Riazi-Isfahani Sahand, Moradi-Lakeh Maziar, Mafimoradi Shiva, Majdzadeh Reza
National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2018 Dec 28;32:132. doi: 10.14196/mjiri.32.132. eCollection 2018.
The majority of modifiable health outcomes are attributable to factors that are outside the direct reach of the health systems and can only be reached through intersectoral actions. In recent years, Iran implemented a series of reforms in the health sector called Health Transformation Plan (HTP). This paper aimed to review health-related intersectoral actions in Iran that have focused on interventions conducted after HTP implementation and to compare the interventions against the recommendations by World Health Organization (WHO) Commission on Social Determinants of Health. Findings showed that intersectoral governance interventions are the strongest points and have the most compatibility with the recommendations, while intersectoral environmental interventions are the weakest points. Also, many of the interventions have not yet been completely implemented. Moreover, continuity and sustainability of the policies and programs are still a concern.
大多数可改变的健康结果归因于卫生系统直接影响范围之外的因素，只能通过部门间行动来实现。近年来，伊朗在卫生部门实施了一系列改革，称为卫生转型计划（HTP）。本文旨在回顾伊朗与健康相关的部门间行动，这些行动侧重于卫生转型计划实施后开展的干预措施，并将这些干预措施与世界卫生组织（WHO）健康问题社会决定因素委员会的建议进行比较。研究结果表明，部门间治理干预是最强项，与建议的兼容性最高，而部门间环境干预则是最薄弱项。此外，许多干预措施尚未完全实施。此外，政策和计划的连续性和可持续性仍然令人担忧。
