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Publication Detailed Description
Reducing sexual and reproductive health inequities between natives and migrants: A delphi consensus for sustainable cross-cultural healthcare pathways
Journal Title
Frontiers in Public Health
Year (definitive publication)
2021
Language
English
Country
Switzerland
More Information
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Abstract
The increasing number of international migrants (ranging from 153 million in 1990 to ∼272
million in 2019) brought to attention the wide variation of national contexts concerning
the policy measures to protect migrants’ rights and ensuring their equal access to
basic and essential services, namely in health. Sexual and Reproductive Health (SRH)
is a key component to the overall health and quality of life and is impacted by power
inequities inherent to society’s institutions, environment, economics, and culture. In
Portugal, guidelines for intervention in SRH are insufficient, a gap that is more pronounced
with migrant populations due to the absence of culturally sensitive indicators to assess
and monitor SRH. The aim of this work was 2-fold: to identify good practices in the
SRH field, with a particular focus, whenever possible, on migrant populations, and to
identify relevant and inclusive indicators to monitor SRH in Portugal. A Delphi panel
(via online survey) with 66 experts (researchers, teachers, and health professionals)
and 16 stakeholders (non-governmental organizations, civil society, and governmental
organizations) was implemented in two rounds. Panelists were asked to state their level of
agreement (5-point Likert-type scale) regarding four different SRH areas: Sexual Health,
Reproductive Health, Social-Structural Factors, and Good Practices. Items were based
on literature review and a World Café with 15 experts and stakeholders. Participation
rate was 68% and response rate was 97% on the first round. From the initial list of 142
items, a total of 118 (83%) items were approved by consensus. Findings may provide
extended opportunities for the healthcare system to engage in better informed decisions
and more inclusive and integrative strategies regarding SRH, contributing to build political
measures toward sexual and reproductive justice.
Acknowledgements
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Keywords
Sexual and reproductive health,Health equity,Migrants,Delphi panels,Inequities and inequalities in health
Fields of Science and Technology Classification
- Health Sciences - Medical and Health Sciences
Funding Records
| Funding Reference | Funding Entity |
|---|---|
| PTDC/SOC-SOC/30025/2017 | Fundação para a Ciência e a Tecnologia |
| PT/2018/FAMI/356 | Fundação para a Ciência e a Tecnologia |
| UIDB/04295/2020 | Fundação para a Ciência e a Tecnologia |
| UIDP/04295/2020 | Fundação para a Ciência e a Tecnologia |
| UIDB/03126/2020 | Fundação para a Ciência e a Tecnologia |
Related Projects
This publication is an output of the following project(s):
- Fertility, Migration and Acculturation: Intersectional approach to the sexual and reproductive experiences and expectations among Cape Verdean and Portuguese Families
- Promoting Citizenship and Sexual Rights in Immigrant Populations in Portugal: co-production of recommendations and best practices for the reduction of sexual and reproductive inequalities
Contributions to the Sustainable Development Goals of the United Nations
With the objective to increase the research activity directed towards the achievement of the United Nations 2030 Sustainable Development Goals, the possibility of associating scientific publications with the Sustainable Development Goals is now available in Ciência-IUL. These are the Sustainable Development Goals identified by the author(s) for this publication. For more detailed information on the Sustainable Development Goals, click here.
