[Immigrant women care in a health intercultural mediation program]. / Atención a mujeres inmigrantes en un programa de mediación intercultural en salud.

BACKGROUND: Intercultural Mediation is a strategy for quality health care aimed at reducing inequalities in immigrant population. The aim is to analyse main reasons consultation with the mediation service, women care profile and characteristics of intervention. METHODS: Cross-sectional study of 339 episodes of care by two intercultural mediators (MI) from February 2008 to October 2011 in Valencia. Variables were analysed individual records of the consultations of the MI: reasons for referral to MI and professionals who refer, motives and problems identified by MI, kind of intervention, kind of derivation of MI and socio-economic variables. To evaluate the differences between countries, X2 test was used for qualitative variables and one-way ANOVA test for quantitative variables. RESULTS: 123 women (36,3%), were referred to the MI by the Sexual and Reproductive Health Centre and 98 (28,9%) by the midwife. 272 women (80,24%) were referred for information and demand for contraception. The MI conducted health education and detected social problems in 67 women (19,7%) and gender violence in 38 (11,21%). CONCLUSIONS: The women attending were Latin American immigrants (those of Bolivia showed more vulnerability) and were referred for contraception. The MI provided information, education and facilitated access to reproductive health services. Bolivian women showed more vulnerability factors: irregular situation, precarious work and low residence time.

Atención a mujeres inmigrantes en un programa de mediación intercultural en salud / Immigrants women care in a health intercultural mediation program

Fundamentos: la mediación intercultural es una estrategia para una atención sanitaria de calidad orientada a la disminución de desigualdades en población inmigrante. El objetivo fue analizar los principales motivos de consulta con el servicio de mediación, el perfil de las mujeres atendidas y las características de la intervención realizada. Métodos: Estudio transversal de 339 episodios de atención de dos mediadoras interculturales (MI) desde febrero de 2008 a octubre de 2011 en Valencia. Se analizaron las variables de los registros individuales de las consultas de mediación: motivos de derivación a MI y profesionales que remitieron, motivos y problemas detectados por MI, tipo de intervención, tipo de derivación de MI y variables socioeconómicas. Para evaluar las diferencias entre países de origen se utilizó el test chi 2 en las variables cualitativas y el test de Anova de un factor en las cuantitativas. Resultados: 123 (36,3 %) mujeres fueron remitidas a las MI por el Centro de Salud Sexual y Reproductiva y 98 (28,9 %) por la matrona. 272 (80,24 %) fueron remitidas para información y demanda de métodos anticonceptivos. Las MI realizaron educación para la salud y detectaron problemas sociales en 67 (19,7 %) mujeres y en 38 (11,21 %) violencia de género. 142 (27 %) eran bolivianas. Conclusiones: Las mujeres atendidas fueron inmigrantes latinoamericanas y fueron remitidas principalmente para anticoncepción. Las mujeres bolivianas presentan más factores de vulnerabilidad como irregularidad, trabajo precario y poco tiempo de residencia (AU)

Background: Intercultural Mediation is a strategy for quality health care aimed at reducing in equalities in immigrant population. The aim is to analyse main reasons consultation with the mediation service, women care profile and characteristics of intervention. Methods: Cross-sectional study of 339 episodes of care by two intercultural mediators (MI) from February 2008 to October 2011 in Valencia. Variables were analysed individual records of the consultations of the MI: reasons for referral to MI and professionals who refer, motives and problems identified by MI, kind of intervention, kind of derivation of MI and socioeconomic variables. To evaluate the differences between countries, X2 test was used for qualitative variables and one way ANOVA test for quantitative variables. Results: 123 women (36,3 %), were referred to the MI by the Sexual and Reproductive Health Centre and 98 (28,9 %) by the midwife. 272 women (80,24 %) were referred for information and demand for contraception. The MI conducted health education and detected social problems in 67 women (19,7 %) and gender violence in 38 (11,21 %). Conclusions: The women attending were Latin American immigrants (those of Bolivia showed more vulnerability) and were referred for contraception. The MI provided information, education and facilitated access to reproductive health services. Bolivian women showed more vulnerability factors: irregular situation, precarious work and low residence time (AU)