Engaging Czech-Slovak Roma women in the co-creation of an antenatal care information resource
Engaging Czech-Slovak Roma women in the co-creation of an antenatal care information resource
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DOI：
10.1093/eurpub/ckad160.931
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发表时间：
2023-10-24
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在联合王国的捷克斯洛伐克罗姆妇女在产前护理方面遇到障碍，如耻辱感导致减少了对保健服务的参与。对这一人群的研究和干预研究很少。本研究旨在透过参与式研究，与一群妇女共同建立产前照护社区资讯资源。妇女的故事，他们的怀孕旅程将能够提供一个了解他们的产妇需要，告知设计考虑的原型产前护理信息资源。1.通过讲故事了解罗姆妇女在怀孕、分娩和孕产服务方面的需求2.与妇女分享公开的产前信息资源，如怀孕应用程序3。共同创建一个低分辨率的产前保健信息资源，满足他们的需求1纸原型。在一名同行研究员和一名口译员的支持下，为6 - 8名妇女举办了6次两小时的讲习班。2.两个讲习班侧重于共同创建产前信息资源。3.基于设计的参与式方法和主题分析，最终为公众和专业利益相关者举办社区活动和网络研讨会。这些妇女的怀孕之旅涵盖了几个主题，如计划外怀孕、恶心和呕吐、流产和分娩创伤。通过所有这些活动，她们希望传达的主要信息是，社区中的妇女需要克服因寻求心理健康帮助而蒙受的耻辱。我们的信息资源是采用共同创造性的参与性方法开发的，为罗姆妇女提供可靠的信息和保健服务，可能减少孕产妇和围产期健康不良的结果。这项研究可以在其他新到的边缘化移民妇女群体中推广，以促进及时获得产前和心理健康支助服务。捷克斯洛伐克罗姆妇女在怀孕期间寻求心理健康帮助时面临耻辱。 ·可以通过基于设计的参与性研究，支持罗姆妇女克服耻辱感。
Czech-Slovak Roma women in the UK suffer barriers to antenatal care such as stigma contributing to reduced engagement with health services. There is a scarcity of research and intervention studies with this population. This study aims to co-create an antenatal care community information resource with a group of these women through participatory research. Women's stories of their pregnancy journeys would be able to provide an understanding of their maternity needs, to inform design considerations for a prototype of an antenatal care information resource. 1. To understand Roma women's needs in pregnancy, childbirth, and maternity services through storytelling 2. To share with women publicly available antenatal information resources such as pregnancy apps 3. To co-create a low-resolution paper prototype of an antenatal care information resource that meets their needs 1. Six two-hour workshops with 6-8 women supported by a peer researcher and an interpreter. 2. Two workshops focused on the co-creation of an antenatal information resource. 3. Design-based participatory methods and thematic analysis, culminating in a community event and webinar for public and professional stakeholders. The women's pregnancy journeys covered several topics such as unplanned pregnancies, nausea and vomiting, pregnancy loss and birth trauma. Through all these, the main message they wished to convey was the need for women in the community to overcome the stigma of seeking help for their mental health. Our information resource developed using a co-creative participatory approach, signposts Roma women to reliable information and healthcare provision potentially reducing poor maternal and perinatal health outcomes. This study could be replicated in other marginalized newly arrived groups of migrant women to facilitate timely uptake of antenatal and mental health support services. • Czech-Slovak Roma women face stigma in seeking help for their mental health during pregnancy. • Roma women can be supported to overcome stigma through design-based participatory research.