Showing 29 results for Assessment
Parviz Owlia, Farah Sadat Bahreini, Monir Baradaran Eftekhar, Mostafa Ghanei, Amene Setareh Forouzan, Mehdi Farahani,
Volume 9, Issue 2 (11-2011)
Abstract
Background and Aim: Priority setting is one of the most important issues in health research systems. No national health system can afford to finance all research projects proposed by researchers, especially in developing countries. Therefore, we decided to set the main national health research priorities in Iran using the Essential National Health Research (ENHR) method.
Materials and Methods: All of the Iranian universities of medical sciences and other stakeholders collaborated in this study. The methodology for research priority setting was based on needs assessment and ENHR.
Results: The total number of research priorities gathered from universities of medical sciences was 6723. The proportions of topics related to basic science, applied and development subjects were 17%, 78% and 5%, respectively. Further analysis of the data showed that almost half (46.3%) of the research priorities were descriptive, 36.0% analytical, and 17.6% interventional. The research priorities were divided into 9 main areas, namely, communicable diseases, noncommunicable diseases, health system research, pharmaceutical sciences and industrial pharmacy, basic science, traditional and herbal medicine, nutrition, environmental health, and dentistry.
Conclusion: Up to now the common procedure for research priority setting has been, with a top-to-bottom approach, managed by a limited number of researchers and experts, while in the method presented in this paper a bottom-to-top approach is used, which is more effective.
Sima Zaeri, Saba Asgharzadeh, Shiva Khoshnevis, Mehrnoush Mohammadi, Kourosh Holakouie Naeini,
Volume 9, Issue 2 (11-2011)
Abstract
Background and Aim: Community assessment is a process by which a clear picture of the community assets, strengths, resources, and needs is obtained with active participation of the community itself, followed by prioritization of the community needs and formulating strategies and programs to solve the problems. This study was conducted to identify and prioritize problems and needs of the Azerbaijan Borough in Tehran city, Iran, with active participation of the people.
Materials and Methods: This study was conducted to determine the attitudes and beliefs of the community members about their community needs and problems. The study was based on a model designed in North Carolina, US. In this model, the assessment process is performed in eight steps. In the first seven steps problems are identified and prioritized, and in step 8 a plan of action is developed to deal with the problem selected.
Results: A total of 40 problems were identified and divided into several groups. The most important problems were as follows: social problems environmental health problems educational and cultural problems, civil rights and urban services distribution and use of drugs lack of family counseling centers shortage of parks and playgrounds for neighborhood children lack of supervision by municipal contractors on urban cleaning and lack of mental health services specially for the elderly.
Conclusion: Several types of problems, including health, as well as non-health - social, cultural and economic - problems were identified. Community assessment provides an appropriate opportunity for active participation of community members and makes available sufficient information for sound decision-making. Thus, community assessment can be regarded as a suitable technique for identifying and prioritizing community needs.
Behzad Damari, Abbas Vosoogh Moghaddam, Hossein Salarianzadeh,
Volume 10, Issue 2 (10-2012)
Abstract
Background and Aim: Improvement of national and provincial health indices requires intersectoral collaboration and community participation So, National High Health and Food Security Council and Provincial Health and Food Security Councils (PHFSC) have been implemented since 2006. The main responsibilities of PHFSCs are, assessment of province health situation and effects of executive organizations on it's improvement, to define and approve the province health strategic plan, developing of AIDS and HIV prevention and control plan and resolving intersectoral issues of health. The goal of this study is first 3 years performance assessment of the PHFSCs.
Materials and Methods: This is a descriptive evaluation study which included all the PHFSCs. The outcome assessment indicators were determined by content analysis of "the approved tasks" and also "the essential aspects for promoting of PHFSCs" by focus group discussions. Situational analysis was provided by two researcher made questionnaires one for co Assessment of the contents of content analysis of PHFSCs all meetings minutes (from establishment year to the end of 2008) and another for gathering viewpoints of Secretaries of PHFSCs.
Results: Data analysis shows that the meeting's agendas of the PHFSCs have less followed the prioritized major health issues of provinces and national burden of diseases most issues were in the domain of communicable disease control and non-communicable diseases risk factors control included scarcely. Only in two Universities of Medical Sciences (UMSc) province comprehensive health plan were proposed. None of the UMSc approved a secretariat for PHFSC in its organizational top chart. PHFSCs secretaries believed that, the main obstacles of the PHFSCs' successes, are weak financial resources, and lack of decisions executive enforcements.
Conclusion: PHFSCs performances are moderate and moderate to low due to lack of comprehensive strategic plan and no implementation model for intersectoral decisions, other organizations believe on the effectiveness of the PHFSCs less and the main burden of disease of the provinces not mostly included in the agenda of PHFSCs. Following proposals are highly recommended for PHFSCs promotion: training and empowerment of UMSc and organizations for developing comprehensive health plan in the province and defining the responsibilities of each organizations for, determining policy priorities of common health issues of the provinces by High Health and Food Security Council and publicizing them by the Ministry of Health and the other relevant ministries and approving the structure and working system of the PHFSC secretariat in UMS by the Board of Trustees of UMS.
