Kanishka Ghiasi, Ali Mohammad Mosadeghrad, Hossein Dargahi, Ebrahim Jaafaripooyan, Mahdi Abbasi
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引用次数: 0
Abstract
Background: Migration is a growing global phenomenon and a recognized social determinant of health, contributing to significant health inequities between migrant and host populations. Iran, hosting an estimated 4.5 million migrants-including undocumented individuals-faces persistent challenges in ensuring equitable access to healthcare. This study identifies strategies to inform context-specific interventions within Iran's health system to improve migrant health.
Methods: We conducted a realist review, searching PubMed, Science Direct, Scopus, Web of Science, Google Scholar, and grey literature from 2010 to 2024. Using the Intervention-Context-Mechanism-Outcome (ICMO) framework, we analyzed 67 studies to identify effective strategies for enhancing migrant health in Iran. Ritchie and Spencer's five-stage framework method was applied to analyse the data.
Results: Twenty-seven strategies were identified. Mechanisms underpinning successful interventions included trust-building through intersectoral governance, reduction of financial barriers via inclusive insurance schemes, increased accessibility through cultural competency training, and improved service reach using digital health and community-based outreach. Iran-specific implications included the potential for piloting migrant-inclusive insurance for vulnerable groups and expanding culturally tailored services through community health workers.
Conclusion: Contextual adaptation of global strategies can address systemic barriers and improve health equity for migrants in Iran. The findings offer evidence-based, actionable insights for policymakers seeking to localize global best practices within Iran's healthcare infrastructure.
期刊介绍：
"Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health.
The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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