Mohammadshahi Marita, Rakhshan Shiva Tolouei, Nateghinia Saeedeh, Damiri Soheila, Sakha Minoo Alipouri, Mostafavi Hakimeh, Nasiri Taha, Ghorbani Mahsa, Shams Lida, Jahanmehr Nader
Department of Health Economics, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Management, policy, and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2025 Aug 26;16:51. doi: 10.4103/ijpvm.ijpvm_43_22. eCollection 2025.
Sanctions can affect humanitarian, GDP growth, the value of the national currency, income inequality, poverty, food security, and health. This study aims to represent the relationship between sanctions and public health and the strategies to deal with it.
The study used a mixed-methods approach. We used data and information from two sources: a scoping literature review and a survey on experts' opinions (10 participants from health policymakers, managers, and researchers). Inductive thematic analysis was adopted to analyze the qualitative data with the MAXQDA software version 10.
The international economic sanctions affect directly and indirectly on targeted population's right to access social welfare and health. The literature review about Iran showed that the sanction had affected public health in four general respects: Economic, Sociocultural, political, and direct health factors. The strategies to deal with sanctions categorized into two themes are the health sector and the health-related extra-sector.
The devastating effects of economic sanctions directly and indirectly on health have significantly reduced financial and physical access to drugs and medical equipment in Iran, leading to a substantial decline in public health, The UN and the international community should anticipate these side-effects of sanctions to prevent further humanitarian catastrophes in the future.
制裁会影响人道主义、国内生产总值增长、国家货币价值、收入不平等、贫困、粮食安全和健康。本研究旨在阐述制裁与公共卫生之间的关系以及应对策略。
本研究采用混合方法。我们使用了来自两个来源的数据和信息：范围界定文献综述和专家意见调查（10名来自卫生政策制定者、管理人员和研究人员的参与者）。采用归纳主题分析法，使用MAXQDA软件版本10对定性数据进行分析。
国际经济制裁直接和间接地影响目标人群获得社会福利和健康的权利。关于伊朗的文献综述表明，制裁在四个总体方面影响了公共卫生：经济、社会文化、政治和直接健康因素。应对制裁的策略分为两个主题，即卫生部门和与卫生相关的部门外策略。
经济制裁对健康的直接和间接破坏性影响，显著减少了伊朗在药品和医疗设备方面的资金和实物获取，导致公共卫生大幅下降。联合国和国际社会应预见到制裁的这些副作用，以防止未来发生更多人道主义灾难。
