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Stewardship of noncommunicable diseases in Iran: a qualitative study

Stewardship of noncommunicable diseases in Iran: a qualitative study Noncommunicable diseases (NCDs) count for over 80% of premature death worldwide. More than 76% of the total burden of diseases in Iran is devoted to NCDs. In line with the World Health Organization action plan, Iran has developed its national action plan that led to establishment of the National Committee for Prevention and Control of NCDs (INCDC), whose aim is 30% mortality reduction attributed to NCDs by 2030. The stewardship of health system is the cornerstone of performing and sustaining meaningful actions toward prevention and control of NCDs. The literature is tiny on how to materialize the stewardship and governance of health system. The purpose of this article is to report the findings of a national study that aimed to identity functions and subfunctions of stewardship of NCDs and its related risk factors in Iran.Design/methodology/approachThis is a qualitative study. The authors conducted interviews with 18 purposefully selected interviewees until the authors reached saturation. Thematic content analysis was used for analysis and MAXQDA 10 was employed for data management. The difficulty of coordinating with interviewers and health policymakers in the field slowed the process of research progress.FindingsThe authors identified seven themes and categorized them as main functions for appropriate stewardship of NCDs in Iran, including intelligence generation; strategic framework; evidence-based policies/decisions; system design; resource allocation/development; capacity-building and enforcement/alignment; and categorized them as important.Practical implicationsThe seven themes presented as stewardship functions include concepts and practical examples of the experiences and performance of leading countries in the field of NCDs control that can help policymakers and health managers for better descion-making.Originality/valueIran adopted its national action plan in 2015 and WHO selected Iran as a fast-track country in 2017. The study confirmed that to achieve the global targets, appropriate and contextual stewardship for any specific setting is fundamental. Iran needs to improve its stewardship for prevention and control of NCDs and implement its national action plan. Therefore, the functions and policies outlined in this article for the proper performance of NCDs can improve more meaningful practices in this area in Iran and many other countries. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Health Governance Emerald Publishing

Stewardship of noncommunicable diseases in Iran: a qualitative study

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
2059-4631
DOI
10.1108/ijhg-07-2020-0074
Publisher site
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Abstract

Noncommunicable diseases (NCDs) count for over 80% of premature death worldwide. More than 76% of the total burden of diseases in Iran is devoted to NCDs. In line with the World Health Organization action plan, Iran has developed its national action plan that led to establishment of the National Committee for Prevention and Control of NCDs (INCDC), whose aim is 30% mortality reduction attributed to NCDs by 2030. The stewardship of health system is the cornerstone of performing and sustaining meaningful actions toward prevention and control of NCDs. The literature is tiny on how to materialize the stewardship and governance of health system. The purpose of this article is to report the findings of a national study that aimed to identity functions and subfunctions of stewardship of NCDs and its related risk factors in Iran.Design/methodology/approachThis is a qualitative study. The authors conducted interviews with 18 purposefully selected interviewees until the authors reached saturation. Thematic content analysis was used for analysis and MAXQDA 10 was employed for data management. The difficulty of coordinating with interviewers and health policymakers in the field slowed the process of research progress.FindingsThe authors identified seven themes and categorized them as main functions for appropriate stewardship of NCDs in Iran, including intelligence generation; strategic framework; evidence-based policies/decisions; system design; resource allocation/development; capacity-building and enforcement/alignment; and categorized them as important.Practical implicationsThe seven themes presented as stewardship functions include concepts and practical examples of the experiences and performance of leading countries in the field of NCDs control that can help policymakers and health managers for better descion-making.Originality/valueIran adopted its national action plan in 2015 and WHO selected Iran as a fast-track country in 2017. The study confirmed that to achieve the global targets, appropriate and contextual stewardship for any specific setting is fundamental. Iran needs to improve its stewardship for prevention and control of NCDs and implement its national action plan. Therefore, the functions and policies outlined in this article for the proper performance of NCDs can improve more meaningful practices in this area in Iran and many other countries.

Journal

International Journal of Health Governance – Emerald Publishing

Published: Jun 4, 2021

Keywords: Health system; Stewardship; Noncommunicable diseases; Risk factors; Iran

