Somali Mothers Research Articles

Disrupting hegemonic conceptions of parental engagement: Somali mothers’ (communal) pedagogies of quiet resistance

ABSTRACT This research draws on Intersectionality, Coloniality and Quiet Resistance (QR) to explore the experiences of working-class Somali immigrant mothers in an urban school in East London, UK. Particularly, the study explores communal pedagogies of resistance that Somali women engage in their mothering work. We do this by centering the stories and experiences of mothers with their children’s school. Our analysis shows three interrelated themes that characterize Somali mothers collective/individual forms of quiet resistance; a) for protecting self and children; b) for maintaining community life and dignity; c) and finally generational differences in how mothers enacted quiet resistance. Findings emphasize the importance of community knowledge in shaping Somali mothering pedagogies of resistance rooted in ethics of care. Finally, we discuss ways in which Somali mothering practices can contribute to deeper engagement with non-Western family knowledge and practices for research and practice.

Parental burnout among Somali mothers: Associations with mental health, perceived social support, and sociodemographic factors.

Parenthood can be defined by the contradiction that it is one of the most satisfying yet stressful experiences in life. Many parents experience stress during parenthood, and some to the extent that they display symptoms of parental burnout. Nevertheless, research on parental burnout is scant and many studies have only examined the condition in Western settings. The aim of this study was to examine parental burnout among Somali mothers in Mogadishu, Somalia, and its association with certain psychological, psychosocial, and sociodemographic factors. In this cross-sectional study, questionnaire data were collected through the measurements Parental Burnout Assessment and Patient Health Questionnaire 9, as well as through social and demographic questions. A total of 882 Somali mothers in Mogadishu participated. The analysis methods used were univariate, bivariate, and multiple linear regression analysis. The results revealed that the mean parental burnout score was low in the sample. Additionally, a significant association was found between higher levels of parental burnout and higher levels of depression, perceived lack of social support, being unmarried, having a low monthly household income, and when the youngest child was of school-age.

Female Genital Mutilation: A Religio-cultural Sensitive Issue Determining Maternal Healthcare Choices among Somali Women in Dadaab Refugee Camp, Kenya

This paper focuses on Kenya’s development challenges in maternal health care, especially the impact of traditional birth attendants (TBAs) and female genital mutilation (FGM) among the refugees. The study identifies four objectives: to discuss the persistence of FGM among Somali women in Ifo Refugee Camp; to establish the hospital process of providing maternal health care to mothers who have gone through FGM; to find out the level of preparedness of the midwives to handle mothers with religio-cultural concerns such as prayer and non-involvement of male nurses; and how the practice of FGM contributes to the preference of TBA by mothers. This study assumes that midwives’ training may not have effectively addressed FGM, a social-cultural sensitive issue affecting childbirth and care. The specific support of midwives in refugee camps contexts also remains limited. A qualitative research approach was used in the study, involving Snowballing sampling method, in-depth interviews, and focus group discussions (FGDs). These methods brought out pertinent issues that make TBAs the preferential option for some mothers despite the presence of level 4 category hospitals in the refugee camps. In case of birth complications, the mother’s choice for TBA delays the family’s decision to take her to the hospital and for healthcare workers to save mother and child. The shortage of midwives and the presence of male midwives in hospitals make some Somali mothers seek assistance from TBAs. There is a need to contextualize midwifery training by enhancing the curriculum with evidence-based/mother-centered skills.

'Somali parents feel like they're on the outer': Somali mothers' experiences of parent-teacher relationships for their autistic children.

Good relationships between parents and schools can improve autistic children's school success. There are many reasons why families from different cultural backgrounds find it harder to develop good relationships with schools, such as language barriers, discrimination and unfamiliarity with education systems. We know little about what 'good relationships' look like for these families. Here, we worked with a team of autistic and non-autistic researchers as well as an Advisory Group of Somali parents to conduct interviews with 15 Somali mothers of kindergarten and school-age autistic children. We asked mothers about their experiences of their child's education, communication with teachers and what a good relationship with schools would look like. We also asked how they felt the Somali community understood autism. We looked for common things that mothers said. We found that mothers were very proud of their children. They had high expectations, particularly about what children could do by themselves. Mothers found it frustrating that teachers had low expectations, that schools were not good at communicating with them and that autism-specific skills and experience were uncommon in schools. They also reported racist attitudes towards their children. Mothers experienced stigma and lacked resources, but support was gained from their daughters and their religion. Mothers themselves were proactively increasing community awareness and knowledge about autism in the hope that they and their autistic children would be valued and better supported. Our work has implications for how teachers and schools can work together with Somali parents to forge better futures for autistic children.

