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https://openalex.org/W1974464504
Heal thyself: Dealing with trauma work - Gaza 2008/2009
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[ "Gaza", "Israel" ]
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https://api.openalex.org/works?filter=cites:W1974464504
We report the case of a Palestinian American psychologist trained to work with psychologically traumatized patients, who consulted with one World Health Organization mental health practitioner assisting the people of Gaza during the Israeli invasion of December 2008. We describe the unresolved tension experienced by the consulting provider, between feelings of helplessness and horror associated with the attack and the drive to assist a client, in this case a colleague, a drive that characterizes the helping professions generally, and discuss ways to improve healthcare providers' abilities to deal with trauma work. Our goal is to call attention to one overlooked health effect of the continuing military occupation of the Palestinian territories (oPT), that is, its impact on healthcare providers, by giving voice to these providers, and to elaborate on the limitations of existing categories and theoretical frameworks to conceptualize and address trauma work in the oPT and similar settings. This article is part of a broader project examining the implications of the ongoing military occupation of the Palestinian territories for health inequalities, health services, and public health infrastructure.
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https://openalex.org/W4313856893
Cystic echinococcosis in cattle (Bos taurus) from rural communities of Limpopo National Park, Gaza province, Mozambique: a One Health perspective
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[ "Gaza" ]
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https://api.openalex.org/works?filter=cites:W4313856893
Cystic echinococcosis (CE) is a zoonotic parasitic disease caused by the larval stage (metacestode) of the tapeworm Echinococcus granulosus sensu lato (s.l.). It is one of the most widespread zoonoses of veterinary and public health importance and constitutes a sanitary, economic, and socio-cultural concern globally. It is included in the WHO (World Health Organization) list of the most frequent Neglected Zoonotic Diseases (NZDs) and is a major problem in rural areas where hygienic measures are poor. Prevalence of the disease in humans is often underestimated given the challenges in carrying out studies in resource-poor communities in remote and isolated geographic areas. A prevalence and genotyping study was conducted in the Limpopo National Park (LNP) area, Gaza province, to evaluate effects of this parasitic disease on livestock production, wildlife health, and possible public health risks in this human–wildlife interface conservation area. A total of 204 cattle were inspected in the Massingir slaughterhouse which is the focal point for all animals reared in the LNP and its buffer zone. Inspections detected 25 animals with cystic-like lesions in various organs, of which 22 were microscopically confirmed as E. granulosus s.l., representing a prevalence of 10.8%. Subsequent molecular analysis of the PCR samples and sequencing of the cox1 and nad1 genes confirmed that the samples belonged to strain G5, now reclassified as E. ortleppi, one of the known zoonotic Echinococcus species.
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https://openalex.org/W3119963897
Evaluation of prevention of mother-to-child transmission national health information system for HIV/AIDS, in southern region of Mozambique, April to November 2016
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[ "Gaza" ]
[ "https://openalex.org/W120152436", "https://openalex.org/W1846613929", "https://openalex.org/W2010860250", "https://openalex.org/W2016878687", "https://openalex.org/W2135149437", "https://openalex.org/W2519315366", "https://openalex.org/W2586745520" ]
https://api.openalex.org/works?filter=cites:W3119963897
Mozambique has a generalized HIV epidemic, among pregnant women, HIV prevalence is estimated at 15.8% with a vertical transmission rate of 14%, more than double global targets. We evaluate electronic national health information system (SIS-MA) performance to verify if the data flow procedures met its objectives and evaluated the prevention of mother-to-child transmission (PMTCT) surveillance system to access its attributes and usefulness.we conducted a descriptive, cross-sectional evaluation of the PMTCT surveillance system in eight facilities in Gaza and Inhambane provinces using the centers for disease control and prevention guidelines (2001). For data quality, we cross-referenced patient registries from health facilities against the SIS-MA. We also interviewed 34 health technicians, using a Likert scale, to assess the following attributes of the PMTCT surveillance system: simplicity, stability, flexibility, acceptability, timeliness and data quality, usefulness of the system and knowledge of PMTCT.regarding the simplicity measure, we verified that the registry books contain more than 30 variables. The system was 83% flexible in maintaining functionality with the introduction of new health facilities in the system. The completeness of the data was 50% and concordance of data from the register book and monthly reports was 89%.the PMTCT SIS-MA is useful in supporting the collection, analysis, interpretation and continuous and systematic dissemination of health data that are used to define and monitor public health policies in Mozambique. However, continued efforts are needed to improve data quality to ensure that the SIS-MA can adequately monitor the PMTCT program and contribute to reduced vertical transmission.
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https://openalex.org/W4205386485
Inequities in childhood anaemia at provincial borders in Mozambique: cross-sectional study results from multilevel Bayesian analysis of 2018 National Malaria Indicator Survey
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[ "Gaza" ]
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https://api.openalex.org/works?filter=cites:W4205386485
Objectives This study aims to identify the child-level, maternal-level, household-level and community-level determinants of anaemia among children aged 6–59 months, and determine the inequities of anaemia prevalence across communities in Mozambique. Design Cross-sectional study. Setting Mozambique. Participants This study used data of a weighted population of 3946 children, 6–59 months, delivered by women between 15 and 49 years of age, from the 2018 Mozambique Malaria Indicator Survey. Primary outcome measure Child’s anaemic status, measured as altitude-adjusted haemoglobin concentration (in g/L); the severity of anaemia was categorised based on predefined threshold values. Multilevel Bayesian linear regressions identified key determinants of childhood anaemia. Based on data availability and policy implications, spatial analysis was used to determine geographical variation of anaemia at the community level and areas with higher risks. Results The mean prevalence of childhood anaemia was 77.7% (SD: 5.5%). Provincially, Cabo Delgado province (86.2%) had the highest prevalence, Maputo province (70.2%) the lowest. Children with excess risk were mostly found in communities that had proximity to provincial borders: Niassa-Cabo Delgado-Nampula triprovincial border, Gaza-Inhambane border, Zambezia-Nampula border and provinces of Manica and Inhambane. Children with anaemia tended to be younger, males and at risk of having malaria because they were not sleeping under mosquito nets. In addition, children from poor families relative to children from wealthier households and those living in female-headed households were prone to anaemia. Conclusion Findings from this study provide evidence that spatial inequities in childhood anaemia exist in Mozambique, mostly concentrated in the communities living close to the provincial borders. Anaemia among children could be effectively reduced through malaria prevention, for example, bed netting. Interventions are needed that generate income for households, increase community support for households headed by women, improve malaria control, build capacity of healthcare workers to manage severely anaemic children and health education for mothers.
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https://openalex.org/W3198786813
Antimicrobial resistance, infection prevention and control, and conflict in the Middle East
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[ "Gaza", "Yemen" ]
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https://api.openalex.org/works?filter=cites:W3198786813
Before the arrival of coronavirus disease 2019 (COVID-19), infectious disease physicians and public health professionals were arguably most preoccupied with antimicrobial resistance (AMR) as the existential threat to global human health. Dame Sally Davies, the Chief Medical Officer of England from 2011 to 2019, spent much of her career advocating for better governance of, and innovative approaches to, antimicrobial stewardship, and coordinated global investment in new antibiotics, improved diagnostics and antibacterial vaccines (Davies and Oxlade, 2021Davies SC Oxlade C. Innovate to secure the future: the future of modern medicine.Future Healthc J. 2021; 8: e251-e256Crossref PubMed Google Scholar). Her successor in the post has been entirely consumed with advising on the national response to COVID-19. This has included an urgent need to raise public awareness of, and provide resources for, infection prevention and control (IPC) in community and healthcare settings (Noh et al., 2020Noh JY Song JY Yoon JG Seong H Cheong HJ Kim WJ. Safe hospital preparedness in the era of COVID-19: the Swiss cheese model.Int J Infect Dis. 2020; 98: 294-296Abstract Full Text Full Text PDF PubMed Scopus (27) Google Scholar). The need for generous resourcing of, and strict adherence to, IPC measures in healthcare settings has been brought to the fore by COVID-19; even health systems in high-income countries are struggling to prevent nosocomial severe acute respiratory syndrome coronavirus-2 infection (Lumley et al., 2021Lumley SF Constantinides B Sanderson N Rodger G Street TL Swann J et al.Epidemiological data and genome sequencing reveals that nosocomial transmission of SARS-CoV-2 is underestimated and mostly mediated by a small number of highly infectious individuals.J Infect. 2021; https://doi.org/10.1016/j.jinf.2021.07.034Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar). In this issue of IJID, El Mouallem et al. provide a timely reminder that IPC has long presented a far greater challenge in conflict settings (El Mouallem et al., 2021El Mouallem R Moussally K Williams A Repetto E Menassa M Martino C et al.How COVID-19 highlighted the need for infection prevention and control measures to become central to the global conversation: experience from the conflict settings of the Middle-East.Int J Infect Dis. 2021; 111: 55-57https://doi.org/10.1016/j.ijid.2021.08.034Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar). Based on their experience with IPC in Médecins Sans Frontières (MSF) projects in Gaza, Mosul and Yemen, they describe how physicians and other healthcare professionals in such settings are on the front line in more than one sense. Of particular concern is that conflict settings are incubators for the most threatening and pernicious of AMR pathogens, namely, those that are resistant to multiple antimicrobial agents. El Mouallem et al., 2021El Mouallem R Moussally K Williams A Repetto E Menassa M Martino C et al.How COVID-19 highlighted the need for infection prevention and control measures to become central to the global conversation: experience from the conflict settings of the Middle-East.Int J Infect Dis. 2021; 111: 55-57https://doi.org/10.1016/j.ijid.2021.08.034Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar report high prevalence of multi-drug-resistant (MDR) Staphylococcus aureus and Enterobacteriaceae in isolates from patients treated at MSF centres in Gaza and Mosul. Whilst the background context to the emergence of MDR organisms in the Middle East might include poor antibiotic stewardship, including inappropriate prescribing, suboptimal adherence, self-medication, counterfeit drugs, and lack of expertise and resources to culture and test isolates for drug susceptibility, these regional factors are greatly magnified by the effects of conflict. These include the destruction of health facilities and laboratories; loss of healthcare workers and laboratory staff; disrupted supply of personal protective equipment, disinfectants, laboratory consumables and electrical power; and displacement of the population into overcrowded and unsanitary camps. Other conflict-specific factors include the severity of wounds inflicted by projectiles and explosives, and delays in obtaining immediate treatment and reconstructive surgery, leading to chronic or recurrent infection. It has also been suggested that environmental contamination by heavy metals from munitions in urban war zones could be a driver of AMR in the Middle East, as MDR strains of Acinetobacter baumannii have been isolated with increasing frequency from conflict-related wounds (Bazzi et al., 2020Bazzi W Abou Fayad AG Nasser A Haraoui L-P Dewachi O Abou-Sitta G et al.Heavy metal toxicity in armed conflicts potentiates AMR in A. baumannii by selecting for antibiotic and heavy metal co-resistance mechanisms.Front Microbiol. 2020; 11: 68Crossref PubMed Scopus (60) Google Scholar). COVID-19 has brought global disparities in healthcare provision into stark relief, and shown that ‘none of us are safe until all of us are safe’. The same adage applies to AMR, the threat of which has been exacerbated in the short term by COVID-19 and will grow in the long term after the pandemic unless dealt with in a comparable manner (Strathdee et al., 2020Strathdee SA Davies SC Marcelin JR. Confronting antimicrobial resistance beyond the COVID-19 pandemic and the 2020 US election.Lancet. 2020; 396: 1050-1053Abstract Full Text Full Text PDF PubMed Scopus (80) Google Scholar). From the perspective of conflict-affected areas, where the impacts of COVID-19 and AMR are particularly acute, El Mouallem et al., 2021El Mouallem R Moussally K Williams A Repetto E Menassa M Martino C et al.How COVID-19 highlighted the need for infection prevention and control measures to become central to the global conversation: experience from the conflict settings of the Middle-East.Int J Infect Dis. 2021; 111: 55-57https://doi.org/10.1016/j.ijid.2021.08.034Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar argue that similar responses are needed to both, including prioritizing research to inform evidence-based operational guidelines for conflict settings, ensuring access to bacterial culture and susceptibility testing, raising awareness of AMR, and delivering context-specific training in IPC. None declared. None.
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https://openalex.org/W3150491710
Inequities in childhood anaemia in Mozambique: results from multilevel Bayesian analysis of 2018 National Malaria Indicator Survey
[ { "affiliations": [ { "country": "Canada", "display_name": "University of Saskatchewan", "id": "https://openalex.org/I32625721", "lat": 52.13238, "long": -106.66892, "type": "education" }, { "country": "Canada", "display_name": "Saskatchewan Health", "id": "https://openalex.org/I2799377091", "lat": 50.454002, "long": -104.60863, "type": "government" } ], "display_name": "Nazeem Muhajarine", "id": "https://openalex.org/A5028454409" }, { "affiliations": [ { "country": "Canada", "display_name": "University of Saskatchewan", "id": "https://openalex.org/I32625721", "lat": 52.13238, "long": -106.66892, "type": "education" }, { "country": "Canada", "display_name": "Saskatchewan Health", "id": "https://openalex.org/I2799377091", "lat": 50.454002, "long": -104.60863, "type": "government" } ], "display_name": "Daniel A Adeyinka", "id": "https://openalex.org/A5038241982" }, { "affiliations": [], "display_name": "Mbate Matandalasse", "id": "https://openalex.org/A5065994428" }, { "affiliations": [ { "country": "Mozambique", "display_name": "Instituto Nacional de Saúde", "id": "https://openalex.org/I4210134464", "lat": -25.89284, "long": 32.596603, "type": "government" } ], "display_name": "Sérgio Chicumbe", "id": "https://openalex.org/A5048035782" } ]
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[ "Gaza" ]
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https://api.openalex.org/works?filter=cites:W3150491710
Abstract Introduction Childhood anaemia is a common public health problem worldwide. The geographical patterns and underlying factors of childhood anaemia have been understudied in Mozambique. The objectives of this study were to identify the child-, maternal-, household-, and community-level determinants of anaemia among children aged 6-59 months, and the contribution of these factors to the variation in childhood anaemia at the community level in Mozambique. Methods This is a cross-sectional study that utilized data of a weighted population of 4,141 children aged 6-59 months delivered by women between 15-49 years of age, from the 2018 Mozambique Malaria Indicator Survey. Multilevel Bayesian linear regressions identified key determinants of childhood anaemia. Spatial analysis was used to determine geographic variation of anaemia at the community level and areas with higher risks. Results The overall national prevalence of childhood anaemia was 78-80.3%. There was provincial variation with Cabo Delgado province (86.2%) having highest prevalence, and Maputo province (70.2%) the lowest. Children with excess risk were mostly found in communities that had proximity to provincial borders: Niassa-Cabo Delgado-Nampula tri-provincial border, Gaza-Inhambane border, Zambezia-Nampula border, and provinces of Manica and Inhambane. Children with anaemia tended to be younger, males, and at risk of having malaria because they were not sleeping under mosquito nets. In addition, children from poor families and those living in female-headed households were prone to anaemia. Conclusion This study provides evidence that anaemia among children aged 6-59 months is a severe public health threat across the provinces in Mozambique. It also identifies inequity in childhood anaemia—worse among communities living close to the provincial borders. We recommend interventions that would generate income for households, increase community-support for households headed by women, improve malaria control, build capacity of healthcare workers to manage severely anaemic children and health education for mothers. More importantly, there is need to foster collaborations between communities, districts and provinces to strengthen maternal and child health programmes for the severely affected areas. What is already known? Nearly two billion people are anaemic, affecting mostly poor women and children. Anaemia, a co-morbidity with other major health conditions, frequently is less prioritized. Sustainable Development Goals 2 and 3, formulated to tackle hunger/food insecurity and attain optimal health/wellbeing, respectively, currently have no specific target for monitoring global progress for anaemia among children. What are the new findings? Twenty-four percent of children (6-59 months) had anaemia classified as mild, 50% moderate and 7% severe. Childhood anaemia showed spatial variation across the communities—especially in the provincial border regions--and provinces in Mozambique; they were younger, males, at risk of having malaria, from poor families and lived in female-headed household. What do the new findings imply? Anaemia among children could be effectively reduced through malaria prevention, e.g. bed netting. This report of anaemia at community and district level provides baseline data and can guide targeted implementation of the 2025 Mozambique National Development Plan. Interventions needed that generate income for households, increase community-support for households headed by women, improve malaria control, build capacity of healthcare workers to manage severely anaemic children and health education for mothers.
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https://openalex.org/W4389516198
Health Crisis in Gaza: The Urgent Need for International Action
[ { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Fatemeh Beiraghdar", "id": "https://openalex.org/A5047744820" }, { "affiliations": [ { "country": "Iran", "display_name": "Mashhad University of Medical Sciences", "id": "https://openalex.org/I165560825", "lat": 36.29807, "long": 59.60567, "type": "education" } ], "display_name": "Javad Momeni", "id": "https://openalex.org/A5078707079" }, { "affiliations": [ { "country": "Iran", "display_name": "Mashhad University of Medical Sciences", "id": "https://openalex.org/I165560825", "lat": 36.29807, "long": 59.60567, "type": "education" } ], "display_name": "Elham Hosseini", "id": "https://openalex.org/A5065024213" }, { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Yunes Panahi", "id": "https://openalex.org/A5023108791" }, { "affiliations": [ { "country": "Iran", "display_name": "Mashhad University of Medical Sciences", "id": "https://openalex.org/I165560825", "lat": 36.29807, "long": 59.60567, "type": "education" } ], "display_name": "Sajad Sahab Negah", "id": "https://openalex.org/A5091339052" } ]
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[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W4389516198
The current and ongoing conflict imposed in Gaza has led to severe environmental challenges in Gaza, resulting in a health crisis that demands immediate attention and intervention. A comprehensive study has evaluated the pressing mental health, water and sanitation, access to healthcare, and infectious disease challenges plaguing the region. Mental health issues, particularly among children and adolescents, have surged in the wake of the conflict, with trauma-related symptoms expected to persist. The water and sanitation crises pose severe public health hazards, with an overwhelming majority of water unfit for consumption and escalating infectious diseases. Shortages of medicines, fuel, and breakdowns have profoundly affected access to healthcare in healthcare facilities, significantly impacting women and girls. The academic society is responsible for conducting research, providing education, and training, and advocating for policy changes. At the same time, the united nation’s (UN) role is vital in providing aid, advocating for policy changes, and monitoring human rights and health situations. Urgent action is imperative to stabilize the environmental and health impacts and allow humanitarian aid into Gaza to alleviate the severe health problems. This study underlines the critical need for international support and intervention to address the multifaceted health crises in Gaza and prevent further deterioration.
[ { "display_name": "Iranian journal of public health", "id": "https://openalex.org/S4210187943", "type": "journal" } ]
https://openalex.org/W4229486051
COVID–19 and Gaza: The Ideal Time to Establish a Medical Reserves of Public Health Preventive Medicine Specialists
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[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W4229486051
Gaza is overpopulated, with 2.1 million people living within its 141–square mile landmass. It lacks an adequately staffed, sustainable, coordinated healthcare system to tend to its population’s needs. Ongoing conflict, lack of electricity and running water, and poor sanitation compound the issue. High rates of poverty and the ongoing land, air, and sea blockade also exacerbate the situation. This paper serves as a policy recommendation to create the Gaza Medical Reserves (Reserves), an organization of Public Health Preventive Medicine (PHPM) specialists (reservists) who would be trained in emergency and crisis care to provide aid during turmoil, war, epidemics, and pandemics, such as COVID–19. During non–crisis, peaceful times, reservists will provide primary care services currently unavailable in Gaza. They will target those who are most needy in underserved neighborhoods and refugee camps.
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https://openalex.org/W2237773666
Assessment of Carbon Dioxide Emissions from Traffic and Its Health Impact in Gaza, Palestine
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[ { "display_name": "Palestine", "id": "https://openalex.org/C114362828" }, { "display_name": "Air pollution", "id": "https://openalex.org/C559116025" }, { "display_name": "Environmental science", "id": "https://openalex.org/C39432304" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Traffic congestion", "id": "https://openalex.org/C2779888511" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Environmental engineering", "id": "https://openalex.org/C87717796" }, { "display_name": "Morning", "id": "https://openalex.org/C19720800" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Transport engineering", "id": "https://openalex.org/C22212356" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Ancient history", "id": "https://openalex.org/C195244886" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Organic chemistry", "id": "https://openalex.org/C178790620" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "History", "id": "https://openalex.org/C95457728" } ]
[ "Gaza" ]
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https://api.openalex.org/works?filter=cites:W2237773666
Traffic emission is a major source of air pollution in most urban areas and it effects on public health. The aim of this study was to determine the levels of Carbon Dioxide (CO2) emissions from the motor vehicles and to investigate the correlations between CO2 trends and the associated health impacts. Levels of CO2, humidity and temperature were monitored at the selected intersections during morning peak (7:00-8:30 am), off peak traffic hours (10:30 am - 1:30 pm) and afternoon peak (3:00 - 4:30 pm) by using Kanomax meter and multi-meter. A questionnaire was distributed randomly to pedestrians and drivers at Gaza city to evaluate traffic emissions and their health impacts. The research results revealed that the CO2 levels at the study locations fluctuating between 291-608 ppm, moreover it was noticed that the CO2 concentrations in the majority of the monitored sites were higher than the agreeable international level of CO2 which is 350 ppm. The public health questionnaire results showed that 63% of study population complain from cough and nasal congestion during walking at the streets and 91.8% of sample thought that traffic emission was the main source of air pollution in Gaza city. The findings of this research emphasize importance of taking action to reduce traffic emissions levels in Gaza City, in order to decrease health impacts that the public is exposed to.
[ { "display_name": "Public Health Research", "id": "https://openalex.org/S2764852222", "type": "journal" } ]
https://openalex.org/W2885347838
Correction to: The burden of war-injury in the Palestinian health care sector in Gaza Strip
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[ "Gaza" ]
[ "https://openalex.org/W2810832101" ]
https://api.openalex.org/works?filter=cites:W2885347838
In the original publication of this article [1] the background section contained an inaccurate mention of the amount of civilian deaths in the 2014 Gaza war. In this correction article the incorrect and correct information are published for clarification.
[ { "display_name": "BMC International Health and Human Rights", "id": "https://openalex.org/S141591762", "type": "journal" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2943782668
Quality of data in death notification forms in the Gaza governorate: a descriptive study
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[ { "display_name": "Christian ministry", "id": "https://openalex.org/C521751864" }, { "display_name": "Data quality", "id": "https://openalex.org/C24756922" }, { "display_name": "Descriptive statistics", "id": "https://openalex.org/C39896193" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nonprobability sampling", "id": "https://openalex.org/C100363876" }, { "display_name": "Statistics", "id": "https://openalex.org/C105795698" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Metric (unit)", "id": "https://openalex.org/C176217482" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Marketing", "id": "https://openalex.org/C162853370" } ]
[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W2943782668
BackgroundThe Cause of Death Registry data are derived from death notification forms (DNFs). These data are used to formulate mortality statistics that are used in the development of health systems and in public health planning. This study assessed the quality of registered data in DNFs in Gaza to form a basic understanding of the current situation, and with a view to providing evidence-based recommendations to improve data quality.MethodsIn 2016, the Ministry of Health issued 4861 DNFs in the Gaza governorate. A representative sample of 509 DNFs was selected using proportional systematic random sampling. A set of indicators was identified using the WHO guidelines for DNF data quality assessment. 13 data items were identified to represent administrative data plus nine items to represent medical data, and a total score for completeness was calculated. The quality of medical data was examined by a doctor trained to analyse the quality of mortality data. Administrative approval was obtained from the Ministry of Health. The assessment did not include any personal data (and all data were anonymous).FindingsThe completeness of administrative and medical data was 89·0% (5500 of 6180) and 47·3% (2168 of 4581), respectively. For the underlying cause of death, completeness was 36·5% (186 of 509). The completeness of ICD-10 coding was 46·8% (238 of 509) for the direct cause of death and 12·6% (64 of 509) for the underlying cause. Only 23·0% (three of 13) of DNFs for women of reproductive age indicated whether the woman was pregnant or not and whether her death was related to maternal health problems. The ICD-10 codes with the written cause of death were checked and the ICD-10 documentation was correct in 58·0% (138 out of 238) of DNFs for the direct cause of death and 67·2% (43 out of 64) of DNFs for the underlying cause of death.InterpretationThe completeness and accuracy of medical data in DNFs is low. There is an urgent need to train physicians and medical interns to give the correct death sequence and ICD-10 codes, particularly for the underlying cause of death.FundingNone.
[ { "display_name": "The Lancet", "id": "https://openalex.org/S49861241", "type": "journal" } ]
https://openalex.org/W2612462256
Assessment of power plant emission and its health impact in Gaza
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[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W2612462256
The aim of study was to investigate the concentrations of the ambient air pollutants (i.e PM2.5, CO, CO2) and to examine the health impacts on the residentials living surrounding the power plant in Gaza City-Palestine.The pollutants were monitored several distance surrounding the plant for a period of four months during both summer and winter seasons using a portable laser particle counter and gaseous monitor. A public health questionnaire was also distributed on the residents living around the power plant in order to assess the impact of air pollution on their health status.The results showed that the concentration of particulate matter exceeded the WHO standard where the highest level was 79 ?g/m3 and the lowest level was 49?g/m3. However the concentration of carbon monoxide was lower than the WHO standards where the highest level was 2.18 ppm and lowest level was 0.1 ppm. Moreover, the concentration of carbon dioxide oscillated from 254 ppm to 514 ppm. The health assessment results showed that 50% of the study sample suffered of breathing difficulties.This study concluded that the concentration of particulate matter and carbon dioxide were high, while the level of carbon monoxide was low, furthermore the level of public awareness was good. Meanwhile 40% of population sample visited the hospital because of a disease that infects the respiratory tract.
[]
https://openalex.org/W2893861895
299. Geographic mediation of dose for PIERs On the Move (POM) in the Community Level Intervention for Preeclmpsia (CLIP) in Mozambique
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[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W2893861895
Travel time and distance to health facilities are known barriers for accessing maternal health care, particularly in Mozambique. Community health workers (CHWs) are responsible for extending the reach of antenatal care to isolated communities. Less is known about the geographical barriers faced by CHWs that may hamper their access to these isolated communities. This study aimed to evaluate the extent to which related to dose of CHW-led PIERS On the Move (POM) study visit, delivered as an intervention in the Community Level Intervention for Pre-eclampsia trial (NCT01911494) in six clusters in Maputo and Gaza provinces. Access to care was measured by calculating the walking time from each community to the nearest PHC using ArcGIS software. Dose of the intervention was measured by the average number of POM visits during pregnancy. A spatial autocorrelation analysis using the Moran I statistic was used to identify regional clusters of communities with both high and low doses of POM visits and how this compared with access to PHCs. Regional clusters (Moran I p < 0.001) of communities with poor access to PHCs had significantly lower doses of POM. The high dose areas had POM visits that were almost sevenfold higher than the POM visits in the low POM dose areas. The low dose areas required more that an additional hour of walking time to PHCs. Inequities in access to pregnancy related care persist, even when the reach of care through community health workers are implemented. Further strategies in addition to assigning community health workers are needed to counter the role of geography in mediating community interventions.
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https://openalex.org/W4386334069
Perspectives of healthcare and social support sector policymakers on potential solutions to mitigate financial impact among people with TB in Mozambique: a qualitative study
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[ "Gaza" ]
[ "https://openalex.org/W1870632100", "https://openalex.org/W1968093593", "https://openalex.org/W1975654711", "https://openalex.org/W2098359231", "https://openalex.org/W2107112569", "https://openalex.org/W2114845063", "https://openalex.org/W2122328334", "https://openalex.org/W2148206106", "https://openalex.org/W2154753506", "https://openalex.org/W2157741457", "https://openalex.org/W2285170246", "https://openalex.org/W2560931542", "https://openalex.org/W2809341244", "https://openalex.org/W2915285761", "https://openalex.org/W3042364023", "https://openalex.org/W3134849053", "https://openalex.org/W3197257531", "https://openalex.org/W4205807213", "https://openalex.org/W4224994275", "https://openalex.org/W4309913005", "https://openalex.org/W4321371554" ]
https://api.openalex.org/works?filter=cites:W4386334069
Objective People with tuberculosis (TB) and their households face severe socioeconomic consequences, which will only be mitigated by intersectoral collaboration, especially between the health and social sectors. Evidence suggests that key factors for successful collaboration include shared goals, trust, commitment, resource allocation, efficient processes and effective communication and motivation among collaborating parties. This study aimed to understand healthcare and social support sector policymakers’ perspectives on potential solutions to mitigate financial impact among people with TB and their households in Mozambique. Design Qualitative study with primary data collection through one-to-one in-depth interviews. Setting Gaza and Inhambane provinces, Mozambique. Participants Policymakers in the health and social support sector. Results A total of 27 participants were purposefully sampled. Participants were asked about their perspectives on TB-related financial impact and potential solutions to mitigate such impact. Participants reported that people with TB are not explicitly included in existing social support policies because TB per se is not part of the eligibility criteria. People with TB and underweight or HIV were enrolled in social support schemes providing food or cash. Two themes were generated from the analysis: (1) Policymakers suggested several mitigation solutions, including food and monetary support, but perceived that their implementation would be limited by lack of resources; and (2) lack of shared views or processes related to intersectoral collaboration between health and social support sector hinders design and implementation of social support for people with TB. Conclusion Despite health and social sector policymakers reporting a willingness for intersectoral collaboration to mitigate TB-related financial impact, current approaches were perceived to be unilateral. Collaboration between health and social support sectors should focus on improving existing social support programmes.
[ { "display_name": "BMJ Open", "id": "https://openalex.org/S79054089", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2588053283
IMPROVING MATERNAL AND CHILD HEALTH THROUGH COMMUNITY ENGAGEMENT IN CLINICAL TRIALS
[ { "affiliations": [ { "country": "Mozambique", "display_name": "Eduardo Mondlane University", "id": "https://openalex.org/I16904388", "lat": -25.9667, "long": 32.5833, "type": "education" } ], "display_name": "Khátia Munguambe", "id": "https://openalex.org/A5011732929" } ]
[ { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Clinical trial", "id": "https://openalex.org/C535046627" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Population health", "id": "https://openalex.org/C2778149918" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Gaza" ]
[]
https://api.openalex.org/works?filter=cites:W2588053283
Clinical trials contribute to the improvement of health through testing potentially efficacious interventions (e.g. vaccines, drugs, devices, and even behavioural strategies) among selected population segments to provide evidence to support health policy and practice. There are indisputable health benefits, not only to the communities directly involved in the trials but also to the wider population affected by the health problems in question. On the other hand, regardless of the results of the trials, it is assumed that there are immediate benefits disseminated to the whole population of reference resulting from training, resources, services quality, and improvement and local knowledge. Particularly for low-income countries, this assumption is often taken for granted, as the implementation of clinical trials is usually accompanied by infrastructure development, institutional capacity building, and improved standards of care. The actual direct benefit to health and health care delivery, its sustainability, and more importantly, the communities9 perceptions of those benefits are seldom measured, because clinical trials often miss the opportunity to evaluate communities9 acceptability of the potential intervention, and the extent to which their needs and priorities are met through the trials. Formative research, which must be conducted in advance and during trial implementation, is a valuable approach to address such questions and to recommend appropriate ways of conducting the trials so as to gain optimal synergies with communities9 expectations while balancing those with the intended improvement of health. The Manhiça Health research centre takes such approach when implementing complex interventions involving large segments of the population and health services catchment areas, such as entire districts and provinces. This talk focuses on lessons learnt from engaging the community in three different interventions, namely the Malaria Elimination Program in Magude District, the Community Level Interventions for Pre-eclampsia in Maputo and Gaza Provinces, and the Cause of Death Determination using Minimally Invasive Autopsies in Manhiça District, all in Southern Mozambique.
