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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2011

Open Access 01-12-2011 | Research

"There's no kind of respect here" A qualitative study of racism and access to maternal health care among Romani women in the Balkans

Authors: Teresa Janevic, Pooja Sripad, Elizabeth Bradley, Vera Dimitrievska

Published in: International Journal for Equity in Health | Issue 1/2011

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Abstract

Introduction

Roma, the largest minority group in Europe, face widespread racism and health disadvantage. Using qualitative data from Serbia and Macedonia, our objective was to develop a conceptual framework showing how three levels of racism--personal, internalized, and institutional--affect access to maternal health care among Romani women.

Methods

Eight focus groups of Romani women aged 14-44 (n = 71), as well as in-depth semi-structured interviews with gynecologists (n = 8) and key informants from NGOs and state institutions (n = 11) were conducted on maternal health care seeking, experiences during care, and perceived health care discrimination. Transcripts were coded, and analyzed using a grounded theory approach. Themes were categorized into domains.

Results

Twenty-two emergent themes identified barriers that reflected how racism affects access to maternal health care. The domains into which the themes were classified were perceptions and interactions with health system, psychological factors, social environment and resources, lack of health system accountability, financial needs, and exclusion from education.

Conclusions

The experiences of Romani women demonstrate psychosocial and structural pathways by which racism and discrimination affect access to prenatal and maternity care. Interventions to address maternal health inequalities should target barriers within all three levels of racism.
Appendix
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Metadata
Title
"There's no kind of respect here" A qualitative study of racism and access to maternal health care among Romani women in the Balkans
Authors
Teresa Janevic
Pooja Sripad
Elizabeth Bradley
Vera Dimitrievska
Publication date
01-12-2011
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2011
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/1475-9276-10-53

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