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. 2023 Sep 28:68:1606268.
doi: 10.3389/ijph.2023.1606268. eCollection 2023.

Health System Response to Refugees' and Migrants' Health in Iran: A Strengths, Weaknesses, Opportunities, and Threats Analysis and Policy Recommendations

Ahad Bakhtiari  1   2 , Amirhossein Takian  1   2   3 , Alireza Olyaeemanesh  1   2 , Masoud Behzadifar  4 , Afsaneh Takbiri  5 , Saharnaz Sazgarnejad  2   6 , Sahar Kargar  1   2
Affiliations

Health System Response to Refugees' and Migrants' Health in Iran: A Strengths, Weaknesses, Opportunities, and Threats Analysis and Policy Recommendations

Ahad Bakhtiari et al. Int J Public Health. .

Abstract

Objective: Iran is one of the main hosts of Afghan refugees. This study aims to provide comprehensive evidence to increase Afghan migrants' access to healthcare services in Iran. Methods: To assess the health system's response to Afghan migrants in Iran, we conducted three phases for SWOT analysis, including: 1-developing a review and comprehensive analysis of documents, laws, and, programs, 2-conducting semi-structured interviews with policymakers and experts, and 3-mapping the results through the Levesque's conceptual framework for healthcare access. Results: We evaluated the response of the health system to Afghan migrants' health needs in three domains: 1-Approachability and ability to perceive migrants; 2-Ability to reach, engage, and availability and accommodation and appropriateness; 3-The ability to pay and affordability. For each of the three domains, we identified strengths, weaknesses, opportunities, and threats, complemented with evidence-based suggestions to improve migrants' access to needed healthcare services. Conclusion: Given the rising trend of immigration and deteriorating financial crises, we recommend appropriate strategies for the adoption of specialized focus services, gateway services, and restricted services. Also simplifying financial procedures, and implementing innovative insurance mechanisms are essential.

Keywords: Iran; SWOT analysis; health systems; healthcare access; migrant and refugee health.

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Conflict of interest statement

The authors declare that they do not have any conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Levesque’s conceptual framework for healthcare access [16, 17] (Iran, 2023). Source: Cu et al. Redesigned by authors.
See this image and copyright information in PMC

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