Bridging, building, and bonding: Somali mothers' experiences in a family-focused community program.

Developing community programming that integrates cultural context, family systems, and social connection is key to promoting well-being and acculturation among refugee families. This study explored the resettlement experiences of Somali refugee mothers as they sought to navigate their changing personal identities, childrearing approaches, and integration into a new community. The Somali Parent Program (SPP) represents a culturally specific, family-focused, 8-week program designed to address participants' questions and challenges. A phenomenological approach was used to understand how Somali mothers in the program made meaning of their experiences before, during, and after program completion. Emergent themes focused on how being a part of the program provided sources of belonging and support, highlighted the value of parent-child relationships, and emphasized the importance of visibility and voice. Culturally specific family-focused programs such as SPP may provide an effective method for addressing acculturation and integration among refugee families. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Female Genital Mutilation: A Religio-Cultural Sensitive Issue Determining Maternal Health Care Choices among Somali Women in Dadaab Refugee Camp, Kenya

The paper addresses Kenya’s development challenges in maternal health care with a specific focus on the impact of traditional birth attendants (TBAs) and female genital mutilation (FGM) among the refugees. It purposes to achieve four objectives: to discuss the persistence of FGM among Somali women in Ifo Refugee Camp, to establish the hospital process of providing maternal health care to mothers who have gone through FGM; find out the level of preparedness of the midwives to handle mothers with religio- cultural concerns such as prayer, non-involvement of male nurses and how the practice of FGM contributes to the preference of TBA by mothers. The study assumes that midwives’ training may not have effectively addressed FGM, a social-cultural sensitive issue affecting childbirth and care. Secondly, the specific support of midwives in refugee camps contexts remains limited. A qualitative research approach was used in the study, involving Snowballing sampling method, in-depth interviews, and focus group discussions (FGDs). These methods brought out pertinent issues that make TBAs the preferential option for some mothers in spite of the presence of level 4 category hospitals in the refugee camps. In case of birth complications, the mother’s choice for TBA delays the family’s decision to take her to the hospital and for health care workers to save mother and child. The shortage of midwives and the presence of male midwives in hospitals make some Somali mothers seek assistance from TBAs. There is a need to contextualize midwifery training by enhancing the curriculum with evidence-based /mother-centered skills.

Female Genital Mutilation: A Religio-Cultural Sensitive Issue Determining Maternal Health Care Choices among Somali Women in Dadaab Refugee Camp, Kenya

The paper addresses Kenya’s development challenges in maternal health care with a specific focus on the impact of traditional birth attendants (TBAs) and female genital mutilation (FGM) among the refugees. It purposes to achieve four objectives: to discuss the persistence of FGM among Somali women in Ifo Refugee Camp, to establish the hospital process of providing maternal health care to mothers who have gone through FGM; find out the level of preparedness of the midwives to handle mothers with religio- cultural concerns such as prayer, non-involvement of male nurses and how the practice of FGM contributes to the preference of TBA by mothers. The study assumes that midwives’ training may not have effectively addressed FGM, a social-cultural sensitive issue affecting childbirth and care. Secondly, the specific support of midwives in refugee camps contexts remains limited. A qualitative research approach was used in the study, involving Snowballing sampling method, in-depth interviews, and focus group discussions (FGDs). These methods brought out pertinent issues that make TBAs the preferential option for some mothers in spite of the presence of level 4 category hospitals in the refugee camps. In case of birth complications, the mother’s choice for TBA delays the family’s decision to take her to the hospital and for health care workers to save mother and child. The shortage of midwives and the presence of male midwives in hospitals make some Somali mothers seek assistance from TBAs. There is a need to contextualize midwifery training by enhancing the curriculum with evidence-based /mother-centered skills.

Family Planning as A Determining Factor in Preference to Traditional Birth Attendants (TBAs) Among Somali Community in Dadaab Refugee Camps, Kenya

