TY - JOUR
T1 - Development of the Migrant Friendly Maternity Care Questionnaire (MFMCQ) for migrants to Western societies
T2 - An international Delphi consensus process
AU - Gagnon, Anita J.
AU - De Bruyn, Rebecca
AU - Essén, Birgitta
AU - Gissler, Mika
AU - Heaman, Maureen
AU - Jeambey, Zeinab
AU - Korfker, Dineke
AU - McCourt, Christine
AU - Roth, Carolyn
AU - Zeitlin, Jennifer
AU - Small, Rhonda
AU - Alexander, Sophie
AU - Racapé, Judith
AU - Arntzen, Annett
AU - Barros, Henrique
AU - Blondel, Béatrice
AU - Merry, Lisa
AU - Glazier, Richard
AU - Kirby, Russell
AU - Mohangoo, Ashna
AU - Macfarlane, Alison
AU - Dattani, Nirupa
AU - Nybo Andersen, Anne Marie
AU - Mortensen, Laust
AU - Villadsen, Sarah
AU - Davey, Mary Ann
AU - Sievers, Erika
AU - Stray-Pedersen, Babill
AU - Urquia, Marcelo
AU - Janevic, Teresa
AU - Guendelman, Sylvia
AU - Bolumar, Francisco
AU - Río Sánchez, María Isabel
AU - Hjern, Anders
AU - Vangen, Siri
N1 - Funding Information:
We would like to acknowledge our funders: Quebec Metropolis Centre - Immigration and Metropolis; McGill University Dawson Scholar Program; and the McGill University Health Centre and Research Institute with funds from le Fonds de la recherche en santé du Québec.
PY - 2014/6/10
Y1 - 2014/6/10
N2 - Background: Through the World Health Assembly Resolution, 'Health of Migrants', the international community has identified migrant health as a priority. Recommendations for general hospital care for international migrants in receiving-countries have been put forward by the Migrant Friendly Hospital Initiative; adaptations of these recommendations specific to maternity care have yet to be elucidated and validated. We aimed to develop a questionnaire measuring migrant-friendly maternity care (MFMC) which could be used in a range of maternity care settings and countries.Methods: This study was conducted in four stages. First, questions related to migrant friendly maternity care were identified from existing questionnaires including the Migrant Friendliness Quality Questionnaire, developed in Europe to capture recommended general hospital care for migrants, and the Mothers In a New Country (MINC) Questionnaire, developed in Australia and revised for use in Canada to capture the maternity care experiences of migrant women, and combined to create an initial MFMC questionnaire. Second, a Delphi consensus process in three rounds with a panel of 89 experts in perinatal health and migration from 17 countries was undertaken to identify priority themes and questions as well as to clarify wording and format. Third, the draft questionnaire was translated from English to French and Spanish and back-translated and subsequently culturally validated (assessed for cultural appropriateness) by migrant women. Fourth, the questionnaire was piloted with migrant women who had recently given birth in Montreal, Canada.Results: A 112-item questionnaire on maternity care from pregnancy, through labour and birth, to postpartum care, and including items on maternal socio-demographic, migration and obstetrical characteristics, and perceptions of care, has been created - the Migrant Friendly Maternity Care Questionnaire (MFMCQ) - in three languages (English, French and Spanish). It is completed in 45 minutes via interview administration several months post-birth.Conclusions: A 4-stage process of questionnaire development with international experts in migrant reproductive health and research resulted in the MFMCQ, a questionnaire measuring key aspects of migrant-sensitive maternity care. The MFMCQ is available for further translation and use to examine and compare care and perceptions of care within and across countries, and by key socio-demographic, migration, and obstetrical characteristics of migrant women.
AB - Background: Through the World Health Assembly Resolution, 'Health of Migrants', the international community has identified migrant health as a priority. Recommendations for general hospital care for international migrants in receiving-countries have been put forward by the Migrant Friendly Hospital Initiative; adaptations of these recommendations specific to maternity care have yet to be elucidated and validated. We aimed to develop a questionnaire measuring migrant-friendly maternity care (MFMC) which could be used in a range of maternity care settings and countries.Methods: This study was conducted in four stages. First, questions related to migrant friendly maternity care were identified from existing questionnaires including the Migrant Friendliness Quality Questionnaire, developed in Europe to capture recommended general hospital care for migrants, and the Mothers In a New Country (MINC) Questionnaire, developed in Australia and revised for use in Canada to capture the maternity care experiences of migrant women, and combined to create an initial MFMC questionnaire. Second, a Delphi consensus process in three rounds with a panel of 89 experts in perinatal health and migration from 17 countries was undertaken to identify priority themes and questions as well as to clarify wording and format. Third, the draft questionnaire was translated from English to French and Spanish and back-translated and subsequently culturally validated (assessed for cultural appropriateness) by migrant women. Fourth, the questionnaire was piloted with migrant women who had recently given birth in Montreal, Canada.Results: A 112-item questionnaire on maternity care from pregnancy, through labour and birth, to postpartum care, and including items on maternal socio-demographic, migration and obstetrical characteristics, and perceptions of care, has been created - the Migrant Friendly Maternity Care Questionnaire (MFMCQ) - in three languages (English, French and Spanish). It is completed in 45 minutes via interview administration several months post-birth.Conclusions: A 4-stage process of questionnaire development with international experts in migrant reproductive health and research resulted in the MFMCQ, a questionnaire measuring key aspects of migrant-sensitive maternity care. The MFMCQ is available for further translation and use to examine and compare care and perceptions of care within and across countries, and by key socio-demographic, migration, and obstetrical characteristics of migrant women.
KW - Childbirth
KW - Ethnicity
KW - Immigration and emigration
KW - Maternal-child health services
KW - Patient satisfaction
KW - Patient-centred care
KW - Pregnancy
KW - Quality of health care
KW - Questionnaires
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=84947648886&partnerID=8YFLogxK
U2 - 10.1186/1471-2393-14-200
DO - 10.1186/1471-2393-14-200
M3 - Article
C2 - 24916892
AN - SCOPUS:84947648886
SN - 1471-2393
VL - 14
JO - BMC Pregnancy and Childbirth
JF - BMC Pregnancy and Childbirth
IS - 1
M1 - 200
ER -