Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh
Objectives This study aimed to increase the understanding of healthcare stakeholders’ viewpoints on the challenges and potential solutions regarding healthcare financing for the Rohingya refugees in Cox’s Bazar.Design A mixed-method approach, containing semi-structured interviews with healthcare sta...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e083021.full |
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| author | Isabel Smith Imdadul Haque Talukdar Sayeeda Tarannum M A Rifat Priyanka Boga Jubayer Mumin Pablo André Veronés Ziba Mahdi Syeda Saima Alam Arif Faysal Khan |
| author_facet | Isabel Smith Imdadul Haque Talukdar Sayeeda Tarannum M A Rifat Priyanka Boga Jubayer Mumin Pablo André Veronés Ziba Mahdi Syeda Saima Alam Arif Faysal Khan |
| author_sort | Isabel Smith |
| collection | DOAJ |
| description | Objectives This study aimed to increase the understanding of healthcare stakeholders’ viewpoints on the challenges and potential solutions regarding healthcare financing for the Rohingya refugees in Cox’s Bazar.Design A mixed-method approach, containing semi-structured interviews with healthcare stakeholders and review of financial documents, was employed. Thematic analysis was performed to analyse the transcripts. Financial documents (available online) and reports from respective coordinating agencies were also reviewed.Setting Online key informant interviews (KIIs) were conducted from Stockholm with participants residing in Bangladesh between June 2022 and September 2022.Participants Eight KIIs were conducted with professional health programme managers, executives and personnel involved in policy coordination and implementation in refugee camps in Cox’s Bazar district of Bangladesh.Results We identified four themes and three subthemes outlining key challenges in healthcare funding, including decreasing funds (supported by a quantitative assessment) due to macroglobal issues, conflicting short-term and long-term priorities between implementing partners, insufficient efficacy due to challenges with collaborative priority-setting and implementing common processes, and a lack of consensus regarding equity between host and refugee communities.Conclusions The study identified unique challenges beyond the commonly discussed health financing issues in a resource-deficient setting: stakeholders’ conflicting priorities regarding funding and undecided equity issues among the host and refugee communities are worth scholarly and policy focus. A needs-based, equitable and effective action plan might ensure the proper utilisation of resources. |
| format | Article |
| id | doaj-art-4fe6c62d99ce484fb4992a53d1e670fa |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4fe6c62d99ce484fb4992a53d1e670fa2025-02-03T10:35:15ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2023-083021Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in BangladeshIsabel Smith0Imdadul Haque Talukdar1Sayeeda Tarannum2M A Rifat3Priyanka Boga4Jubayer Mumin5Pablo André Veronés6Ziba Mahdi7Syeda Saima Alam8Arif Faysal Khan9Department of Global Public Health Sciences, WHO Collaborating Centre for Social Medicine and Tuberculosis, Karolinska Institutet, Stockholm, Sweden1 Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden3 Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden3 Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden1 Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden3 Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden1 Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden4 Department of Economics, North South University, Dhaka, Bangladesh5 Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali, Bangladesh2 Ministry of Public Administration, People`s Republic of Bangladesh, Dhaka, BangladeshObjectives This study aimed to increase the understanding of healthcare stakeholders’ viewpoints on the challenges and potential solutions regarding healthcare financing for the Rohingya refugees in Cox’s Bazar.Design A mixed-method approach, containing semi-structured interviews with healthcare stakeholders and review of financial documents, was employed. Thematic analysis was performed to analyse the transcripts. Financial documents (available online) and reports from respective coordinating agencies were also reviewed.Setting Online key informant interviews (KIIs) were conducted from Stockholm with participants residing in Bangladesh between June 2022 and September 2022.Participants Eight KIIs were conducted with professional health programme managers, executives and personnel involved in policy coordination and implementation in refugee camps in Cox’s Bazar district of Bangladesh.Results We identified four themes and three subthemes outlining key challenges in healthcare funding, including decreasing funds (supported by a quantitative assessment) due to macroglobal issues, conflicting short-term and long-term priorities between implementing partners, insufficient efficacy due to challenges with collaborative priority-setting and implementing common processes, and a lack of consensus regarding equity between host and refugee communities.Conclusions The study identified unique challenges beyond the commonly discussed health financing issues in a resource-deficient setting: stakeholders’ conflicting priorities regarding funding and undecided equity issues among the host and refugee communities are worth scholarly and policy focus. A needs-based, equitable and effective action plan might ensure the proper utilisation of resources.https://bmjopen.bmj.com/content/15/1/e083021.full |
| spellingShingle | Isabel Smith Imdadul Haque Talukdar Sayeeda Tarannum M A Rifat Priyanka Boga Jubayer Mumin Pablo André Veronés Ziba Mahdi Syeda Saima Alam Arif Faysal Khan Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh BMJ Open |
| title | Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh |
| title_full | Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh |
| title_fullStr | Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh |
| title_full_unstemmed | Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh |
| title_short | Challenges of healthcare financing in the world’s largest refugee camp: a mixed-method study among healthcare stakeholders for Rohingya refugees in Bangladesh |
| title_sort | challenges of healthcare financing in the world s largest refugee camp a mixed method study among healthcare stakeholders for rohingya refugees in bangladesh |
| url | https://bmjopen.bmj.com/content/15/1/e083021.full |
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