Insights into Health Program Implementation and Evaluation in Iran: A Brief Review of National Healthcare Programs in Iran
-
Reyhaneh Ehsani
,
Maedeh Sharafoddin
,
Alireza Olyaeemanesh
,
Alireza Delavari
,
Abbas Vosoogh-Moghaddam
,
Yousef Alimohammadi
,
Sheida Ghorbani
Abstract
Background: Healthcare program monitoring can play a key role in evaluating their implementation and identifying their strengths and weaknesses.Methods: This study was performed with the exploratory sequential mixed methods design in 2023 at Tehran, Iran. The information was categorized into indicators, refining, analysis, interpretation, reporting, and proposed challenges and recommendations.
Results: Medical Sciences Department of Public Health (TUMSDoPH) evaluation of its public health programs revealed a comprehensive approach covering a wide spectrum from disease management to health promotion, emphasizing electronic health records, targeted disease interventions, and strategies for non-communicable diseases, alongside efforts to enhance community health.
Conclusion: There is a need for initiating “the monitoring committee” under the supervision of the deputy chancellor for public health to monitor key performance indicators and policies to discover the problems of each part of the health system and provide recommendations.
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19. Ouyang F, Cheng X, Zhou W, He J, Xiao S (2022). Increased mortality trends in patients with chronic non-communicable diseases and comorbid hypertension in the United States, 2000–2019. Front Public Health, 10: 753861.
20. Valerino-Perea S, Armstrong ME, Papadaki A (2022). Adherence to a traditional Mexican diet and non-communicable disease-related outcomes: secondary data analysis of the cross-sectional Mexican National Health and Nutrition Survey. Br J Nutr, 129 (7): 1-14.
21. Chen AM, Armbruster AL, Buckley B, et al (2021). Inclusion of health disparities, cultural competence, and health literacy content in US and Canadian pharmacy curriculums. Am J Pharm Educ, 85 (1): 8200.
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24. Eden E, Akyildiz M, Sönmez I (2019). Comparison of two school-based oral health education programs in 9-year-old children. Int Q Community Health Educ, 39 (3): 189-96.
25. Savage A, Februhartanty J, Worsley A (2017). Adolescent women as a key target population for community nutrition education programs in Indonesia. Asia Pac J Clin Nutr, 26 (3): 484-93.
26. Murriel AL, Kahin S, Pejavara A, O’Toole T (2020). Peer Reviewed: The High Obesity Program: Overview of the Centers for Disease Control and Prevention and Cooperative Extension Services Efforts to Address Obesity. Prev Chronic Dis, 17: E25.
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28. Aitken I, Arwal S, Edward A, Rohde J (2020). The community-based health care system of Afghanistan. Health for the People: National Community Health Programs from Afghanistan to Zimbabwe Baltimore. USAID, 23-41.
29. Organization WH (2020). Seventieth Regional Committee for Europe: virtual session, 14–15 September 2020: joint progress report on implementation of Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery and Accelerating primary health care strengthening. World Health Organization. Regional Office for Europe, EUR/RC70/8(C) virtual session.
30. Habib SS, Jamal WZ, Zaidi SMA, et al (2021). Barriers to access of healthcare services for rural women—applying gender lens on TB in a rural district of Sindh, Pakistan. Int J Environ Res Public Health, 18 (19): 10102.
31. Wazir MS, Shaikh BT, Ahmed A (2013). National program for family planning and primary health care Pakistan: a SWOT analysis. Reprod Health, 10 (1): 60.
32. Sukhumal P, Sungworawongpana T, Laohasiriwong W (2020). Influence of Family, Peer Factors and Comprehensive Sexuality Education on Teenage Pregnancy in the Northeast of Thailand: A Case Control Study. Indian J Public Health Res Dev, 11 (7):557-563.
33. Sumriddetchkajorn K, Shimazaki K, Ono T, et al (2019). Universal health coverage and primary care, Thailand. Bull World Health Organ, 97 (6): 415-422.
34. Stanaway JD, Afshin A, Gakidou E, et al (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392 (10159): 1923-94.
35. Sjöberg A, Pettersson-Strömbäck A, Sahlén K-G, et al (2020). The burden of high workload on the health-related quality of life among home care workers in Northern Sweden. Int Arch Occup Environ Health, 93: 747-64.
36. Agarwal PP, Manjunatha N, Parthasarathy R, et al (2019). A performance audit of first 30 months of manochaitanya programme at secondary care level of Karnataka, India. Indian J Community Med, 44 (3): 222-224.
37. Organization WH (2019). Mental health: strengthening our response. WHO Fact Sheets.
38. Karolaakso T, Autio R, Näppilä T, et al (2021). Contextual and mental health service factors in mental disorder-based disability pensioning in Finland–a regional comparison. BMC Health Serv Res, 21 (1): 1081.
