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产妇护理与边境实践的关系:对提供给通过塞尔维亚移民到西欧的阿富汗妇女的产妇保健服务提供者观点的定性研究。

The nexus between maternity care and bordering practices: A qualitative study of provider perspectives on maternal healthcare provision for Afghan women migrating through Serbia to Western Europe.

机构信息

London School of Hygiene and Tropical Medicine, Department of Global Health and Development, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom.

London School of Hygiene and Tropical Medicine, Department of Global Health and Development, 15-17 Tavistock Place, London, WC1H 9SH, United Kingdom; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, 117549, Singapore.

出版信息

Soc Sci Med. 2024 Jun;350:116880. doi: 10.1016/j.socscimed.2024.116880. Epub 2024 Apr 25.

Abstract

Serbia is a well-established transit country for Afghans travelling overland to seek protection in Western Europe, and Afghan women continue to experience pregnancy and birth during migration. This qualitative study aimed to explore the perspectives and experiences and of clinical and non-clinical perinatal care and support providers to Afghan women during migration through Serbia, using a critical border studies lens. Semi-structured interviews with 21 Serbia-based providers (conducted August 2021-October 2022 and analysed thematically) provided five inductive themes: (1) contours of life in Serbia for Afghan women; (2) providing maternity care and support to a highly mobile group; (3) enablers and barriers to accessing and using maternity care; (4) risks of onward migration; and (5) supporting women in a landscape of constant change. We identified ways in which regional geopolitics translated to bordering practices that interfered with maternity support provision to Afghan women in Serbia. We argue that non-exclusionary systems of care are needed to ensure women on the move receive adequate maternity support.

摘要

塞尔维亚是阿富汗人经陆路前往西欧寻求保护的成熟过境国,阿富汗妇女在移民期间仍会经历怀孕和分娩。本研究采用批判性边境研究视角,旨在探索在塞尔维亚境内为阿富汗移民妇女提供围产期保健和支持的临床和非临床提供者的观点和经验。通过半结构化访谈,对 21 名塞尔维亚境内的提供者(2021 年 8 月至 2022 年 10 月进行,并进行了主题分析)进行了研究,得出了五个归纳主题:(1)在塞尔维亚的阿富汗妇女的生活轮廓;(2)为高度流动的群体提供产妇保健和支持;(3)获得和使用产妇保健的促进因素和障碍;(4)继续移民的风险;以及(5)在不断变化的环境中支持妇女。我们发现,区域地缘政治如何转化为边境实践,干扰了塞尔维亚为阿富汗妇女提供产妇支持。我们认为,需要建立非排斥性的保健系统,以确保流动中的妇女获得足够的产妇支持。

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