Volume 26, Issue 3 (1-2024)
jha 2024, 26(3): 50-82 |
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Mosadeghrad A M, Afshari M, Sharifi T, Keliddar I, Shahsavani A, Yunesian M, et al . Iran's climate resilient health system: Challenges and solutions. jha 2024; 26 (3) :50-82
URL: http://jha.iums.ac.ir/article-1-4321-en.html
URL: http://jha.iums.ac.ir/article-1-4321-en.html
Ali Mohammad Mosadeghrad1 
, Mahnaz Afshari2 , Tahere Sharifi3 , Iman Keliddar4 , Abbas Shahsavani5 , Masud Yunesian1 , Abbas Ostadtaghizadeh6 , Hamed Dehnavi 7
, Mahnaz Afshari2 , Tahere Sharifi3 , Iman Keliddar4 , Abbas Shahsavani5 , Masud Yunesian1 , Abbas Ostadtaghizadeh6 , Hamed Dehnavi 7
1- Professor, School of Public Health, Tehran University of Medical Sciences, Tehran
2- Assistant professor, School of Nursing and Midwifery, Saveh University of Medical Sciences, Arak
3- Assistant professor, Nursing Care Research Center, Semnan University of Medical Sciences, Semnan
4- Assistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,
5- Associate professor, Air Quality and climate change research center, Shahid Beheshti University of Medical Sciences, Tehran
6- Associate professor, School of Public Health, Tehran University of Medical Sciences, Tehran
7- Assistant professor, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran ,hamedehnavi@gmail.com
2- Assistant professor, School of Nursing and Midwifery, Saveh University of Medical Sciences, Arak
3- Assistant professor, Nursing Care Research Center, Semnan University of Medical Sciences, Semnan
4- Assistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz,
5- Associate professor, Air Quality and climate change research center, Shahid Beheshti University of Medical Sciences, Tehran
6- Associate professor, School of Public Health, Tehran University of Medical Sciences, Tehran
7- Assistant professor, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran ,
Abstract: (1168 Views)
Introduction: Climate change is a long-term climate variations caused by human activities that alters the composition of the global atmosphere. Climate change is one of the biggest threats to health. Iran's health system should respond to climate change-related health threats. The purpose of this study was to identify the challenges and solutions to build a climate resilient health system for Iran.
Methods: This qualitative study was conducted using interpretive phenomenology method and semi-structured interviews with 32 policy makers, managers, experts and researchers from the Ministry of Health, Ministry of agriculture, Ministry of roads and city planning, Environmental protection organization, National meteorological organization, Atomic energy organization, Universities, Associations, and Research institutes. Participants were selected through purposeful and snowball sampling methods. Framework analysis method was used to analyze the data.
Results: Eighty four challenges to the resilience of Iran's health system against climate change were identified, which were grouped into two categories of factors inside the health system, (i.e., governance and leadership; financing; health workforce; facilities, equipment and medicines; health information system; and health services delivery) and factors outside the health system (i.e., political, economic, social, technological, environmental and legal factors). Overall, 91 solutions were identified to solve these challenges and to strengthen Iran's climate resilient health system.
Conclusion: Iran's health system is facing several barriers to be climate resilient. Actions at the macro, meso and micro levels, inside and outside the health system should be carried out to increase the adaptability and resilience of the Iranian health care facilities.
Methods: This qualitative study was conducted using interpretive phenomenology method and semi-structured interviews with 32 policy makers, managers, experts and researchers from the Ministry of Health, Ministry of agriculture, Ministry of roads and city planning, Environmental protection organization, National meteorological organization, Atomic energy organization, Universities, Associations, and Research institutes. Participants were selected through purposeful and snowball sampling methods. Framework analysis method was used to analyze the data.
Results: Eighty four challenges to the resilience of Iran's health system against climate change were identified, which were grouped into two categories of factors inside the health system, (i.e., governance and leadership; financing; health workforce; facilities, equipment and medicines; health information system; and health services delivery) and factors outside the health system (i.e., political, economic, social, technological, environmental and legal factors). Overall, 91 solutions were identified to solve these challenges and to strengthen Iran's climate resilient health system.
Conclusion: Iran's health system is facing several barriers to be climate resilient. Actions at the macro, meso and micro levels, inside and outside the health system should be carried out to increase the adaptability and resilience of the Iranian health care facilities.
Type of Study: Research |
Subject:
Health Services Management
Received: 2023/06/19 | Accepted: 2023/09/20 | Published: 2024/05/12
Received: 2023/06/19 | Accepted: 2023/09/20 | Published: 2024/05/12
References
1. American Meteorological Society. Glossary of meteorology. Available from: https://glossary.ametsoc.org/wiki/Climate Accessed April 28, 2024.
2. Amiri MJ, Eslamian SS. Investigation of climate change in iran. Journal of Environmental Science and Technology. 2010; 3(4): 208-16. [DOI:10.3923/jest.2010.208.216]
3. United Nations Framework Convention on Climate Change. Climate change. Available from: https://unfccc.int/resource/ccsites/zimbab/conven/text/art01.htm#:~:text=For%20the%20purposes%20of%20this%20Convention%3A&text=%22Climate%20change%22%20means%20a%20change,observed%20over%20comparable%20time%20periods. Accessed April 28, 2024.
