Centring voices, empowering rights: a participatory action research approach to sexual and reproductive health among migrant and refugee youth in Greater Western Sydney, Australia

Abstract

This thesis explores MRY SRHR experiences in Greater Western Sydney, Australia, using participatory action research (PAR) methodology guided by Bronfenbrenner's socioecological model. This study examined the barriers, enablers, and decision-making processes influencing MRY SRHR outcomes through a qualitative methodology across four phases. Phase 1 included a systematic scoping review of 38 papers (24 peer-reviewed and 14 grey literature), to provide a foundation for understanding existing knowledge and gaps in the field. Phase 2 engaged advisory committee members, youth project liaisons (YPLs), and the core research team in co-design workshops to refine research tools and engage MRY as active research collaborators. Phase 3 involved 87 MRY participants from diverse backgrounds in YPL-led focus groups, to ensure culturally-sensitive data collection. The study culminated in Phase 4, annual methodological reflections. These focus groups engaged YPLs to provide ongoing feedback on the research process, validate the PAR approach, and enhance the study's rigour in the final two phases.

Based on these findings, this study proposes several key recommendations. These include creating culturally safe and youth-centred SRHR policies, implementing cross-sectoral collaborations between health, education, and social services, and establishing formal channels for MRY involvement in SRHR policy development and evaluation processes. The study also advocates increased funding for MRY-focused SRHR programs, mandatory cultural competence training for professionals, and the development of youth-friendly SRHR services. Recommendations include leveraging digital platforms for SRHR information dissemination and conducting longitudinal and intersectional studies.

This thesis contributes significantly to the field by offering the first Australian study to explore MRY's SRHR experiences in Greater Western Sydney using the PAR methodology. It provides valuable insights for researchers, policymakers and practitioners, with an emphasis on the development of culturally sensitive, youth-driven approaches that function to improve SRHR outcomes for MRY populations. The study underscores the need for a paradigm shift towards the recognition of MRY as active agents in SRHR research, policy development, and program implementation. The ultimate aim of this study is to enhance the sexual and reproductive health and well-being of this vulnerable yet resilient population.

Date of Award	2024
Original language	English
Awarding Institution	Western Sydney University
Supervisor	Tinashe Dune (Supervisor), Sowbhagya Micheal (Supervisor) & Pranee Liamputtong (Supervisor)