[ { "display_name": "BMJ Global Health", "id": "https://openalex.org/S2764928273", "type": "journal" } ]
https://openalex.org/W2116538089
Evaluation of availability, accessibility and prescribing pattern of medicines in the Islamic Republic of Iran
[ { "affiliations": [], "display_name": "Abdol Majid Cheraghali", "id": "https://openalex.org/A5034977060" }, { "affiliations": [], "display_name": "S. Nikfar", "id": "https://openalex.org/A5055822009" }, { "affiliations": [], "display_name": "Yasna Behmanesh", "id": "https://openalex.org/A5089283217" }, { "affiliations": [], "display_name": "Vahab Asl Rahimi", "id": "https://openalex.org/A5087191652" }, { "affiliations": [], "display_name": "Fatemeh Habibipour", "id": "https://openalex.org/A5031490005" }, { "affiliations": [], "display_name": "R Tirdad", "id": "https://openalex.org/A5051119466" }, { "affiliations": [], "display_name": "Arezoo Asadi", "id": "https://openalex.org/A5045027576" }, { "affiliations": [], "display_name": "Abolfazl Bahrami", "id": "https://openalex.org/A5000762852" } ]
[ { "display_name": "Medical prescription", "id": "https://openalex.org/C2426938" }, { "display_name": "Pharmacy", "id": "https://openalex.org/C104863432" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Essential drugs", "id": "https://openalex.org/C2909998350" }, { "display_name": "Salary", "id": "https://openalex.org/C2780090960" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Formulary", "id": "https://openalex.org/C100406419" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Essential medicines", "id": "https://openalex.org/C2777424817" }, { "display_name": "Pharmacopoeia", "id": "https://openalex.org/C2777594072" }, { "display_name": "Primary health care", "id": "https://openalex.org/C163432668" }, { "display_name": "Traditional medicine", "id": "https://openalex.org/C556039675" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Health services", "id": "https://openalex.org/C2986740045" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Pharmacology", "id": "https://openalex.org/C98274493" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W2132671700" ]
https://api.openalex.org/works?filter=cites:W2116538089
Prescribing, dispensing, availability and affordability of drugs were evaluated in 100 primary health care centres in 5 provinces of the Islamic Republic of Iran using WHO indicators. On average, 92% of the 12 essential drugs monitored were available in the health centre pharmacies and 95% of the drugs prescribed by the physician were dispensed by the health centre pharmacy. The stock-out duration was less than 1 month on average. A complete treatment for pneumonia cost only 2% of the lowest weekly government salary. The national average number of drugs per prescription was 3.4. Prescription of antibiotics and injectable drugs was very high (58% and 41% respectively). Although availability and affordability of essential drugs is good in this country, rational use of drugs needs to be emphasized.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2156749080
Screening for type 2 diabetes in the Iranian national programme: a preliminary report
[ { "affiliations": [], "display_name": "F Azizi", "id": "https://openalex.org/A5031714474" }, { "affiliations": [], "display_name": "M M Guoya", "id": "https://openalex.org/A5034907109" }, { "affiliations": [], "display_name": "P Vazirian", "id": "https://openalex.org/A5019120810" }, { "affiliations": [], "display_name": "P Dolatshati", "id": "https://openalex.org/A5027632652" }, { "affiliations": [], "display_name": "S Habbibian", "id": "https://openalex.org/A5017385632" } ]
[ { "display_name": "Diabetes mellitus", "id": "https://openalex.org/C555293320" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Type 2 diabetes", "id": "https://openalex.org/C2777180221" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Rural area", "id": "https://openalex.org/C129047720" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Endocrinology", "id": "https://openalex.org/C134018914" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W44929223", "https://openalex.org/W1624234344", "https://openalex.org/W1988506211", "https://openalex.org/W2031484324", "https://openalex.org/W2418973465" ]
https://api.openalex.org/works?filter=cites:W2156749080
Diabetes mellitus is a significant threat to public health. It is estimated that more than 1.5 million people with diabetes live in the Islamic Republic of Iran. We report on the preliminary results of the national programme for the prevention &amp; control of type 2 diabetes which began in 1996. The pilot project has so far been instituted in 17 provinces. Of 595 717 people aged 30 years and over, 247 518 were classed as at risk and 3.6% had diabetes, 4.3% of women and 2.6% of men. Diabetes prevalence varied from 1.3% in rural areas to 14.5% in large cities. Early detection and control strategies are aimed at diminishing the heavy burden of diabetes
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1689224317
Epidemiology of breast cancer in the Islamic Republic of Iran: first results from a population-based cancer registry.
[ { "affiliations": [ { "country": "Iran", "display_name": "Shariati Hospital", "id": "https://openalex.org/I4210108448", "lat": 35.720966, "long": 51.38641, "type": "healthcare" } ], "display_name": "Alireza Sadjadi", "id": "https://openalex.org/A5066699251" }, { "affiliations": [], "display_name": "Mehdi Nouraie", "id": "https://openalex.org/A5072529492" }, { "affiliations": [], "display_name": "Anahita Ghorbani", "id": "https://openalex.org/A5000746718" }, { "affiliations": [], "display_name": "Masomeh Alimohammadian", "id": "https://openalex.org/A5049175982" }, { "affiliations": [ { "country": "Iran", "display_name": "Iranian Academy of Medical Sciences", "id": "https://openalex.org/I2799586765", "lat": 35.755447, "long": 51.434235, "type": "education" } ], "display_name": "Reza Malekzadeh", "id": "https://openalex.org/A5034140174" } ]
[ { "display_name": "Cancer registry", "id": "https://openalex.org/C2778527826" }, { "display_name": "Breast cancer", "id": "https://openalex.org/C530470458" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Cancer", "id": "https://openalex.org/C121608353" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Epidemiology of cancer", "id": "https://openalex.org/C63592243" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Retrospective cohort study", "id": "https://openalex.org/C167135981" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Gynecology", "id": "https://openalex.org/C29456083" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W6843725", "https://openalex.org/W201396144", "https://openalex.org/W1492157159", "https://openalex.org/W1543328363", "https://openalex.org/W1600728475", "https://openalex.org/W1968665977", "https://openalex.org/W1974701860", "https://openalex.org/W1980670685", "https://openalex.org/W1983828767", "https://openalex.org/W1987552961", "https://openalex.org/W2011192675", "https://openalex.org/W2012608794", "https://openalex.org/W2020830322", "https://openalex.org/W2040208594", "https://openalex.org/W2076712225", "https://openalex.org/W2152686444", "https://openalex.org/W2158922990", "https://openalex.org/W3159004246", "https://openalex.org/W3163800660" ]
https://api.openalex.org/works?filter=cites:W1689224317
This study presents the first population-based report on breast cancer in the Islamic Republic of Iran using data derived from a cancer registry. A retrospective study was conducted to find all new breast cancer cases in 5 provinces covered by the cancer registry during the 5-year period 1996-2000. There were 2421 cases recorded in the 5 registries. The age-standardized incidence rate (ASR) was 16.2 per 100 000 person-years. In contrast to more developed countries, the ASR of breast cancer was low, with the lowest rate seen in Ardabil province.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2742863779
Maintaining disorder: the micropolitics of drugs policy in Iran
[ { "affiliations": [ { "country": "United Kingdom", "display_name": "University of Oxford", "id": "https://openalex.org/I40120149", "lat": 51.75222, "long": -1.25596, "type": "education" } ], "display_name": "Maziyar Ghiabi", "id": "https://openalex.org/A5027470711" } ]
[ { "display_name": "Governmentality", "id": "https://openalex.org/C2777408017" }, { "display_name": "Harm reduction", "id": "https://openalex.org/C529928208" }, { "display_name": "State (computer science)", "id": "https://openalex.org/C48103436" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Punishment (psychology)", "id": "https://openalex.org/C2779295839" }, { "display_name": "Indonesian government", "id": "https://openalex.org/C2993675096" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Addiction", "id": "https://openalex.org/C48856860" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Criminology", "id": "https://openalex.org/C73484699" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Harm", "id": "https://openalex.org/C2777363581" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Ethnography", "id": "https://openalex.org/C179454799" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Indonesian", "id": "https://openalex.org/C2779207338" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "History", "id": "https://openalex.org/C95457728" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Algorithm", "id": "https://openalex.org/C11413529" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W218501387", "https://openalex.org/W2055679559", "https://openalex.org/W3216556714", "https://openalex.org/W4231983705", "https://openalex.org/W4232246772", "https://openalex.org/W4238821261", "https://openalex.org/W4246939779" ]
https://api.openalex.org/works?filter=cites:W2742863779
This article analyses the ways in which the state ‘treats’ addiction among precarious drug (ab)users in Iran. While most Muslim-majority as well as some Western states have been reluctant to adopt harm reduction measures, the Islamic Republic of Iran has done so on a nationwide scale and through a sophisticated system of welfare intervention. Additionally, it has introduced devices of management of ‘addiction’ (the ‘camps’) that defy statist modes of punishment and private violence. What legal and ethical framework has this new situation engendered? And what does this new situation tell us about the governmentality of the state? Through a combination of historical analysis and ethnographic fieldwork, the article analyses the paradigm of government of the Iranian state with regard to disorder as embodied by the lives of poor drug (ab)users.
[ { "display_name": "Third World Quarterly", "id": "https://openalex.org/S64122990", "type": "journal" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" } ]
https://openalex.org/W1979807026
Knowledge, attitudes and sources of information regarding HIV/AIDS in Iranian adolescents
[ { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Yazdi Ca", "id": "https://openalex.org/A5046922663" }, { "affiliations": [ { "country": "United States", "display_name": "University of California, San Diego", "id": "https://openalex.org/I36258959", "lat": 32.71571, "long": -117.16472, "type": "education" } ], "display_name": "Kirstin Aschbacher", "id": "https://openalex.org/A5030269470" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "A Arvantaj", "id": "https://openalex.org/A5060477769" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Naser Hm", "id": "https://openalex.org/A5062324292" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "E Abdollahi", "id": "https://openalex.org/A5052063090" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Arezoo Asadi", "id": "https://openalex.org/A5045027576" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Mahdieh Mousavi", "id": "https://openalex.org/A5051846311" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Narmani Mr", "id": "https://openalex.org/A5009228431" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "M Kianpishe", "id": "https://openalex.org/A5028074556" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "F Nicfallah", "id": "https://openalex.org/A5062796956" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Moghadam Ak", "id": "https://openalex.org/A5065885982" } ]
[ { "display_name": "Sexual intercourse", "id": "https://openalex.org/C2780202899" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Safer sex", "id": "https://openalex.org/C2992713448" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Condom", "id": "https://openalex.org/C2779379456" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Syphilis", "id": "https://openalex.org/C2776983459" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W37048396", "https://openalex.org/W1553160368", "https://openalex.org/W1989474080", "https://openalex.org/W2006048654", "https://openalex.org/W2010024218", "https://openalex.org/W2029571787", "https://openalex.org/W2044440361", "https://openalex.org/W2048602604", "https://openalex.org/W2056537991", "https://openalex.org/W2061074189", "https://openalex.org/W2073596274", "https://openalex.org/W2074713613", "https://openalex.org/W2124073581", "https://openalex.org/W2126232111", "https://openalex.org/W2141986001", "https://openalex.org/W2161621299", "https://openalex.org/W2163245549", "https://openalex.org/W4255069386" ]
https://api.openalex.org/works?filter=cites:W1979807026
The World Health Organization recently reported an 'alarming trend' of increasing Human Deficiency Virus (HIV) infection in the Islamic Republic of Iran. Adolescents form a particularly important target group for primary prevention. An anonymous questionnaire, derived from standard surveys such as the Safer Choices questionnaire and the 2001 Youth Risk Behavior Survey, was distributed to 1227 Iranian students attending 19 randomly selected high schools in Hashtgerd in 2002. Students reported that television (84%) and school teachers (66%) were the best sources of HIV/AIDS information, while parents (27%) and school books (15%) were least informative. Most students knew that heterosexual intercourse (90%) and shared intravenous needles (94%) can cause HIV infection; however, salient misconceptions were revealed. Only 53% were aware that condoms protect against infection through sexual intercourse. More effective school-based HIV/AIDS education is needed in Iran.
[ { "display_name": "AIDS Care", "id": "https://openalex.org/S103377564", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1841208594
Achievements of the Iranian family planning programmes 1956–2006
[ { "affiliations": [], "display_name": "Masoumeh Simbar", "id": "https://openalex.org/A5053893520" } ]
[ { "display_name": "Family planning", "id": "https://openalex.org/C2779076696" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Vasectomy", "id": "https://openalex.org/C2776761254" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Research methodology", "id": "https://openalex.org/C2986817661" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W43858321", "https://openalex.org/W1547097908", "https://openalex.org/W1601787477", "https://openalex.org/W1795887495", "https://openalex.org/W1968206784", "https://openalex.org/W1990153788", "https://openalex.org/W2003279196", "https://openalex.org/W2010884571", "https://openalex.org/W2056953269", "https://openalex.org/W2068678823", "https://openalex.org/W2100219640", "https://openalex.org/W2137952109", "https://openalex.org/W2291303106", "https://openalex.org/W2294041914", "https://openalex.org/W2504852097", "https://openalex.org/W2614037405", "https://openalex.org/W2621015077" ]
https://api.openalex.org/works?filter=cites:W1841208594
Family planning programmes initiated in the Islamic Republic of Iran from 1966 met with limited success. Following the 1986 census family planning was considered a priority and was supported by the country's leaders. Appropriate strategies based on the principles of health promotion led to an increase in the contraceptive prevalence rate among married women from 49.0% in 1989 to 73.8% in 2006. This paper reviews the family planning programmes in the Islamic Republic of Iran and their achievements during the last 4 decades and discusses the principles of health promotion and theories of behaviour change which may explain these achievements. Successful strategies included: creation of a supportive environment, reorientation of family planning services, expanding of coverage of family planning services, training skilled personnel, providing free contraceptives as well as vasectomy and tubectomy services, involvement of volunteers and nongovernmental organizations and promotion of male participation.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2110894907
Every death counts: measurement of maternal mortality via a census.
[ { "affiliations": [], "display_name": "Cynthia Stanton", "id": "https://openalex.org/A5071434824" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "London School of Economics and Political Science", "id": "https://openalex.org/I909854389", "lat": 51.50853, "long": -0.12574, "type": "education" } ], "display_name": "John Hobcraft", "id": "https://openalex.org/A5036149242" }, { "affiliations": [ { "country": "United States", "display_name": "Johns Hopkins University", "id": "https://openalex.org/I145311948", "lat": 39.29038, "long": -76.61219, "type": "education" } ], "display_name": "Kenneth Hill", "id": "https://openalex.org/A5000047800" }, { "affiliations": [], "display_name": "N Kodjogbé", "id": "https://openalex.org/A5089384236" }, { "affiliations": [], "display_name": "W.T. Mapeta", "id": "https://openalex.org/A5058280210" }, { "affiliations": [], "display_name": "Francis Munene", "id": "https://openalex.org/A5054911626" }, { "affiliations": [ { "country": "Iran", "display_name": "Ministry of Health and Medical Education", "id": "https://openalex.org/I4210110574", "lat": 35.75605, "long": 51.35651, "type": "government" } ], "display_name": "Moshen Naghavi", "id": "https://openalex.org/A5033414199" }, { "affiliations": [ { "country": "Madagascar", "display_name": "Centre National de Recherches sur l'Environnement", "id": "https://openalex.org/I4210098410", "lat": -18.81421, "long": 47.414936, "type": "government" } ], "display_name": "Victor Rabeza", "id": "https://openalex.org/A5003661548" }, { "affiliations": [ { "country": "Laos", "display_name": "Rural Development Agency", "id": "https://openalex.org/I4210093731", "lat": 17.939362, "long": 102.62038, "type": "nonprofit" } ], "display_name": "Bounthavy Sisouphanthong", "id": "https://openalex.org/A5062991232" }, { "affiliations": [ { "country": "United Kingdom", "display_name": "London School of Hygiene & Tropical Medicine", "id": "https://openalex.org/I4210089966", "lat": 51.5209, "long": -0.1307, "type": "education" } ], "display_name": "O. Campbell", "id": "https://openalex.org/A5071316183" } ]
[ { "display_name": "Census", "id": "https://openalex.org/C52130261" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Population statistics", "id": "https://openalex.org/C10717770" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Demographic analysis", "id": "https://openalex.org/C61189158" }, { "display_name": "Mortality rate", "id": "https://openalex.org/C179755657" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W113774228", "https://openalex.org/W345716004", "https://openalex.org/W1986990646", "https://openalex.org/W1998963519", "https://openalex.org/W2042632387", "https://openalex.org/W2124818374", "https://openalex.org/W2133105180", "https://openalex.org/W2218589592", "https://openalex.org/W2269733913", "https://openalex.org/W2418232151", "https://openalex.org/W2468234949", "https://openalex.org/W2626447353" ]
https://api.openalex.org/works?filter=cites:W2110894907
Methods for measuring maternal mortality at national and subnational levels in the developing world lag far behind the demand for estimates. We evaluated use of the national population census as a means of measuring maternal mortality by assessing data from five countries (Benin, Islamic Republic of Iran, Lao People's Democratic Republic, Madagascar, and Zimbabwe) which identified maternal deaths in their censuses. Standard demographic methods were used to evaluate the completeness of reporting of adult female deaths and births in the year prior to the census. The results from these exercises were used to adjust the data. In four countries, the numbers of adult female deaths needed to be increased and three countries required upward adjustment of the numbers of recent births. The number of maternal deaths was increased by the same factor as that used for adult female deaths on the assumption that the proportion of adult female deaths due to maternal causes was correct. Age patterns of the various maternal mortality indicators were plausible and consistent with external sources of data for other populations. Our data suggest that under favourable conditions a national census is a feasible and promising approach for the measurement of maternal mortality. Moreover, use of the census circumvents several of the weaknesses of methods currently in use. However, it should also be noted that careful evaluation of the data and adjustment, if necessary, are essential. The public health community is urged to encourage governments to learn from the experience of these five countries and to place maternal mortality estimation in the hands of statistical agencies.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2165219978
Effect of breastfeeding education on the feeding pattern and health of infants in their first 4 months in the Islamic Republic of Iran.
[ { "affiliations": [], "display_name": "M. D. Froozani", "id": "https://openalex.org/A5008087496" }, { "affiliations": [], "display_name": "K. Permehzadeh", "id": "https://openalex.org/A5009858996" }, { "affiliations": [], "display_name": "A R Dorosti Motlagh", "id": "https://openalex.org/A5060083417" }, { "affiliations": [], "display_name": "B Golestan", "id": "https://openalex.org/A5066498453" } ]
[ { "display_name": "Breastfeeding", "id": "https://openalex.org/C2776283161" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Breast feeding", "id": "https://openalex.org/C3020294031" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Pediatrics", "id": "https://openalex.org/C187212893" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Obstetrics", "id": "https://openalex.org/C131872663" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1512587365", "https://openalex.org/W1528297083", "https://openalex.org/W1597715593", "https://openalex.org/W1829130295", "https://openalex.org/W1941691838", "https://openalex.org/W1966780897", "https://openalex.org/W2037489321", "https://openalex.org/W2057455941", "https://openalex.org/W2072418943", "https://openalex.org/W2094666980", "https://openalex.org/W2118779936", "https://openalex.org/W2148657347", "https://openalex.org/W2299714782", "https://openalex.org/W2410979608" ]
https://api.openalex.org/works?filter=cites:W2165219978
This quasi-experimental study was conducted in Shiraz, the Islamic Republic of Iran, on 120 pairs of mothers and infants in a maternity hospital that had a rooming-in programme. All 59 mothers in the study group received breastfeeding education, face-to-face, after delivery and during follow-up for 4 months in the mother and child health (MCH) centre or in their homes; the remaining 61 mothers comprised the control group. Exclusive breastfeeding rates were significantly higher in the study group (54%) than in the control group (6.5%), but 5% and 18% of infants, respectively, in the study and control groups had stopped breastfeeding by the age of 4 months. The mean number of days of diarrhoea experienced by infants in the study group were significantly lower (P < or = 0.004) than in the control group. At the end of 4 months, the mean weight and length of the infants were significantly higher (both P < 0.05) in the study group than in the control group. The findings indicate that rooming-in is very important for promoting exclusive breastfeeding and that there is a need for continuous breastfeeding education of mothers.This document presents a quasi-experimental study of the effect of breast-feeding education on the duration of exclusive breast-feeding and on the feeding pattern and health of infants in their first 4-months in Shiraz, the Islamic Republic of Iran. The subjects, all of low socioeconomic status, were selected according to the following criteria: they were primiparae, their pregnancy had been normal, followed by vaginal delivery, and they had no chronic disease and were not taking any medication. The 120 mothers were randomly assigned, according to their delivery on odd or even days, to the study (S) or control (C) group, respectively. 59 mothers in the study group received face-to-face breast-feeding education after delivery and during follow-up for 4 months in the mother and child health (MCH) center or in their homes; the remaining 61 mothers comprised the control group. Results showed that at 54%, the study group had higher rates of exclusive breast-feeding than did the control group at 6.5%, but that 5% and 18% of infants, respectively, in the control group and study group had stopped breast-feeding by the age of 4 months. The mean number of days of diarrhea experienced was significantly lower in the study group than in the control group. At the end of 4 months the mean weight and length of infants were significantly higher (both P 0.05) in the study group than in control group. These findings indicate that rooming-in is very important for promoting exclusive breast-feeding and that breast-feeding education of mothers should be continued.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1970529370
"Fewer Children, Better Life" or "As Many as God Wants"?
[ { "affiliations": [ { "country": "United States", "display_name": "University of California, Berkeley", "id": "https://openalex.org/I95457486", "lat": 37.87159, "long": -122.27275, "type": "education" }, { "country": "United States", "display_name": "University of California, San Francisco", "id": "https://openalex.org/I180670191", "lat": 37.77493, "long": -122.41942, "type": "education" } ], "display_name": "Diane Tober", "id": "https://openalex.org/A5087052420" }, { "affiliations": [ { "country": "Iran", "display_name": "Isfahan University of Medical Sciences", "id": "https://openalex.org/I114982161", "lat": 32.65246, "long": 51.67462, "type": "education" } ], "display_name": "Mohammad‐Hossein Taghdisi", "id": "https://openalex.org/A5071396723" }, { "affiliations": [ { "country": "Iran", "display_name": "Isfahan University of Medical Sciences", "id": "https://openalex.org/I114982161", "lat": 32.65246, "long": 51.67462, "type": "education" } ], "display_name": "Mohammad Jalali", "id": "https://openalex.org/A5073569496" } ]
[ { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Family planning", "id": "https://openalex.org/C2779076696" }, { "display_name": "Afghan", "id": "https://openalex.org/C2780587734" }, { "display_name": "Ethnic group", "id": "https://openalex.org/C137403100" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Refugee", "id": "https://openalex.org/C173145845" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Research methodology", "id": "https://openalex.org/C2986817661" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1973712211", "https://openalex.org/W1979070983", "https://openalex.org/W2003279196", "https://openalex.org/W2067173610", "https://openalex.org/W2073916577", "https://openalex.org/W2077683862", "https://openalex.org/W2096635042" ]
https://api.openalex.org/works?filter=cites:W1970529370
In the West it is often assumed that religion (esp. Islam) and contraception are mutually exclusive. Yet, the Islamic Republic of Iran has one of the most successful family-planning programs in the developing world, and is often looked to as a potential model for other Muslim countries. Although Iran's family-planning program has been extremely successful among Iranians, it has been far less successful among Afghan refugees and other ethnic groups. Afghans and Iranians both seek services in Iran's public health sector for family health care, treatment of infectious disease, and childhood vaccinations. On these occasions, all adult married patients are strongly encouraged to use family planning to reduce the number of offspring. In this article, we explore how Iran's family-planning program is differentially perceived and utilized among low-income Iranian and Afghan refugee families in rural and urban locations. Particular attention is given to how different interpretations of Islam may or may not influence reproductive health-related behaviors and how cultural factors influence reproductive strategies.
[ { "display_name": "Medical Anthropology Quarterly", "id": "https://openalex.org/S71057445", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2109317497
Impact of preconception health education on health locus of control and self-efficacy in women
[ { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" }, { "country": "Iran", "display_name": "Iranshahr University", "id": "https://openalex.org/I4210098257", "lat": 27.216946, "long": 60.60277, "type": "education" } ], "display_name": "Farideh Bastani", "id": "https://openalex.org/A5083779506" }, { "affiliations": [ { "country": "Iran", "display_name": "Alzahra University", "id": "https://openalex.org/I67080706", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Seyedeh Fatemeh Hashemi", "id": "https://openalex.org/A5063058846" }, { "affiliations": [ { "country": "Iran", "display_name": "Shahid Beheshti University of Medical Sciences", "id": "https://openalex.org/I58048189", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "N Bastani", "id": "https://openalex.org/A5025086296" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Hamid Haghani", "id": "https://openalex.org/A5030403531" } ]
[ { "display_name": "Locus of control", "id": "https://openalex.org/C170798268" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Self-efficacy", "id": "https://openalex.org/C110131835" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Randomized controlled trial", "id": "https://openalex.org/C168563851" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Physical therapy", "id": "https://openalex.org/C1862650" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Developmental psychology", "id": "https://openalex.org/C138496976" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1604682389", "https://openalex.org/W2014853645", "https://openalex.org/W2060196626", "https://openalex.org/W2061141487", "https://openalex.org/W2073612721", "https://openalex.org/W2083297684", "https://openalex.org/W2083336847", "https://openalex.org/W2126599413", "https://openalex.org/W2138377126", "https://openalex.org/W2169888590", "https://openalex.org/W2301248273" ]
https://api.openalex.org/works?filter=cites:W2109317497
The preconception period is an ideal opportunity to optimize women's health. This study of women attending premarital clinics in the Islamic Republic of Iran aimed to evaluate the impact of a health education workshop on their health locus of control and self-efficacy in physical activity. The design was a randomized controlled trial with a questionnaire before and after the intervention. At post-intervention, there were significant increases in scores of internal health locus of control and self-efficacy in the experimental group (n = 109) compared to the control group (n = 101). It was concluded that a short-term health education may empower women to adopt healthy lifestyles.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2247757639
Epidemiology of suicide and attempted suicide derived from the health system database in the Islamic Republic of Iran: 2001–2007
[ { "affiliations": [], "display_name": "Mohammad Bagher Saberi-Zafaghandi", "id": "https://openalex.org/A5071529228" }, { "affiliations": [], "display_name": "Ahmad Hajebi", "id": "https://openalex.org/A5031702758" }, { "affiliations": [], "display_name": "Sharareh Eskandarieh", "id": "https://openalex.org/A5041560781" }, { "affiliations": [], "display_name": "Masoud Ahmadzad-Asl", "id": "https://openalex.org/A5069677286" } ]
[ { "display_name": "Case fatality rate", "id": "https://openalex.org/C187316915" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Drug overdose", "id": "https://openalex.org/C2776315796" }, { "display_name": "Suicide methods", "id": "https://openalex.org/C16741180" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Suicide rates", "id": "https://openalex.org/C3020705882" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W52687610", "https://openalex.org/W1517822028", "https://openalex.org/W1533032625", "https://openalex.org/W1545824762", "https://openalex.org/W1567707660", "https://openalex.org/W1798989132", "https://openalex.org/W1964527149", "https://openalex.org/W1995183506", "https://openalex.org/W2029868390", "https://openalex.org/W2031297963", "https://openalex.org/W2039273470", "https://openalex.org/W2057798077", "https://openalex.org/W2066489197", "https://openalex.org/W2084615664", "https://openalex.org/W2116044889", "https://openalex.org/W2149366295", "https://openalex.org/W2152194914", "https://openalex.org/W2160447214", "https://openalex.org/W2161089609", "https://openalex.org/W2262635455", "https://openalex.org/W2296569693", "https://openalex.org/W2724787576" ]
https://api.openalex.org/works?filter=cites:W2247757639
Suicide is an important public health problem worldwide. A retrospective study from March 2001 to March 2007 examined some characteristics of cases of suicide and attempted suicide in the Islamic Republic of Iran based on the health system database of 41 medical universities. A total of 53100 cases of suicide and attempted suicide were analysed. Just over half were among women (55.0%). The most usual method of attempted suicide among both males and females was drug overdose. Self-burning was more frequent in females (5.8%) while hanging (4.5%), cutting (2.8%) and firearms (0.5%) were more common in males. There were 3883 (7.3%) completed (fatal) suicides. Hanging had the highest case fatality rate (76.5%) and drug overdose the lowest (2.3%). Older people had a higher mortality rate. Suicide and attempted suicides increased from 8.3 per 100 000 population in 2001 to 19.4 in 2005, then declined to 16.3 in 2007.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2071074589
Correlates of video games playing among adolescents in an Islamic country
[ { "affiliations": [ { "country": "Iran", "display_name": "Tabriz University of Medical Sciences", "id": "https://openalex.org/I163205636", "lat": 38.08, "long": 46.2919, "type": "education" } ], "display_name": "Hamid Allahverdipour", "id": "https://openalex.org/A5074462697" }, { "affiliations": [ { "country": "United States", "display_name": "Charles R. Drew University of Medicine and Science", "id": "https://openalex.org/I52710748", "lat": 33.926388, "long": -118.24174, "type": "education" } ], "display_name": "Mohsen Bazargan", "id": "https://openalex.org/A5085904290" }, { "affiliations": [ { "country": "Iran", "display_name": "Shahid Beheshti University of Medical Sciences", "id": "https://openalex.org/I58048189", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Abdollah Farhadinasab", "id": "https://openalex.org/A5030522366" }, { "affiliations": [ { "country": "Iran", "display_name": "Hamedan University of Medical Sciences", "id": "https://openalex.org/I112312016", "lat": 34.79922, "long": 48.51456, "type": "education" } ], "display_name": "Babak Moeini", "id": "https://openalex.org/A5006371031" } ]
[ { "display_name": "Video game", "id": "https://openalex.org/C3018412434" }, { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Biostatistics", "id": "https://openalex.org/C140556311" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Sample (material)", "id": "https://openalex.org/C198531522" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Clinical psychology", "id": "https://openalex.org/C70410870" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Multimedia", "id": "https://openalex.org/C49774154" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Chromatography", "id": "https://openalex.org/C43617362" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1972813903", "https://openalex.org/W1974811221", "https://openalex.org/W1988930537", "https://openalex.org/W2004808514", "https://openalex.org/W2007965642", "https://openalex.org/W2009956721", "https://openalex.org/W2012107843", "https://openalex.org/W2014443084", "https://openalex.org/W2019660540", "https://openalex.org/W2027785213", "https://openalex.org/W2054496332", "https://openalex.org/W2062264315", "https://openalex.org/W2072489162", "https://openalex.org/W2094508519", "https://openalex.org/W2113122265", "https://openalex.org/W2121378207", "https://openalex.org/W2121603084", "https://openalex.org/W2147541073", "https://openalex.org/W2147661555", "https://openalex.org/W2147966816", "https://openalex.org/W2150077060", "https://openalex.org/W2157273197", "https://openalex.org/W2168250407", "https://openalex.org/W2169883672", "https://openalex.org/W4242131010" ]
https://api.openalex.org/works?filter=cites:W2071074589
No study has ever explored the prevalence and correlates of video game playing among children in the Islamic Republic of Iran. This study describes patterns and correlates of excessive video game use in a random sample of middle-school students in Iran. Specifically, we examine the relationship between video game playing and psychological well-being, aggressive behaviors, and adolescents' perceived threat of video-computer game playing.This cross-sectional study was performed with a random sample of 444 adolescents recruited from eight middle schools. A self-administered, anonymous questionnaire covered socio-demographics, video gaming behaviors, mental health status, self-reported aggressive behaviors, and perceived side effects of video game playing.Overall, participants spent an average of 6.3 hours per week playing video games. Moreover, 47% of participants reported that they had played one or more intensely violent games. Non-gamers reported suffering poorer mental health compared to excessive gamers. Both non-gamers and excessive gamers overall reported suffering poorer mental health compared to low or moderate players. Participants who initiated gaming at younger ages were more likely to score poorer in mental health measures. Participants' self-reported aggressive behaviors were associated with length of gaming. Boys, but not girls, who reported playing video games excessively showed more aggressive behaviors. A multiple binary logistic regression shows that when controlling for other variables, older students, those who perceived less serious side effects of video gaming, and those who have personal computers, were more likely to report that they had played video games excessively.Our data show a curvilinear relationship between video game playing and mental health outcomes, with "moderate" gamers faring best and "excessive" gamers showing mild increases in problematic behaviors. Interestingly, "non-gamers" clearly show the worst outcomes. Therefore, both children and parents of non-game players should be updated about the positive impact of moderate video gaming. Educational interventions should also be designed to educate adolescents and their parents of the possible harmful impact of excessive video game playing on their health and psychosocial functioning.
[ { "display_name": "BMC Public Health", "id": "https://openalex.org/S200437886", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "Europe PMC (PubMed Central)", "id": "https://openalex.org/S4306400806", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1605171307
Smoking among male medical sciences students in Semnan, Islamic Republic of Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Islamic Azad University, Dezful Branch", "id": "https://openalex.org/I4210155764", "lat": 32.40368, "long": 48.377007, "type": "education" } ], "display_name": "Ali A. Nazary", "id": "https://openalex.org/A5018688386" }, { "affiliations": [], "display_name": "Fazlollah Ahmadi", "id": "https://openalex.org/A5081267094" }, { "affiliations": [], "display_name": "Mojtaba Vaismoradi", "id": "https://openalex.org/A5063130810" }, { "affiliations": [], "display_name": "Khodadad Kaviani", "id": "https://openalex.org/A5035233990" }, { "affiliations": [], "display_name": "M. Arezomandi", "id": "https://openalex.org/A5077294261" }, { "affiliations": [], "display_name": "Soghrat Faghihzadeh", "id": "https://openalex.org/A5061244153" } ]
[ { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Bachelor", "id": "https://openalex.org/C2777626052" }, { "display_name": "Bachelor degree", "id": "https://openalex.org/C2993868924" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Significant difference", "id": "https://openalex.org/C3018023364" }, { "display_name": "Smoking prevalence", "id": "https://openalex.org/C2993680756" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Associate degree", "id": "https://openalex.org/C3017552766" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1973359167", "https://openalex.org/W2005837267", "https://openalex.org/W2012186625", "https://openalex.org/W2013006920", "https://openalex.org/W2025044726", "https://openalex.org/W2146770691", "https://openalex.org/W2152097322", "https://openalex.org/W2165177769", "https://openalex.org/W2367578492", "https://openalex.org/W2512661070", "https://openalex.org/W2527777331" ]
https://api.openalex.org/works?filter=cites:W1605171307
We determined the prevalence of smoking among 320 male medical sciences students (174 studying for a medical degree, 95 a bachelor degree and 51 a associate degree) in Semnan, Islamic Republic of Iran. A self-administrated, anonymous questionnaire was used. The prevalence of smoking was 14.4%; 45.6% of the smokers started smoking between the ages of 18 and 20 years, 43.5% starting at university. There was no significant difference in the prevalence between students undertaking different college degrees and also those having different types of accommodation. However the smoking behaviour of friends and family was significantly correlated with smoking in the students. Smoking amongst medical sciences students, who will become the health professionals of the future, needs to be addressed.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1513032328
Knowledge, perceptions and prevention of malaria among women in Sistan va Baluchestan, Islamic Republic of Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Zahedan University of Medical Sciences", "id": "https://openalex.org/I4210133472", "lat": 29.4963, "long": 60.8629, "type": "education" } ], "display_name": "Fatemeh Rakhshani", "id": "https://openalex.org/A5064832881" }, { "affiliations": [], "display_name": "A R Ansari Moghadam", "id": "https://openalex.org/A5016067407" }, { "affiliations": [], "display_name": "R. Alemi", "id": "https://openalex.org/A5059445056" }, { "affiliations": [], "display_name": "Abbas Moradi", "id": "https://openalex.org/A5023423427" } ]
[ { "display_name": "Malaria", "id": "https://openalex.org/C2778048844" }, { "display_name": "Chills", "id": "https://openalex.org/C2778594517" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Rural area", "id": "https://openalex.org/C129047720" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1611461175", "https://openalex.org/W2280117349" ]
https://api.openalex.org/works?filter=cites:W1513032328
A questionnaire about malaria knowledge, beliefs and practices was given to a random sample of 2168 married women from rural and urban areas of Sistan va Baluchestan, Islamic Republic of Iran. The mean knowledge score of subjects was low at 5.5 [maximum 15.0]. Few respondents [37.6%] knew that malaria was an important disease in the area and only 58.4% knew that malaria was transmitted by mosquitoes. Most subjects [69.4%] never used a mosquito net. Only 49.9% of rural and 73.8% of urban residents would seek care for fever and chills from the local health centre. Community health workers [behvarz] were the main source of information [29.5%] for rural women; the role of physicians in education was minimal. Subsequent health education must be tailored to the educational needs of the target population in this area
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1553375038
Evaluation of old-age disability and related factors among an Iranian elderly population
[ { "affiliations": [], "display_name": "Mohsen Adib-Hajbaghery", "id": "https://openalex.org/A5075903022" } ]
[ { "display_name": "Marital status", "id": "https://openalex.org/C2781354955" }, { "display_name": "Residence", "id": "https://openalex.org/C2776269092" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Addiction", "id": "https://openalex.org/C48856860" }, { "display_name": "Activities of daily living", "id": "https://openalex.org/C79544238" }, { "display_name": "Cross-sectional study", "id": "https://openalex.org/C142052008" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W1553375038
Old-age disability has become a public health concern. This study was conducted to evaluate the prevalence of disability and its related factors among the elderly population in Kashan city, Islamic Republic of Iran. A cross-sectional study was conducted on a multistage random sample of 350 elderly people. The World Health Organization Disability Assessment Schedule II was used as the disability measure. Overall, 37.1% had mild ageing disability, 38.6% moderate, 20.0% severe and 4.3% extreme disability. Significant relationships were observed between disability and sex, age, living status, needing help, marital status, urban/rural residence, drug addiction, duration of addiction, employment status, having regular physical activity, level of education, health perception, history of hospitalization in the last year and having multiple diseases. Considering the rapid increase in the aged population in Islamic Republic of Iran, more attention should be paid to the health of elderly people.
