution to the host country. However, refugees in general have complex health needs and they often face significant barriers in accessing health services in their host countries. Health promotion has been identified as an effective approach for increasing service utilization by minority populations such as refugees, and contributing to their overall positive health outcomes. This qualitative study examined the accessibility and acceptability of health promotion services for Bhutanese refugee women who resettled in New Zealand. The study consisted of two phases: focus group discussions with 32 Bhutanese women and eight Bhutanese men, followed by individual interviews with 12 health professionals including five nurses, four doctors and three midwives. The data were collected in two regional towns of New Zealand in 2014. The study's conceptual framework utilized the strategies and actions underpinning the Ottawa Charter for Health Promotion. Findings of this study revealed that Bhutanese women were missing some essential health promotion services, such as antenatal education sessions mainly due to language and cultural barriers. This study recommends to develop health promotion resources in the Nepali language; and to deliver the health promotion sessions by culturally and linguistically competent providers. This study also uncovered resiliency and strengths of Bhutanese women that could be recognized, strengthened and utilized in promoting their health and well-being.
难民被迫逃离自己的祖国，以逃避战争或压迫。他们具有很强的适应能力，通常有很高的动力来重建自己的生活，并为所在国家做出有意义的贡献。然而，难民通常有复杂的健康需求，他们在所在国获得卫生服务方面常常面临重大障碍。促进健康已被确定为增加少数民族（如难民）服务利用率并促进其整体健康结果的有效方法。本定性研究考察了为在新西兰重新定居的不丹难民妇女提供促进健康服务的可及性和可接受性。该研究包括两个阶段：对 32 名不丹妇女和 8 名不丹男子进行焦点小组讨论，然后对包括 5 名护士、4 名医生和 3 名助产士在内的 12 名卫生专业人员进行单独访谈。这些数据是在 2014 年在新西兰的两个地区城镇收集的。本研究的概念框架利用了《渥太华促进健康宪章》所依据的战略和行动。这项研究的结果表明，不丹妇女缺少一些基本的促进健康服务，如产前教育课程，主要是因为语言和文化障碍。本研究建议用尼泊尔语编写促进健康资源，并由文化和语言能力强的提供者提供促进健康课程。本研究还揭示了不丹妇女的适应能力和优势，这些可以得到认可、加强和利用，以促进她们的健康和福祉。
