Showing 4 results for Policy
Sedigheh Moghasemi, Nezal Ajh, Taraneh Estaki, Parvin Mirmiran,
Volume 2, Issue 2 (10-2014)
Abstract
Background & Objective: Pregnant or lactating women and children are the two population group most vulnerable to nutritional deficiencies. The aim of this study was to review the nutritional status of lactating women, as one of the main loops of the chain of effective factors on health of the generation and society, assessing the supportive nutrition programs in Iran and to provide solutions in this regard. Method: This review was conducted in April 2014. All related articles on the databases of IranMedex, SID (Scientific Information database) and PubMed were investigated with no time limit. After reviewing the abstracts, 15 Persian articles and 13 English articles were fully reviewed. Results: The results of the few available studies on the nutritional status of lactating women indicate deficiencies or inappropriate nutritional patterns among lactating women. Although in formulation of nutritional strategies, pregnant or lactating women and children often receive equal attention, women are practically the target of nutrition and health programs to improve the growth of the fetus and little attention have been paid to their health and nutritional needs. Nutrition of lactating women have been forgotten and solely focus on prenatal nutrition of women means ignoring the more fundamental nutritional problem in women throughout their lives. Conclusion: Implementing a holistic approach to health and nutrition of women instead of the traditional approach, which focuses solely on a particular period of life, leads to health promotion and ensuring the health of women and the next generation.
Anis Abbasi, Amir Ashkan Nasiri Pour, Seyyed Jamalodin Tabibi, Pouran Raeisi,
Volume 6, Issue 2 (6-2018)
Abstract
Background and objectives: The development and distribution of hospital beds, regardless of effective factors, may downgrade equity in access to health services through imposing costs of inefficiency. This study aimed to develop a hospital bed distribution model in Iran in order to facilitate the optimal and cost-effective development and distribution of hospital beds.
Methods: This descriptive-analytical study with mixed-methods analysis was carried out during 2015-2016. The research population encompassed 345 managers and experts in the field of health, who were selected using multistage quota sampling method from five regions of Iran (north, south, center, west and east). A total pool of 23 experts were selected from each university, and a researcher-made questionnaire was used to collect data. Content Validity Ratio (CVR) was used to evaluate the questionnaire content and face validity. Cronbach's alpha coefficient and exploratory factor analysis with Varimax rotation were run as well to determine the questionnaire reliability and item consistency, respectively. For this purpose, AMOS version 20 and SPSS version 20 software were employed. To determine the fit of the model, the fit indices were also considered.
Results: Out of 51 effective factors included in the questionnaire in accordance with content validity, 23 items were confirmed by the experts. Exploratory factor analysis detected five organizational (seven components), economic (four components), social (six components), political (three components) and geographic (three components) factors as the main dimensions of hospital bed distribution, which could explain 70.745% of variance for all variables. The organizational and geographical dimensions had the highest (1.00) and lowest (0.16) influence on the hospital bed distribution. After running confirmatory factor analysis, two components of social and economic attributes with factor load of 0.46 in social dimension and efficiency and effectiveness of existing centers with factor load of 0.31 in the economic dimension were excluded from the model.
Conclusion: This study confirmed the hospital bed distribution model with five organizational, social, economic, political, and geographical dimensions, in which the organizational dimension with high explanatory power had the greatest impact on the hospital bed distribution. Therefore, this model seems efficient to be used as a comprehensive and appropriate method in making policies and decisions about the development and distribution of hospital beds.
Ehsan Ameri, Ali Farhadi Mahali, Mojtaba Tabari, Alireza Matoufi,
Volume 9, Issue 4 (12-2021)
Abstract
Background and Objective: The rate of cesarean section has been increasing in many regions of the world, including Iran in recent years. Therefore, the seventh axis of the health system development plan was dedicated to promoting natural childbirth at hospitals of Iran to improve the health of mothers and infants and reduce the rate of cesarean section. The present study aimed to analyze the policy gap of the health system development plan in the axis of promoting natural childbirth.
Material and Methods: This cross-sectional, descriptive-analytical study was conducted in 384 employees, medical staff and physicians in the field of education, health and treatment at Golestan University of Medical Sciences using simple random sampling. The data collection tool included a 35-item researcher-made questionnaire. After confirmation of its validity by supervisors and advisors, its reliability was obtained to be 0.84 by Cronbach's alpha test, indicating the reliability of the questionnaire. We distributed and collected the questionnaires in 6 months from the September to the December of 2020, and analyzed data using SPSS 22.
Results: In the seventh axis of the health system development plan, there was a gap of
-0.004 between the current and desired status, indicating that the gap between the current and desired status was close to the center axis and in the field of cooperation in the statistical population of the study.
Conclusion: Implementation of a plan to promote natural childbirth was effective in reducing the rate of cesarean section and encouraging pregnant mothers to give natural childbirth but the effectiveness was not enough to achieve the goals of the seventh axis of the plan. Therefore, the factors, which caused the lack of cooperation between the executive departments of the University of Medical Sciences, must be eliminated for creating effectiveness.
Sajjad Pourbagher, Abdolreza Bay, Alireza Heydari,
Volume 12, Issue 1 (10-2024)
Abstract
Background: The Ministry of Health has prioritized social health interventions to enhance the social capital within health systems. This study analyzes the implementation of Iran's Ministry of Health's social health policies based on Kingdon's model.
Methods: This qualitative study, conducted in 2022, utilized Kingdon's (2003) model as the research framework. Data were collected through in-depth personal interviews with 15 managers and scientific and executive experts from the Ministry of Health, the Ministry of Interior, the governorate, universities of medical sciences, and non-governmental organizations. Sampling was purposive, and interviews were analyzed using the frame analysis method.
Results: The findings were categorized into three main themes and ten sub-themes which include the problem, policy, and the political stream. The problem stream, focus on definition of social health among stakeholders, addressing the nature of social health, exploring the impacts of social health on society members' roles, duties, and social activities, and clarifying communication regarding the concepts of social health for ministry managers and employees. The policy stream, emphasized on people's participation is a primary health care (PHC) principle, Laws highlighting the social dimension of health, and the potential utilization of NGO capacities within the country. The political stream highlighted the Social Vice-Chancellorship in the Ministry of Health with the onset of the 11th government, and the formation of the General Directorate of Non-governmental Organizations within the Social Vice-Chancellorship.
Conclusion: Despite the critical need for social health policies and the requirements set by upstream laws, the complexity and multi-dimensionality of social health have hindered successful policy implementation. To attract interdisciplinary leadership and cross-sectoral support, it is recommended that a dedicated trustee within the Ministry of Health be appointed and practical measures for promoting healthy social behaviors be implemented by identifying and monitoring social health indicators be implemented.