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https://openalex.org/W2413112293
Postvaccination mass psychogenic illness in an Iranian rural school
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2413112293
In October 1992 after tetanus inoculations of 26 girl students in a village in the Islamic Republic of Iran, an outbreak of psychomotor syndrome occurred in 10. Although only few were affected, the temporary negative impact on public opinion about immunization was serious. Physical and laboratory investigations of the girls were normal. The 10 girls were compared with their 16 classmates. Higher socioeconomic status was protective (P = 0.04) and distance of home from school was relevant (P = 0.03). This is the first report of a health intervention unwarrantedly being held as the cause of an outbreak. The outbreak, however, was managed successfully.
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https://openalex.org/W2112663606
Application of the health promotion model to predict stages of exercise behaviour in Iranian adolescents.
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2112663606
A cluster random sample of 1073 students in the Islamic Republic of Iran (mean age 14.37 years) completed a self-report questionnaire consisting of an exercise measure, selected constructs of Pender's health promotion model and an assessment of stages of behaviour change in exercise. In multivariate discriminant analysis, exercise self-efficacy, perceived barriers to exercise, perceived benefits of exercise and exercise behaviour were significant predictors of the stage of exercise behaviour change for both female and male adolescents. The findings support the importance of self-efficacy for engaging in physical activity for both sexes of Iranian adolescents. The barriers faced by Iranian girls should be considered in interventions to increase physical activity rates.
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https://openalex.org/W2206714066
Suicide in Iran
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[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1483646423", "https://openalex.org/W2036788721", "https://openalex.org/W2091268224", "https://openalex.org/W2140599953" ]
https://api.openalex.org/works?filter=cites:W2206714066
Suicide is an important public health problem that results from an interaction between demographic, social, and cultural factors. According to WHO, about 804 000 suicide deaths occurred in 2012 across the world.1WHOPreventing suicide: a global imperative. Geneva: World Health Organization.http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/Google Scholar In 2020, an estimated 1·53 million people will die from suicide.2Bertolote JM Fleischmann A A global perspective in the epidemiology of suicide.Suicidologi. 2002; 7: 6-8Google Scholar Although the rate of suicide is low in most Islamic countries, evidence shows that it is increasing.3Pritchard C Amanullah S An analysis of suicide and undetermined deaths in 17 predominantly Islamic countries contrasted with the UK.Psychol Med. 2007; 37: 421-430Crossref PubMed Scopus (118) Google Scholar In Iran, the suicide rates per 100 000 people are 5·3 in both sexes, 3·6 in females, and 7·0 in males.1WHOPreventing suicide: a global imperative. Geneva: World Health Organization.http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/Google Scholar The highest suicide rate is seen in the summer (35·2%), about 13% higher than in other seasons, although these results do not agree with findings from other countries.4Shirazi HR Hosseini M Zoladl M et al.Suicide in the Islamic Republic of Iran: an integrated analysis from 1981 to 2007.East Mediterr Health J. 2012; 18: 607-613PubMed Google Scholar Suicide attempts are higher in urban areas than in rural areas, which is likely to be a result of the increased stress caused by urban lifestyles.4Shirazi HR Hosseini M Zoladl M et al.Suicide in the Islamic Republic of Iran: an integrated analysis from 1981 to 2007.East Mediterr Health J. 2012; 18: 607-613PubMed Google Scholar The most common methods of suicide in Iran are drug use, probably because of the ease of use and access, and self-immolation.5Nazarzadeh M Bidel Z Ayubi E Asadollahi K Carson KV Sayehmiri K Determination of the social related factors of suicide in Iran: a systematic review and meta-analysis.BMC Public Health. 2013; 13: 4Crossref PubMed Scopus (59) Google Scholar In the Ilam province of Iran, case fatality rates were highest for hanging (75·4%) and self-immolation (68·3%), and lowest for drug use (2·8%) and cutting (0·0%).6Razaeian M Sharifirad G Case fatality rates of different suicide methods within Ilam province of Iran.J Educ Health Promot. 2012; 1: 44Crossref PubMed Google Scholar Self-immolation is rare in developed countries but common in Iran, and this difference might be attributable to cultural practices such as storing tanks of flammable fluids (eg, kerosene) at home for cooking. Suicide is most frequently caused by family conflict (32%), marital problems (26%), economic constraints (12%), and educational failures (5%).5Nazarzadeh M Bidel Z Ayubi E Asadollahi K Carson KV Sayehmiri K Determination of the social related factors of suicide in Iran: a systematic review and meta-analysis.BMC Public Health. 2013; 13: 4Crossref PubMed Scopus (59) Google Scholar Many complex factors—eg, biological, psychological, family, socioeconomic, political, and geographical—contribute to the risk of suicidal behaviour. Life skills training and psychological support for youths, increasing household income, and pre-marriage counselling can help to reduce suicide rate. We declare no competing interests. Suicide and suicidal behaviourSuicide is a complex public health problem of global importance. Suicidal behaviour differs between sexes, age groups, geographic regions, and sociopolitical settings, and variably associates with different risk factors, suggesting aetiological heterogeneity. Although there is no effective algorithm to predict suicide in clinical practice, improved recognition and understanding of clinical, psychological, sociological, and biological factors might help the detection of high-risk individuals and assist in treatment selection. Full-Text PDF
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https://openalex.org/W1909358276
WHO MPOWER tobacco control scores in the Eastern Mediterranean countries based on the 2011 report
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[ { "display_name": "Checklist", "id": "https://openalex.org/C2779356329" }, { "display_name": "Tobacco control", "id": "https://openalex.org/C2780832096" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Cognitive psychology", "id": "https://openalex.org/C180747234" } ]
[ "Islamic Republic of Iran", "Iran", "Jordan", "Egypt" ]
[ "https://openalex.org/W1526450268", "https://openalex.org/W1599255338", "https://openalex.org/W1981597121", "https://openalex.org/W2067874550", "https://openalex.org/W2112334970", "https://openalex.org/W2114616454", "https://openalex.org/W2129989063", "https://openalex.org/W2149092788", "https://openalex.org/W2161507829", "https://openalex.org/W2180704072", "https://openalex.org/W2401769858" ]
https://api.openalex.org/works?filter=cites:W1909358276
The aim of this cross-sectional study was to quantify the implementation of MPOWER tobacco control policies among Eastern Mediterranean Region countries. Information was obtained from the 2011 WHO MPOWER report. A checklist was designed and its scoring was agreed by Iranian and international tobacco control specialists. Seven questions were scored from 0-4 and 3 from 0-3. The 22 countries were ranked by their total score on a scale of 0 to 37. The highest scores were achieved by the Islamic Republic of Iran, Egypt and Jordan 29, 28 and 26 respectively. Twelve of the countries (55%) scored more than half of the possible score (19). The lowest and highest scores for all countries summed were on sections related to banning smoking in public places (18) and tobacco advertising bans (66) respectively. Compliance with smoke-free policies was especially low. MPOWER programmes are accepted in the Region but there is considerable room for improvement. Input from countries based on their successes and challenges is needed to strengthen the programmes.
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https://openalex.org/W4205997053
How physical activity behavior affected well-being, anxiety and sleep quality during COVID-19 restrictions in Iran.
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4205997053
The Islamic Republic of Iran has displayed one of the highest rates of COVID-19 infection in the world and the highest rate of mortality in the Middle East. Iran has used a stringent package of preventive health measures to mitigate the spread of infection, which however has negatively affected individuals' physical and psychological health. This study aimed at examining whether physical-activity (PA) behavior, anxiety, well-being, and sleep-quality changed in response to the COVID-19-related public health restrictions enforced in Iran.An online questionnaire was disseminated to adults residing in Iran from November 17, 2020, to February 13, 2021 (~88 days), during Iran's strictest public health restrictions. Main outcome measures included Godin-Shephard Leisure-Time Exercise Questionnaire, General Anxiety Disorder-7, Mental Health Continuum-Short Form, and Pittsburgh Sleep Quality Index.A total of 3,323 adults (mean age 30±11 years, 54.3% female) participated in the survey. Firstly, the restrictions generally reduced PA behavior: (a) among inactive participants (IPs), 60.6% became less active vs. 5.1% who became more active; and (b) among active participants (APs), 49.9% became less active vs. 22.8% who became more active. Secondly, PA behavior was associated with higher well-being and sleep quality during the restrictions: (a) APs reported higher (or lower) levels of well-being and sleep quality (or anxiety) than did IPs; and (b) among IPs as well as among APs, the more active the participants, the greater (or lower) the levels of well-being and sleep quality (or anxiety).This study showed the beneficial role of PA behavior for well-being, anxiety, and sleep quality during the COVID-19 restrictions, whereas such restrictions appeared to decrease PA participation. Active lifestyle should be then encouraged during the COVID-19 outbreak while taking precautions.
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https://openalex.org/W1506752102
Prevalence and risk indicators of periodontal disease among high-school students in Tehran.
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Periodontal disease", "id": "https://openalex.org/C2992452445" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Periodontal examination", "id": "https://openalex.org/C2779193238" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Theology", "id": "https://openalex.org/C27206212" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W1506752102
To identify the prevalence and risk indicators of periodontal disease in high-school students in Tehran, Islamic Republic of Iran, the periodontal condition of 867 students aged 15-19 years was assessed using the community periodontal index of treatment needs (CPITN). The results showed that 88.7% of these students had less than perfect periodontal health. Multiple regression analysis revealed that sex, parents' educational level, frequency of toothbrushing and flossing, preventive dental visits and presence of extracted teeth were significant risk indicators for periodontal disease. School-based oral health promotion and prevention programmes are needed.
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https://openalex.org/W1540505879
Smoking initiation among Iranian adolescents: a qualitative study.
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[ { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Focus group", "id": "https://openalex.org/C56995899" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Smoking prevention", "id": "https://openalex.org/C3019394680" }, { "display_name": "Content analysis", "id": "https://openalex.org/C162446236" }, { "display_name": "Cigarette smoking", "id": "https://openalex.org/C3019085024" }, { "display_name": "Narrative", "id": "https://openalex.org/C199033989" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Developmental psychology", "id": "https://openalex.org/C138496976" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W1540505879
In response to the need for effective tobacco prevention programmes in the Islamic Republic of Iran, the present study sought to determine the major risk factors for initiation of smoking by adolescents. A content analysis with a qualitative approach was conducted through 22 in-depth interviews, 2 focus groups (4 and 6 participants in each group) and 30 narratives. The following 3 themes emerged from the analysis as risk factors for initiating smoking by adolescents: personal factors, social factors and beliefs about smoking. Based on these findings, it is recommended that prevention activities should be embedded in a comprehensive approach which aims to change the smoking and parenting behaviour of parents and teachers, and at creating non-smoking policies in schools and other places where young people congregate.
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https://openalex.org/W2088061130
Public effective doses from environmental natural gamma exposures indoors and outdoors in Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2088061130
Journal Article Public effective doses from environmental natural gamma exposures indoors and outdoors in Iran Get access Mehdi Sohrabi, Mehdi Sohrabi * Health Physics and Dosimetry Research Laboratory, Department of Energy Engineering and Physics, Amirkabir University of Technology, Tehran, Islamic Republic of Iran *Corresponding author: [email protected] Search for other works by this author on: Oxford Academic PubMed Google Scholar Jalil Roositalab, Jalil Roositalab Health Physics and Dosimetry Research Laboratory, Department of Energy Engineering and Physics, Amirkabir University of Technology, Tehran, Islamic Republic of Iran Search for other works by this author on: Oxford Academic PubMed Google Scholar Jahangir Mohammadi Jahangir Mohammadi Health Physics and Dosimetry Research Laboratory, Department of Energy Engineering and Physics, Amirkabir University of Technology, Tehran, Islamic Republic of Iran Search for other works by this author on: Oxford Academic PubMed Google Scholar Radiation Protection Dosimetry, Volume 167, Issue 4, December 2015, Pages 633–641, https://doi.org/10.1093/rpd/ncu372 Published: 18 January 2015 Article history Received: 10 October 2014 Revision received: 21 December 2014 Accepted: 22 December 2014 Published: 18 January 2015
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https://openalex.org/W1684460781
Active case-finding of communicable diseases in the South of the Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W1684460781
In the Fars province of the Islamic Republic of Iran, we established the Communicable Diseases Committee which determined 24 priority infectious diseases for active reporting. The Committee chose laboratory criteria for diagnosis of the selected diseases, trained reporters and follow-up staff and invited cooperation from heads of private and government laboratories. Cases were identified by the reporting staff and patients were interviewed by the follow-up staff, who also requested patients to complete an epidemiological questionnaire. Results were returned to the district health care centres and to the Committee for data analysis. Case-findings in 16 out of the 24 selected diseases showed an increase of up to 30 times compared to passive case-finding. This was due more to the greater efficiency of the method than to cohort epidemics
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https://openalex.org/W2258714711
Peer-led versus teacher-led AIDS education for female high-school students in Yazd, Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2258714711
Peer-led programmes on AIDS prevention have shown a good level of effectiveness when tested among high-risk populations. This study compared peer-led and teacher-led methods of education about HIV/AIDS among female high-school students in Yazd city, Islamic Republic of Iran. In 2009 students in 3 high schools were trained by their classmates (peer-led), by the research team (teacher-led) or had no education (controls); 180 students completed a specially designed questionnaire based on the health belief model, before and after the intervention. Post-intervention mean knowledge scores increased 2-fold in the peer-led group, and this was significantly higher than the increase in the teacher-led group scores (1.5-fold). Control group scores were unchanged. In the peer-led programme all of the components of the model were significantly improved whereas in the teacher-led programme, only perceived severity and perceived barriers scored significantly higher after the intervention.
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https://openalex.org/W2128942133
Community survey of knowledge about oral cancer in Babol: effect of an education intervention.
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[ { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Intervention (counseling)", "id": "https://openalex.org/C2780665704" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Cancer", "id": "https://openalex.org/C121608353" }, { "display_name": "Rural community", "id": "https://openalex.org/C2986257353" }, { "display_name": "Health education", "id": "https://openalex.org/C113807197" }, { "display_name": "Knowledge level", "id": "https://openalex.org/C2776291881" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Mathematics education", "id": "https://openalex.org/C145420912" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W602900880", "https://openalex.org/W608005810", "https://openalex.org/W1971019079", "https://openalex.org/W2025747174", "https://openalex.org/W2032284780", "https://openalex.org/W2033970688", "https://openalex.org/W2046599156", "https://openalex.org/W2049363736", "https://openalex.org/W2050746626", "https://openalex.org/W2070090934", "https://openalex.org/W2072876529", "https://openalex.org/W2082516239", "https://openalex.org/W2114469035", "https://openalex.org/W2124216087", "https://openalex.org/W2147912046", "https://openalex.org/W2166967068", "https://openalex.org/W2168142332" ]
https://api.openalex.org/works?filter=cites:W2128942133
A study in Babol, Islamic Republic of Iran, used a questionnaire to gather information on knowledge about oral cancer and its risk factors and to evaluate the efficacy of an educational brochure. From a community sample of 400 people, 76.0% had no knowledge of oral cancer. Mean knowledge score before the education intervention was 1.47 (standard deviation 3.40) out of 10. Knowledge about oral cancer was not associated with age, sex or education level but urban residents had better knowledge than rural residents. Mean knowledge score improved significantly by 5.92 (SD 3.30) at 1 month after the intervention among the 226 respondents who had read the brochure.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2258508292
Proposal for a modernized Iranian notifiable infectious diseases surveillance system: comparison with USA and Australia
[ { "affiliations": [], "display_name": "Farbod Ebadifard Azar", "id": "https://openalex.org/A5047343479" }, { "affiliations": [], "display_name": "N. Masoori", "id": "https://openalex.org/A5066295200" }, { "affiliations": [], "display_name": "Zahra Meidani", "id": "https://openalex.org/A5007821141" }, { "affiliations": [], "display_name": "Liliana Paul", "id": "https://openalex.org/A5070361181" } ]
[ { "display_name": "Notifiable disease", "id": "https://openalex.org/C2779373090" }, { "display_name": "Confidentiality", "id": "https://openalex.org/C71745522" }, { "display_name": "Data collection", "id": "https://openalex.org/C133462117" }, { "display_name": "Infectious disease (medical specialty)", "id": "https://openalex.org/C524204448" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Delphi", "id": "https://openalex.org/C2779495148" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Data quality", "id": "https://openalex.org/C24756922" }, { "display_name": "Disease control", "id": "https://openalex.org/C2987315675" }, { "display_name": "Disease surveillance", "id": "https://openalex.org/C2776480101" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Computer security", "id": "https://openalex.org/C38652104" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Metric (unit)", "id": "https://openalex.org/C176217482" }, { "display_name": "Statistics", "id": "https://openalex.org/C105795698" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Marketing", "id": "https://openalex.org/C162853370" }, { "display_name": "Operating system", "id": "https://openalex.org/C111919701" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1640748294", "https://openalex.org/W1828789697", "https://openalex.org/W1960523599", "https://openalex.org/W2127125660" ]
https://api.openalex.org/works?filter=cites:W2258508292
This article reports on a comparative study of the national notifiable infectious diseases surveillance systems currently employed in the United States of America, Australia and the Islamic Republic of Iran, with the aim ofdeveloping a modified system specific to the needs of the Iranian health system. Features of the surveillance systems examined in each country included: official data gathering structures; types of data collected; case definition and classification criteria; data collection processes; data analysis methods; disease classification systems; data dissemination and distribution methods; data quality control; and confidentiality procedures and guidelines. After consolidating the data, a model for an Iranian notifiable infectious diseases surveillance system was developed and was tested by the Delphi method in 3 stages.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2560877805
Strategies and Opportunities Ahead to Reduce Salt Intake.
[ { "affiliations": [ { "country": "Iran", "display_name": "Ministry of Health and Medical Education", "id": "https://openalex.org/I4210110574", "lat": 35.75605, "long": 51.35651, "type": "government" } ], "display_name": "Shahram Rafieifar", "id": "https://openalex.org/A5020328315" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Hamed Pouraram", "id": "https://openalex.org/A5018928531" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Abolghassem Djazayery", "id": "https://openalex.org/A5063253468" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Fereydoun Siassi", "id": "https://openalex.org/A5048822340" }, { "affiliations": [ { "country": "Iran", "display_name": "Ministry of Health and Medical Education", "id": "https://openalex.org/I4210110574", "lat": 35.75605, "long": 51.35651, "type": "government" } ], "display_name": "Zahra Abdollahi", "id": "https://openalex.org/A5047109982" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Ahmad Reza Dorosty", "id": "https://openalex.org/A5024895589" }, { "affiliations": [ { "country": "Iran", "display_name": "National Nutrition and Food Technology Research Institute", "id": "https://openalex.org/I4210107800", "lat": 35.758827, "long": 51.299026, "type": "other" }, { "country": "Iran", "display_name": "Shahid Beheshti University of Medical Sciences", "id": "https://openalex.org/I58048189", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Analava Mitra", "id": "https://openalex.org/A5048355924" }, { "affiliations": [ { "country": "Iran", "display_name": "Ministry of Health and Medical Education", "id": "https://openalex.org/I4210110574", "lat": 35.75605, "long": 51.35651, "type": "government" } ], "display_name": "Hossein Kazemeini", "id": "https://openalex.org/A5088846640" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Farshad Farzadfar", "id": "https://openalex.org/A5035870050" } ]
[ { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Consumption (sociology)", "id": "https://openalex.org/C30772137" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Food intake", "id": "https://openalex.org/C3018685816" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2560877805
In Iran, as in most countries, cardiovascular diseases are the leading cause of death (highest mortality rate), but rank third in terms of disease burden. On the other hand, the relationship between high salt intake, hypertension, and cardiovascular disease has been proven. Food consumption pattern in Iran shows that consumption of salt, pickled foods and salty snacks is common. Regarding the World Health Organization (WHO) target for salt intake (about 5 g per day), the evidence indicates that Iranian people consume 2-3 times more than the recommended amount of salt. Fortunately, serious attention has been paid to this matter since 2009 and along with arrangements for it, support of all relevant sectors (public and private) has been included in the agenda. At present, reduction of salt intake is among the major priorities of planners, policy makers, and experts of the Iranian health services system. On the other hand, many studies in EMRO have shown high levels of daily salt intake in these countries. In this review, the solutions used in the Islamic Republic of Iran at various levels were considered, including determination of salt intake measurement methods, revision in the amount of salt in processed food products, food labeling, promoting awareness of various social groups, gathering support from all relevant sectors, designing a regular public awareness campaign for reducing salt intake, and lessons learned in this regard, that can be helpful to countries in the region.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W1686440986
Determining appropriate strategies for improving women's health promoting behaviours: using the nominal group technique
[ { "affiliations": [], "display_name": "Azam Baheiraei", "id": "https://openalex.org/A5049129508" }, { "affiliations": [], "display_name": "Mojgan Mirghafourvand", "id": "https://openalex.org/A5008157248" }, { "affiliations": [], "display_name": "E Mohammodi", "id": "https://openalex.org/A5073358883" }, { "affiliations": [], "display_name": "Charandabi Mohammad-Alizadeh", "id": "https://openalex.org/A5052407246" }, { "affiliations": [], "display_name": "Saharnaz Nedjat", "id": "https://openalex.org/A5072749931" } ]
[ { "display_name": "Nonprobability sampling", "id": "https://openalex.org/C100363876" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Nominal group technique", "id": "https://openalex.org/C71690789" }, { "display_name": "Voting", "id": "https://openalex.org/C520049643" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Social support", "id": "https://openalex.org/C2778087770" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Knowledge management", "id": "https://openalex.org/C56739046" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W280908867", "https://openalex.org/W570147337", "https://openalex.org/W1482820336", "https://openalex.org/W1488850890", "https://openalex.org/W1490004932", "https://openalex.org/W1972879283", "https://openalex.org/W1987059192", "https://openalex.org/W2008807613", "https://openalex.org/W2042345530", "https://openalex.org/W2096732074", "https://openalex.org/W2098474196", "https://openalex.org/W2100189001", "https://openalex.org/W2103035100", "https://openalex.org/W2103683781", "https://openalex.org/W2106648842", "https://openalex.org/W2112813328", "https://openalex.org/W2122879756", "https://openalex.org/W2139427589", "https://openalex.org/W2144806011", "https://openalex.org/W2153939802", "https://openalex.org/W2302366459", "https://openalex.org/W3165735757" ]
https://api.openalex.org/works?filter=cites:W1686440986
Women's health constitutes a major aspect of development in societies and is considered a health-related priority. The aim of the present study was to determine appropriate strategies for improving health promoting behaviours in women of reproductive age in the Islamic Republic of Iran. Using the nominal group technique, a panel discussion was held in October 2011 with 12 health specialists who were selected through purposive sampling. In the first round, panel members generated 81 strategies; after eliminating irrelevant items and merging items with similar concepts, 44 strategies remained. After group discussion and voting, the following 4 items had the highest scores: improving physical activity, with a social support approach; empowering women; promoting and improving men's role in women's health; and promoting social support. The strategies presented in this study may be utilized by policy-makers, managers and health care providers to improve women's health promoting behaviours, and thus contribute to their wellbeing.
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https://openalex.org/W1757081097
Oral health in Iran
[ { "affiliations": [], "display_name": "Hamidreza Pakshir", "id": "https://openalex.org/A5012890148" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Oral health", "id": "https://openalex.org/C2992672162" }, { "display_name": "Oral hygiene", "id": "https://openalex.org/C515851188" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Dentistry", "id": "https://openalex.org/C199343813" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Dental hygiene", "id": "https://openalex.org/C2991848240" }, { "display_name": "Dental health", "id": "https://openalex.org/C2991849382" }, { "display_name": "Deciduous teeth", "id": "https://openalex.org/C2776981409" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W2097057172" ]
https://api.openalex.org/works?filter=cites:W1757081097
The health network in the Islamic Republic (I.R.) of Iran is an integrated public health system with a four-level Dental Health Care System integrated into it by 1997. The first level is one of primary prevention at ‘health houses’, at the next, oral hygienists and dentists in health centres perform basic oral health care services such as fillings, scaling and extractions. At the third level, dentists manage and treat oral diseases in ‘urban health centres, while the last level is for advanced treatment by specialists in university health centres in the big cities. There are about 13,000 dentists nationwide (1 dentist: 5,500 population) and nearly 1,200 specialists in universities and private practices. Data from surveys in the past two decades, show a marked decline in dental caries from DMFT of 4 to 1.5 in 12-year-old children. However, the general level of oral health is still not satisfactory, particularly among children. The percentage of caries-free children (deciduous and permanent teeth) among 6- and 9-year-olds is 13.8 and 11.5 respectively and more than 50% of 12-year-old children have caries experience, with the decayed component being the greatest component. The main objective would be to cope with the dental caries problem in primary teeth and, in this respect, the national oral health plan should be aimed at developing oral hygiene skills, reducing the frequency of sugar intake, instituting water fluoridation, improving access to fissure sealants and regular dental care, and finally promoting dental health services toward minimum treatment intervention and effective preventive strategies and health promotion.
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https://openalex.org/W2156493594
Outcome assessment of a triangular clinic as a harm reduction intervention in Rajaee-Shahr Prison, Iran
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Prison", "id": "https://openalex.org/C2780656516" }, { "display_name": "Harm reduction", "id": "https://openalex.org/C529928208" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Needle sharing", "id": "https://openalex.org/C2780586045" }, { "display_name": "Health psychology", "id": "https://openalex.org/C155164915" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Cohort", "id": "https://openalex.org/C72563966" }, { "display_name": "Transmission (telecommunications)", "id": "https://openalex.org/C761482" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Syphilis", "id": "https://openalex.org/C2776983459" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Condom", "id": "https://openalex.org/C2779379456" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Criminology", "id": "https://openalex.org/C73484699" }, { "display_name": "Electrical engineering", "id": "https://openalex.org/C119599485" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2156493594
Transmission of the human immunodeficiency virus (HIV) among incarcerated injection drug users (IDU) is a health epidemic in the Islamic Republic of Iran. Triangular clinics (TCs) were established in prisons as a harm reduction measure to decrease the risk of HIV transmission and other blood-borne infections. The objective of this study was to assess the immediate outcomes of one TC among male IDUs in Iran's Rajaee-Shahr prison.This study was conducted in two stages between 2003 and 2005. In the preparatory stage, focus group data was collected to update the prison's TC education and medical interventions and construct the self-report questionnaire. In stage two, 150 male IDUs were recruited in a closed cohort study design to assess the immediate outcome of the TC. Participants were measured at baseline and followed up to six months to measure their drug use, attitude toward and knowledge of high risk behaviours, serological conversion for HIV, HBV and HCV, and engagement in risky behaviors. The TC outcomes were determined through random urine analysis testing, a self-administered questionnaire and behaviour report cards, and viral infection testing.The findings of the urine analyses indicated a minimal yet consistent decrease in drug use over the six months. The pre and post- self-administered questionnaire data relayed a modest change in IDU risky behaviours associated with sexual practices; this was greater in comparison to the knowledge and attitude measures. It was determined that age may have a detrimental effect as may viral infections (HIV and HBV) on knowledge, attitude and behavior change. Both education and employment may have a protective effect. Data collected from the self-report behaviour cards similarly showed a modest reduction in high risk practices. At the six month follow-up, only one case became HIV positive, 9 HCV and 17 HBV.Considering that HIV is concentrated among Iranian prisoners who inject drugs at a high level, the results of this study indicate that TCs are a possible effective intervention. However, many prisoners continued with risky behaviors even if they were participating in harm reduction measures, such as methadone maintenance therapy.
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https://openalex.org/W2902171862
Reproducibility of cytological smears stained with modified ultrafast Papanicolaou stain: Methodological issue
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2902171862
Diagnostic CytopathologyVolume 47, Issue 3 p. 255-256 LETTER TO THE EDITOR Reproducibility of cytological smears stained with modified ultrafast Papanicolaou stain: Methodological issue Mehdi Naderi MSc, Mehdi Naderi MSc Department of operating room, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of, IranSearch for more papers by this authorSiamak Sabour MD, PhD, Corresponding Author Siamak Sabour MD, PhD [email protected] orcid.org/0000-0002-1928-992X Department of Clinical Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran Safety Promotions and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran Correspondence Siamak Sabour, MD, MSc, DSc, PhD, Chamran Highway, Velenjak, Daneshjoo Blvd, Department of Clinical Epidemiology, School of Health, Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. Email: [email protected] for more papers by this author Mehdi Naderi MSc, Mehdi Naderi MSc Department of operating room, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of, IranSearch for more papers by this authorSiamak Sabour MD, PhD, Corresponding Author Siamak Sabour MD, PhD [email protected] orcid.org/0000-0002-1928-992X Department of Clinical Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran Safety Promotions and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran Correspondence Siamak Sabour, MD, MSc, DSc, PhD, Chamran Highway, Velenjak, Daneshjoo Blvd, Department of Clinical Epidemiology, School of Health, Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. Email: [email protected] for more papers by this author First published: 27 November 2018 https://doi.org/10.1002/dc.24073Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume47, Issue3March 2019Pages 255-256 RelatedInformation
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https://openalex.org/W2138936971
The Search for Underlying Principles of Health Impact Assessment: Progress and Prospects; Comment on “Investigating Underlying Principles to Guide Health Impact Assessment”
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2138936971
Health Impact Assessment (HIA) is a relatively young field of endeavour, and hence, future progress will depend on the planning, implementation and rigorous evaluation of additional HIAs of projects, programmes and policies the world over. In the June 2014 issue of the International Journal of Health Policy and Management, Fakhri and colleagues investigated underlying principles of HIA through a comprehensive review of the literature and expert consultation. With an emphasis on the Islamic Republic of Iran, the authors identified multiple issues that are relevant for guiding HIA practice. At the same time, the study unravelled current shortcomings in the understanding and definition of HIA principles and best practice at national, regional, and global levels. In this commentary we scrutinise the research presented, highlight strengths and limitations, and discuss the findings in the context of other recent attempts to guide HIA.
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https://openalex.org/W4311864839
Bayesian spatial analysis of age differences and geographical variations in illicit-drug-related mortality in the Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4311864839
Background: Drug use disorders are significant social and public health concerns in the Islamic Republic of Iran; however, little is known about drug-related mortality. Aims: We quantified the spatial and age distribution of direct illicit-drug-related mortality in the Islamic Republic of Iran, to inform harm reduction policies and interventions. Methods: We modelled and mapped registered illicit-drug-related deaths from March 2016 to March 2017. Data were obtained from the Iranian Forensic Medicine Organization. Besag–York–Mollie models were fitted using Bayesian spatial analysis to estimate the relative risk of illicit-drug-related mortality across different provinces and age groups. Results: There were 2203 registered illicit-drug-related deaths during the study period, 1289 (58.5%) occurred in people aged 20–39 years and among men (n = 2013; 91.4%). The overall relative risk (95% credible interval) of illicit-drug-related mortality in the provinces of Hamadan (3.37; 2.88–3.91), Kermanshah (1.90; 1.55–2.28), Tehran (1.80; 1.67–1.94), Lorestan (1.71; 1.37–2.09), Isfahan (1.40; 1.21–1.60), and Razavi Khorasan (1.18; 1.04–1.33) was significantly higher than in the rest of the country. Conclusion: We found evidence of age differences and spatial variations in illicit-drug-related mortality across different provinces in the Islamic Republic of Iran. Our findings highlight the urgent need to revisit existing drug-use treatment and harm reduction policies and ensure that overdose prevention programmes are adequately available for different age groups and settings.
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https://openalex.org/W2405071741
Urologic diseases in the Islamic Republic of Iran: what are the public health priorities?
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2405071741
This study was designed to estimate the burden of urologic diseases in the Islamic Republic of Iran as a practical method for defining public health priorities. Using World Health Organization guidelines for national burden of disease studies, 6 steps were performed: selecting diseases to include; dynamic modelling of diseases; gathering data about urologic diseases; computing the local disability weights of urologic diseases; data analysis with DisMod II; and computing the disability-adjusted life years for each disease. Renal calculus, acute cystitis, chronic prostatitis, benign prostate hyperplasia, male infertility and adult polycystic kidney disease comprised the greatest burden.
