Zahra Jaafari, Zahra Abdolahinia, Hajar Ghasemi, Ali Esmaeilpour, Saeideh Mahmoodzadeh, Ali Bahaodini, Seyed Vahid Ahmadi Tabatabaei, Najmeh Safa, Hamid Reza Tohidinik, Ali Akbar Haghdoost, Ali Sharifi, Vahid Yazdi-Feyzabadi, Hamid Safari,
Volume 17, Issue 2 (Vol 17,No.2, Summer 2021 2021)
Abstract
Background and Objectives: low utility of health care services is one of the main determinants of not achieving desired health indicators in urban areas. This study aimed to investigate the barriers and facilitators of receiving health services from health centers in Kerman city, Iran.
Methods: This study was a qualitative study with a content analysis approach conducted in 2020. After selecting health centers with the experience of desirable or low utility services, purposive sampling continued until information saturation. A total of 78 staff members, recipients, and non-recipients of services citizens were interviewed semi-structured and face-to-face at health centers. All interviews were recorded and coded manually and then reviewed and analyzed using directional content analysis.
Results: The essential services for children and mothers, free services, and service providers' behavior were mentioned as facilitators of referral. Distance and physical factors, knowledge of different types of services, preference of private centers, time access, view of people on regular visits to centers, addresses and telephone numbers registered in the system, responsiveness to health needs, fear of disease disclosure, lack of human resources in the centers, and service providers' behavior, were among the barriers of visiting the centers.
Conclusion: According to the results of this study, an accurate understanding of the under-coverage people's views and perceptions can help national and local planners and policymakers design the necessary strategies to increase the use of health services in urban health centers.
