Community-based doulas for migrant and refugee women: a mixed-method systematic review and narrative synthesis.

Khaw, SM-L; Zahroh, RI; O'Rourke, K; Dearnley, RE; Homer, C; Bohren, MA

Community-based doulas for migrant and refugee women: a mixed-method systematic review and narrative synthesis.

Khaw, SM-L Zahroh, RI O'Rourke, K Dearnley, RE Homer, C

Bohren, MA

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Publisher:: BMJ Publishing Group
Publication Type:: Journal Article
Citation:: BMJ Global Health, 2022, 7, (7), pp. 1-16
Issue Date:: 2022-07

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Field	Value	Language
dc.contributor.author	Khaw, SM-L
dc.contributor.author	Zahroh, RI
dc.contributor.author	O'Rourke, K
dc.contributor.author	Dearnley, RE
dc.contributor.author	Homer, C https://orcid.org/0000-0002-7454-3011
dc.contributor.author	Bohren, MA
dc.date.accessioned	2022-10-27T03:51:52Z
dc.date.available	2022-07-12
dc.date.available	2022-10-27T03:51:52Z
dc.date.issued	2022-07
dc.identifier.citation	BMJ Global Health, 2022, 7, (7), pp. 1-16
dc.identifier.issn	2059-7908
dc.identifier.issn	2059-7908
dc.identifier.uri	http://hdl.handle.net/10453/162748
dc.description.abstract	BACKGROUND: Community-based doulas share the same cultural, linguistic, ethnic backgrounds or social experiences as the women they support. Community-based doulas may be able to bridge gaps for migrant and refugee women in maternity settings in high-income countries (HICs). The aim of this review was to explore key stakeholders' perceptions and experiences of community-based doula programmes for migrant and refugee women during labour and birth in HICs, and identify factors affecting implementation and sustainability of such programmes. METHODS: We conducted a mixed-method systematic review, searching MEDLINE, CINAHL, Web of Science, Embase and grey literature databases from inception to 20th January 2022. Primary qualitative, quantitative and mixed-methods studies focusing on stakeholders' perspectives and experiences of community-based doula support during labour and birth in any HIC and any type of health facility were eligible for inclusion. We used a narrative synthesis approach to analysis and GRADE-CERQual approach to assess confidence in qualitative findings. RESULTS: Twelve included studies were from four countries (USA, Sweden, England and Australia). There were 26 findings categorised under three domains: (1) community-based doulas' role in increasing capacity of existing maternity services; (2) impact on migrant and refugee women's experiences and health; and (3) factors associated with implementing and sustaining a community-based doula programme. CONCLUSION: Community-based doula programmes can provide culturally-responsive care to migrant and refugee women in HICs. These findings can inform community-based doula organisations, maternity healthcare services and policymakers. Further exploration of the factors that impact programme implementation, sustainability, strategic partnership potential and possible wider-reaching benefits is needed.
dc.format	Print
dc.language	eng
dc.publisher	BMJ Publishing Group
dc.relation.ispartof	BMJ Global Health
dc.relation.isbasedon	10.1136/bmjgh-2022-009098
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Doulas
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Refugees
dc.subject.mesh	Transients and Migrants
dc.subject.mesh	Doulas
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Refugees
dc.subject.mesh	Transients and Migrants
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Parturition
dc.subject.mesh	Refugees
dc.subject.mesh	Transients and Migrants
dc.subject.mesh	Female
dc.subject.mesh	Doulas
dc.title	Community-based doulas for migrant and refugee women: a mixed-method systematic review and narrative synthesis.
dc.type	Journal Article
utslib.citation.volume	7
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-27T03:51:46Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	7
utslib.citation.issue	7

Abstract:

BACKGROUND: Community-based doulas share the same cultural, linguistic, ethnic backgrounds or social experiences as the women they support. Community-based doulas may be able to bridge gaps for migrant and refugee women in maternity settings in high-income countries (HICs). The aim of this review was to explore key stakeholders' perceptions and experiences of community-based doula programmes for migrant and refugee women during labour and birth in HICs, and identify factors affecting implementation and sustainability of such programmes. METHODS: We conducted a mixed-method systematic review, searching MEDLINE, CINAHL, Web of Science, Embase and grey literature databases from inception to 20th January 2022. Primary qualitative, quantitative and mixed-methods studies focusing on stakeholders' perspectives and experiences of community-based doula support during labour and birth in any HIC and any type of health facility were eligible for inclusion. We used a narrative synthesis approach to analysis and GRADE-CERQual approach to assess confidence in qualitative findings. RESULTS: Twelve included studies were from four countries (USA, Sweden, England and Australia). There were 26 findings categorised under three domains: (1) community-based doulas' role in increasing capacity of existing maternity services; (2) impact on migrant and refugee women's experiences and health; and (3) factors associated with implementing and sustaining a community-based doula programme. CONCLUSION: Community-based doula programmes can provide culturally-responsive care to migrant and refugee women in HICs. These findings can inform community-based doula organisations, maternity healthcare services and policymakers. Further exploration of the factors that impact programme implementation, sustainability, strategic partnership potential and possible wider-reaching benefits is needed.

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http://hdl.handle.net/10453/162748