scholarly journals HIV/AIDS Policy-Making in Iran: A Stakeholder Analysis

2020 ◽  
Author(s):  
Rahim Khodayari-Zarnaq ◽  
Ali Mohammad Mosadeghrad ◽  
Habib Jalilian ◽  
mohammad bazyar ◽  
Hamid Ravaghi
Keyword(s):  
Policy Making ◽  
Stakeholder Analysis ◽  
Integrated System ◽  
Effective Control ◽  
Main Body ◽  
Snowball Sampling ◽  
Framework Analysis ◽  
Aids Policy ◽  
Wide Range ◽  
Hiv Aids

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.

scholarly journals HIV/AIDS policy-making in Kyrgyzstan: a stakeholder analysis

2013 ◽  
Vol 30 (1) ◽  
pp. 8-18 ◽  
Author(s):  
Svetlana Ancker ◽  
Bernd Rechel
Keyword(s):  
Policy Making ◽  
Stakeholder Analysis ◽  
Aids Policy ◽  
Hiv Aids

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

2021 ◽  
Author(s):  
Rahim Khodayari‐Zarnaq ◽  
Hamid Ravaghi ◽  
Ali Mohammad Mosaddegh‐rad ◽  
Habib Jalilian ◽  
Mohammad Bazyar
Keyword(s):  
Policy Making ◽  
Stakeholder Analysis ◽  
Aids Policy ◽  
Hiv Aids

scholarly journals A Stakeholder Analysis for a Water-Energy-Food Nexus Evaluation in an Atlantic Forest Area: Implications for an Integrated Assessment and a Participatory Approach

Water ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 1977 ◽  
Author(s):  
Giacomo Melloni ◽  
Ana Turetta ◽  
Michelle Bonatti ◽  
Stefan Sieber
Keyword(s):  
Decision Making ◽  
Resource Management ◽  
Natural Resource Management ◽  
Atlantic Forest ◽  
Natural Resource ◽  
Stakeholder Analysis ◽  
Social Representation ◽  
Snowball Sampling ◽  
Rural Landscapes ◽  
Wide Range

A water-energy-food (WEF) nexus assessment supports natural resource management by providing an integrated framework for evaluation and decision-making. The participation of a wide range of stakeholders is essential for achieving environmental, economic, and social sustainability in this framework. This analysis supports the decision-making process of the nexus assessment by facilitating dialogue between stakeholders in order to achieve long term efficiencies, especially in rural landscapes where most of the services connected to WEF securities are provided. We identify the most relevant stakeholders operating in the connection between agricultural practices and the WEF nexus to stimulate their engagement in the nexus governance. The study area was the Atlantic Forest Reserve of Ribeirão das Lajes, Brazil. A stakeholder analysis, generating qualitative data using snowball sampling interviews was applied and, after the identification of stakeholders, an analytical categorization disclosing potential conflicts among them was performed. We obtained a pool of stakeholders from different organizational types, including a large number of public entities at local and state levels. The main threat to the development of the project is considered to be the lack of communication between the parties. We note that the prior identification of this group of stakeholders facilitates this communication, enhancing social representation in the area. Outcomes of this study demonstrate the relevance of stakeholder analysis in nexus governance for integrated natural resource management.

scholarly journals Policy Making Challenges in the scope of Oral Health in Developing Countries A Qualitative Study of the Islamic Republic of Iran

2019 ◽  
Author(s):  
Mohammad Mohammadpour ◽  
Peivand Bastani ◽  
Arash Ghanbarzadegan ◽  
Jamshid Bahmai
Keyword(s):  
Oral Health ◽  
Qualitative Study ◽  
Developing Country ◽  
Policy Making ◽  
Middle Eastern ◽  
Developed Countries ◽  
Health Improvement ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Framework Analysis

