COVID-19 Care Challenge in Refugees Residing in the Islamic Republic of Iran

Abstract

Background. The first cases of COVID-19 disease in the world, and thus its prevalence in Iran, caused numerous public health issues and significantly hampered the provision of health services. Due to its particular geographical location, Iran is among the ten most refugee-hosting countries in the world. These populations have been living in different rural and urban areas of Iran for the last four decades. This study aimed to determine the care challenges of COVID-19 in a population of refugees and foreign immigrants. Methods. This article is based on the reports of the rapid response teams of the Ministry of Health and Medical Education (MOH) and the visits made to the accommodations for refugees and foreign immigrants in the country's provinces. Results. According to studies, refugees and foreign immigrants face several challenges in receiving standard health services which are mainly related to low insurance coverage, a low level of literacy and health literacy, a reluctance to use health services, a large family size, overpopulated households, and living in poor conditions, as well as ignoring early symptoms of disease and referring to health centers in an emergency. Conclusion. According to the results, organizing the housing of foreigners and immigrants and increasing insurance coverage are the leading health priorities. Regarding the common culture and language, regular planning should be done to attract these populations’ participation.