Objectives in the research were to evaluate just how immigrant ladies with FGM feel gynaecological/obstetrical care in the Swiss medical care system, and to investigate if doctors and you will midwives eradicate and you will the recommendations FGM related difficulty adequately. On the other hand, the study aimed to imagine the brand new frequency rate away from female and you may girls alarmed in Switzerland, also to consider its shipments by nation regarding source, host to home, and you may age group from the machine nation.
Given that voices of one’s sub-Saharan African people on their own have obtained little attract throughout the Western european books wrote up to now, this short article appeal generally on their direction, comparing its opinions with results on Swiss healthcare organization if this is acceptable.
Strategies
To your decimal research, study provided with the fresh Swiss Federal Work environment having People from other countries in addition to Federal Office to have Refugees try analysed in terms of the matter of females out-of regions in which FGM try practised, country of supply, decades group and you may shipments involving the Swiss cantons for the 2001.
Qualitative actions were utilized to collect the latest attitudes and you will experiences out of the main stakeholders. The variety of opinions and you can attitudes and also the mining regarding unforeseen findings have been regarding deeper focus than just generalizing the outcome received. To help you facilitate the new replace into the female concerned, desire category talks were experienced the best strategy. 10 Brand new delicate situation of FGM could well be looked with this method for multiple grounds: class functions is definitely facilitate talks given that shyer people are encouraged of the anybody else breaking the ice. Girls can provide shared support and you will empathy while in the and pursuing the talks, triggerred from the a person in their community. Rather, women who didn’t must participate in the group conversation met with the substitute for become interviewed privately. The group conversations in addition Maroccan Mail Order Bride to interviews have been centered on semistructured, open-ended inquiries to assist focus on the areas of research desire, make sure exhaustiveness and you may support comparability.
This method is proven to be a particularly appropriate device inside the cross-cultural research and you may manage fraction groups
Purposeful sampling was utilized to choose females of reproductive age who had undergone FGM just before migrating so you can Switzerland, and you may health care company who had obtained including people. Distinguishing ladies who was prepared to discuss its feel proved difficult. Relationships that have migrant contacts, Swiss centers working with immigrant female and you may key folks from this new African communities, and you can visits in order to African dinner, segments and you can storage were utilized so you’re able to recruit lady to own classification conversations.
All in all, four appeal classification conversations as well as 30 ladies (24 from Somalia and five away from Eritrea) is planned by using mediators in the migrant organizations regarding urban centers out of Zurich, Lausanne and Geneva. Advised concur is taken from participants. The latest talks was basically facilitated from the idea detective as the moderator and a woman co-moderator of the same country due to the fact participants who and additionally offered as translator. To help make an intercourse-sensitive surroundings all of the employees is women. The background of the performing ladies are revealed inside the desk 1.
Health care professionals out-of half dozen Swiss cantons underwent an out in-breadth interviews by the mobile. Having logistic factors private cell interviews were used in this study category. An organized questionnaire which have discover-concluded issues was used. Health care professionals have been understood playing with a snowball approach. Experts often proves to be tend to established and you will migrant organizations recommended other health service providers that could be questioned. In every, 37 health professionals was indeed interviewed: 17 gynaecologists/obstetricians, around three general practitioners and 17 midwives. Most was indeed out-of resource and other hospitals and many out-of private practice and you can family planning centres.
All the discussions and interviews have been tape recorded, transcribed and analysed by using the application MAXQDA (VERBI application, 2002; Berlin, Germany).