Barriers and Strategies for the Participation of Iranian Non-Governmental Organizations in Health Policy-Making
Keywords:
health policymaking, participation, non-governmental organization, Health systemAbstract
Today, one of the effective and efficient means of delivering healthcare services and achieving the ultimate goals of health systems is the involvement of non-governmental organizations (NGOs) in the health sector and in health policy-making. The objective of this study was to identify the barriers and strategies for the participation of Iranian NGOs in health policy-making. This applied study employed a qualitative approach, utilizing interviews as the primary data collection instrument. The study population consisted of managers and experts in the field of NGOs. Sampling was conducted using the maximum variation method, and a total of 17 individuals participated. A purposive sampling method was used to determine the sample size. The research findings revealed that the barriers to the participation of Iranian NGOs in health policy-making were categorized into four subcategories: legal and regulatory limitations on participation, cultural and knowledge-based barriers, administrative and structural constraints, and financial and economic challenges. These were further distilled into 16 specific concepts. Strategies to enhance the participation of Iranian NGOs in health policy-making were classified into four categories as well: legal and regulatory requirements, promotion of culture and positive attitudes, administrative structure reforms, and financial and economic support, comprising 19 concepts in total. It is anticipated that the dimensions of barriers and strategies identified in this study can contribute to the development and strengthening of more efficient and effective NGO engagement in the health policy-making process in Iran. Increased participation of NGOs in the health sector not only facilitates progress toward the ultimate goals of the health system but also plays a significant role in improving the health status of various segments of the population.
Downloads
References
Akhavan Behbahani, A., Masoudi Asl, I., Hesam, S., & Najafikhah, M. (2020). Challenges of participation in health legislation: A qualitative study. Journal of Rehabilitation, 21(4), 454-469. https://doi.org/10.32598/RJ.21.4.555.2
Alizadeh, H., Khorramabadi, M., Saberian, H., & Keramati, M. (2024). Qualitative Study to Propose Digital Marketing based on Customer experience: Considering Grounded theory (GT). Business, Marketing, and Finance Open, 1(6), 86-98. https://doi.org/10.61838/bmfopen.1.6.8
Alonazi, W. B. (2017). Exploring shared risks through public-private partnerships in public health programs: a mixed method. BMC public health, 17(1), 1-7. https://doi.org/10.1186/s12889-017-4489-z
Angwenyi, V., Aantjes, C., Bunders-Aelen, J., Criel, B., & Lazarus, J. V. (2020). Context matters: a qualitative study of the practicalities and dilemmas of delivering integrated chronic care within primary and secondary care settings in a rural Malawian district. BMC Family Practice, 21(1), 1-12. https://doi.org/10.1186/s12875-020-01174-1
Bolourforoush, A., Bayangani, B., & Faeghi, S. (2023). Sociological analysis of activities and performance of charitable institutions: An institutional ethnography of a health sector organization. Research Journal of Waqf and Charity Studies, 1(1), 209-238. https://ecs.ui.ac.ir/article_27279.html?lang=en
Demari, B., Heidarnia, M. A., & Rahbari Bonab, M. (2014). The role and performance of NGOs in preserving and promoting community health. Monitoring Quarterly, 13(5), 541-550. https://sid.ir/paper/23223/en
Green, A., Gerein, N., Mirzoev, T., Bird, P., Pearson, S., Anh, L. V., Martineau, T., Mukhopadhyay, M., Qian, X., Ramani, K. V., & Soors, W. (2018). Health policy processes in maternal health: a comparison of Vietnam, India and China. Health policy, 100(2-3), 167-173. https://doi.org/10.1016/j.healthpol.2010.11.016
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: A systematic review. BMC Nursing, 20(1), 1-9. https://doi.org/10.1186/s12912-021-00648-6
Hasmath, R., & Hsu, J. (2020). NGO governance and management in China. Abingdon: Routledge. https://books.google.com.vn/books?id=VvMsCgAAQBAJ&hl=vi&source=gbs_navlinks_s
Javaheri, F., Safari Shali, R., & Mahdavi Kandeh, D. (2020). Comprehensive analysis of health policymaking in Iran's development plans. Social Issues of Iran, 11(1), 63-87. https://en.civilica.com/doc/1216157/
Khodayari-Zarnaq, R., Kakemam, E., Arab-Zozani, M., Rasouli, J., & Sokhanvar, M. (2019). Participation of Iranian non-governmental organizations in health policy-making; barriers and strategies for development. International Journal of Health Governance. https://doi.org/10.1108/IJHG-07-2019-0056
Okeyo, I., Lehmann, U., & Schneider, H. (2020). The impact of differing frames on early stages of intersectoral collaboration: the case of the First 1000 Days Initiative in the Western Cape Province. Health Research Policy and Systems, 18(1), 1-14. https://doi.org/10.1186/s12961-019-0508-0
Piotrowicz, M., & Cianciara, D. (2013). The role of non-governmental organizations in the social and the health system. Przegl Epidemiol, 67(1), 69-74. https://pubmed.ncbi.nlm.nih.gov/23745379/
Rahbari Bonab, M., Majdzadeh, S. R., Rajabi, F., & Dadgar, A. (2022). Participatory health policymaking in Iran: Reflections on post-revolution experiences within the legal framework. Journal of Culture and Health Promotion, 6(1), 110-117. https://ijhp.ir/browse.php?a_id=507&sid=1&slc_lang=en
Rahman, S. G. (2017). Public Health in Europe: The Role of Non-Governmental Public Health Associations in Public Health Policy Development Department of Public Health Science, Karolinska Institutet]. https://db.eupha.org/repository/publications/Public_health_in_Europe_-_%20the_role_of_EUPHA_members.pdf
Rajabi, M., Ebrahimi, P., & Aryankhesal, A. (2022). Role of nongovernmental organizations in Iran's health system: What do they do and what can they do? Journal of education and health promotion, 11. https://doi.org/10.4103/jehp.jehp_584_21
Saber, M., Haghdoost, A., Taghdisi, M. H., Eftekhar, H., Safinejad, H., & Mehri, A. (2021). Providing and promoting health-oriented services by nongovernmental organizations: A qualitative study. Journal of education and health promotion, 10(1). https://doi.org/10.4103/jehp.jehp_848_20
Sanadgol, A., Doshmangir, L., Majdzadeh, R., & Gordeev, V. S. (2022). Strategies to strengthen non-governmental organizations' participation in the Iranian health system. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.929614
Seddighi, M. S., Boroomand Kakhi, A., Asghari, S., & Tofighi, S. (2021). Applications and methods of foresight in health policymaking: International experiences and national adaptations. Rahyaft, 31(81), 109-133. https://rahyaft.nrisp.ac.ir/article_13884.html
Sparks, M. (2020). Governance beyond governments: the role of NGOs in the implementation of the FCTC. Global Health Promotion, 17(1_suppl), 67-72. https://doi.org/10.1177/1757975909358350
World Health Organization. (2000). The world health report 2000: health systems: improving performance. World Health Organization. https://www.who.int/publications/i/item/924156198X
Downloads
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2024 Shahla Fathi (Author); Hasan Givaryan; Mohammad Reza Rabiei Mandajin, Mina Jamshidi, Vahid Araei (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.