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Donors' Participation in Iran's Health System: Challenges and Solutions.

Ali Mohammad Mosadeghrad1, Maryam Tajvar1, Fatemeh Ehteshami1

  • 1Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

International Journal of Health Policy and Management
|February 5, 2022
PubMed
Summary

Donors face significant structural, procedural, and managerial barriers in Iran's health system. Addressing these challenges through improved systems and strategic planning is crucial for enhancing philanthropic contributions to healthcare.

Keywords:
ChallengesDonorsHealth SystemIranQualitative StudyStrategies

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Area of Science:

  • Health Systems Research
  • Philanthropy and Healthcare
  • Public Health Policy

Background:

  • Philanthropic activities are vital for health systems, with donors financing and providing healthcare services in Iran.
  • Despite their importance, donors encounter numerous challenges that hinder their participation in the Iranian health system.

Purpose of the Study:

  • To identify the barriers impeding donor participation in the Iranian health system.
  • To propose solutions and develop a conceptual model for strengthening donor engagement in healthcare.

Main Methods:

  • A qualitative study employing semi-structured interviews with 38 donors and 26 policymakers/managers.
  • Document analysis of relevant data.
  • Thematic analysis for data interpretation.

Main Results:

  • Key challenges identified include insufficient structures, poor communication, low trust, bureaucracy, and inadequate support/monitoring.
  • Effective donor participation necessitates robust systems encompassing appropriate structures, processes, culture, and management.
  • A conceptual model was developed to bolster donor involvement in the health sector.

Conclusions:

  • Iranian donors face multifaceted challenges (structural, procedural, cultural, managerial) impacting health system financing and service delivery.
  • Policymakers must implement strategies to overcome these barriers and reinforce donor participation.
  • Successful health philanthropy requires planning, transparency, accountability, and responsiveness to donor needs.