Setting research priorities to achieve long-term health targets in Iran (original) (raw)

Health research priority setting in Iran: Introduction to a bottom up approach

Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2011

Priority setting is one of the major issues in the health research system and no health system can afford to pay for every research they want to do, particularly in developing countries, so we decided to set the national main areas of the health research priorities. In this study, according to Essential National Health Research (ENHR) strategy and with cooperation of all the Iranian universities of medical sciences and other stakeholders, the national health research priorities were extracted. The number of research priorities collected from the universities of medical sciences was 6723. Seventeen percent of the research priorities were related to basic science, 78 percent applied science, and 5 percent were related to developmental type. According to epidemiological classification, 50% of the research priorities were in descriptive form. In this process, 9 main extracted areas consist of communicable diseases, non-communicable disease, Health System Research, pharmaceutical science...

An assessment of health research impact in Iran

Background: In recent years, Iran has made significant developments in the field of health sciences. However, the question is whether this considerable increase has affected public health. The research budget has always been negligible and unsustainable in developing countries. Hence, using the Payback Framework, we conducted this study to evaluate the impact of health research in Iran. Methods: By using a cross-sectional method and two-stage stratified cluster sampling, the projects were randomly selected from six medical universities. A questionnaire was designed according to the Payback Framework and completed by the principle investigators of the randomly selected projects.

Systemic approach to health research in Iran and the world

Bull WHO, 2001

Abstract: In this article, the health research challenges are synthesized to emphasize that a new approach to health research is necessary. Thus, the main challenges of the world like 10/90 gap, globalization, increased healthcare cost, threatening chemical and biological weapons are discussed and then mentioned to the weakness of knowledge management and lack of health research culture as the main health research challenges in Iran. In many countries, health research is not well coordinated and often fragmented, resulting in ...

Iran's health innovation and science development plan by 2025

2009

Background: Iran has made significant development in health and its scientific productivity, but a cohesive approach through a long-term plan is required to utilize knowledge for the country's health and development of health science and technology. As a part of a national agenda for development of" Comprehensive Scientific Map of the Country", the draft of the plan in the health-sector has been prepared. Methods: A combination of two normative and exploratory approaches has been adopted to prepare the plan.

Health Transition in Iran toward Chronic Diseases Based on Results of Global Burden of Disease 2010

Similarly, health care consumer price index (CPI) rose by 60% from 1984 to 2007. Out-of-pocket payment has remained as high as 55% or greater since the year 2000. 3 The total health expenditure proportion of GDP was in a fairly stable range of 1.5% to 2.7% between 1996 and 2006. 4 Providing effective access to primary health care in Iran's rural areas with 90% population coverage, integration of medical education and health care services and establishment of medical schools in all provinces have increased the number of medical Abstract Background: Drawing on the results of the country-level Global Burden of Diseases, Injuries, and Risk Factors 2010 Study, we attempted to investigate the drivers of change in the healthcare system in terms of mortality and morbidity due to diseases, injuries, and risk factors for the two decades from 1990 to 2010. Methods: Results: change indicate patterns of reduction for most causes, such as ischemic and hemorrhagic stroke, hypertensive heart disease, stomach cancer, lower respiratory infections, and congenital anomalies. The number of years lost due to disability caused by diabetes and drug Conclusions: injury remains the highest priority for Iranian policymakers. Immediate action by Iranian researchers is required to match Iran's decreashealth, education, and judiciary systems in Iran.

Systematic review of priority setting studies in health research in the Islamic Republic of Iran

Eastern Mediterranean Health Journal

Background: Several research priority-setting studies have been conducted in different countries, including the Islamic Republic of Iran. Aims: We conducted a systematic review and evaluated the quality of the priority-setting reports about health research in the Islamic Republic of Iran. Methods: English and Farsi databases were searched from January to July 2016 to extract reports (up to December 2015) about priority setting in health research in the Islamic Republic of Iran. We constructed a checklist to extract data from the identified studies. Articles were studied in detail and content analysis was carried out. Relevant items were scored and analysed using Microsoft Excel. Results: We identified 36 articles. Eight articles involved all the main stakeholders. About half the articles used valid criteria for ranking. Transparency was fulfilled in 13 articles. Upstream rules and regulations were ignored in 26 articles. An implementation plan was considered in 9 articles and context analysis was demonstrated in only 3. Conclusions: Developing standard packages for priority setting, training of researchers and improving the capacity of organizations may improve the quality of priority-setting studies in the future.

Health system performance in Iran: a systematic analysis for the Global Burden of Disease Study 2019

The Lancet

Background Better evaluation of existing health programmes, appropriate policy making against emerging health threats, and reducing inequalities in Iran rely on a comprehensive national and subnational breakdown of the burden of diseases, injuries, and risk factors. Methods In this systematic analysis, we present the national and subnational estimates of the burden of disease in Iran using the Global Burden of Disease Study 2019. We report trends in demographics, all-cause and cause-specific mortality, as well as years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) caused by major diseases and risk factors. A multi-intervention segmented-regression model was used to explore the overall impact of health sector changes and sanctions. For this analysis, we used a variety of sources and reports, including vital registration, census, and survey data to provide estimates of mortality and morbidity at the national and subnational level in Iran. Findings Iran, which had 84•3 million inhabitants in 2019, had a life expectancy of 79•6 years (95% uncertainty interval 79•2-79•9) in female individuals and 76•1 (75•6-76•5) in male individuals, an increase compared with 1990. The number of DALYs remained stable and reached 19•8 million (17•3-22•6) in 2019, of which 78•1% were caused by non-communicable diseases (NCDs) compared with 43•0% in 1990. During the study period, age-standardised DALY rates and YLL rates decreased considerably; however, YLDs remained nearly constant. The share of age-standardised YLDs contributing to the DALY rate steadily increased to 44•5% by 2019. With regard to the DALY rates of different provinces, inequalities were decreasing. From 1990 to 2019, although the number of DALYs attributed to all risk factors decreased by 16•8%, deaths attributable to all risk factors substantially grew by 43•8%. The regression results revealed a significant negative association between sanctions and health status. Interpretation The Iranian health-care system is encountering NCDs as its new challenge, which necessitates a coordinated multisectoral approach. Although the Iranian health-care system has been successful to some extent in controlling mortality, it has overlooked the burden of morbidity and need for rehabilitation. We did not capture alleviation of the burden of diseases in Iran following the 2004 and 2014 health sector reforms; however, the sanctions were associated with deaths of Iranians caused by NCDs. Funding Bill & Melinda Gates Foundation.