Abstract
Semi-structured interviews were conducted with 20 HCPs in Sydney, Australia who had substantial experience in providing contraceptive services to Chinese women who were recent migrants. Transcribed audio-recorded data were analysed using thematic analysis. Four main themes were identified, including: 'Are you using contraception?': the case for being proactive and opportunistic; 'Getting the message across': barriers to communication; 'Hormones are unnatural?': women favouring non-hormonal methods; and 'Word of mouth': social influence on contraceptive method choice. In order to facilitate informed choice and shared decision-making with Chinese migrant women during contraceptive counselling, broader health system and community-level strategies are needed. Such strategies could include improving HCPs' cultural competency in assessing and communicating women's contraceptive needs; providing professional interpreting services and translated materials; and improving women's health literacy, including their contraceptive knowledge and health system awareness.
Highlights
Australia has a large migrant population and is home to many culturally and linguistically diverse (CALD) communities
Chinese participants were included in some studies that explored migrant and refugee women’s sexual and reproductive health (SRH) needs,[3,4,5,6,7,8,9] with the exception of a recent survey study conducted among Chinese-speaking international students,[9] their accounts were often subsumed within homogenous, collective patterns in CALD women’s unmet needs
The design of this study was informed by the Ottawa Decision Support Framework (ODSF), which has been predominately used to guide the development of shared decision-making (SDM) interventions and tools.[29,30,31]
Summary
Australia has a large migrant population and is home to many culturally and linguistically diverse (CALD) communities. The aim of this study is to explore HCPs’ experiences of providing contraceptive care for Chinese migrant women, their perceptions of women’s care needs when choosing contraceptive methods, as well as their own needs in supporting women’s decision-making. Conclusions: In order to facilitate informed choice and shared decision-making with Chinese migrant women during contraceptive counselling, broader health system and community-level strategies are needed. Such strategies could include improving HCPs’ cultural competency in assessing and communicating women’s contraceptive needs; providing professional interpreting services and translated materials; and improving women’s health literacy, including their contraceptive knowledge and health system awareness
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