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Published in: BMC Women's Health 1/2015

Open Access 01-12-2015 | Research article

Standpoints of Roma women regarding reproductive health

Authors: Marjeta Logar, Danica Rotar Pavlič, Alem Maksuti

Published in: BMC Women's Health | Issue 1/2015

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Abstract

Background

Little is known about the reproductive health of Roma women in Slovenia. The aim of this study is to present the standpoints of Roma women regarding reproductive health, the degree to which primary healthcare services are available to Roma women and the reproductive health circumstances which lead most Roma women to decide to visit a gynaecologist.

Methods

A qualitative research study was carried out. Forty-four adult Roma women from the Hudeje/Vejar settlement in the Dolenjska region, Slovenia, took part in the research. The collected material was processed by means of inductive (qualitative) content analysis. The coding procedure was supported by the QDA software Atlas.ti.

Results

Eighteen categories and six themes were identified that enable with the relevant codes an understanding of the standpoints of Roma women regarding reproductive health. The research results showed that the cultural needs of Roma women should be taken into account in their comprehensive healthcare treatment. Roma women wish for equal treatment when health is in question, drawing attention to better communication and the problem of ethnic discrimination in medical facilities. Roma women also feel a need to be educated and to receive professional advice, such as appropriate lectures and/or workshops dealing with reproductive health that would ensure them a higher quality of life over time.

