The WRAP #4, November: Still birth, international students & 60 seconds with Maria Hach

Welcome to the WRAP number 4.

As many of you would have already gathered from our chats here on the WRAP, we are pretty keen on statistics. When we can find them, that is. But, no matter how compelling or shocking or commendable, statistics can remain lifeless without any accompanying political analyses of their relevance to immigrant and refugee women. They can remain meaningless without the stories and accounts of migrant and refugee women themselves.

In this issue, we highlight two important statistical rankings and subject them to the WRAP treatment. We also spend 60 seconds with the author of our soon to be launched Common Threads Report and Best Practice Guide, Maria Hach. The Common Threads project is inspired by the notion that every woman has a valuable story to tell. Each woman’s migration and subsequent health experience in Australia is an individual and personal one, from which we can draw common issues and themes which occur in the lives of immigrant and refugee women. It’s the perfect combination of the statistical and the anecdotal and we’re extremely excited that Maria Vamvakinou MP, Federal Member for Calwell, will be launching it in December.

Hope to see you there!
The Wrap Team

Ethnicity plays a role in the stillbirth story

Image "The Little Match Girl" courtesy of Tonia Composto and the Stillbirth Foundation Australia. See below for details on how to purchase a print.

Image “The Little Match Girl” courtesy of Tonia Composto and the Stillbirth Foundation Australia. See below for details on how to purchase a print.

Australia was recently ranked 7th among 165 countries around the world for best places to be a mother. This is a truly fine achievement – an acknowledgement of the relative privilege many women in Australia enjoy. But before we start breaking open the lamingtons in celebration, is women’s health and wellbeing equally shared across the broad diversity of Australian mums? Or are some mums more equal than others?

Recent research conducted among 44,000 women has illustrated one tragic way that inequality reigns in the Australian birthing suite. The research found that immigrant and refugee women born in South Asia run double the risk of stillbirth in late pregnancy (between 37 and 42 weeks). While the reasons for this higher rate are yet unknown, the findings are alarming when you consider our increased migration over the past decade: one in every four Australian births is to a woman born overseas. If you happen to be thatwoman born overseas and about to give birth, you would want, and rightly expect, to know why your ethnicity is a risk factor. From the little we do know, immigrant and refugee women suffer poorer maternal health, are less likely to present for antenatal care before 20 weeks gestation, and are at greater risk of some health conditions such as gestational diabetes.

There are many steps mothers can take in the early stages of pregnancy that can reduce the risk of adverse birth outcomes and this includes ensuring that women are themselves informed and educated about the care they are entitled to receive. And health professionals have an ethical responsibility to provide the best possible care to all women to ensure the best possible outcomes. This is the message underlying the Common Threads Best Practice Guide for immigrant and refugee women’s sexual and reproductive health. Using real-life case studies, the Guide offers practical examples of cross-cultural understanding in health service provision.

Ethnicity awareness for expectant mothers shouldn’t only be about ordering women to undergo more tests, but also ensuring that our health workforce is adequately trained to communicate effectively with patients from various cultural backgrounds. Of course, governments need to take the lead in making sure such a policy becomes a reality. In the meantime, the Common Threads Best Practice Guide is essential reading.

Melbourne artist Tonia Composto created a series of Fairy Tales for Hope prints in memory of her friend’s stillborn daughter, Hope Angel Heppleston. You can read more about Hope’s story or buy a print for $20AUD each + $12 for shipping in Australia and raise money for the Stillbirth Foundation Australia.

Closing the gaps in health for international students

Image (2008) courtesy of RMIT University on flickr.

Image (2008) courtesy of RMIT University on flickr.

Here’s another statistical feather to Australia’s cap: Australia has been ranked number 1 by the World Economic Forum for closing the gender gap on educational attainment. No ‘ifs’ or ‘buts’ about it, it’s a ranking we can truly be proud of, a ranking that could attract more dollars, oops, female students, to our successful international education industry. Yet, as they say, with great success comes great responsibility. While success in international education continues to be equated in dollar terms (16.3 billion in 2010-2011), we can and should define our responsibility to international students beyond educational outcomes.

Much has already been said of the international students’ lot: lack of affordable accommodation; restrictions on work rights; lack of transport concessions; experiences of, and vulnerability to, racism, discrimination and violence; and the need for greater access to services and support. Add to this what our research has found:  if you’re a female international student and happen to fall pregnant during the first twelve months of your stay, your mandatory health insurance does not cover you for any pregnancy-related costs (except in cases of emergency). And you thought that growing HECs debt was a problem. Imagine, for a moment, the choices of a full fee paying female student who finds herself in such a dire situation. Access to health services, including accessibility to contraception and abortion, has always been strongly linked to affordability. Unplanned pregnancies are just that: unplanned. Whatever the reason for the pregnancy, every choice available, whether it’s ante-natal care or abortion, should be made a feasible and accessible option for all women. If you’re a newly-arrived international student trying to make ends meet, your options are limited.

As one student told us, ‘I’m paying $13,000 per semester and I study for three semesters. The health cover I get is $700 … and the health cover is limited to only some health diagnoses … people coming from overseas aren’t rich. They are coming to get a living.’ Indeed, the international student population is generally a youthful lot who come to live, work, study and sometimes, maybe, fall in love. Or not. Things happen. International students are no different to Australian-born students when it comes to living life. So why are there restrictions on their right to access sexual and reproductive health care?

60 seconds with Maria Hach

Maria 2

MCWH National Training Manager and author of Common Threads

If you were a super-heroine, what powers would you like to have?
Teleportation because I’m pretty lazy and I really hate traffic – I would use it in my everyday life to get to different points quickly. That’s not very noble of me, is it?

If you could give one piece of advice to someone new to Australian culture, what would it be? 
I would tell them that Australians are easy-going and friendly, but also fairly persistent about particular views. I would tell them to embrace new and fun experiences but to also have a thick skin and maintain their individuality and sense of self.

What would you work for instead of money?
I’m certainly not working for money now, although I love my job [laughs]! The feeling of knowing I’m contributing to something bigger than myself and whatever that is, it’s contributing to a more positive life for people, and a nicer world.

If you had to choose a last meal, what would it be?
It would have to be one my Dad’s home cooked Cambodian dishes, probably his fish amok (curry) because I hardly get to eat it and when I do it’s just delicious.

If you had 60 seconds to prepare a dish, what would it be?
Vegemite on toast.

What’s your favourite possession?
Apart from my wonderful family and friends – are they possessions?- they’re mine!  I was pretty sad at the thought of losing my kindle.  I was surprisingly upset when I thought I had left it on an aeroplane – that’s a pretty lame one isn’t it?

What are you enjoying doing at the moment?
Learning new things in my role as a training officer; the sunshine and beer that comes with spring; and building up my fitness after a knee injury.