Reproductive health practices and use of health services among immigrant Indonesian women working in Malaysia
DOI:
https://doi.org/10.11606/s1518-8787.2022056003811Keywords:
Women, Transients and Migrants, Health Knowledge, Attitudes, Practice, Sexual and Reproductive Health, Health Services AccessibilityAbstract
OBJECTIVE To describe the reproductive health practices of immigrant Indonesian women working in Malaysia and their accessibility to health services. METHODS A cross-sectional study using a validated self-administered questionnaire was conducted with 593 immigrant Indonesian workers who stayed in Malaysia for at least six months and within the reproductive age group. RESULTS About 13.5% of the respondents have used health facilities for reproductive health-related problems. Less than half of the respondents preferred to use public health facilities. Only 15% used treatment available in health facilities related to irregular menstrual cycles (34.6%), severe dysmenorrhea (58.7%) and nonspecific symptoms related to menstruation (31.7%). Family planning services were the most required health service. However, only 31.5% met the needs for family planning services. One-third of the respondents had sexual reproductive health problems and required treatment, but only 9.9% sought reproductive health services when needed. CONCLUSIONS Strategies to improve the accessibility to sexual reproductive health services requires a collaboration between the Indonesian government representatives in Malaysia and non-governmental organizations to address the reproductive health issues among immigrant Indonesian women in Malaysia. Health policy related to immigrant workers is needed in order to enhance the accessibility to women’s health needs for universal health coverage.
References
Loganathan T, Chan ZX, Smalen AW, Pocock NS. Migrant women's access to sexual and reproductive health services in Malaysia: a qualitative study. Int J Environ Res Public Health. 2020 [cited 2021 Dec 2];17(15):5376. Available from: https://doi.org/10.3390/ijerph17155376
Loganathan T, Rui D, Ng CW, Pocock NS. Breaking down the barriers: understanding migrant workers' access to healthcare in Malaysia. PLoS One. 2019 [cited 2021 Dec 2];14(7):e0218669. Available from: https://doi.org/10.1371/journal.pone.0218669
Lim SC, Yap YC, Barmania S, Govender V, Danhoundo G, Remme M. Priority-setting to integrate sexual and reproductive health into universal health coverage: the case of Malaysia. Sex Reprod Health Matters. 2020 [cited 2021 Dec 2];28(2):1842153. Available from: https://doi.org/10.1080/26410397.2020.1842153
Almeida, Ligia & Costa Santos, Cristina & Caldas, José & Dias, Sónia & Ayres-de-Campos, Diogo. The impact of migration on women's mental health in the postpartum period. Rev Saude Publica. 2016 [cited 2021 Dec 2];50:1–13. Available from: https://doi.org/10.1590/S1518-8787.2016050005617
Almeida LM, Costa Santos C, Caldas JP, Dias S, Ayres-de-Campos D. The impact of migration on women’s mental health in the postpartum period. Rev Saude Publica. 2016 [cited 2021 Dec 2];50:35. Available from: https://doi.org/10.1590/S1518-8787.2016050005617
Islam MM, Gagnon AJ. Use of reproductive health care services among urban migrant women in Bangladesh. BMC Womens Health. 2016 [cited 2021 Dec 2];16(1):15. Available from: https://doi.org/10.1186/s12905-016-0296-4
