International Development, Community and Environment (IDCE)

Date of Award


Degree Type

Research Paper

Degree Name

Master of Arts in International Development and Social Change (IDSC)


International Development, Community and Environment

Chief Instructor

Marianne Sarkis

Second Reader

David Bell


Doulas act as a cultural bridge between clients and providers through the support, advocacy, and education they provide. Unfortunately, migrant women may be at a disadvantage for accessing and benefiting from their services due to a variety of socioeconomic and cultural factors including predisposed ideas of care and structure based on experiences in native countries, language barriers, lower health literacy, and a lack of awareness and understanding from hospital/clinic staff.

A strategic multifaceted approach utilizing doulas, such as Boston Medical Center’s collaborative and culturally competent model, may greatly improve foreign-born women’s experience and satisfaction with healthcare when pregnant and giving birth in the United States.



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