Abstract Background As the strategies proposed for oral health improvement in developed countries do not adapt for the setting of the developing ones, this study is to identify the challenges of oral health policy making in developing countries.Methods It was a qualitative study conducted in 2019 in Iran as a middle-eastern developing country. The study population included all the experts who have enough experience in the scope and have the eagerness to participate. Snowball sampling was used to include the participants and after 12 semi-structured interviews saturation was achieved. Guba and Lincoln criteria containing acceptability, validity, reliability, and transferability were used to assure the study reliability and finally five-stage framework analysis method was used to analyze the data.Results The analysis of the results of the interviews resulted in the identification of 7 main themes and 20 sub-themes as the main challenges of achieving oral health in a developing country. The main themes identified were: policy making, implementing, educational, stewardship, prevention, insurance, and resource allocating. Conclusion: According to the present results, it seems that national coverage of oral health and the integration of these services in prevention ones and serious attention to the private sector can be considered as the most important strategies for achieving improved oral health.

scholarly journals Facilitators to Accessibility of HIV/AIDS-Related Health Services among Transgender Women Living with HIV in Yogyakarta, Indonesia

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Maria Silvia Merry ◽  
Theodorus Asa Siri ◽  
Fabiola Tazrina Tazir ◽  
Mitra Andhini Sigilipoe ◽  
...  
Keyword(s):  
Social Support ◽  
Health Service ◽  
Health Services ◽  
Transgender Women ◽  
Hiv Positive ◽  
Snowball Sampling ◽  
Framework Analysis ◽  
Enabling Factors ◽  
Constructive Feedback ◽  
Hiv Aids

The study aimed to explore facilitators or enabling factors that enhance accessibility (defined as the opportunity to be able to use) to HIV/AIDS-related health services among HIV positive transgender women, also known as Waria in Yogyakarta, Indonesia. A qualitative study employing one-on-one in-depth interviews was conducted from December 2017 to February 2018. Participants were HIV positive Waria recruited using purposive and snowball sampling techniques. Data were analysed using the framework analysis for qualitative research. The findings showed that participants’ knowledge of HIV/AIDS and the availability of HIV/AIDS-related health services were enablers to the services accessibility. Emotional support from fellow Waria displayed in various ways, such as kind and caring attention, attentive listening, and encouraging words, was an important social support that played a role in supporting Waria’s accessibility to the services. HIV/AIDS-related health service information shared personally or jointly by fellow Waria and instrumental support including helping each other to collect antiretroviral (ARV) from hospitals or community health centres, contacting ambulance in emergency situations, accompanying each other to health service facilities, and helping those without the health insurance to receive free health services were also the social support enabling accessibility to the services among the study participants. Appraisal support such as providing constructive feedback and affirmation was another enabling factor to Waria’s accessibility to the services. The findings indicate the needs to broadly disseminate information and educate Waria populations and their significant others about HIV/AIDS and related health services to raise their awareness of HIV/AIDS and acceptance of HIV/AIDS positive individuals. Educating and broadly disseminating this information in other settings in the country will also increase accessibility to the HIV/AIDS services among Waria, their families, and communities addressing the currently existing inequities in health. The findings also reinforce the importance of the establishment of Waria peer-support groups within Waria communities and the involvement of Waria in HIV/AIDS activities and programs, which may increase their awareness of HIV/AIDS, and accessibility to HIV/AIDS-related health services.

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

2018 ◽  
Vol 33 (3) ◽  
pp. 1001-1028 ◽  
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.

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

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

scholarly journals Marine Organisms for the Sustainable Management of Plant Parasitic Nematodes

Plants ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 369
Author(s):  
Pasqua Veronico ◽  
Maria Teresa Melillo
Keyword(s):  
Crop Production ◽  
Control Strategies ◽  
Marine Organisms ◽  
New Drugs ◽  
Effective Control ◽  
Parasitic Nematodes ◽  
Plant Parasitic Nematodes ◽  
Wide Range ◽  
Plant Growth Stimulants ◽  
Plant Parasitic

Plant parasitic nematodes are annually responsible for the loss of 10%–25% of worldwide crop production, most of which is attributable to root-knot nematodes (RKNs) that infest a wide range of agricultural crops throughout the world. Current nematode control tools are not enough to ensure the effective management of these parasites, mainly due to the severe restrictions imposed on the use of chemical pesticides. Therefore, it is important to discover new potential nematicidal sources that are suitable for the development of additional safe and effective control strategies. In the last few decades, there has been an explosion of information about the use of seaweeds as plant growth stimulants and potential nematicides. Novel bioactive compounds have been isolated from marine cyanobacteria and sponges in an effort to find their application outside marine ecosystems and in the discovery of new drugs. Their potential as antihelmintics could also be exploited to find applicability against plant parasitic nematodes. The present review focuses on the activity of marine organisms on RKNs and their potential application as safe nematicidal agents.

