A Tale of Two Communities: Refugee Relocation in Australia

Refugees are forced to leave their homes and countries to start anew in a different place. This paper outlines the key challenges and issues facing those Australian regional communities focussing on refugee relocation projects as a labour and population renewal strategy. This discussion arises from a two year evaluation project which examined two refugee relocation projects in the communities of Swan Hill and Warrnambool situated in different regional areas of Victoria, Australia. The project was supported with funds from VicHealth, a statutory body funded by the Victorian State Government with a particular focus on groups in society who are likely to be at greater risk. Refugee communities have a higher risk of mental health problems and higher rates of unemployment and as such, the importance of relocation programs is commensurate with the opportunity and risk they present. Governments, communities and service providers all need to acknowledge the potential benefits refugee relocation programs may bring as well as recognising that the consequences of failure can be ominous for all concerned.     

Women from migrant and refugee backgrounds’ perceptions and experiences of the continuum of maternity care in Australia: A qualitative evidence synthesis

BackgroundWomen who were born overseas represent an increasing proportion of women giving birth in the Australian healthcare system.ProblemWomen from migrant and refugee backgrounds have an increased risk of poor pregnancy and birth outcomes, including experiences of care.AimTo understand how women from migrant and refugee backgrounds perceive and experience the continuum of maternity care (pregnancy, birth, postnatal) in Australia.MethodologyWe conducted a qualitative evidence synthesis, searching MEDLINE, CIHAHL, and PsycInfo for studies published from inception to 23/05/2020. We included studies that used qualitative methods for data collection and analysis, that explored migrant/refugee women’s experiences or perceptions of maternity care in Australia. We used a thematic synthesis approach, assessed the methodological limitations of included studies, and used GRADE-CERQual to assess confidence in qualitative review findings.Results27 studies met the inclusion criteria, representing women in Australia from 42 countries. Key themes were developed into 24 findings, including access to interpreters, structural barriers to service utilisation, experiences with health workers, trust in healthcare, experiences of discrimination, preferences for care, and conflicts between traditional cultural expectations and the Australian medical system.ConclusionThis review can help policy makers and organisations who provide care to women from migrant and refugee backgrounds to improve their experiences with maternity care. It highlights factors linked to negative experiences of care as well as factors associated with more positive experiences to identify potential changes to practices and policies that would be well received by this population.