Evaluation of health services to The residents of UNHR in Sarvestan refugee camp  based on the responsive evaluation model in the Covid epidemic 19

Abstract

Introduction:Due to the spread of social, economic and political problems, the number of asylum seekers is increasing every year. Lack of attention to asylum seekers' access to quality health services not only poses a serious threat to the health of asylum seekers, but also to the general health of the destination community. Due to the importance of this issue, the present study was conducted to evaluate the health care services to the citizens of Commissariat Camp Sarvestan (UHNR) based on the responsive evaluation model. Materials and Methods: The present study was a quantitative cross-sectional study conducted in 2020. The statistical population of this study was Afghans over 15 years old living in UHNR camp (Shahid Beheshti Hospitalm Sarvestan, Fars province). Due to the limited statistical population, sampling was done by census method and the total number of samples in the present study was 270 people. The main tool of the present study was a questionnaire based on the responsive evaluation model. In this study, components of health services, including health services, physician-patient relationship, therapeutic collaboration and access to services were evaluated. SPSS software version 21 was used for statistical analysis of data. Results:Among the components of health services, the highest score for physician-patient communication (17.88±6.91) and the lowest score for treatment coordination (14.58±5.8). The results of this study showed that 75-90% of the participants in all 4 dimensions had a relatively good to moderate theoretical dimension that reflected the relative satisfaction of the services and only 10 to 25% of the subjects presented poor and relatively poor grades. Furthermore, the results of the statistical test of the quantitative analysis section showed a statistically significant difference between the total score of health care services and age and gender (p = 0.003 and p = 0.001, respectively). Conclusion:In all components more than 75% of the participants had high satisfaction, which indicates the efforts, cooperation and planning of relevant officials in the field of health services in this camp..