Implementation of the Sendai framework in the health system in Iran: identification of facilitators and obstacles

Khoshsabegheh, Homa Yousefi; Takian, Amirhossein; Ardalan, Ali; Ostadtaghizadeh, Abbas; Saeedi, Behnam

doi:10.1007/s40201-021-00715-9

Cited by 2 publications

(4 citation statements)

References 14 publications

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“…While monitoring and evaluation of the policy can provide many lessons for health system policy-makers. Similarly, Yousefi Khoshsabegheh et al found that the most important facilitators for policy implementation were monitoring and evaluation [ 60 ]. A scoping overview of reviews that was done by Dominika Bhatia et al demonstrated that lack of process evaluations and monitoring; lack of comparable and standardized measurement and short follow-up periods were the main gaps to achieving financial risk protection as an indicator of Sustainable Development Goal 3 universal health coverage target in low-income and middle-income countries [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

Hedayati

Asl

Maleki

et al. 2023

BMC Health Serv Res

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Background Despite the adoption of various policies and strategies in recent decades, the Iranian health system has not succeeded in protecting households against catastrophic health expenditures (CHE) and impoverishment. Accordingly, this qualitative study aimed to critically analyze current policies for reducing CHE. Methods This qualitative study was conducted as a retrospective policy analysis based on a document review and semi-structured interviews with key informants between July to October 2022. Two theoretical frameworks were used, including the Analysis of Determinants of Policy Impact (ADEPT) model and Walt and Gilson’s “Policy Triangle framework.” The country's related documents were searched through databases. In total, 35 participants were interviewed. Interviews and documents were analyzed using directed content analysis in MAXQDA v12 software. Interobserver reliability, peer check, and member check were done to confirm the trustworthiness of the data. Results Twelve main themes and 42 sub-themes emerged from the data. The findings revealed that policy accessibility, policy background, and a clear statement of goals influenced the policy process. However, resources, monitoring and evaluation, opportunities, and obligations negatively affected the implementation process. In addition, a policy analysis based on the policy triangle framework demonstrated that the main factors affecting the policy on reducing CHE in Iran were “conflicts of interest,” “contextual factors,” “monitoring and evaluation,” and “intersectoral relationship” factors. Conclusion The present study reflected the multifaceted nature of the barriers to reducing CHE in Iran. The implementation of the policy on reducing CHE requires the political will to improve intersectoral collaboration, strengthen the stewardship role of the Ministry of Health, design monitoring and evaluation mechanisms, and prevent personal and organizational conflicts of interest.

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Section: Discussionmentioning

confidence: 99%

Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

Hedayati

Asl

Maleki

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…While the facilitators in the implementation of the Sendai Framework in Iran's health system, there are also many obstacles in this direction. 19 Achour and Miyajima 20 conducted a study on hospital performance evaluation after the 2016 Kumamoto earthquake in Japan. Data analysis showed that some health centres lost their function in affected areas, which had a significant impact on achieving the health needs of the local communities.…”

Section: Open Accessmentioning

confidence: 99%

“…While the facilitators in the implementation of the Sendai Framework in Iran’s health system, there are also many obstacles in this direction. 19 …”

Section: Introductionmentioning

confidence: 99%

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Developing a conceptual model of post-disaster damage and loss assessment program in the Iranian health sector: a qualitative study protocol

et al. 2023

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IntroductionAnnual natural and man-made disasters in Iran eventually lead to casualties and considerable financial loss. The success of a reconstruction programme depends on accurate postdisaster damage and loss assessment. Based on these assessments, the goals, priorities and approaches required for reconstruction are prepared and formulated. To effectively implement a reconstruction and rehabilitation programme in the country’s health sector, it is necessary to prepare and compile a postdisaster damage and loss assessment programme.Methods and analysisThis qualitative study will be conducted to develop a conceptual model of a postdisaster damage and loss assessment programme in Iran’s health sector. First, a scoping review method will be conducted to identify the entities and components of the postdisaster damage and loss assessment programme. Then, using semistructured interviews, the opinions of university professors and disaster damage and loss assessors in the health sector will be obtained. Next, by conducting a focus group discussion, the initial programme of disaster damage and loss assessment in the Iranian health sector will be developed and then, the modified Delphi method will be used to validate it.Ethics and disseminationEthical approval for this study was obtained from the research ethics committee of Isfahan University of Medical Sciences (IR.MUI.NUREMA.REC.1400.171). The study results will be disseminated to stakeholders, published in peer-reviewed journals and presented at conferences.

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Implementation of the Sendai framework in the health system in Iran: identification of facilitators and obstacles

Cited by 2 publications

References 14 publications

Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

Policy analysis of the protection of Iranian households against catastrophic health expenditures: a qualitative analysis

Developing a conceptual model of post-disaster damage and loss assessment program in the Iranian health sector: a qualitative study protocol

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