Cited by 10Cultural Competency in Health CareMigration, Health and TraumaMigration, Identity, and Health

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Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia

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Abstract

Introduction: Access to culturally appropriate healthcare is vital to ensure refugee and migrant women receive optimal care, particularly during the perinatal period. Refugee and migrant women report lower satisfaction with pregnancy care due to language barriers and a perceived lack of understanding of their needs. The aim of this study is to explore how to improve the experiences of migrant and refugee women with maternal health services through the lens of cultural humility. Methods: Working collaboratively with maternal health service providers and managers and local refugee and migrant women, this research project used a World Café methodology to provide these stakeholders with an opportunity to discuss maternal healthcare in the region. World Café participants ( n = 34) included women from multicultural backgrounds ( n = 20), maternal healthcare providers such as midwives, social workers and management ( n = 5) multicultural healthcare providers ( n = 7) and a community‐based birth educator ( n = 1). Data were analysed thematically. Results: A key finding of the World Café was the need for staff training that is co‐designed and co‐delivered with members of multicultural communities and healthcare providers to enhance the practice of cultural humility. Training should focus on women's stories that capture the cultural nuances around pregnancy and birthing, their support needs including trauma‐informed care, and the importance of effective cross‐cultural communication. Conclusion: This research gave refugee and migrant women a voice in future decision‐making, specifically in maternal health staff training. The refugee and migrant women shared their perspectives on how to enhance cultural humility practices in maternity services for them. The research has led to opportunities such as community‐based antenatal classes and improvements in maternity services development strategies. Public Contribution: The project actively engaged with maternal healthcare providers, multicultural and refugee healthcare providers and women from multicultural communities in the design of the project and as participants. Their expertise and experience have been invaluable and have informed pilot programmes that emerged from this study.

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Figure 1 Cultural humility World Café questions.
Figure 1 Cultural humility World Café questions.CC BY · PubMed Central

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Metadata

Authors
Rambaldini‐Gooding, D., Olcoń, K., Molloy, L., Pitts, L., Lema, S., Baghdadi, E., Williams, J., & Degeling, C.
Affiliations
  • University of Wollongong (AU)
  • Illawarra Shoalhaven Local Health District (AU)
Corresponding author
Rambaldini‐Gooding, Delia
Venue
Health Expectations
Publisher
Wiley
Published
2024-11-21
Volume
27
Issue
6
Pages
e70106-e70106
ISSN
  • 1369-6513 (ISSN-L)
  • 1369-7625
OpenAlex
W4404622462
Cited by
10
References
1
Citations by year
2026: 7 · 2025: 3
FWCI
7.15
Type
journal article
Language
en
Open access
Locations
  • Health Expectations (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
University of Wollongong
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Keywords
cultural humility, refugee women, migrant women, obstetric care, perinatal care, World Café, co-design, employee training, intercultural communication, trauma-informed care, Australia
MeSH terms
Adult, Australia, Female, Health Personnel, Health Services Accessibility, Humans, Maternal Health Services, Pregnancy, Refugees, Transients and Migrants, Cultural Diversity, Cultural Competency

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CoChat. (2026). Citation check: Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia. https://app.cochat.ai/papers/10.1111/hex.70106
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Rambaldini‐Gooding, D., Olcoń, K., Molloy, L., Pitts, L., Lema, S., Baghdadi, E., Williams, J., & Degeling, C. (2024). Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia. Health Expectations. https://doi.org/10.1111/hex.70106