Statement of Problem: Family planning is a determining factor in the maternal health care choices for Somali pregnant mothers in Dadaab Refugee camps. Research has revealed that during delivery, the Somali mothers prefer the services of Traditional Birth Attendants (TBAs) to those of midwives in hospitals. The preference for TBAs is borne of the belief that when women deliver in hospitals, they could be subjected to family planning against their will. The contention is that Islam and socio-cultural practices of the Somali community do not advocate family planning. The purpose of this paper is to discuss Islam’s position on family planning in order to explain the response of the Somalis of Dadaab refugee camps on family planning. Methodology & Theoretical orientation: The paper is derived from a qualitative study that involved snowball sampling, in-depth interviews and focus group discussions (FGDs). These methods brought out family planning as a determining factor in the mother’s choice of TBAs as opposed to hospital midwives in Dadaab Refugee camps. Findings: Any discourse on Islam and family planning offers two perspectives: proponents of family planning and opponents of family planning. Both perspectives use the texts of the Qur’an and Hadith (traditions) and different interpretations to justify and support their respective positions and opinions. Through primary and secondary sources, the paper interrogates both perspectives of family planning in Islam. Conclusion & Significance: It is concluded that the Somalis’ belief on family planning is informed by the two perspectives of family planning, but the opponents’ perspective holds sway. This determines the preference for TBAs for fear that mothers who deliver in hospitals could be subjected to family planning contraceptives. Recommendation: there is need to educate the community further on Islamic teachings on family planning; and more sensitization conducted on the benefits of child spacing.

Somali Immigrant Mothers’ Experiences of School Engagement: Implications for School Leaders

Purpose: This critical phenomenology study examines the experiences of Somali mothers’ involvement with an urban school in London, United Kingdom. Specifically, the study explores Somali mothers’ experiences and responses in navigating the coloniality of gender discourses imbedded in school structure and culture. The research questions that guided the study concerned the gender-based tools that Somali mothers use to navigate the school structure and culture and how school leaders can recognize and tap into parental knowledge and ways of being to serve these communities. Methods: This study is based on the stories of five Somali immigrant mothers. Data collection included focus groups, field memos, site observations, and school archival data. Data were analyzed through hermeneutic interpretation of whole-part-whole. Findings: Somali mothers use three important elements—identity, resistance, and traditions—to respond to coloniality of gender in school as they negotiate tensions between the Somali conception of motherhood and western notions of gender. The findings emphasize the practices rooted in Indigenous Somali culture and gender roles as assets. Implications: This research argues that the matripotent leadership practices of Somali mothers can inform theory, practice, and policy, as these practices offer a more collective and humanizing approach to leadership centered in ideals connected to a non-Western conception of motherhood, gender, and gender dynamics.

Development of a theory-based HPV vaccine promotion comic book for East African adolescents in the US

BackgroundHuman Papillomavirus (HPV) vaccine uptake is low among East African adolescents in the US. Adolescents’ preferences influence HPV vaccine decisions, yet few interventions exist that address East African adolescents’ beliefs about HPV vaccines. We describe a multi-step process on how to create a theory-based comic book by integrating empirical findings, theory and focus group data from East African parents in the US.MethodsOur multi-methods process included conducting focus groups with Somali, Ethiopian, and Eritrean mothers (n = 30) to understand mothers and adolescents socio-cultural beliefs and information needs about the HPV vaccine, creating comic book messages integrating the focus group findings, and assessing the acceptability of the finalized comic book among Somali, Ethiopian, and Eritrean adolescents (n = 134).ResultsWe identified categories around socio-cultural beliefs (such ethnic representation and concerns about pork gelatin in vaccines), HPV vaccine information needs, and diffusion of information. We then mapped the categories to theoretical constructs and operationalized them into the comic book. Finally, we describe the overall acceptability of the comic book and specifics on comic book structure, appeal of characters, and message relevance.ConclusionsA rigorous multi-step process that integrates theory and focus group data can help create culturally appropriate health messages that can educate and appeal to the community.

Parenting practices of Somali immigrant mothers in Alberta

AbstractThis paper provides insights into the little‐explored gendered perspective of the parenting practices of Somali immigrant mothers in a Canadian province (Alberta). We use a critical ethnographic methodology and a transnational feminist framework. Semi‐structured interviews were conducted with ten Somali mothers aged 18 to 50. Mothers were interviewed about their parenting practices in a post‐migration context, including challenges. Our results show immigrant mothers combine their cultural values with new values from Canada that they find effective. We find gendered differences in how parenting experiences are perceived. Our results suggest the need for anti‐racist and culturally safe health, education, and child policies and practices.

Mobile-mediated mothering from a distance: A case study of Somali mothers in Port Elizabeth, South Africa

This article explores the mobile-mediated mothering experiences among migrant Somali mothers living in Port Elizabeth, South Africa. Twenty semi-structured interviews were conducted with Somali mothers to examine how Imo, Viber, Skype and WhatsApp enable them to fulfil important maternal responsibilities toward their left-behind children in Somalia. The findings reveal that three types of maternal tensions occur due to their migration: guilt and concern, family strains, and judgement in Somali communities. Efforts to overcome these tensions include the adoption of mobile technologies to continue to mother from a distance. Migrant Somali mothers in this study mediate mothering using mobile platforms by: (a) transferring remittances to their children’s caretakers, (b) sustaining emotional bonds, (c) teaching religious beliefs, and (d) encouraging educational pursuits. By focusing on mothers as a distinct category of women, this study contributes to the theoretical call for more scholarship on matricentric feminism.

