Using an Analytical Framework to Explain the Formation of Primary Health Care in Rural Iran in the 1980s

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MOSHIRI ESMAEIL; RASHIDIAN ARASH; ARAB MOHAMMAD; KHOSRAVI ARDESHIR

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Journal Paper

Paper Information

Journal: ARCHIVES OF IRANIAN MEDICINE Year:2016 | Volume:19 | Issue:1 Page(s): 16-22

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Title

Using an Analytical Framework to Explain the Formation of Primary Health Care in Rural Iran in the 1980s

Author(s)

MOSHIRI ESMAEIL | RASHIDIAN ARASH | ARAB MOHAMMAD | KHOSRAVI ARDESHIR | Issue Writer Certificate

Keywords

Implementation

multiple streams

primary health care (PHC)

policy actors

policy triangle

referral

Abstract

BACKGROUND: In the 1980s, PHC Implementation promoted the health care delivery and overall health status of the population in Iran. Identifying the crucial design and Implementation aspects of the PHC program can highlight the way it was implemented in a difficult sociopolitical environment. Using a policy analysis approach unfolds the details of Implementation in a context which was not overtly convenient for a great health system reform. METHODS: We conducted semi-structured interviews with 35 key participants and collected relevant literature and documents. We used a policy triangle framework to conceptualize the study and used a thematic data analysis approach to analyze the verbatim transcribed texts and documents. Data were analyzed with regard to the context, content, process and actors of the policy. RESULTS: Proper use of the conditions and opportunities, during the first years after a revolutionary political change resulted in the establishment of a PHC network in Iran. Talented actors, clear content with agreed objectives and a top-down approach to the Implementation in a special sociopolitical context were the main influential factors to fulfillment of the PHC policy in Iran. However, full Implementation of the policy was hampered by the failure of some main components like referral system. CONCLUSION: The policy triangle framework helped us to separate the different components of the PHC policy denoting that successful Implementation of a policy requires attention to all related elements. policy actors should invest in the development of an effective advocacy coalition, while giving ample attention to the Implementation concerns. National health policies can be materialized even during financial hardships, if they align with the wider expectations of the public and politicians.

Cites

Health Infrastructure Development in Rural and Urban Areas of Iran Between 1976 and 2011

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APA: Copy

MOSHIRI, ESMAEIL, RASHIDIAN, ARASH, ARAB, MOHAMMAD, & KHOSRAVI, ARDESHIR. (2016). Using an Analytical Framework to Explain the Formation of Primary Health Care in Rural Iran in the 1980s. ARCHIVES OF IRANIAN MEDICINE, 19(1), 16-22. SID. https://sid.ir/paper/281730/en

Vancouver: Copy

MOSHIRI ESMAEIL, RASHIDIAN ARASH, ARAB MOHAMMAD, KHOSRAVI ARDESHIR. Using an Analytical Framework to Explain the Formation of Primary Health Care in Rural Iran in the 1980s. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2016;19(1):16-22. Available from: https://sid.ir/paper/281730/en

IEEE: Copy

ESMAEIL MOSHIRI, ARASH RASHIDIAN, MOHAMMAD ARAB, and ARDESHIR KHOSRAVI, “Using an Analytical Framework to Explain the Formation of Primary Health Care in Rural Iran in the 1980s,” ARCHIVES OF IRANIAN MEDICINE, vol. 19, no. 1, pp. 16–22, 2016, [Online]. Available: https://sid.ir/paper/281730/en

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