Priscilla Project of Buffalo: Impact of Enhanced Post-Delivery Follow-Up on Refugee Perinatal Outcomes
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Problem: Pregnant refugees are a vulnerable population. Without community support, the maternal-child cohorts are at higher risk of negative perinatal health outcomes. Purpose: The purpose of this project is to determine if cohorts who received DSRIP-funded enhanced postdelivery follow-up have statistically different perinatal outcomes compared to refugee cohorts who received standard care. Background/Theoretical Framework: The current literature demonstrates that refugee women face health care disparities in the United States. Ecological Systems Theory provides the theoretical foundation. Methods: Chi-square, independent T-tests, and Mann Whitney U tests were performed to determine if there are statistically significant differences between the project groups. Results: The only significant difference between the two groups is level of maternal social risk. No other statistically significant differences are noted in perinatal outcomes between the enhanced post-delivery follow-up and standard care populations. Overall, the entire study population has equivalent or better outcomes when compared to local, county, or state benchmarks. Implications: Community health centers should consider adapting the approaches taken by the PPB in order to improve perinatal outcomes. Further research with adequate power is warranted. Comparing these results to other primary care sites that provide refugee care would provide further insight.