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ORAMMA is a project funded by the EU to address perinatal healthcare for migrant and refugee women. The project will develop an approach and some tools to help address healthcare problems in Greece, the Netherlands and the UK.
Oramma2 days ago
The next building blocks in the ORAMMA project were to develop the ORAMMA approach and the My Pregnancy Plan.
The ORAMMA approach outlines the package of interventions the project has developed to improve maternity care for migrant women. The approach highlights community care, continuity of carer, and the role of multi-disciplinary teams. The approach document outlines the care pathway for migrant women and provides guidance on the use of the ORAMMA resources.
The approach is available at:…/2018/12/ORAMMA-D4.2-Approach_reviewed.pdf

The ORAMMA project ‘Perinatal Personal Operational Plan’ is a handheld note which can accompany migrant women throughout the whole perinatal period, and the “My Maternity Plan” is a document for the ORAMMA Maternity Peer Supporters to use with the migrant women they are supporting to promote engagement with their care plan.
The ‘My Maternity Plan’ helps women to play an active role in their care by developing plans alongside their care team to address physical, social, and mental health needs. It provides space for recording questions and key information about their pregnancy.
The plan is available at:
Oramma2 days ago
The ORAMMA team undertook a literature review of scientific papers, recommendations, and guidelines to assemble the research base for the ORAMMA clinical practice guide. The guide is intended to advise midwives, doctors, social care providers and others working with migrant mothers of the guideline recommendations and quality standard recommendations for all aspects of care throughout the perinatal period.
Every day throughout January 2018 the ORAMMA facebook page highlighted recommendations from the practice guide. The full practice guide is available at:
Oramma2 days ago
The ORAMMA project also sent out a survey to midwifery organisations across Europe through the European Midwives Association. The survey asked midwives about the challenges midwives are facing in practice when working with migrant women, the availability of extra training and support for midwives, and understanding and perception of legislation and recommendations on caring for migrant women. The findings from this review were combined with the country profiles to create a report which influenced the literature review search areas.
The systematic review focused on the following areas:
- Capacity building in migrant communities
- The role of doulas in supporting migrant women during the perinatal period
- Experiences of health professionals for providing perinatal care of migrant women (barriers and facilitators)
- Maternity models of care for migrants
- Migrant women’s experiences of maternity care in developed countries (help-seeking patterns and access to care)
The systematic review on migrant women’s experiences of maternity care identified the following themes:
Finding the way: Not understanding how to access care, understand the health system, being blocked by actors in the system, lack of awareness of migrant women’s needs.
Understanding each other: Language barriers, unmet information needs, lack of staff’s cultural competence
How I am cared for matters: Impact of poor care, importance of respectful care
My needs go beyond being pregnant: Migration issues, social isolation, socio-economic issues, emotional needs
For more information on the systematic review and its impact on the development of the feasibility study, the 4th ORAMMA webinar with Professor Hora Soltani is available here:
Oramma6 days ago
One of the first pieces of work ORAMMA undertook was a mapping of the national context of maternal health of migrants in the 3 EU countries where the project took place: Greece, the Netherlands, and the UK. The aim was to understand:

- The particular situation of migrants in each country, the size of the population, and its composition.
- The needs of migrant women in the perinatal period and the needs of health professionals in each country.
- Existing practices, social services and healthcare structures in each country.
- The legislative context for migrants and any other issues.

The reports found that there was significant diversity in the contexts of the 3 countries.

Greece was dealing with a large, recently arrived migrant population and a healthcare system struggling under the weight of the economic crisis.

The Netherlands has also seen increased migration, but representing different modes of entry to the country, joining an already substantial migrant community in the main urban centres. Clinical studies in the Netherlands found that the risk for acute maternal morbidity among asylum seekers was four and a half times higher than in the general population of the Netherlands.

In the UK the background of migrants was different to Greece and the Netherlands with a significantly lower proportion of Syrian refugees. The political ‘hostile environment’ was creating a series of difficulties for migrants attempting to access maternity care.

More information about the findings of the reports can be found in our first project e-newsletter

Migrant mothers matter too

Safe Journey to motherhood

The ORAMMA project develops an integrated, mother and woman centered, culturally oriented and evidence based approach for all phases of the

Cultural awareness across the borders

Involvement of women from the target population and their training in order to assist and act as advocates for pregnant women during the whole

Working together for a better community

The implementation of the ORAMMA approach refers to communities with migrant and refugee populations. Selected key members

Health care with compassion

The ORAMMA project develops an integrated , mother centered, culturally oriented and evidence based approach for all phases of the migrant and refugee

“This website is part of the project ‘738148/ORAMMA’ which has received funding from the European Union’s Health Programme (2014-2020)”.