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https://openalex.org/W2158820035
Primary Health Care Strategic Key to Control HIV/AIDS in Iran.
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2158820035
Dear Editor-in-ChiefAccording to WHO report, the prevalence of HIV/AIDS in Iran has changed from low to con-centrate. Despite the increase in awareness about HIV/ AIDS in many countries including Iran, there is a tremendous gap between the estimated (93250) and registered (24735) number of HIV infected individuals in this country (1, 2). This lack of knowledge is due to the long incubation period before symptoms appear, the iceberg appearance of the disease, hiding the infection because of so-cial stigma and shortage of public access to counseling services. Moreover, limited access to diagnostic testing in high risk groups and the gen-eral public along with under-reporting or non-re-porting have resulted in detection of only a frac-tion of the people living with HIV. Although there is no prediction of a high peak occurring in the future in Iran, the likelihood of an unexpected outbreak cannot be ruled out (1).According to the first national strategic plan of Islamic Republic of Iran, main strategies are consi-dered, including education and information, injecting drug, harm reduction and prevention of mother-to-child transmission, the latter being re-lated more to case-finding and treatment (3).There are real examples of countries with simi-lar epidemiological conditions to ours, which have experienced an increase in the incidence of HIV due to a lack of effective prevention and treat-ment in their health systems (1, 4).Policy-makers have countered three main chal-lenges in the field of HIV: diversity, complexity and change. main risk factors of HIV infec-tion (unprotected sex, injecting drugs) are mixed with social, economic and behavioral factors to a great extent. Epidemiological changes can be seen clearly in the case of HIV. An increasing percen-tage for sexual transmission of HIV has been ob-served recently in our country (2). In the field of HIV, the needs include prevention, diagnosis, treatment, long-term home care, as well as social and psychological support. High risk groups and asymptomatic individuals are scattered around the country and access to them is difficult. Due to so-cial, cultural and economic barriers, high risk groups cannot easily communicate with health centers. Health care workers should be directly involved and have close contact to deliver health services to the high risk group. At the same time, they should be aware of the general population. Furthermore, the cost of HIV prevention with focus on high risk group is much lower than the cost of treatment of HIV infection.The effective control of HIV can be achieved through: health education, condom promotion, social, economic and cultural interventions, promotion of health-care-seeking behavior and case management.Delivering these services needs a comprehensive health system model which is effective, inexpen-sive and sustainable. This model was derived from The Alma Ata Declaration in 1978 later named Primary Health Care (PHC). principles of PHC include inter-sectoral approach, community participation, appropriate methods, equity and comprehensive services such as promotion and prevention as well as therapeutic and rehabilita-tion interventions. These are the things that we are seeking to provide HIV/AIDS service. current vertical HIV service has some disadvan-tages such as high cost, limited availability and coverage of population, poor sustainability, and case missing. …
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https://openalex.org/W2413291055
National guidelines for outbreak investigation: an evaluation study
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2413291055
This paper reports an independent epidemiological study to evaluate the validity of the results of an official investigation into an outbreak of gastroenteritis at a university campus in Yasuj, central-south Islamic Republic of Iran. The official report of the outbreak by the Department for Disease Control at the provincial health centre found only 65 cases over a 5-day period, all females, living in the student halls of residence. This contrasts with a questionnaire survey of 963 students at the same university, which found 395 students (192 males and 203 females), living in residences and at home, who reported at least 1 gastrointestinal symptom over a 12-week period. Within this period at least 2 outbreaks occurred. Such a large discrepancy between the official report and the current study suggests that the health services and the public may have been misled about the proper response to the outbreak.
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https://openalex.org/W2947151827
A roadmap for strengthening evidence-informed health policy-making in Iran: protocol for a research programme
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2947151827
Many initiatives have been taken in the Islamic Republic of Iran to promote evidence-informed health policy-making (EIHP). However, these initiatives are not systematic. Since the implementation of EIHP is not consistent and the interventions in this regard are complex, a comprehensive plan could be a useful tool for employing initiatives to achieve and promote EIHP. Hence, this study aims to develop a roadmap for strengthening EIHP over a 3-year period in Iran.Nine projects will be conducted to define the roadmap for strengthening EIHP. These projects include two reviews and a stakeholder analysis to identify the factors that facilitate or hinder achieving EIHP. The next study will be a qualitative study to prioritise the challenges and outline the main causes. The following steps will be a review of reviews to extract global experiences on interventions used for strengthening EIHP and two qualitative studies to examine the adoption of these interventions and develop an operational plan for strengthening EIHP in Iran. The research will be completed through conducting two qualitative-quantitative studies to design a tool for measuring EIHP and assessing EIHP in Iran at baseline.This national EIHP roadmap will surely be able to identify the gaps and bumps that might exist in the implementation plan for establishing EIHP and eliminate them as needed in the future. This roadmap can be a step in moving towards transparency and accountability in the health system and as thus towards good governance and improvement of the health system's performance. Although the plan can be a good model for developing countries and may promote the use of evidence in health policy-making, we should assume that there are some critical contextual factors that could potentially hinder the complete and successful implementation of EIHP. Thus, to enhance EIHP in these countries with a policy-making context that does not fully support the use of evidence, it is crucial to think about not only those interventions that directly address the EIHP barriers, but also some long-term strategies to make required changes in the context, both beyond and within the health system.
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https://openalex.org/W2927175478
A public health approach to alcohol use and its related harms in Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Mostafa Shokoohi", "id": "https://openalex.org/A5073519315" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Afarin Rahimi-Movaghar", "id": "https://openalex.org/A5017050426" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Alireza Noroozi", "id": "https://openalex.org/A5078178851" }, { "affiliations": [ { "country": "Canada", "display_name": "University of British Columbia", "id": "https://openalex.org/I141945490", "lat": 49.24966, "long": -123.11934, "type": "education" }, { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Mohammad Karamouzian", "id": "https://openalex.org/A5044912185" } ]
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2927175478
In Iran, alcohol consumption, production, and trade are criminalised for Muslim citizens (ie, about 99% of the population);1Lankarani KB Afshari R Alcohol consumption in Iran.Lancet. 2014; 384: 1927-1928Summary Full Text Full Text PDF PubMed Scopus (37) Google Scholar however, bootleg alcohol is common and alcohol consumption is associated with a number of harms (eg, violence, injuries).2Shadloo B Motevalian A Rahimi-Movaghar V et al.Psychiatric disorders are associated with an increased risk of injuries: data from the Iranian Mental Health Survey (IranMHS).Iran J Public Health. 2016; 45: 623-635PubMed Google Scholar, 3Amin-Esmaeili M Rahimi-Movaghar A Sharifi V et al.Alcohol use disorders in Iran: prevalence, symptoms, correlates, and comorbidity.Drug Alcohol Depend. 2017; 176: 48-54Crossref PubMed Scopus (39) Google Scholar A nation-wide household mental health survey suggested that 5·7% of the adult population had consumed alcohol in the previous year,3Amin-Esmaeili M Rahimi-Movaghar A Sharifi V et al.Alcohol use disorders in Iran: prevalence, symptoms, correlates, and comorbidity.Drug Alcohol Depend. 2017; 176: 48-54Crossref PubMed Scopus (39) Google Scholar with a higher prevalence among men, young adults, single adults, urban areas, and some geographical regions.3Amin-Esmaeili M Rahimi-Movaghar A Sharifi V et al.Alcohol use disorders in Iran: prevalence, symptoms, correlates, and comorbidity.Drug Alcohol Depend. 2017; 176: 48-54Crossref PubMed Scopus (39) Google Scholar, 4Nikfarjam A Hajimaghsoudi S Rastegari A et al.The frequency of alcohol use in Iranian urban population: the results of a national network scale up survey.Int J Health Policy Manag. 2016; 6: 97-102Crossref PubMed Scopus (22) Google Scholar Moreover, alcohol poisoning outbreaks due to the consumption of substandard alcoholic drinks are frequent and contribute to alcohol poisoning deaths and hospitalisations across the country.5Hassanian-Moghaddam H Nikfarjam A Mirafzal A et al.Methanol mass poisoning in Iran: role of case finding in outbreak management.J Public Health. 2015; 37: 354-359Crossref Scopus (67) Google Scholar For example, 768 cases of hospitalisation due to methanol poisoning were reported in eight provinces in Iran over the course of 4 weeks in late 2018; among these patients, 170 had dialysis, 16 were blinded, and 96 died.6The Islamic Republic News AgencyAlcohol poisoning cases will not be criminalized. 2018 (in Persian).http://www.irna.ir/fa/News/83069192Date accessed: January 28, 2019Google Scholar The surge in alcohol poisonings might be partly explained by the collapse in the value of Iranian currency—the Rial—in the past few years, which could have induced people to buy cheap homemade alcohol rather than expensive, illegally imported foreign products. While the prevalence, amount, and health consequences of alcohol consumption in Iran are lower than in non-Muslim majority settings—because of Islam's promotion of alcohol abstinence and Iran's prohibition policies—the burden of alcohol-related harms is substantial and should no longer be overlooked. Indeed, the Iranian Ministry of Health has acknowledged this issue by establishing a joint multi-sectoral initiative to develop a national programme that aims to reduce alcohol consumption by 10% between 2015 and 2025 through three main action steps: first, integration of alcohol screening, brief intervention, and referral to treatment in primary health care, aimed at detecting problematic drinking practices early and providing appropriate treatment and care; second, primary prevention, aimed at providing non-drug-specific primary prevention programmes for substance use disorders (eg, parental interventions) in community health centres; and third, treatment programmes, aimed at improving access to alcohol treatment services.7Iranian National Committee for NCDs Prevention and ControlNational action plan for prevention and control of non-communicable diseases and the related risk factors in the Islamic Republic of Iran, 2015–2025. 2015 (in Persian).https://ncdrc.info/publications/books/item/404-incd-national-action-plan-for-prevention-and-control-of-non-communicable-diseases-and-the-related-risk-factors-in-the-islamic-republic-of-iran,-2015-2025Date accessed: January 28, 2019Google Scholar Although the development of such policies is an important step towards tackling alcohol-related problems in Iran, they have not been fully and successfully implemented into the primary health-care system, which is already understaffed and overburdened. Moreover, not including first-line medical and legal settings, in which people with alcohol use disorders are often over-represented, in the early detection programmes is a missed opportunity. Furthermore, despite the initial plan to institute several outpatient and inpatient alcohol treatment programmes, few programmes have actually been established and are functioning. Iran's current alcohol use policies have, therefore, failed to consider comprehensive primary prevention strategies such as provision of educational programmes to the public, age-specific school-based prevention programmes, and targeted prevention programmes for individuals at risk. For example, there are no interventions aimed at preventing alcohol-related harms through the introduction of guidelines for low-risk drinking for people who would not be able to comply with complete abstinence, or through public education initiatives regarding limits for alcohol blood levels for driving. Absence of such policies is incompatible with the Islamic principles and education regarding the importance of implementing evidence-informed interventions in order to preserve and protect the health and life of individuals and of the society at large.8Kamarulzaman A Saifuddeen SM Islam and harm reduction.Int J Drug Policy. 2010; 21: 115-118Crossref PubMed Scopus (35) Google Scholar While Iran's religious-driven zero-tolerance alcohol policy might help keep alcohol consumption at a low level, it is insufficient and fails to reduce alcohol-related harms, particularly among those who either are at risk or already are problematic drinkers.1Lankarani KB Afshari R Alcohol consumption in Iran.Lancet. 2014; 384: 1927-1928Summary Full Text Full Text PDF PubMed Scopus (37) Google Scholar Indeed, Iran could learn from its successful experience of revisiting the country's drug policy. Despite the illegality of recreational drugs, harm-reduction policies—including opioid maintenance treatments and needle and syringe programmes—were adopted in the early 2000s.9Razzaghi E Nassirimanesh B Afshar P Ohiri K Claeson M Power R HIV/AIDS harm reduction in Iran.Lancet. 2006; 368: 434-435Summary Full Text Full Text PDF PubMed Scopus (69) Google Scholar Although supply and demand reduction policies were still prominent, the policy shift towards adopting a harm-reduction approach enabled Iran to control HIV epidemics among people who inject drugs.10Rahimi-Movaghar A Amin-Esmaeili M Haghdoost AA Sadeghirad B Mohraz M HIV prevalence amongst injecting drug users in Iran: a systematic review of studies conducted during the decade 1998–2007.Int J Drug Policy. 2012; 23: 271-278Crossref PubMed Scopus (68) Google Scholar The lessons learned from this experience can be used to provide a more efficient response to alcohol-related problems. In the absence of specific alcohol-control guidelines and recommendations for countries where alcohol production, distribution, and use are already prohibited,11World Health OrganizationGlobal status report on alcohol and health 2018. WHO, Geneva2018Google Scholar we believe it is time for Iran to identify and develop culturally acceptable best-practice models to improve how it addresses alcohol consumption and its related harms among its population. Establishing a consistent and effective dialogue between religious or political authorities and the scientific and public health communities is an essential first step; the pragmatic flexibility granted to revising drug policy and applying harm-reduction approaches should be considered for tackling alcohol misuse and its related harms in Iran. We declare no competing interests.
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https://openalex.org/W1511777476
New National Drug Policy in Iran leading to Expanded Pharma¬ceutical Market and Extended Access of Public to Medicines
[ { "affiliations": [], "display_name": "Rassoul Dinarvand", "id": "https://openalex.org/A5001446567" } ]
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[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1780488041", "https://openalex.org/W2116538089" ]
https://api.openalex.org/works?filter=cites:W1511777476
Pharmaceutical market in Iran has been expanding since 2001 when the new development act was approved in the parliament of the Islamic republic of Iran. The pharma market size has annually increased 6.8% in terms of volume and 18.5% in terms of value. However, the growth rate of imported items has been greater than locally produced items both in terms of value and volume. This may be mainly due to the introduction of free market regulations at macroeconomic point of view that has influenced the pharmaceutical market as well. The expansion of pharmaceutical market is welcomed by the industry which is investing heavily in the manufacturing and research and development capacity of pharma sector in Iran. However it does also mean greater access of the public to essential and vital medicines. In the same situation the presence of extra choices in the market may be a challenge for the local industry as the demand for higher quality medicines grows. Market forces are always a challenge for the advocacy of rational prescription and use of medicines.
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https://openalex.org/W2795619597
MPOWER, needs and challenges: trends in the implementation of the WHO FCTC in the Eastern Mediterranean Region
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[ "Islamic Republic of Iran", "Bahrain", "Yemen", "Syrian Arab Republic", "Syria", "Iran", "Egypt" ]
[]
https://api.openalex.org/works?filter=cites:W2795619597
WHO MPOWER aims to help countries prioritize tobacco control measures in line with the WHO Framework Convention on Tobacco Control.This paper assessed the progress and challenges in implementing the 6 priority policies of MPOWER in countries of the WHO Eastern Mediterranean Region since 2011.A checklist was developed and scores assigned based on the MPOWER indicators (maximum score 37). MPOWER data for the Region in the 2015 and 2017 tobacco control reports were extracted and scored. Data from similar analyses for 2011 and 2013 were also included. Countries were ranked by scores for each indicator for 2015 and 2017 and for overall scores for 2011 to 2017.The Islamic Republic of Iran, Egypt and Pakistan had the highest scores in 2015 (33, 29 and 27 respectively) and the Islamic Republic of Iran, Pakistan and Yemen had the highest scores in 2017 (34, 31 and 27 respectively). The indicators with the highest and lowest combined score for all countries were for advertising bans and compliance with smoke-free policies: 67 and 18 respectively in 2015, and 73 and 15 respectively in 2017. Most countries (15/22) had higher total scores in 2017 than 2015: Afghanistan, Bahrain and Syrian Arab Republic had the greatest increases. The total score for the Region increased from 416 out of a maximum score of 814 in 2011 to 471 in 2017.Although notable achievements have been made in the Region, many challenges to policy implementation remain and require urgent action by governments of the countries of the Region.مبادرة التحرّر من التبغ، الاحتياجات والتحديات: الاتجاهات السائدة في تنفيذ اتفاقية منظمة الصحة العالمية الإطارية بشأن مكافحة التبغ في إقليم شرق المتوسط.غلام رضا حيدري، غازي زعتري، جواد بن أحمد اللواتي، فاطمة العوا، هبة فؤاد.تهدف مبادرة منظمة الصحة العالمية للتحرّر من التبغ إلى تحديد الأولويات المتعلقة بتدابير مكافحة التبغ تمشياً مع اتفاقية منظمة الصحة العالمية الإطارية بشأن مكافحة التبغ. ولقد قامت هذه الدراسة بتقييم التقدم المحرز والتحديات المُصادفة في تنفيذ السياسات الست ذات الأولوية لمبادرة التحرر من التبغ في بلدان إقليم شرق المتوسط منذ عام 2011.تم تصميم قائمة مرجعية وإسناد درجات على أساس مؤشرات مبادرة التحرر من التبغ (بحد أقصى 37 درجة). واشتُقّت بيانات المبادرة المتعلقة بالإقليم في عامي 2015 و 2017 والواردة في تقارير مكافحة التبغ وأسندت إليها درجات. كما أُدرجت بيانات مشتقة من تحليلات مماثلة لعامي 2011 و 2013. وصُنفت البلدان حسب الدرجات المسندة لكل مؤشر لعامي 2015 و 2017 وحسب المجموع الكلي للدرجات في الفترة من 2011 إلى 2017.سجّلت جمهورية إيران الإسلامية ومصر وباكستان أعلى الدرجات في عام 2015 (33 و 29 و 27 درجة على التوالي)، في حين سجّلت جمهورية إيران الإسلامية وباكستان واليمن أعلى الدرجات في عام 2017 (34 و 31 و 27 درجة على التوالي). وسجّل مؤشراً حظر الإعلان عن التبغ والامتثال لسياسات حظر التدخين أعلى وأدني درجة مجمّعة لجميع البلدان (67 و 18 على التوالي) في عام 2015 و (73 و 15 على التوالي) في عام 2017. وحقق معظم البلدان (15/22) مجموع درجات أعلى في عام 2017 منه في عام 2015 : حيث سجلت الجمهورية العربية السورية وأفغانستان والبحرين أعلى الزيادات. وارتفع مجموع درجات الإقليم من 416 درجة، من أصل 814 وهي الدرجة القصوى في عام 2011 ، إلى 471 درجة في عام 2017.على الرغم من الإنجازات المهمة التي تحقّقت في الإقليم، لا يزال هناك الكثير من التحديات القائمة على مستوى تنفيذ السياسات، وهو ما يتطلب اتخاذ إجراءات عاجلة من جانب حكومات دول الإقليم.Programme MPOWER – besoins et défis : tendances dans la mise en oeuvre de la Convention-cadre de l’OMS pour la lutte antitabac dans la Région de la Méditerranée orientale.Le programme MPOWER de l’OMS vise à aider les pays à accorder la priorité aux mesures de lutte antitabac, conformément à la Convention-cadre de l’OMS pour la lutte antitabac.La présente étude a évalué les progrès et les défis de la mise en oeuvre des six politiques prioritaires du programme MPOWER dans les pays de la Région OMS de la Méditerranée orientale depuis 2011.Une liste de contrôle a été mise au point et des scores ont été assignés sur la base des indicateurs MPOWER (score maximum de 37). Des données sur le programme MPOWER dans la Région en 2015 et en 2017 publiées dans des rapports sur la lutte antitabac ont été extraites et se sont vues attribuer une note. Des données issues d’analyses similaires pour les années 2011 et 2013 ont également été incluses. Les pays ont été classés selon les notes attribuées pour chaque indicateur pour 2015 et 2017, et pour l’ensemble des scores pour 2011 et 2017.La République islamique d’Iran, l’Égypte et le Pakistan ont obtenu les scores les plus élevés pour 2015 (33, 29 et 27 respectivement), et la République islamique d’Iran, le Pakistan et le Yémen ont obtenu les scores les plus élevés pour 2017 (34, 31 et 27 respectivement). Les indicateurs comportant les scores combinés les plus élevés et les plus bas pour l’ensemble des pays concernaient les interdictions de publicité et la conformité avec les politiques non-fumeur en 2015 (67 et 18 respectivement) et en 2017 (73 et 15 respectivement). La plupart des pays (15/22) ont obtenu des scores totaux plus élevés en 2017 qu’en 2015 : l’Afghanistan, Bahreïn et la République arabe syrienne, affichaient les augmentations les plus importantes. Le score total pour la Région a connu une augmentation, passant de 416 pour un score maximum de 814 en 2011, à 471 en 2017.Bien que des réalisations considérables soient à noter dans la Région, de nombreux défis entravant la mise en oeuvre des politiques demeurent et requièrent une intervention de toute urgence au niveau des gouvernements des pays de la Région.
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https://openalex.org/W4210270845
Para-sectoral Collaboration for the Control and Prevention of Non-Communicable Diseases in the Islamic Republic of Iran: Structures, Policies and Achievements
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4210270845
Para-sectoral Collaboration for the Control and Prevention of Non-Communicable Diseases in the Islamic Republic of Iran: Structures, Policies and Achievements
[ { "display_name": "Scientific journal of Kurdistan University of Medical Sciences", "id": "https://openalex.org/S2764863575", "type": "journal" } ]
https://openalex.org/W4304975673
Stakeholders analysis of COVID-19 management and control: a case of Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W4304975673
Abstract Background The COVID-19 pandemic is a multi-faceted phenomenon with many political, economic and social consequences. Success in managing and controlling this pandemic depends on the coordinated efforts of many organizations and institutions. Therefore, this study aimed to identify and analyze the actors and stakeholders related to managing and controlling this pandemic in Iran. Methods This mix-method stakeholder analysis was conducted in 2021 nationwide as retrospectively. The purposive sampling method was applied when inviting eligible participants to participate in the study. Our study was conducted in two phases. In the qualitative phase, data were collected using a semi-structured interview. An interview guide was developed based on the WHO stakeholder analysis framework. In the quantitative phase, we used a questionnaire developed based on the study framework. Each question was scored on a 5-point Likert scale, with a score greater than 4 was considered as high, 3–4 was considered as moderate, and 1–3 was considered as low. Data were analyzed using framework analysis, WHO stakeholders’ analysis framework and MENDELOW matrix. MAXQDA qualitative data analysis software Version 11 and Policy Maker software (Version. 4) were used for data analysis. Results A total of 48 stakeholders were identified. Ministry of Health (MoH), National Headquarters for Coronavirus Control (NHCC) had the highest participation level, high supportive position, and knowledge of the subject. The Parliament of Iran (PoI), Islamic Revolutionary Guard Corps (IRGC), and Islamic Republic of Iran Broadcasting (IRIB) had the highest power/influence during the Covid-19 epidemic. Only two stakeholders (6.06%) had high participation, and 18.18% had moderate participation. All stakeholders except for the NHCC and the MoH lacked appropriate knowledge of the subject. Furthermore, only three stakeholders (9.09%) had high power/influence. Conclusion Given the multidimensional nature of Covid-19, most institutions and organizations were involved in managing this pandemic. Stakeholders with high power/authority and resources had a low/moderate participation level and a moderate supportive position. Moreover, organizations with a high supportive position and participation had low power/authority and resources to cope with COVID-19.
[ { "display_name": "BMC Public Health", "id": "https://openalex.org/S200437886", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" }, { "display_name": "PubMed Central", "id": "https://openalex.org/S2764455111", "type": "repository" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3199075821
Qualitative analysis of Iranian sixth five-year economic, social, and cultural development plan from universal health coverage perspective
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[ { "display_name": "Health informatics", "id": "https://openalex.org/C145642194" }, { "display_name": "Health administration", "id": "https://openalex.org/C137992405" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Nursing research", "id": "https://openalex.org/C518773536" }, { "display_name": "HRHIS", "id": "https://openalex.org/C147268084" }, { "display_name": "Capitation", "id": "https://openalex.org/C2776196091" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Health services research", "id": "https://openalex.org/C2780877353" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Payment", "id": "https://openalex.org/C145097563" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W2045512163", "https://openalex.org/W2090642727", "https://openalex.org/W2095281104", "https://openalex.org/W2135277023", "https://openalex.org/W2147456678", "https://openalex.org/W2181041571", "https://openalex.org/W2284386481", "https://openalex.org/W2340895818", "https://openalex.org/W2409405461", "https://openalex.org/W2465272545", "https://openalex.org/W2734373255", "https://openalex.org/W2734392003", "https://openalex.org/W2734781588", "https://openalex.org/W2763185407", "https://openalex.org/W2772757754", "https://openalex.org/W2790853850", "https://openalex.org/W2890316224", "https://openalex.org/W2900595660", "https://openalex.org/W2936015247", "https://openalex.org/W2944386371", "https://openalex.org/W3012515464", "https://openalex.org/W3047401718", "https://openalex.org/W4210414975" ]
https://api.openalex.org/works?filter=cites:W3199075821
Abstract Background This research analyzed the Sixth Five-Year Economic, Social, and Cultural Development Plan of the Islamic Republic of Iran (6NPD) to shed light on how the plan addresses the Universal Health Coverage (UHC). Methods This research was a qualitative study. We systematically analyzed ‘Secs. 14 -Health, Insurance, Health &amp; Women, and Family’ in the 6NPD. Through a content analysis, we converted this section into meaning units and coded them. Coding was guided through the conceptual framework ‘Six Building Blocks of Health System’ and the key principles of UHC. Results Six themes and twenty-one subthemes were identified. The subthemes of financing include a fair and secured process of resource pooling, payment methods, revenue generation for the health sector, and a definition of a basic benefits package. The subthemes of governance and leadership consist of social insurance policies’ integration, compliance of providers, a designation of the Ministry of Health and Medical Education (MoHME) as the regulator and the steward of health resources, a payer-provider split, and stakeholders’ participation. The subthemes of health workforce emphasizes balancing the quality and quantity of the health workforce with populations’ health needs and the health system’s requirements. The subthemes of health information system s consist of the electronic health records for Iranians, information systems for organization and delivery functions, and information systems for the financing function. The subthemes of the organization and delivery consider improving effectiveness and efficiency of healthcare delivery, strengthening the family physician program and referral system, and extending the pre-hospital emergency system. Lastly, access to medicine focuses on the design and implementation of an essential drug list and drug systems for approving the coverage and provision of generic medicine. Conclusions The 6NPD introduced policies for strengthening the 6 building blocks of the health system. It introduced policies to improve financing particularly resource pooling and the sustainability of financial resources. As mandated by 6NPD, centering the health system’s governance/leadership in MoHME may exacerbate the existing conflict of interests and provoke various arguments, which impede the enforcement of rules and regulation. The 6NPD is a step forward in terms of improving financial protection, yet several other policies need to be made to adequately meet the requirement of UHC regarding equity and effective coverage.
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https://openalex.org/W2914420793
Cognitive factors associated with brucellosis preventive behaviours among diagnosed patients: an application of Empowerment Model
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[ { "display_name": "Brucellosis", "id": "https://openalex.org/C2781429187" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Empowerment", "id": "https://openalex.org/C20555606" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Immunology", "id": "https://openalex.org/C203014093" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2914420793
Brucellosis is an endemic disease in many countries, especially in the Mediterranean region, as well as countries such as the Islamic Republic of Iran. Despite the preventive measures against brucellosis adopted in different countries throughout the world, the disease is still a public health concern.Our aim in the present study was to examine the cognitive factors associated with Brucellosis Preventive Behaviours (BPBs) among diagnosed patients utilizing Empowerment Model.In 2013, applying a cross-sectional study, all 238 patients with brucellosis in Chaldoran County, Islamic Republic of Iran, were recruited to answer a researcher-made EM-based questionnaire and BPBs Scale through interview.Hierarchical multiple linear regressions were performed with BPBs as the outcome variable. Predictors for this variable, according to their natures, were classified in two different blocks. In the first block, significant effect was found on BPBs by demographic variables (ΔR2 = 0.301). In the second block, the level of education, knowledge, and self-efficacy were significant predictors (P < 0.001) of BPBs (ΔR2 = 0.808).The Empowerment Model was found as a helpful framework in predicting the risk factors of BPBs. Health care providers in low- and middle-income countries should consider the patients' knowledge on the disease and their level of self-efficacy to perform BPBs as the core categories of empowerment while designing brucellosis prevention programmes.العوامل الإدراكية المرتبطة بالسلوكيات الوقائية من داء البروسيلات بين المرضى الذين تم تشخيصهم: تطبيق نموذج التمكين.توحيد بابا زادة، حيدر ندريان، سهيلا رنجبران، حامد رضاخاني مقدم، مهران أغه ميري.يعد داء البروسيلات مرضًا متوطنًا في العديد من البلدان، لا سيّما في إقليم شرق المتوسط، بما في ذلك جمهورية إيران الإسلامية. ورغم تبني التدابير الوقائية لمكافحة داء البروسيلات في مختلف بلدان العالم، لا يزال المرض يُمثِّل قلقًا بالنسبة للصحة العامة.تمثَّل هدفنا في هذه الدراسة في فحص العوامل الإدراكية المرتبطة بالسلوكيات الوقائية من داء البروسيلات بين المرضى الذين تم تشخيصهم بالمرض باستخدام نموذج التمكين.في عام 2013 ، تم تطبيق دراسة مقطعية، حيث تم اختيار 238 مريضًا مصابًا بداء البروسيلات في مقاطعة تشالدران، جمهورية إيران الإسلامية، للإجابة على استبيان قائم على نموذج تمكين وضعه باحثون ومقياس السلوكيات الوقائية من داء البروسيلات من خلال إجراء مقابلة معهم.أُجريت الارتدادات الخطية المتعددة الهرمية باستخدام السلوكيات الوقائية من داء البروسيلات بمثابة متغير المخرجات. وتم تصنيف المؤشرات لهذا المتغير، وفقًا لطبيعتها، في مجموعتين مختلفتين. في المجموعة الأولى، كان هناك أثر كبير على السلوكيات الوقائية من داء البروسيلات وفق المتغيرات السكانية (0.301 = 2RΔ). وفي المجموعة الثانية، كان المستوى التعليمي ومستوى المعرفة والكفاءة الذاتية مؤشرات مهمة (0.001 > P) للسلوكيات الوقائية من داء البروسيلات (0.808 = 2RΔ).وُجِدَ أن نموذج التمكين يعد إطارًا مفيدًا في التنبؤ بعوامل الخطر الخاصة بالسلوكيات الوقائية من داء البروسيلات. ويجب على مقدمي الرعاية الصحية في البلدان منخفضة ومتوسطة الدخل الأخذ في الاعتبار مدى معرفة المرضى بالمرض ومستوى كفاءتهم الذاتية في اتباع السلوكيات الوقائية من داء البروسيلات بمثابة الفئات الأساسية للتمكين، ووضع برامج للوقاية من داء البروسيلات في الوقت ذاته.Facteurs cognitifs associés aux comportements de prévention de la brucellose chez les patients diagnostiqués : application du modèle d’autonomisation.Dans de nombreux pays, la brucellose est une maladie endémique, en particulier dans la Région de la Méditerranée, ainsi que dans des pays tels que la République islamique d’Iran. En dépit des mesures de prévention de la brucellose adoptées dans différents pays à travers le monde, cette maladie reste un problème de santé publique.La présente étude avait pour objectif d’examiner les facteurs cognitifs associés aux comportements de prévention de la brucellose chez les patients diagnostiqués à partir du modèle d’autonomisation.Dans le cadre d’une étude transversale réalisée en 2013, l’ensemble des 238 patients atteints de brucellose dans la circonscription de Chaldoran, en République islamique d’Iran, ont été recrutés. Lors d’un entretien, il a été demandé aux patients de remplir un questionnaire basé sur le modèle d’autonomisation ainsi que sur une échelle des comportements de prévention de la brucellose élaborés par les chercheurs.Des régressions linéaires hiérarchiques multiples ont été réalisées, les comportements de prévention de la brucellose constituant la variable de jugement. En fonction de leur nature, les facteurs prédictifs de cette variable ont été classés en deux groupes distincts. Dans le premier groupe, on a constaté un effet significatif sur les comportements de prévention de la brucellose en fonction des variables démographiques (ΔR2 = 0,301). Dans le second groupe, les niveaux d’éducation, de connaissances et d’efficacité personnelle constituaient des facteurs prédictifs significatifs (p < 0,001) des comportements préventifs de la brucellose (ΔR2 = 0,808).Le modèle d’autonomisation a constitué un cadre utile pour prévoir les facteurs de risque associés aux comportements de prévention de la brucellose. Dans les pays à revenu faible et intermédiaire, il est recommandé aux prestataires de soins de santé de prendre en compte les connaissances des patients sur la maladie ainsi que leur niveau d’efficacité personnelle concernant les comportements de prévention de la brucellose comme catégories de base de l’autonomisation dans le processus d’élaboration de programmes de prévention de cette maladie.
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https://openalex.org/W3176860494
A conceptual framework for socializing the Iranian health system
[ { "affiliations": [], "display_name": "Ali Asghar Farshad", "id": "https://openalex.org/A5034704211" }, { "affiliations": [], "display_name": "Roksana Mirkazemi", "id": "https://openalex.org/A5057626548" }, { "affiliations": [], "display_name": "Narges Rostamigooran", "id": "https://openalex.org/A5046160426" }, { "affiliations": [], "display_name": "Seyyed Mohammad Hadi Ayazi", "id": "https://openalex.org/A5036674689" }, { "affiliations": [], "display_name": "Mohsen Motalebi", "id": "https://openalex.org/A5007356072" } ]
[ { "display_name": "Empowerment", "id": "https://openalex.org/C20555606" }, { "display_name": "Corporate governance", "id": "https://openalex.org/C39389867" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Focus group", "id": "https://openalex.org/C56995899" }, { "display_name": "Conceptual framework", "id": "https://openalex.org/C14224292" }, { "display_name": "Dignity", "id": "https://openalex.org/C2778745096" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Citizen journalism", "id": "https://openalex.org/C203663800" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Health equity", "id": "https://openalex.org/C2250968" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" }, { "display_name": "Anthropology", "id": "https://openalex.org/C19165224" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W3176860494
Background: Socializing the health system is a new approach to participatory governance that aims to promote community health and enhance sustainable health equity in the community. This approach is a part of health system reform in the Islamic Republic of Iran. Aims: This study aimed to develop a conceptual framework for socializing the health system in the Islamic Republic of Iran as a theoretical basis for this reform. Methods: Data were gathered through a review of the literature, in-depth interviews, focus group discussions, and panel discussions. Participants were experts in the field of health systems within the health ministry and medical universities. Content analysis was used to analyse the data and identify core values, principles, and approaches for socializing the health system. Results: The core values identified included human dignity, equity, ethics, and trust. The principles were participation, empowerment, human rights, and responsiveness. The approaches identified were good governance, a health-oriented focus, capacity-building, a process-oriented method, and improvement in the social determinants of health. A strong political will was considered essential for socializing the health system. Conclusions: The conceptual framework outlines requirements for socializing the Iranian health system. As this is a new approach in health system governance, however, it needs to be refined and redefined through implementation and evaluation.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" } ]
https://openalex.org/W2782157359
Mental Health Survey of the Iranian Adult Population in 2015.
