Policy analysis of cervical cancer prevention in Iran based on the policy triangle model
BACKGROUND: Widespread use of screening in high-income countries has led to a significant reduction in cervical cancer mortality. Most low- and middle-income countries still have poorly organized screening programs. This study aimed at policy analysis of prevention and early detection of cervical ca...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Education and Health Promotion |
| Subjects: | |
| Online Access: | http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=381;epage=381;aulast=Pirani |
| _version_ | 1797232770395668480 |
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| author | Narges Pirani Mehdi Jafari Ali G Motlagh Hamid Pourasghari |
| author_facet | Narges Pirani Mehdi Jafari Ali G Motlagh Hamid Pourasghari |
| author_sort | Narges Pirani |
| collection | DOAJ |
| description | BACKGROUND: Widespread use of screening in high-income countries has led to a significant reduction in cervical cancer mortality. Most low- and middle-income countries still have poorly organized screening programs. This study aimed at policy analysis of prevention and early detection of cervical cancer in Iran, a middle-income country.
MATERIALS AND METHOD: This qualitative retrospective study, extended by the health policy triangle model, was conducted from July 2020 to September 2021. A sample of this study consisted of 43 participants, including 16 key policy experts; nine 11 senior health system managers, 13 executives, and 3 clients selected purposefully. Data were collected through semi-structured interviews using the interview guide and analyzed using a framework analysis method based on the policy triangle model in MAXQDA2020.
RESULTS: Nine themes, 15 subthemes, and 36 codes were extracted based on the 4 dimensions of the model; stakeholder analysis challenges, including conflict of interest and decision-making challenges. Moreover, the most important policy process challenges indicated the weakness of monitoring and evaluation systems and weakness of using scientific principles in policy making. Weakness of organizational and intersectoral structure and weakness of executive management were obtained among the challenges in the context analysis. Finally, the most important challenges related to content analysis are weaknesses in applying scientific principles in policy making, including weaknesses in standard operating procedures, and low use of HTA capacity in developed guidelines.
CONCLUSION: A wide range of economic, social, and cultural problems can affect cervical cancer prevention policies. Several strategies are suggested to overcome these challenges, including allocating separate funds to cancer prevention programs, using structures to sustain prevention programs, designing, and using them to improve public awareness. |
| first_indexed | 2024-04-24T16:05:33Z |
| format | Article |
| id | doaj.art-b7c635f338734314a1c1f9e2e60b6634 |
| institution | Directory Open Access Journal |
| issn | 2277-9531 |
| language | English |
| last_indexed | 2024-04-24T16:05:33Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Education and Health Promotion |
| spelling | doaj.art-b7c635f338734314a1c1f9e2e60b66342024-04-01T05:57:03ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312023-01-0112138138110.4103/jehp.jehp_1411_22Policy analysis of cervical cancer prevention in Iran based on the policy triangle modelNarges PiraniMehdi JafariAli G MotlaghHamid PourasghariBACKGROUND: Widespread use of screening in high-income countries has led to a significant reduction in cervical cancer mortality. Most low- and middle-income countries still have poorly organized screening programs. This study aimed at policy analysis of prevention and early detection of cervical cancer in Iran, a middle-income country. MATERIALS AND METHOD: This qualitative retrospective study, extended by the health policy triangle model, was conducted from July 2020 to September 2021. A sample of this study consisted of 43 participants, including 16 key policy experts; nine 11 senior health system managers, 13 executives, and 3 clients selected purposefully. Data were collected through semi-structured interviews using the interview guide and analyzed using a framework analysis method based on the policy triangle model in MAXQDA2020. RESULTS: Nine themes, 15 subthemes, and 36 codes were extracted based on the 4 dimensions of the model; stakeholder analysis challenges, including conflict of interest and decision-making challenges. Moreover, the most important policy process challenges indicated the weakness of monitoring and evaluation systems and weakness of using scientific principles in policy making. Weakness of organizational and intersectoral structure and weakness of executive management were obtained among the challenges in the context analysis. Finally, the most important challenges related to content analysis are weaknesses in applying scientific principles in policy making, including weaknesses in standard operating procedures, and low use of HTA capacity in developed guidelines. CONCLUSION: A wide range of economic, social, and cultural problems can affect cervical cancer prevention policies. Several strategies are suggested to overcome these challenges, including allocating separate funds to cancer prevention programs, using structures to sustain prevention programs, designing, and using them to improve public awareness.http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=381;epage=381;aulast=Piranipolicyprevention and controluterine cervical diseases |
| spellingShingle | Narges Pirani Mehdi Jafari Ali G Motlagh Hamid Pourasghari Policy analysis of cervical cancer prevention in Iran based on the policy triangle model Journal of Education and Health Promotion policy prevention and control uterine cervical diseases |
| title | Policy analysis of cervical cancer prevention in Iran based on the policy triangle model |
| title_full | Policy analysis of cervical cancer prevention in Iran based on the policy triangle model |
| title_fullStr | Policy analysis of cervical cancer prevention in Iran based on the policy triangle model |
| title_full_unstemmed | Policy analysis of cervical cancer prevention in Iran based on the policy triangle model |
| title_short | Policy analysis of cervical cancer prevention in Iran based on the policy triangle model |
| title_sort | policy analysis of cervical cancer prevention in iran based on the policy triangle model |
| topic | policy prevention and control uterine cervical diseases |
| url | http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=381;epage=381;aulast=Pirani |
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