User and Provider Perspectives on Improving Mental Healthcare for Syrian Refugee Women in Winnipeg, Manitoba, Canada

Introduction: Refugees have higher risk of developing mental illness like anxiety, depression and Post-Traumatic Stress Disorder as they flee from violence. Women refugees may have unique mental healthcare needs due to their vulnerability to gender-based violence and abuse during flight from war. The research question of this study was what the health system can do better to address the mental healthcare needs of refugee women in Winnipeg. Methods: Semi-structured interviews were conducted with 9 Syrian refugee women and 6 service providers/decision makers. The interviews were analyzed using qualitative inductive analysis and coded for themes based on recurring issues. Results: Limited understanding of mental health and illness among refugees, stigma, and the need for culturally competent care were noted by the service providers. System navigation, language, unemployment and safety of family members left behind in Syria were the main concerns of the refugee women. While there are many programs available for refugee women in Winnipeg, lack of collaboration and coordination among providers was identified. Conclusions: This study recommends that service providers use resources developed by UNHCR and Canadian physicians in providing culturally competent care, decision makers take leadership roles in implementing better collaboration among agencies, employers be open in hiring refugees and everyone in the society ensures that the refugee women feel welcomed and included.

A Community Academic Partnership Approach to Addressing Health Needs of the Local Refugees: Participants’ Perspectives and Recommendations for Developing New Partnerships

Community-academic partnerships have demonstrated how collaboration can provide academic healthcare workers and non-medical community providers such as educators and social services with a comprehensive view of issues affecting refugee populations. The ICIH (Interagency Council on Immigrant Health) is a physician-community partnership consisting of healthcare professionals, non-medical educators, social workers, early childhood services and other community agencies. It was formed to address the well-being of a local immigrant population, strengthen bonds between the community and healthcare system, and educate and empower pediatricians to provide culturally aware services. The collaboration has been very successful as demonstrated by the production of multiple collaborative products in a very short time period with minimal funding. This article explores the experiences of community and physician members in order to share insights and recommendations for others working in small cities who wish to start such a collaborative. We collected data from 17 of 30 ICIH members through focus groups, interviews, and a survey and conducted a qualitative analysis using transcripts from these sessions. From our analysis, the following themes emerged: 1) increased awareness of challenges faced by refugee families, 2) making connections and collaborating with a diverse group of agencies, 3) improvement of care for the population using knowledge learned through the ICIH, 4) expanding perspectives through the sharing of information between agencies, 5) the importance of education for providers and community members about the refugee population, and 6) relational support gained through interaction with other service providers struggling to overcome similar obstacles. Results support the ideals of a productive community-academic partnership. With this information, we present recommendations for others working to establish similar community-academic collaboration efforts.