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May 22, 2026BMJ Public HealthOpen Access

Emergency, critical and operative care in Afghanistan: pathways to overcoming fragmentation and strengthening access in a post-conflict setting—a mixed-method study

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Authors

PRPaolo RodiUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro”FBFrancesca BocchiniAssociazione Italiana Vulvodinia OnlusIMIlaria MencattiniAssociazione Italiana Vulvodinia Onlus

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Overview

Mixed-method study evaluates emergency, critical, and operative services in Afghanistan, highlighting access barriers and system challenges.

Key Points

  • This study aims to assess the capacity, safety, and availability of emergency, critical, and operative (ECO) services in Afghanistan and identify related barriers and facilitators.
  • Mixed-methods approach integrating quantitative data from WHO assessment tools and qualitative interviews.
  • Data collection involved 11 interviews with healthcare providers across nine provinces.
  • Assessment dimensions included workforce, infrastructure, safety protocols, and training.
  • Significant gaps identified in workforce and safety, with no facility meeting WHO surgical service benchmarks.
  • Interviews revealed systemic fragmentation, lack of communication, and frequent supply shortages.
  • Socio-political factors restrict access to care, particularly for women.

Cite This Study

Rodi et al. (2026) studied this question.

synapsesocial.com/papers/6a0ff3d9d674f7c03778ccdahttps://doi.org/10.1136/bmjph-2025-003918
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Access to Care in Post-Conflict Settings: A Mixed-Methods Study Exploring Access to Care Trends, Barriers, and Changes after the Taliban Takeover in Afghanistan2026
  2. 2Access to care in Afghanistan after august 2021: a cross-sectional study exploring Afghans’ perspectives in 10 provinces2024 · 17 citations
  3. 3Transportation as a determinant of equitable access to emergency critical and operative care in Africa2026
  4. 4A Research Protocol: Investigating Challenges and Opportunities for Obstetric and Gynaecological Care in Post-Conflict African States,2023
  5. 5Implementing the WHO’s Emergency Care Systems toolkit: a qualitative study for facilitators and barriers2025 · 2 citations