4. Hansen J, Sato M, Ruedy R, Lo K, Lea DW, Medina-Elizade M. Global temperature change. Proceedings of the National Academy of Sciences. 2006; 103(39):14288-93. [DOI:10.1073/pnas.0606291103]
5. United Nations Development Programme. Climate action. Available from: https://www.undp.org/sustainable-development-goals/climate-action?gclid=Cj0KCQjwmvSoBhDOARIsAK6aV7i8T7_sxVkDAjEB0fp2jNouxouXV4Xl8k_MJpEx1JiBfYGxsw-HrC8aAtDaEALw_wcB Accessed April 28, 2024.
6. World Health Organization. Operational framework for building climate resilient health systems: Switzerland: World Health Organization; 2015.
7. Prats EV. WHO guidance for climate-resilient and environmentally sustainable health care facilities. Geneva: World Health Organization; 2020.
8. Iran statistics centre. Population statistics. Available from: https://www.amar.org.ir/ Accessed April 28, 2024.
9. Mosadeghrad AM, Shahsavani A. Strengthening the Resilience of Iran's Health System Against Climate Change. Payesh. 2023; 22 (4): 479-82. [in Persian] [DOI:10.61186/payesh.22.4.479]
10. Department of Environment. Intended nationally determined contribution. Avaliable from: https://www4.unfccc.int/sites/submissions/INDC/Published%20Documents/Iran/1/INDC%20Iran%20Final%20Text.pdf. Accessed April 28, 2024.
11. World Health Organization. Health and climate change: country profile 2022: Iran. Geneva: World Health Organization; 2022.
12. Burck J, Uhlich T, Bals C, Höhne N, Nascimento L. The climate change performance index. Bonn: German watch, Climate Action Network International and New Climate Institute. 2023.
13. World population review. Greenhouse gas emissions by country 2023. Avaliable from: https://worldpopulationreview.com/country-rankings/greenhouse-gas-emissions-by-country Accessed April 28, 2024.
14. World Health Organization. Quantitative risk assessment of the effects of climate change on selected causes of death, 2030s and 2050s. Switzerland: World Health Organization; 2014.
15. World Health Organization. Climate change. Available from: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health Accessed April 28, 2024.
16. Smeets E, Weterings R. Environmental Indicators: Typology and overview (technical report 25). Copenhagen: European Environmental Agency;1999.
17. Creswell JW. Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, CA: Sage Publications; 1998.
18. Maggs-Rapport F. Combining methodological approaches in research: ethnography and interpretive phenomenology. J Adv Nurs. 2000; 31(1): 219-25. [DOI:10.1046/j.1365-2648.2000.01243.x]
19. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. Analyzing qualitative data. Landan: Routledge; 2002. p. 187-208. [DOI:10.4324/9780203413081-14]
20. Mosadeghrad AM, Isfahani P, Eslambolchi L, Zahmatkesh M, Afshari M. Strategies to strengthen a climate-resilient health system: a scoping review . Global Health. 2023; 19(1): 1-11. [DOI:10.1186/s12992-023-00965-2]
21. Mousavi A, Ardalan A, Takian A, Ostadtaghizadeh A, Naddafi K, Bavani AM. Climate change and health in iran: a narrative review. J Environ Health Sci Eng. 2020;18 (1):367-78. [DOI:10.1007/s40201-020-00462-3]
22. Ghiasipour M, Mosadeghrad AM, Arab M, Jaafaripooyan E. Leadership challenges in healthcare organizations: the case of iranian hospitals. Med J Islam Repub Iran. 2017; 31(1): 560-7. [DOI:10.14196/mjiri.31.96]
23. Esfahani P, Mosadeghrad AM, Akbarisari A. The success of strategic planning in healthcare organizations of iran. Int J Health Care Qual Assur. 2018; 31(6): 563-74. [DOI:10.1108/IJHCQA-08-2017-0145]
24. World Health Organization. Everybody's business: strengthening health systems to improve health outcomes. WHO's Framework for Action. Geneva: World Health Organization; 2007.
25. Khosravi MF, Mosadeghrad AM, Arab M. Health system governance: a conceptual review. Hakim. 2021; 24(1): 35-54. [in Persian]
26. Abbasabadi-Arab M, Khankeh HR, Mosadeghrad AM, Farrokhi M. Developing a hospital disaster risk management evaluation model. Risk Manag Healthc Polic. 2019; 12 (1): 287-96. [DOI:10.2147/RMHP.S215444]
27. Mosadeghrad AM, Abbasi M, Abbasi M, Heidari M. Sustainable health financing methods in developing countries: a scoping review. Journal of School of Public Health and Institute of Public Health Research. 2023; 20(4): 358-78. [in Persian]
28. Mosadeghrad AM, Ferlie E. Total quality management in healthcare. Management Innovations for Healthcare Organizations: Adopt, Abandon or Adapt. York: Routledge; 2016 .p. 378-96.
29. Osborn D, Cutter A, Ullah F. Universal sustainable development goals. Understanding the transformational challenge for developed countries. 2015; 2(1):1-25.
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