Table 5 The way forward: evidence-based and theory-informed strategies to improve perinatal genetic screening services for people from migrant and refugee backgrounds.

Universal improvement of screening services

• Address structural barriers to accessing screening such as cost and ___location at a universal level.

• Provide high quality, timely information about screening in multiple formats.

• Make screening information available outside traditional healthcare settings.

• Offer screening consistently, without assumption of desire for screening.

• Offer screening early.

• Take a relational approach to screening discussions.

• Consider that there is diversity within groups.

• Use written or visual aids.

Targeted approaches for people from migrant and refugee backgrounds

• Address structural barriers to healthcare access such as cost and ___location for specific communities.

• Allocate resources to support use of interpreters, longer appointments, healthcare provider training, etc.

• Conduct research to develop targeted interventions for specific migrant and refugee communities.

• Tailor screening information for specific communities.

• Provide screening information in multiple languages.

• Provide screening education for interpreters

• Consider cultural beliefs and practices in discussions about screening decision-making.

• Learn about cultural safety and working with interpreters.