Providers' Perceptions of Challenges in Obstetrical Care for Somali Women
Background. This pilot study explored health care providers’ perceptions of barriers to providing health care services to Somali refugee women. The specific aim was to obtain information about providers’ experiences, training, practices and attitudes surrounding the prenatal care, delivery, and mana...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2013/149640 |
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| _version_ | 1832565075832995840 |
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| author | Jalana N. Lazar Crista E. Johnson-Agbakwu Olga I. Davis Michele P.-L. Shipp |
| author_facet | Jalana N. Lazar Crista E. Johnson-Agbakwu Olga I. Davis Michele P.-L. Shipp |
| author_sort | Jalana N. Lazar |
| collection | DOAJ |
| description | Background. This pilot study explored health care providers’ perceptions of barriers to providing health care services to Somali refugee women. The specific aim was to obtain information about providers’ experiences, training, practices and attitudes surrounding the prenatal care, delivery, and management of women with Female Genital Cutting (FGC). Methods. Individual semi-structured interviews were conducted with 14 obstetricians/gynecologists and nurse midwives in Columbus, Ohio. Results. While providers did not perceive FGC as a significant barrier in itself, they noted considerable challenges in communicating with their Somali patients and the lack of formal training or protocols guiding the management of circumcised women. Providers expressed frustration with what they perceived as Somali patients' resistance to obstetrical interventions and disappointment with a perception of mistrust from patients and their families. Conclusion. Improving the clinical encounter for both patients and providers entails establishing effective dialogue, enhancing clinical and cultural training of providers, improving health literacy, and developing trust through community engagement. |
| format | Article |
| id | doaj-art-162fb736402b486a8666fd13ae70a7a9 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-162fb736402b486a8666fd13ae70a7a92025-02-03T01:09:29ZengWileyObstetrics and Gynecology International1687-95891687-95972013-01-01201310.1155/2013/149640149640Providers' Perceptions of Challenges in Obstetrical Care for Somali WomenJalana N. Lazar0Crista E. Johnson-Agbakwu1Olga I. Davis2Michele P.-L. Shipp3Lifestages Samaritan Centers for Women, 2200 Philadelphia Drive, Suite 101, Dayton, OH 45406, USASchool of Social Work, Southwest Interdisciplinary Research Center (SIRC), College of Public Programs, Arizona State University, 411 North Central Avenue, Suite 720, MC 4320, Phoenix, AZ 85004, USAHugh Downs School of Human Communication, Principal Investigator, Community Engagement/Outreach Core (CEOC), Southwest Interdisciplinary Research Center (SIRC), College of Public Programs, Arizona State University, 411 North Central Avenue, Suite 720, MC 4320, Phoenix, AZ 85004, USACollege of Health Sciences, Walden University, 100 Washington Avenue South, Minneapolis, MN 55401, USABackground. This pilot study explored health care providers’ perceptions of barriers to providing health care services to Somali refugee women. The specific aim was to obtain information about providers’ experiences, training, practices and attitudes surrounding the prenatal care, delivery, and management of women with Female Genital Cutting (FGC). Methods. Individual semi-structured interviews were conducted with 14 obstetricians/gynecologists and nurse midwives in Columbus, Ohio. Results. While providers did not perceive FGC as a significant barrier in itself, they noted considerable challenges in communicating with their Somali patients and the lack of formal training or protocols guiding the management of circumcised women. Providers expressed frustration with what they perceived as Somali patients' resistance to obstetrical interventions and disappointment with a perception of mistrust from patients and their families. Conclusion. Improving the clinical encounter for both patients and providers entails establishing effective dialogue, enhancing clinical and cultural training of providers, improving health literacy, and developing trust through community engagement.http://dx.doi.org/10.1155/2013/149640 |
| spellingShingle | Jalana N. Lazar Crista E. Johnson-Agbakwu Olga I. Davis Michele P.-L. Shipp Providers' Perceptions of Challenges in Obstetrical Care for Somali Women Obstetrics and Gynecology International |
| title | Providers' Perceptions of Challenges in Obstetrical Care for Somali Women |
| title_full | Providers' Perceptions of Challenges in Obstetrical Care for Somali Women |
| title_fullStr | Providers' Perceptions of Challenges in Obstetrical Care for Somali Women |
| title_full_unstemmed | Providers' Perceptions of Challenges in Obstetrical Care for Somali Women |
| title_short | Providers' Perceptions of Challenges in Obstetrical Care for Somali Women |
| title_sort | providers perceptions of challenges in obstetrical care for somali women |
| url | http://dx.doi.org/10.1155/2013/149640 |
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