Naseri S., Ridde Valéry, Naseri S., Bonin L., Durand M.A. (2025). Assessing antenatal care access among Afghan women migrants, refugees, and asylum-seekers in France : a mixed methods study. SSM - Health Systems, 5, 100128 [11 p.]. ISSN 2949-8562.
Titre du document
Assessing antenatal care access among Afghan women migrants, refugees, and asylum-seekers in France : a mixed methods study
Année de publication
2025
Type de document
Article
Auteurs
Naseri S., Ridde Valéry, Naseri S., Bonin L., Durand M.A.
Despite the growing number of Afghan women migrants, refugees and asylum-seekers (AWMRA) in France, little is known about their access to maternal healthcare services. This study examines AWMRA's access to and experience of antenatal care (ANC) services in France. A convergent parallel mixed-methods design was employed, combining a quantitative online survey with qualitative in-depth semi-structured interviews and focus groups among AWMRA (18-49 years) who were pregnant or gave birth in France within the last 24 months. Data collection was conducted through snowball sampling supported by a participatory community network, involving 21 Afghan associations and over 100 community members. Framework analysis was applied to qualitative data, while quantitative data were analyzed using descriptive and inferential statistics. The two data components were analyzed separately and then merged for integration. The findings suggested that limited information on pregnancy-related healthcare services left many women navigating the health system on their own. Nearly one-third of participants reported incomplete ANC visits, with adverse outcomes reported by 15 %. From the system's perspective, long waiting times were identified as a barrier to completing ANC. Additionally, the lack of culturally sensitive care, confusing administrative procedures, discrimination, and inadequate interpreter services exacerbated these challenges. Despite these obstacles, some healthcare workers' efforts to ensure clear communication highlighted the potential for improving ANC completion. Improving access to linguistically and culturally tailored information, expanding interpreter services, and fostering culturally competent care are critical steps to support equitable ANC access for this population.
Plan de classement
Statistique [020STAT]
;
Sociologie et anthropologie de la santé [056SOCSAN]
;
Migrations [108MIGRA]
