Peimani Maryam, Nasli-Esfahani Ensieh, Shakibazadeh Elham
1Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Postal box: 1417613151, Enqelab Square, Tehran, Iran.
2Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2019 Mar 19;18(1):255-261. doi: 10.1007/s40200-018-0381-3. eCollection 2019 Jun.
The growth of T2DM in Iran is predicted to be even greater than the global trend. So a new public health movement to effectively prevent and manage T2DM is required more than ever. The solution has lain in the heart of the Ottawa Charter, the first international conference on health promotion more than 30 years ago. The charter contains five useful actions to facilitate the process of diseases prevention and control: 1) building healthy public policy, 2) creating supportive environments, 3) strengthening community action, 4) developing personal skills, and 5) reorienting health care services toward promotion of health. The charter articulates health in all policies and their frameworks. The aim of this review is to examine how the five actions have been implemented in Iran and can serve as a guide to prevent and control diabetes. Several national case studies will be examined to illustrate the challenges facing Iran's health system. It enables the identification and sharing of best practice between countries.
预计伊朗2型糖尿病的增长速度将超过全球趋势。因此，比以往任何时候都更需要开展一场新的公共卫生运动来有效预防和管理2型糖尿病。解决方案就蕴含在30多年前首届健康促进国际会议《渥太华宪章》的核心内容之中。该宪章包含五项有助于疾病预防和控制进程的有益行动：1）制定健康的公共政策，2）创造支持性环境，3）加强社区行动，4）发展个人技能，以及5）将医疗服务重新定位为促进健康。该宪章在所有政策及其框架中阐明了健康问题。本综述的目的是研究这五项行动在伊朗是如何实施的，以及如何作为预防和控制糖尿病的指南。将研究几个国家案例，以说明伊朗卫生系统面临的挑战。这有助于各国识别和分享最佳实践。