Satinsky E, Fuhr DC, Woodward A, Sondorp E, Roberts B. Mental health care utilization and access among refugees and asylum seekers in Europe: a systematic review. Health Policy. 2019 [cited 2021 Dec 2];123(9):851-63. Available from: https://doi.org/10.1016/j.healthpol.2019.02.007
Endler M, Al Haidari T, Chowdhury S, Christilaw J, El Kak F, Galimberti D, et al. Sexual and reproductive health and rights of refugee and migrant women: gynecologist's and obstetricians' responsibilities. Int J Gynecol Obstet. 2020 [cited 2021 Dec 2];149(1):113-9. Available from: https://doi.org/10.1002/ijgo.13111
Ussher JM, Perz J, Metusela C, Hawkey AJ, Morrow M, Narchal R, et al. Negotiating discourses of shame, secrecy, and silence: migrant and refugee women's experiences of sexual embodiment. Arch Sex Behav. 2017 [cited 2021 Dec 2];46(7):1901-21. Available from: https://doi.org/10.1007/s10508-016-0898-9
Xu S, Yu C, Zhou Y, Wu J, Bai T, Zhang J, et al. The prevalence of reproductive tract infections in a Chinese internal migrant population, and its correlation with knowledge, attitude, and practices: a cross-sectional study. Int J Environ Res Public Health. 2019 [cited 2021 Dec 2];16(4):655. Available from: https://doi.org/10.3390/ijerph16040655
Hargreaves S, Rustage K, Nellums LB, McAlpine A, Pocock N, Devakumar D, et al. Occupational health outcomes among international migrant workers: a systematic review and meta-analysis. Lancet Glob Health. 2019 [cited 2021 Dec 2];7(7):e872-82. Available from: https://doi.org/10.1016/S2214-109X(19)30204-9
Simkhada P, Teijlingen E, Gurung M, Wasti SP. A survey of health problems of Nepalese female migrants' workers in the Middle East and Malaysia. BMC Int Health Hum Rights. 2018 [cited 2021 Dec 2];18(1):4. Available from: https://doi.org/10.1186/s12914-018-0145-7
Pham KTH, Nguyen LH, Vuong QH, Ho MT, Vuong TT, Nguyen HKT, et al. Health inequality between migrant and non-migrant workers in an industrial zone of Vietnam. Int J Environ Res Public Health. 2019 [cited 2021 Dec 2];16(9):1502. Available from: https://doi.org/10.3390/ijerph16091502
Sami J, Lötscher KCQ, Eperon I, Gonik L, Martinez de Tejada B, Schmidt NC. Giving birth in Switzerland: a qualitative study exploring migrant women's experiences during pregnancy and childbirth in Geneva and Zurich using focus groups. Reprod Health. 2019 [cited 2021 Dec 2];16(1):112. Available from: https://doi.org/10.1186/s12978-019-0771-0
Kamaluddin SF. A follow-up profile of women seeking pregnancy terminations in a clinic in urban Malaysia: 1998-2005. Jurnal Sains Kesihatan Malaysia. 2010 [cited 2021 Dec 2];8(1):5-11. Available from: http://journalarticle.ukm.my/3658/1/A_Follow-up_Profile_of_Women_Seeking_Pregnancy_Terminations.pdf
Ab Rahman N, Sivasampu S, Noh KM, Khoo EM. Health profiles of foreigners attending primary care clinics in Malaysia. BMC Health Serv Res. 2016 [cited 2021 Dec 2];16:197. Available from: https://doi.org/10.1186/s12913-016-1444-0
Cleland J. Illustrative questionnaire for interview with young people. Geneva (CH): WHO; 1998 [cited 2021 Dec 2]. Available from: http://www.who.int/reproductivehealth/topics/adolescence/questionnaire.pdf
Symonds I, Arulkumaran SS. Essential Obstetric and Gynaecology. 5. ed. London (UK): Churchill Livingstone; 2013.
Hussain NHN. Ginekologi Ilmu Kesihatan Wanita. Kuala Lumpur (MY): Dewan Bahasa dan Pustaka; 2017.
Azhar MN. Simplified Gynaecology for medical students. Shah Alam (MY): Reka Cetak Sdn Bhd; 2017.
