AUTHOR=Bakhtiari Ahad , Takian Amirhossein , Olyaeemanesh Alireza , Behzadifar Masoud , Takbiri Afsaneh , Sazgarnejad Saharnaz , Kargar Sahar 

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

JOURNAL=International Journal of Public Health

VOLUME=68

YEAR=2023

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1606268

DOI=10.3389/ijph.2023.1606268

ISSN=1661-8564

ABSTRACT=<p><bold>Objective:</bold> 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.</p><p><bold>Methods:</bold> 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.</p><p><bold>Results:</bold> 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.</p><p><bold>Conclusion:</bold> 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.</p>