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Creating the Action Model for High Risk Infant Follow Up Program in Iran
Mohammad Heidarzadeh1, Behzad Jodiery1, Kayvan Mirnia1
11. Dept. of Pediatrics, Tabriz University of Medical Sciences , Iran.
Insights
A new high-risk infant follow-up care program was developed in Iran to address health inequities. This evidence-based package aims to improve outcomes for vulnerable newborns and can be implemented nationwide.
Area of Science:
- Neonatal care
- Public health
- Health equity
Background:
- Early childhood development interventions are crucial social determinants of health, reducing social gaps.
- Despite advances in neonatal intensive care and falling mortality rates, Iran lacks a follow-up program for high-risk infants.
- This study addresses the need for a national model for high-risk infant follow-up care.
Purpose of the Study:
- To design a comprehensive follow-up care program for high-risk infants in Iran.
- To establish a national model for high-risk infant care, aiming to reduce health inequities.
Main Methods:
- A qualitative study conducted by Tabriz University of Medical Sciences, Iran.
- International documents were reviewed, followed by focus group discussions and Delphi technique for consensus.
- An evidence-based draft was developed and finalized through 14 expert panel sessions.
Main Results:
- A high-risk infant follow-up care service package was finalized.
- The package includes evidence-based clinical guidelines (18 main, 13 subsidiary) and an executive plan (17 processes).
- An education program for caregivers, follow-up teams, and families was designed.
Conclusions:
- A comprehensive high-risk infant follow-up care service package has been successfully designed and finalized.
- The developed program provides a framework for nationwide implementation to improve infant health outcomes.
Background:
Intervention in early childhood development as one of the social determinants of health, is important for reducing social gap and inequity. In spite of increasingly developing intensive neonatal care wards and decreasing neonatal mortality rate, there is no follow up program in Iran. This study was carreid out to design high risk infants follow up care program with the practical aim of creating an model action for whole country, in 2012.
Methods:
This qualitative study has been done by the Neonatal Department of the Deputy of Public Health in cooperation with Pediatrics Health Research Center of Tabriz University of Medical Sciences, Iran. After study of international documents, consensus agreement about adapted program for Iran has been accomplished by focus group discussion and attended Delphi agreement technique. After compiling primary draft included evidence based guidelines and executive plan, 14 sessions including expert panels were hold to finalize the program.
Results:
After finalizing the program, high risk infants follow up care service package has been designed in 3 chapters: Evidence based clinical guidelines; eighteen main clinical guidelines and thirteen subsidiaries clinical guidelines, executive plan; 6 general, 6 following up and 5 backup processes. Education program including general and especial courses for care givers and follow up team, and family education processes.
Conclusion:
We designed and finalized high risk infants follow up care service package. It seems to open a way to extend it to whole country.
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