21.M. Workshop: How to learn from interventions for context-adapted solutions to improve migrants reproductive health

• Published in: European journal of public health 2020-09, Vol.30 (Supplement_5)
• Main Authors: Organised by: EUPHA Migrant and ethnic minority health section, Chair persons: Sonia Dias – EUPHA-MIG, Sarah Fredsted Villadsen - Denmark
• Format: Article
• Language: English
• Subjects: Adaptation; Complex systems; Context; Evaluation; Evaluation research; Immigrants; Implementation; Intervention; Knowledge management; Learning; Migrants; Noncitizens; Public health; Quality of care; Reproductive health; Women; Workshops
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/ckaa165.1067

Abstract Although considerable research identifies the challenges that immigrant women experience in terms of inequitable access to and quality of reproductive care, less is known about models of care that can overcome such barriers. In recent years, a range of intervention projects has addressed this issue with a specific focus on the interactional dynamics between the women and the health system. Subsequently, diverse implementation and evaluation research is being conducted and it can provide valuable insights for knowledge exchange and transfer across contexts. Adapting interventions that have worked elsewhere can save resources and make progression faster. Decisions on when, to what extent, and how to adapt interventions are not straightforward, particularly when assuming that intervention effects depend on contextual interactions in complex systems. No guidance currently addresses these questions comprehensively. This workshop is intended to shed light on the developing work of country-specific implementation and evaluation studies and discuss strategies for good practice to improve reproductive health among immigrant women across contexts, digging into methods for adaption to the context when transferring interventions. The workshop will be structured in a first part with presentations and a second part with open discussion involving the audience. The short presentations of the first part will cover examples of initiatives to improve health outcomes for immigrant women based on implementation and evaluation studies conducted in diverse European countries with a common ground of having an increasingly ethnic diverse population, ethnic disparities in reproductive outcomes and suboptimal care. In the second part of the workshop, a presentation on methods and challenges for adaption of interventions to the context when transferring complex interventions will be the starting point for the interactive discussion with all workshop participants. The discussion will focus on how to acknowledge that context matter while still insisting on learning from each other experiences across settings. By learning from each other, using the current implementation and evaluation research as a starting point, this workshop will inform the development of an overarching guidance on adaptation of complex reproductive health interventions. Key messages Cross-country sharing of implementation researches on interventions to improve migrant women’s reproductive health, inform th