scholarly journals Potential predictors of severe cardiovascular involvement in Marfan syndrome: the emphasized role of genotype–phenotype correlations in improving risk stratification—a literature review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Roland Stengl ◽  
Bence Ágg ◽  
Miklós Pólos ◽  
Gábor Mátyás ◽  
Gábor Szabó ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Marfan Syndrome ◽  
Current Knowledge ◽  
Imaging Techniques ◽  
Connective Tissue Disorder ◽  
Main Body ◽  
Wide Range ◽  
Stratification System ◽  
Genetically Determined ◽  
Aortic Dissections

Abstract Background Marfan syndrome (MFS) is a genetically determined systemic connective tissue disorder, caused by a mutation in the FBN1 gene. In MFS mainly the cardiovascular, musculoskeletal and ocular systems are affected. The most dangerous manifestation of MFS is aortic dissection, which needs to be prevented by a prophylactic aortic root replacement. Main body The indication criteria for the prophylactic procedure is currently based on aortic diameter, however aortic dissections below the threshold defined in the guidelines have been reported, highlighting the need for a more accurate risk stratification system to predict the occurrence of aortic complications. The aim of this review is to present the current knowledge on the possible predictors of severe cardiovascular manifestations in MFS patients, demonstrating the wide range of molecular and radiological differences between people with MFS and healthy individuals, and more importantly between MFS patients with and without advanced aortic manifestations. These differences originating from the underlying common molecular pathological processes can be assessed by laboratory (e.g. genetic testing) and imaging techniques to serve as biomarkers of severe aortic involvement. In this review we paid special attention to the rapidly expanding field of genotype–phenotype correlations for aortic features as by collecting and presenting the ever growing number of correlations, future perspectives for risk stratification can be outlined. Conclusions Data on promising biomarkers of severe aortic complications of MFS have been accumulating steadily. However, more unifying studies are required to further evaluate the applicability of the discussed predictors with the aim of improving the risk stratification and therefore the life expectancy and quality of life of MFS patients.

scholarly journals Male circumcision and global HIV/AIDS epidemic challenges

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Emiola Oluwabunmi Olapade-Olaopa ◽  
Mudasiru Adebayo Salami ◽  
Taiwo Akeem Lawal
Keyword(s):  
Sexual Behavior ◽  
Male Circumcision ◽  
Preventive Measure ◽  
Population Level ◽  
Surgical Removal ◽  
Main Body ◽  
Prevention Measures ◽  
Mortality And Morbidity ◽  
Aids Epidemic ◽  
Hiv Aids

Abstract Background Given the devastating mortality and morbidity associated with HIV/AIDS, many potential prevention measures against HIV infection continue to be explored. Most prevention methods are in the realm of sexual behavior change. However, of all aspects of human behavior, it is sexual behavior that is least amenable to change. Newer and simpler interventions are therefore required. Male circumcision, the surgical removal of some or all of the foreskin (or prepuce) from the penis, is one of the ways being promoted as a preventive measure. This paper reviews the scientific basis and evidence for the efficacy of male circumcision within the context of the global challenges involved. Main body We reviewed articles with emphasis on male circumcision and HIV/AIDS transmission. Published abstracts of presentations at international scientific meetings were also reviewed. Conclusions Current epidemiological evidence supports the promotion of male circumcision for HIV prevention, especially in populations with high HIV prevalence and low circumcision rates. Three notable randomized control trials strengthen the case for applied research studies to demonstrate that safe male circumcision is protective at the population level, particularly as ideal and well-resourced conditions of a randomized trial are often not replicated in other service delivery settings. Ethically and culturally responsive strategies in promoting circumcision in a culturally heterogenous world need to be developed, too. Male circumcision should also be viewed as a complementary measure along with other proven approaches to turn the HIV/AIDS epidemic around.

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