scholarly journals Fuzzy Analytical Hierarchy Process )AHP( of Good Governance Components for Health System Policy-Making in the Islamic Republic of Iran

Author(s):  
Marziyeh Azadiyan ◽  
Abbas Vosoogh Moghaddam ◽  
Ali Farhadi Mahalli

Background: Good governance in the last two decades attracted the attention of scientific and international circles around the world. It is a type of governance that is committed to supporting and promoting human health. In order to achieve good governance, components have been identified that knowledge of the weight and importance of each component is undoubtedly necessary to achieve the desired results in the policy-making of the Iranian health system. Methods: This research is descriptive-survey in terms of goal setting and methodology. The multi-stage stratification and availability method was used for sampling and the theoretical saturation rule was used to determine the sample size. In order to define and explain the concept of components of good governance and health policy-making, the library method and review of reference sources were used. 100 survey managers and experts in the Ministry of Health and Golestan, Mazandaran and Neishabour Universities of Medical Sciences were interviewed using a survey method and using a checklist tool (researcher-made (pairwise comparisons)). To analyze the data, Chang's improved fuzzy AHP method and Expert choice software were used. Results: Among the components of good governance (for the policy-making process of the Iranian health system), the rule of law included the most important component. After the rule of law, consensus and agreement, transparency, accountability, justice and fairness, effectiveness and efficiency and ethics were in the next ranks. Conclusion: Good governance is a new narrative of concepts such as democracy, human rights and justice to pursue people-centered human development goals. The rankings obtained from the analyses of this research indicate the need to pay more attention to the rule of law in the health policy-making cycle. It is suggested that in designing the health sector of the seventh economic, social and cultural development plan, executive strategies are paid attention to strengthening the components of good governance, respectively.

Author(s):  
Matthias Haber ◽  
Olga Kononykhina

For decades, academic scholars and multinational organisations have been assessing how ready governments are to meet the various political and socioeconomic challenges they face. These benchmarks of good governance have led to the creation of well-known composite indices such as the Human Development Index and the Rule of Law Index. Today, there are dozens of different governance indices, but few attempts have been made to properly classify them. We still know surprisingly little about what different kinds of indicators the indices contain and how much impact they have had. This chapter introduces and classifies thirty-seven governance indices and analyses their impact on academic research, the news media, and policy-making. The results provide new insights for the comparative analysis of composite indices and offer a useful resource for index creators.


2020 ◽  
Author(s):  
leila Doshmangir ◽  
Hakimeh Mostafavi ◽  
Reza Majdzadeh

Abstract Background: Providing appropriate information to policymakers by strengthening evidence-based capacity is a key factor in the development of evidence-based policy making (EIPM). This study aims to examine the necessary interventions in the Iranian health system for empowering researchers and knowledge-producing organizations to strengthen EIPM.Methods: This qualitative study was conducted using interviews and document review. The views and experiences of enterviewees were extracted through semi-structured interviews. Purposive sampling was used and continued until data saturation. Thematic framework analysis and MAXQDA 12 software were used for data analysis.Results: Necessary interventions for empowering researchers and knowledge-producing organizations were categorized into health system interventions, community-based interventions, organization interventions, and individual interventions.Conclusion: Incompatibility of health policy decisions with scientific evidence derived from research highlights the importance of creating a common language among health policymakers and researchers. In this regard, developing scientific and practical interventions, educating health researchers on knowledge translation, and using mechanisms and networks for effective interaction will be constructive.


2020 ◽  
Author(s):  
Leila Doshmangir ◽  
hakimeh mostafavi ◽  
Reza Majdzadeh

Abstract Background: Providing appropriate information to policymakers by strengthening evidence-based capacity is a key factor in the development of evidence-based policy making (EIPM). This study aims to examine the necessary interventions in the Iranian health system for empowering researchers and knowledge-producing organizations to strengthen EIPM.Methods: This qualitative study was conducted using interviews and document review. The views and experiences of enterviewees were extracted through semi-structured interviews. Purposive sampling was used and continued until data saturation. Thematic framework analysis and MAXQDA 12 software were used for data analysis.Results: Necessary interventions for empowering researchers and knowledge-producing organizations were categorized into health system interventions, community-based interventions, organization interventions, and individual interventions.Conclusion: Incompatibility of health policy decisions with scientific evidence derived from research highlights the importance of creating a common language among health policymakers and researchers. In this regard, developing scientific and practical interventions, educating health researchers on knowledge translation, and using mechanisms and networks for effective interaction will be constructive.


2020 ◽  
Vol 14 (1) ◽  
pp. 73-104
Author(s):  
Rustam Magun Pikahulan

Abstract: The Plato's conception of the rule of law states that good governance is based on good law. The organization also spreads to the world of Supreme Court justices, the election caused a decadence to the institutional status of the House of Representatives as a people's representative in the government whose implementation was not in line with the decision of the Constitutional Court. Based on the decision of the Constitutional Court No.27/PUU-XI/2013 explains that the House of Representatives no longer has the authority to conduct due diligence and suitability (elect) to prospective Supreme Judges proposed by the Judicial Commission. The House of Representatives can only approve or disapprove candidates for Supreme Court Justices that have been submitted by the Judicial Commission. In addition, the proportion of proposed Supreme Court Justices from the judicial commission to the House of Representatives (DPR) has changed, whereas previously the Judicial Commission had to propose 3 (three) of each vacancy for the Justices, now it is only one of each vacant for Supreme Court Judges. by the Supreme Court. The House of Representatives no longer has the authority to conduct due diligence and suitability (elect) to prospective Supreme Judges proposed by the Judicial Commission. The House of Representatives can only "approve" or "disagree" the Supreme Judge candidates nominated by the Judicial Commission.


