Table 5 Threats to the Primary Health Care Expansion Program
Themes | Sub-themes |
|---|---|
Increasing slum habitation and its socio-economic effects on health | The increasing number of slum population |
The increase in migrations to cities and the problem of tracking systems | |
Problems of legal and illegal immigrants about necessary services and health insurance | |
Different lifestyle in slum areas | |
Social problems related to health | |
Low capacity of the private sector | Weak financial ability of private companies seeking collaboration with health network |
Companies’ lack of awareness of health programs and regulations | |
Lack of expertise in monitoring the performance of human resources | |
Discrepancy between service providers and insurance companies | Differences of insurance companies in providing health services |
Parallel programs | |
Disruption in providing services to patients | |
Appointing a doctor by the insurance company for insurers | |
Instability of financial resources | Delay in allocating or distributing financial resources |
Instability of health financial resources | |
Complaints about delays in payments | |
The culture of preferring medical specialists to PHC providers and low awareness on and use of PHC services | People’s willingness to visit specialists instead of PHC |
Low acceptability of PHC services among people | |
People’s low awareness of the services provided in PHC and their benefits | |
Changing health needs of society |