ArticleInternational journal for equity in health2017
Experiences of inequitable care among Afghan mothers surviving near-miss morbidity in Tehran, Iran: a qualitative interview study.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Maternal near miss, the voices of health service survivors: a metasynthesis.BMC pregnancy and childbirth · 2025Pooled it
- Racialized migrant women's discrimination in maternal care: a scoping review.International journal for equity in health · 2025Pooled it
- Health condition of Afghan refugees residing in Iran in comparison to Germany: a systematic review of empirical studies.International journal for equity in health · 2023Pooled it
- Reproductive health care experiences and rights of displaced Afghan women, and intersecting factors influencing outcomes: a scoping review.Reproductive health · 2026Article
- Discrimination in medical settings as perceived by forcibly displaced people within low- and middle-income countries: a scoping literature review.Public health reviews · 2026Review
- Interventions facilitating access to perinatal care for migrant women without medical insurance: a scoping review.PloS one · 2026Article
- Innovative pathways for sustainable health financing for migrants and refugees in Iran: a stakeholder and social network analysis approach.BMJ public health · 2026Article
- A scoping review of person-centred maternity care service in humanitarian and fragile settings.BMJ global health · 2025Article
- Universal public health insurance for Afghan refugees in Iran: a contextual analysis.Globalization and health · 2025Article
- Reducing health disparities in providing care services in the intensive care unit: a critical ethnographic study.BMC medical ethics · 2024Article
- Sexual and Reproductive Healthcare Needs of Refugee Women Exposed to Gender-Based Violence: The Case for Trauma-Informed Care in Resettlement Contexts.International journal of environmental research and public health · 2024Review
- "It's different here" Afghan refugee maternal health experiences in the United States.BMC pregnancy and childbirth · 2024Article
- Barriers and enabling factors for utilizing physical rehabilitation services by Afghan immigrants and refugees with disabilities in Iran: a qualitative study.BMC public health · 2024Article
- Investigating the depression, anxiety, and stress-related factors in near-miss mothers.Journal of education and health promotion · 2024Article
- Mistreatment of women during childbirth and its influencing factors in public maternity hospitals in Tehran, Iran: a multi-stakeholder qualitative study.Reproductive health · 2023Article
- Applying the COM-B Model to Understand the Drivers of Mistreatment During Childbirth: A Qualitative Enquiry Among Maternity Care Staff.Global health, science and practice · 2023Article
- Access to health care for Afghan immigrants and refugees: an ethico-legal analysis based on the Iranian health law system.Journal of medical ethics and history of medicine · 2023Article
- A critical interpretive synthesis of power and mistreatment of women in maternity care.PLOS global public health · 2023Review
- Exposing Obstetric Violence in the Eastern Mediterranean Region: A Review of Women's Narratives of Disrespect and Abuse in Childbirth.Frontiers in global women's health · 2022Review
- Childbirth violence-based negative health consequences: a qualitative study in Iranian women.BMC pregnancy and childbirth · 2021Article
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4 authors.
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Abstract
backgroundProviding 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.
methodsA 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.
resultsMistreatment 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.
conclusionsNear-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.
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