The wellbeing and support experiences of parents and caregivers from South and Southeast Asian refugee backgrounds during the First 2000 Days: A systematic review

There is growing scholarly attention concerning the wellbeing experiences of people from refugee and asylum seeking backgrounds, particularly in relation to antenatal and postnatal care in countries of resettlement. However, less is known about early childhood support for refugee and asylum-seeking parents during the First 2000 Days of a child's life (conception to age five). There is also little understanding of the needs of refugees and asylum-seekers from South and Southeast (S/SE) Asia for whom there may be unique cultural considerations regarding parenting and support. This systematic review therefore aimed to explore the emotional and physical wellbeing and support experiences of refugee and asylum-seeking families (mothers, fathers, and other family members with caregiving roles) from S/SE Asia during the First 2000 Days. This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We identified publications through a systematic search of six databases. Eligible papers were peer-reviewed, primary data studies published in English, conducted in middle-to high-income countries of resettlement, and included data that could be disaggregated for S/SE Asian families. Of 5,770 publications, 13 articles met inclusion criteria. While our review aimed to explore the experiences of various family members, included papers focused primarily on the experiences of refugee women. Our review found that S/SE Asian refugee parents reported various challenges to physical and emotional wellbeing during the First 2000 Days ranging from nutrition and diet concerns to feelings of anxiousness, grief, isolation, and feelings of distress in healthcare settings. Parents also expressed a level of trust and satisfaction with maternity care during resettlement, however, these experiences were challenged by a lack of culturally responsive care. Findings speak to the importance of informal social supports for S/SE Asian refugee parents, and culturally safe, formal supports where parents feel comfortable to voice their concerns.