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2782157359
Mental disorders influence people with a high prevalence and exert remarkable burden on community members. This study was carried out aiming to assess mental health status within the age range category of 15 and above in the Islamic Republic of Iran.The statistical population of this cross-sectional survey consisted of residents of urban and rural areas in Iranian provinces. An estimated sample size of 36000 people was chosen using systematic random sampling and the cluster method. Access was provided by the contribution of the Geographical Post Office for each province. The GHQ-28 was used as a screening tool for mental disorders. Data analysis was carried out using SPSS-18 software.The results were gathered by the traditional scoring method. A total of 23.44% of samples were suspected of having mental disorders. The prevalence of suspicion for mental disorders was higher in urban (24.55%) than rural areas (20.89%). The prevalence of anxiety and somatization symptoms was higher than social dysfunction and depression symptoms. The outcomes also revealed that the prevalence of suspicion for mental disorders increased noticeably with aging. Suspicion for these disorders was more common in women, divorcees and widows, illiterates, less educated, unemployed and disabled individuals compared with other potential groups of the society.Comparison of the outcomes from this study with the research conducted in 1999, demonstrated an increasing prevalence rate of suspicion for mental disorders. Therefore, it is mandatory for Iranian public health authorities to take the needed steps to ensure that necessary requirements encompassing prevention and promotion of mental health are implemented.
[ { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2033129174
Determination of Dietary Status as a Public Health Problem among Rural Women
[ { "affiliations": [], "display_name": "Firdous Ansari", "id": "https://openalex.org/A5044924866" }, { "affiliations": [], "display_name": "M. Sedehi Esfehani", "id": "https://openalex.org/A5088212221" }, { "affiliations": [], "display_name": "Abolghassem Djazayery", "id": "https://openalex.org/A5063253468" } ]
[ { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Socioeconomics", "id": "https://openalex.org/C45355965" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2033129174
Energy, protein and iron intakes and status were investigated in 471 married women, 20-56 years old, selected by 2-stage random sampling, in rural areas in Islamic Republic of Iran. Pre-tested 24-hour dietary recall questionnaire was used to get data on nutrition intakes. Although average total iron intake was acceptable, only 6.4% of women derived at least 4% of their total intake from animal iron. Average energy and protein intakes were inadequate. Fining of this study showed that this group with medium-to-low socioeconomic status should receive particular attention in national health and nutrition planning.
[ { "display_name": "Pakistan Journal of Nutrition", "id": "https://openalex.org/S107101301", "type": "journal" } ]
https://openalex.org/W2076813074
Space or no space for managing public hospitals; a qualitative study of hospital autonomy in Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2076813074
The International Journal of Health Planning and ManagementVolume 26, Issue 3 p. e121-e137 Research Article Space or no space for managing public hospitals; a qualitative study of hospital autonomy in Iran Mehdi Jafari, Mehdi Jafari Department of Health Services Management, School of Health Services Management, Iran University of Medical Sciences, Tehran, Iran Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorArash Rashidian, Arash Rashidian Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorFarid Abolhasani, Farid Abolhasani National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorKazem Mohammad, Kazem Mohammad Department of Epidemiology and Biostatistics, School of public health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorShahram Yazdani, Shahram Yazdani Educational Development Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSearch for more papers by this authorPatricia Parkerton, Patricia Parkerton Department of Health Services Management, School of Public Health, University of California Los Angeles, California, USASearch for more papers by this authorMasud Yunesian, Masud Yunesian Center for Environmental Research; Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorFeizollah Akbari, Feizollah Akbari Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorMohammad Arab, Corresponding Author Mohammad Arab [email protected] Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, School of Public Health, TUMS, Tehran, Islamic Republic of Iran.Search for more papers by this author Mehdi Jafari, Mehdi Jafari Department of Health Services Management, School of Health Services Management, Iran University of Medical Sciences, Tehran, Iran Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorArash Rashidian, Arash Rashidian Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorFarid Abolhasani, Farid Abolhasani National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorKazem Mohammad, Kazem Mohammad Department of Epidemiology and Biostatistics, School of public health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorShahram Yazdani, Shahram Yazdani Educational Development Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSearch for more papers by this authorPatricia Parkerton, Patricia Parkerton Department of Health Services Management, School of Public Health, University of California Los Angeles, California, USASearch for more papers by this authorMasud Yunesian, Masud Yunesian Center for Environmental Research; Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorFeizollah Akbari, Feizollah Akbari Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranSearch for more papers by this authorMohammad Arab, Corresponding Author Mohammad Arab [email protected] Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Health Management and Economics, School of Public Health, TUMS, Tehran, Islamic Republic of Iran.Search for more papers by this author First published: 28 July 2011 https://doi.org/10.1002/hpm.1050Citations: 30Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Citing Literature Volume26, Issue3July/September 2011Pages e121-e137 RelatedInformation
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https://openalex.org/W3188603837
Inappropriate hospital stays and association with lack of homecare services
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W3188603837
Background: Efforts to reduce inappropriate hospital stay, including alternatives such as homecare, are important to improve patient care and reduce health care costs. Aims: This study evaluated inappropriate hospital stay in Shiraz, Islamic Republic of Iran and the extent to which these stays were due to lack of homecare services and others factors needed for homecare. Methods: This cross-sectional study was conducted between January 2018 and September 2019 at two public hospitals in Shiraz. All adult patients hospitalized in these two hospitals in the study period were included, except patients in mental care wards. Appropriateness of patients’ hospital stay was assessed on a daily basis using the Iranian version of the Appropriateness Evaluation Protocol. The chi-squared test was used to assess association between need for homecare and patient characteristics. Results: Of 6458 hospitalization days assessed (for 1954 patients), 710 (11.0%) days were inappropriate. The greatest proportion of causes of inappropriate stay were physician-related (32.9%). Of the 710 inappropriate hospitalization days, 231 were due to lack of homecare services. Most patients who were inappropriately hospitalized because of lack of homecare services were insured through Salamat insurance (64.0%). A statistically significant relationship was found between the need for homecare services and the type of health insurance (P = 0.01). Of the patients admitted to hospital because of lack of homecare services, 36.8% had endocrine diseases, especially diabetes, and 21.8% needed oxygen services. Conclusion: Institutionalizing home health care in the Iranian health system could encourage more home health care referral and reduce inappropriate hospitalization, especially for diabetes.
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https://openalex.org/W2057057416
Situation of linkage between sexual and reproductive health and HIV-related policies in Islamic Republic of Iran – a rapid assessment in 2011–2
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2057057416
The number of sexual transmission of HIV is increasing globally. Sexual and Reproductive Health (SRH) issues and HIV/AIDS related problems are rooted in common grounds such as poverty, gender inequality, and social exclusion. As a result, international health organizations have suggested the integration of SRH services with HIV/AIDS services as a strategy to control HIV and to improve people's access to SRH services. The aim of this study was to evaluate the relationship between reproductive health and HIV/AIDS services at policy-making level in Islamic Republic of Iran (IRI). This study was conducted in 2011-2 and was a rapid assessment based on guidelines provided by the World Health Organization (WHO), United Nations Programme on HIV/AIDS (UNAIDS), Family Health International Association, and some other international organizations. In this rapid assessment we used different methods such as a review of literature and documents, visiting and interviewing professionals and experts in family health and HIV/AIDS programs, and experts working in some Non-Governmental Organizations (NGOs). Overall, based on the results obtained in this study, in most cases there was not much linkage between HIV/AIDS policies and SRH policies in Iran. Since integration of HIV/AIDS services and SRH services is recommended as a model and an appropriate response to HIV epidemics worldwide, likewise to control the HIV/AIDS epidemic in Iran it is required to integrate HIV/AIDS and SRH services at all levels, particularly at the policy-making level.
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https://openalex.org/W2187760128
Evaluation of Environmental Health Condition and Safety of Primary GirlsSchool in Shahre-Kord, Iran
[ { "affiliations": [], "display_name": "Abdolmajid Fadaei", "id": "https://openalex.org/A5020383891" }, { "affiliations": [], "display_name": "Zohreh Jamshedi", "id": "https://openalex.org/A5054404199" } ]
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2187760128
2 Abstract: School, as a trustworthy place in educating students, has an important role in teaching. If health principles are not observed in schools, students will be prone to various of disease. This research was carried to investigate environmental health condition and safety of primary girlsschool in Shahre-kord, Iran. A cross sectional study was done in year 2013 on 31primary school the checklist has been completed this checklist about: water supply, drinking-cup, wash-basin, toilet, buffet, solid waste disposal, health room and health and safety facilities. The checklist was consisted of 17items. This checklist was according to laws and regulations of Islamic Republic of Iran Ministry of Health and Medical education. Data were analyzed using SPSS software version 13. The hygienic statues of schools were suitable in water supply 100%, drinking-cup (each drinking- cup for 45 students 67. 74% and health condition70. 96%), wash-basin health condition 77. 41%, toilet health condition70. 96%, buffet 51. 61%, solid waste disposal 74. 19% and health room51. 61%. The findings showed that 22. 58% of the schools had excellent condition, 25. 8% good condition, 19. 35% fair condition, 41. 93% poor condition. Most schools had a suitable situation or a relatively suitable regarding the health instruction guide for schools' environment. This requires more attention of the authorities to the necessity of improvement and promotion of the hygienic status of schools.
[]
https://openalex.org/W2759518278
Iranian public trust in health services: evidence from Tabriz, Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2759518278
This study investigated public trust in health services in Tabriz, Islamic Republic of Iran. A crosssectional household study was conducted in 2014, using random cluster sampling. A total of 1050 households were enrolled in the study and a valid questionnaire was used to collect data through interviews. The mean score for public trust in health services in Tabriz (out of 100) was 53.91 ± 13.7. People had most trust in professional expertise and lowest in macro-level policy. Specialists, pharmacy doctors and nurses were the health providers that enjoyed the highest levels of trust. It is concluded that public trust in health services in Tabriz is low and policy-makers need to employ appropriate policies to improve patients' experience of health services.ثقة الجمهور بالخدمات الصحية في تبريز بجمهورية إيران الإسلامية.جعفر صادق تبريزي، محمد سعادتي، همايون صادقي- بازركاني، ليلى عابدي، رقية علي بابائي.لقد استقصت هذه الدراسة ثقة الجمهور بالخدمات الصحية في تبريز بجمهورية إيران الإسامية. حيث أجريت دراسة أسَيّة مقطعية في عام 2014 ، استُخدم فيها اختبار العينة العنقودي العشوائي. وقد سُجِّل في الدراسة ما مجموعه 1050 أسرة، واستُخدم استبيان ذو مصدوقية لجمع البيانات عن طريق إجراء مقابات. فكان متوسط الدرجات المحرزة بخصوص ثقة الجمهور بالخدمات الصحية في تبريز 53.91 ± 13.7 (من كل 100). وقد منح الناس أعى درجات الثقة للخرة المهنية وأدنى الدرجات لسياسات الصعيد الكلي. وكان الاختصاصيون ودكاترة الصيدلة والممرضات مقدمي الرعاية الصحية الذين تمتعوا بأعى مستويات الثقة. يستنتج من ذلك أن ثقة الجمهور بالخدمات الصحية في تبريز منخفضة، وأن صانعي السياسات بحاجة إلى توظيف سياسات مناسبة لتحسن معاناة المرضى من الخدمات الصحية.Confiance du public iranien dans les services de santé : données recueillies à Tabriz (République islamique d'Iran).La présente étude visait à étudier la confiance du public dans les services de santé de Tabriz, en République islamique d’Iran. Une étude transversale des ménages a été conduite en 2014, à l’aide d’un sondage aléatoire par grappe. Un total de 1050 ménages ont participé à l’étude, et un questionnaire validé a été utilisé pour collecter des données au cours d’entretiens. Le score moyen de la confiance du public dans les services de santé à Tabriz (sur un échantillon de 100 individus) était de 53,91 ± 13,7. Les individus faisaient davantage confiance à l’expertise professionnelle et se fiaient moins aux politiques concernant les soins de santé dans leur ensemble. Les spécialistes, les docteurs en pharmacie et les personnels infirmiers étaient les prestataires de santé qui jouissaient des taux de confiance les plus élevés. En conclusion, on peut dire que la confiance du public dans les services de santé à Tabriz est basse et que les responsables politiques doivent recourir à des politiques appropriées pour améliorer l’expérience des services de santé vécue par les patients.
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https://openalex.org/W3138584575
Stakeholder analysis of childhood obesity prevention policies in Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W3138584575
Abstract Background Childhood obesity is one of the most serious health challenges and risk factors for various diseases. International health organizations, such as the World Health Organization (WHO), recommend more stakeholder engagement to discuss this health problem. Therefore, this study aims to identify and analyze the stakeholders of childhood obesity prevention (COP) policy making process in Iran. Methods In this study, semi-structured interviews were conducted with 24 Iranian stakeholders in the field of COP from February 2019 to May 2020. PolicyMaker V.4 and MAXQDA V.10 software were used for the analysis of stakeholders. Results Out of 24 interviewed stakeholders, 17 were active and seven were inactive. The most powerful and supportive stakeholders were the Ministry of Health and Medical Education (MoHME) and the national and regional Offices of Community Nutrition Improvement. Although stakeholders like the Ministry of Sports and Youth, the municipalities, the Secretariat of the Health and Food Safety, the Islamic Republic of Iran Broadcasting (IRIB), and Student Organization were among powerful bodies, they showed the least support for COP policies. The remaining stakeholders showed medium or low support and power in the policy making process. Conclusions Disconnect between stakeholders, less attention to prevention strategies, and high advertising of unhealthy foods were among the main challenges facing the COP policies in Iran and worldwide. Insufficient financial resources, little attention to the young people under 18, non-aligned policies of the Student Organization and the IRIB, and insufficient support of COP policies were among the key challenges to be handled.
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https://openalex.org/W2259311029
COMPARING THE EFFECT OF PEER-LED VERSUS ADULT-LED AIDS EDUCATION ON KNOWLEDGE, ATTITUDE AND SELF-EFFICACY OF FEMALE STUDENTS IN HIGH SCHOOLS IN 4TH REGION OF EDUCATION MINISTRY IN TEHRAN, USING SOCIO - COGNITIVE THEORY, 2002-2003
[ { "affiliations": [], "display_name": "F Khalajabadi Faraahani", "id": "https://openalex.org/A5054164049" }, { "affiliations": [], "display_name": "F Ebadifar Azar", "id": "https://openalex.org/A5077160530" } ]
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2259311029
Comparing the effect of peer-led versus adult-led AIDS education on knowledge, attitude and self-efficacy of female students in high schools in 4 region of education ministry in Tehran, using socio-cognitive theory, 2002-2003 Khalaj Abadi Farahani F.(M.Sc.), Ebadifar Azar F.(Ph.D.). 1Researcher, National Research Center of Medical Sciences, Tehran, Iran. 2Assistant Professor, Department of Health Education, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran. Introduction: Iran is one of the Middle East countries involved in AIDS crisis. Around 17% of cases are between 20-29 years old and 35% between 30-39. Considering the long incubation period (around 10 years), obviously a great percentage of cases have become involved in their adolescent ages. To address this issue, school based AIDS educational program for adolescents is being considered as an important strategy of the ministry of education and the ministry of health in Islamic Republic of Iran. Accordingly, studying and recognition of the most effective method of education which leads to increasing knowledge, improvement of attitude and enhancement of life skills related to prevention of AIDS among adolescents seems to be a priority. This study was designed to compare the effects of two educational interventions for prevention of AIDS, conducted by peers and adults (school counselors), on knowledge, attitude and self efficacy of female students in high schools of Tehran, studying in human science field, in 4 region of ministry of education in 2002-3. The objective was to found new initiatives in school based AIDS educational programs. Materials and Methods: The mode of education used in this survey was Bendora SocioCognitive theory. A total of 441 students from 7 high schools in 4 region of ministry of education, were recruited using random cluster sampling and were allocated based on the educator, to 2 intervention groups (peer-led and adult-led group) and one control group. The educational subjects included AIDS prevention and correct attitudes towards AIDS (vulnerability and rejecting patients) and self-efficacy skills (decision making, problem solving and assertiveness). Anonymous questionnaires were filled by the students before and 30 days after the intervention. Data analysis was done using SPSS-11, and statistical tests including Analysis of variance, and Chi-Square were used. Results: The mean score of knowledge significantly increased in both interventional groups compared to control group after intervention (p<0.0001), but no significant difference was detected between peer-led and adult-led groups in this regard. Despite the equality between two interventional groups in the rise in knowledge, the type of information imparted by them was significantly different. Concerning the unique mode of education used in both groups, it seems that peer-led group more likely imparted those information which were a matter of concern among their peers and friends (e.g. transmission mode) while adults (school counselors) imparted some other informations (e.g. treatment, vaccination). There was no significant improvement in the attitude of vulnerability towards AIDS among interventional groups from pre-intervention to post-intervention. Whereas the attitude of rejecting AIDS patients in both interventional groups has improved compared to control group (p<0.0001), no difference has been detected between the two interventional groups in this regard. The educational intervention only in adult-led group has led to enhancement of self-efficacy skills significantly compared to control group, from pretest to posttest, however, there was no significant difference between peer –led and adult-led group in this issue. Conclusion: we recommend both peer-led and adultled programs to be employed in school-based AIDS education, particularly peers in imparting information according to their peer’s need and adults in training self efficacy skills. However further studies with larger sample size and longer educational periods are recommended to confirm the current results.
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https://openalex.org/W2913268203
Availability, pricing and affordability of selected medicines for noncommunicable diseases
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2913268203
The global and national burden of noncommunicable diseases continues to rise, thus making access to medicines increasingly important.The objective of this study was to evaluate the availability, pricing, and affordability of selected medicines for noncommunicable diseases in the Islamic Republic of Iran used in 2014 based on the World Health Organization (WHO)/Health Action International (HAI) methodology.The price and availability data for 54 selected medicines were collected from public and private retail pharmacies as well as private pharmacies located in public hospitals in six cities of the Islamic Republic of Iran on the basis of the standardized methodology developed by WHO and HAI. The outcome measures were percentage availability of medicines, ratios of medicine prices to the international reference prices, and the affordability. Affordability was defined as the number of days' wages needed by the lowest-paid unskilled government worker to afford one month of chronic treatment.The procurement price of the surveyed Lowest Priced Generic and Most Sold Generic medicines was 1.19 times the international reference price. The patient price was not significantly different among different pharmacy retail settings compared with the international reference prices. Moreover, the overall mean availability of the surveyed Lowest Priced Generic medicines in public, private, and other settings was 75.5%, 83.3% and 80.3%, respectively. All the treatment costs for the high burden noncommunicable diseases were less than one day's wages of the lowest-paid government worker.This study indicated that procurement prices of the surveyed medicines were reasonable in comparison with the international reference price. Moreover, the availability of generic forms of the surveyed medicines was good but originator brand medicines were significantly low in all the three settings.مدى توافر أدوية محددة لعلاج الأمراض غير السارية وأسعارها والقدرة على تحمل تكاليفها.إلهام حيدري، مهدي ورمقاني، أكبر عبداللهي أصل.لا يزال العبء العالمي والوطني للأمراض غير السارية في ازدياد، ما يزيد من أهمية الحصول على الأدوية.كان الغرض من هذه الدراسة هو تقييم مدى توافر أدوية محددة لعلاج الأمراض غير السارية وأسعارها والقدرة على تحمل تكاليفها في جمهورية إيران الإسلامية، والتي تم استخدامها في عام 2014 ، استنادًا إلى منهجية الهيئة الدولية للعمل في مجال الصحة.تم جمع بيانات الأسعار والتوافر الخاصة بأربعة وخمسين دواءً محددًا من صيدليات البيع بالتجزئة في القطاعين العام والخاص بالإضافة إلى الصيدليات الخاصة الموجودة داخل المستشفيات العامة في ست مدن بجمهورية إيران الإسلامية، استنادًا إلى المنهجية القياسية التي وضعتها منظمة الصحة العالمية والهيئة الدولية للعمل في مجال الصحة. وشملت مقاييس النتائج النسبة المئوية لتوافر الأدوية، وأسعار الأدوية نسبة إلى الأسعار المرجعية الدولية، والقدرة على تحمل التكاليف. وتم تعريف القدرة على تحمل التكاليف على أنه أجور عدد أيام العمل المطلوبة من العامل غير الماهر الأدنى أجرًا لتحمل تكاليف شهر واحد من علاج الأمراض المزمنة.بلغ سعر شراء الأدوية الجنيسة الأدنى سعرًا والأدوية الجنيسة الأكثر مبيعًا المشمولة في الدراسة الاستقصائية 1.19 ضعف السعر المرجعي الدولي. ولم يكن سعر البيع للمرضى مختلفًا كثيرًا بين صيدليات البيع بالتجزئة المختلفة مقارنة بالأسعار المرجعية الدولية. إضافة إلى ذلك، بلغ متوسط معدل إجمالي توافر الأدوية الجنيسة الأدنى سعرًا المشمولة في الدراسة الاستقصائية في الصيدليات العامة والخاصة والأخرى 75.5% ، و 83.3% و 80.3%، على التوالي. وبلغت تكاليف علاج العبء المرتفع للأمراض غير السارية أقل من أجر يوم عمل واحد للعامل الأدنى أجرًا في القطاع الحكومي.أشارت هذه الدراسة إلى أن أسعار شراء الأدوية المشمولة في الدراسة الاستقصائية تعد معقولة مقارنة بالسعر المرجعي الدولي. بالإضافة إلى ذلك، كان توافر الأنواع الجنيسة من الأدوية المشمولة في الدراسة الاستقصائية جيدًا، ولكن توافر أدوية العلامة التجارية الأصلية كان متدنيًا إلى حد كبير في جميع الصيدليات العامة والخاصة والأخرى.Disponibilité, prix et accessibilité économique d’une sélection de médicaments pour la prise en charge des maladies non transmissibles.La charge nationale et mondiale des maladies non transmissibles continue de croître, ce qui donne davantage d’importance à la question de l’accès aux médicaments.La présente étude visait à évaluer la disponibilité et l’accessibilité économique d’une sélection de médicaments pour la prise en charge des maladies non transmissibles et la fixation de leur prix en République islamique d’Iran à l’aide de la méthodologie mise au point par l’Organisation mondiale de la Santé/Health Action International.Les données sur les prix et la disponibilité de 54 médicaments sélectionnés ont été recueillies auprès de pharmacies de détail publiques et privées ainsi que de pharmacies privées situées dans des hôpitaux publics de six villes de la République islamique d’Iran sur la base de la méthodologie normalisée élaborée par l’Organisation mondiale de la Santé (OMS) et Health Action International (HAI). Les résultats ont été mesurés en termes de pourcentage de la disponibilité des médicaments, de ratios des prix des médicaments par rapport aux prix de référence internationaux et d’accessibilité économique. Cette dernière a été définie comme le nombre de jours de salaire nécessaires au fonctionnaire non qualifié le moins bien rémunéré pour se permettre un mois de traitement chronique.Le prix d’achat du médicament générique le moins cher et du médicament générique le plus vendu dans l’étude était 1,19 fois le prix de référence international. Le prix payé par les patients ne variait pas significativement entre les différents établissements de vente au détail en pharmacie par rapport aux prix de référence internationaux. De plus, la disponibilité moyenne globale des médicaments génériques les moins chers inclus dans cette étude dans les établissements publics, privés et autres était de 75,5 %, 83,3 % et 80,3 %, respectivement. Tous les coûts de prise en charge des maladies non transmissibles les plus lourdes étaient inférieurs au salaire journalier du fonctionnaire le moins bien payé.Cette étude a montré que les prix d’achat des médicaments étudiés étaient raisonnables par rapport au prix de référence internationaux. De plus, la disponibilité des formes génériques des médicaments étudiés était bonne, mais celles des médicaments de marque d’origine étaient très faibles dans les trois types d’établissements.
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https://openalex.org/W2947770391
Developing national framework of monitoring and evaluation of non-communicable diseases control and prevention: an experience from Iran
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[ { "display_name": "Control (management)", "id": "https://openalex.org/C2775924081" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Artificial intelligence", "id": "https://openalex.org/C154945302" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2947770391
Background : Islamic Republic of Iran, as a country has undergone dramatic and rapid demographical and economic transition leading to increase mortality and morbidity of Non-Communicable Diseases (NCDs). Furthermore, the prevalence of risk factors of NCDs is at alarming range for the population. In response to this challenge, a number of different high level policies have been developed dealing with NCDs, directly or indirectly. However, the fragmentation of policies makes monitoring of NCDs control difficult. Therefore, the aim of the present study was to develop a comprehensive framework for monitoring and evaluating of NCDs control and prevention. Methods: A qualitative approach with content analysis method was conducted. Components of NCDs monitoring and evaluation framework were extracted and adaptation of components based on requirements of Iran’s health system was made. Results: Based on the proposed framework, the three main components of NCDs surveillance are as follows; 1) monitoring outcomes (morbidity and mortality); 2) monitoring risk factors; and 3) assessing health care system response, which includes national capacity to prevent NCDs. Conclusion: The developed framework is a political tool to strengthen activities to control and prevention of NCD and making more effective inter-sectorial collaboration.
[ { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" } ]
https://openalex.org/W2145151562
Study of operated primary and secondary [recurrence] hydatidosis in hospitals of Kermanshah, west of Islamic Republic of Iran
[ { "affiliations": [], "display_name": "Marjan Vejdani", "id": "https://openalex.org/A5028493373" }, { "affiliations": [], "display_name": "S. Vejdani", "id": "https://openalex.org/A5057690585" }, { "affiliations": [], "display_name": "Shamim Lotfi", "id": "https://openalex.org/A5034148962" }, { "affiliations": [], "display_name": "Fereshteh Najafi", "id": "https://openalex.org/A5045395673" }, { "affiliations": [], "display_name": "Naser Nazari", "id": "https://openalex.org/A5049963874" }, { "affiliations": [], "display_name": "Yazdan Hamzavi", "id": "https://openalex.org/A5079788065" } ]
[ { "display_name": "Hydatid cyst", "id": "https://openalex.org/C2994445075" }, { "display_name": "Echinococcus granulosus", "id": "https://openalex.org/C2777028278" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Albendazole", "id": "https://openalex.org/C2777065887" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Cystic echinococcosis", "id": "https://openalex.org/C2909003041" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Echinococcosis", "id": "https://openalex.org/C2779687537" }, { "display_name": "Cyst", "id": "https://openalex.org/C2780597408" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Biology", "id": "https://openalex.org/C86803240" }, { "display_name": "Zoology", "id": "https://openalex.org/C90856448" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1526467838", "https://openalex.org/W1587848739", "https://openalex.org/W1785294581", "https://openalex.org/W1841074245", "https://openalex.org/W2002232495", "https://openalex.org/W2015403510", "https://openalex.org/W2015832131", "https://openalex.org/W2025581499", "https://openalex.org/W2044052619", "https://openalex.org/W2056089978", "https://openalex.org/W2085812488", "https://openalex.org/W2099929564", "https://openalex.org/W2101337742", "https://openalex.org/W2108652712", "https://openalex.org/W2111687134", "https://openalex.org/W2118065644", "https://openalex.org/W2123167649", "https://openalex.org/W2131372297", "https://openalex.org/W2132169492", "https://openalex.org/W2165126208", "https://openalex.org/W2166068087", "https://openalex.org/W2183390506", "https://openalex.org/W2218802814", "https://openalex.org/W2244530334", "https://openalex.org/W2269123330", "https://openalex.org/W2312777068", "https://openalex.org/W2321299698", "https://openalex.org/W2392687785", "https://openalex.org/W2408811210", "https://openalex.org/W2419105278", "https://openalex.org/W2502398026", "https://openalex.org/W3143580951" ]
https://api.openalex.org/works?filter=cites:W2145151562
Cystic echinococcosis, caused by the larval stage of Echinoccocus granulosus, is a global public health threat. The aim of this study was to determine the demographic and clinical characteristics of cases of primary and secondary hydatid cyst in the west of the Islamic Republic of Iran. A retrospective record review was made in 7 public and private hospitals in Kermanshah from 2004 to 2009. Of 526 files of suspected cases analysed, 291 cases of hydatid cyst had been operated upon and confirmed. Of the patients, 51.5% were females, 57.7% lived in urban and suburban areas and the largest age group (17.5%) was 31-40 years. The major organs involved were liver (64.9%) and lung (26.8%) and 18 cases (6.2%) were confirmed as secondary hydatidosis. Most patients (79.4%) had been treated with albendazole. Kermanshah province should be considered an endemic region for human hydatid cyst disease; greater efforts in prevention are needed.دراسة حول الكيسات العدارية الأولية أو الثانوية )الناكسة( التي أجريت لها عمليات جراحية في مستشفيات كرمان شاه، غربيّ جمهورية إيران الإسلاميةمهدي وجداني، سينا وجداني، سارة لطفي، فريد نجفي، نصر نزاري، يزدان حمزاويإن داء المُشْوِكات الكيسي الذي تسببه المرحلة اليََقية من ديدان المشوكة الحبيبية يمثِّل أحد التهديدات للصحة العمومية العالمية. وتهدف هذه الدراسة إلى التعرُّف إلى السمات الديمغرافية والسريرية لحالات الكيسات العدارية الأولية والثانوية في غربي جمهورية إيران الإسلامية. وقد أجرى الباحثون استعراضاً استعادياً للسجلات في سبعة مستشفيات تابعة للقطاعَيْ العام والخاص في كرمان شاه في الفترة بين عامَيْ 2004و2009؛ وشملت الدراسة تحليل 529 ملفاً لحالات مشتبه بها، ووجدوا أن 291 حالة كيسة عدارية قد أجري لها عمليات جراحية وتم تأكيدها. وقد كان 51.5% من المرضى من الإناث، و 57.7 منهم يعيشون في المدن أو الضواحي، وكانت أكبر المجموعات العمرية تشكيلاً لنسبة 17.5% من الحالات هي 31-40 عاماً. أما أكثر الأعضاء إصابة فكان الكبد 64.9% ثم الرئتين 26.8%، وقد تأكَّد النكس الثانوي لدى 18 حالة (6.2%). وقد تلقى معظم المرضى (79.4%) وليس كلهم المعالجة بالألبندازول. وانتهى الباحثون إلى وجوب اعتبار ولاية كرمان شاه منطقة موطونة بمرض الكيسات العدارية البشري، ووجوب بذل المزيد من الجهود الوقائية.Étude de l'hydatidose primaire et secondaire (récidive) opérée dans des hôpitaux de Kermanshah, dans l'ouest de la République islamique d'Iran.L'échinococcose cystique, causée par le stade larvaire d'Echinoccocus granulosus, représente une menace pour la santé publique mondiale. L'objectif de la présente étude était de déterminer les caractéristiques démographiques et cliniques des cas de kyste hydatique primaire et secondaire dans l'ouest de la République islamique d'Iran. Une revue rétrospective des dossiers a été menée dans sept hôpitaux publics et privés de Kermanshah entre 2004 et 2009. Sur un total de 526 dossiers de cas suspects analysés, 291 cas de kyste hydatique avaient été opérés et confirmés. Les patients étaient 51,5 % à être de sexe féminin, 57,7 % vivaient dans des zones urbaines ou suburbaines et le groupe d'âge le plus nombreux (17,5 %) était celui des 31-40 ans. Les principaux organes touchés étaient le foie (64,9 %) et les poumons (26,8 %) et 18 cas (6,2 %) ont été confirmés comme hydatidose secondaire. La plupart des patients (79,4 %) avaient été traités par albendazole. La province de Kermanshah devrait être considérée comme une région d'endémie pour le kyste hydatique humain ; des actions de prévention renforcées sont nécessaires.
