通过多个流程制定伊朗缺铁性贫血预防和控制政策的议程框架
Azadeh Dehghani1,2, Maryam Rafraf1, Fatemeh Mohammadi-Nasrabadi3
1Nutrition Research Center, Department of Community Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran.
Health research policy and systems
|December 19, 2024
概括
伊朗的缺铁性贫血 (IDA) 政策面临着诸如优先考虑治疗而不是预防和经济问题等挑战. 增加用于预防计划和国际支持的预算拨款对于有效的IDA控制策略至关重要.
科学领域:
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
- 营养流行病学 营养流行病学
背景情况:
- 根据世卫组织的报告,伊朗面临铁缺乏性贫血 (IDA) 的中度流行.
- 了解伊朗国际开发署预防和控制的政策格局至关重要.
研究的目的:
- 评估伊朗的缺铁性贫血 (IDA) 预防和控制政策.
- 通过多流框架 (MSF) 分析IDA政策的议程制定过程.
主要方法:
- 使用金顿多流框架 (MSF) 的定性分析.
- 审查了12份政策文件,并与33位主要利益相关者进行了深入采访.
- 采访数据的框架分析使用MAXQDA 2020.
主要成果:
- 问题流因素包括高IDA发病率在孕妇,儿童和青少年.
- 政策流侧重于加强卫生系统,预防疾病和健康促进计划 (补充,教育,强化).
- 政治流表明国家和国际支持,但实施面临诸如治疗偏好,经济约束和访问限制等挑战.
结论:
- 伊朗国际开发署的预防政策制定正在进入一个新阶段.
- 建议增加卫生部对预防计划的预算拨款.
- 世卫组织支持低收入和中等收入国家采用预防策略至关重要.
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