Skip to main content

Open Access Equitable Health-Care Access: The Experiences of Refugee and Refugee Claimant Mothers With an Ill Preschooler L'égalité d'accès aux services de santé : l'expérience des réfugiées et des demandeuses d'asile qui s'occupent d'un enfant d'âge préscolaire malade

Download Article:
 Download
(PDF 121.6 kb)
 

Abstract:

Little is known about access to health services for preschool children in refugee or refugee claimant families living in Canada. This mixed-methods study collected information from a purposive sample of 55 mothers living in a second-tier city in the province of Ontario. The findings raise questions about equitable access to primary health care for these families. Factors other than need determined whether a mother was able to access care for her child. Although all the children had been seen by a doctor during the preceding year and 78% had a regular care provider, mothers faced difficulties accessing care when needed. These difficulties were related to low income, problems with health insurance, lack of knowledge about available services, fear of being judged as a parent, and perceived discrimination. The findings have implications for care providers, including those working in settlement services, child protection, and public health.

French
On sait peu de choses sur l'accès aux services de santé des enfants d'âge préscolaire issus de familles de réfugiés ou qui ont présenté une demande d'asile au Canada. Dans le cadre de cette étude fondée sur une approche à méthodes mixtes, nous avons recueilli des données auprès d'un échantillon choisi à dessein constitué de 55 mères habitant dans une ville de deuxième rang de la province de l'Ontario. Ces données soulèvent des questions sur l'accès de ces familles aux soins primaires. Des facteurs autres que les besoins déterminent si une mère accédera ou non à des soins pour son enfant. Même si tous les enfants avaient vu un médecin au cours de l'année précédente et que 78 % disposaient d'un prestataire de soins attitré, leurs mères avaient éprouvé des difficultés à obtenir des soins lorsque le besoin se présentait. Ces difficultés sont liées au faible revenu, aux problèmes relatifs à l'assurance-maladie, à la méconnaissance des services offerts, à la peur d'être jugée en tant que parent et à la discrimination perçue. Ces observations comportent des implications pour les prestataires de soins, dont les personnes qui travaillent dans les services d'établissement, la protection de l'enfance et la santé publique.

Keywords: ASYLUM SEEKER; CHILD HEALTH; HEALTH-CARE ACCESS; HEALTH-CARE DISPARITIES; REFUGEE

Document Type: Research Article

Publication date: September 1, 2009

More about this publication?
  • To the CJNR Readership:

    We are excited to report that as of January 2016, the CJNR (Canadian Journal of Nursing Research) is being published under the SAGE Publications, Inc. banner.

    All inquiries relating to future issues of CJNR should be directed to:

    Daniel Ruth
    Senior Acquisitions Editor
    SAGE Publications In
    T (805) 410-7251
    E dan.ruth@sagepub.com
    www.sagepub.com

    Currently published issues of the CJNR (1969-2015) are being moved to the McGill online archives where they will be hosted in perpetuity. This migration should be completed by Spring 2016. During this transition, all issues of CJNR remain accessible to our readers as before:

    1) Past issues of CJNR from 2003 to December 2015 through ingentaconnect.

    2) Issues from 2002 to 1969 can be accessed through the CJNR digital archive.

    We understand that this is a significant change. Please be confident that all parties are working diligently to make this a seamless transition that will further advance the scope and impact of CJNR.

    Thank you.
  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • Archives
  • Overview / Permissions
  • Ingenta Connect is not responsible for the content or availability of external websites
mcgill/cjnr/2009/00000041/00000003/art00013
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more