Malmö University Publications
Planned maintenance
A system upgrade is planned for 10/12-2024, at 12:00-13:00. During this time DiVA will be unavailable.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran: a qualitative interview study
Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Uppsala University, SE-751 85, Uppsala, Sweden; Infertility and Reproductive Health Research Center (IRHRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Malmö högskola, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-2620-7152
Infertility and Reproductive Health Research Center (IRHRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Uppsala University, SE-751 85, Uppsala, Sweden.
2017 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 16Article in journal (Refereed)
Abstract [en]

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.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 16
Keywords [en]
Maternal near miss, Care experiences, Afghan migrants, Mistreatment, Discrimination, Iran
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-4359DOI: 10.1186/s12939-017-0617-8ISI: 000405686600002PubMedID: 28687082Scopus ID: 2-s2.0-85022214599Local ID: 23668OAI: oai:DiVA.org:mau-4359DiVA, id: diva2:1401189
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-18Bibliographically approved

Open Access in DiVA

fulltext(600 kB)110 downloads
File information
File name FULLTEXT01.pdfFile size 600 kBChecksum SHA-512
e4079f8bee8db6d89e0d7c6a00f28ed0ccff0b5296edf030ce6b08b6eb7b1bdbd8c3422b07aa36b6b5972c39bc4aeb7dcc1cfb1faf8c9de7880590b1a4fb5ad5
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Carlbom, Aje

Search in DiVA

By author/editor
Carlbom, Aje
By organisation
Department of Social Work (SA)
In the same journal
International Journal for Equity in Health
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 110 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 97 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf