A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran

Background: Community-based health programs (CBHPs) with participatory approaches has been recognized as an important tool in health promotion. The goal of this study was to understand the nature of participation practice in CBHP and to use the data to advocate for more participation-friendly polici...

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Main Authors: Monir Baradaran Eftekhari, Arash Mirabzadeh, Ameneh Setareh Forouzan, Masoumeh Dejman, Hossein Malek Afzali, Shirin Djalalinia, Niloofar Peykari, Payam Roshanfekr
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=6;spage=679;epage=686;aulast=Eftekhari
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author Monir Baradaran Eftekhari
Arash Mirabzadeh
Ameneh Setareh Forouzan
Masoumeh Dejman
Hossein Malek Afzali
Shirin Djalalinia
Niloofar Peykari
Payam Roshanfekr
author_facet Monir Baradaran Eftekhari
Arash Mirabzadeh
Ameneh Setareh Forouzan
Masoumeh Dejman
Hossein Malek Afzali
Shirin Djalalinia
Niloofar Peykari
Payam Roshanfekr
author_sort Monir Baradaran Eftekhari
collection DOAJ
description Background: Community-based health programs (CBHPs) with participatory approaches has been recognized as an important tool in health promotion. The goal of this study was to understand the nature of participation practice in CBHP and to use the data to advocate for more participation-friendly policies in the community, academy and funding organizations. Methods: In this qualitative study, 13 CBHPs, which were active for last 5 years have been assessed using semi-structural in-depth interviews with programs principal and managers and focus group discussions with volunteers and service users. Data analysis was based on the deductive-inductive content analysis considering the participatory approaches in these programs. Results: The results show that, the main category of participation was divided to community participation and intersectional collaboration. The community participation level was very different from "main," "advisory" or "supporting" level. The process of recruitment of volunteers by the governmental organization was centralized and in non-governmental organizations was quite different. According to respondents opinion, financial and spiritual incentives especially tangible rewards, e.g., learning skills or capacity building were useful for engaging and maintaining volunteers′ participation. For intersectional collaboration, strong and dedicated partners, supportive policy environment are critical. Conclusions: It seems that maintaining partnership in CBHP takes considerable time, financial support, knowledge development and capacity building.
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spelling doaj.art-bff49aed529a4cb0bb13c71889bf18562022-12-22T01:08:43ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132014-01-0156679686A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. IranMonir Baradaran EftekhariArash MirabzadehAmeneh Setareh ForouzanMasoumeh DejmanHossein Malek AfzaliShirin DjalaliniaNiloofar PeykariPayam RoshanfekrBackground: Community-based health programs (CBHPs) with participatory approaches has been recognized as an important tool in health promotion. The goal of this study was to understand the nature of participation practice in CBHP and to use the data to advocate for more participation-friendly policies in the community, academy and funding organizations. Methods: In this qualitative study, 13 CBHPs, which were active for last 5 years have been assessed using semi-structural in-depth interviews with programs principal and managers and focus group discussions with volunteers and service users. Data analysis was based on the deductive-inductive content analysis considering the participatory approaches in these programs. Results: The results show that, the main category of participation was divided to community participation and intersectional collaboration. The community participation level was very different from "main," "advisory" or "supporting" level. The process of recruitment of volunteers by the governmental organization was centralized and in non-governmental organizations was quite different. According to respondents opinion, financial and spiritual incentives especially tangible rewards, e.g., learning skills or capacity building were useful for engaging and maintaining volunteers′ participation. For intersectional collaboration, strong and dedicated partners, supportive policy environment are critical. Conclusions: It seems that maintaining partnership in CBHP takes considerable time, financial support, knowledge development and capacity building.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=6;spage=679;epage=686;aulast=EftekhariCommunity-based health programscontent analysisIranparticipation
spellingShingle Monir Baradaran Eftekhari
Arash Mirabzadeh
Ameneh Setareh Forouzan
Masoumeh Dejman
Hossein Malek Afzali
Shirin Djalalinia
Niloofar Peykari
Payam Roshanfekr
A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
International Journal of Preventive Medicine
Community-based health programs
content analysis
Iran
participation
title A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
title_full A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
title_fullStr A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
title_full_unstemmed A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
title_short A Qualitative Study of Community-based Health Programs in Iran: An Experience of Participation in I.R. Iran
title_sort qualitative study of community based health programs in iran an experience of participation in i r iran
topic Community-based health programs
content analysis
Iran
participation
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2014;volume=5;issue=6;spage=679;epage=686;aulast=Eftekhari
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