Sajadi Haniye Sadat, Nazari Maryam, Bahmanziari Najmeh, Majdzadeh Reza
Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Arch Iran Med. 2024 Dec 1;27(12):646-653. doi: 10.34172/aim.31958.
Monitoring and evaluation are crucial in ensuring the effective implementation of health priorities. This descriptive study examined the progress towards implementing Iran's General Health Policies (IGHP) to illustrate how countries can effectively monitor and evaluate their national plans. Additionally, the study sought to identify factors that impede the full implementation of these policies.
Available data sources, formal reports, and studies were examined to gather data on selected indicators. Then, documentary analysis and 21 semi-structured interviews were conducted to identify measures taken to materialize IGHP and factors that hindered the full implementation of IGHP. Data were analyzed using the content analysis method.
The results showed that several indicators improved during these years, while there was no data for some indicators. There are some barriers to implementing the IGHP, including lack of full understanding of the policies, absence of necessary mechanisms and infrastructures, lack of coherency and alignment of national health plans and policies, absence of monitoring and evaluation framework, and lack of transparency and accountability in the health system. As countries continue to develop their health plans and policies, lack of clarity regarding the progress of these plans remains a concern.
Countries need to strengthen their health planning systems and expedite the implementation of accountability mechanisms within the health system. Enhancing capacity building is essential to establish a comprehensive monitoring and evaluation framework. By fortifying these systems, countries will be better equipped to measure and track progress toward achieving their health objectives.
监测与评估对于确保卫生重点工作的有效实施至关重要。这项描述性研究考察了伊朗总体卫生政策（IGHP）实施的进展情况，以说明各国如何有效地监测和评估其国家计划。此外，该研究旨在确定阻碍这些政策全面实施的因素。
审查现有数据源、正式报告和研究，以收集选定指标的数据。然后，进行文献分析和21次半结构化访谈，以确定为实现IGHP所采取的措施以及阻碍IGHP全面实施的因素。使用内容分析法对数据进行分析。
结果表明，这些年来一些指标有所改善，而一些指标没有数据。实施IGHP存在一些障碍，包括对政策缺乏充分理解、缺乏必要的机制和基础设施、国家卫生计划和政策缺乏连贯性和一致性、缺乏监测和评估框架以及卫生系统缺乏透明度和问责制。随着各国继续制定其卫生计划和政策，这些计划进展情况缺乏明确性仍然令人担忧。
各国需要加强其卫生规划系统，并加快卫生系统内问责机制的实施。加强能力建设对于建立全面的监测和评估框架至关重要。通过加强这些系统，各国将更有能力衡量和跟踪在实现其卫生目标方面取得的进展。