“We brought our culture here with us”: A qualitative study of perceptions of HPV vaccine and vaccine uptake among East African immigrant mothers

BackgroundHPV vaccine studies in East African communities are few and focus mainly on Somali women and girls. We examined how HPV vaccine perceptions and uptake are shaped among Somali, Ethiopian, and Eritrean mothers.MethodsWe convened three focus groups in Somali, Amharic, and Tigrinya with mothers of 11–17 year old children. The Socio-Context Framework (social, cultural, and religious factors) and Andersen's Behavioral Model (predisposing, enabling, and need for care factors) informed question development.ResultsNegative vaccine perceptions, lack of HPV vaccine knowledge, and concerns about side effects emerged as predisposing factors. Having a provider who engages parents on HPV vaccination and takes responsibility for vaccine-related risks emerged as enabling factors. Availability of vaccine information resources (e.g., person-to-person, word of mouth education for parents) were also enabling factors. Need for care factors included having comprehensive vaccine information, strong recommendation from a doctor, and validation from a co-ethnic medical professional. Women exerted strong social influence on vaccine uptake (social), had concerns about pork gelatin in vaccines (religious), and felt discussions about sex with children were culturally unacceptable (cultural).ConclusionStrategies for vaccine uptake among East African immigrants need to address factors that shape HPV vaccine perceptions for adolescents, caregivers, and providers.

Perspectives on the Measles, Mumps and Rubella Vaccination among Somali Mothers in Stockholm.

Background: Vaccination hesitancy and skepticism among parents hinders progress in achieving full vaccination coverage. Swedish measles, mumps and rubella (MMR) vaccine coverage is high however some areas with low vaccination coverage risk outbreaks. This study aimed to explore factors influencing the decision of Somali parents living in the Rinkeby and Tensta districts of Stockholm, Sweden, on whether or not to vaccinate their children with the measles, mumps and rubella (MMR) vaccine. Method: Participants were 13 mothers of at least one child aged 18 months to 5 years, who were recruited using snowball sampling. In-depth interviews were conducted in Somali and Swedish languages and the data generated was analysed using qualitative content analysis. Both written and verbal informed consent were obtained from participants. Results: Seven of the mothers had not vaccinated their youngest child at the time of the study and decided to postpone the vaccination until their child became older (delayers). The other six mothers had vaccinated their child for MMR at the appointed time (timely vaccinators). The analysis of the data revealed two main themes: (1) barriers to vaccinate on time, included issues surrounding fear of the child not speaking and unpleasant encounters with nurses and (2) facilitating factors to vaccinate on time, included heeding vaccinating parents’ advice, trust in nurses and trust in God. The mothers who had vaccinated their children had a positive impact in influencing other mothers to also vaccinate. Conclusions: Fear, based on the perceived risk that vaccination will lead to autism, among Somali mothers in Tensta and Rinkeby is evident and influenced by the opinions of friends and relatives. Child Healthcare Center nurses are important in the decision-making process regarding acceptance of MMR vaccination. There is a need to address mothers’ concerns regarding vaccine safety while improving the approach of nurses as they address these concerns.

Cultural differences in feeding practices and child weight perception between Black Somali and White British mothers of 3-6 year old children living in the UK

Cultural differences in feeding practices and child weight perception between Black Somali and White British mothers of 3-6 year old children living in the UK

«Jeg savner barnet mitt». Møter mellom somaliske mødre og barnehagen

The focus of this article is the establishment and development of trust between Somali mothers and educators in Norwegian kindergartens. Qualitative interviews with five Somali mothers and four educators were conducted, aiming to raise awareness and achieve a relation of trust amongst the educators and mothers with a minority background. Using critical theory as a lens, the study shows a negotiation process between the mothers and the educators, where elements of sharing, adapting and belonging became important. The mothers went through a process of adaption to the Norwegian kindergarten. The article argues that educators should focus more on mutual dialogue rather than informing monologue in their communication with parents and that both sides have to be open to mutual change.