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https://openalex.org/W2286884969
AMALGAMATION OF MEDICAL UNIVERSITIES IN TEHRAN PROVINCE
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2286884969
ences (and health services) in Iran, beyond teaching and research duties, are responsible for providing health services to residents of specified geographical areas [1]. Parts of the health services are provided directly through medical university staffs and students; the university has also oversight on health services of non-governmental public and private sectors. Thus, chancellors of governmental medical universities in Iran, in addition to teaching and research vice-chancellors, have also other deputies such as Health, Food & Drug and Administration & Support. They normally dedicate considerable parts of their time and resources on health service provision. Tehran Province with a population of more than 12.5 million (estimated for 2010), had been divided between three Universities of Medical Sciences since early 1980s; Iran University of Medical Sciences (IUMS), Tehran University of Medical Sciences (TUMS), and Shahid-Beheshti University of Medical Sciences (SBMU). On 30.10.2010, the Iranian Minister of Health and Medical Education (MOHME) issued a letter for amalgamation of IUMS with two other major medical universities in Tehran. Based on this decision, education and research sectors including teaching hospitals of IUMS were merged with TUMS and other parts joined SBMU [2]. IUMS had more than 35 years experience in education, research and heath service provision. It included six schools, 20 research centers, 10 teaching hospitals, and 16 non-teaching hospitals; more than 6.6 million inhabitants in the west of Tehran were covered by IUMS. At the time of amalgamation, more than 700 faculty members and about 7000 students were active in IUMS [3]. Following integration, all faculty members, students and research or educational officers of IUMS joined TUMS. At present, tens of thousands of graduates of IUMS are doing education, research, studies in higher degrees or health service provision around the world; all records of IUMS alumni were transferred to TUMS. Thus, academic affairs of IUMS graduates will also be done by TUMS. There were eight scientific peer-reviewed journals being published with the administrative support of IUMS [2]. All these journals, including Medical Journal of the Islamic Republic of Iran, will be published with support of TUMS with new addresses and websites. New TUMS (after amalgamation of IUMS and previous TUMS) has ten schools, 69 research centers, 25 teaching and 3 non-teaching hospitals and covers a geographical area in South and East of Tehran province with 2.9 mil-
[ { "display_name": "The Medical Journal of The Islamic Republic of Iran", "id": "https://openalex.org/S2764553894", "type": "journal" } ]
https://openalex.org/W2127831798
The impact of rural health system reform on hospitalization rates in the Islamic Republic of Iran: an interrupted time series
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2127831798
To assess the effects on hospital utilization rates of a major health system reform - a family physician programme and a social protection scheme - undertaken in rural areas of the Islamic Republic of Iran in 2005.A "tracer" province that was not a patient referral hub was selected for the collection of monthly hospitalization data over a period of about 10 years, beginning two years before the rural health system reform (the "intervention") began. An interrupted time series analysis was conducted and segmented regression analysis was used to assess the immediate and gradual effects of the intervention on hospitalization rates in an intervention group composed of rural residents and a comparison group composed of urban residents primarily.Before the intervention, the hospitalization rate in the rural population was significantly lower than in the comparison group. Although there was no significant increase or decline in hospitalization rates in the intervention or comparison group before the intervention, after the intervention a significant increase in the hospitalization rate - of 4.6 hospitalizations per 100 000 insured persons per month on average - was noted in the intervention group (P < 0.001). The monthly increase in the hospitalization rate continued for over a year and stabilized thereafter. No increase in the hospitalization rate was observed in the comparison group.The primary health-care programme instituted as part of the health system reform process has increased access to hospital care in a population that formerly underutilized hospital services. It has not reduced hospitalizations or hospitalization-related expenditure.Évaluer les effets d'une réforme importante du système de santé sur les taux d'utilisation des hôpitaux – un programme introduisant un médecin de famille et un régime de protection sociale – engagée dans les zones rurales de la République islamique d'Iran en 2005.Une province «traceur», qui n'était pas un centre d'aiguillage des patients, a été sélectionnée pour recueillir les données mensuelles d'hospitalisation pendant une période d'environ 10 ans; cette collecte a débuté deux ans avant le début de la réforme du système de santé en zone rurale («l'intervention»). Une analyse de la série chronologique interrompue a été menée et une analyse de régression segmentée a été utilisée pour évaluer les effets immédiats et progressifs de l'intervention sur les taux d'hospitalisation dans un groupe d'intervention composé d’habitants des zones rurales et d’un groupe témoin composé principalement d’habitants des zones urbaines.Avant l'intervention, le taux d'hospitalisation dans la population rurale était significativement inférieur à celui du groupe témoin. Bien qu'il n'y ait eu ni d’augmentation ni de baisse significatives des taux d'hospitalisation dans le groupe d'intervention ou le groupe témoin avant l'intervention, une hausse significative du taux d'hospitalisation – de 4,6 hospitalisations pour 100 000 personnes assurées en moyenne par mois – a été observée dans le groupe d'intervention après l'intervention (P < 0,001). L'augmentation mensuelle du taux d'hospitalisation s'est poursuivie pendant plus d'un an, puis elle s'est stabilisée par la suite. Aucune augmentation du taux d'hospitalisation n'a été constatée dans le groupe témoin.Le programme de soins de santé primaires établi dans le cadre du processus de réforme du système de santé a amélioré l'accès aux soins hospitaliers au sein d'une population qui, auparavant, utilisait insuffisamment les services hospitaliers. Il n’a pas diminué les hospitalisations ou les dépenses liées aux hospitalisations.Evaluar los efectos sobre las tasas de utilización hospitalaria tras una importante reforma del sistema sanitario (un programa de médicos de familia y un esquema de protección social) realizada en las zonas rurales de la República Islámica del Irán en 2005.Se seleccionó una provincia «indicadora», que no era un centro de referencia de pacientes, para recabar los datos mensuales de hospitalización durante un periodo de 10 años aproximadamente, el cual comenzó dos años antes de que empezara la reforma del sistema de salud rural (la «intervención»). Se llevó a cabo el análisis de una serie cronológica interrumpida y se empleó un análisis de regresión segmentada para evaluar los efectos inmediatos y graduales de la intervención en las tasas de hospitalización en un grupo de intervención compuesto por residentes rurales y un grupo de comparación formado principalmente por residentes urbanos.Antes de la intervención, la tasa de hospitalización de la población rural era considerablemente inferior que la del grupo de comparación. Aunque no hubo un aumento o disminución relevante en las tasas de hospitalización del grupo de intervención o de comparación antes de la intervención, se observó un aumento significativo de la tasa de hospitalización en el grupo de intervención tras la misma. En concreto, un aumento medio de 4,6 hospitalizaciones por cada 100 000 personas aseguradas por mes (P < 0,001). El incremento mensual en la tasa de hospitalización continuó durante más de un año y posteriormente se estabilizó. Respecto al grupo de comparación, no se observó aumento alguno en la tasa de hospitalización.El programa de salud de atención primaria instituido como parte del proceso de reforma del sistema sanitario ha aumentado el acceso a la atención hospitalaria en una población que anteriormente no utilizaba los servicios hospitalarios de forma suficiente. Por otro lado, no ha reducido las hospitalizaciones ni los gastos relacionados con las mismas.تقييم تأثيرات إصلاح رئيسي للنظام الصحي على معدلات استخدام المستشفيات – برنامج طبيب الأسرة ومخطط الحماية الاجتماعية - الذي تم تنفيذه في المناطق الريفية في جمهورية إيران الإسلامية في عام 2005.تم اختيار مقاطعة "اقتفاء الأثر" التي لم تكن مركزاً لإحالة المرضى من أجل جمع البيانات الشهرية للإدخال إلى المستشفيات على مدار فترة 10 سنوات تقريباً، بدأت قبل عامين من بدء إصلاح النظام الصحي الريفي ("التدخل"). وتم إجراء تحليل سلسلة زمنية متقطعة، وتم استخدام تحليل ارتداد مقسم لتقييم التأثيرات الفورية والتدريجية للتدخل على معدلات الإدخال إلى المستشفيات في مجموعة تدخل مكونة من سكان المناطق الريفية ومجموعة مقارنة مكونة من سكان المناطق الحضرية بالدرجة الأولى.كان معدل الإدخال إلى المستشفيات بين سكان المناطق الريفية، قبل التدخل، أقل على نحو كبير عنه في مجموعة المقارنة. وعلى الرغم من عدم وجود ازدياد أو انخفاض كبير في معدلات الإدخال إلى المستشفيات في مجموعة التدخل أو المقارنة قبل التدخل، إلا أنه لوحظ بعد التدخل وجود ازدياد كبير في معدل الإدخال إلى المستشفيات – 4.6 إدخال إلى المستشفيات لكل 100000 شخص مؤمن عليه لكل شهر في المتوسط - في مجموعة التدخل (الاحتمال < 0.001). واستمر الازدياد الشهري في معدل الإدخال إلى المستشفيات لأكثر من سنة واستقر بعدها. ولم يتم ملاحظة أي ازدياد في معدل الإدخال إلى المستشفيات في مجموعة المقارنة.أدى برنامج الرعاية الصحية الأولية الذي تم تأسيسه كجزء من عملية إصلاح النظام الصحي إلى زيادة إتاحة رعاية المستشفيات في فئة سكانية كانت تستخدم في السابق خدمات المستشفيات على نحو قليل. ولم يؤدِ إلى تقليل مرات الإدخال إلى المستشفيات أو الإنفاق المتصل بالإدخال إلى المستشفيات.评估2005 年在伊朗伊斯兰共和国农村地区实施的主要卫生系统改革(家庭医生计划和社会保护方案)对住院率的影响。选择一个非病人转诊中心的“示踪”省份,收集大约10 年的每月住院数据,该期间从农村卫生系统改革(“干预”)开始之前的两年算起。执行中断时间序列分析,使用分段回归分析,评估在由农村居民组成的干预组和主要由城市居民组成的对照组当中此干预对住院率的即时和渐进的影响。在干预之前,农村人口的住院率显著低于对照组。尽管在干预之前,干预组或对照组中住院率没有显著的提高或下降,但在干预之后,干预组的住院率显著增加——平均每月每十万名受保人4.6 例住院(P < 0.001)。在超过一年时间内,住院率每月提高,之后趋于稳定。对照组中没有看到住院率有所提高。作为卫生体制改革过程的组成部分所制定的初级卫生保健计划,在之前未充分利用医院服务的人群中,提升了使用医院护理的可及性。这没有减少住院或住院相关的支出。Оценить влияние крупной реформы здравоохранения (программа семейных врачей и схема социальной защиты), проведенной в сельских областях Исламской Республики Иран в 2005 году, на уровни использования услуг больниц.Для целей сбора ежемесячных данных о госпитализации в течение примерно 10-летнего периода, начавшегося за два года до осуществления реформы системы здравоохранения в сельской местности («вмешательства»), была выбрана «индикативная» провинция, которая не была центром направления пациентов. Были проведены анализы прерванных временных рядов, а сегментированный регрессионный анализ был использован для оценки непосредственного и постепенного влияния вмешательства на уровни госпитализации в группе вмешательства, включающей сельских жителей, и группы сравнения, состоящей преимущественно из городских жителей.До вмешательства уровень госпитализации сельского населения был значительно ниже, чем аналогичный уровень в группе сравнения. Хотя до вмешательства отсутствовало какое-либо существенное увеличение или снижение уровней госпитализации в группе вмешательства или группе сравнения, после вмешательства было отмечено значительное увеличение частоты госпитализаций в группе вмешательства (P <0,001) — на 4,6 госпитализаций на 100 000 застрахованных лиц в среднем за месяц. Ежемесячный рост уровня госпитализаций продолжался более года, а затем стабилизировался. В группе сравнения увеличение уровня госпитализаций не наблюдалось.Программа первичной медико-санитарной помощи, внедренная в рамках процесса реформирования системы здравоохранения, повысила уровень доступности стационарной медицинской помощи для той части населения, которая ранее в недостаточной мере пользовалось услугами больниц. Она не привела к сокращению числа госпитализаций или расходов на госпитализацию.
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https://openalex.org/W4364380169
Developing technical support and strategic dialogue at the country level to achieve Primary Health Care-based health systems beyond the COVID-19 era
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[ "Islamic Republic of Iran", "Sudan", "Iran" ]
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https://api.openalex.org/works?filter=cites:W4364380169
This article is part of the Research Topic ‘ Health Systems Recovery in the Context of COVID-19 and Protracted Conflict ’. Pursuing the objectives of the Declaration of Alma-Ata for Primary Health Care (PHC), the World Health Organization (WHO) and global health partners are supporting national authorities to improve governance to build resilient and integrated health systems, including recovery from public health stressors, through the long-term deployment of WHO country senior health policy advisers under the Universal Health Coverage Partnership (UHC Partnership). For over a decade, the UHC Partnership has progressively reinforced, via a flexible and bottom-up approach, the WHO’s strategic and technical leadership on Universal Health Coverage, with more than 130 health policy advisers deployed in WHO Country and Regional Offices. This workforce has been described as a crucial asset by WHO Regional and Country Offices in the integration of health systems to enhance their resilience, enabling the WHO offices to strengthen their support of PHC and Universal Health Coverage to Ministries of Health and other national authorities as well as global health partners. Health policy advisers aim to build the technical capacities of national authorities, in order to lead health policy cycles and generate political commitment, evidence, and dialogue for policy-making processes, while creating synergies and harmonization between stakeholders. The policy dialogue at the country level has been instrumental in ensuring a whole-of-society and whole-of-government approach, beyond the health sector, through community engagement and multisectoral actions. Relying on the lessons learned during the 2014–2016 Ebola outbreak in West Africa and in fragile, conflict-affected, and vulnerable settings, health policy advisers played a key role during the COVID-19 pandemic to support countries in health systems response and early recovery. They brought together technical resources to contribute to the COVID-19 response and to ensure the continuity of essential health services, through a PHC approach in health emergencies. This policy and practice review, including from the following country experiences: Colombia, Islamic Republic of Iran, Lao PDR, South Sudan, Timor-Leste, and Ukraine, provides operational and inner perspectives on strategic and technical leadership provided by WHO to assist Member States in strengthening PHC and essential public health functions for resilient health systems. It aims to demonstrate and advise lessons and good practices for other countries in strengthening their health systems.
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https://openalex.org/W2397963403
Exploring the characteristics of public reproductive health services in the Islamic REpublic of Iran from the perspective of unmaried women: what needs to be changed?
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2397963403
This qualitative study in the Islamic Republic of Iran aimed to explore facilitators and barriers to the use of reproductive health services by unmarried women. A purposive sample of unmarried women aged 25-60 years in Isfahan city were interviewed about their experiences of reproductive health services in public health centres. Content analysis of responses revealed that the favourable characteristics of reproductive health services in public centres were services that: were delivered by personnel of the same sex in a woman-friendly environment and available at a suitable price, and did not label clients. In contrast, the following characteristics made public health centres undesirable for unmarried women: not addressing single women for reproductive health services; lack of privacy; failure to maintain confidentiality; doubts about skills and scientific ability of personnel; and lack of integration of services. استكشاف خصائص خدمات الصحة الإنجابية العامة في جمهورية إيران الإسامية من وجهة نظر النساء غر المتزوجات. ما الذي يحتاج إلى تغير؟.شهناز كهن، فاطمة محمدي، فيروزة مصطفاي، علي غلامي.قد هدفت هذه الدراسة الكيفية التي أجريت في جمهورية إيران الإسامية إلى استكشاف العوامل الميرِّة والعوامل المعيقة لاستفادة النساء غر المتزوجات من خدمات الصحة الإنجابية. فأجريت مقابات مع عينة هادفة من النساء غر المتزوجات اللواتي تراوح أعمارهن بن 25 و 60 عاماً في مدينة إصفهان بشأن تجاربهن المتعلقة بخدمات الصحة الإنجابية في مراكز الصحة العامة. فكشف تحليل محتوى الإجابات أن الخصائص الإيجابية لخدمات الصحة الإنجابية في المراكز العامة تمثلت في كونها: تقدَّم من قبل أفراد من نفس الجنس في بيئة صديقة للمرأة، ومتاحة بسعر مناسب ولا تَسِمُ المراجِعات. وفي المقابل فإن الخصائص التالية جعلت المراكز الصحية العامة غر مرغوبة بالنسبة للنساء غر المتزوجات: عدم تخصيص خدمات الصحة الإنجابية للنساء العازبات، وانعدام الخصوصية، وعدم الحفاظ عى السرية، ووجود شكوك في مهارات الأفراد وقدراتهم العلمية، وعدم وجود تكامل في الخدمات.Étude des caractéristiques des services de santé génésique publics en République islamique d’Iran du point de vue des femmes célibataires. Quels sont les changements à mettre en oeuvre ?La présente étude qualitative menée en République islamique d’Iran avait pour objectif de rechercher les éléments favorisant le recours aux services de santé génésique et ceux limitant leur accès aux femmes célibataires. Dans un échantillon choisi à dessein, des femmes célibataires âgées de 25 à 60 ans ont été interrogées dans la ville d’Ispahan sur leur expérience des services de santé génésique dans les centres de santé publique. L'analyse du contenu des réponses a révélé que les caractéristiques favorables des services de santé génésique des centres de santé publique étaient les suivantes : des prestations dispensées par un personnel du même sexe dans un environnement respectueux des femmes et proposés à un prix abordable ; et une absence d’étiquettes attribuées au statut des femmes qui consultent. À l'inverse, les caractéristiques suivantes rendaient les centres de santé publics inattractifs pour des femmes célibataires : l’absence d’orientation des femmes non mariées vers des services de santé génésique ; le manque d’intimité ; le non-respect de la confidentialité ; les compétences et les connaissances scientifiques douteuses du personnel ; et le manque d'intégration des services.
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https://openalex.org/W3133566592
Balancing science and public policy in Pakistan’s COVID-19 response
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[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W2058267992", "https://openalex.org/W3019991502", "https://openalex.org/W3021869651" ]
https://api.openalex.org/works?filter=cites:W3133566592
Coronavirus disease 2019 (COVID-19) has affected the world in an unprecedented manner and South Asian countries were among the first to experience imported cases. Pakistan's response to COVID-19 has been under scrutiny for its granularity, reach and impact.to evaluate objectively the chronology and depth of the response to COVID-19 in Pakistan.We evaluated available national and subnational epidemiological and burden information on COVID-19 cases and deaths in Pakistan, including projection models available to the Government at an early stage of the pandemic.Pakistan, with a population of 215 million and considerable geographic diversity, experienced case introduction from pilgrims returning from the Islamic Republic of Iran, followed by widespread community transmission. The National Command and Operations Centre, established through civilian and military partnership, was critical in fast tracking logistics, information gathering, real-time reporting and smart lockdowns, coupled with a massive cash support programme targeting the poorest sections of society. Cases peaked in June 2020 but the health system was able to cope with the excess workload. Since then, although testing rates remain low (> 300 000 cases confirmed to date), case fatality rates have stabilized, and with 6300 deaths, Pakistan seems to have flattened the COVID-19 curve.Despite notable successes in controlling the pandemic, several weaknesses remain and there are risks of rebound as the economy and educational systems reopen. There is continued need for strong technical and programmatic oversight, linked to civic society engagement and working with religious scholars to ensure nonpharmacological intervention compliance.التوازن بين العلم والسياسة العامة في إطار الاستجابة لكوفيد-19 في باكستان.ذو الفقار بهوتا، فيصل سلطان، عامر إكرام، عادل حيدر، أسعد حفيظ، محمد إسلام.ضربت جائحة فيروس كورونا 2019 (كوفيد-19) مختلف أنحاء العالم على نحوٍ غير مسبوق، وكانت بلدان جنوب آسيا من أوائل البلدان التي شهدت حالات وافدة. وأجرينا دراسة تدقيقية لاستجابة باكستان لكوفيد-19 للوقوف على تفاصيل تلك الاستجابة ونطاقها وتأثيرها.هدفت هذه الدراسة الى إجراء تقييم موضوعي للتسلسل الزمني للاستجابة لمرض كوفيد-19 وعمق تلك الاستجابة في باكستان.طُرق البحث: أجرينا تقييمً للمعلومات الوبائية والمعلومات المتعلقة بعبء المرض المتاحة على المستوييْ الوطني ودون الوطني بشأن حالات كوفيد-19 والوفيات الناجمة عن المرض في باكستان، ومن بينها نماذج التوقُّع المتاحة للحكومة في مرحلة مبكرة من الجائحة.شهدت باكستان، التي يبلغ عدد سكانها 215 مليون نسمة وتتمتع بتنوع جغرافي كبير، وفادة حالات كوفيد-19 من الحجاج العائدين من جمهورية إيران الإسلامية، وأعقب ذلك سراية مجتمعية واسعة النطاق. واضطلع المركز الوطني للقيادة والعمليات، الذي أُنشئ من خلال شراكة مدنية وعسكرية، بدور بالغ الأهمية في لوجستيات التعقُّب السريع، وجمع المعلومات، والإبلاغ الآني، وحظر الخروج الذكي، إلى جانب تنفيذ برنامج دعم نقدي واسع النطاق يستهدف أفقر شرائح المجتمع. وبلغت الحالات ذروتها في يونيو /حزيران 2020، ولكن النظام الصحي تمكَّن من مواجهة عبء العمل الزائد. ومنذ ذلك الحين، ورغم أن معدلات الاختبار لا تزال منخفضة (أكثر من 300000 حالة مؤكَّدة حتى الآن)، استقرت معدلات الوفيات بين الحالات، ويبدو أن باكستان سطَّحت منحنى كوفيد-19، إذ بلغ عدد حالات الوفاة 6300 حالة.على الرغم من النجاحات الملحوظة في مكافحة الجائحة، لا تزال هناك عدة مواطن ضعف، وهناك مخاطر بحدوث ارتداد مع إعادة فتح الاقتصاد والنُّظُم التعليمية. وثَمَّة حاجة مستمرة إلى مراقبة تقنية وبرمجية قوية، مع ربط ذلك بمشاركة المجتمع المدني، والعمل مع علماء الدين لضمان الامتثال للتدخل غير الدوائي.Trouver le bon équilibre entre science et politique publique dans la riposte à la COVID-19 au Pakistan.La maladie à coronavirus 2019 (COVID-19) a touché le monde d'une manière sans précédent et les pays d'Asie du Sud ont été parmi les premiers à connaître des cas importés. La riposte à la COVID-19 au Pakistan a été examinée de près en raison de sa granularité, de sa portée et de son impact.La présente étude vise à évaluer d’une manière objective la chronologie et la profondeur de la riposte à la COVID-19 au Pakistan.Nous avons évalué les informations épidémiologiques et relatives à la charge de morbidité disponibles aux niveaux national et infranational sur les cas et les décès liés à la COVID-19 au Pakistan, y compris les modèles de projection disponibles pour le gouvernement à un stade précoce de la pandémie.Avec une population de 215 millions d'habitants et une diversité géographique considérable, le Pakistan a connu une introduction de cas à partir de pèlerins revenant de la République islamique d'Iran, suivie d'une large transmission communautaire. Le National Command and Operations Centre, établi par un partenariat civil et militaire, a joué un rôle crucial dans le suivi logistique rapide, la collecte des informations, l'établissement de rapports en temps réel ainsi que la mise en place des confinements efficaces, avec un programme de soutien financier ciblant les endroits les plus pauvres de la société. Le nombre de cas a atteint un niveau record en juin 2020, mais le système de santé a pu faire face à la surcharge de travail. Depuis lors, bien que les taux de dépistage restent faibles (plus de 300 000 cas confirmés à ce jour), le taux de létalité s’est stabilisé et, avec 6300 décès, le Pakistan semble avoir connu un aplatissement de la courbe des cas de COVID-19.Malgré les progrès notables réalisés dans la lutte contre la pandémie, plusieurs faiblesses demeurent et il existe des risques de rebond avec la réouverture de l'économie et des systèmes éducatifs. Il est toujours nécessaire d'assurer une supervision technique et programmatique solide, liée à l'engagement de la société civile et à la collaboration avec les personnalités religieuses pour garantir le respect des interventions non pharmacologiques.
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https://openalex.org/W2760514507
A partnership model to improve population health screening for noncommunicable conditions and their common risk factors, Qazvin, Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2760514507
Early findings and management of health conditions are among the key functions of health care systems. We developed a partnership framework to establish an extended primary health care-based selective screening service for the entire population of a small town as a key project of Qazvin Health Plan, Qazvin, Islamic Republic of Iran. Eight scientific associations and a diverse technical taskforce extensively reviewed evidence to adapt the grade A and B preventive recommendations of the American Preventive Service Taskforce. A list of 15 priority health conditions was identified and screening protocols were developed accordingly. Then strategies for working with private sector providers for better health care were applied to form our partnership model through which we ensured provision of screening services in 3 areas: service provision, quality and costs. Six private medical offices and a laboratory cooperated with the public health centre of the town to screen eligible residents. Preliminary analysis of the results suggests that the framework has successfully engaged private care providers.نموذج شراكة لتحسن التحري عن الصحة السكانية فيا يتعلق بالأمراض غر السارية والعوامل الشائعة لخطر الإصابة بها، قازفن ، جمهورية إيران الإسامية.سيامك عالي خاني، بهزاد دمادي.يعتر الاكتشاف المبكر للأمراض من بن المهام الرئيسية لنظم الرعاية الصحية. ولقد وَضعت هذه الدراسة إطاراً لإنشاء خدمة تحرٍّ انتقائي لجميع السكان في بلدة صغرة كمروع أساسي لخطة صحية في قزوين. وجرى استعراض مسهب لأدلة محلية ووطنية من أجل التكيف مع التوصيات الوقائية - ذات الأولوية من الدرجتن أ و ب - لفريق عمل الخدمات الوقائية في الولايات المتحدة. وقد استُخلصت - وفقاً لذلك - قائمة تضم 15 حالة صحية مزمنة واختبارات التحري عنها والفواصل الزمنية بينها. وتي ذلك استخدام مجموعة معرف بها من الاسراتيجيات للعمل بشكل أفضل مع مقدمي رعاية من القطاع الخاص لابتكار نموذج شراكة يتم من خلاله وضع وتمويل حزمة خدمات مؤمنة للتحري وعاج ومتابعة الأمراض. وقد تعاونت ستة عيادات طبية خاصة ومختر واحد مع المركز الصحي العام الوحيد في البلدة لفحص السكان المؤهلن للاشراك.Modèle de partenariat pour améliorer le dépistage des maladies non transmissibles et leurs facteurs de risque courants dans la population, Qasvin (République islamique d’Iran).Le dépistage précoce des maladies est l’une des fonctions centrales des systèmes de soins de santé. La présente étude a mis au point un cadre afin d’établir un service de dépistage sélectif pour l’ensemble de la population d’une petite ville comme projet clé du Plan sanitaire de Qasvin. Les données locales et nationales ont été examinées en détail afin d’adapter les recommandations de prévention prioritaires des niveaux A et B du US Preventive Services Taskforce (Groupe de travail sur les services de prévention des États-Unis).Une liste de 15 affections chroniques, les tests de dépistage associés et leurs intervalles ont été établis en fonction. Par la suite, un ensemble de stratégies éprouvées visant à mieux collaborer avec les prestataires de soins privés a été utilisé pour concevoir un modèle de partenariat grâce auquel des services couverts par une assurance pour le dépistage, le suivi et de prise en charge des maladies seraient créés et financés. Six cabinets médicaux privés et un laboratoire ont coopéré avec le seul centre de santé publique de la ville pour sélectionner les résidents éligibles. L’analyse préliminaire des résultats laisse penser que le cadre a permis d’impliquer les prestataires de soins privés.
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https://openalex.org/W2889735063
Perceptions of Iranian women regarding breast cancer screening behaviour
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2889735063
Breast cancer is the leading cause of death among women aged 20-59 years worldwide, with 58% of deaths occurring in less-developed countries. In the Islamic Republic of Iran, breast cancer constitutes 21% of all cancers, with an incidence rate of 22 per 100 000 women.Since research into breast cancer screening among Iranian women is scarce and results are contradictory, we aimed to explore women's' perceptions regarding breast cancer screening behaviour and provide insights into how breast cancer is perceived and approached. This could aid policy-makers in drafting effective interventions to stimulate women to perform regular screening.We used the Health Belief Model as a theoretical framework. In-depth interviews with 22 women in Tehran were performed, based on a topic-list exploring the 6 constructs of the Health Belief Model: perceived barriers, perceived severity, perceived susceptibility, perceived benefits, self-efficacy and cues to action. Data-analysis was based on the Constructive Grounded Theory Method.The main barriers were fear, low priority and cultural values. Perceived severity was low for the majority of women, while perceived susceptibility was high for about half of them. Perceived benefit of screening was high for all women. Women's' self-efficacy was low when it came to breast self-examination. Talking about breast cancer screening and having somebody in their environment adopting screening behaviour were important cues for taking up breast cancer screening.Interventions should focus on diminishing barriers and increasing women's' self-efficacy and interpersonal communication about breast cancer screening.تصورات النساء الإيرانيات حول سلوك تحري سرطان الثدي.سيدة صبا نوري، باربرا كاترين شوتن.سرطان الثدي هو السبب الرئيسي للوفاة بين النساء في الفئة العمرية 20 - 59 سنة في جميع أنحاء العالم، منها 58 % وفيات تحدث في البلدان الأقل نمواً. وفي جمهورية إيران الإسلامية يشكل سرطان الثدي 21 % من جميع حالات السرطان، بمعدل وقوع 22 لكل 100 ألف امرأة.نظرًا لندرة البحوث حول سرطان الثدي بين النساء الإيرانيات وتناقض نتائجها، وضعنا هدف استكشاف تصورات النساء حول سلوك تََرِّي سرطان الثدي واكتساب نظرات ثاقبة حول كيفية إدراك سرطان الثدي ومقاربته. فمثل هذه المعلومات يمكن أن تساعد واضعي السياسات على صياغة التدخلات الفعالة لتحفيز النساء على إجراء التَّحَرِّي المنتظم.استخدمنا نموذج المعتقدات الصحية على أنها إطار نظري. فأجرينا مقابلات معمقة مع 22 امرأة في طهران، استندنا فيها إلى قائمة الموضوعات التي تدرس المكونات الستة لنموذج المعتقدات الصحية، وهي: الحواجز المُدْرَكة، والشدة المُدْرَكة، والاستعداد للإصابة المُدْرَك، والمنافع المُدْرَكة، والكفاءة الذاتية، والدلائل العملية. واستند تحليل البيانات على طريقة النظرية المستندة على أسس بنّاءة.اتضح أن الحواجز الرئيسية هي الخوف وانخفاض الأولوية والقيم الثقافية. وكانت الشدة المُدْرَكَة منخفضة لدى معظم السيدات، بينما كان الاستعداد للإصابة المُدَرَك عاليًا لدى نصف السيدات تقريبا. كانت المنافع المُدْرَكة للتحري عالية لدى جميع السيدات. وكانت الكفاءة الذاتية لدى النساء منخفضة عندما يتعلق الأمر بالفحص الذاتي للثدي. وكان الحديث عن تََرِّي سرطان الثدي ووجود شخص ما في البيئة المحيطة بالنساء يتبنى سلوك التحرِّي من الدلائل الهامة لقيامهن بتحري عن سرطان الثدي عندهن.ينبغي أن تركز التدخلات على تخفيف الحواجز وزيادة الكفاءة الذاتية للنساء وعلى الاتصالات بين الأشخاص حول تحرِّي سرطان الثدي.Perceptions des femmes iraniennes au sujet des comportements face au dépistage du cancer du sein.Le cancer du sein est la principale cause de mortalité chez les femmes de 20 à 59 ans dans le monde. Cinquantehuit pour cent des décès se produisent dans les pays les moins développés. En République islamique d’Iran, les cancers du sein représentent 21 % de tous les cancers et le taux d’incidence est de 22 pour 100 000 femmes.Les recherches sur le dépistage du cancer du sein chez les femmes iraniennes sont rares et leurs résultats sont souvent contradictoires. La présente étude visait donc à étudier les perceptions des femmes concernant les comportements face au dépistage du cancer du sein et à fournir des indications sur la façon dont le cancer du sein est perçu et abordé. Ses résultats pourraient aider les décideurs politiques à élaborer des interventions efficaces pour encourager les femmes à pratiquer régulièrement le dépistage.Nous avons utilisé comme cadre théorique le modèle de croyances relatives à la santé. Des entretiens approfondis ont été réalisés à Téhéran auprès de 22 femmes. Ils s’appuient sur une liste de sujets explorant les six composantes du modèle de croyances relatives à la santé, soit les obstacles, la gravité, la vulnérabilité et les avantages perçus, ainsi que l’auto-efficacité et les indices à l’action. L’analyse de données était fondée sur la méthodologie constructiviste de la théorie enracinée.Les principaux obstacles étaient la peur, la faible priorité accordée au dépistage et les valeurs culturelles. La gravité perçue était faible pour la majorité des femmes et la vulnérabilité perçue était élevée pour environ la moitié d’entre elles. Les avantages perçus du dépistage étaient élevés pour toutes les femmes. Les femmes présentaient une faible autoefficacité en ce qui concerne l’auto-examen des seins. Parler du dépistage du cancer du sein et avoir auprès de soi une personne qui adopte des comportements de dépistage ont été identifiés comme des éléments qui incitent les femmes à pratiquer le dépistage du cancer du sein.Les interventions devraient mettre l’accent sur la réduction des obstacles ainsi que sur l’amélioration de l’auto-efficacité des femmes et de la communication interpersonnelle au sujet du cancer du sein.
