Culturally-sensitive Maternity Care Needs of Muslim Mothers in a Rural Community of the Southernmost Province in Thailand
Keywords:
Community-based participatory research, Cultural care, Cultural sensitivity, Needs assessment, Maternity care, Muslim mothers, Rural community, ThailandAbstract
This study was conducted to better understand culturally-sensitive maternity care needs assessment for Muslim mothers. It was conducted in a rural community of the southernmost province in Thailand from May-December 2013. Community-based participatory research was used as the research methodology and involved three groups of participants: 1) 26 Muslim mothers (15-49 years old with at least one child under age three) and 17 of their husbands, 2) 14 community and religious leaders, and 3) 14 health care providers including village health volunteers and traditional birth attendants. Qualitative data were collected through focus group discussions, in-depth interviews, and participative observations. Data were analyzed using content analysis.
The results indicated that the culturally-sensitive maternity care needs for Muslim mothers comprised five themes: respecting the way of life, practicing religious and local traditional belief, harmonizing cultural care from traditional birth attendants, supporting mothers and families, and enhancing cultural competence among health care providers, and village health volunteers. The findings illustrate the elements of culturally-sensitive maternity care needs for Muslim mothers which can be a guide for appropriate community care.
References
1. Bureau of Health Policy and Strategy, Ministry of Public Health. Public Health Statistic 2013. 2013 [cited 2013 November 25]; Available from https://bps.ops.moph. go.th/Healthinformation/สถิติ56.pdf
2. Health Promotion Center Region 12, Yala Province. Annual report of the year 2011. 2012 [cited 2013 February 1]; Available from, https://www. sasuk 12.com/yala
3. Fraser, D.M., & Cooper, M. A. Myles textbook for midwives (fifteen ed.). London: Churchill living stone; 2009.
4. World Health Organization. Maternal health. 2014 [cited 2014 December 19]; Available from https://www.who. int/topics/maternal_health/en/
5. Knodel, J. Gray, R. S., Sriwatcharin, P., & Peracca, S. Religion and reproductive: Muslims in Buddhist Thailand. Population Studies. 2001; 53: 149-164.
6. Teeraworn, S. Determinants of utilization of maternal and child health service affecting infant mortality among Muslims in a southern border province of Thailand. Journal of Population and Social Studies. 2002; 11: 29-57.
7. Suwanachart, B. & Ualalitchoowong, P. Maternal age and pregnancy outcomes. Srinagarind Med J. 2007; 22 (4): 401-407.
8. Arwae, P. Fertility variation in southern Thailand: 20022005. Asian Social Science. 2009; 5(6): 156-168.
9. Rossool, G. H. Cultural competence in nursing Muslim patients. Nursing Times. 2015; 111(14): 12-15.
10. Salee, D. Development and outcome of and Integrated participatory Model for maternal and child health, Kapho district, Pattani Province, 1999-2007. Journal of Health System research. 2008; 2 (2): 1106-1114.
11. UNFPA, United Nations Population Fund. ICPD at 15 progress and challenges in implementing the program of action in Thailand. 2010 [cited 2012 December5]; Available from Thailand.unfpa.org/.../ICPD@15%20Priiority%20 Challenges%20for%20AP .pdf
12. Kwast, B.E. Reduction of maternal and perinatal mortality in rural and peri-urban settings: What works? European. Journal of Obstetrics & Gynecology and Reproductive Biology. 1996; 69: 47-53.
13. Dhak, B. Use of maternal health care in rural India: Relative importance of socio-economic status and accessibility. Journal of Population and Social Study. 2013; 21(2): 99-114.
14. Sasiwongsaroj, K. Socioeconomic inequity in child mortality: a comparison between Thai Buddhists and Thai Muslims. J Health Res. 2010; 24 (2): 81-86.
15. Sutheravut, et al. Health system during crisis in restive southern provinces of Thailand. Journal of Research health system. 2007; 1(2): 146-150.
16. Southern Health System Research Institutes, PSU. Islamic health promotion in southernmost 2009. 2009[cited 2012 December5]; Available from https://gotoknow.org
17. Liabsuetrakul, T., Promvijit, T., Pattanapisalsak, C., Silalai, S. & Ampawa, T. Emergency obstetric care in the southernmost provinces of Thailand. International Journal for Quality in Health Care. 2007; 19(4): 250-256.
18. Milliez, J. Right to safe motherhood and new born health: Ethical issues. International Journal of Gynecology and Obstetrics. 2009; 106(2): 110-111.
19. Leininger, M., & McFarland, M.R. Transcultural nursing: Concepts, theories, research, and practice. New York: The McGraw-Hill Companies, Inc; 2002.
20. Cabelllaro, A. E. Cultural Competence in Diabetes Mellitus Care: An Urgent Need. Insulin 2007; 2(2): 80-91.
21. Allen, D. Nursing research and social control: Alternative models of sciences that emphasize understanding and emancipation. Image. 1985; 17 (2): 58-65.
22. Israel, B.A., Eng, E., Schulz, A.J., Parker, E.A. Methods in community- based participatory research for health. San Francisco: Jossey-Bass; 2005.
