MSc of Environmental Health Engineering, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Research Center for Health Sciences, Institute of Health, Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Inquiry. 2024 Jan-Dec;61:469580241273202. doi: 10.1177/00469580241273202.
The migratory lifestyle of nomadic communities, combined with the lack of a suitable health-related organizational structure, has made it difficult to provide health care services that can improve their health status. To achieve the concept of justice in health and sustainable development, it is imperative to improve the health status of all citizens in Iran, which consists of the nomadic communities, and urban and rural populations. In this ecological study national health indexes in nomadic tribespeople was Identified and prioritized by expert panel and fuzzy Delphi method. In the first step, the national health indexes were extracted from the literature, and then indexes that can be measured, evaluated and representative of the nomadic communities were extracted and prioritized by using fuzzy Delphi and TOPSIS methods, Questionnaire options were analyzed according to 3 criteria of economic efficiency, measurability, and simplicity in the form of 13 components and their indicators. The analysis of the results of the fuzzy Delphi method shows that the mental health component has the lowest real score in the criteria of measurability, simplicity and economic efficiency. The child care component has the highest real score in terms of economic efficiency and the vaccination component has the highest real score based on the criteria of measurability and simplicity in nomadic communities. The results of the TOPSIS method show that the components of vaccination, maternal care and child care have the highest priority for attention and investigation of their indicators in this segment of the population. In general, by designing and implementing systems to record the information of priority indexes extracted from the present study, it is possible for responsible organizations to make effective decisions and plans for the improvement of the health status of nomadic communities.
游牧社区的迁徙生活方式，加上缺乏适当的与健康相关的组织结构，使得难以提供能够改善其健康状况的医疗服务。为了实现健康公平和可持续发展的理念，必须改善伊朗所有公民的健康状况，包括游牧社区、城市和农村人口。在这项生态研究中，通过专家小组和模糊德尔菲法确定和优先考虑游牧部落的国家健康指标。在第一步中，从文献中提取国家健康指标，然后使用模糊德尔菲法和 TOPSIS 方法提取和优先考虑可衡量、可评估且能代表游牧社区的指标。根据经济性、可衡量性和简单性这 3 个标准，通过 13 个组成部分及其指标的形式，对问卷选项进行了分析。模糊德尔菲法的结果分析表明，在可衡量性、简单性和经济性标准下，心理健康组成部分的实际得分最低。在经济性方面，儿童保健组成分的实际得分最高，而在可衡量性和简单性标准下，疫苗接种组成分的实际得分最高。TOPSIS 方法的结果表明，在这个群体中，疫苗接种、孕产妇保健和儿童保健的组成部分最需要关注和调查其指标。总的来说，通过设计和实施系统来记录从本研究中提取的优先指标的信息，负责组织可以为改善游牧社区的健康状况做出有效的决策和计划。
