Document Type : Original Article

Authors

• Roghayeh Mohseni ¹
• Leila Bazrafkan ²
• Nasrin Shokrpour ^{3, 4, 5}

¹ Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran

² Clinical Education Research Center and Medical Education, Shiraz University of Medical Sciences, Shiraz, Iran

³ English Department, Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

⁴ Center for Interdisciplinary Research in Islamic Education and Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

⁵ Clinical Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: The number of asylum seekers is increasing annually due to social, economic, and political challenges. Limited access to quality health services for asylum seekers poses serious risks not only to their own health but also to the
public health of host communities. Given the importance of this issue, the present study aimed to evaluate healthcare services for residents of the Commissariat Camp Sarvestan (UHNR) using the responsive evaluation model.
Methods: This quantitative cross-sectional study was conducted in 2023. The study population consisted of Afghans aged 18 years or older residing in the UHNR camp (Shahid Beheshti Hospital, Sarvestan, Fars Province). Due to the limited population size, a census sampling method was employed, resulting in a total sample of 270 participants. Data were collected using a questionnaire designed based on the responsive evaluation model, assessing fourkey components of health services: healthcare delivery, physicianpatient relationships, therapeutic collaboration, and access to services. Data analysis was performed using SPSS version 21.
Results: Among the evaluated components, physician-patient relationships received the highest mean score (17.88±6.91), while therapeutic collaboration received the lowest mean score (14.58±5.80). Overall, 75–90% of participants rated the four dimensions as relatively good to moderate, reflecting general satisfaction with the services, whereas 10–25% reported poor or relatively poor ratings. Quantitative analysis revealed a statistically significant relationship between the total healthcare service score and both age and gender.
Conclusion: Over 75% of participants reported high satisfaction across all components, highlighting the efforts, coordination, and planning of the responsible authorities in delivering healthcare services at the camp.

Keywords

• Refugees
• Afghan refugees
• Health services research
• Responsive evaluation model
• Sarvestan camp
• Migration