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https://openalex.org/W2522627385
Customer's self-audit to improve the technical quality of maternity care in Tabriz: a community trial
[ { "affiliations": [], "display_name": "Kamal Gholipour", "id": "https://openalex.org/A5043549464" }, { "affiliations": [], "display_name": "Jafar Sadegh Tabrizi", "id": "https://openalex.org/A5019035755" }, { "affiliations": [], "display_name": "Mohammad Asghari‐Jafarabadi", "id": "https://openalex.org/A5067932991" }, { "affiliations": [], "display_name": "Shabnam Iezadi", "id": "https://openalex.org/A5014047750" }, { "affiliations": [], "display_name": "Nasrin Farshbaf", "id": "https://openalex.org/A5087410740" }, { "affiliations": [], "display_name": "Farnaz Rahbar-Farzam", "id": "https://openalex.org/A5039832982" }, { "affiliations": [], "display_name": "Farzane Afsharniya", "id": "https://openalex.org/A5009213655" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Audit", "id": "https://openalex.org/C199521495" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Accounting", "id": "https://openalex.org/C121955636" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2522627385
Pregnant women have a major role to play in assessing and improving their own quality of care. This study in Tabriz, Islamic Republic of Iran, aimed to assess the effectiveness of an intervention for pregnant women-based on education and support groups and involvement in quality assessment activities-in order to improve the technical quality of public maternity care at public health centres. The intervention phase began in September 2011 and lasted 8 months. The outcome measure was health-care providers' degree of adherence to the Iranian maternity care standards. An intervention group of 92 pregnant women from 10 health centres was compared with a control group of 93 pregnant women from 11 centres. Logistic regression analysis showed that the self-assessed technical quality of maternity care received by the women was significantly better in the intervention that the control group for several of the standards concerning clinical examinations, maternal education and vitamin and mineral supplements. التدقيق الذاتي من قبل العملاء لتحسين الجودة التقنية لرعاية الأمومة في تبريز: تجربة مجتمعية.كمال قلي بور، جعفر صادق تبريزي، محمد أصغري جعفر أبادي، شنيم ايزدي، نسرين فرشباف، فرناز رهبر فرزام، فرزانه أفشارنيا.للنساء الحوامل دور رئيي يمكن أن يلعبنه في تقييم وتحسن جودة الرعاية الخاصة بهن. وقد هدفت هذه الدراسة التي أجريت في تبريز بجمهورية إيران الإسامية إلى تقييم فعالية تدخُّلٍ بخصوص النساء الحوامل – بالاستناد إلى مجموعات التعليم والدعم والمشاركة في أنشطة تقييم الجودة - بغية تحسن الجودة التقنية لرعاية الأمومة العامة في مراكز الصحة العامة. بدأت مرحلة التدخل في سبتمبر/أيلول من عام 2011 واستمرت 8 أشهر. وكان مقياس النتيجة هو درجةَ التزام مقدمي الرعاية الصحية بمعاير رعاية الأمومة الإيرانية. لقد قورنت مجموعة تلقت التدخل، تضم 92 امرأة حاماً من 10 مراكز صحية، مع مجموعة شاهدة تضم 93 امرأة حاماً من 11 مركزاً. فأظهر تحليل التحوُّف اللوجستي أن الجودة التقنية - المقيَّمة ذاتياً - لرعاية الأمومة التي تلقتها النساء كانت لدى مجموعة التدخل أفضل بكثر منها لدى مجموعة الشاهد بالنسبة للعديد من المعاير المتعلقة بالفحوص السريرية، وبتثقيف الأمهات، وبالمكمات الفيتامينية والمعدنية.Auto-évaluation des patients pour améliorer la qualité technique des soins de maternité à Tabriz : étude communautaire.Les femmes enceintes ont un rôle majeur à jouer dans l’évaluation et l’amélioration de la qualité des soins qui leur sont dispensés. Cette étude conduite à Tabriz, en République islamique d’Iran, avait pour objectif d’évaluer l’efficacité d’une intervention pour les femmes enceintes, reposant sur des programmes éducationnels et des groupes de soutien ainsi que sur l’implication dans des activités d’évaluation de la qualité, dans le but d’améliorer la qualité technique des soins de maternité publics dispensés dans les centres de santé publique. La phase d’intervention a débuté en septembre 2011 et a duré 8 mois. La mesure du résultat était le degré d’adhésion des prestataires de soins de santé aux normes de soins de maternité iraniennes. Un groupe d’intervention de 92 femmes enceintes venues de 10 centres de santé a été comparé à un groupe témoin de 93 femmes venues de 11 centres. L’analyse de régression logistique a montré que la qualité technique auto-évaluée des soins de maternité reçus par les femmes était sensiblement meilleure dans le groupe d’intervention que dans le groupe témoin en ce qui concerne plusieurs normes liées à l’examen clinique, à l’éducation des mères et à la supplémentation en vitamines et en minéraux.التدقيق الذاتي من قبل العملاء لتحسين الجودة التقنية لرعاية الأمومة في تبريز: تجربة مجتمعية.كمال قلي بور، جعفر صادق تبريزي، محمد أصغري جعفر أبادي، شبنم ايزدي، نسرين فرشباف، فرزانه أفشارنيا، فرناز رهبر فرزام.للنساء الحوامل دور رئيي يمكن أن يلعبنه في تقييم وتحسن جودة الرعاية الخاصة بهن. وقد هدفت هذه الدراسة التي أجريت في تبريز بجمهورية إيران الإسامية إلى تقييم فعالية تدخُّلٍ بخصوص النساء الحوامل – بالاستناد إلى مجموعات التعليم والدعم والمشاركة في أنشطة تقييم الجودة - بغية تحسن الجودة التقنية لرعاية الأمومة العامة في مراكز الصحة العامة. بدأت مرحلة التدخل في الفرة بن سبتمبر/أيلول من عام 2012 ومايو/أيار 2013 . وكان مقياس النتيجة هو درجةَ التزام مقدمي الرعاية الصحية بمعاير رعاية الأمومة الإيرانية. لقد قورنت مجموعة تلقت التدخل، تضم 92 امرأة حاماً من 10 مراكز صحية، مع مجموعة شاهدة تضم 93 امرأة حاماً من 11 مركزاً. فأظهر تحليل التحوُّف اللوجستي أن الجودة التقنية - المقيَّمة ذاتياً - لرعاية الأمومة التي تلقتها النساء كانت لدى مجموعة التدخل أفضل بكثر منها لدى مجموعة الشاهد بالنسبة للعديد من المعاير المتعلقة بالفحوص السريرية، وبتثقيف الأمهات، وبالمكمات الفيتامينية والمعدنية.Auto-évaluation des patients pour améliorer la qualité technique des soins de maternité à Tabriz : étude communautaire.Les femmes enceintes ont un rôle majeur à jouer dans l’évaluation et l’amélioration de la qualité des soins qui leur sont dispensés. Cette étude conduite à Tabriz, en République islamique d’Iran, avait pour objectif d’évaluer l’efficacité d’une intervention pour les femmes enceintes, reposant sur des programmes éducationnels et des groupes de soutien ainsi que sur l’implication dans des activités d’évaluation de la qualité, dans le but d’améliorer la qualité technique des soins de maternité publics dispensés dans les centres de santé publique. La phase d'intervention s'est déroulée entre septembre 2012 et mai 2103. La mesure du résultat était le degré d’adhésion des prestataires de soins de santé aux normes de soins de maternité iraniennes. Un groupe d’intervention de 92 femmes enceintes venues de 10 centres de santé a été comparé à un groupe témoin de 93 femmes venues de 11 centres. L’analyse de régression logistique a montré que la qualité technique auto-évaluée des soins de maternité reçus par les femmes était sensiblement meilleure dans le groupe d’intervention que dans le groupe témoin en ce qui concerne plusieurs normes liées à l’examen clinique, à l’éducation des mères et à la supplémentation en vitamines et en minéraux.
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https://openalex.org/W3037366254
Explanatory social variables of under-5 mortality caused by injury in Isfahan Province, Islamic Republic of Iran
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Social determinants of health", "id": "https://openalex.org/C78491826" }, { "display_name": "Mortality rate", "id": "https://openalex.org/C179755657" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Logistic regression", "id": "https://openalex.org/C151956035" }, { "display_name": "Odds ratio", "id": "https://openalex.org/C156957248" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Odds", "id": "https://openalex.org/C143095724" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1541063200", "https://openalex.org/W1953943679", "https://openalex.org/W1963818072", "https://openalex.org/W1979287034", "https://openalex.org/W2019424410", "https://openalex.org/W2032527617", "https://openalex.org/W2103798464", "https://openalex.org/W2175954218", "https://openalex.org/W2221715846", "https://openalex.org/W2247243737", "https://openalex.org/W2289417364" ]
https://api.openalex.org/works?filter=cites:W3037366254
Injuries are a major cause of disease, long-term disability and death. Injury-related damage accounts for 12% of the burden of disease worldwide. Recently, significant improvements in child health have been achieved in the Islamic Republic of Iran: under-5 mortality was reduced substantially from 1990 to 2013. Nevertheless, injury is still a significant cause of mortality in this age group.Because of their vulnerability and the high rates of injury-related mortality among children under-5, this study aimed at investigating explanatory social variables of injury-related mortality.The study was conducted using the Commission on Social Determinants of Health conceptual framework among children aged under-5 years in Isfahan Province. Using the national child mortality surveillance system 1433 under- 5 mortalities during 2010-2015 were secondary analysed.We found 403 (28%) cases were related to injury. Most of the deaths occurred in 706 infants (49.2%), among boys (54.8%) and urban residents (78.9%). Multivariate logistic regression showed that mothers' low education level, age 1-5 years', living in a supportive centre and having financial problems increased the odds of under-5 mortality caused by injury (odds ratio > 1, P-value ≤ 0.05).Considering the importance and impacts of social factors on injury-related mortality among children, health policy-makers should initially consider the social determinants of health approach in child health programmes to inform interventions aimed at reducing injury-related mortality.متغيرات اجتماعية تفسر وفيات الأطفال دون سن الخامسة الناجمة عن الإصابات في إقليم إصفهان، جمهورية إيران الإسلامية.زهره هوشنكى، شايسته صالحي، مصطفى أميني راراني.تُعدُّ الإصابات واحدة من الأسباب الرئيسية التي تؤدي إلى المرض، والإعاقة الممتدة الأجل، والوفاة. ويُعدُّ الضرر المرتبط بالإصابات مسؤولاً عن 12٪ من العبء الناجم عن المرض في العالم أجمع. وقد طرأت مؤخراً تحسينات ملحوظة على صحة الطفل في جمهورية إيران الإسلامية: فقد انخفضت وفيات الأطفال دون سن الخامسة بصورة جوهرية بين عامي 1990 و2013. وبالرغم من ذلك، فما زالت الإصابات سبباً رئيسياً للوفاة في صفوف الأطفال في تلك الفئة العمرية.نظراً لشدة تأثر الأطفال دون سن الخامسة وارتفاع معدلات الوفاة الناجمة عن الإصابة بينهم، عمدت هذه الدراسة إلى استقصاء بعض المتغيرات الاجتماعية المختارة التي تفسر الوفيات الناجمة عن الإصابات.أُجريت الدراسة باستخدام الإطار المفاهيمي للجنة المعنية بالمحددات الاجتماعية للصحة في صفوف الأطفال دون سن الخامسة في إقليم إصفهان. وباستخدام نظام الترصُّد الوطني لوفيات الأطفال، أُجري تحليل ثانوي لوفيات بلغ عددها 1433 وفاة في صفوف الأطفال دون سن الخامسة في الفترة بين عامي 2010 و2015.توصل الباحثون إلى أن 403 حالة (28٪) اقترنت بإصابات. ووقعت معظم الوفيات بين 706 رضيعاً (49.2٪) وبين الصبيان (54.8)، والأطفال المقيمين في المناطق الحضرية (78.9٪). وأظهر تحليل الانحدار اللوجستي المتعدد المتغيرات أن انخفاض المستوى التعليمي لدى أمهات الأطفال الذين تتراوح أعمارهم بين سنة وخمس سنوات، واللواتي يعشن في مراكز الدعم ويعانين من مشكلات مالية زاد من فرص حدوث وفيات الأطفال دون سن الخامسة جرّاء الإصابات (0.05 ≤ P, 1< OR).بالنظر إلى أهمية العوامل الاجتماعية وتأثيراتها على حدوث الوفاة الناجمة عن الإصابات في صفوف الأطفال، يتعين على راسمي السياسات الصحية النظر مبدئياً في المحددات الاجتماعية للصحة في برامج صحة الطفل للاسترشاد بها في التدخلات الرامية إلى الحد من الوفيات الناجمة عن الإصابات.Variables sociales explicatives de la mortalité des moins de 5 ans due à des traumatismes dans la province d’Ispahan (République islamique d’Iran).Les traumatismes constituent une cause majeure de morbidité, d’incapacité à long terme et de mortalité. Les dommages liés aux traumatismes représentent 12 % de la charge de morbidité dans le monde. Récemment, des améliorations significatives en matière de la santé infanto-juvénile ont été réalisées en République islamique d’Iran : la mortalité des moins de 5 ans a considérablement diminué entre 1990 et 2013. Néanmoins, les traumatismes continuent d’être une cause majeure de mortalité pour ce groupe d’âge.Du fait de la vulnérabilité des enfants de moins de 5 ans et des taux élevés de mortalité liée à des traumatismes dans ce groupe d’âge, la présente étude visait à examiner certaines variables sociales explicatives de la mortalité due à des traumatismes.La présente étude a été menée selon le cadre conceptuel « Commission des déterminants sociaux de la santé » auprès d’enfants de moins de 5 ans dans la province d’Ispahan. Selon le système national de surveillance de la mortalité infanto-juvénile, 1 433 décès d’enfants de moins de 5 ans survenus entre 2010 et 2015 ont fait l’objet d’une analyse secondaire.Les résultats ont montré que 403 cas (28 %) étaient liés à un traumatisme. La plupart des décès concernaient des nourrissons (706, soit 49,2 %), des enfants de sexe masculin (54,8 %) et des citadins (78,9 %). L’analyse de régression logistique multivariée a montré que le faible niveau d’instruction des mères, l’âge compris entre 1 et 5 ans, le fait de vivre dans un centre de soutien et les problèmes financiers augmentaient le risque de mortalité due à des traumatismes chez les moins de 5 ans (odds ratio > 1, p ≤ 0,05).Compte tenu de l’importance et de l’impact des facteurs sociaux sur la mortalité liée aux traumatismes chez les enfants, les responsables de l’élaboration des politiques de santé devraient initialement prendre en compte l’approche des déterminants sociaux de la santé dans les programmes de santé de l’enfant afin d’orienter les interventions visant à réduire cette mortalité.
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https://openalex.org/W2519025541
A qualitative study on a 30-year trend of tobacco use and tobacco control programmes in Islamic Republic of Iran
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[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2519025541
We conducted in-depth interviews with key tobacco control policy-makers to explore their views and opinions of trends in tobacco use and the effectiveness of tobacco control programmes over the past 3 decades. A qualitative interview study was conducted in 2014 using a grounded theory approach. In-depth interviews were conducted with 86 key tobacco control policy-makers and data collection was based on principles of saturation. The core code "tobacco consumption and its control programme" was extracted and its related themes were listed. After review and classification by an expert panel, 9 categorized codes emerged. The final 31 codes were ordered according to their conceptual differentiations. Overall, tobacco consumption was constant over the past 3 decades; however it was increasing in females and young people and decreasing in older people; hookah consumption was increasing. A positive outcome is that tobacco use is now viewed negatively in the Islamic Republic of Iran, largely due to tobacco control programmes but the current situation is still not ideal and a comprehensive tobacco control law is needed. دراسة كيفية عن اتجاه استهلاك التبغ وبرامج مكافحة استهلاك التبغ خلال 30 عاماً في جمهورية إيران الإسلامية.غلام رضا حيدري، آرزو ابن احمدي، هري ا. لندو، فهيمه شامياني، محمد رضا مسجدي، محمد بهكام شادمهر، ليدا فدائي زاده.لقد أجرينا مقابات معمَّقة مع الواضعن الرئيسيين لسياسات مكافحة استهلاك التبغ لاستكشاف وجهات نظرهم وآرائهم عن اتجاهات استهلاك التبغ وفعالية برامج مكافحة استهلاك التبغ خال العقود الثلاثة الماضية. وأجريت دراسة كيفية عن طريق المقابات في عام 2014 باتباع طريقة النظرية المتأصلة. فأجريت مقابات معمَّقة مع 86 من الواضعن الرئيسيين لسياسات مكافحة استهلاك التبغ، واستند جمع البيانات إلى مبادئ التشبع. واستُخرج الرمز الأساسي "استهلاك التبغ وبرنامج مكافحته"، ثم سُدت المواضيع ذات الصلة. وبعد مراجعتها وتصنيفها من قبل لجنة خراء ظهرت 9 رموز لاحقة مصنفة ضمن فئات. ورُتبت الرموز ال 31 الأخرة وفقاً للتفاضات المفهومية. بالإجمال، كان استهلاك التبغ ثابتاً عى مدى العقود الثلاثة الماضية، غر أنه كان يتزايد لدى الإناث والشباب ويتناقص لدى كبار السن، واستهلاك الشيشة كان في ازدياد. إن إحدى النتائج الإيجابية هي أن استهلاك التبغ يُنظر إليه – الآن – سلبياً في جمهورية إيران الإسامية، ويرجع ذلك – بدرجة كبرة - إلى برامج مكافحة إستهلاك التبغ، ولكن الوضع الحالي لا يزال بعيداً عن المثالية، وهناك حاجة إلى وضع قانون شامل لمكافحة إستهلاك التبغ.Étude qualitative de l’évolution du tabagisme et des programmes de lutte antitabac sur 30 ans en République islamique d’Iran.Nous avons mené des entretiens approfondis auprès de responsables politiques clés de la lutte antitabac afin d’examiner leurs vues et opinions sur les tendances du tabagisme et sur l’efficacité des programmes de lutte antitabac au cours des trois dernières décennies. Une étude qualitative par entretiens a été conduite en 2014 suivant la méthodologie dite de la théorie à base empirique. Des entretiens approfondis ont été menés auprès de 86 responsables politiques clés de la lutte antitabac, et la collecte des données a reposé sur le principe de saturation. Le code source « consommation de tabac et programmes de lutte antitabac » a été extrait et les thèmes apparentés ont ensuite été listés. Après examen et classification par un groupe d’experts, neuf codes catégorisés ont émergé ultérieurement. Les 31 codes finaux ont été ordonnés en fonction de leurs différenciations conceptuelles. Dans l’ensemble, le tabagisme est resté constant au cours des 30 dernières années ; mais il a augmenté chez les femmes et les jeunes, a baissé chez les personnes âgées, et la consommation de houka a connu une augmentation. L’un des résultats positifs est que le tabagisme est à présent perçu négativement en République islamique d’Iran, en grande partie grâce aux programmes de lutte antitabac. Mais la situation actuelle est loin d’être idéale et l’adoption d’une législation antitabac complète est nécessaire.دراسة كيفية عن اتجاه استهلاك التبغ وبرامج مكافحة استهلاك التبغ خلال 30 عاماً في جمهورية إيران الإسلامية.غلام رضا حيدري، آرزو ابن احمدي، هري ا. لندو، فهيمه شامياني، محمد رضا مسجدي، محمد بهكام شادمهر، ليدا فدائي زاده.لقد أجرينا مقابات معمَّقة مع الواضعن الرئيسيين لسياسات مكافحة استهلاك التبغ لاستكشاف وجهات نظرهم وآرائهم عن اتجاهات استهلاك التبغ وفعالية برامج مكافحة استهلاك التبغ خال العقود الثلاثة الماضية. وأجريت دراسة كيفية عن طريق المقابات في عام 2014 باتباع طريقة النظرية المتأصلة. فأجريت مقابات معمَّقة مع 86 من الواضعن الرئيسيين لسياسات مكافحة استهلاك التبغ، واستند جمع البيانات إلى مبادئ التشبع. واستُخرج الرمز الأساسي "استهلاك التبغ وبرنامج مكافحته"، ثم سُدت المواضيع ذات الصلة. وبعد مراجعتها وتصنيفها من قبل لجنة خراء ظهرت 9 رموز لاحقة مصنفة ضمن فئات. ورُتبت الرموز ال 31 الأخرة وفقاً للتفاضات المفهومية. بالإجمال، كان استهلاك التبغ ثابتاً عى مدى العقود الثلاثة الماضية، غر أنه كان يتزايد لدى الإناث والشباب ويتناقص لدى كبار السن، واستهلاك الشيشة كان في ازدياد. إن إحدى النتائج الإيجابية هي أن استهلاك التبغ يُنظر إليه – الآن – سلبياً في جمهورية إيران الإسامية، ويرجع ذلك – بدرجة كبرة - إلى برامج مكافحة إستهلاك التبغ، ولكن الوضع الحالي لا يزال بعيداً عن المثالية، وهناك حاجة إلى وضع قانون شامل لمكافحة إستهلاك التبغ.Étude qualitative de l’évolution du tabagisme et des programmes de lutte antitabac sur 30 ans en République islamique d’Iran.Nous avons mené des entretiens approfondis auprès de responsables politiques clés de la lutte antitabac afin d’examiner leurs vues et opinions sur les tendances du tabagisme et sur l’efficacité des programmes de lutte antitabac au cours des trois dernières décennies. Une étude qualitative par entretiens a été conduite en 2014 suivant la méthodologie dite de la théorie à base empirique. Des entretiens approfondis ont été menés auprès de 86 responsables politiques clés de la lutte antitabac, et la collecte des données a reposé sur le principe de saturation. Le code source « consommation de tabac et programmes de lutte antitabac » a été extrait et les thèmes apparentés ont ensuite été listés. Après examen et classification par un groupe d’experts, neuf codes catégorisés ont émergé ultérieurement. Les 31 codes finaux ont été ordonnés en fonction de leurs différenciations conceptuelles. Dans l’ensemble, le tabagisme est resté constant au cours des 30 dernières années ; mais il a augmenté chez les femmes et les jeunes, a baissé chez les personnes âgées, et la consommation de houka a connu une augmentation. L’un des résultats positifs est que le tabagisme est à présent perçu négativement en République islamique d’Iran, en grande partie grâce aux programmes de lutte antitabac. Mais la situation actuelle est loin d’être idéale et l’adoption d’une législation antitabac complète est nécessaire.
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https://openalex.org/W4388997573
Painful Dream of Motherhood: A Hermeneutic Phenomenological Study of Married Women with Ectopic Pregnancy in the Islamic Republic of Iran
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https://api.openalex.org/works?filter=cites:W4388997573
Abstract Ectopic pregnancy (EP) is a significant cause of maternal morbidity and mortality. This study aimed to explore the understanding and experience of women with EP in the Islamic Republic of Iran. This qualitative study carried out through a Heideggerian hermeneutic/interpretative phenomenological approach, using face-to-face semi-structured phenomenological interviews with twenty-five participants referred to a public maternity hospital in Rasht, Iran. Data were collected and analyzed using the seven-step analytical approach of Dickelman et al . (The NLN criteria of appraisal of baccalaureate programs: A critical hermeneutic analysis, NLN Press, 1989; Journal of Nursing Education. 32:245–250, 1993) to phenomenological studies. The results reveal how living in the shadow of Islamic Sharia Law in Iran turns EP into a trauma and creates a different experience and meaning of EP for each woman. In this view, multiple factors, including ‘family support’ and ‘faith in Islamic Sharia,’ have determined how married women experience sociocultural and psychological consequences of EP. These findings apply to women with EP in Iran. Given that EP is more than an anomalous pregnancy with socially culturally constructed suffering in the context of the Islamic Republic of Iran. Hence, policymakers and healthcare providers should consider a multidimensional approach to this devastating event in pregnancy and support and empower the women whose dream of motherhood is jeopardized and terminated by the experience of EP.
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https://openalex.org/W4248237467
Identifying Public stakeholders effective on mental health promotion in Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Behzad Damari", "id": "https://openalex.org/A5078326630" }, { "affiliations": [ { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Mohammad Reza Amir Esmaili", "id": "https://openalex.org/A5039119709" }, { "affiliations": [ { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Noora Rafiee", "id": "https://openalex.org/A5023080697" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Ahmad Hajebi", "id": "https://openalex.org/A5031702758" } ]
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4248237467
Abstract Background: Adding mental health to the agenda of other sectors is not always easy, but it is now confirmed that the mental health promotion policies need innovations beyond the health sector to be efficient. Thus, in this study, it has been attempted to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policymakers of health sector and to encourage the inter-sectoral cooperation and further involvement of these effective sectors with the mental health promotion plans. Methods: This study was a mixed-methods. From the data of the first step (literature review and survey of relevant professors), the names of government agencies in the mental health were extracted. In the second step, a checklist was developed, the horizontal axis of which was the relevant organizations and the vertical axis was the effective social risk factors on the mental health promotion. In order to analyze the data of this step, the Simple Additive Weighting method was used. In the last step, in order to summarize the organizations affecting each risk factor, a table was plotted as institutional mapping. Results: The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as 5 organizations with the greatest impacts on the social determinants affecting the mental health promotion. Conclusions: The impact of institutions such as Islamic Consultative Assembly (as legislator), the Ministry of Interior and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the administration of employment, job security and the provision of welfare to community members), and the Ministry of Education (as the educational institution of the society) are significant.
[ { "display_name": "Research Square (Research Square)", "id": "https://openalex.org/S4306402450", "type": "repository" } ]
https://openalex.org/W3167832756
Identifying public stakeholders effective on mental health promotion in Iran
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W3167832756
Abstract Background: It is not always easy to put mental health on the agenda of sectors other than the health sector. However, it is now confirmed that mental health promotion policies need innovations beyond the scope of the health sector to be efficient. Thus, in this study, an attempt was made to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policy-makers of said sector and to encourage the inter-sectoral cooperation and further involvement of these effective sectors in mental health promotion plans. Methods: This was a mixed-methods study. From the data of the first step (literature review and a survey involving professors of relevant disciplines), the names of government agencies related to the domain of mental health were extracted. In the second step, a checklist was developed, the horizontal axis of which was the relevant organizations and the vertical axis was the social risk factors effective on mental health promotion. The data of this step were analyzed by the simple additive weighting method. In the final step, a table was plotted in the form of institutional mapping in order to summarize the organizations affecting each risk factor. Results: The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as five organizations with the greatest impacts on the social determinants of mental health promotion in Iran. Conclusions: Significant impacts can be exerted by institutions such as the Islamic Consultative Assembly (as the legislator), the Ministry of Interior and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the institution in charge of employment, job security, and social welfare), and the Ministry of Education (as the educational institution of the country).
[ { "display_name": "Research Square (Research Square)", "id": "https://openalex.org/S4306402450", "type": "repository" } ]
https://openalex.org/W4244503318
Identifying Public Stakeholders Effective on Mental Health Promotion in Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Behzad Damari", "id": "https://openalex.org/A5078326630" }, { "affiliations": [ { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Mohammad Reza Amir Esmaili", "id": "https://openalex.org/A5039119709" }, { "affiliations": [ { "country": "Iran", "display_name": "Kerman University of Medical Sciences", "id": "https://openalex.org/I235686326", "lat": 30.28321, "long": 57.07879, "type": "education" } ], "display_name": "Noora Rafiee", "id": "https://openalex.org/A5023080697" }, { "affiliations": [ { "country": "Iran", "display_name": "Iran University of Medical Sciences", "id": "https://openalex.org/I161106909", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Ahmad Hajebi", "id": "https://openalex.org/A5031702758" } ]
[ { "display_name": "Mental health", "id": "https://openalex.org/C134362201" }, { "display_name": "Health promotion", "id": "https://openalex.org/C185618831" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Checklist", "id": "https://openalex.org/C2779356329" }, { "display_name": "Public sector", "id": "https://openalex.org/C147859227" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Cognitive psychology", "id": "https://openalex.org/C180747234" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4244503318
Abstract Background: It is not always easy to put mental health on the agenda of sectors other than the health sector. However, it is now confirmed that mental health promotion policies need innovations beyond the scope of the health sector to be efficient. Thus, in this study, an attempt was made to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policy-makers of said sector and to encourage the inter-sectoral cooperation and further involvement of these effective sectors in mental health promotion plans. Methods: This was a mixed-methods study. From the data of the first step (literature review and a survey involving professors of relevant disciplines), the names of government agencies related to the domain of mental health were extracted. In the second step, a checklist was developed, the horizontal axis of which was the relevant organizations and the vertical axis was the social risk factors effective on mental health promotion. The data of this step were analyzed by the simple additive weighting method. In the final step, a table was plotted in the form of institutional mapping in order to summarize the organizations affecting each risk factor. Results: The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as five organizations with the greatest impacts on the social determinants of mental health promotion in Iran. Conclusions: Significant impacts can be exerted by institutions such as the Islamic Consultative Assembly (as the legislator), the Ministry of Interior and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the institution in charge of employment, job security, and social welfare), and the Ministry of Education (as the educational institution of the country).
[ { "display_name": "Research Square (Research Square)", "id": "https://openalex.org/S4306402450", "type": "repository" } ]
https://openalex.org/W2754589006
A regional framework for action on substance use and public health
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[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2754589006
Substance use is a public health problem worldwide. According to United Nations Office on Drugs and Crime (UNODC) estimates, there has been an increase of more than 10% over recent years in cannabis use in 9 countries in the Region; while the prevalence of opiate use in Afghanistan, the Islamic Republic of Iran and Pakistan is among the highest in the world. The estimated prevalence for drug dependence in the North Africa and Middle East region is 0.29%, which is 1.3 times higher than the global prevalence. Emergencies and civil unrest are known as important factors in the exacerbation of the situation.
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https://openalex.org/W4380354316
In Commemoration of Dr. Bijan Sadrizadeh, a Prominent Physician and Expert in the Field of Public Health in Iran and Around the World
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[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W1550512015", "https://openalex.org/W2015918601", "https://openalex.org/W2039203586", "https://openalex.org/W2055937658", "https://openalex.org/W2062505277", "https://openalex.org/W3084104377", "https://openalex.org/W4230841212" ]
https://api.openalex.org/works?filter=cites:W4380354316
In line with the commemoration of the scientists who played a significant role in advancing knowledge and providing services to the country, it is imperative to publish their biographies so that their lives and achievements are recorded in the history of the country and serve as an example for future generations. Dr. Bijan Sadrizadeh, a physician and a public health specialist, undertook many valuable activities, particularly in the field of public health in Iran and the world during more than 60 years of great services, including the promotion of public health in the Islamic Republic of Iran, the development of I.R. Iran’s international collaborations in the field of public health, and the development of research programs in the field of neglected tropical diseases and the eradication of polio in the world. He served the country in many high-level executive capacities, including three periods as deputy Minister of Health. In addition to several years of full-time employment in the World Health Organization (WHO), Dr. Sadrizadeh also served on the WHO Executive Board and was a member of numerous scientific and advisory committees. In reviewing his life, great determination, devotion, believing in primary health care and universal health coverage and a deep sense of responsibility are visible and can be an inspiration and a model for all.
[ { "display_name": "Archives of Iranian Medicine", "id": "https://openalex.org/S112058147", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W3121484454
Situation of Linkage between Sexual and Reproductive Health and HIV-Related Policies in Islamic Republic of Iran – A Rapid Assessment in 2011-2
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[ { "display_name": "Reproductive health", "id": "https://openalex.org/C121752807" }, { "display_name": "Poverty", "id": "https://openalex.org/C189326681" }, { "display_name": "Interview", "id": "https://openalex.org/C24845683" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Human immunodeficiency virus (HIV)", "id": "https://openalex.org/C3013748606" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Islamic Republic of Iran", "Iran" ]
[ "https://openalex.org/W3125977917" ]
https://api.openalex.org/works?filter=cites:W3121484454
The number of sexual transmission of HIV is increasing globally. Sexual and Reproductive Health (SRH) issues and HIV/AIDS related problems are rooted in common grounds such as poverty, gender inequality, and social exclusion. As a result, international health organizations have suggested the integration of SRH services with HIV/AIDS services as a strategy to control HIV and to improve people’s access to SRH services. The aim of this study was to evaluate the relationship between reproductive health and HIV/AIDS services at policy-making level in Islamic Republic of Iran (IRI). This study was conducted in 2011-2 and was a rapid assessment based on guidelines provided by the World Health Organization (WHO), United Nations Programme on HIV/AIDS (UNAIDS), Family Health International Association, and some other international organizations. In this rapid assessment we used different methods such as a review of literature and documents, visiting and interviewing professionals and experts in family health and HIV/AIDS programs, and experts working in some NonGovernmental Organizations (NGOs). Overall, based on the results obtained in this study, in most cases there was not much linkage between HIV/AIDS policies and SRH policies in Iran. Since integration of HIV/AIDS services and SRH services is recommended as a model and an appropriate response to HIV epidemics worldwide, likewise to control the HIV/AIDS epidemic in Iran it is required to integrate HIV/AIDS and SRH services at all levels, particularly at the policy-making level.
[ { "display_name": "Social Science Research Network", "id": "https://openalex.org/S4210172589", "type": "repository" } ]
https://openalex.org/W2110193213
Injury prevention in Islamic Republic of Iran - role of health sector
[ { "affiliations": [], "display_name": "Mashyaneh Haddadi", "id": "https://openalex.org/A5026499898" }, { "affiliations": [], "display_name": "Gholamreza Masoumi", "id": "https://openalex.org/A5074006209" } ]
[ { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Socioeconomic status", "id": "https://openalex.org/C147077947" }, { "display_name": "Equity (law)", "id": "https://openalex.org/C199728807" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2110193213
Injuries are one of the most important challenges in public health with great socioeconomic burden especially in developing countries. In Islamic Republic of Iran, road traffic injuries are known as the first cause of burden and the second cause of death in all age groups. According to the 92 nd article of fourth national socio-economic and cultural developmental law, the Ministry of Health and Medical Education is responsible for immediate and free of charge medical coverage for road traffic victims referred to the hospitals and healthcare facilities. This law passed 2005. Financial resources for road traffic victims services are provided from vehicle insurance fees. It means that 10% of the compulsory third party insurance premiums are transferred to the ministry of health to compensate the costs related to medical care of the injured patients. Thus, road traffic injuries are no longer a cause of catastrophic medical care cost in our country. This might be a step towards accounting the social determinants of health because after passing this law, although the number of road traffic hospital admitted injured increased (from 550 714 to 718 000) but the number of road traffic death increased (from 22 918 to 23 362). This shows the role of health sector regarding better health equity and improved access.
[ { "display_name": "Injury Prevention", "id": "https://openalex.org/S81674035", "type": "journal" } ]
https://openalex.org/W2615318282
Do Lifestyle Interventions Work in Developing Countries? Findings from the Isfahan Healthy Heart Program in the Islamic Republic of Iran/Les Interventions Pour Modifier le Mode De Vie Fonctionnent-Elles Dans Les Pays En Developpement ? Resultats Du Programme Pour la Sante Cardiaque d'Isfahan En Republique Islamique d'Iran/?Son Eficaces En Los Paises En Desarrollo Las Intervenciones Sobre El Modo De Vida?
