Adrian Farrugia
Under pressure: The paradox of autonomy and social norms in drug education
The International journal on drug policy
listening matters exploratory descriptive qualitative study aimed 1 understand women refugee background melbourne australia experienced access health information maternity andor early parenting care covid19 pandemic 2 whether pandemic health directives impact structural inequities women refugee background received maternity andor early parenting care covid19 pandemic semistructured interviews conducted 41 participants including 17 women refugee background identified belonging karen assyrian chaldean iraqi syrian afghan sudanese south sudanese communities 24 health social care professionals identified providing pregnancy early parenting care pandemic north western suburbs melbourne interviews women conducted preferred languages community researchers interviews professionals conducted english researchers reflexive thematic data analysis included constructivist positionality trauma violence informed approach results reported paper include three themes four accompanying subthemes follows theme 1 structural inequities toll pandemic theme 2 supportive infrastructure theme 3 cultural safety pandemic results demonstrate cumulative negative impacts unequal access health information family separation isolation inadequate household income mental social health concerns potential amplify preexisting structural inequities women refugee background community engagement facilitated bicultural workers interpreters trusted care providers facilitated fastpaced twoway communication built capacity health literacy women unable speak english unfamiliar health care system improved experiences care research needed understand intersectional cumulative impacts structural inequities affected maternal neonatal health outcomes women refugee background pandemic well differences maternal neonatal health outcomes australianborn refugee background women babies