Working with Community-Based Organizations
As part of ENRICH’s work with Community-Based Organizations (CBOs), we wanted to learn more about women who experience significant barriers to healthy pregnancies due to particular challenges that they face. Examples of barriers to healthy pregnancies that these women may face include: living with poverty; language barriers; recent immigration to Canada (sometimes refugees); limited access to health services, housing issues, and food insecurity. These realities can leave women and their families with unmet needs that may result in poor pregnancy outcomes.1,2
Ultimately, our goal was to not to only learn about the experiences of these women, but also to identify relevant and appropriate strategies that could meet the diverse needs of these women and help promote healthy pregnancies within the context of CBO’s.
We partnered with two community-based organizations: one in Edmonton (The Multicultural Health Brokers Cooperative) and another one in the rural area outside of Calgary (Healthy Mom’s Healthy Babies). We spoke with women connected to these organizations as well as the organization's service providers to explore their perceptions of what healthy pregnancies and postpartum are.
In collaboration with MCHB, three strategies have been used to address the research findings listed above: The Grocery Run Program, The position of a Community Resource Coordinator and the Community Economic Development Initiative. Learn more about these projects below.
- Qualitative Findings: Healthy Moms Healthy Babies
- Qualitative Findings: Multicultural Health Brokers
- The Grocery Run Program
- The Community Resource Coordinator
- Community Economic Development Committee
Qualitative Findings: Healthy Moms Healthy BabiesThrough our research with Healthy Moms Healthy Babies we found that:
- Women identified that eating healthy, taking prenatal vitamins, being physically active, looking after their emotional well-being, and stopping any behaviour they perceived as harmful to their babies (i.e., smoking), were key to being healthy during pregnancy.
- Women identified that the support from social networks, including services and resources provided by Healthy Moms Healthy Babies, were key factors that facilitated a healthy pregnancy.
- Healthy Moms Healthy Babies providers relieved the burden of adversity through the delivery of Healthy Moms Healthy Babies programming, as well as navigation to other social and health supports, especially for women coping with crisis in their lives (e.g., mental health and addictions issues, partner abuse, food insecurity, etc.)
- Within Healthy Moms Healthy Babies programming, food offered through cooking circles, fresh food boxes and coupons acted as a “gateway”. In other words, food brought people who would not otherwise come into a safe space where CBO providers provided much needed support in a respectful, meaningful way.
Qualitative Findings: Multicultural Health BrokersThrough our research with MCHB we found that:
- Northeast African women who participated in focus groups recognized the importance of healthy eating, being physically activity, and being emotionally well for a healthy pregnancy and postpartum. However, they did not specifically identify appropriate maternal weight gain as a priority during pregnancy.
- These women also spoke about the differences in social supports and both physical and built environments between their home countries (“back home”) and Canada (“here”). Overall, women described that “here” they lacked the social and environmental factors perceived as key enablers of healthy pregnancies and postpartum.
- Health brokers (ie. service providers who serve women connected to Multicultural Health Brokers) described spending much of their time addressing emergency food needs where women and their families lacked food for the day in their households.
The Grocery Run ProgramGoals The Grocery Run Program aims to:
- Provide same-day emergency food to pregnant and postpartum women and their families through the program.
- Reduce the need for health brokers to respond to food crises which allows them to focus on their organizational mandate is situations and in turn allow them to focus on their actual practice and thus enhance their organization's ability to operate.
The Community Resource CoordinatorIt is important to note that the GRP is made possible through the position of a Community Resource Coordinator (CRC). The CRC played a leadership role in getting the program off the ground and has been involved running of the program each week. Next Steps
In order to address root causes of poverty and food insecurity the ENRICH team and MCHB have decided that more extensive work is needed to explore solutions based on the strengths and dreams of the clients that they serve. One way to do this is to explore identify business opportunities in Edmonton where women were could be engaged as the primary decision makers. Hence, the Community Economic Development Initiative was started!
Community Economic Development (CED) CommitteeGoals of the CED Committee
The goal of the CED Committee is to support non-profit organizations to develop economic opportunities for vulnerable families through community economic developmentOur Story
Recognizing that the Grocery Run could not address long-term issues to poverty, the ENRICH team partnered with MCHB to explore solutions based on the strengths and dreams of migrant women. The team reached out to the Office of Alumni Relations to help find Alumni who had skills in business development and community building. These engaged Alumni have become regular members of the CED Committee, and are working to explore micro-enterprise or social enterprise models that are aligned with MCHB’s vision and goals. Brooks Hanewich will act as the Committee lead and brings to the table his years of expertise in business development for vulnerable communities.
In the Media
- Maternal Health of Migrant Women video
- The Edmonton Journal: Feature of the Grocery Run Program
- The University of Alberta News: Feature of the Grocery Run Program
- New Trail Magazine: ENRICH’s collaboration with MCHB featured in the University of Alberta Alumni Magazine, New Trail - Pages 22-25)
Related Research Publications
- Quintanilha M, Mayan M, Thompson J, Bell R. (2015). Different Approaches to Cross-Lingual Focus Groups. International Journal of Qualitative Methods, 14 (5), pp. 160940691562141
- Quintanilha M, Mayan MJ, Thompson J, Bell RC. (2016). Contrasting “back home” and “here”: how Northeast African migrant women perceive and experience health during pregnancy and postpartum in Canada.. International journal for equity in health, pp. 80
- Quintanilha, M., Mayan, M. J., Raine, K. D., & Bell, R. C. (2018). Nurturing maternal health in the midst of difficult life circumstances: a qualitative study of women and providers connected to a community-based perinatal program.BMC Pregnancy and Childbirth, 18, 314. http://doi.org/10.1186/s12884-018-1951-6
1Goodrich K, Cregger M, Wilcox S, Liu J. A Qualitative Study of Factors Affecting Pregnancy Weight Gain in African American Women. Matern Child Health J 2012.
2 Groth SW, Morrison‐Beedy D, Meng Y. How pregnant African American women view pregnancy weight gain. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG 2012;41:798‐808.