Health System Shocks & Care Seeking Behaviour: How hasthe COVID-19 pandemic affected care seeking behaviour forpregnant women who belong to ethnic min

该项目旨在深入了解如何使用生命历程方法来解释在covid -19大流行等卫生系统冲击期间属于少数民族或社会复杂群体的孕妇的就医行为。孕妇更有可能出现严重的SARS - CoV-2感染症状，并且妊娠结局较差。此外，由于健康和社会剥夺的社会决定因素，属于少数民族或社会复杂群体的妇女特别容易受到伤害。政策变化、产妇服务的快速重新配置以及来自政府的令人困惑的指导导致产妇服务初始化减少和接种疫苗的犹豫。求医行为根植于动态的社会环境，因此必须分析人群如何参与卫生系统。我将使用混合方法顺序解释设计：首先调查临床定量数据，以找到组内求诊差异的比较率，然后探索参与性评估活动的定性数据，并对伦敦南部的妇女进行深入访谈，以解释和阐述统计结果。该项目将利用跨学科的社会和医学科学研究，探索孕妇如何应对卫生系统的政策变化，并帮助为未来的政策制定提供信息，以应对即将到来的卫生系统冲击。

This project aims to gain in-depth insight on how a life course approach can be used to explain care seeking behaviour of pregnant women who belong to an ethnic minority or socially complex group, during a health system shock such as theCOVID-19 pandemic. Pregnant women are more likely to develop severe symptoms of SARS CoV-2 infection and have poorer outcomes in pregnancy. Furthermore, women who belong to an ethnic minority or socially complex group are particularly vulnerable, attributed to social determinants of health and social deprivation. Policy changes, rapid reconfiguration of maternity services, and confusing guidance from the government have led to a reduction initialization of maternity services and hesitancy in vaccination uptake. Care seeking behavior is rooted in dynamic social contexts, making it imperative to analyse how populations engage with health systems. I will use a mixed-methods sequential explanatory design: first investigating clinical quantitative data to find comparative rates of care seeking differences within groups, followed by an exploration of qualitative data from participatory appraisal activities and in-depth interviews with women in South London to explain and elaborate statistical findings. Using interdisciplinary social and medical science research, the project will explore how pregnant women respond to policy changes in the health system and help inform future policy development tomanage imminent health system shocks.