480 Assessing healthcare providers’ knowledge and perspectives on the Availability, Accessibility, Acceptability, and Quality (AAAQ) of reproductive health service delivery in humanitarian settings

Abstract EP2.3, e-Poster Terminal 2, September 4, 2025, 10:05 - 10:30 According to the World Health Organization, at least 50 percent of the world’s population still lacks access to essential healthcare services. The United Nations human rights committee on Economic, Social, and Cultural rights in their General Recommendation 14, explains the four components of human rights based approach to health -availability, accessibility, acceptability, and quality (AAAQ) which are crucial to the enjoyment of the right to health by all and to address global health inequalities. This study aimed to understand the knowledge, attitudes, and perceptions of healthcare providers on AAAQ of health service delivery in Kakuma and Kalobeyei refugee camps in Kenya. The study also examined the extent of application and nature of AAAQ integrated into service delivery in humanitarian settings. The research study employed qualitative methodologies, including four focused group discussions (n = 28), and four health facility assessments. Homogenous sampling was used to recruit healthcare workers. All interactions were audio recorded upon consent. The study used principles of community-based participatory research. Partner organizations contributed to the research process at all stages. The data was collected in February 2024 and stakeholder consultation workshops were conducted in July/August 2024. Data analysis is being conducted on MaxQDA. A codebook with preliminary themes and categories has been designed using a deductive and analytic inductive approach. The results are currently being analyzed and a complete analysis of the data collected is expected to be completed by May 2025. We hope the insights from our findings could lead to improvements in reproductive health service delivery that integrates a human rights approach to health to achieve the realization of the right to health. The study also aims to inform policymakers, researchers, practitioners, and donors to invest in robust, rights-based solutions for reproductive health in crisis settings.