Research Library

Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada. Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada.
This publication has no Abstract to dispaly

Research on immigrant and refugee vaccination uptake in Canada shows that immunization decisions vary by vaccine type, location, age and migration status. Despite their diversity, these studies often treat immigrant and refugee populations as a single group relative to other Canadians. In this comparative study, we explored how previous risk communication and immunization experiences influence immunization decisions by immigrant and refugee women from three communities across Canada. Participants included women from the Punjabi immigrant community located in Surrey and Abbotsford, British Columbia (n = 36), the Nigerian immigrant community located in Winnipeg, Manitoba (n = 43), and the Congolese refugee community in Edmonton, Alberta (n = 18). Using focus groups, we sought to understand immunization experiences in Canada and before arrival, and what information sources influenced the immunization decision-making process by the women in the three communities. Given our participants’ different communication preferences and needs, we argue that a one-size-fits-all communication approach is inappropriate for immigrant and refugee populations. Research on immigrant and refugee vaccination uptake in Canada shows that immunization decisions vary by vaccine type, location, age and migration status. Despite their diversity, these studies often treat immigrant and refugee populations as a single group relative to other Canadians. In this comparative study, we explored how previous risk communication and immunization experiences influence immunization decisions by immigrant and refugee women from three communities across Canada. Participants included women from the Punjabi immigrant community located in Surrey and Abbotsford, British Columbia (n = 36), the Nigerian immigrant community located in Winnipeg, Manitoba (n = 43), and the Congolese refugee community in Edmonton, Alberta (n = 18). Using focus groups, we sought to understand immunization experiences in Canada and before arrival, and what information sources influenced the immunization decision-making process by the women in the three communities. Given our participants’ different communication preferences and needs, we argue that a one-size-fits-all communication approach is inappropriate for immigrant and refugee populations.
This publication has no Abstract to dispaly

Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent. Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent.
This publication has no Abstract to dispaly

This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada. This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada.
This publication has no Abstract to dispaly

The YYC Airport Services for TFWs Program launched on October 1, 2022, to be the first point of contact for TFWs and other migrant workers arriving at Calgary’s International Airport before destining to their place of employment. The program utilized a service delivery model that focused on airport reception, client outreach, and parternship development. This report provides a summary of project activities and evaluative findings gathered from October 1, 2022 – March 31, 2024. The YYC Airport Services for TFWs Program launched on October 1, 2022, to be the first point of contact for TFWs and other migrant workers arriving at Calgary’s International Airport before destining to their place of employment. The program utilized a service delivery model that focused on airport reception, client outreach, and parternship development. This report provides a summary of project activities and evaluative findings gathered from October 1, 2022 – March 31, 2024.
This publication has no Abstract to dispaly

The Prairie Community Supports for Temporary Foreign Workers (TFW) Program launched October 1, 2022, and is the continuation of the TFW Prairie Region Support Project. The program goal is to deliver a coordinated and collaborative approach to support migrant workers/TFWs across the Prairie Provinces. This report provides a summary of evaluative findings for this program from October 1, 2022 to March 31, 2024. The Prairie Community Supports for Temporary Foreign Workers (TFW) Program launched October 1, 2022, and is the continuation of the TFW Prairie Region Support Project. The program goal is to deliver a coordinated and collaborative approach to support migrant workers/TFWs across the Prairie Provinces. This report provides a summary of evaluative findings for this program from October 1, 2022 to March 31, 2024.
This publication has no Abstract to dispaly

The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn. The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn.
This publication has no Abstract to dispaly

Despite the Canadian universal healthcare system, new immigrants face a number of challenges in accessing primary healthcare (PHC) services. As immigration to Canada consistently increases, understanding various types of barriers to PHC and how they differ across different sub-groups is critical. We conducted a qualitative study among Nepalese immigrant men to learn from their experience with PHC access to inform healthcare providers, stakeholders, and policymakers to devise feasible approaches to enhancing access to care. We undertook a qualitative research approach employing focus groups among a sample of first-generation Nepalese immigrant men who had prior experience with accessing PHC in Canada. We conducted six focus groups in total with 34 participants in their preferred language, Nepalese, or English. Participants reported experiencing multiple barriers at two stages: before accessing PHC services and after accessing PHC services. To our knowledge, this is the first study in Canada which explored barriers faced by Nepalese immigrant men in accessing PHC. This study identifies barriers to accessing PHC in Canada from a group of immigrant men’s perspective. It is important to account for these while making any reforms and adding new care services to the existing healthcare system so that they are equitable for these groups of individuals as well. Despite the Canadian universal healthcare system, new immigrants face a number of challenges in accessing primary healthcare (PHC) services. As immigration to Canada consistently increases, understanding various types of barriers to PHC and how they differ across different sub-groups is critical. We conducted a qualitative study among Nepalese immigrant men to learn from their experience with PHC access to inform healthcare providers, stakeholders, and policymakers to devise feasible approaches to enhancing access to care. We undertook a qualitative research approach employing focus groups among a sample of first-generation Nepalese immigrant men who had prior experience with accessing PHC in Canada. We conducted six focus groups in total with 34 participants in their preferred language, Nepalese, or English. Participants reported experiencing multiple barriers at two stages: before accessing PHC services and after accessing PHC services. To our knowledge, this is the first study in Canada which explored barriers faced by Nepalese immigrant men in accessing PHC. This study identifies barriers to accessing PHC in Canada from a group of immigrant men’s perspective. It is important to account for these while making any reforms and adding new care services to the existing healthcare system so that they are equitable for these groups of individuals as well.
This publication has no Abstract to dispaly

Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and COVID-19 specific factors, which contribute to lower vaccine uptake. To address this, the WHO calls for localized solutions to increase COVID-19 vaccine uptake for refugees and evidence to inform future vaccination efforts. However, limited evidence engages directly with refugees about their experiences with COVID-19 vaccinations. To address this gap, researchers conducted qualitative interviews (N = 61) with refugees (n = 45), sponsors of refugees (n = 3), and key informants (n = 13) connected to local COVID-19 vaccination efforts for refugees in Calgary. Thematic analysis was conducted to synthesize themes related to vaccine perspectives, vaccination experiences, and patient intersections with policies and systems. Findings reveal that refugees benefit from ample services that are delivered at various stages, that are not solely related to vaccinations, and which create multiple positive touch points with health and immigration systems. This builds trust and vaccine confidence and promotes COVID-19 vaccine uptake. Despite multiple factors affecting vaccination decisions, a key reason for vaccination was timely and credible information delivered through trusted intermediaries and in an environment that addressed refugee needs and concerns. As refugees placed trust and relationships at the core of decision-making and vaccination, it is recommended that healthcare systems work through trust and relationships to reach refugees. This can be targeted through culturally responsive healthcare delivery that meets patients where they are, including barrier reduction measures such as translation and on-site vaccinations, and educational and outreach partnerships with private groups, community organizations and leaders. Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and COVID-19 specific factors, which contribute to lower vaccine uptake. To address this, the WHO calls for localized solutions to increase COVID-19 vaccine uptake for refugees and evidence to inform future vaccination efforts. However, limited evidence engages directly with refugees about their experiences with COVID-19 vaccinations. To address this gap, researchers conducted qualitative interviews (N = 61) with refugees (n = 45), sponsors of refugees (n = 3), and key informants (n = 13) connected to local COVID-19 vaccination efforts for refugees in Calgary. Thematic analysis was conducted to synthesize themes related to vaccine perspectives, vaccination experiences, and patient intersections with policies and systems. Findings reveal that refugees benefit from ample services that are delivered at various stages, that are not solely related to vaccinations, and which create multiple positive touch points with health and immigration systems. This builds trust and vaccine confidence and promotes COVID-19 vaccine uptake. Despite multiple factors affecting vaccination decisions, a key reason for vaccination was timely and credible information delivered through trusted intermediaries and in an environment that addressed refugee needs and concerns. As refugees placed trust and relationships at the core of decision-making and vaccination, it is recommended that healthcare systems work through trust and relationships to reach refugees. This can be targeted through culturally responsive healthcare delivery that meets patients where they are, including barrier reduction measures such as translation and on-site vaccinations, and educational and outreach partnerships with private groups, community organizations and leaders.
This publication has no Abstract to dispaly

The 2022-2023 Annual Report of the Alberta Immigrant Women & Children Centre (AIWCC) showcases a period of significant growth and achievement. Through programs like HIPPY, Youth Program, and Women Empowerment initiatives, the organization empowers newcomers to Edmonton through education, employment, and community engagement. Testimonials from HIPPY mothers reflect high satisfaction rates, with 93% finding the program helpful. The report also highlights achievements in serving children, youth, adults, and seniors, emphasizing the diverse linguistic and cultural backgrounds of clients. With a commitment to equity, diversity, and inclusion, AIWCC continues to make a positive impact in the lives of immigrants and refugees in Alberta. The 2022-2023 Annual Report of the Alberta Immigrant Women & Children Centre (AIWCC) showcases a period of significant growth and achievement. Through programs like HIPPY, Youth Program, and Women Empowerment initiatives, the organization empowers newcomers to Edmonton through education, employment, and community engagement. Testimonials from HIPPY mothers reflect high satisfaction rates, with 93% finding the program helpful. The report also highlights achievements in serving children, youth, adults, and seniors, emphasizing the diverse linguistic and cultural backgrounds of clients. With a commitment to equity, diversity, and inclusion, AIWCC continues to make a positive impact in the lives of immigrants and refugees in Alberta.
This publication has no Abstract to dispaly