Policy Analysis of Gastrointestinal Cancer Prevention in Iran: A Framework Based on a Qualitative Study

Kabiri, Neda; Khodayari‐Zarnaq, Rahim; Khoshbaten, Manouchehr; Janati, Ali

doi:10.1002/wmh3.389

Cited by 2 publications

(1 citation statement)

References 55 publications

(63 reference statements)

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“…From this study, 12 categories were identified. In the second study (a qualitative framework-based study) [ 16 ], GIC prevention policies in Iran were analyzed through semi-structured interviews and the analysis of national documents using a policy triangle framework. A total of seven themes and 123 sub-themes were extracted through two studies resulting in 25 policy options ( Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

Adherence to the new policy framework of the World Cancer Research Fund International in developing a policy package for the prevention of gastrointestinal cancers in Iran: a Delphi study

Janati

Khodayari‐Zarnaq

Khanijahani

et al. 2021

Global Health Action

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Background Gastrointestinal cancers in Iran are among the major non-communicable diseases with a considerable burden on the health system. Changes in lifestyles as well as environmental factors have resulted in the emergence of these cancers. Objective To elicit and quantitatively verify experts’ opinions regarding the potential public health impact, feasibility, economic impact, and budgetary impact of gastrointestinal cancer prevention policies in Iran. Methods Sixteen experts from Iran were recruited in an email-based, two-round Delphi study. In each round, a questionnaire of policy options for preventing gastrointestinal cancers, which adhered to the new policy framework of the World Cancer Research Fund International, was given to participants. In the first round, experts were asked to provide opinions for and against the policy options. The second round evaluated the policy options for their public health impact, feasibility, economic impact, and budgetary impact. Results A total of 32 policy options were organized based on three domains: health-enhancing environments, system changes, and behavior change communications. Of the 32 policy options, there were consensus in 31 (96%) and 30 (93%) options for public health impact and feasibility, respectively. On study completion, experts reached a consensus in 29 of 32 (90%) policy options for economic impact; only on 26 (81%) of these policy options did participants reached consensus for budgetary impact. Conclusion Findings indicated that although nearly all policy options reached a consensus for their public health impact, some options are not feasible or do not appear to have an economic rationale for being implemented. Moreover, it is crucial to take into account the inter-sectoral collaboration between health and non-health sectors. Findings from this study can be helpful for health policymakers in identifying support for evidence-informed approaches regarding gastrointestinal cancer prevention.

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Section: Methodsmentioning

confidence: 99%

Adherence to the new policy framework of the World Cancer Research Fund International in developing a policy package for the prevention of gastrointestinal cancers in Iran: a Delphi study

Janati

Khodayari‐Zarnaq

Khanijahani

et al. 2021

Global Health Action

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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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Policy Analysis of Gastrointestinal Cancer Prevention in Iran: A Framework Based on a Qualitative Study

Cited by 2 publications

References 55 publications

Adherence to the new policy framework of the World Cancer Research Fund International in developing a policy package for the prevention of gastrointestinal cancers in Iran: a Delphi study

Adherence to the new policy framework of the World Cancer Research Fund International in developing a policy package for the prevention of gastrointestinal cancers in Iran: a Delphi study

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

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