Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Healthcare access challenges facing six African refugee mothers in South Korea: a qualitative multiple-case study

  • Kim, Min Sun (Institute of Public Health and Medical Service) ;
  • Song, In Gyu (Department of Pediatrics, Seoul National University Hospital) ;
  • An, Ah Reum (Institute of Public Health and Medical Service) ;
  • Kim, Kyae Hyung (Institute of Public Health and Medical Service) ;
  • Sohn, Ji Hoon (Institute of Public Health and Medical Service) ;
  • Yang, Sei Won (Department of Pediatrics, Seoul National University Hospital)
  • Received : 2016.11.15
  • Accepted : 2017.01.31
  • Published : 2017.05.15
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Abstract

Purpose: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results: At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion: We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.

Keywords

References

  1. Korea Imigration Service. Annual Report of Korea Immigration Service Statistics 2015. Gwacheon: Ministry of Justice Republic of Korea, Korea Imigration Service, 2016:36-47.
  2. Korea Imigration Service. Annual Report of Korea Immigration Service Statistics 2015. Gwacheon: Ministry of Justice Republic of Korea, Korea Imigration Service, 2016: 88-101.
  3. Medipeace. Survey of refugee rights to health assurance situation in Korea. Seoul: Medipeace, 2013.
  4. Kim HM. Research of current status of refugee children in Korea and support system. Seoul: Save the Children, 2013.
  5. Wanigaratne S. Maternal and perinatal health of refugees in Ontario: a population-based approach. Toronto: University of Toronto, 2015.
  6. Palinkas LA, Pickwell SM, Brandstein K, Clark TJ, Hill LL, Moser RJ, et al. The journey to wellness: stages of refugee health promotion and disease prevention. J Immigr Health 2003;5:19-28. https://doi.org/10.1023/A:1021048112073
  7. Riggs E, Davis E, Gibbs L, Block K, Szwarc J, Casey S, et al. Accessing maternal and child health services in Melbourne, Australia: reflections from refugee families and service providers. BMC Health Serv Res 2012;12:117. https://doi.org/10.1186/1472-6963-12-117
  8. Wahoush EO. Equitable health-care access: the experiences of refugee and refugee claimant mothers with an ill preschooler. Can J Nurs Res 2009;41:186-206.
  9. Broadbent R, Cacciattolo M, Carpenter C. A tale of two communities: refugee relocation in Australia. Austral J Soc Issue 2007;42: 581-601. https://doi.org/10.1002/j.1839-4655.2007.tb00079.x
  10. Vink M, van Wijk R. Asylum seeker is not an ordinary patient. Med Contact 2009;64:209-11.
  11. Van Hanegem N, Miltenburg AS, Zwart JJ, Bloemenkamp KW, Van Roosmalen J. Severe acute maternal morbidity in asylum seekers: a two-year nationwide cohort study in the Netherlands. Acta Obstet Gynecol Scand 2011;90:1010-6. https://doi.org/10.1111/j.1600-0412.2011.01140.x
  12. Korea Imigration Service. Annual Report of Korea Immigration Service Statistics 2015. Gwacheon: Ministry of Justice Republic of Korea, Korea Imigration Service, 2016:48-56.
  13. Kim H. Maternal health and nutritional status of marriage-based women immigrants in Korea and policy directions. Health Welf Policy Forum 2009;(155): 50-64.
  14. Song IG. The risk factors of adverse birth outcomes among immigrant women in the republic of Korea [master's thesis]. Seoul: Seoul National University, 2016.
  15. Yih BS. The Health-related Experiences of Foreign Wives in Korea. J Korean Acad Adult Nurs 2010;22:477-87.
  16. Asgary R, Segar N. Barriers to health care access among refugee asylum seekers. J Health Care Poor Underserved 2011;22:506-22. https://doi.org/10.1353/hpu.2011.0047
  17. Shin SH, Lim HT, Park HY, Park SM, Kim HS. The associations of parental under-education and unemployment on the risk of preterm birth: 2003 Korean National Birth Registration database. Int J Public Health 2012;57:253-60. https://doi.org/10.1007/s00038-011-0318-9
  18. Kwon S. Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy Plan 2009;24:63-71.
  19. Ministry of Justice Republic of Korea. Refugee law, 4th ed. Seoul: Ministry of Justice Republic of Korea, 2012.
  20. McKeary M, Newbold B. Barriers to care: The challenges for Canadian refugees and their health care providers. J Refug Stud 2010;23:523-45. https://doi.org/10.1093/jrs/feq038
  21. 120 foreign language service [Internet]. Seoul: 120 Dasan Call Center; c2017 [cited 2016 Jul 4]. Available from: http://120dasan.seoul.go.kr/foreign/english.html.
  22. Reitmanova S, Gustafson DL. "They can't understand it": maternity health and care needs of immigrant Muslim women in St. John's, Newfoundland. Matern Child Health J 2008;12:101-11. https://doi.org/10.1007/s10995-007-0213-4
  23. Roberts KS. Providing culturally sensitive care to the childbearing Islamic family. Adv Neonatal Care 2002;2:222-8. https://doi.org/10.1053/adnc.2002.34550
  24. Ali N, Burchett H. Experiences of maternity services: Muslim women's perspectives. London: Maternity Alliance, 2004.
  25. Chilton LA, Handal GA, Paz-Soldan GJ, Granado-Villar DC, Gitterman BA, Brown JM, et al. Providing care for immigrant, migrant, and border children. Pediatrics 2013;131:e2028-34. https://doi.org/10.1542/peds.2013-1099.
  26. Essen B, Johnsdotter S, Hovelius B, Gudmundsson S, Sjoberg NO, Friedman J, et al. Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden. BJOG 2000; 107:1507-12. https://doi.org/10.1111/j.1471-0528.2000.tb11676.x
  27. Dejin-Karlsson E, Hanson BS, Ostergren PO, Lindgren A, Sjoberg NO, Marsal K. Association of a lack of psychosocial resources and the risk of giving birth to small for gestational age infants: a stress hypothesis. BJOG 2000;107:89-100. https://doi.org/10.1111/j.1471-0528.2000.tb11584.x
  28. Korean Institute Healthy Family. danuri [Internet]. Seoul: Ministry of Gender Equality & Family, Korean Institute Healthy Family [cited 2016 Sep 16]. Available from: http://www.liveinkorea.kr/homepage/kr/index.asp.

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