hiv/aids policy agenda setting in iran

نویسندگان

rahim khodayari - zarnaq iranian center of excellence in health management, department of health service management, school of health service manage-ment and medical informatics, tabriz university of medical sciences, tabriz, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (tabriz university of medical sciences)

hamid ravaghi department of health services management, school of health management and information sciences, iran university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (iran university of medical sciences)

ali mohammad mosaddeghrad department of health management and economics, school of public health, tehran university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (tehran university of medical sciences)

abbas sedaghat centre for infectious disease control, ministry of health and medical education, tehran, iran.سازمان اصلی تایید شده: وزارت بهداشت درمان و آموزش پزشکی (ministry of health and medical education)

چکیده

background: hiv/aids control are one of the most important goals of the health systems. the aim of this study was to determine how hiv/aids control was initiated among policy makers' agenda setting in iran.   methods: a qualitative research (semi-structured interview) was conducted using kingdon's framework (problem, policy and politics streams, and policy windows and policy entrepreneurs) to analysis hiv/aids agenda setting in iran. thirty-two policy makers, managers, specialists, and researchers were interviewed. also, 30 policy documents were analyzed. framework analysis method was used for data analysis.   results: the increase of hiv among injecting drug users (idus) and female sex workers (fsws), lack of control of their high-risk behaviors, and exceeding the hiv into concentrated phase were examples of problem stream. policy stream was evidence-based solutions that highlighted the need for changing strategies for dealing with such a problem and finding technically feasible and acceptable solutions. iran's participation in united nations general assembly special sessions on hiv/aids (ungass), the establishment of national aids committee; highlighting aids control in iran's five years development program and the support of the judiciary system of harm reduction policies were examples of politics stream. policy entrepreneurs linking these streams put the hiv/aids on the national agenda (policy windows) and provide their solutions.   conclusion: there were mutual interactions among these three streams and sometimes, they weakened or reinforced each other. future studies are recommended to understand the interactions between these streams' parts and perhaps develop further kingdon's framework, especially in the health sector.

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عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۳۰، شماره ۱، صفحات ۶۵۴-۶۶۶

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