伊朗境内阿富汗难民对初级卫生保健服务的生活体验。

Lived Experience of Afghan Refugees in Iran Concerning Primary Health Care Delivery.

机构信息

Iran University of Medical Sciences, School of Health Management and Information Sciences, Tehran, Iran.

Department of Health Sciences Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Disaster Med Public Health Prep. 2019 Dec;13(5-6):868-873. doi: 10.1017/dmp.2018.169.

DOI:10.1017/dmp.2018.169

PMID:31179970

Abstract

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.

摘要

目的

初级卫生保健（PHC）的可及性对难民非常重要。本研究旨在阐明伊朗阿富汗难民对 PHC 服务提供的体验。

方法

本定性研究于 2016-2017 年采用内容分析法进行。数据通过对居住在伊朗的阿富汗难民的个体深入访谈收集。使用 Graneheim 和 Lundman 的方法进行数据分析。

结果

出现了四个主要类别和 12 个子类别，包括：（1）PHC 提供前的挑战：儿童数量多、服务费用高、没有医疗保险、获得保健中心的机会、预约服务的时间、同时进行母乳喂养和怀孕；（2）PHC 提供期间的挑战：理解伊朗语、医疗保健提供者的行为、在 PHC 中心获得服务的延迟；（3）PHC 提供后的挑战：转诊患者、辅助检查费用高；（4）免费且良好的服务。