TY - JOUR
T1 - Lived experience of Afghan refugees in Iran concerning primary health care delivery
AU - Azizi, Nemat
AU - Delgoshaei, Bahram
AU - Aryankhesal, Aidin
N1 - Funding Information:
This manuscript has been derived from a PhD thesis, supported financially by Iran University of Medical Sciences through Grant No. IUMS/SHMIS-1394/37. We thank all of the Afghan refugees who participated in our study.
Funding Information:
This project was supported by the research deputy of Iran University of Medical Sciences.
Publisher Copyright:
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Objective: Access to primary health care (PHC) is very important for refugees. The aim of this study was to illuminate lived experience of Afghan refugees in Iran regarding PHC delivery.Methods: This qualitative study was conducted in 2016-2017 by using the content analysis technique. Data were collected through individual deep interviews with Afghan refugees who lived in Iran. The data were analyzed by using a method by Graneheim and Lundman.Results: Four main categories and 12 subcategories were emerged, including (1) challenges before PHC delivery: large number of children, high service cost, not having medical insurance, access to health centers, appointment to get services, simultaneity of breastfeeding, and pregnancy; (2) challenges during PHC delivery: understanding Iranian words, health care provider's behavior, delay in getting service in PHC centers; (3) challenges after delivery PHC: referral patient, high costs of paraclinics; and (4) free and good services.Conclusion: Our results showed that Afghan refugees have several challenges in every stage of PHC delivery. Awareness of such problems can help medical personnel improve delivery of service to Afghan refugees, as well as using trained Afghani nurses to serve the refugees.
AB - Objective: Access to primary health care (PHC) is very important for refugees. The aim of this study was to illuminate lived experience of Afghan refugees in Iran regarding PHC delivery.Methods: This qualitative study was conducted in 2016-2017 by using the content analysis technique. Data were collected through individual deep interviews with Afghan refugees who lived in Iran. The data were analyzed by using a method by Graneheim and Lundman.Results: Four main categories and 12 subcategories were emerged, including (1) challenges before PHC delivery: large number of children, high service cost, not having medical insurance, access to health centers, appointment to get services, simultaneity of breastfeeding, and pregnancy; (2) challenges during PHC delivery: understanding Iranian words, health care provider's behavior, delay in getting service in PHC centers; (3) challenges after delivery PHC: referral patient, high costs of paraclinics; and (4) free and good services.Conclusion: Our results showed that Afghan refugees have several challenges in every stage of PHC delivery. Awareness of such problems can help medical personnel improve delivery of service to Afghan refugees, as well as using trained Afghani nurses to serve the refugees.
KW - Afghanistan
KW - Iran
KW - primary health care
KW - refugees
UR - http://www.scopus.com/inward/record.url?scp=85067202635&partnerID=8YFLogxK
U2 - 10.1017/dmp.2018.169
DO - 10.1017/dmp.2018.169
M3 - Article
C2 - 31179970
AN - SCOPUS:85067202635
VL - 13
SP - 868
EP - 873
JO - Disaster Medicine and Public Health Preparedness
JF - Disaster Medicine and Public Health Preparedness
SN - 1935-7893
IS - 5-6
ER -