23. Ma, G.X., et al. ATECAR: An Asian American community-based participatory research model on Tobacco and cancer. Health Promotion Practice. 2004; 5(4): 382-394.
24. Bergold, J. & Thomas, S. Participatory Research Methods: A Methodological Approach in Motion. Forum: Qualitative Social Research. 2012; 13(1): 30. [cited 2015 December 15]; Available from https://www.qualitative-research. net/index.php/fqs/article/view/1801/3334
25. Trinh-Shevrin, et al. Using community based participatory research as a guide framework for health disparity research center. Prog Community Health Partnership. 2007; 1(2): 195-205.
26. The Southern Border Province Administration Centre. Three southernmost. 2010 [cited 2012 December5]; Available from https://www.sbpac.go.th/ index.php
27. Guba, E.G., & Lincon, Y.S. Fourth generation evaluation. California: Sage Publication; 1989.
28. Spezial, H.J., & Carpenter, D.R. Qualitative research in nursing (4thed.). Philadelphia: Lippincott William & Wilkins; 2007.
29. Krippendrofft K. Content analysis: An introduction to its methodology (3rd ed). Thousand Oaks, California: Sage Publication; 2013.
30. Panthong, A., Paisunyakul, S., Kantaruksa, K., Sriareporn, P., & McDonald, T. Development of midwifery care model for a rural community. Pacific Rim International Journal of Nursing Research. 2014; 18(4): 343-356.
31. Rachey, F.E., & Annis, R.C. Respecting culture and honoring diversity in community practice. Research and Theory for Nursing Practice: An International Journal. 2007; 21(4): 255-270.
32. McCourt, C. Supporting choice and control? Communication and interaction between midwives and woman after the antenatal booking visit. Social Science & Medicine. 2006; 62(6): 1307-1318.
33. Frass, K.A. Postpartum hemorrhage is related to hemoglobin levels at labor: Observational study. Alexandria Journal of Medicine. 2015; 51: 333–337.
34. Sukchan, P., et al. In adequacy of nutrients intake among pregnant women in the Deep south of Thailand. BMC Public Health. 2010; 10: 572.
35. Hamoud, M. M., White, C. B., & Ferters, M. D. Opening cultural doors: providing culturally sensitive health care to Arab American Muslim patients. American Journal of obstetrics and Gynecology. 2005; 193: 1307-1311.
36. Padela A., Kunter, K., & Killawi, A. Meeting the healthcare needs of American Muslims: Challenges and Strategies for healthcare settings. 2011 (cited 2015 April 13). Available from https://www.ispu.org/pdfs/620_ ispu_report_aasim%20padela_final.pdf
37. Worth, A., et al. Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study. BMJ | ONLINE FIRST | bmj.com. 2009; 1-11.
38. Srivastava, R.H. The health care professional’s to clinical cultural competence. Toronto: Elsevier Canada; 2007.
39. Williamson, M., Harison, L. Providing culturally appropriate care: A Literature review. International journal of Nursing studies. 2010; 47:761-769.
2. Health Promotion Center Region 12, Yala Province. Annual report of the year 2011. 2012 [cited 2013 February 1]; Available from, https://www. sasuk 12.com/yala
3. Fraser, D.M., & Cooper, M. A. Myles textbook for midwives (fifteen ed.). London: Churchill living stone; 2009.
4. World Health Organization. Maternal health. 2014 [cited 2014 December 19]; Available from https://www.who. int/topics/maternal_health/en/
5. Knodel, J. Gray, R. S., Sriwatcharin, P., & Peracca, S. Religion and reproductive: Muslims in Buddhist Thailand. Population Studies. 2001; 53: 149-164.
6. Teeraworn, S. Determinants of utilization of maternal and child health service affecting infant mortality among Muslims in a southern border province of Thailand. Journal of Population and Social Studies. 2002; 11: 29-57.
7. Suwanachart, B. & Ualalitchoowong, P. Maternal age and pregnancy outcomes. Srinagarind Med J. 2007; 22 (4): 401-407.
8. Arwae, P. Fertility variation in southern Thailand: 20022005. Asian Social Science. 2009; 5(6): 156-168.
9. Rossool, G. H. Cultural competence in nursing Muslim patients. Nursing Times. 2015; 111(14): 12-15.
10. Salee, D. Development and outcome of and Integrated participatory Model for maternal and child health, Kapho district, Pattani Province, 1999-2007. Journal of Health System research. 2008; 2 (2): 1106-1114.
11. UNFPA, United Nations Population Fund. ICPD at 15 progress and challenges in implementing the program of action in Thailand. 2010 [cited 2012 December5]; Available from Thailand.unfpa.org/.../ICPD@15%20Priiority%20 Challenges%20for%20AP .pdf
12. Kwast, B.E. Reduction of maternal and perinatal mortality in rural and peri-urban settings: What works? European. Journal of Obstetrics & Gynecology and Reproductive Biology. 1996; 69: 47-53.