39. Salas-Wright CP, Goings TC, Vaughn MG, et al (2021). Health risk behavior and cultural stress among Venezuelan youth: a person centered approach. Soc Psychiatry Psychiatr Epidemiol, 56: 219-228.
40. Jung P, Warne DK (2020). Integration of the preventive medicine specialty in the rural and Tribal public health workforce. Prev Med, 139: 106187.
41. Macinko J, Harris MJ, Phil D (2015). Brazil’s family health strategy—delivering community-based primary care in a universal health system. N Engl J Med, 372 (23): 2177-81.
42. Timmermann TAR, Brites LS, Rocha CMF (2023). Support Center for Family Health Care: analysis of a decade of normative production by the Ministry of Health. Cad Saúde Colet, 31: e31020270.
2. Gharaee H, Aghdash SA, Farahbakhsh M, et al (2023). Public–private partnership in primary health care: an experience from Iran. Prim Health Care Res Dev, 24: e5.
3. Moradi R, Olyaeemanesh A, Mosadeghrad AM, et al (2023). Measuring equity of geographical distribution of specialist physicians in Iran's health system. Int J Prev Med, 14:60.
4. Farzanegan MR (2023). Years of life lost to revolution and war in Iran. Rev Dev Econ, 27(4):2061-103.
5. Sasanipour M, Meymandi MM (2023). Epidemiological Transition in Iran: The Rise and Fall of Epidemics in Iran After Islam to Before the Islamic Revolution. Epidemiol Health Syst J, 10 (2): 100-106.
6. Mehrtak M, Vatankhah S, Delgoshaei B, Gholipour A (2014). Succession planning in the Iranian health system: a case study of the Ministry of Health and Medical Education. Glob J Health Sci, 6 (5): 174-82.
7. Lloyd-Bostock SM, Hutter BM (2008). Reforming regulation of the medical profession: The risks of risk-based approaches. Health Risk Soc, 10 (1): 69-83.
8. Garber AM, Skinner J (2008). Is American health care uniquely inefficient? J Econ Perspect, 22 (4): 27-50.
9. LiPuma SH, Robichaud AL (2020). Deliver us from injustice: Reforming the US healthcare system. J Bioeth Inq, 17 (2): 257-270.
10. Wang H, Gusmano MK, Cao Q (2011). An evaluation of the policy on community health organizations in China: Will the priority of new healthcare reform in China be a success? Health Policy, 99 (1): 37-43.
11. Moghadam MN, Sadeghi V, Parva S (2012). Weaknesses and Challenges of Primary Healthcare System in Iran: A Review. Int J Health Plann Manage, 27 (2): e121-e31.
12. Park K, Park J, Kwon YD, Kang Y, Noh J-W (2016). Public satisfaction with the healthcare system performance in South Korea: Universal healthcare system. Health Policy, 120 (6): 621-9.
13. Reinhardt UE (1993). Reforming the Health Care System: The Universal Dilemma. Am J Law Med, 19 (1-2): 21-36.
14. Mohammadi-Sarab S, Salari MH, Sani'ee N, et al (2022). Strengthening primary health care in responding to communicable disease outbreaks: Providing policy options for Iran: Strengthening primary health care. Chron Dis J, 10 (4): 213–224.
15. Yousefi M, Dastan I, Alinezhad F, et al (2022). Prevention and control of non-communicable diseases in iran: the case for Investment. BMC Public Health, 22 (1): 1248.
16. Bangar S, Mohan U, Kumar S, et al (2023). Exploring access to HIV-related services and programmatic gaps for Men having Sex with Men (MSM) in rural India-a qualitative study. PLoS One, 18 (5): e0284901.
17. Machowska A, Bamboria BL, Bercan C, Sharma M (2020). Impact of ‘HIV-related stigma-reduction workshops’ on knowledge and attitude of healthcare providers and students in Central India: a pre-test and post-test intervention study. BMJ Open, 10 (4): e033612.
18. Pearman CD. Tai Chi Enhanced Workplace Health and Wellness: A Systematic Literature Review for a Program Design, Implementation, and Evaluation [PhD thesis]. Univ Arizona Glob Campus, USA; 2023.
19. Ouyang F, Cheng X, Zhou W, He J, Xiao S (2022). Increased mortality trends in patients with chronic non-communicable diseases and comorbid hypertension in the United States, 2000–2019. Front Public Health, 10: 753861.
20. Valerino-Perea S, Armstrong ME, Papadaki A (2022). Adherence to a traditional Mexican diet and non-communicable disease-related outcomes: secondary data analysis of the cross-sectional Mexican National Health and Nutrition Survey. Br J Nutr, 129 (7): 1-14.
21. Chen AM, Armbruster AL, Buckley B, et al (2021). Inclusion of health disparities, cultural competence, and health literacy content in US and Canadian pharmacy curriculums. Am J Pharm Educ, 85 (1): 8200.