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[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Epidemiological transition", "id": "https://openalex.org/C28039750" }, { "display_name": "Epidemiology", "id": "https://openalex.org/C107130276" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Obesity", "id": "https://openalex.org/C511355011" }, { "display_name": "Disease", "id": "https://openalex.org/C2779134260" }, { "display_name": "Non-communicable disease", "id": "https://openalex.org/C2776577793" }, { "display_name": "Gerontology", "id": "https://openalex.org/C74909509" }, { "display_name": "Sedentary lifestyle", "id": "https://openalex.org/C2778899633" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Nutrition transition", "id": "https://openalex.org/C2776319399" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Developing country", "id": "https://openalex.org/C83864248" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Overweight", "id": "https://openalex.org/C2780586474" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" }, { "display_name": "Economics", "id": "https://openalex.org/C162324750" }, { "display_name": "Economic growth", "id": "https://openalex.org/C50522688" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2615318282
Introduction Non-communicable diseases currently represent 43% of the global burden of disease and are expected to account for 60% of the disease burden and 73% of all deaths in the world by 2020. (1) Most of this increase will reflect non-communicable disease epidemics in developing countries resulting from the epidemiological transition, recent changes in diet and social environment, and the adoption of lifestyles resembling those of developed societies. (2-4) In developing countries, lifestyle-related chronic diseases, particularly cardiovascular disease, heavily burden the health-care system. (5,6) It has been estimated that an unhealthy diet and physical inactivity alone accounted for approximately 20% of the deaths among adults in the United States of America in 2000, (7) and the figures could be even higher in developing countries. (4-6) Cross-sectional and prospective studies have shown that the prevalence and incidence of many chronic conditions, including obesity, atherosclerosis, coronary heart disease and certain cancers, are increased by unhealthy lifestyles, (8-12) particularly an unhealthy diet, physical inactivity, smoking and stress. Therefore, lifestyle modification, long considered the cornerstone of interventions, is extremely important in reducing the burden of chronic diseases. Several intervention trials have reported the effects of lifestyle intervention programmes among high-risk populations. (13-18) Some have recently shown a 58% decrease in the incidence of diabetes in individuals with impaired glucose tolerance. (19,20) Others have reported the beneficial effects of lifestyle modification on blood pressure control. (21,22) Lifestyle interventions seem to be at least as effective as drugs. (23) Despite the above, recent reviews have cast doubt on whether lifestyle interventions really help reduce multiple cardiac risk factors. (24) For developing countries the evidence is less clear, and intervention studies in such countries have been scarce. Moreover, most intervention studies in the developing world have targeted specific population groups, rather than the whole community. In the Islamic Republic of Iran the Isfahan Healthy Heart Program (IHHP), which relies on comprehensive community-based lifestyle interventions to improve diet, physical activity, smoking behaviour and stress management, (25) has provided an opportunity to assess whether such interventions really work in developing countries. The specific objective of this study is to evaluate the effects of this comprehensive, integrated community-based lifestyle intervention on diet, physical activity and smoking behaviours. Methods Population The study design and rationale of the intervention methods employed in the IHHP have been described elsewhere. (26) In this study, which was initiated in the year 2000, two intervention counties (Isfahan and Najaf-Abad) and a control area (Arak), all located in central Islamic Republic of Iran, were studied. According to the 2000 national census, the population was 1 895 856 in Isfahan and 275 084 in Najaf-Abad, a neighbouring county. Arak, a county with a population of 668 531 located 375 km north-west of Isfahan, was selected as a control area because it resembled the intervention areas in its socioeconomic, demographic and health profile and offered good cooperation. (26) The intervention programme targeted the general population as well as specific groups in urban and rural areas within the intervention communities. Arak was monitored for evaluation purposes but did not receive any intervention. In each community, a random sample of adults was selected yearly by multi-stage cluster sampling. To achieve adequate sample size, those who declined to participate in the study were replaced by their neighbours. Assessments of dietary intake, physical activity and smoking behaviour were made at baseline and annually for up to 4 years in the intervention areas and up to 3 years in the control area. …
[ { "display_name": "Bulletin of The World Health Organization", "id": "https://openalex.org/S22004576", "type": "journal" } ]
https://openalex.org/W4308128473
Spatial distribution and temporal trend of drug-related deaths in the Islamic Republic of Iran during 2014–2017
[ { "affiliations": [], "display_name": "Abbas Alipour", "id": "https://openalex.org/A5015234456" }, { "affiliations": [], "display_name": "Mehran Zarghami", "id": "https://openalex.org/A5050405893" }, { "affiliations": [], "display_name": "Sajjad Rahimi Pordanjani", "id": "https://openalex.org/A5065404805" }, { "affiliations": [], "display_name": "Ardeshir Khosravi", "id": "https://openalex.org/A5033215677" }, { "affiliations": [], "display_name": "Mehdi Saberi", "id": "https://openalex.org/A5010474879" }, { "affiliations": [], "display_name": "Masoudeh Babakhanian", "id": "https://openalex.org/A5042188619" } ]
[ { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Substance abuse", "id": "https://openalex.org/C40010229" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Confidence interval", "id": "https://openalex.org/C44249647" }, { "display_name": "Incidence (geometry)", "id": "https://openalex.org/C61511704" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Ecological study", "id": "https://openalex.org/C25511272" }, { "display_name": "Trend analysis", "id": "https://openalex.org/C127142870" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Internal medicine", "id": "https://openalex.org/C126322002" }, { "display_name": "Physics", "id": "https://openalex.org/C121332964" }, { "display_name": "Machine learning", "id": "https://openalex.org/C119857082" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" }, { "display_name": "Optics", "id": "https://openalex.org/C120665830" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4308128473
Background: Research suggests that there is an increasing trend in drug-related deaths worldwide: an estimated 69 000 individuals lose their lives due to substance abuse annually. Aims: To determine the geographical pathology of drug-related deaths in the Islamic Republic of Iran and to evaluate incidence trends, with a focus on identifying high- and low-risk regions. Methods: For this ecological study, we collected data from the 2 main sources (the Legal Medicine Organization and the Ministry of Health and Medical Education) responsible for registering substance-related deaths during 2014–2017. Data analysis was conducted using Joinpoint regression analysis, Global Moran’s I and Anselin Local Moran’s I. Results: Of the 12 386 drug-related deaths in 2014–2017, most occurred during the summer months; 7162 of these were among middle-aged individuals. The mean age of children and adolescents who died of substance abuse was 5.2 [standard deviation (SD) 4.6] years. In the young adult group, mean age at death was 20.7 (SD 2.5) years; it was 34.2 (SD 5.4) years for adults and 55.6 (SD 9.8) years for older adults. Changes in mortality rate peaked in 2017 (annual percentage change = 0.52); in the last months of the study period there was a nonsignificant decrease (annual percentage change = –6.99) in the incidence (average annual percentage change = –0.5; 95% confidence interval: –3.2, 2.3). Conclusion: Deaths due to substance abuse will remain a huge public health problem unless policy- and decision-makers determine why this problem continues to increase despite the extensive efforts on regulation and find ways to mitigate it.
[ { "display_name": "Eastern Mediterranean Health Journal", "id": "https://openalex.org/S175879142", "type": "journal" }, { "display_name": "PubMed", "id": "https://openalex.org/S4306525036", "type": "repository" } ]
https://openalex.org/W2583490113
Alcohol Policy Development: A Case of I. R. of Iran
[ { "affiliations": [ { "country": "Iran", "display_name": "Ministry of Health and Medical Education", "id": "https://openalex.org/I4210110574", "lat": 35.75605, "long": 51.35651, "type": "government" } ], "display_name": "Ahmad Hajebi", "id": "https://openalex.org/A5031702758" }, { "affiliations": [], "display_name": "Alireza Noroozi", "id": "https://openalex.org/A5078178851" } ]
[ { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Harm", "id": "https://openalex.org/C2777363581" }, { "display_name": "Alcohol", "id": "https://openalex.org/C2781066024" }, { "display_name": "Alcohol use disorder", "id": "https://openalex.org/C2779442783" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Biochemistry", "id": "https://openalex.org/C55493867" }, { "display_name": "Chemistry", "id": "https://openalex.org/C185592680" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W2583490113
The harmful use of alcohol causes an estimated 2.5 million deaths every year, of which a significant proportion occur in the young. Alcohol use is the third leading risk factor for poor health globally. In response to harmful use of alcohol, World Health Organization developed a global strategy to reduce the harmful use of alcohol endorsed by the Sixty-third World Health Assembly in 2010. Parallel with international initiatives, and in response to epidemiological data on alcohol use disorders in the country and incidence of few cases of methanol intoxication mass epidemics, Iran Ministry of Health has formulated national policies on alcohol prevention, tackle, treatment and rehabilitation of alcohol use which were ratified in high rank national councils. Following strategic objectives were proposed in national policy document: (a) 25% decrease in alcohol burden until the end of the plan in 2017 (b) To clearly define and institutionalize the role and responsibilities of governmental and civil society organizations in stabilization and reduction of burden of alcohol use disorders (c) To increase public awareness in different age groups about etiological factors, risks and consequences of alcohol use (d) To increase utilization of treatment, harm reduction and rehabilitation services in urban and rural areas (e) To prevent/tackle use of alcoholic beverages and (f) To decrease availability and increase the costs of alcohol related crimes. A public health approach to address alcohol problem has been successfully adopted by Islamic Republic of Iran. To decrease sensitivity associated with alcohol use disorders from one hand and insufficiency of resources to develop new standalone programs on the other hand, Iranian Ministry of Health policy is to integrate alcohol programs within currently available network of drug treatment and health facilities. It is critical for responsible governmental and non-governmental organizations to implement the program in a culturally sensitive manner and to show the feasibility, acceptability and effectiveness of the programs during implementation phase.
[ { "display_name": "Asia Pacific Journal of Medical Toxicology", "id": "https://openalex.org/S2738644801", "type": "journal" } ]
https://openalex.org/W3168081959
Explaining public trust as a consequence of new government administration in implementing health and medical education policies
[ { "affiliations": [], "display_name": "Niusha Meftah", "id": "https://openalex.org/A5042591185" }, { "affiliations": [], "display_name": "Masoud Pourkiani", "id": "https://openalex.org/A5041687795" } ]
[ { "display_name": "Government (linguistics)", "id": "https://openalex.org/C2778137410" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Structural equation modeling", "id": "https://openalex.org/C71104824" }, { "display_name": "Accountability", "id": "https://openalex.org/C2776007630" }, { "display_name": "Stratified sampling", "id": "https://openalex.org/C49898467" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Public administration", "id": "https://openalex.org/C3116431" }, { "display_name": "Medical education", "id": "https://openalex.org/C509550671" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Statistics", "id": "https://openalex.org/C105795698" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Linguistics", "id": "https://openalex.org/C41895202" }, { "display_name": "Mathematics", "id": "https://openalex.org/C33923547" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W3168081959
The purpose of this study was to explain public trust as a consequence of new government administration (participation, accountability and citizen satisfaction) in implementing policies of the health and medical education system and providing an effective model in line with the general policies of the Islamic Republic of Iran. The present study was an applied, descriptive, surveycorrelation type, specifically based on structural equation modeling. The statistical population of research consisted of two groups: the first group included those who referred to the Ministry of Health. Availability sampling method was used for this group due to large size and limitations such as the specific research topic and the unwillingness of many of the respondents to complete the new government management and public trust questionnaires. The second group was selected using stratified sampling method based on the development indicators of the five provinces of the 31 provinces, the heads, deputies and directors of medical universities (N=223), medical treatment (N=245 people), government hospitals (N=192 people) and networks and health centers (N=162 people). The sample was 262 people using the Cochran formula which was increased to 400 according to the completion rate of the questionnaires. Data were gathered by library and field method and using a questionnaire whose content and structural validity as well as their internal consistency were verified using structural equation modeling at 95% confidence level. The results showed that there was a significant relationship between participatory public administration with citizens' satisfaction with the mediating role of accountability in the health and medical education system. Also, participatory management, accountability, and citizens’ satisfaction were significantly associated with general trust in health and medical education systems. In addition, public trust as a consequence of the new government management has a significant relationship with the implementation of the health and medical education policy.
[ { "display_name": "Revista Inclusiones: Revista de Humanidades y Ciencias Sociales", "id": "https://openalex.org/S4306527508", "type": "journal" } ]
https://openalex.org/W1954834017
The Impact of Safe Community Program on safety promotion among motorcyclists in Iran with focus on helmet usage
[ { "affiliations": [], "display_name": "Alireza Moghisi", "id": "https://openalex.org/A5047521620" } ]
[ { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Law enforcement", "id": "https://openalex.org/C2780262971" }, { "display_name": "Embarrassment", "id": "https://openalex.org/C2776716606" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Enforcement", "id": "https://openalex.org/C2779777834" }, { "display_name": "Promotion (chess)", "id": "https://openalex.org/C98147612" }, { "display_name": "Suicide prevention", "id": "https://openalex.org/C526869908" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Social psychology", "id": "https://openalex.org/C77805123" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Politics", "id": "https://openalex.org/C94625758" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W1954834017
Background: Injuries to motorcyclists are an important public health problem. Motorcycles' riders and pillions have the highest public health burden in terms of disability adjusted life years (DALY) lost. Many countries are facing the problem of a rapidly growing motorcyclists' death. This is important for us because the motorcycle fleet in Iran is rising quickly. These series of studies conducted to assess and evaluate the impact of safe community program on motorcyclist's safety in Islamic Republic of Iran. Methods: Two cross sectional observations were conducted in 14 cities (5 safe community practicing and 9 safe community non practicing cities) independently on 2005 and 2007. 10% of registered motorcycles were observed and interviewed (n=1114 in each observation). Results: results revealed that 87.9% used motorcycle for the commercial purposes. All motorcyclists were male, mostly aged 18-29 years old. Death rate significantly rose from 122 to 254 per 100000 motorcyclists in Fars province since first observation (p < 0.0001). Helmet usage rate was constant (13%). Recorded crashes increased from 16.4% to 23.1% in safe community setting (p < 0.0001). 11% carried more than one pillion. Heat disturbances, embarrassment, hearing blockage, and neglecting were the most mentioned excuses for not using helmet. Law enforcement, public education, accessible to helmet on discount rate, new legislation and finally access to new designed helmet were the most suggestions made by motorcyclists to promote helmet usage. No significant effect was noticed between two settings. Interventions were not constant in safe community cities. Community involvement into the safe program could ensure sustainability of initiatives. Conclusion: Motorcyclists' death rate is high among the young adult male of 19-39 in both communities in Iran. A positive outcome was detected at the beginning of safe community program on knowledge, attitude and behaviour of motorcyclists' riders and preventive effect on death rate. As the time passes, this effect drops and no significant effect was noticed between the two settings. This suggests that the process of interventions must be constant.
[]
https://openalex.org/W2276403565
REVIEW ARTICLE: EVIDENCE-BASED HEALTH CARE, PAST DEEDS AT A GLANCE, CHALLENGES AND THE FUTURE PROSPECTS IN IRAN
[ { "affiliations": [], "display_name": "Zahra Baradaran Seyed", "id": "https://openalex.org/A5008691776" }, { "affiliations": [ { "country": "Iran", "display_name": "Tehran University of Medical Sciences", "id": "https://openalex.org/I70640408", "lat": 35.69439, "long": 51.42151, "type": "education" } ], "display_name": "Reza Majdzadeh", "id": "https://openalex.org/A5019525533" } ]
[ { "display_name": "Realm", "id": "https://openalex.org/C2778757428" }, { "display_name": "Health care", "id": "https://openalex.org/C160735492" }, { "display_name": "Perspective (graphical)", "id": "https://openalex.org/C12713177" }, { "display_name": "Evidence-based medicine", "id": "https://openalex.org/C19648533" }, { "display_name": "Alternative medicine", "id": "https://openalex.org/C204787440" }, { "display_name": "Scientific evidence", "id": "https://openalex.org/C124056412" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Evidence-based practice", "id": "https://openalex.org/C141330323" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Epistemology", "id": "https://openalex.org/C111472728" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Philosophy", "id": "https://openalex.org/C138885662" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Artificial intelligence", "id": "https://openalex.org/C154945302" }, { "display_name": "Computer science", "id": "https://openalex.org/C41008148" } ]
[ "Islamic Republic of Iran", "Iran" ]
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https://api.openalex.org/works?filter=cites:W2276403565
The emergence of evidence-based medicine (EBM) from the philosophical origin perspective dates back to the 19 century or even earlier (1), albeit there stands some evidence, which reveals that the pioneer of EBM was Persian physician and philosopher, Avicenna (Abu Ali Sina) (2). By the way, the new perspective, regarding the case, of course, proposed in 1992 by Gordon H. Guyatt, who underlined that EBM is the conscientious, judicious use of current best evidence in making decisions about patient care (3). The broader concepts and deeper look, in the following years, proposed some other concepts such as evidence-based practice (EBP), evidence-based health care (EBHC) and evidence-based public health, which of their nature, not only covered clinical medicine realm but also other health care providers (4, 5). Additionally, fairly widespread and consummate attention turned to the credos and values of patients, their families, practitioners, and some other realms such as organizational resources and patient status. For instance, the epitome of the veracity of factors related to EBP, proposed not only patients' preferences and scientific evidence, but also some other issues such as the patient clinical state, the setting and circumstance, and health care resources which all overlap with the clinical experience (6). Along with global achievements in the realms of EBP and EBHC, quite a few Iranian health professionals engrossed Abstract Background: Along with the global fervor over evidence based medicine (EBM), certain measures have been taken in Iran too. Many educational workshops and national and international seminars have been held. Multiple educational packages have been prepared and even included in the educational curriculum. In recent years, policies have been directed toward encouraging clinical guidelines, health technology assessment reports and policy briefs. Also, recently, the ‘National Strategic Program in Evidence-Based Health Care in the Islamic Republic of Iran’ has been defined by the Ministry of Health and Medical Education. In spite of all these efforts, studies that follow the uptake of evidencebased contents at the bedside show that EBM is not used in practice and at the bedside. The overall effect of the efforts mentioned is the knowledge promotion of the participants of the educational programs and or increasing their abilities in articles’ critical appraisal; nothing has been added in the practice arena. It seems that, in Iran, EBM’s current and future needs are to focus on its implementation, what is in other words called ‘knowledge translation’ or the application of scientific evidence.
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https://openalex.org/W4221038535
A Pattern for Assessing the Health System Governance in the Islamic Republic of Iran: A Thematic Analysis
[ { "affiliations": [], "display_name": "Salimeh Latifi jaliseh", "id": "https://openalex.org/A5014138847" }, { "affiliations": [], "display_name": "Hossein Safari", "id": "https://openalex.org/A5088251334" } ]
[ { "display_name": "Accountability", "id": "https://openalex.org/C2776007630" }, { "display_name": "Thematic analysis", "id": "https://openalex.org/C74196892" }, { "display_name": "Corporate governance", "id": "https://openalex.org/C39389867" }, { "display_name": "Health policy", "id": "https://openalex.org/C47344431" }, { "display_name": "Public relations", "id": "https://openalex.org/C39549134" }, { "display_name": "Psychology", "id": "https://openalex.org/C15744967" }, { "display_name": "Qualitative research", "id": "https://openalex.org/C190248442" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Business", "id": "https://openalex.org/C144133560" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Political science", "id": "https://openalex.org/C17744445" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Social science", "id": "https://openalex.org/C36289849" }, { "display_name": "Law", "id": "https://openalex.org/C199539241" }, { "display_name": "Finance", "id": "https://openalex.org/C10138342" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4221038535
Background: Governance in the health system is not just a vision, or a model for delivering services, but a key element in planning, implementing and evaluating activities to improve health. The main purpose of this study was to design a pattern for assessing Iran's Health System Governance.&#x0D; Methods: The present study was descriptive in terms of purpose, qualitative in terms of application, and qualitative in terms of data type, which was conducted based on thematic analysis and deductive-inductive approach. 14 health system experts were selected through non-random-purposive sampling. To calculate reliability, test-retest reliability and coder reliability were used, which were 70 and 87 %, respectively. Also, Waltz and Basel method was used to assess the content validity of the extracted indices which was 85 %.&#x0D; Results: After 6 stages of thematic analysis, 137 basic themes, 15 organizing themes and 5 comprehensive themes (health system accountability, health system participation, health system policy formulation, health system service provision, health system efficiency and quality) were obtained, and finally, a model for assessing the governance of the health system in the Islamic Republic of Iran was designed. Organizational accountability included 7 themes, ethical accountability, 9, and legal accountability included 6 .Financial accountability included 8 basic themes, and efficiency and quality, 10 basic themes. Implementation included 8 themes, comprehensiveness, 4, reporting, 12, and transparency, 6. Structural policy included 23 themes, social inclusion and justice policy, 6, and fiscal policy included 11 basic themes. Medical services included 4 themes, financial services, 7, human services and human rights, 9, and information and technology services included 7 basic themes. In this pattern, participation and policy formulation were considered input, and accountability, efficiency and quality and service delivery were considered output.&#x0D; Conclusion: Lack of a clear definition for an appropriate interdepartmental cooperation, Lack of meritocracy, having a guild oriented attitude, conflict of interests, not using a policymaking approach based on a collective evidence and wisdom are among the shortcomings of the current health system governance. In addition, healthcare costs imposed on people are too high.
[ { "display_name": "راهبردهای مدیریت در نظام سلامت", "id": "https://openalex.org/S4210169036", "type": "journal" }, { "display_name": "DOAJ (DOAJ: Directory of Open Access Journals)", "id": "https://openalex.org/S4306401280", "type": "repository" } ]
https://openalex.org/W3153948245
Evaluation of trauma management in injured Iranian Hajj pilgrims in 2015 Mina stampede
[ { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "S H Mehrvarz", "id": "https://openalex.org/A5036981840" }, { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Shahram Manoochehry", "id": "https://openalex.org/A5085611146" }, { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Minoo Bagheri", "id": "https://openalex.org/A5067057972" }, { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Behzad Einollahi", "id": "https://openalex.org/A5020895727" }, { "affiliations": [ { "country": "Iran", "display_name": "Baqiyatallah University of Medical Sciences", "id": "https://openalex.org/I120514687", "lat": 35.751667, "long": 51.394127, "type": "education" } ], "display_name": "Mohammad Ganjeh", "id": "https://openalex.org/A5066953838" }, { "affiliations": [], "display_name": "Taher Doroudi", "id": "https://openalex.org/A5003273599" }, { "affiliations": [], "display_name": "Seyyed ali Marashi", "id": "https://openalex.org/A5025297345" } ]
[ { "display_name": "Hajj", "id": "https://openalex.org/C2781009399" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Pilgrimage", "id": "https://openalex.org/C2779448473" }, { "display_name": "Ceremony", "id": "https://openalex.org/C2775843773" }, { "display_name": "Triage", "id": "https://openalex.org/C2777120189" }, { "display_name": "Medical emergency", "id": "https://openalex.org/C545542383" }, { "display_name": "Referral", "id": "https://openalex.org/C2776135927" }, { "display_name": "Mass gathering", "id": "https://openalex.org/C2780356881" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Family medicine", "id": "https://openalex.org/C512399662" }, { "display_name": "Ancient history", "id": "https://openalex.org/C195244886" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "History", "id": "https://openalex.org/C95457728" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" } ]
[ "Islamic Republic of Iran", "Saudi Arabia", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W3153948245
Introduction: The Muslim annual pilgrimage (Hajj) ceremony in 2015 was one of the most catastrophic and tragic events of the Hajj pilgrimage in history. Thousands of pilgrims have been tragically stampeded to death and injured in the land of Mina in Mecca, Saudi Arabia, on September 25 in 2015. The last official statistics declared that at least 2,431 pilgrims died and 427 pilgrims were missed in the blocked street. Furthermore, 464 corpses were Iranian Objectives: The purpose of this study was to evaluate the treatment of the injured pilgrims by the Iranian Hajj Medical Team in Mina and assess its strengths and weaknesses in order to develop a comprehensive approach in dealing with similar events. Methods: The records of the patients were obtained from the archives of the Islamic Republic of Iran Hajj Medical Center. Firstly, the demographic data, method of triage, cause of admission, treatment methods, and referral to Mecca hospitals were extracted, and then some interviews were performed with the members of the medical team who were present at the incident scene. Finally, a protocol was proposed for the management of patients in similar incidents. Results: Out of a total of 1,633 referred patients, 567 injured pilgrims were admitted and treated during the incident. Due to the incomplete medical records, a total of 403 complete medical sheets were included in this study. Moreover, 362 cases (89.8%) improved after cooling and proper fluid replacement. They were discharged with therapeutic measures. A total of 41 injured pilgrims (10.2%) were referred to urban hospitals, and 13 cases of the referrals were due to acute respiratory distress syndrome. Furthermore, 12 subjects were referred for dialysis, and 4 cases of the referrals were due to anxiety disorders. Moreover, three cases of diabetic ketoacidosis, one case of epidural hemorrhage, one case of intracranial hemorrhage, one case of spleen hematoma, one case of sigmoid volvulus, and one case of gastrointestinal bleeding were successfully treated. The most common diagnosis was observed to be dehydration, followed by heat exhaustion and contusion. Approximately, all the victims had some degrees of the aforementioned injuries. Initial therapeutic attempts included rehydration, cooling in the cold tunnel, and correction of electrolyte imbalances. Performing a complete blood count with differential, blood urea nitrogen, sodium, and potassium tests, and urinary catheterization were determined as per case (if needed); nevertheless, fluid therapy and cooling were carried out (as primary resuscitation) for all the injured patients. Conclusions: Therapeutic efficacy was evaluated as excellent due to zero mortality. As a result, it was decided to propose a treatment method for the Hajj Medical Team as a protocol for the management and treatment of injuries caused by mass gathering (e.g., contusion and heat exhaustion) in similar events. For the implementation of the best measures in similar situations, it is compulsory to organize medical teams with trained personnel.
[ { "display_name": "Iranian Red Crescent Medical Journal", "id": "https://openalex.org/S185149661", "type": "journal" } ]
https://openalex.org/W4388047603
Road traffic injuries and associated mortality in the Islamic Republic of Iran
[ { "affiliations": [], "display_name": "Farideh Sadeghian", "id": "https://openalex.org/A5019905584" }, { "affiliations": [], "display_name": "Ahmad Mehri", "id": "https://openalex.org/A5022475201" }, { "affiliations": [], "display_name": "Zahra Ghodsi", "id": "https://openalex.org/A5042124571" }, { "affiliations": [], "display_name": "Vali Baigi", "id": "https://openalex.org/A5050366641" }, { "affiliations": [], "display_name": "Mohadaseh S Bardsiri", "id": "https://openalex.org/A5093146145" }, { "affiliations": [], "display_name": "Mahdi Sharif-Alhoseini", "id": "https://openalex.org/A5091629408" }, { "affiliations": [], "display_name": "Gerard O’Reilly", "id": "https://openalex.org/A5074872024" }, { "affiliations": [], "display_name": "Ali H. Mokdad", "id": "https://openalex.org/A5083535850" }, { "affiliations": [], "display_name": "Vafa Rahimi-Movaghar", "id": "https://openalex.org/A5056852587" } ]
[ { "display_name": "Case fatality rate", "id": "https://openalex.org/C187316915" }, { "display_name": "Medicine", "id": "https://openalex.org/C71924100" }, { "display_name": "Mortality rate", "id": "https://openalex.org/C179755657" }, { "display_name": "Road traffic", "id": "https://openalex.org/C2985695025" }, { "display_name": "Injury prevention", "id": "https://openalex.org/C190385971" }, { "display_name": "Population", "id": "https://openalex.org/C2908647359" }, { "display_name": "Poison control", "id": "https://openalex.org/C3017944768" }, { "display_name": "Islamic republic", "id": "https://openalex.org/C2994026549" }, { "display_name": "Occupational safety and health", "id": "https://openalex.org/C187155963" }, { "display_name": "Demography", "id": "https://openalex.org/C149923435" }, { "display_name": "Psychological intervention", "id": "https://openalex.org/C27415008" }, { "display_name": "Public health", "id": "https://openalex.org/C138816342" }, { "display_name": "Environmental health", "id": "https://openalex.org/C99454951" }, { "display_name": "Islam", "id": "https://openalex.org/C4445939" }, { "display_name": "Geography", "id": "https://openalex.org/C205649164" }, { "display_name": "Surgery", "id": "https://openalex.org/C141071460" }, { "display_name": "Transport engineering", "id": "https://openalex.org/C22212356" }, { "display_name": "Archaeology", "id": "https://openalex.org/C166957645" }, { "display_name": "Nursing", "id": "https://openalex.org/C159110408" }, { "display_name": "Pathology", "id": "https://openalex.org/C142724271" }, { "display_name": "Psychiatry", "id": "https://openalex.org/C118552586" }, { "display_name": "Engineering", "id": "https://openalex.org/C127413603" }, { "display_name": "Sociology", "id": "https://openalex.org/C144024400" } ]
[ "Islamic Republic of Iran", "Iran" ]
[]
https://api.openalex.org/works?filter=cites:W4388047603
Road traffic accidents are a major public health problem globally, causing millions of injuries, deaths and disabilities, and a huge loss of financial resources, especially in low- and middle-income countries.To determine the incidence of road traffic injuries and associated mortality from 1997 to 2020 in the Islamic Republic of Iran.This retrospective study used data from the Legal Medicine Organization of the Islamic Republic of Iran to estimate the annual rates of road traffic injuries and associated mortality from 21 March 1997 to 20 March 2020. The data were analysed using STATA version 14 and the annual rates are reported per 100 000 population.During the study period, 5 760 835 road traffic injuries and 472 193 deaths were recorded in the Islamic Republic of Iran. The mortality rate increased from 22.4 per 100 000 in 1997 to 40 per 100 000 in 2005 and decreased to 18.4 per 100 000 in 2020. The injury rate increased from 111.1 per 100 000 in 1997 to 394.9 per 100 000 in 2005. It decreased in 2006 and 2007 and increased from then until 2010, finally reaching 331.8 per 100 000 in 2020. The male to female ratio for road traffic mortality was 3.9 in 1997 and 4.6 in 2020. The case fatality rate was highest (20.1%) in 1997 and decreased to 5.6% in 2020.Continuous interventions are needed to reduce the burden of road traffic injuries and associated mortality in the Islamic Republic of Iran.الإصابات الناجمة عن حوادث المرور على الطرق والوفيات المرتبطة بها في جمهورية إيران الإسلامية.فريده صدغيان، أحمد مهري، زهرة قدسي، فالي بيجي، محدثة س. بردسيري، مهدي شريف الحسيني، جيرارد م. أورايلي، علي مقداد، وفا رحيمي-موقر.تُعدُّ حوادث المرور على الطرق من المشاكل الكبرى في مجال الصحة العامة على الصعيد العالمي، وتتسبب في ملايين الإصابات والإعاقات والوفيات ، وكذلك خسارة هائلة للموارد المالية، لا سيَّما في البلدان المنخفضة الدخل والمتوسطة الدخل.هدفت هذه الدراسة الى تحديد معدل وقوع الإصابات الناجمة عن حوادث المرور على الطرق والوفيات المرتبطة بها في الفترة من 1997 إلى 2020 في جمهورية إيران الإسلامية.استخدمت هذه الدراسة الاسترجاعية بيانات من مؤسسة الطب الشرعي في جمهورية إيران الإسلامية؛ لتقدير المعدلات السنوية للإصابات الناجمة عن حوادث المرور على الطرق والوفيات المرتبطة بها في الفترة من 21 مارس/ آذار 1997 إلى 20 مارس/ آذار 2020. وحُلِّلت البيانات باستخدام الإصدار 14 من برنامج STATA، وأُبلغ عن المعدلات السنوية لكل 100000 نسمة.خلال الفترة المشمولة بالدراسة، سُجِّلت 5760835 إصابة ناجمة عن حوادث المرور على الطرق، و472193 حالة وفاة مرتبطة بها في، جمهورية إيران الإسلامية. وارتفع معدل الوفيات من 22.4 لكل 100000 نسمة في عام 1997 إلى 40 لكل 100000 نسمة في عام 2005، وانخفض إلى 18.4 لكل 100000 نسمة في عام 2020. وارتفع معدل الإصابة من 111.1 لكل 100000 نسمة في عام 1997 إلى 394.9 لكل 100000 نسمة في عام 2005. وانخفض هذا المعدل في عامي 2006 و2007، وارتفع منذئذٍ حتى عام 2010، ليصل أخيرًا إلى 331.8 لكل 100000 نسمة في عام 2020. وبلغت نسبة وفيات الذكور إلى الإناث بسبب حوادث المرور على الطرق 3.9 في عام 1997، و4.6 في عام 2020. وبلغ معدل إماتة الحالات أعلى مستوياته (20.1٪) في عام 1997، وانخفض إلى 5.6٪ في عام 2020.يلزم إجراء تدخلات مستمرة للحد من عبء الإصابات الناجمة عن حوادث المرور على الطرق والوفيات المرتبطة بها في جمهورية إيران الإسلامية.Traumatismes dus aux accidents de la circulation et mortalité associée en République islamique d'Iran.Les accidents de la circulation constituent un problème de santé publique majeur dans le monde, qui entraîne des millions de traumatismes, de décès et d'incapacités, ainsi qu'une perte importante de ressources financières, en particulier dans les pays à revenu faible et intermédiaire.Déterminer l'incidence des traumatismes dus aux accidents de la circulation et la mortalité associée entre 1997 et 2020 en République islamique d'Iran.La présente étude rétrospective a analysé les données de l'Organisation de médecine légale de la République islamique d'Iran pour estimer les taux annuels de traumatismes dus aux accidents de la circulation et la mortalité qui leur était associée entre le 21 mars 1997 et le 20 mars 2020. Les données ont été analysées à l'aide du logiciel STATA version 14 et les taux annuels sont rapportés pour 100 000 personnes.Pendant la durée de l'étude, 5 760 835 traumatismes dus aux accidents de la circulation et 472 193 décès ont été enregistrés en République islamique d'Iran. Le taux de mortalité a augmenté, passant de 22,4 pour 100 000 personnes en 1997 à 40 pour 100 000 en 2005, puis a diminué, atteignant 18,4 pour 100 000 en 2020. Le taux de traumatismes a augmenté, passant de 111,1 pour 100 000 en 1997 à 394,9 pour 100 000 en 2005. Il a ensuite diminué en 2006 et 2007 avant d'augmenter jusqu'en 2010 pour atteindre finalement 331,8 pour 100 000 personnes en 2020. Le rapport hommes/femmes concernant la mortalité liée à ces types d'accidents était de 3,9 en 1997 et de 4,6 en 2020. Le taux de létalité le plus élevé (20,1 %) a été enregistré en 1997 et il est redescendu à 5,6 % en 2020.Des interventions continues sont requises pour réduire la charge de ces traumatismes et la mortalité qui leur est associée en République islamique d'Iran.
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