
Health Services Insights, Journal Year: 2025, Volume and Issue: 18
Published: Jan. 1, 2025
Background: Afghan refugees in Pakistan, particularly Quetta, Balochistan, encounter formidable barriers accessing maternal, newborn, and child health (MNCH) services. These challenges have been intensified by the COVID-19 pandemic entrenched systemic inequities. Methods: This qualitative study, conducted from February to April 2023, aimed assess obstacles within systems community environments that hinder MNCH service access among refugees. The study involved 20 key informants through in-depth interviews focus group discussions, including refugee women, elders, workers, representatives non-governmental organizations government agencies. research focused on experiences during initial four waves of (2020-2021), utilizing a conceptual framework integrating Health Emergency Disaster Risk Management (Health-EDRM) with primary care. Findings: identified significant services, such as insufficient funding, inadequate infrastructure, discriminatory practices healthcare workforce. Additionally, community-level were prominent, cultural language differences, geographical isolation, economic constraints. integration Health-EDRM into local was minimal, many stakeholders either needing be made aware or unengaged framework. Conclusion: findings highlight critical need for comprehensive policy reforms, infrastructure enhancement, community-centered approaches address refugees’ needs effectively. Strengthening health-EDRM is crucial enhancing resilience ensuring continuous care emergencies. calls concerted efforts implement culturally sensitive interventions include disaster risk management components improve outcomes crisis-affected settings. Addressing makes creating more resilient equitable system vulnerable populations possible.
Language: Английский