What Do Refugee Mothers Want in Urban US School Science: Learning from the Perceptions of Science of Three Somali Mothers

This paper examines the perceptions of three Somali mothers on science, science topics taught in urban US schools and the challenges that they encountered in dealing with science and their own social and cultural practices. The article focuses on Somali mothers, who were highly interested in articulating how science and science professions could be a path to both the personal and community successes and how science could positively affect Somali girls in the areas of women’s health. As an exploratory case study research, we used grounded theory approach to understand Somali mothers’ perceptions of science. We interviewed the mothers over a year and analyzed data as an iterative and systematic process. The findings of the study show that the Somali mothers perceived science from everyday usefulness points of view rather than science knowledge alone, thus home-science connections were critical to them as Somali mothers. They perceived science as an empowering tool for girls so they could make important decisions about women’s reproductive health issues. A broader implication of this study could be for urban science teachers and educators to modify their science instructional and curricular decisions so science learning is connected to Somali students’ culture and empowers girls.

The Impact of Refugee Mothers' Trauma, Posttraumatic Stress, and Depression on Their Children's Adjustment.

The mechanisms linking refugee parents' trauma onto their children's functioning are not well understood. The current study sought to identify how Somali refugee mothers' past trauma and current mental health impact their children's psychosocial adjustment. One hundred and ninety-eight Somali mothers (M age = 39years) and their children (M age = 10years; 56% male) were studied. On average, mothers spent 7years in refugee camps, experienced significant trauma, and some had been tortured. Measures of mothers' posttraumatic stress and depression were analyzed as three symptom clusters: volatility/panic, withdrawn/detached, and depressed mood. Most children were born in the U.S. and their indirect exposure to trauma was statistically controlled. Results from structural equation modeling indicated that there was no direct association between trauma of the mother and their children's well-being, however, mothers' posttraumatic stress and depressive symptoms significantly mediated the effects of mothers' past torture on their children's adjustment-a pattern indicative of intergenerational traumatization. Findings enhance our understanding of how refugees' traumatization lingers and possibly affects their and their children's health and well-being.

Women’s experiences of stillbirth in Somaliland: A phenomenological description

Low- and middle-income countries in Africa have the highest rates of stillbirths in the world today: as such, the stories of the grief of these women who have had a stillbirth in these settings need to be told and the silence on stillbirth needs to be broken. In an attempt to fill this gap, the aim of this study was to describe the experiences of Muslim Somali mothers who have lost their babies at birth. Qualitative interviews with ten Somali women one to six months after they experienced a stillbirth. Data were analyzed using Giorgi's method of phenomenological description. In the analysis, four descriptive structures emerged: "a feeling of alienation"; "altered stability in life"; "immediate pain when the sight of the dead baby turns into a precious memory"; and "a wave of despair eases". Together, these supported the essence: "Balancing feelings of anxiety, fear and worries for one's own health and life by accepting Allah's will and putting one's trust in him". This study makes an important contribution to our knowledge about how stillbirth is experienced by women in Somaliland. This information can be useful when health care providers communicate the experiences of stillbirth to women of Muslim faith who have experienced an intrauterine fatal death (IUFD) resulting in a stillbirth.

Perceptions related to breastfeeding and the early introduction of complementary foods amongst migrants in Cape Town, South Africa.

BackgroundInfant feeding recommendations are of health importance, yet the extent to which migrant communities in low- and middle-income countries know or implement these recommendations is poorly understood. This study explores the perspectives of infant feeding amongst cross-border migrants in Cape Town, South Africa.MethodsBetween February and October 2013, semi-structured in-depth interviews (n = 23) were conducted face-to-face with Congolese, Somali and Zimbabwean mothers living in Cape Town. To assess commonly identified narratives of infant feeding, nine focus group discussions (three with men and six with women) were conducted with migrant Somalis, Congolese, and Zimbabweans.ResultsThree dominant themes framed infant feeding. 1) Pragmatism in feeding choices drove responses to baby’s cues, including cries, sleeping patterns, and weight gain (2). Formula feeding was normative in the South African context, whereas lack of commercial infant milk back home was described in terms of expense (3). Low rates of breastfeeding were explained in terms of work responsibilities including household work and lack of breastmilk supply resulting from stress and poor diet. However, women participants typically did not consider their feeding choices to negatively affect their baby’s health.ConclusionsThe reasons for early introduction of both commercial infant milk and solid foods were complex. Breastfeeding was not prioritized despite an awareness of medical recommendations. Rather than emphasizing specific breastfeeding intentions, participants favoured an approach that reacted to their baby’s perceived changing needs. The practical challenges of breastfeeding described by cross-border migrant women reflect one way in which socio-economic and health inequalities may currently be perpetuated for marginalised populations.