Author(s):  
Henk Addink

The pivotal aim of this book is to explain the creation, development, and impact of good governance from a conceptual, principal perspective and in the context of national administrative law. Three lines of reasoning have been worked out: developing the concept of good governance; specification of this concept by developing principles of good governance; and implementation of these principles of good governance on the national level. In this phase of further development of good governance, it is important to have a clear concept of good governance, presented in this book as the third cornerstone of a modern state, alongside the concepts of the rule of law and democracy. That is a rather new national administrative law perspective which is influenced by regional and international legal developments; thus, we can speak about good governance as a multilevel concept. But the question is: how is this concept of good governance further developed? Six principles of good governance (which in a narrower sense also qualify as principles of good administration) have been further specified in a systematic way, from a legal perspective. These are the principles of properness, transparency, participation, effectiveness, accountability, and human rights. Furthermore, the link has been made with integrity standards. The important developments of each of these principles are described on the national level in Europe, but also in countries outside Europe (such as Australia, Canada, and South Africa). This book gives a systematic comparison of the implementation of the principles of good governance between countries.


1998 ◽  
Vol 26 (2) ◽  
pp. 70-74
Author(s):  
Korwa G. Adar

There is nothing more fundamental to Africans who are concerned with the future of the African continent than the issues of democracy, human rights, good governance, and the rule of law. These basic human liberties, among other concerns, constitute the central driving force behind what is often referred to as Africa’s “second liberation.” The primary purpose of this article is to assess the Clinton administration’s role in this second liberation, particularly in terms of its involvement in issues of democracy and human rights. This assessment is offered from the perspective of an individual who has been directly involved in the prodemocracy and human rights movement in Kenya. This article focuses on whether the Clinton administration’s policies are still heavily influenced by classic U.S. conceptions of realpolitik, or if enlightened leadership more in line with a neo-Wilsonian idealpolitik—as official rhetoric suggests—has permitted a fundamental departure in favor of a more coherent and tangible democracy and human rights foreign policy stance in the post-Cold War era.


2022 ◽  
Vol 20 (1) ◽  
Author(s):  
Reza Majdzadeh ◽  
Haniye Sadat Sajadi ◽  
Bahareh Yazdizadeh ◽  
Leila Doshmangir ◽  
Elham Ehsani-Chimeh ◽  
...  

Abstract Background The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strengthening EIHP needs a road map, which should consider challenges and address them through effective, harmonized and contextualized strategies. This study aims to develop a road map for enhancing EIHP in Iran based on steps of planning. Methods This study consisted of three phases: (1) identifying barriers to EIHP, (2) recognizing interventions and (3) measuring the use of evidence in Iran's health policy-making. A set of activities was established for conducting these, including foresight, systematic review and policy dialogue, to identify the current and potential barriers for the first phase. For the second phase, an evidence synthesis was performed through a scoping review, by searching the websites of benchmark institutions which had good examples of EIHP practices in order to extract and identify interventions, and through eight policy dialogues and two broad opinion polls to contextualize the list of interventions. Simultaneously, two qualitative-quantitative studies were conducted to design and use a tool for assessing EIHP in the third phase. Results We identified 97 barriers to EIHP and categorized them into three groups, including 35 barriers on the “generation of evidence” (push side), 41 on the “use of evidence” (pull side) and 21 on the “interaction between these two” (exchange side). The list of 41 interventions identified through evidence synthesis and eight policy dialogues was reduced to 32 interventions after two expert opinion polling rounds. These interventions were classified into four main strategies for strengthening (1) the education and training system (6 interventions), (2) the incentives programmes (7 interventions), (3) the structure of policy support organizations (4 interventions) and (4) the enabling processes to support EIHP (15 interventions). Conclusion The policy options developed in the study provide a comprehensive framework to chart a path for strengthening the country’s EIHP considering both global practices and the context of Iran. It is recommended that operational plans be prepared for road map interventions, and the necessary resources provided for their implementation. The implementation of the road map will require attention to the principles of good governance, with a focus on transparency and accountability.


2020 ◽  
Vol 1 (2) ◽  
pp. 61-69
Author(s):  
Aksah Kasim ◽  
Andi Heridah

The factors of the region governance review of Barru regency to actualize good governance and clean government are the region the government have not applied the equity properly and optimally, uphold the rule of law, worked effectively, effectiveness, and accountability, and formulated and implemented the strategic vision. This study is expected to explain, find, and describe the regional governance review in Barru Regency to actualize for good governance and clean government in the implementation of regional autonomy.


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