Early childhood development in Iran and its provinces: Inequality versus average

Rarani, Mostafa Amini; Nosratabadi, Mehdi; Moeeni, Maryam

doi:10.1002/hpm.2594

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…As experts and policy makers in the field of children have reached a consensus, the current situation of Iranian society at all levels of ECD policy making is facing many challenges [ 19 ] such as the lack of integration and coordination between policies and programs in various sectors, the lack of focus on all aspects of ECD, and lack of emphasis on eliminating the existing inequities [ 20 ]. These problems regarding children’s development in the country have prevented them from fully achieving their rights [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of social determinants of health on early childhood development: a qualitative context analysis in Iran

et al. 2022

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Background Social determinants have a significant impact on children’s development and their abilities and capacities, especially in early childhood. They can bring about inequity in living conditions of children and, as a result, lead to differences in various dimensions of development including the social, psychological, cognitive and emotional aspects. We aimed to identify and analyze the social determinants of Early Childhood Development (ECD) in Iran and provide policy implications to improve this social context. Methods In a qualitative study, data were collected through semi-structured interviews with 40 experts from October 2017 to June 2018. Based on Leichter’s (1979) framework and using the deductive approach, two independent researchers conducted the data analysis. We used MAXQDA.11 software for data management. Results We identified challenges related to ECD context in the form of 8 themes and 22 subthemes in 4 analytical categories relevant to the social determinants of ECD including: Structural factors (economic factors: 6 subthemes, political factors: 2 subthemes), Socio-cultural factors (the socio-cultural setting of society: 6 subthemes, the socio-cultural setting of family: 4 subthemes), Environmental or International factors (the role of international organizations: 1 subtheme, political sanctions: 1 subtheme), and Situational factors (genetic factors: 1 subtheme, the phenomenon of air pollution: 1 subtheme). We could identify 24 policy recommendations to improve the existing ECD context from the interviews and literature. Conclusion With regard to the challenges related to the social determinants of ECD, such as increasing social harms, decreasing social capital, lack of public awareness, increasing socio-economic inequities, economic instability, which can lead to the abuse and neglect of children or unfair differences in their growth and development, the following policy-making options are proposed: focusing on equity from early years in policies and programs, creating integration between policies and programs from different sectors, prioritizing children in the welfare umbrella, empowering families, raising community awareness, and expanding services and support for families, specially the deprived families subject to special subsidies.

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Section: Introductionmentioning

confidence: 99%

The impact of social determinants of health on early childhood development: a qualitative context analysis in Iran

et al. 2022

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Universal health coverage in Iran: Health-related intersectoral actions

Riazi-Isfahani

Moradi‐Lakeh

Mafimoradi

et al. 2018

Med. J. Islam. Repub. Iran

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The majority of modifiable health outcomes are attributable to factors that are outside the direct reach of the health systems and can only be reached through intersectoral actions. In recent years, Iran implemented a series of reforms in the health sector called Health Transformation Plan (HTP). This paper aimed to review health-related intersectoral actions in Iran that have focused on interventions conducted after HTP implementation and to compare the interventions against the recommendations by World Health Organization (WHO) Commission on Social Determinants of Health. Findings showed that intersectoral governance interventions are the strongest points and have the most compatibility with the recommendations, while intersectoral environmental interventions are the weakest points. Also, many of the interventions have not yet been completely implemented. Moreover, continuity and sustainability of the policies and programs are still a concern.

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Early childhood development in Iran and its provinces: Inequality versus average

Cited by 2 publications

References 32 publications

The impact of social determinants of health on early childhood development: a qualitative context analysis in Iran

The impact of social determinants of health on early childhood development: a qualitative context analysis in Iran

Universal health coverage in Iran: Health-related intersectoral actions

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