Author:
Donnelly Arielle,Haintz Greer Lamaro,McKenzie Hayley,Graham Melissa
Abstract
Abstract
Background
Forced displacement impacts the health, rights and safety of women, which is further compounded by gender inequality. In particular, this has consequences for forcibly displaced women’s reproductive health once resettled in a new country. To ensure the reproductive health and rights of forcibly displaced women during and after resettlement, there must be careful consideration of their reproductive decision-making taking into account the context and environment of the host country.
Aim
This scoping review aimed to explore the influences on reproductive decision-making among forcibly displaced women resettling in high-income countries.
Method
A scoping review was conducted following the PRISMA-ScR for reporting. EBSCO was used to search databases covering global health, health policy, psychology, sociology, and philosophy for articles published from 1 January 2012 to 27 April 2022. Data extracted from each article included author(s), year of publication, publication type, aims/objectives, study design, sampling method, data collection or eligibility criteria, study population (i.e., sample size and characteristics), migration status, country(ies) of origin, host country(ies), key findings and limitations. Two independent reviewers screened all articles against eligibility criteria using Covidence. Data charting and thematic analysis were performed independently by one reviewer.
Findings
Nineteen articles published between 2013 and 2022 mostly conducted in the United States (36.8%) and Australia (21.1%), with the majority reporting on qualitative findings (68.4%), and women from a wide array of countries and cultures (most commonly African countries) were included. Influences on women’s reproductive decision-making related to the contexts before displacement, during displacement, and after arrival, with influences on women’s reproductive decision-making identified specific to the context. The influences before displacement included conflict; religious beliefs; socio-cultural gendered expectations; and external control over reproductive autonomy. During displacement influences included paternalism and access to education. Influences after arrival included pressure, restriction, coercion; knowledge and misconceptions; patriarchal power dynamics; and seeking empowerment. An adapted socio-ecological model was developed to interpret the findings.
Conclusion
This review highlights the complexity and nuances within forcibly displaced women’s experiences which influence their reproductive decision-making. Further research may review the evidence base to provide guidance for healthcare professionals and health policies aimed at empowering women to make autonomous reproductive decisions; develop training for healthcare professionals to prevent pressure, restriction and coercion of women’s reproductive autonomy; and inform development of policy that takes an intersectional approach to women’s health rights and gender equality.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference63 articles.
1. Raday F, Facio A, Zelinska E, Chandrakirana K, Aouij E. Women's Autonomy, Equality and Reproductive Health in International Human Rights: Between Recognition, Backlash and Regressive Trends. Switzerland: United Nations Human Rights Special Procedures; 2017. Available from: https://www.ohchr.org/en/special-procedures/wg-women-and-girls/womens-autonomy-equality-and-reproductive-health.
2. Gaanderse M. Gender and forced displacement: practical issues and challenges at field level. St Anthony’s Int Rev. 2013;9(1):108–17.
3. Klugman J. The Gender Dimensions of Forced Displacement: A synthesis of new research. Global: World Bank Group; 2022. Available from: https://documents.worldbank.org/en/publication/documents-reports/documentdetail/895601643214591612/the-gender-dimensions-of-forced-displacement-a-synthesis-of-new-research.
4. Multicultural Centre for Women's Health. Equity and wellbeing for migrant women: 21/22 State budget submission. Australia: MCWH; 2021. Available from: https://www.mcwh.com.au/mcwh-pre-budget-21-22-submission-equity-and-wellbeing-for-victorian-migrant-women/.
5. United Nations. Transforming our world: The 2030 Agenda for Sustainable Development A/RES/70/1. UN. 2015.