Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran : a qualitative interview study

DSpace Repository

Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran : a qualitative interview study

Details

Files for download
Icon
Overview of item record
Publication Article, peer reviewed scientific
Title Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran : a qualitative interview study
Author Mohammadi, Soheila ; Carlbom, Aje ; Taheripanah, Robabeh ; Essen, Birgitta
Date 2017
English abstract
Background: Providing equitable maternal care to migrants is a seriously challenging task for hosting countries. Iran, the second-most accessed country for refugees from Afghanistan, has achieved maternal health improvement. However, Afghan women with near-miss morbidity faced pre-hospital delays and disparity in maternal care at hospitals. This study explores experiences of maternal care among Afghan women surviving near-miss morbidity to increase insight into healthcare improvements for migrants. Methods: A qualitative study was conducted at university hospitals in Tehran, from April 2013 to May 2014. A total of 11 Afghan women and 4 husbands were interviewed when women recovered from near-miss morbidity that occurred around the childbirth period. Mothers were identified prospectively using the WHO maternal near-miss approach. Thematic analysis was used along with a data-driven approach to organize data guided by the 'three delays model' theoretical framework. Results: Mistreatment in the form of discrimination and insufficient medical attention were key experiences. Participants commonly perceived poor women-professional communication and delays in recognizing obstetric complications despite repeated care-seeking. Financial constraints, costly care, lack of health insurance, and low literacy were experienced barriers to accessing care to a lesser extent. Non-somatic consequences of near-miss morbidity affected mothers and families for extended periods. Conclusions: Near-miss survivors' experiences provided remarkable insights into maternal care of Afghans in Iran. The challenge for the health system and professionals is to provide equitable care with dignity and improve communication skills with caring attitudes toward ethnic minorities. Antenatal visits provide the best and most appropriate opportunities to tackle health illiteracy in Afghan women.
DOI https://doi.org/10.1186/s12939-017-0617-8 (link to publisher's fulltext.)
Link https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-017-0617-8 .Icon
Publisher BioMed Central
Host/Issue International Journal for Equity in Health;
Volume 16
ISSN 1475-9276
Language eng (iso)
Subject Maternal near miss
Care experiences
Afghan migrants
Mistreatment
Discrimination
Iran
Medicine
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Handle http://hdl.handle.net/2043/23668 Permalink to this page
Facebook

This item appears in the following Collection(s)

Details

Search


Browse

My Account

Statistics