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The challenges of providing primary health care to Afghan immigrants in Tehran: a key global human right issue

The challenges of providing primary health care to Afghan immigrants in Tehran: a key global... This study aims to explore the challenges of providing primary health care (PHC) to Afghan immigrants in Tehran as an important global human right issue.Design/methodology/approachIn this exploratory study, a total of 25 purposively selected PHC providers, including physicians, psychologists and midwives, were approached for face-to-face, semi-structured interviews, lasting 30 min on average. Thematic analysis was used to analyze the data.FindingsThe most common challenges of providing PHC to Afghan immigrants were categorized at individual, organizational and societal levels. Communication barriers and socioeconomic features emerged at the individual level. The organizational challenges included mainly the lack of insurance coverage for all immigrants and the lack of a screening system upon the immigrants’ arrival from the borders. At the societal level, the negative attitudes toward Afghan immigrants were causing a problematic challenge.Research limitations/implicationsThe main limitation was the possibility that only health-care professionals with particular positive or negative perspectives about immigrants enter into the study, because of the voluntary nature of participation.Practical implicationsFindings can help policymakers adopt evidence-informed strategies for facilitating PHC provision and improving the access to health care in immigrants as a global human right concern.Social implicationsThis study alerts about undesirable consequences of certain attitudes and behaviors of the society toward immigrant health.Originality/valueTo the best of the authors’ knowledge, this is one of the first studies conducted in PHC centers in Tehran Province that explores the challenges of providing PHC to Afghan immigrants. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Human Rights in Healthcare Emerald Publishing

The challenges of providing primary health care to Afghan immigrants in Tehran: a key global human right issue

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References (61)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2056-4902
DOI
10.1108/ijhrh-06-2019-0042
Publisher site
See Article on Publisher Site

Abstract

This study aims to explore the challenges of providing primary health care (PHC) to Afghan immigrants in Tehran as an important global human right issue.Design/methodology/approachIn this exploratory study, a total of 25 purposively selected PHC providers, including physicians, psychologists and midwives, were approached for face-to-face, semi-structured interviews, lasting 30 min on average. Thematic analysis was used to analyze the data.FindingsThe most common challenges of providing PHC to Afghan immigrants were categorized at individual, organizational and societal levels. Communication barriers and socioeconomic features emerged at the individual level. The organizational challenges included mainly the lack of insurance coverage for all immigrants and the lack of a screening system upon the immigrants’ arrival from the borders. At the societal level, the negative attitudes toward Afghan immigrants were causing a problematic challenge.Research limitations/implicationsThe main limitation was the possibility that only health-care professionals with particular positive or negative perspectives about immigrants enter into the study, because of the voluntary nature of participation.Practical implicationsFindings can help policymakers adopt evidence-informed strategies for facilitating PHC provision and improving the access to health care in immigrants as a global human right concern.Social implicationsThis study alerts about undesirable consequences of certain attitudes and behaviors of the society toward immigrant health.Originality/valueTo the best of the authors’ knowledge, this is one of the first studies conducted in PHC centers in Tehran Province that explores the challenges of providing PHC to Afghan immigrants.

Journal

International Journal of Human Rights in HealthcareEmerald Publishing

Published: Jun 18, 2020

Keywords: Challenge; Human rights; Immigrants; Primary health care; Health-care provision; Barrier

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