Experiences of Providers and Immigrants/Refugees with Health Care: A Meta-Synthesis of the Latin American Context.

INTRODUCTION: The experiences of providers and immigrants/refugees related to healthcare in the Latin American context have not yet been aggregated. This study aimed to synthesize the qualitative evidence on this theme. METHOD: A systematic review of qualitative evidence with meta-synthesis. After identification, eligible studies were evaluated for methodological quality, and information was systematically analyzed. RESULTS: The sample comprised 26 articles. The meta-theme shows that the experiences of providers and immigrants/refugees are determined by multilevel factors. In a macro-context, these factors involve the vulnerabilities of immigrants/refugees and the healthcare system/model, and in a closer context, they involve the lack of professional training in cultural skills and communication; language barriers; and prejudice/xenophobia. Within healthcare, the relationship is mostly conflictual, asymmetric, and unable to solve problems, leading to negative repercussions for both. CONCLUSIONS: Managers involved in developing public policies and providers must consider improving the interrelationship between healthcare services and the migrant population.

Vivências de mulheres que experienciaram o nascimento de um filho durante a pandemia da Covid-19 / Experiences of women who experienced the birth of a child during the Covid-19 pandemic / Experiencias de mujeres que vivieron el nacimiento de un hijo durante la pandemia del Covid-19

Objetivo: Aprender como foi experienciar o nascimento de um filho durante a pandemia da COVID-19. Método: estudo qualitativo cujos dados foram coletados em setembro de 2021, mediante entrevistas semi-estruturadas, audiogravadas, com 11 mães e submetidos à análise de conteúdo, modalidade temática. Resultados: emergiram duas categorias, as quais mostram que o nascimento do filho durante a pandemia foi vivenciado de forma restritiva o que suscitou sentimentos como medo, ansiedade, preocupação, frustração, mas também de alívio, felicidade e superação. A possibilidade de usar recursos das mídias sociais para contatos com amigos e familiares constituiu fonte de apoio informacional e emocional. Considerações finais: O apoio da rede social, ainda que de forma virtual, foi fundamental para o enfrentamento das adversidades do período. Entre as estratégias adotadas estão o apoio da família e as redes sociais, de modo a minimizar o isolamento.

Objective: to understand what it was like to experience the birth of a child during the COVID-19 pandemic. Method: qualitative study whose data were collected in September 2021, through semi-structured, audio-recorded interviews with 11 mothers and submitted to content analysis, thematic modality. Results: two categories emerged, which show that the birth of the child during the pandemic was experienced in a restrictive way, which aroused feelings such as fear, anxiety, worry, frustration, but also relief, happiness and overcoming. The possibility of using social media resources to contact friends and family was a source of informational and emotional support. Final considerations: The support of the social network, even if it was virtual, was fundamental to face the adversities of the period, some strategies were adopted, such as family support and social networks as a way to minimize isolation.

Objetivo: comprender cómo fue vivir el nacimiento de un niño durante la pandemia de COVID-19. Método: estudio cualitativo cuyos datos fueron recolectados en septiembre de 2021, a través de entrevistas semiestructuradas, grabadas en audio con 11 madres y sometidas a análisis de contenido, modalidad temática. Resultados: surgieron dos categorías, que muestran que el nacimiento del niño durante la pandemia fue vivido de forma restrictiva, lo que despertó sentimientos como miedo, ansiedad, preocupación, frustración, pero también alivio, felicidad y superación. La posibilidad de utilizar los recursos de las redes sociales para contactar a amigos y familiares fue una fuente de apoyo informativo y emocional. Consideraciones finales: El apoyo de la red social, aunque sea virtual, fue fundamental para enfrentar las adversidades del período, se adoptaron algunas estrategias, como el apoyo familiar y las redes sociales como forma de minimizar el aislamiento.