HIV/AIDS policy‐making in Iran: A stakeholder analysis

Abstract Introduction: HIV/AIDS phenomenon is one of the most serious public health challenges which includes wide range of epidemiological, social, economic and political dimensions. Therefore, its effective control requires involvement of different stakeholders. The present study aims to identify and analyze HIV/AIDS stakeholders in Iran.Methods: This qualitative stakeholder analysis was conducted in 2018 nationwide both retrospectively and prospectively. Identification and analysis of stakeholders was carried out by the review of related literature and policy documents and official websites, as well as holding semi-structured interviews with policy makers and other key informants. Purposive sampling was utilized and followed by snowball sampling until data saturation. Data were analyzed using framework analysis. Also, qualitative data analysis software MAXQDA (Version 11) and Policy Maker software (version 4) were applied.Findings: A total of 44 stakeholders were identified and categorized into 23 active and 21 inactive stakeholders. Despite the great importance of educating and informing pubic about HIV/AIDS, the Ministry of Education and Islamic Republic of Iran Broadcasting organization (IRIB), have moderate participation in this regard. Supreme Council of Health and Non-governmental organizations (NGOs) have low participation. The Ministry of Health and Medical Education (MoHME), State Welfare Organization of Iran, Iranian Blood Transfusion Organization, the State Prisons and Security and Corrective Measures Organization are interested in HIV/AIDS policymaking. The MoHME, as main body responsible for stewardship of the HIV/AIDS in Iran, does not have enough authority in handling the issue due to the low funding, institutional and structural deficits and insufficient human resources.Conclusion: The process of HIV/AIDS policy making is fragmented in Iran and despite multiple active and passive stakeholders in this field, there is no integrated system to involve all stakeholders in the process of AIDS policy-making. Therefore, given the importance of the issue, an upstream entity is needed in order to coordinate and mobilize all stakeholders associated with managing and controlling HIV/AIDS.

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Fighting an Epidemic in Political Context: Thirty-Five Years of HIV/AIDS Policy Making in the United States

Social History of Medicine ◽

10.1093/shm/hky108 ◽

2018 ◽

Vol 33 (3) ◽

pp. 1001-1028 ◽

Cited By ~ 1

Author(s):

Tasleem J Padamsee

Keyword(s):

Health Policy ◽

Policy Making ◽

The United States ◽

Daily News ◽

Health Crisis ◽

News Reports ◽

Aids Policy ◽

Us Government ◽

History Of ◽

Hiv Aids

Abstract The history of US government action on HIV/AIDS offers important lessons concerning the limits and possibilities of US public health policy. Yet only the first decade of this history has previously been well-documented. This article updates the history by constructing a macro-level account of policies that have been considered and implemented, along with the discourses and debates that have shaped them. This account is generated through systematic study of many dozens of policy making moments, drawing on >70 original interviews, >20,000 daily news reports and hundreds of contemporaneous policy documents. The paper chronicles HIV/AIDS policy from the initial years when the federal government resisted addressing the crisis; through subsequent periods shaped by alternating Republican and Democratic administrations; to contemporary policy making in an era when broader health policy transitions offer hope of normalized treatment and coverage for people with HIV, and scientific innovations offer the possibility of ending HIV/AIDS itself. It also illuminates how national HIV/AIDS policy is not only a series of responses to the concrete challenges of a health crisis, but also a malleable political product and a resource used to wage broader social and ideological battles.

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Comprehensive analysis of the HIV/AIDS policy-making process in Iran

Health Research Policy and Systems ◽

10.1186/s12961-019-0466-6 ◽

2019 ◽

Vol 17 (1) ◽

Author(s):

Rahim Khodayari-Zarnaq ◽

Ali Mohammad Mosaddeghrad ◽

Haidar Nadrian ◽

Neda Kabiri ◽

Hamid Ravaghi

Keyword(s):

Policy Making ◽

Comprehensive Analysis ◽

Aids Policy ◽

Policy Making Process ◽

Hiv Aids

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China AIDS policy implementation: reversing the HIV/AIDS epidemic by 2015

International Journal of Epidemiology ◽

10.1093/ije/dyq220 ◽

2010 ◽

Vol 39 (Supplement 2) ◽

pp. ii1-ii3 ◽

Cited By ~ 23

Author(s):

Z. Wu ◽

Y. Wang ◽

R. Detels ◽

M. J. Rotheram-Borus

Keyword(s):

Policy Implementation ◽

Aids Epidemic ◽

Aids Policy ◽

Hiv Aids

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The implications of early marriage for HIV/AIDS policy

10.31899/pgy22.1000 ◽

2004 ◽

Author(s):

Judith Bruce ◽

Shelley Clark

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Safe Motherhood ◽

Early Marriage ◽

Economic Disadvantage ◽

Aids Policy ◽

Health Vulnerability ◽

Health Programming ◽

Adolescent Reproductive Health ◽

Hiv Aids

This brief is based on a background paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents, held in Geneva, Switzerland, December 9–12, 2003. The final paper is entitled “Including married adolescents in adolescent reproductive health and HIV/AIDS policy.” The consultation brought together experts from the United Nations, donors, and nongovernmental agencies to consider the evidence regarding married adolescent girls’ reproductive health, vulnerability to HIV infection, social and economic disadvantage, and rights. The relationships to major policy initiatives—including safe motherhood, HIV, adolescent sexual and reproductive health, and reproductive rights—were explored, and emerging findings from the still relatively rare programs that are directed at this population were discussed. Married adolescent girls are outside the conventionally defined research interests, policy diagnosis, and basic interventions that have underpinned adolescent reproductive health programming and many HIV/AIDS prevention activities. They are an isolated, often numerically large, and extremely vulnerable segment of the population, largely untouched by current intervention strategies. As stated in this brief, promoting later marriage, to at least age 18, and shoring up protection options within marriage may be essential means of stemming the epidemic.

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