Conclusions

The research results call attention to the necessity of recognising both the need to educate Roma women as well as the need for different approaches to the provision of healthcare services in the field of reproductive health with such a sensitive group of female inhabitants. It will be necessary to familiarise them with preventive programmes and to implement such programmes, to inform them of possible diseases and to encourage them in a friendly and easy-to-understand manner to regularly visit their gynaecologist.
Literature
1.
go back to reference Obersnel Kveder D, Žerovec M. Sexual and reproductive rights. Ljubljana: Sloga; 2012. Obersnel Kveder D, Žerovec M. Sexual and reproductive rights. Ljubljana: Sloga; 2012.
2.
go back to reference Zadravec J. Health culture of the Roma people in Prekmurje. Murska Sobota: Pomurska založba; 1989. Zadravec J. Health culture of the Roma people in Prekmurje. Murska Sobota: Pomurska založba; 1989.
3.
go back to reference Rošer J. Roma family. In: Davidovič B, Jagodic D, editors. Roma people and health. Collection of articles of national conferences. Ljubljana: Ministry of health; 2010. p. 107–8. Rošer J. Roma family. In: Davidovič B, Jagodic D, editors. Roma people and health. Collection of articles of national conferences. Ljubljana: Ministry of health; 2010. p. 107–8.
4.
go back to reference Lehti A, Mattson B. Health, attitude to care and pattern of attendance among gypsy women – a general practice perspective. Fam Pract. 2001;18:445–8.CrossRefPubMed Lehti A, Mattson B. Health, attitude to care and pattern of attendance among gypsy women – a general practice perspective. Fam Pract. 2001;18:445–8.CrossRefPubMed
5.
go back to reference Van Cleemput P. Abstract of thesis: gypsies and travellers accessing primary health care: interactions with health staff and requirements for »culturally safe services. J Res Nurs. 2009;14:365–9.CrossRef Van Cleemput P. Abstract of thesis: gypsies and travellers accessing primary health care: interactions with health staff and requirements for »culturally safe services. J Res Nurs. 2009;14:365–9.CrossRef
6.
go back to reference Colombini M, Rechel B, Mayhew SH. Access of Roma to sexual and reproductive health services: Qualitative findings from Albania, Bulgaria and Macedonia. Glob Public Health. 2012;7:522–34.CrossRefPubMed Colombini M, Rechel B, Mayhew SH. Access of Roma to sexual and reproductive health services: Qualitative findings from Albania, Bulgaria and Macedonia. Glob Public Health. 2012;7:522–34.CrossRefPubMed
7.
go back to reference Rechel B, McKee M. Health system and policies in South-Eastern Europe. In: WHO, editor. Health and economic development in South-Eastern Europe. Copenhagen: World Health Organization Regional Office for Europe; 2006. p. 43–70. Rechel B, McKee M. Health system and policies in South-Eastern Europe. In: WHO, editor. Health and economic development in South-Eastern Europe. Copenhagen: World Health Organization Regional Office for Europe; 2006. p. 43–70.
8.
go back to reference United Nations Population Fund. Strategic assessment of current policies, quality and access to abortion and contraception in the Republic of Macedonia. Skopje: United Nations Population Fund; 2008. United Nations Population Fund. Strategic assessment of current policies, quality and access to abortion and contraception in the Republic of Macedonia. Skopje: United Nations Population Fund; 2008.
9.
go back to reference Nikolić Z, Djikanović B. Differences in the use of contraception between Roma and non-Roma women in Serbia. J Public Health. 2013;n9547(20141201). doi:10.1093/pubmed/fdu096. Nikolić Z, Djikanović B. Differences in the use of contraception between Roma and non-Roma women in Serbia. J Public Health. 2013;n9547(20141201). doi:10.1093/pubmed/fdu096.
11.
go back to reference Sedlecky K, Rašević M. Challenges in sexual and reproductive health of Roma people who live in settlements in Serbia. Eur J Contracept Reprod Health Care. 2014;15:1–9. Sedlecky K, Rašević M. Challenges in sexual and reproductive health of Roma people who live in settlements in Serbia. Eur J Contracept Reprod Health Care. 2014;15:1–9.
12.
go back to reference Ringold D, Orenstein MA, Wilkens E. Roma in an expanding Europe: breaking the poverty cycle. Washington D.C: The World Bank; 2005. Ringold D, Orenstein MA, Wilkens E. Roma in an expanding Europe: breaking the poverty cycle. Washington D.C: The World Bank; 2005.
13.
go back to reference Rechel B, Blackburn C, Spencer NJ, Rechel B. Access to health care for Roma children in Central and Eastern Europe: findings from a qualitative study in Bulgaria. Int J Equity Health. 2009;8:24.CrossRefPubMedPubMedCentral Rechel B, Blackburn C, Spencer NJ, Rechel B. Access to health care for Roma children in Central and Eastern Europe: findings from a qualitative study in Bulgaria. Int J Equity Health. 2009;8:24.CrossRefPubMedPubMedCentral
14.
go back to reference Zeman CL, Depken DE, Senchina DS. Roma health issues: a review of the literature and discussion. Ethn Health. 2003;8:223–49.CrossRefPubMed Zeman CL, Depken DE, Senchina DS. Roma health issues: a review of the literature and discussion. Ethn Health. 2003;8:223–49.CrossRefPubMed
15.
go back to reference Gajšek N. The rights of the Roma community in the Republic of Slovenia. [Diploma thesis]. Ljubljana: Faculty of Social Sciences; 2004. Gajšek N. The rights of the Roma community in the Republic of Slovenia. [Diploma thesis]. Ljubljana: Faculty of Social Sciences; 2004.
16.
go back to reference European Monitoring Centre on Racism and Xenophobia. Breaking the barriers – Romani women and access to public health care. Luxembourg: Office for Official Publications of the Roma European Communities; 2003. European Monitoring Centre on Racism and Xenophobia. Breaking the barriers – Romani women and access to public health care. Luxembourg: Office for Official Publications of the Roma European Communities; 2003.
17.
go back to reference Ringold D. Roma and the Transition in Central and Eastern Europe: Trends and Challenges. Washington D.C: The World Bank; 2000.CrossRef Ringold D. Roma and the Transition in Central and Eastern Europe: Trends and Challenges. Washington D.C: The World Bank; 2000.CrossRef
18.
19.
go back to reference Zoon I. On the margins: Roma and public services in Romania, Bulgaria and Macedonia. New York: Open Society Institute; 2001. Zoon I. On the margins: Roma and public services in Romania, Bulgaria and Macedonia. New York: Open Society Institute; 2001.
20.
