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Evaluating children's rights in the hospital setting of Afghanistan
Fatemeh Kokabisaghi1, Javad Moghri1, Jamshid Jamali2
1Department of Management Sciences and Health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran; Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Children's rights in hospitals are partially realized, with significant gaps in play, learning, and protection. Education and improved protocols are crucial for better child welfare in healthcare settings.
Area of Science:
- Pediatric Healthcare
- Human Rights in Medicine
- Hospital Administration
Background:
- Children's rights are fundamental and must be upheld in all healthcare settings.
- Hospitals play a critical role in ensuring the well-being and rights of child patients.
- Assessing the status of children's rights in hospitals is essential for identifying areas of improvement.
Purpose of the Study:
- To evaluate the extent to which children's rights are realized in hospital settings in Afghanistan.
- To identify specific areas where children's rights are being met and where gaps exist.
Main Methods:
- A cross-sectional survey was conducted using a World Health Organization questionnaire.
- 142 healthcare providers (managers, physicians, nurses) participated in the study.
- Descriptive and analytical statistics were employed for data analysis.
Main Results:
- The overall score for fulfilling children's rights in the hospital was 1.71 ± 0.46.
- "Equality and non-discrimination" scored highest (2.01 ± 0.59), while "play and learning" scored lowest (1.1 ± 0.46).
- Education level and work experience were significantly related to the scores awarded to children's rights.
Conclusions:
- Hospitals are making efforts to uphold children's rights, but significant gaps remain.
- Key areas needing improvement include adolescent-friendly services, play/learning opportunities, and child protection.
- Education on children's rights for staff and the public, alongside new protocols and monitoring systems, is recommended.
Purpose:
Children's rights must be realized in all children-related settings, such as hospitals. This study aimed to assess children's rights in hospital settings in Afghanistan in 2021.
Design And Methods:
A cross-sectional survey using the World Health Organization questionnaire was conducted. It was distributed among the randomly selected healthcare providers in the studied hospital. One hundred forty-two hospital managers, physicians, and nurses participated in the study. Descriptive and analytical statistics were used to analyze the results in SPSS.
Results:
In this study, 54.2% of participants were men, 59.9% had a bachelor's degree, and most were 20-30 years old (56.7%). The total score of the hospital in fulfilling children's rights was 1.71 ± 0.46. Among different children's rights, "equality and non-discrimination" received the highest score (2.01 ± 0.59), and the lowest was for "play and learning" (1.1 ± 0.46). There was a meaningful relationship between education level, years of work experience, and the scores given to children's rights. Various dimensions of the rights had significant relationships (p < 0.05).
Conclusion:
The hospital has taken action to fulfill children's rights. The main gaps include the lack of adolescent-friendly health services, opportunities to play and learn, and child protection. Hospital managers, staff, and the public should be educated on children's rights. Moreover, protocols for improving children's rights and a monitoring system are needed.
Practical Implications:
Children's rights should receive special attention in hospitals. Educating children, parents, service providers, health policymakers, and society about children's rights is essential. They should know their responsibilities regarding children.
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