Tamil AM. How to calculate your own sample size. Kuala Lumpur (MY): Secretariat of Medical Centre & Industry, UKM Medical Centre; 2008 [cited 2021 Dec 2]. Available from: https://issuu.com/azmimohdtamil/docs/howtocalculateyourownsamplesize2008
Khongthanachayopit S, Laohasiriwong W. Accessibility to health services among migrant workers in the Northeast of Thailand. F1000Res. 2017 [cited 2021 Dec 2];6:972. Available from: https://doi.org/10.12688/f1000research.11651.1
Shao S, Wang M, Jin G, Zhao Y, Lu X, Du J. Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model. BMC Health Serv Res. 2018 [cited 2021 Dec 2];18(1):462. Available from: https://doi.org/10.1186/s12913-018-3271-y
Vedio A, Liu EZH, Lee ACK, Salway S. Improving access to health care for chronic hepatitis B among migrant Chinese populations: a systematic mixed-methods review of barriers and enablers. J Viral Hepat. 2017 [cited 2021 Dec 2];24(7):526-40. Available from: https://doi.org/10.1111/jvh.12673
Gray C, Lobo R, Narciso L, Oudih E, Gunaratnam P, Thorpe R, et al. Why I can't, won't or don't test for HIV: insights from Australian migrants born in sub-Saharan Africa, Southeast Asia and Northeast Asia. Int J Environ Res Public Health. 2019 [cited 2021 Dec 2];16(6):1034. Available from: https://doi.org/10.3390/ijerph16061034
Ivanova O, Rai M, Kemigisha E. A systematic review of sexual and reproductive health knowledge, experiences and access to services among refugee, migrant and displaced girls and young women in Africa. Int J Environ Res Public Health. 2018 [cited 2021 Dec 2];15(8):1583. Available from: https://doi.org/10.3390/ijerph15081583
Vissandjée B, Short WE, Bates K. Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care. BMC Int Health Hum Rights. 2017 [cited 2021 Dec 2];17(1):10. Available from: https://doi.org/10.1186/s12914-017-0117-3
Rachmawati I, Dewi MA. Model of integrative border diplomacy in managing harmony between Indonesia and Malaysia: a case of Temajuk, West Kalimantan, Indonesia. Geogr Malaysian J Soc Space. 2021 [cited 2021 Dec 2];17(1):44-56. Available from: https://doi.org/10.17576/geo-2021-1701-04
Noor NM, Kahalid JR, Muzafar PMM. Social inequalities and health in Malaysia: The state of households 2020 - Part III. Kuala Lumpur (MY): Khazanah Research Institute; 2020 [cited 2021 Dec 2]. Available from: http://www.krinstitute.org/Publications-@-Social_Inequalities_and_Health_in_Malaysia.aspx
Ochako R, Askew I, Okal J, Oucho J, Temmerman M. Modern contraceptive use among migrant and non-migrant women in Kenya. Reprod Health. 2016 [cited 2021 Dec 2];13(1):67. Available from: https://doi.org/10.1186/s12978-016-0183-3
Mucci N, Traversini V, Giorgi G, Tommasi E, De Sio S, Arcangeli G. Migrant workers and psychological health: a systematic review. Sustainability. 2020 [cited 2021 Dec 2];12(1):120. Available from: https://doi.org/10.3390/SU12010120
Njeru JW, DeJesus RS, St Sauver J, Rutten LJ, Jacobson DJ, Wilson P, et al. The utilization of a mental health collaborative care model among patients who require interpreter services. Int J Mental Health Syst. 2016 [cited 2021 Dec 2];10:15. Available from: https://doi.org/10.1186/s13033-016-0044-z
Mengesha ZB, Perz J, Dune T, Ussher J. Preparedness of health care professionals for delivering sexual and reproductive health care to refugee and migrant women: a mixed methods study. Int J Environ Res Public Health. 2018 [cited 2021 Dec 2];15(1):174. Available from: https://doi.org/10.3390/ijerph15010174
Li X, Yang H, Wang H, Liu X. Effect of health education on healthcare-seeking behaviour of migrant workers in China. Int J Environ Res Public Health. 2020 [cited 2021 Dec 2];17(7):2344. Available from: https://doi.org/10.3390/ijerph17072344
Noor NM, Khalidi JR, Muzafar PMM. Social inequalities and health in Malaysia: the state of households 2020; Part III. Kuala Lumpur (MY): Khazanah Research Institute; 2020 [cited 2021 Dec 2]. Available from: http://www.krinstitute.org/Publications-@-Social_Inequalities_and_Health_in_Malaysia.aspx
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Universiti Kebangsaan Malaysia
Grant numbers GP -2021- K011901
