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Identification and Prioritization of Health Indexes in Nomadic Tribespeople by Fuzzy Delphi Method: An Ecological
Atefeh Neamati1, Hassan Hashemi2, Mohammad Reza Samaei2
1MSc of Environmental Health Engineering, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Summary
Improving nomadic healthcare requires prioritizing key health indicators. Vaccination, maternal, and child care components emerged as top priorities for enhancing the well-being of these mobile populations.
Area of Science:
- Public Health
- Health Services Research
- Sociology
Background:
- Nomadic communities face significant challenges in accessing healthcare due to their migratory lifestyle and inadequate organizational structures.
- Achieving health equity and sustainable development necessitates improving the health status of all Iranian citizens, including nomadic populations.
- Existing health systems often fail to adequately address the unique needs of nomadic and tribal populations.
Purpose of the Study:
- To identify and prioritize national health indexes for nomadic tribespeople in Iran.
- To inform policy and planning for effective healthcare interventions in nomadic communities.
- To contribute to the goal of health justice and sustainable development by addressing health disparities.
Main Methods:
- An ecological study design was employed to analyze national health indexes.
- A literature review was conducted to extract relevant health indexes.
- Expert panels, the fuzzy Delphi method, and the TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) method were used for index identification and prioritization.
- Indexes were evaluated based on measurability, simplicity, and economic efficiency.
Main Results:
- The fuzzy Delphi method indicated that mental health scored lowest in measurability, simplicity, and economic efficiency.
- Child care received the highest score for economic efficiency, while vaccination scored highest for measurability and simplicity.
- The TOPSIS method identified vaccination, maternal care, and child care as the highest priority components for nomadic populations.
Conclusions:
- Prioritizing health indexes such as vaccination, maternal care, and child care is crucial for improving the health status of nomadic communities.
- Developing and implementing systems for recording priority health index data can support effective decision-making by responsible organizations.
- Addressing the specific health needs of nomadic populations is essential for achieving health equity and sustainable development in Iran.
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