Volume 26, Issue 1 (3-2023)
jha 2023, 26(1): 152-168 |
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sonboli F, nosratinezhad F, basakha M. A comparative analysis of health equity in Iran's development plans. jha 2023; 26 (1) :152-168
URL: http://jha.iums.ac.ir/article-1-4279-en.html
URL: http://jha.iums.ac.ir/article-1-4279-en.html
1- M.Sc, Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran
2- Associate professor, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran
3- Assistant professor, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran ,basakha@gmail.com
2- Associate professor, Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran
3- Assistant professor, Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran ,
Abstract: (814 Views)
Introduction: Health equity is a complex and multidimensional concept that refers to the fair distribution of health resources and opportunities. In developing countries, where resources are limited, ensuring health equity is a major challenge. This study aimed to evaluate the level of attention given to health equity in the development plans of Iran.
Methods: The full text of Iran's first to sixth development plans was qualitatively analyzed using a directed content analysis approach. The dimensions of health equity (availability, accessibility, adequacy, affordability, and appropriateness) were identified, and the frequency of each dimension was calculated using a cross-tabulation in SPSS software. The validity of the study was ensured through expert opinions and the agreement between evaluators using Cohen's kappa coefficient.
Results: The results showed that the most attention was given to the dimension of accessibility (17.7%), followed by adequacy (12.4%), appropriateness (7.7%), affordability (4.3%), and availability (1.9 %).
Conclusion: Given the intricate and multifaceted nature of health equity, achieving equity in this domain necessitates a comprehensive and well-rounded approach. It is imperative to delve deeper into this matter within the framework of development programs, with program objectives and implementations aligned accordingly.
Methods: The full text of Iran's first to sixth development plans was qualitatively analyzed using a directed content analysis approach. The dimensions of health equity (availability, accessibility, adequacy, affordability, and appropriateness) were identified, and the frequency of each dimension was calculated using a cross-tabulation in SPSS software. The validity of the study was ensured through expert opinions and the agreement between evaluators using Cohen's kappa coefficient.
Results: The results showed that the most attention was given to the dimension of accessibility (17.7%), followed by adequacy (12.4%), appropriateness (7.7%), affordability (4.3%), and availability (1.9 %).
Conclusion: Given the intricate and multifaceted nature of health equity, achieving equity in this domain necessitates a comprehensive and well-rounded approach. It is imperative to delve deeper into this matter within the framework of development programs, with program objectives and implementations aligned accordingly.
Type of Study: Research |
Subject:
Health Services Management
Received: 2022/12/22 | Accepted: 2023/03/19 | Published: 2023/10/8
Received: 2022/12/22 | Accepted: 2023/03/19 | Published: 2023/10/8
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