Department of Nursing and Midwifery, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, V94 T9PX Limerick, Ireland.
80:20 Educating and Acting for a Better World, St. Cronan's National School, A98 NW42 Wicklow, Ireland.
Int J Environ Res Public Health. 2022 Jan 20;19(3):1124. doi: 10.3390/ijerph19031124.
Perinatal mental health is a growing public health concern. The mounting evidence examining the prevalence of perinatal mental illness identifies specific vulnerabilities and risk factors among migrant women. We know that migrant women experience persistent and systematic barriers in accessing healthcare and that healthcare services do not always respond appropriately to migrant women's needs, highlighting the need for targeted interventions in supporting positive perinatal mental health among migrant women. The purpose of this participatory health research study was to explore perinatal mental healthcare for migrant women in Ireland, from the perspectives of a diverse range of stakeholders (healthcare service providers, community organisations/networks/associations and migrant women). A key focus of this study was to collaboratively explore solution-focused approaches to improving access to supports and healthcare services for migrant women experiencing perinatal mental illness. Following ethical approval, data were collected during three key convenings, utilising the design principles of world café philosophies. Thematic analysis led to the generation of the following two themes: and . The main conclusions lie in the provision of whole-system approaches in collectively, collaboratively and proactively planning strategies that address the many factors that affect access to healthcare services for migrant women experiencing perinatal mental illness. Drawing on the collective perspectives of a wide range of stakeholders, our innovative solution focused on providing recommendations aimed at strengthening supports and healthcare services for migrant women.
围产期心理健康是一个日益受到关注的公共卫生问题。越来越多的研究证据表明,围产期精神疾病在移民妇女中存在特定的脆弱性和风险因素。我们知道,移民妇女在获得医疗保健方面面临持续和系统的障碍,而且医疗保健服务并不总是能满足移民妇女的需求,这凸显了有必要针对移民妇女的需求,采取有针对性的干预措施,以支持她们的围产期心理健康。本参与式健康研究旨在从各种利益相关者(医疗服务提供者、社区组织/网络/协会和移民妇女)的角度探讨爱尔兰移民妇女的围产期精神保健问题。本研究的一个重点是共同探讨解决办法,以改善有围产期精神疾病的移民妇女获得支持和医疗服务的途径。在获得伦理批准后,利用世界咖啡哲学的设计原则,在三次关键会议期间收集了数据。主题分析产生了以下两个主题:和。主要结论在于提供整体系统方法,共同、协作和积极主动地规划战略,以解决影响有围产期精神疾病的移民妇女获得医疗服务的许多因素。借鉴广泛的利益相关者的集体观点,我们的创新解决方案侧重于提供旨在加强移民妇女支持和医疗服务的建议。