What is it about?

The Operational Refugee and Migrant Maternal Approach (ORAMMA) project aimed to improve perinatal care for migrant women through compassionate and culturally sensitive care training for healthcare providers. The training resulted in significant improvements in midwives' knowledge, skills, and self-perceived cultural competence. Midwives appreciated the support and enhanced communication provided by the ORAMMA care model, although challenges were also faced. The training was generally well received and felt to influence the care provided to recently arrived migrant women. Further investigation into the impact of the ORAMMA approach and training on clinical outcomes is merited.

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Why is it important?

This research is important as it evaluates the effectiveness of the ORAMMA compassionate and culturally sensitive care training in enhancing midwives' knowledge, skills, and self-perceived competence in providing perinatal care for migrant women. As the number of international migrants continues to increase worldwide, healthcare providers need to be compassionate and culturally competent sensitive to provide appropriate care to migrant women, who may have different maternal and neonatal health needs. The ORAMMA training approach, which includes compassionate and culturally sensitive care training for health providers, integrated multidisciplinary care, and support from maternity peer supporters (MPS), has the potential to improve the quality of care for migrant women. This study provides valuable information on the effectiveness of the ORAMMA training in enhancing midwives' cultural competence, which can inform the development and implementation of similar training programs for other healthcare providers. Key Takeaways: 1. The ORAMMA compassionate and culturally sensitive care training significantly improved midwives' knowledge, skills, and self-perceived competence in providing perinatal care for migrant women. 2. The training was generally well received by midwives, who felt it would influence the care they would provide to recently arrived migrant women. 3. Midwives appreciated the support and enhanced communication provided by the ORAMMA care model. 4. Further investigation is merited on the complementary role of maternity peer supporters and the impact of the ORAMMA approach and training on clinical outcomes. 5. Adaption of the ORAMMA training package for other health care professionals and exploration of its longer term impact on a wider range of health care providers warrant further investigation.

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This page is a summary of: Midwives’ experiences of cultural competency training and providing perinatal care for migrant women a mixed methods study: Operational Refugee and Migrant Maternal Approach (ORAMMA) project, BMC Pregnancy and Childbirth, April 2021, Springer Science + Business Media,
DOI: 10.1186/s12884-021-03799-1.
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