title: Closing the gap in maternal and child health: a qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia.
abstract: We conducted a qualitative study that explored the views and perceptions of migrant women in, Dandenong, Victoria, Australia about sociocultural barriers and health needs during pregnancy and in the postnatal period. The study was informed by the Social Identity Theory and the Acculturation Theory. It involved five focus group discussions with 35 migrant mothers from Afghanistan, Africa, China, Palestine, Lebanon, Syria, Iran and Jordan. Five themes emerged from the analysis: (1) the need for family support and complex social environments; (2) dealing with two cultural identities; (3) the health of mother and offspring; (4) access to the health system; and (5) life-skills for better health. Pregnancy and motherhood are challenges that are made more difficult by migration. The findings point towards the need for policies and interventions: (1) to reduce the negative impact of social isolation and lack of support during pregnancy and postnatally; (2) to support greater fathers' involvement in childcare; and (3) to reconcile different practices and expectations between traditional cultures and Australian norms. They also suggest a need to test culturally competent interventions that address health and lifestyle needs in migrant women and education programs for mothers that effectively address their concerns about maternal and child health.
authors.affiliation: Migration, Social Disadvantage, and Health Programs, Global Health and Society Unit, Department of Epidemiology and Preventive Medicine, Monash University, Level 3, Burnet Building, 89 Commercial Rd, Melbourne, VIC, 3004, Australia, andre.renzaho@monash.edu.
authors.forename: Andre M N
authors.initials: AM
authors.lastname: Renzaho
authors.forename: John C
authors.initials: JC
authors.lastname: Oldroyd
mesh_terms: D000328:Adult; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D017144:Focus Groups; D054624:Health Status Disparities; D006801:Humans; D008429:Maternal Welfare; D009035:Mothers; D020380:Needs Assessment; D011181:Postnatal Care; D011247:Pregnancy; D011295:Prenatal Care; D036301:Qualitative Research; D014171:Transients and Migrants; D014739:Victoria / Q000453:epidemiology; D055815:Young Adult