Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework
Abstract Background According to the WHO report and evaluations, Iran has a moderate prevalence of iron deficiency anaemia (IDA). The present study evaluates Iran’s IDA prevention and control policies by analysing the agenda-setting policy using the multiple streams framework (MSF). Methods The pres...
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BMC
2024-12-01
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| Series: | Health Research Policy and Systems |
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| Online Access: | https://doi.org/10.1186/s12961-024-01265-w |
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| author | Azadeh Dehghani Maryam Rafraf Fatemeh Mohammadi-Nasrabadi Rahim Khodayari-Zarnaq Negar Tavakoli |
| author_facet | Azadeh Dehghani Maryam Rafraf Fatemeh Mohammadi-Nasrabadi Rahim Khodayari-Zarnaq Negar Tavakoli |
| author_sort | Azadeh Dehghani |
| collection | DOAJ |
| description | Abstract Background According to the WHO report and evaluations, Iran has a moderate prevalence of iron deficiency anaemia (IDA). The present study evaluates Iran’s IDA prevention and control policies by analysing the agenda-setting policy using the multiple streams framework (MSF). Methods The present study used Kingdon’s MSF model to analyse policies related to IDA in Iran qualitatively. First, the policy documents were reviewed (n = 12), and then in-depth interviews were conducted with key stakeholders (n = 33) using the framework analysis method. MAXQDA version 2020 was used to categorize the data codes of the interviews and extract related themes. Results The main factors of the problem stream were the prevalence of IDA among Iranian pregnant women, children and adolescents and its risk factors in Iran. The policy stream focuses on mounting the staff in health centres, preventing non-communicable diseases and parasites in the health system, and promoting health programs, such as supplementation, education and fortification. The current political stream regarding IDA shows that national and international support can provide the right political atmosphere for this issue. There are challenges and obstacles related to implementing these policies in Iran, including the preference for treatment over prevention in the health sector, the existence of many economic problems and the limitation of distribution and access to health services owing to some unforeseen issues, such as sanctions or the spread of coronavirus disease 2019 (COVID-19). Conclusions The topic of IDA prevention policymaking has entered a new phase. Responsible organizations, such as the Ministry of Health, should emphasize more in allocating budgets for preventive programs, and key organizations, such as the WHO, should support low- and middle-income countries to empower them towards important preventive strategies. |
| format | Article |
| id | doaj-art-299c65b07a024d00bbe94dd6caee8b40 |
| institution | Kabale University |
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| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | Health Research Policy and Systems |
| spelling | doaj-art-299c65b07a024d00bbe94dd6caee8b402024-12-22T12:55:57ZengBMCHealth Research Policy and Systems1478-45052024-12-0122111410.1186/s12961-024-01265-wAgenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams frameworkAzadeh Dehghani0Maryam Rafraf1Fatemeh Mohammadi-Nasrabadi2Rahim Khodayari-Zarnaq3Negar Tavakoli4Nutrition Research Center, Department of Community Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical SciencesNutrition Research Center, Department of Community Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical SciencesResearch Department of Food and Nutrition Policy and Planning, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical SciencesDepartment of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesAbstract Background According to the WHO report and evaluations, Iran has a moderate prevalence of iron deficiency anaemia (IDA). The present study evaluates Iran’s IDA prevention and control policies by analysing the agenda-setting policy using the multiple streams framework (MSF). Methods The present study used Kingdon’s MSF model to analyse policies related to IDA in Iran qualitatively. First, the policy documents were reviewed (n = 12), and then in-depth interviews were conducted with key stakeholders (n = 33) using the framework analysis method. MAXQDA version 2020 was used to categorize the data codes of the interviews and extract related themes. Results The main factors of the problem stream were the prevalence of IDA among Iranian pregnant women, children and adolescents and its risk factors in Iran. The policy stream focuses on mounting the staff in health centres, preventing non-communicable diseases and parasites in the health system, and promoting health programs, such as supplementation, education and fortification. The current political stream regarding IDA shows that national and international support can provide the right political atmosphere for this issue. There are challenges and obstacles related to implementing these policies in Iran, including the preference for treatment over prevention in the health sector, the existence of many economic problems and the limitation of distribution and access to health services owing to some unforeseen issues, such as sanctions or the spread of coronavirus disease 2019 (COVID-19). Conclusions The topic of IDA prevention policymaking has entered a new phase. Responsible organizations, such as the Ministry of Health, should emphasize more in allocating budgets for preventive programs, and key organizations, such as the WHO, should support low- and middle-income countries to empower them towards important preventive strategies.https://doi.org/10.1186/s12961-024-01265-wIronIron deficiency anaemiaAgenda settingKingdon’s multiple streamsPolicy |
| spellingShingle | Azadeh Dehghani Maryam Rafraf Fatemeh Mohammadi-Nasrabadi Rahim Khodayari-Zarnaq Negar Tavakoli Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework Health Research Policy and Systems Iron Iron deficiency anaemia Agenda setting Kingdon’s multiple streams Policy |
| title | Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework |
| title_full | Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework |
| title_fullStr | Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework |
| title_full_unstemmed | Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework |
| title_short | Agenda-setting for iron deficiency anaemia prevention and control policies in Iran by multiple streams framework |
| title_sort | agenda setting for iron deficiency anaemia prevention and control policies in iran by multiple streams framework |
| topic | Iron Iron deficiency anaemia Agenda setting Kingdon’s multiple streams Policy |
| url | https://doi.org/10.1186/s12961-024-01265-w |
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