Electronic Thesis and Dissertation Repository

Thesis Format

Monograph

Degree

Master of Science

Program

Nursing

Supervisor

Modanloo, Shokoufeh

2nd Supervisor

Uwizeye, Glourieuse

Co-Supervisor

Abstract

This study explores the lived experiences of Sub-Saharan Black African migrant women in accessing and receiving maternal-newborn healthcare services in Ontario, Canada. Utilizing an intersectionality-inspired lens, the research investigates how intersecting identities—such as race, gender, socioeconomic status, and immigration status—alongside structural determinants like racism, xenophobia, and systemic power dynamics shape these women's experiences of maternal-newborn healthcare. Through semi-structured interviews with ten participants, the study findings reveal some challenges and barriers to equitable care, including restricted access due to temporary immigration status, discrimination within healthcare systems, and inadequate culturally safe care. The findings highlight the critical need for healthcare policy and programs reforms to prioritize culturally safe care, equitable access to care, and dismantling systemic racism within maternal-newborn healthcare services. The study contributes to a deeper understanding of the unique challenges faced by Sub-Saharan Black African migrant women and offers recommendations for enhancing maternal-newborn healthcare delivery to better provide quality care to this marginalized population.

Summary for Lay Audience

This study explored the experiences of Sub-Saharan Black African migrant women in Ontario as they navigated the healthcare system during their pregnancies and childbirth. The research highlighted several significant challenges these women faced, including limited access to healthcare due to their temporary immigration status, long wait times, and a lack of culturally safe care. Many of the women felt that their voices were not heard by healthcare providers, who often dismissed their concerns and did not respect their cultural practices. These experiences were further complicated by instances of racism and stereotyping, which made the women feel marginalized and less valued in the healthcare system.

The findings suggest that the Canadian healthcare system, despite its reputation for being inclusive, often fails to meet the needs of migrant women from Sub-Saharan Africa. To improve care, the study recommends that healthcare providers receive training in cultural sensitivity and that policies be put in place to ensure that all women, regardless of their immigration status, have equitable access to healthcare services. By addressing these issues, the healthcare system can better support the health and well-being of these women and their families.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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