Sexual and Reproductive Healthcare Needs of Refugee Women Exposed to Gender-Based Violence: The Case for Trauma-Informed Care in Resettlement Contexts

Author:

Mathis Cherra M.1ORCID,Steiner Jordan J.2,Kappas Mazzio Andrea3,Bagwell-Gray Meredith4,Wachter Karin5ORCID,Johnson-Agbakwu Crista6,Messing Jill5,Nizigiyimana Jeanne7

Affiliation:

1. College of Social Work, University of Kentucky, Lexington, KY 40506, USA

2. Independent Researcher, Princeton, NJ 08542, USA

3. Independent Researcher, Mesa, AZ 85201, USA

4. School of Social Welfare, University of Kansas, Lawrence, KS 66045, USA

5. School of Social Work, Arizona State University, Phoenix, AZ 85004, USA

6. T.H. Chan Medical School, University of Massachusetts, Worcester, MA 01655, USA

7. Valleywise Center for Refugee & Global Health, Phoenix, AZ 85008, USA

Abstract

This paper assesses literature regarding the sexual and reproductive healthcare (SRH) needs of resettled refugee women who experienced gender-based violence (GBV) and trauma-informed care (TIC) principles utilized among SRH service providers. A systematic search identified relevant studies published between 2000 and 2021; no articles found reflected both SRH and TIC principles among refugee women. The search was therefore separated into two aims: to review the literature about SRH needs for refugee women in resettlement countries who experienced GBV (Aim 1) and to examine the use of TIC principles in SRH care among women who experienced GBV (Aim 2). Thematic analysis of the articles identified key themes. Twenty-six articles were included in the analysis across both aims (Aim 1 = 8, Aim 2 = 18). Aim 1 articles shared three factors shaping the SRH needs of resettled refugee women: the centrality of violence and trauma; structural barriers to SRH care; and actions, practices, and resources for service providers. Aim 2 articles illustrated seven key principles of TIC used in SRH service provision, such as empowerment; trauma-specific services and integrated care; connection; safety; collaboration; identity culture and context; and trustworthiness. Resettled refugee women’s experiences of violence necessitate trauma-informed SRH health care. While there is limited peer-reviewed literature regarding TIC-SRH care for refugee women, the findings regarding the SRH needs of refugee women and the findings regarding the implementation of TIC in SRH collectively frame recommendations for how SRH can be infused with TIC. An example from practice, in the form of the Refugee Women’s Health Clinic, is included as an exemplar of TIC SRH principles in action for the health of resettled refugee women who have survived gendered violence.

Publisher

MDPI AG

Reference80 articles.

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2. United Nations High Commissioner for Refugees [UNHCR] (2024, May 20). Global Trends: Forced Displacement in 2021. Available online: https://www.unhcr.org/en-us/publications/brochures/62a9d1494/global-trends-report-2021.html.

3. UN High Commissioner for Refugees (UNHCR) (2024, May 20). Global Compact on Refugees. Available online: https://www.refworld.org/docid/63b43eaa4.html.

4. Sense of Identity Among Young People with Refugee Backgrounds: A Scoping Review;Shahimi;Child. Youth Serv. Rev.,2024

5. Freedman, J., Kivilcim, Z., and Baklacıoğlu, N.O. (2017). Women’s Experience of Forced Migration: Gender-Based Forms of Insecurity and the Uses of “Vulnerability”. A Gendered Approach to the Syrian Refugee Crisis, Routledge.

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