Reducing sexual and reproductive health inequities between natives and migrants: A delphi consensus for sustainable cross-cultural healthcare pathways
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10071/22622 |
Resumo: | 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. |
id |
RCAP_5c1e6c78868201d8c79b610a7b36c77f |
---|---|
oai_identifier_str |
oai:repositorio.iscte-iul.pt:10071/22622 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Reducing sexual and reproductive health inequities between natives and migrants: A delphi consensus for sustainable cross-cultural healthcare pathwaysSexual and reproductive healthHealth equityMigrantsDelphi panelsInequities and inequalities in healthThe 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.Frontiers Media SA2021-05-26T15:23:55Z2021-01-01T00:00:00Z20212021-05-26T16:22:06Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10071/22622eng2296-256510.3389/fpubh.2021.656454Candeias, P.Alarcão, V.Stefanovska-Petkovska, M.Santos, O.Virgolino, A.Pintassilgo, S.Pascoal, P. M.Costa, A. S.Machado, F.L.info: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:RCAAP2023-11-09T17:41:36Zoai:repositorio.iscte-iul.pt:10071/22622Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:19:22.179805Repositório 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, P. Sexual and reproductive health Health equity Migrants Delphi panels Inequities and inequalities in 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, P. |
author_facet |
Candeias, P. Alarcão, V. Stefanovska-Petkovska, M. Santos, O. Virgolino, A. Pintassilgo, S. Pascoal, P. M. Costa, A. S. Machado, F.L. |
author_role |
author |
author2 |
Alarcão, V. Stefanovska-Petkovska, M. Santos, O. Virgolino, A. Pintassilgo, S. Pascoal, P. M. Costa, A. S. Machado, F.L. |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Candeias, P. Alarcão, V. Stefanovska-Petkovska, M. Santos, O. Virgolino, A. Pintassilgo, S. Pascoal, P. M. Costa, A. S. Machado, F.L. |
dc.subject.por.fl_str_mv |
Sexual and reproductive health Health equity Migrants Delphi panels Inequities and inequalities in health |
topic |
Sexual and reproductive health Health equity Migrants Delphi panels Inequities and inequalities in health |
description |
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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-26T15:23:55Z 2021-01-01T00:00:00Z 2021 2021-05-26T16:22:06Z |
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/10071/22622 |
url |
http://hdl.handle.net/10071/22622 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2296-2565 10.3389/fpubh.2021.656454 |
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 Media SA |
publisher.none.fl_str_mv |
Frontiers Media SA |
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 |
institution |
RCAAP |
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 |
repository.mail.fl_str_mv |
|
_version_ |
1799134753282064384 |