22. Akuak Maciek M (2019). Assessment of availability, expiry and storage condition for key tracer essential medicines in public health facilities in Ruweng State, South Sudan. Uni of Rwanda.
23. Mohamed EMA, Habbani KSA, Awad M (2021). Life-Saving Drugs in Sudan: A Matter of Def finitions and Concepts. Am J Epidemiology & Public Health, 4 (4): 2-9.
24. Eden E, Akyildiz M, Sönmez I (2019). Comparison of two school-based oral health education programs in 9-year-old children. Int Q Community Health Educ, 39 (3): 189-96.
25. Savage A, Februhartanty J, Worsley A (2017). Adolescent women as a key target population for community nutrition education programs in Indonesia. Asia Pac J Clin Nutr, 26 (3): 484-93.
26. Murriel AL, Kahin S, Pejavara A, O’Toole T (2020). Peer Reviewed: The High Obesity Program: Overview of the Centers for Disease Control and Prevention and Cooperative Extension Services Efforts to Address Obesity. Prev Chronic Dis, 17: E25.
27. Boyle MA (2021). Community nutrition in action: Cengage Learning. 8th ed. Cengage Learning, Inc, 20-22. https://www.cengage.com/c/community-nutrition-in-action-8e-boyle/9780357367957/
28. Aitken I, Arwal S, Edward A, Rohde J (2020). The community-based health care system of Afghanistan. Health for the People: National Community Health Programs from Afghanistan to Zimbabwe Baltimore. USAID, 23-41.
29. Organization WH (2020). Seventieth Regional Committee for Europe: virtual session, 14–15 September 2020: joint progress report on implementation of Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery and Accelerating primary health care strengthening. World Health Organization. Regional Office for Europe, EUR/RC70/8(C) virtual session.
30. Habib SS, Jamal WZ, Zaidi SMA, et al (2021). Barriers to access of healthcare services for rural women—applying gender lens on TB in a rural district of Sindh, Pakistan. Int J Environ Res Public Health, 18 (19): 10102.
31. Wazir MS, Shaikh BT, Ahmed A (2013). National program for family planning and primary health care Pakistan: a SWOT analysis. Reprod Health, 10 (1): 60.
32. Sukhumal P, Sungworawongpana T, Laohasiriwong W (2020). Influence of Family, Peer Factors and Comprehensive Sexuality Education on Teenage Pregnancy in the Northeast of Thailand: A Case Control Study. Indian J Public Health Res Dev, 11 (7):557-563.
33. Sumriddetchkajorn K, Shimazaki K, Ono T, et al (2019). Universal health coverage and primary care, Thailand. Bull World Health Organ, 97 (6): 415-422.
34. Stanaway JD, Afshin A, Gakidou E, et al (2018). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 392 (10159): 1923-94.
35. Sjöberg A, Pettersson-Strömbäck A, Sahlén K-G, et al (2020). The burden of high workload on the health-related quality of life among home care workers in Northern Sweden. Int Arch Occup Environ Health, 93: 747-64.
36. Agarwal PP, Manjunatha N, Parthasarathy R, et al (2019). A performance audit of first 30 months of manochaitanya programme at secondary care level of Karnataka, India. Indian J Community Med, 44 (3): 222-224.
37. Organization WH (2019). Mental health: strengthening our response. WHO Fact Sheets.
38. Karolaakso T, Autio R, Näppilä T, et al (2021). Contextual and mental health service factors in mental disorder-based disability pensioning in Finland–a regional comparison. BMC Health Serv Res, 21 (1): 1081.
39. Salas-Wright CP, Goings TC, Vaughn MG, et al (2021). Health risk behavior and cultural stress among Venezuelan youth: a person centered approach. Soc Psychiatry Psychiatr Epidemiol, 56: 219-228.
40. Jung P, Warne DK (2020). Integration of the preventive medicine specialty in the rural and Tribal public health workforce. Prev Med, 139: 106187.
41. Macinko J, Harris MJ, Phil D (2015). Brazil’s family health strategy—delivering community-based primary care in a universal health system. N Engl J Med, 372 (23): 2177-81.
42. Timmermann TAR, Brites LS, Rocha CMF (2023). Support Center for Family Health Care: analysis of a decade of normative production by the Ministry of Health. Cad Saúde Colet, 31: e31020270.
| Files | ||
| Issue | Vol 53 No 11 (2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v53i11.16961 | |
| Keywords | ||
| Healthcare system Public health Surveillance Monitoring committee | ||
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How to Cite
1.
Ehsani R, Sharafoddin M, Olyaeemanesh A, Delavari A, Vosoogh-Moghaddam A, Alimohammadi Y, Ghorbani S. Insights into Health Program Implementation and Evaluation in Iran: A Brief Review of National Healthcare Programs in Iran. Iran J Public Health. 2024;53(11):2572-2581.
