Research Library

Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care. Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care.
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This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training. This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training.
This publication has no Abstract to dispaly

The Syrian conflict and war has contributed to the largest refugee crisis in recent history. Many refugees are seeking protection and safety for their family. This article discusses the context of the Syrian refugee crisis and how a group of social work faculty members are responding by supporting the resettlement of a Syrian refugee family in Canada. Private sponsorship options, grassroots activities, and the role of social work in resettlement are discussed. The paper explores the experiences of one refugee sponsor group composed of social work faculty, argues that social worker have an important role to play in refugee resettlement (through private sponsorship and other social work-related activities). This article concludes with a call to action for social workers to strengthen their support and involvement in the resettlement of refugees. The Syrian conflict and war has contributed to the largest refugee crisis in recent history. Many refugees are seeking protection and safety for their family. This article discusses the context of the Syrian refugee crisis and how a group of social work faculty members are responding by supporting the resettlement of a Syrian refugee family in Canada. Private sponsorship options, grassroots activities, and the role of social work in resettlement are discussed. The paper explores the experiences of one refugee sponsor group composed of social work faculty, argues that social worker have an important role to play in refugee resettlement (through private sponsorship and other social work-related activities). This article concludes with a call to action for social workers to strengthen their support and involvement in the resettlement of refugees.
This publication has no Abstract to dispaly

Many socioecological and structural factors affect women’s diets, physical activity, and her access and receptivity to perinatal care. We sought to explore women’s and providers’ perceptions and experiences of health in the pre- and post-natal period while facing difficult life circumstances, and accessing a community-based program partially funded by Canada Prenatal Nutrition Program (CPNP) in Alberta, Canada. Women perceived eating healthy foods, taking prenatal vitamins, and being physically active as key health behaviours during pregnancy and postpartum. However, they were commonly coping with many difficult life circumstances, and faced health barriers for themselves and their babies. These barriers included pregnancy or birth complications, family and spousal issues, financial difficulties, and living rurally. On the other hand, women and providers identified many aspects of the community-based program that addressed the burden of adversities as enablers to better health during pregnancy and postpartum. Community-based programs have an important role in alleviating some of the burden of coping with difficult life circumstances for women. With such potential, community-based programs need to be well supported through policies. Policies supporting these programs, and ensuring adequate funding, can enable more equitable services to rural women and truly promote maternal health during pregnancy and postpartum. Many socioecological and structural factors affect women’s diets, physical activity, and her access and receptivity to perinatal care. We sought to explore women’s and providers’ perceptions and experiences of health in the pre- and post-natal period while facing difficult life circumstances, and accessing a community-based program partially funded by Canada Prenatal Nutrition Program (CPNP) in Alberta, Canada. Women perceived eating healthy foods, taking prenatal vitamins, and being physically active as key health behaviours during pregnancy and postpartum. However, they were commonly coping with many difficult life circumstances, and faced health barriers for themselves and their babies. These barriers included pregnancy or birth complications, family and spousal issues, financial difficulties, and living rurally. On the other hand, women and providers identified many aspects of the community-based program that addressed the burden of adversities as enablers to better health during pregnancy and postpartum. Community-based programs have an important role in alleviating some of the burden of coping with difficult life circumstances for women. With such potential, community-based programs need to be well supported through policies. Policies supporting these programs, and ensuring adequate funding, can enable more equitable services to rural women and truly promote maternal health during pregnancy and postpartum.
This publication has no Abstract to dispaly

Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources. Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources.
This publication has no Abstract to dispaly

Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion. Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion.
This publication has no Abstract to dispaly

This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada. This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada.
This publication has no Abstract to dispaly

Over the past decade, scholars have begun to explore neglected aspects of immigrant family life such as gender relations, domestic violence, parenting, and relationships with service providers. Many of these studies, however, are based on women’s experiences. As an equally crucial starting point in building sustainable and resilient immigrant communities, our study focuses on the experiences of African immigrant men in a Canadian context. It reveals African immigrant men’s frustration with their search for a better life. Our thematic analysis of participants’ responses identified three main stressors among this group: challenges with economic integration, changing ideals about masculinities and gender relations across transnational spaces, and tensions in the parent-child relationship. These findings suggest that despite the vulnerabilities they face in Canada, African men could play a strategic role as critical agents of change in families’ transitions and integration. Overall, our study calls for the active engagement of both African immigrant men and women in developing policies and practices that impact their everyday lives. Over the past decade, scholars have begun to explore neglected aspects of immigrant family life such as gender relations, domestic violence, parenting, and relationships with service providers. Many of these studies, however, are based on women’s experiences. As an equally crucial starting point in building sustainable and resilient immigrant communities, our study focuses on the experiences of African immigrant men in a Canadian context. It reveals African immigrant men’s frustration with their search for a better life. Our thematic analysis of participants’ responses identified three main stressors among this group: challenges with economic integration, changing ideals about masculinities and gender relations across transnational spaces, and tensions in the parent-child relationship. These findings suggest that despite the vulnerabilities they face in Canada, African men could play a strategic role as critical agents of change in families’ transitions and integration. Overall, our study calls for the active engagement of both African immigrant men and women in developing policies and practices that impact their everyday lives.
This publication has no Abstract to dispaly

Immigration in Canada has traditionally been associated with urban areas, but rural communities are host to an increasing number of new immigrants. As students of these immigrant families arrive in rural schools, there is increasing pressure on rural school divisions to meet the needs of a diverse student population of English Language Learners (ELLs), though often with limited previous experience with such students. In many of these situations, the nature of the workforce has led to family separation during the immigration process, with subsequent reunification in Canada. Newly-arrived immigrant students are thus having to develop academic English language proficiency as well as adjust to the dynamics of family reunification. This article recounts exploratory qualitative research on how Filipino secondary school immigrant students in Alberta, who are reconnecting with parents, acculturate and develop a sense of belonging when language and content acquisition, social-emotional, and acculturation supports are in place. Data is drawn from interviews with immigrant families from the Philippines and from teachers’ written responses to reflection questions on their growth as educators of ELLs. Although the needs of reconnecting immigrant families are multifaceted and complex, the findings from this study suggest a supportive role can be played by schools in assisting such families both through enhanced coordination with the immigrant community, and direct and explicit teacher training in pedagogical strategies for teachers of ELLs. Immigration in Canada has traditionally been associated with urban areas, but rural communities are host to an increasing number of new immigrants. As students of these immigrant families arrive in rural schools, there is increasing pressure on rural school divisions to meet the needs of a diverse student population of English Language Learners (ELLs), though often with limited previous experience with such students. In many of these situations, the nature of the workforce has led to family separation during the immigration process, with subsequent reunification in Canada. Newly-arrived immigrant students are thus having to develop academic English language proficiency as well as adjust to the dynamics of family reunification. This article recounts exploratory qualitative research on how Filipino secondary school immigrant students in Alberta, who are reconnecting with parents, acculturate and develop a sense of belonging when language and content acquisition, social-emotional, and acculturation supports are in place. Data is drawn from interviews with immigrant families from the Philippines and from teachers’ written responses to reflection questions on their growth as educators of ELLs. Although the needs of reconnecting immigrant families are multifaceted and complex, the findings from this study suggest a supportive role can be played by schools in assisting such families both through enhanced coordination with the immigrant community, and direct and explicit teacher training in pedagogical strategies for teachers of ELLs.
This publication has no Abstract to dispaly

Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
This publication has no Abstract to dispaly