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Evidence Summary

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   Employment

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What strategies improve the outcomes of refugee women in employment programs?

This evidence summary, authored by Switchboard, summarizes the state of available evidence regarding strategies to improve the employment rates of refugee women in employment programs.

Limited but growing evidence shows positive impacts of national policies on the employment rates of refugees.

Canada’s Educational Credential Assessment requirement for economic migrants and private sponsorship programs has shown positive impacts on employment rates, the latter especially for women with lower educational levels.

Denmark’s 2016 work-first policy for refugees had a significant positive impact on men’s employment rates one year after arrival, but the impact on women appeared to be limited and potentially negative.

Systematic reviews identified no robust studies for refugees specifically and limited evidence for low-income populations.

A 2015 comprehensive systematic review of the effects of interventions on refugees’ labor force participation rate, employment rate, use of cash assistance, income, job retention, and quality of life identified no studies for inclusion due to methodological weaknesses. Consequently, the review, which included programs serving both women and men, did not find any evidence for or against any intervention.

Several interventions have been found to be effective at improving labor market outcomes of low-income adults in general. The strategies that appear most effective are financial incentives and sanctions, education, work experience, and training. Interventions that combine several strategies to help low-income workers find and keep jobs appear more effective than any single strategy.

Largely suggestive evidence provides some guidance on what could work for refugee women entering the labor market.

Extended case management is associated with higher household incomes and job satisfaction, in addition to significantly higher employment rates at six months and one year post-resettlement. However, benefits for women are not as clear as those for men.

Supporting women in developing skills and meeting educational attainment goals can lead to higher employment rates.

Opening opportunities for women to engage in the workforce in non-traditional ways, such as through entrepreneurship or gig work, could help overcome potential barriers surrounding traditional workplaces.

Post TitleStrength of EvidenceType of StudyDirection of Evidence
Perinatal mental health, ecological systems, and social support: Refugee women and facilitated playgroupSuggestiveSuggestive evidenceN/A
Postpartum depression risk factors among recent refugee, asylum-seeking, non-refugee immigrant, and Canadian-born women: Results from a prospective cohort studySuggestiveSuggestive evidenceN/A
Telehealth care for perinatal depression in immigrant and refugee women: A scoping reviewStrongSystematic reviewN/A
A mixed-methods evaluation of virtually delivered grou-based mothers and babies for Latina immigrant mothersSuggestiveSuggestive evidencePositive impact
A non-randomized controlled trial for reducing postpartum depression in low-income minority women at community-based women’s health clinicsModerateImpact evaluationPositive impact
Addressing the needs of new mothers in a multi-cultural setting: An evaluation of home visiting support for new mothers – mom to mom (Negev)SuggestiveSuggestive evidencePositive impact
Implementing innovative evidence-based perinatal mental health screening for women of refugee backgroundSuggestiveSuggestive evidenceInconclusive or mixed impact
Maternal postpartum depression screening and referral in a Latinx immigrant population: A quality improvement studySuggestiveSuggestive evidencePositive impact
The efficacy of using peer mentors to improve maternal and infant health outcomes in Hispanic families: Findings from a randomized clinical trialModerateImpact evaluationPositive impact
African immigrant mothers’ views of perinatal mental health and acceptability of perinatal mental health screening: Quantitative cross-sectional survey studySuggestiveSuggestive evidenceN/A
Cross-cultural approach of postpartum depression: Manifestation, practices applied, risk factors, and therapeutic interventionsStrongSystematic reviewN/A
Detecting antepartum and postpartum depression and anxiety symptoms and disorders in immigrant women: A scoping review of the literatureStrongSystematic reviewN/A
Influences on mental health and health services accessibility in immigrant women with post-partum depression: An interpretive descriptive studySuggestiveSuggestive evidenceN/A
Maternal mental health in refugees and migrants: A comprehensive systematic reviewStrongSystematic reviewN/A

Websites and Databases  Population Terms  Methodology Terms  Target Outcome Terms 
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refugee 

OR 

immigrant 

OR 

“unaccompanied minor” 

OR 

asylee 

OR 

“temporary protected status” 

OR 

 “victims of traffick*”  

OR 

“traffick* victims” 

OR 

T-Visa 

OR 

U-Visa 

OR 

Cuban 

OR  

Haitian 

OR 

Amerasian 

 

evaluation  

OR  

impact 

OR 

program  

OR  

intervention  

OR 

policy  

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project 

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train* 

OR 

therapy 

OR 

treatment 

OR 

counseling 

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workshop 

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review  

OR 

meta-analysis 

OR 

synthesis 

“maternal mental health” 

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“postpartum mental health”  

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“postpartum depression”  

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“postpartum anxiety” 

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“postpartum rage”  

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“postpartum psychosis”  

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“antenatal mental health”  

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“perinatal mental health”  

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“peripartum mental health”  

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“postnatal mental health” 

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“postpartum mood disorders”  

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“maternal mood disorders”  

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“pregnancy mental health” 

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“postnatal depression”  

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“postpartum mental health”