Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways

Detalhes bibliográficos
Autor(a) principal: Candeias, Pedro
Data de Publicação: 2021
Outros Autores: Alarcão, Violeta, Stefanovska, Miodraga, Santos, Osvaldo, Virgolino, Ana, Pintassilgo, Sónia, Pascoal, Patrícia M., Costa, Andreia, Machado, Fernando Luís
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/50804
Resumo: Copyright © 2021 Candeias, Alarcão, Stefanovska-Petkovska, Santos, Virgolino, Pintassilgo, Pascoal, Costa and Machado. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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spelling Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathwaysDelphi panelsHealth equityInequities and inequalities in healthMigrantsSexual and reproductive healthCopyright © 2021 Candeias, Alarcão, Stefanovska-Petkovska, Santos, Virgolino, Pintassilgo, Pascoal, Costa and Machado. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.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.This work contributes to the study Fertility, Migration and 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.FrontiersRepositório da Universidade de LisboaCandeias, PedroAlarcão, VioletaStefanovska, MiodragaSantos, OsvaldoVirgolino, AnaPintassilgo, SóniaPascoal, Patrícia M.Costa, AndreiaMachado, Fernando Luís2022-01-13T14:25:14Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/50804engFront Public Health. 2021 May 13;9:65645410.3389/fpubh.2021.6564542296-2565info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:55:10Zoai:repositorio.ul.pt:10451/50804Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:02:11.691308Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
title Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
spellingShingle Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
Candeias, Pedro
Delphi panels
Health equity
Inequities and inequalities in health
Migrants
Sexual and reproductive health
title_short Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
title_full Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
title_fullStr Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
title_full_unstemmed Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
title_sort Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways
author Candeias, Pedro
author_facet Candeias, Pedro
Alarcão, Violeta
Stefanovska, Miodraga
Santos, Osvaldo
Virgolino, Ana
Pintassilgo, Sónia
Pascoal, Patrícia M.
Costa, Andreia
Machado, Fernando Luís
author_role author
author2 Alarcão, Violeta
Stefanovska, Miodraga
Santos, Osvaldo
Virgolino, Ana
Pintassilgo, Sónia
Pascoal, Patrícia M.
Costa, Andreia
Machado, Fernando Luís
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Candeias, Pedro
Alarcão, Violeta
Stefanovska, Miodraga
Santos, Osvaldo
Virgolino, Ana
Pintassilgo, Sónia
Pascoal, Patrícia M.
Costa, Andreia
Machado, Fernando Luís
dc.subject.por.fl_str_mv Delphi panels
Health equity
Inequities and inequalities in health
Migrants
Sexual and reproductive health
topic Delphi panels
Health equity
Inequities and inequalities in health
Migrants
Sexual and reproductive health
description Copyright © 2021 Candeias, Alarcão, Stefanovska-Petkovska, Santos, Virgolino, Pintassilgo, Pascoal, Costa and Machado. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01T00:00:00Z
2022-01-13T14:25:14Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/50804
url http://hdl.handle.net/10451/50804
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Front Public Health. 2021 May 13;9:656454
10.3389/fpubh.2021.656454
2296-2565
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers
publisher.none.fl_str_mv Frontiers
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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