Abstract:Background Phenylketonuria (PKU) Screening is a public health measure aimed at identifying the early cases and managing the affected infants and trying to reduce infant morbidity and mortality. The aim of this study was to analyze the policies of the PKU national screening program in Iran. Methods PKU screening program policies were analyzed according to the policy triangle model. Document review and 38 semi-structured interviews were used for data collection. Document review data were analyzed using content a… Show more
“…National and local leadership, as well as a shared vision among organizations and accountability, are strategies for the implementation of health in all policies (Guglielmin, Muntaner, Campo, & Shankardass, 2018). The implementation approach in the current research was shown to be top‐down, which is in line with other similar policy analysis in Iran (Heidari, Arab, & Damari, 2020; Loloei et al, 2019; Mohseni et al, 2019).…”
This study aimed to analyze the current policies of common gastrointestinal cancer prevention. This qualitative instrumental case study was conducted in 2019 to analyze policies using the “policy triangle framework.” Two data collection methods were used: document review and semistructured interviews. The country's related documents were searched through databases. Semistructured interviews were conducted at the interviewee's workplace. In total, 22 participants were interviewed, 12 of whom were from the Ministry of Health. Interviews and documents were analyzed using directed content analysis in MAXQDA v10 software. Interobserver reliability, peer check, and member check were done to confirm the trustworthiness of data. The main contextual factors affecting gastrointestinal cancers in Iran were socioeconomic, structural, political, and legal factors. Content of gastrointestinal cancer prevention in the national policies were mostly about lifestyle changes, food security, and environmental conditions. Efforts for cancer prevention policymaking in Iran starts in 1984 with a top‐down approach to the implementation and three types of evaluation. Stakeholders of gastrointestinal cancer prevention policies in Iran were categorized into three groups of governmental, nongovernmental, and semigovernmental organizations. Coordination among different organizations should be strengthened through setting common goals and creating a shared vision, and finally, political leadership should be realized by the Ministry of Health.
“…National and local leadership, as well as a shared vision among organizations and accountability, are strategies for the implementation of health in all policies (Guglielmin, Muntaner, Campo, & Shankardass, 2018). The implementation approach in the current research was shown to be top‐down, which is in line with other similar policy analysis in Iran (Heidari, Arab, & Damari, 2020; Loloei et al, 2019; Mohseni et al, 2019).…”
This study aimed to analyze the current policies of common gastrointestinal cancer prevention. This qualitative instrumental case study was conducted in 2019 to analyze policies using the “policy triangle framework.” Two data collection methods were used: document review and semistructured interviews. The country's related documents were searched through databases. Semistructured interviews were conducted at the interviewee's workplace. In total, 22 participants were interviewed, 12 of whom were from the Ministry of Health. Interviews and documents were analyzed using directed content analysis in MAXQDA v10 software. Interobserver reliability, peer check, and member check were done to confirm the trustworthiness of data. The main contextual factors affecting gastrointestinal cancers in Iran were socioeconomic, structural, political, and legal factors. Content of gastrointestinal cancer prevention in the national policies were mostly about lifestyle changes, food security, and environmental conditions. Efforts for cancer prevention policymaking in Iran starts in 1984 with a top‐down approach to the implementation and three types of evaluation. Stakeholders of gastrointestinal cancer prevention policies in Iran were categorized into three groups of governmental, nongovernmental, and semigovernmental organizations. Coordination among different organizations should be strengthened through setting common goals and creating a shared vision, and finally, political leadership should be realized by the Ministry of Health.
“…They argue, based on prior policy analysis in different contexts, that only content is not sufficient to define a policy reform; therefore, actors in different levels, not just the state, followed by how the approach is described within the form of process and context delivers supplemental data which is critical in policy reform (Walt & Gilson, 1994). The adaptation of the triangle model, which is commonly used in policy analysis (such as Mokitimi et al, 2018 and Heidari et al, 2021), provides a simple model to enable researchers and policymakers to understand better the process of policy reform in the context of developing countries (Walt & Gilson, 1994). To be able to offer a pathway to national and local policymaking from a comprehensive perspective, we modified their model at the sub‐focus level accumulated under each area based on a prior research (Ataol et al, 2019), which reports results from a systematic literature review on children's participation in urban planning and design, highlighting four critical aspects of children's participation (Figure 1): (1) content (conceptualisation of children), (2) context (approaches in participatory decision‐making), (3) actors (roles and relations in promoting participatory decision‐making) and (4) process (initiatives and projects promoting children's participation).…”
Children's participation in the decision-making and design of urban public spaces is crucial for achieving inclusive cities. International covenants have recognized the importance of participation as a right. Having adhered to these agreements, Turkey is obliged to enable children's participation in all public matters that concern them, including shaping urban spaces. This paper analyses national and local legislation in Turkey and Istanbul to distil how children's right to participate is legislated and institutionalised. It shows that lack of integrated child-responsive legislation, accounting for children's individuality, and lack of collaboration between national and local governments are the root of the problem.
“…To add to the data consistency, the data were analyzed by various researchers and external observers. To increase verifiability, the whole research process was explained from beginning to end [17][18][19].…”
Background and objective: One of the important and common applications of telemedicine is the diagnosis and treatment of skin diseases. However, teledermatology requires further commitments to provide standard services and appropriate electronic data transfer for reliable diagnostics to comply with technical standards and legal requirements. The present study aimed to determine the factors affecting the establishment of Teledermatology in the qualitative and quantitative sections. Methods: A mixed-method study (including quantitative and qualitative sections) was conducted in 2018. In the qualitative section, experts were selected by purposive sampling and the data were collected through 2 focus group discussions and 6 semi-structured interviews. The content of sessions and interviews were transcribed and then analyzed by the content analysis method. In the quantitative section, 384 participants were selected randomly. The data were collected using a researcher-made questionnaire whose validity and reliability were confirmed. Data analyses were performed in SPSS. Results: A total of 8 categories and 58 subcategories were extracted. The 8 categories of the factors affecting the establishment of teledermatology in Iran included service provider, service recipient, structural, technological, economic, policymaking, legal, and cultural. Cultural factors (3.95±0.77) and policymaking factors (3.22±0.84), respectively, had the highest and the lowest effects on the establishment of teledermatology in Iran. Conclusion: Factors affecting the establishment of Teledermatology are diverse and extensive, which the most effective factors were cultural factors, technological factors and factors related to service providers. These findings can help the policymakers and managers interested in the establishment of teledermatology in Iran.
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