Table 4 Enabling factors for utilizing physical rehabilitation services by Afghan immigrants and refugees in Iran
Themes | Sub-themes | Enabling factors | Participants |
|---|---|---|---|
Resources | Financial resources | Strengthening insurance coverage | S16, S19 |
Increasing public funding for PRS | SP6 | ||
Using charities’ and NGOs’ financial resources | SP2, S1, S15, S16, S18 | ||
Using the capacity of employers to improve the financial capacity of immigrants | S8 | ||
Creating an insurance fund for immigrants | S11 | ||
Targeting the allocation of financial resources | SP3 | ||
Social resources | Social support by Iranians | S1, S7 | |
Establishing social networks among immigrants | S11, SP2 | ||
Informational resources | Informing immigrants about available services | SP2, S15, S17 | |
Educational campaigns | SP7 | ||
Using Afghan volunteers as interpreters | SP2 | ||
Access to healthcare | Using mobile physical rehabilitation teams | SP1 | |
Improving the accessibility of physical rehabilitation centers | S1 | ||
Respectful behavior of providers with immigrant patients | S1, S2, S3, S4, S18, S19 | ||
Sufficient time allocation by providers to need assessment | S3 | ||
Predisposing factors (General factors) | Socioeconomic status | Having an educated family | SP3 |
Health beliefs | Trust in physical rehabilitation professionals | SP2 | |
Predisposing factors (Immigrant-specific factors) | Immigration status | Not considering immigration status when providing services | SP5 |
Facilitating the registration process for immigrants | S12 | ||
Assimilation | Facilitating cultural integration | S11, SP2 | |
Immigrant ethnic culture | Trust in modern interventions | SP7 | |
Macro-structural/contextual factors | Government Policy | Comprehensive needs assessments | SP1, SP3 |
Informing immigrants about existing laws on their access to health services, including PRS | SP3 | ||
Facilitating job-related skills training for immigrants | SP3 | ||
Separating health services from politics | SP4 | ||
Facilitating the receipt of international financial aid | SP4 | ||
Clarifying the role and duties of each stakeholder in PRS delivery to immigrants | S2, S8 | ||
Improving inter-sectoral collaborations for providing PRS to immigrants | SP1, SP6 | ||
Healthcare system | Considering a basic benefit package for immigrants | SP7 | |
Investment in preventive services | S1, SP3 | ||
Facilitating the referral of immigrants to higher health service levels | SP7 | ||
Training the practitioners regarding the health needs of immigrants | S11, SP1 | ||
Community-based education to improve health literacy | SP3, S3 | ||
Increasing immigrants’ awareness of available services and eligibility criteria | SP3, S1, S8 | ||
Investment in modern technology for delivering PRS | SP3 | ||
Effective evaluation and supervision of PRS providers | SP3 | ||
Providing health services regardless of race, language, and religion | SP4 | ||
Strengthening the participation of charities and non-governmental organizations in providing PRS | S2, S3, S4, S12, S13 | ||
Creating an integrated immigrant information system | S2 | ||
Social, economic, and political conditions | Facilitating immigrants’ employment | SP3 | |
Enhancing advocacy from social and political stakeholders to ensure income and jobs for immigrants | SP4 | ||
Increasing the public’s awareness regarding the immigrants’ health status | SP5 |