A qualitative exploration of the experiences of undocumented African immigrant women in the health care delivery system

Abstract Background: It is widely acknowledged that experiences of poor treatment during health care encounters can adversely impact how individuals and communities engage with the health care system. Hence, understanding the health care seeking experiences of diverse patient populations is central to identifying ways to effectively engage with marginalized patients and provide optimal care for all patients, particularly those with marginalized identities. Purpose: Drawing on the narratives of 24 undocumented African immigrant women, this qualitative study aimed to understand their experiences seeking health care. Methods: Our study was undergirded by a postcolonial feminist perspective which aims to situate participants’ experiences within their given, broader societal context. Data were analyzed using the principles of thematic analysis. Findings: Our findings indicate that women experienced insensitivity during health care encounters and harbored a mistrust of health care staff. Discussion: Findings uncover the need for health care providers to provide culturally safe care and to identify ways to create safe spaces for undocumented patients within the health care setting.