go back to reference Čvorović J. Sexual and Reproductive Strategies among Serbian Gypsies. Popul Environ. 2004;25:217–42. Čvorović J. Sexual and Reproductive Strategies among Serbian Gypsies. Popul Environ. 2004;25:217–42.
22.
go back to reference Đogić K. Roma women and their health. [Diploma thesis]. Ljubljana: Faculty of social work; 2011. Đogić K. Roma women and their health. [Diploma thesis]. Ljubljana: Faculty of social work; 2011.
23.
go back to reference Janhar M. Community nursing of the Roma community in the barrack settlement in the Municipality of Ljubljana. [Diploma thesis]. Ljubljana: College of Health Care; 2007. Janhar M. Community nursing of the Roma community in the barrack settlement in the Municipality of Ljubljana. [Diploma thesis]. Ljubljana: College of Health Care; 2007.
26.
go back to reference Rotar Pavlič D, Zelko E, Kersnik J, Lolić V. Health beliefs and practices among Slovenian Roma and their response to febrile illnesses: a qualitative study. Healthcare. 2011;50:169–74. Rotar Pavlič D, Zelko E, Kersnik J, Lolić V. Health beliefs and practices among Slovenian Roma and their response to febrile illnesses: a qualitative study. Healthcare. 2011;50:169–74.
28.
go back to reference Belović B. Life style and use of health services in the population of Roma women. In: Collection of articles of national conferences Roma people and health. Ljubljana: Ministry of Health of the Republic of Slovenia; 2010. Belović B. Life style and use of health services in the population of Roma women. In: Collection of articles of national conferences Roma people and health. Ljubljana: Ministry of Health of the Republic of Slovenia; 2010.
29.
go back to reference Zupančič Tisovec B. Improvement of the accessibility to health services for Roma people in the area of Dolenjska. [Specialist thesis]. Ljubljana: Faculty of social work; 2010. Zupančič Tisovec B. Improvement of the accessibility to health services for Roma people in the area of Dolenjska. [Specialist thesis]. Ljubljana: Faculty of social work; 2010.
33.
go back to reference Coyne IT. Sampling in qualitative research. Purposeful and theoretical sampling; merging or clear boundaries? 1997;67:623–30. Coyne IT. Sampling in qualitative research. Purposeful and theoretical sampling; merging or clear boundaries? 1997;67:623–30.
34.
go back to reference Hopf C. Qualitative interviews: An Overview. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 203–8. Hopf C. Qualitative interviews: An Overview. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 203–8.
35.
go back to reference Johnson JM, Rowlands T. The Interpersonal Dynamics of In-Depth Interviewing. In: Gubrium JF, Holstein JA, Mavrasti AB, McKinney KD, editors. The sage handbook of interview research: the complexity of the craft. Los Angeles, etc: Sage; 2012. p. 99–113.CrossRef Johnson JM, Rowlands T. The Interpersonal Dynamics of In-Depth Interviewing. In: Gubrium JF, Holstein JA, Mavrasti AB, McKinney KD, editors. The sage handbook of interview research: the complexity of the craft. Los Angeles, etc: Sage; 2012. p. 99–113.CrossRef
36.
37.
go back to reference Saldaña J. The Coding Manuals for Qualitative Researchers. Los Angeles (etc.): Sage; 2009. Saldaña J. The Coding Manuals for Qualitative Researchers. Los Angeles (etc.): Sage; 2009.
38.
go back to reference Schreier M. Qualitative Content Analysis in Practice. Los Angeles: Sage; 2012. Schreier M. Qualitative Content Analysis in Practice. Los Angeles: Sage; 2012.
39.
go back to reference Friese S. Qualitative Data Analysis with ATLAS.ti. London: Sage; 2012. Friese S. Qualitative Data Analysis with ATLAS.ti. London: Sage; 2012.
40.
go back to reference Steinke I. Quality Criteria in Qualitative Research. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 184–90. Steinke I. Quality Criteria in Qualitative Research. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 184–90.
41.
go back to reference Whittemore R, Chase SK, Mandle CL. Validity in Qualitative Research. Qual Health Res. 2001;11:522–37.CrossRefPubMed Whittemore R, Chase SK, Mandle CL. Validity in Qualitative Research. Qual Health Res. 2001;11:522–37.CrossRefPubMed
42.
go back to reference Merkens H. Selection Procedures, Sampling, Case Construction. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 165–71. Merkens H. Selection Procedures, Sampling, Case Construction. In: Flick U, Kardorff EV, Steinke I, editors. A companion to qualitative research. London etc: Sage; 2004. p. 165–71.
43.
go back to reference Petek D, Rotar Pavlič D, Švab I, Lolić D. Attitudes of Roma toward Smoking: Qualitative Study in Slovenia. Croat Med J. 2006;47:344–7.PubMedPubMedCentral Petek D, Rotar Pavlič D, Švab I, Lolić D. Attitudes of Roma toward Smoking: Qualitative Study in Slovenia. Croat Med J. 2006;47:344–7.PubMedPubMedCentral
44.
go back to reference Anderson G, Tighe B. Gypsy Culture and Health Care. Am J Nurs. 1973;73:282–5.PubMed Anderson G, Tighe B. Gypsy Culture and Health Care. Am J Nurs. 1973;73:282–5.PubMed
45.
go back to reference Bobele M, Lopez SS, Scamardo M, Solorzano B. Single-session/Walk- In therapy with Mexican-American clients. J Syst Ther. 2008;27:75–89.CrossRef Bobele M, Lopez SS, Scamardo M, Solorzano B. Single-session/Walk- In therapy with Mexican-American clients. J Syst Ther. 2008;27:75–89.CrossRef
46.
go back to reference Cohen S, Engel K. Yorktown Child and Family Centre: “West End Walk-In Counseling Centre.”. Toronto, ON: Yorktown Child and Family Centre; 2000. Cohen S, Engel K. Yorktown Child and Family Centre: “West End Walk-In Counseling Centre.”. Toronto, ON: Yorktown Child and Family Centre; 2000.
47.
go back to reference Zupančič V, Filej B. The concept of community care from the students’ perspective. In: Železnik D et al., editors. Proceedings of the third conference with international participation from the field of health sciences, the presence and future of health sciences in the time of global chanze. Slovenj Gradec: College of Health Sciences; 2013. p. 66–75. Zupančič V, Filej B. The concept of community care from the students’ perspective. In: Železnik D et al., editors. Proceedings of the third conference with international participation from the field of health sciences, the presence and future of health sciences in the time of global chanze. Slovenj Gradec: College of Health Sciences; 2013. p. 66–75.
Metadata
Title
Standpoints of Roma women regarding reproductive health
Authors
Marjeta Logar
Danica Rotar Pavlič
Alem Maksuti
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2015
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-015-0195-0

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