References

  • SWOT analysis of implementation of urban family physician plan from the perspective of beneficiaries: a qualitative study
    Abedi, G.; Marvi, A.; Kentaie, S.; Amir, S.; Abedini, E.; Asadi Aliabadi, M.; Safizadehe Chamokhtari, K.; Abasi Chaleshtari, A.
  • Proactive agenda setting in creation and approval of national action plan for prevention and control of non-communicable diseases in Iran: The use of multiple streams model
    Amerzadeh, M.; Salavati, S.; Takian, A.
  • Grounded theory method: philosophical perspectives, paradigm of inquiry, and postmodernism
    Annells, M.
  • A review of health governance: definitions, dimensions and tools to govern
    Barbazza, E.; Tello, J.E.
  • Content analysis
    Baxter, L.A.; Montgomery, B.M.; Duck, S.
  • The impact of health systems on diabetes care in low and lower middle income countries
    Beran, D.
  • Healthy people and healthy profits? Elaborating a conceptual framework for governing the commercial determinants of non-communicable diseases and identifying options for reducing risk exposure
    Buse, K.; Tanaka, S.; Hawkes, S.
  • Stewardship and governance: structuring dimensions for implementation primary health care policies in Paraguay, 2008-2017
    Cabral-Bejarano, M.S.; Nigenda, G.; Arredondo, A.; Conill, E.
  • Tobacco control, global health policy and development: towards policy coherence in global governance
    Collin, J.
  • Addressing NCDs: a unifying agenda for sustainable development
    Collins, T.; Mikkelsen, B.; Adams, J.; Chestnov, O.; Evans, T.; Feigl, A.; Nugent, R.; Pablos-Mendez, A.; Srivanichakorn, S.; Webb, D.
  • Primary health care: a strategic framework for the prevention and control of chronic non-communicable disease
    Demaio, A.R.; Nielsen, K.K.; Tersbøl, B.P.; Kallestrup, P.; Meyrowitsch, D.W.
  • The qualitative content analysis process
    Elo, S.; Kyngäs, H.
  • Governance framework in non-communicable disease (NCD) control and prevention programme at primary care level in Malaysia
    Fadzilah, A.; Azima, R.; Khalsom, S.; Rosliza, A.
  • Legal priorities for prevention of non-communicable diseases: innovations from WHO's Eastern Mediterranean region
    Gostin, L.O.; Abou-Taleb, H.; Roache, S.; Alwan, A.
  • The difference between the management model and the non-communicable diseases
    Haghdoust, A.A.
  • Governance indicators: where are we, where should we be going?
    Kaufmann, D.; Kraay, A.
  • Public stewardship of mixed health systems
    Lagomarsino, G.; De Ferranti, D.; Pablos-Mendez, A.; Nachuk, S.; Nishtar, S.; Wibulpolprasert, S.
  • The role of law and governance reform in the global response to non-communicable diseases
    Magnusson, R.S.; Patterson, D.
  • Stewardship in health, designing a multi-layer meta model: a review article
    Nasiri, T.; Takian, A.; Yazdani, S.
  • National action plan for non-communicable diseases prevention and control in Iran; a response to emerging epidemic
    Peykari, N.; Hashemi, H.; Dinarvand, R.; Haji-Aghajani, M.; Malekzadeh, R.; Sadrolsadat, A.; Sayyari, A.A.; Asadi-Lari, M.; Delavari, A.; Farzadfar, F.
  • A qualitative study of governance of evolving response to non-communicable diseases in low-and middle-income countries: current status, risks and options
    Rani, M.; Nusrat, S.; Hawken, L.H.
  • Investigating the relationship between health-based lifestyle and social health among people in Talesh
    Rasoolinejad, P.; Parsamehr, M.
  • The concept of stewardship in health policy
    Saltman, R.B.; Ferroussier-Davis, O.
  • Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries
    Samb, B.; Desai, N.; Nishtar, S.; Mendis, S.; Bekedam, H.; Wright, A.; Hsu, J.; Martiniuk, A.; Celletti, F.; Patel, K.
  • Nurses' perspectives on causes of medication errors and non-reporting at ED
    Salavati, S.; Hatamvand, F.; Tabesh, H.
  • Values in health policy – a concept analysis
    Shams, L.; Akbari Sari, A.; Yazdani, S.
  • Multi-sectoral requirements of non-communicable diseases stewardship in Iran
    Shams, L.; Yazdani, S.; Takian, A.; Nasiri, T.
  • Framework for assessing governance of the health system in developing countries: gateway to good governance
    Siddiqi, S.; Masud, T.I.; Nishtar, S.; Peters, D.H.; Sabri, B.; Bile, K.M.; Jama, M.A.
  • Toward a transdisciplinary model of evidence‐based practice
    Satterfield, J.M.; Spring, B.; Brownson, R.C.; Mullen, E.J.; Newhouse, R.P.; Walker, B.B.; Whitlock, E.P.
  • Frcp, Facc. Chairman national NCD commission, Barbados
    Trevor Hassell, M.
  • Health system stewardship of national health ministries in the WHO european region: concepts, functions and assessment framework
    Veillard, J.H.M.; Brown, A.D.; BARIŞ, E.; Permanand, G.; Klazinga, N.S.