Ardalan Ali, Rajaei Mohammad Hossein, Masoumi Gholamreza, Azin Ali, Zonoobi Vahid, Sarvar Mohammad, Vaskoei Eshkevari Khorshid, Ahmadnezhad Elham, Jafari Gelareh
PLoS Curr. 2012 Jul 16;4:e4f93005fbcb34. doi: 10.1371/4f93005fbcb34.
In line with Iran's Comprehensive Health Sector Road Map, the National Institute of Health Research at the Tehran University of Medical Sciences developed the 2012-2025 road map of Disaster Health Management (DHM), including goals and objectives, strategies, activities and related prerequisites. This article presents the process and results of this road mapping project.
The project started with an expanded literature review followed by stakeholder analysis to assess level of interest and impact of related organizations to DHM; STEEP.V methodology to define determinants with a potential impact on Iran's HDM for duration of 2012 to 2025; strength, weakness, opportunity and threat (SWOT) analysis and formulation of goals and objectives, strategies, activities, and prerequisites. Brainstorming, group discussion and interviews with key informants were used for data collection; nominal group technique was used whenever prioritization was necessary, and Delphi panel methodology was applied for consensus development.
STEEP.V analysis revealed the most important Social, Technological, Environmental, Economic, Political and Value-based determinants. Iran's DHM mission and vision were defined respectively as "Mitigation from, preparedness for, response to and recovery from consequences of natural and man-made hazards at the community level as well as to the health facilities and resources of I.R.Iran" and "In 2025, Iran's DHM will be the most developed system in the region resulting in the least vulnerability, the highest readiness in health facilities and resources, and the highest and most effective contribution of the Iranian community to disaster resilience", respectively. Sixteen strategies and related activities, along with the necessary prerequisites, were developed.
This was the first attempt at comprehensive strategic planning in the field of DHM in Iran. The current framework provides Iran's health system with a list of strategies and activities to be considered in operational planning and actions. However, a dynamic process of evaluation and revision is required to ensure that Iran's health system goals are met by 2025. Address for correspondence: Ali Ardalan, No. 78, Italia Ave, Department of Disaster and Emergency Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran. Email: aardalan@gmail.com or aardalan@tums.ac.ir
Ardalan A, Rajaei MH, Masoumi G, Azin A, Zonoobi V, Sarvar M, Vaskoei Eshkevari K, Ahmadnezhad E, Jafari G. 2012-2025 Roadmap of I.R.Iran's Disaster Health Management. PLoS Currents Disasters. 2012 Jul 16.
根据伊朗卫生部门综合路线图，德黑兰医科大学国家卫生研究院制定了2012 - 2025年灾害卫生管理（DHM）路线图，包括目标、战略、活动及相关前提条件。本文介绍了该路线图绘制项目的过程和结果。
该项目首先进行了广泛的文献综述，随后进行利益相关者分析，以评估相关组织对灾害卫生管理的兴趣程度和影响；采用STEEP.V方法确定2012年至2025年期间对伊朗灾害卫生管理有潜在影响的决定因素；进行优势、劣势、机会和威胁（SWOT）分析，并制定目标、战略、活动和前提条件。通过头脑风暴、小组讨论和与关键信息提供者的访谈收集数据；必要时使用名义群体技术进行优先级排序，并应用德尔菲专家小组方法达成共识。
STEEP.V分析揭示了最重要的社会、技术、环境、经济、政治和基于价值的决定因素。伊朗灾害卫生管理的使命和愿景分别定义为“在社区层面以及伊朗伊斯兰共和国的卫生设施和资源方面，减轻自然和人为灾害后果、做好应对准备、做出响应并实现恢复”以及“到2025年，伊朗的灾害卫生管理将成为该地区最发达的系统，使脆弱性降至最低，卫生设施和资源的准备程度最高，伊朗社区对灾害复原力的贡献最大且最有效”。制定了16项战略及相关活动，以及必要的前提条件。
这是伊朗在灾害卫生管理领域首次进行全面战略规划的尝试。当前框架为伊朗卫生系统提供了一份在运营规划和行动中需考虑的战略和活动清单。然而，需要一个动态的评估和修订过程，以确保到2025年实现伊朗卫生系统的目标。通信地址：Ali Ardalan，Italia大道78号，灾害与紧急卫生系，国家卫生研究院，德黑兰医科大学，德黑兰，伊朗。电子邮件：aardalan@gmail.com或aardalan@tums.ac.ir
Ardalan A, Rajaei MH, Masoumi G, Azin A, Zonoobi V, Sarvar M, Vaskoei Eshkevari K, Ahmadnezhad E, Jafari G. 伊朗伊斯兰共和国2012 - 2025年灾害卫生管理路线图。PLoS Currents Disasters. 2012年7月16日。
