TY - JOUR
T1 - Reducing sexual and reproductive health inequities between natives and migrants
T2 - a Delphi consensus for sustainable cross-cultural healthcare pathways
AU - Candeias, Pedro
AU - Alarcão, Violeta
AU - Stefanovska-Petkovska, Miodraga
AU - Santos, Osvaldo
AU - Virgolino, Ana
AU - Pintassilgo, Sónia
AU - Pascoal, Patrícia M.
AU - Costa, Andreia Silva
AU - Machado, Fernando Luís
N1 - Funding Information:
Acculturation: Intersectional approach to the sexual and reproductive experiences and expectations among Cape Verdean and Portuguese Families (FEMINA project), granted by Fundação para a Ciência e a Tecnologia, I.P. with national funding (PTDC/SOC-SOC/30025/2017). It is also a valuable contribute for the study Promoting citizenship and sexual rights in Immigrant Populations in Portugal: co-production of recommendations and best practices for the reduction of sexual and reproductive inequalities (ProCima project), granted by the Asylum, Migration and Integration Fund (PT/2018/FAMI/356). The writing of this manuscript had also the support of Fundação para a Ciência e a Tecnologia, grant number UIDB/04295/2020 and UIDP/04295/2020.
Publisher Copyright:
© Copyright © 2021 Candeias, Alarcão, Stefanovska-Petkovska, Santos, Virgolino, Pintassilgo, Pascoal, Costa and Machado.
PY - 2021/5/13
Y1 - 2021/5/13
N2 - The increasing number of international migrants (ranging from 153 million in 1990 to ~272 million in 2019) brought to attention the wide variation of national contexts concerning the policy measures to protect migrants' rights and ensuring their equal access to basic and essential services, namely in health. Sexual and Reproductive Health (SRH) is a key component to the overall health and quality of life and is impacted by power inequities inherent to society's institutions, environment, economics, and culture. In Portugal, guidelines for intervention in SRH are insufficient, a gap that is more pronounced with migrant populations due to the absence of culturally sensitive indicators to assess and monitor SRH. The aim of this work was 2-fold: to identify good practices in the SRH field, with a particular focus, whenever possible, on migrant populations, and to identify relevant and inclusive indicators to monitor SRH in Portugal. A Delphi panel (via online survey) with 66 experts (researchers, teachers, and health professionals) and 16 stakeholders (non-governmental organizations, civil society, and governmental organizations) was implemented in two rounds. Panelists were asked to state their level of agreement (5-point Likert-type scale) regarding four different SRH areas: Sexual Health, Reproductive Health, Social-Structural Factors, and Good Practices. Items were based on literature review and a World Café with 15 experts and stakeholders. Participation rate was 68% and response rate was 97% on the first round. From the initial list of 142 items, a total of 118 (83%) items were approved by consensus. Findings may provide extended opportunities for the healthcare system to engage in better informed decisions and more inclusive and integrative strategies regarding SRH, contributing to build political measures toward sexual and reproductive justice.
AB - The increasing number of international migrants (ranging from 153 million in 1990 to ~272 million in 2019) brought to attention the wide variation of national contexts concerning the policy measures to protect migrants' rights and ensuring their equal access to basic and essential services, namely in health. Sexual and Reproductive Health (SRH) is a key component to the overall health and quality of life and is impacted by power inequities inherent to society's institutions, environment, economics, and culture. In Portugal, guidelines for intervention in SRH are insufficient, a gap that is more pronounced with migrant populations due to the absence of culturally sensitive indicators to assess and monitor SRH. The aim of this work was 2-fold: to identify good practices in the SRH field, with a particular focus, whenever possible, on migrant populations, and to identify relevant and inclusive indicators to monitor SRH in Portugal. A Delphi panel (via online survey) with 66 experts (researchers, teachers, and health professionals) and 16 stakeholders (non-governmental organizations, civil society, and governmental organizations) was implemented in two rounds. Panelists were asked to state their level of agreement (5-point Likert-type scale) regarding four different SRH areas: Sexual Health, Reproductive Health, Social-Structural Factors, and Good Practices. Items were based on literature review and a World Café with 15 experts and stakeholders. Participation rate was 68% and response rate was 97% on the first round. From the initial list of 142 items, a total of 118 (83%) items were approved by consensus. Findings may provide extended opportunities for the healthcare system to engage in better informed decisions and more inclusive and integrative strategies regarding SRH, contributing to build political measures toward sexual and reproductive justice.
KW - Delphi panels
KW - Health equity
KW - Inequities and inequalities in health
KW - Migrants
KW - Sexual and reproductive health
UR - http://www.scopus.com/inward/record.url?scp=85107078527&partnerID=8YFLogxK
U2 - 10.3389/fpubh.2021.656454
DO - 10.3389/fpubh.2021.656454
M3 - Article
C2 - 34055720
AN - SCOPUS:85107078527
SN - 2296-2565
VL - 9
JO - Frontiers in Public Health
JF - Frontiers in Public Health
M1 - 656454
ER -