13. Dhak, B. Use of maternal health care in rural India: Relative importance of socio-economic status and accessibility. Journal of Population and Social Study. 2013; 21(2): 99-114.
14. Sasiwongsaroj, K. Socioeconomic inequity in child mortality: a comparison between Thai Buddhists and Thai Muslims. J Health Res. 2010; 24 (2): 81-86.
15. Sutheravut, et al. Health system during crisis in restive southern provinces of Thailand. Journal of Research health system. 2007; 1(2): 146-150.
16. Southern Health System Research Institutes, PSU. Islamic health promotion in southernmost 2009. 2009[cited 2012 December5]; Available from https://gotoknow.org
17. Liabsuetrakul, T., Promvijit, T., Pattanapisalsak, C., Silalai, S. & Ampawa, T. Emergency obstetric care in the southernmost provinces of Thailand. International Journal for Quality in Health Care. 2007; 19(4): 250-256.
18. Milliez, J. Right to safe motherhood and new born health: Ethical issues. International Journal of Gynecology and Obstetrics. 2009; 106(2): 110-111.
19. Leininger, M., & McFarland, M.R. Transcultural nursing: Concepts, theories, research, and practice. New York: The McGraw-Hill Companies, Inc; 2002.
20. Cabelllaro, A. E. Cultural Competence in Diabetes Mellitus Care: An Urgent Need. Insulin 2007; 2(2): 80-91.
21. Allen, D. Nursing research and social control: Alternative models of sciences that emphasize understanding and emancipation. Image. 1985; 17 (2): 58-65.
22. Israel, B.A., Eng, E., Schulz, A.J., Parker, E.A. Methods in community- based participatory research for health. San Francisco: Jossey-Bass; 2005.
23. Ma, G.X., et al. ATECAR: An Asian American community-based participatory research model on Tobacco and cancer. Health Promotion Practice. 2004; 5(4): 382-394.
24. Bergold, J. & Thomas, S. Participatory Research Methods: A Methodological Approach in Motion. Forum: Qualitative Social Research. 2012; 13(1): 30. [cited 2015 December 15]; Available from https://www.qualitative-research. net/index.php/fqs/article/view/1801/3334
25. Trinh-Shevrin, et al. Using community based participatory research as a guide framework for health disparity research center. Prog Community Health Partnership. 2007; 1(2): 195-205.
26. The Southern Border Province Administration Centre. Three southernmost. 2010 [cited 2012 December5]; Available from https://www.sbpac.go.th/ index.php
27. Guba, E.G., & Lincon, Y.S. Fourth generation evaluation. California: Sage Publication; 1989.
28. Spezial, H.J., & Carpenter, D.R. Qualitative research in nursing (4thed.). Philadelphia: Lippincott William & Wilkins; 2007.
29. Krippendrofft K. Content analysis: An introduction to its methodology (3rd ed). Thousand Oaks, California: Sage Publication; 2013.
30. Panthong, A., Paisunyakul, S., Kantaruksa, K., Sriareporn, P., & McDonald, T. Development of midwifery care model for a rural community. Pacific Rim International Journal of Nursing Research. 2014; 18(4): 343-356.
31. Rachey, F.E., & Annis, R.C. Respecting culture and honoring diversity in community practice. Research and Theory for Nursing Practice: An International Journal. 2007; 21(4): 255-270.
32. McCourt, C. Supporting choice and control? Communication and interaction between midwives and woman after the antenatal booking visit. Social Science & Medicine. 2006; 62(6): 1307-1318.
33. Frass, K.A. Postpartum hemorrhage is related to hemoglobin levels at labor: Observational study. Alexandria Journal of Medicine. 2015; 51: 333–337.
34. Sukchan, P., et al. In adequacy of nutrients intake among pregnant women in the Deep south of Thailand. BMC Public Health. 2010; 10: 572.
35. Hamoud, M. M., White, C. B., & Ferters, M. D. Opening cultural doors: providing culturally sensitive health care to Arab American Muslim patients. American Journal of obstetrics and Gynecology. 2005; 193: 1307-1311.
36. Padela A., Kunter, K., & Killawi, A. Meeting the healthcare needs of American Muslims: Challenges and Strategies for healthcare settings. 2011 (cited 2015 April 13). Available from https://www.ispu.org/pdfs/620_ ispu_report_aasim%20padela_final.pdf
37. Worth, A., et al. Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study. BMJ | ONLINE FIRST | bmj.com. 2009; 1-11.
38. Srivastava, R.H. The health care professional’s to clinical cultural competence. Toronto: Elsevier Canada; 2007.
39. Williamson, M., Harison, L. Providing culturally appropriate care: A Literature review. International journal of Nursing studies. 2010; 47:761-769.
Downloads
Published
2016-10-31
How to Cite
1.
Adulyarat M, Parisunyakul S, Senaratana W, Srisuphan W. Culturally-sensitive Maternity Care Needs of Muslim Mothers in a Rural Community of the Southernmost Province in Thailand. PRIJNR [Internet]. 2016 Oct. 31 [cited 2024 Dec. 19];20(4):350-63. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/19190
Issue
Section
Original paper
License
Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.
.png)
