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Tytuł pozycji:

Policy analysis of nutrition stewardship for prevention and control of Non-communicable diseases in Iran.

Tytuł:
Policy analysis of nutrition stewardship for prevention and control of Non-communicable diseases in Iran.
Autorzy:
Amerzadeh M; Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin university of Medical Sciences, Qazvin, Iran.
Takian A; Department of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran. .; Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran. .; Heath Equity Research Center (HERC) - TUMS, Tehran, Iran. .; National Center for Health Insurance Research, The Iranian Health Insurance Organization, Tehran, Iran. .
Pouraram H; Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Sari AA; Department of Health Management, Policy & Economics, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Ostovar A; Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Źródło:
BMC health services research [BMC Health Serv Res] 2023 Jan 25; Vol. 23 (1), pp. 79. Date of Electronic Publication: 2023 Jan 25.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001-
MeSH Terms:
Health Policy*
Noncommunicable Diseases*/prevention & control
Humans ; Iran ; Policy Making ; Risk Factors
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Contributed Indexing:
Keywords: Government; Iran; NCDs; Nutrition; Stewardship
Entry Date(s):
Date Created: 20230124 Date Completed: 20230126 Latest Revision: 20230201
Update Code:
20240105
PubMed Central ID:
PMC9873537
DOI:
10.1186/s12913-023-09087-2
PMID:
36694184
Czasopismo naukowe
Background: Non- communicable diseases (NCDs) are the main cause of death, which lead to over 73% of death and 62% of DALYs globally. As an unhealthy diet is the leading behavioral risk factor of NCDs, in line with the national action plan for the prevention and control of NCD, this study explored the nutrition-related stewardship problems to reduce the burden of NCDs in Iran.
Methods: This is a qualitative study. We interviewed 30 purposefully identified key informants, i.e., stakeholders, policymakers, and academics, from December 2018 to August 2019. All interviews were recorded and transcribed verbatim. We analyzed data using qualitative content analysis facilitated by MAXQDA 11 software.
Results: Ample policies and laws were identified, most of which were not or partially implemented. Despite some plausible efforts, NCDs do not seem to be a top priority for high-level managers and decision-makers. Besides, the role of non-state actors, i.e., the private sector, is marginal in NCD's planning and management. Whereas the government, e.g., the Food and Drug Organization (FDO), is the biggest player. Worse still, many harmful products are advertised and easily distributed across the country.
Conclusion: Iran's government has created a noticeable roadmap to battle NCDs despite imposing many sanctions and related socioeconomic problems. Nevertheless, more interventions are needed to strengthen the stewardship of NCDs by various stakeholders. We recommend the government to monitor the implementation of policies and advertisement of harmful products to prioritize prevention and control of NCDs. In addition, we advocate employing the capacity of non-state actors to reduce the consumption of unhealthy food and the burden of NCDs across the country, ultimately.
(© 2023. The Author(s).)
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