Evaluation of Health Services in Refugee Camps Using the Responsive Evaluation Model

Background: The number of asylum seekers is increasing annually due to social, economic, and political challenges. Limited access to quality health services for asylum seekers poses serious risks not only to their own health but also to thepublic health of host communities. Given the importance of this issue, the present study aimed to evaluate healthcare services for residents of the Commissariat Camp Sarvestan (UHNR) using the responsive evaluation model.Methods: This quantitative cross-sectional study was conducted in 2023. The study population consisted of Afghans aged 18 years or older residing in the UHNR camp (Shahid Beheshti Hospital, Sarvestan, Fars Province). Due to the limited population size, a census sampling method was employed, resulting in a total sample of 270 participants. Data were collected using a questionnaire designed based on the responsive evaluation model, assessing fourkey components of health services: healthcare delivery, physicianpatient relationships, therapeutic collaboration, and access to services. Data analysis was performed using SPSS version 21.Results: Among the evaluated components, physician-patient relationships received the highest mean score (17.88±6.91), while therapeutic collaboration received the lowest mean score (14.58±5.80). Overall, 75–90% of participants rated the four dimensions as relatively good to moderate, reflecting general satisfaction with the services, whereas 10–25% reported poor or relatively poor ratings. Quantitative analysis revealed a statistically significant relationship between the total healthcare service score and both age and gender.Conclusion: Over 75% of participants reported high satisfaction across all components, highlighting the efforts, coordination, and planning of the responsible authorities in delivering healthcare services at the camp.