The Building Blocks for Successful Hub Implementation for Migrant and Refugee Families and Their Children in the First 2000 Days of Life
Dados Bibliográficos
BACKGROUND AND OBJECTIVE: Migrant and refugee women, families, and their children can experience significant language, cultural, and psychosocial barriers to engage with child and family services. Integrated child and family health Hubs are increasingly promoted as a potential solution to address access barriers; however, there is scant literature on how to best implement them with migrant and refugee populations. Our aim was to explore with service providers and consumers the barriers, enablers, and experiences with Hubs and the resulting building blocks required for acceptable Hub implementation for migrant and refugee families. DESIGN, SETTING AND PARTICIPANTS: This project was undertaken in Sydney, New South Wales, in communities characterised by cultural diversity. In this qualitative study, we used semi-structured interviews guided by the consolidated framework for implementation research, with service providers from health and social services (32 participants) and migrant and refugee parents (14 parents) of children who had accessed Hubs. RESEARCH AND DISCUSSION: Our initial qualitative data themes were developed into step-by-step building blocks, representing a way to address contextual determinants to establish and sustain a Hub that can support migrant and refugee families. These include the setting-up phase activities of buy-in and partnership development, which outlines mechanisms to foster collective action and collaboration between health and social services. Following this, our orientation model articulates the need to establish Hub coordination and navigation, activities that enhance a Hub's relevance for migrant and refugee families and ongoing integration mechanisms, such as engagement of same-language general practitioners. This is the first study to explore the building blocks required for acceptable Hub implementation to meet the needs of migrant and refugee families in the first 2000 days of a child's life-a critical time to optimise child development and health. PATIENT OR PUBLIC CONTRIBUTION: The research questions were developed based on qualitative research undertaken with Hub participants, community members, and service providers. The original investigator team had a consumer representative who has since relocated and consultation was undertaken with local Hub partner services. The researchers also consulted multicultural health services, including cultural support workers, to ensure research materials were culturally nuanced. Patients or participants have not directly been involved in the current study design. CLINICAL TRIAL REGISTRATION: This trial was registered with the Australian New Zealand Clinical Trials (ACTRN12621001088831)
Business · General partnership · Language barrier · Political science · Psychosocial · Public relations · Qualitative research · Refugee · Service provider · Sociology · Cultural Competency in Health Care · Medicine · Migration, Health and Trauma · Nursing · Participatory Visual Research Methods · Psychology · Marketing
Perinatal health outcomes and care among asylum seekers and refugees
Fostering implementation of health services research findings into practice
Equitable access to developmental surveillance and early intervention – understanding the barriers for children from culturally and linguistically diverse ( Cald ) backgrounds
Migrants’ and refugees’ health status and healthcare in Europe
Theoretical and practical challenges of proportionate universalism
Associations Between the Early Development Instrument at Age 5, and Reading and Numeracy Skills at Ages 8, 10 and 12
Designing Initiatives for Vulnerable Families
Improving Access to Early Childhood Developmental Surveillance for Children from Culturally and Linguistically Diverse (Cald) Background”
Responding to the health needs of women from migrant and refugee backgrounds—Models of maternity and postpartum care in high‐income countries
Using thematic analysis in psychology
Widening the view
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |