Intersectoral collaboration in the management of non-communicable disease’s risk factors in Iran: stakeholders and social network analysis

Bakhtiari, Ahad; Takian, Amirhossein; Majdzadeh, Reza; Ostovar, Afshin; Afkar, Mehdi; Rostamigooran, Narges

doi:10.1186/s12889-022-14041-8

Cited by 3 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Мапування стейкхолдерів або побудова карти зацікавлених сторін -це процес визначення й аналізу всіх ланок та секторів, які можуть впливати на конкретний проєкт або ініціативу. Даний підхід активно застосовується для розробки політик у сфері боротьби з НІЗ [1]. У контексті нашого дослідження воно включало визначення груп, які дотичні до забезпечення стоматологічного здоров'я дітей з подальшим аналізом можливостей впливу на його зміцнення.…”

Section: матеріали та методиunclassified

“…Було виявлено, що стейкхолдери, які мають високий рівень влади та низький інтерес, наприклад, міжнародні проєкти та бізнес-сфера, можуть виявити спротив змінам, які відбуваються в царині протидії НІЗ [1,11]. Тому стратегія взаємодії з ними має бути спрямована на зацікавлення їх у позитивному впливі на результати стоматологічного здоров'я дітей.…”

Section: дискусіяunclassified

“…Щодо стейкхолдерів із низьким рівнем влади та інтересів, таких як соціальні служби й аптеки, то вони потребують систематичного моніторингу діяльності, оскільки їх позиції можуть змінюватися. У якості прикладу -активність громадських організацій, які мобілізували основних стейкхолдерів у сфері контролю над тютюном, та попри спротив тютюнової індустрії змогли досягти вагомих результатів [1,3,4].…”

Section: дискусіяunclassified

See 2 more Smart Citations

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Kriachkova,

Korobko

2024

Clin. and prev. med.

View full text Add to dashboard Cite

Introduction: Strengthening the dental public health (DPH) of the pediatric population requires prioritizing development with the identification of key stakeholders and their leading functions. The aim. To analyze the current state and identify prospects for intra-industry and inter-sectoral cooperation in the process of strengthening the dental public health of the child population to justify ways of optimization. Materials and methods. A cross-sectional study using expert assessments involving 15 highly competent experts (competence level above 0.85) was conducted through a specially designed program. Bibliosemantic and sociological methods were employed. Expert assessments and stakeholder mapping were performed, visualizing the «authority-interest» relationship of different interested groups on a two-dimensional model. The results were analyzed using standard statistical methods with the application of Jupyter Notebook (https://jupyter.org/install). Intra-class correlation coefficients were used to assess the agreement of expert opinions. A significance level of p<0.05 was considered critical in testing all statistical hypotheses. Results. The graphical analysis allowed for the identification of stakeholders and determination of their roles in the DPH system. Groups with high and low levels of power and interest were identified. The agreement among experts regarding the determination of power and interest was respectively ICC=0.76 (95% CI 0.56 – 0.91) and ICC=0.79 (95% CI 0.59 – 0.92). The necessity of targeted efforts with each group, considering their capabilities and limitations, was emphasized. Key stakeholders included families, communities, family physicians, public health institutions, pediatric dentists, and others. Primary functions aimed at strengthening children’s dental health were attributed to influencing determinants of dental health, intersectoral collaboration and support for relevant initiatives at the local level are essential. Conclusions. The importance of developing and implementing programs aimed at improving the dental health of the child population has been established. Emphasis is placed on the significance of collaboration among various stakeholders in supporting a strategic approach to managing DPH.

show abstract

Section: матеріали та методиunclassified

Section: дискусіяunclassified

See 1 more Smart Citation

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Kriachkova,

Korobko

2024

Clin. and prev. med.

View full text Add to dashboard Cite

show abstract

“…In a complementary study, we evaluated the national NCDs program and prioritized best buys and other WHO-recommended interventions in Iran; the results show that the WHO recommendations for NCDs management are included in the national program [ 9 ]. We also identified and analyzed the key stakeholders in implementing the WHO-recommended interventions in Iran, which will assist policymakers in developing inter-sectoral cooperation [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Developing an organizational capacity assessment tool and capacity-building package for the National Center for Prevention and Control of Noncommunicable Diseases in Iran

et al. 2023

Self Cite

View full text Add to dashboard Cite

Non-communicable diseases represent 71% of all deaths worldwide. In 2015, Sustainable Development Goals, including target 3.4 of SDGs, were seated on the world agenda; “By 2030, reduce premature mortality from NCDs by one-third. More than half of the world’s countries are not on track to reach SDG 3.4, and the COVID-19 crisis has hampered the delivery of essential NCD services globally, which means the premature death of millions of people and indicates the need for capacity building for health systems. We designed a tool to measure the capacity of the National Center for Non-Communicable Disease and then presented the proposed policy package to enhance the national center’s organizational capacity. The data for this explanatory sequential mixed method study was collected using quantitative and qualitative approaches between February 2020 and December 2021. The tool for assessing organizational capacity for NCDs was developed, and its validity and reliability were measured. The developed tool assessed the organizational capacity by evaluating NCNCD’s managers and experts. Following the quantitative phase, a qualitative phase focused on the low-capacity points revealed by the tool. The causes of low capacity were investigated, as well as potential interventions to improve capacity. The developed tool comprises six main domains and eighteen subdomains, including (Governance, Organizational Management, Human Resources Management, Financial Management, Program Management, and Relations Management) which verified validity and reliability. In seven separate National Center for Non-Communicable Disease units, the organizational capacity was measured using the designed tool. (Cardiovascular disease and hypertension; diabetes; chronic respiratory disease; obesity and physical activity; tobacco and alcohol; nutrition; and cancers). The organizational management dimensions and the sub-dimensions of the organizational structure of the Ministry of Health and Medical Education and units affiliated with the national center, in all cases, were almost one of the main challenges that affected the country’s capacity to fight against NCDs. However, all units had a relatively good situation in terms of governance (mission statement, vision, and written strategic plan). The content analysis of experts’ opinions on the low-capacity subdomains highlighted challenges and recommended capacity-building interventions. Transparency in methods and processes is necessary to allocate funding among various health programs and evaluate their effects through cost-effectiveness indicators. This study identified weak points or areas where capacity building is required. The root causes of low capacity and interventions to build capacity are listed in each dimension of the tool. Some of the proposed interventions, such as strengthening organizational structures, have the potential to impact other domains. Improving organizational capacity for NCDs can assist countries to achieve national and global goals with greater efficiency.

show abstract

A proposed dietary policy package for the health sector in Iran

Amerzadeh,

Takian,

Pouraram

et al. 2024

Discov Health Systems

View full text Add to dashboard Cite

Background Insufficient physical inactivity and an unhealthy diet are significant health risk factors globally. Dietary risk factors were responsible for approximately 16.5% of all deaths in Iran in 2019. This paper aimed to propose a dietary policy package for the health sector to reduce the risk of an unhealthy diet, which might effectively help prevent and control non-communicable diseases (NCDs) in Iran. Methods In this qualitative study, we conducted semi-structured, face-to-face, and in-depth interviews with 30 purposefully selected experts, including policymakers, high-level managers, and relevant stakeholders, during 2018–2019 in Iran. All interviews were digitally recorded, transcribed verbatim, and thematically analyzed, facilitated by MAXQDA 11 software. Results We developed several dietary recommendations for different stakeholders. These include traffic light labeling reforms, i.e., the need to make the signs large and readable enough through utilizing advanced technology, cooperation with other sectors, promoting healthy symbols and supporting food products with them, food basket reforms, updating dietary standards, adopting appropriate mechanisms to report violations of harmful products laws, scaling up mechanisms to monitor restaurants and processed foods, and creating an environment for ranking restaurants and other relevant places to support a healthy diet, for instance through tax exemption, extra subsidies for healthy products, Non-Government Organizations (NGOs) alliances, and using influential figures. Conclusion Iran’s health sector has developed a practical roadmap for the prevention and control of NCDs through promoting healthy nutrition. In line with the sustainable development goal (SDG) 3.4 pathway to reduce premature mortality due to NCDs by 30% by 2030 in Iran, we advocate for the Ministry of Health and Medical Education (MoHME) to adopt appropriate evidence-informed interventions for improving public health literacy and reducing consumption of unhealthy food.

show abstract

Intersectoral collaboration in the management of non-communicable disease’s risk factors in Iran: stakeholders and social network analysis

Cited by 3 publications

References 30 publications

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Developing an organizational capacity assessment tool and capacity-building package for the National Center for Prevention and Control of Noncommunicable Diseases in Iran

A proposed dietary policy package for the health sector in Iran

Contact Info

Product

Resources

About