Behrooz Yazdan Panah, Mitra Safari, Farah Bahreini, Farzad Vafaee, Mohsen Salari, Mehran Yousefi, Masoud Rezaei, Ali Hosseini, Mohammad Habibian, Farid Moradian,
Volume 11, Issue 1 (8-2013)
Abstract
Background and Aim: Current traditional research methods for solving social problems were challenged due to limited participation of community . The health companion project was carried out with the aim of determining effective model of community participation for solving health problems in Boyerahmad and Dena township. .
Materials and Methods : This study is a community based participatory research performed in Kohgiloyeh and Boyerahmad province 2005-2009.The study population was the entire rural and urban households of Boyerahmad and Dena county.The strategic committee of project including academic researchers, managers of health and health related sectors was formed and this committee selected six regions for research activities. In each region local directing group "health companion " was established with participation of stakeholders: academic researchers, local leaders, health providers and public representatives to guide all aspects of project. The members of the group empowered and enabled by attending training workshops for need assessment, priority setting, research methodology that through these activities the health problem priorities of the regions were recognized, the research area determined and intervention programs were designed and implemented according to these research area.
Results: The most important achievement of this project is the methods of activities to reaching goals. Implementation of six participatory interventional proposal for solving health problems and needs are the other achievement. The frequency and means of health problems and their risk factors significantly reduced after the completion of intervention program in each region.
Conclusion: Establishing and activities of health companion groups followed model of Planned Approach to Community Health (PATCH) that help community to form health promotion team, collecting and organizing of data, choosing health priorities, developing a comprehensive intervention plan and evaluation .
Hassan Eftekhar Ardebili, Farhad Lashkar Boloki, Abolghasem Jazayeri, Mohammad Ariaei, Mansoureh Minaei,
Volume 12, Issue 2 (10-2014)
Abstract
Background an Aim: Aging trend especially in developing country is increasing. This study aimed to assess the nutritional status of the elderly and its associated factors in Gorgan .
Materials and Methods: This is a cross sectional study that two-stage cluster sampling method was used for considering participant. The data were collected using Mini Nutritional Assessment and anthropometric questionnaire which was referred to the elderly inhabitant in urban area. 541 elder were interviewed and data were analyzed by chi square, independent T test and one way ANOVA tests.
Results : The prevalence of malnutrition was %4/8 and nearly %44/7 of the elderly were at the risk of malnutrition. %51/9 of the elderly were on a special diet due to a disease or specific condition. Malnutrition frequency and the risk of it were higher in woman than men and the difference between sexes was statistically significant. BMI, mid arm circumference and calf circumference measures in elderly with malnutrition were less than elderly with good nutrition, and the difference was statistically significant
Conclusion: The risk of malnutrition in elderly who exposed to socio-economic, mental and also dental difficulties, living alone and female old age was higher than others groups. The implementation of supportive and nutritional programs is more important in this group.
Masoumeh Dejman, Maroe Vameghi, Fatemeh Dejman, Payam Roshanfekr, Hasan Rafiey, Ameneh Setareh Forouzan, Majid Rezazadeh, Parisa Fazeli,
Volume 12, Issue 3 (1-2015)
Abstract
Background and Aim: Children who work or live in the streets are one of the high-risk groups for HIV. The high population of street children and lack of comprehensive intervention programs for them increase their risk for HIV in Iran. This study intended to explore the situation of drug abuse in street children in Tehran, the capital city.
Materials and Methods: This paper reports part of a comprehensive rapid assessment and response (RAR) research project on street children in Tehran during 2012-13. Data were collected by interviewing subjects using questionnaires. The sample size was 289 street children selected by time-location sampling in Tehran.
Results : Data showed that about 25.6% of the street children had had some history of cigarette smoking, alcohol abuse, and/or drug abuse. Most of them were boys aged 15-18 years. The prevalence rate of cigarette and/or hubble-bubble smoking, alcohol consumption and drug abuse during the preceding 6 months 12.1%, 11% and 6.9%, respectively. Significant associations were found between alcohol consumption and drug abuse on the one hand and the children’s age, type of occupation and home-leaving experience on the other. Further analysis of the data showed that the main reason for drug abuse was curiosity (56.6%), followed by mere enjoyment (39.6%) and leisure (35.8%) .
Conclusion : It can be concluded that drug abuse among street children is highly associated with gender, age, alcohol consumption, cigarette smoking and leaving home experience. Therefore, it is recommended to start drug abuse prevention programs at lower ages, with particular emphasis on boys. In addition, family intervention and improvement of children’s lifestyle aiming at preventing home-leaving could be a main strategic plan for reducing drug abuse among street children.
Farzad Maleki, Marjan Hossein Pour, Hossein Rafiemanesh, Fatemeh Salehi, Zahra Lotfi, Mohammad Reza Naserizadeh, Noorallah Yari, Fatemeh Koohi, Koroush Holakoie Naieni,
Volume 12, Issue 3 (1-2015)
Abstract
Background and Aim: The community assessment is the basis of strategic policies for health professionals and managers. The aim of community assessment is collection of the data that relating to public health problems, data analysis and concludes about necessary capacities for providing the necessary resources to resolve problems.
Materials and Methods: In this study the databases of Scientific Information Database, MagIran, MEDLINE, Google Scholar, and IranMedex were searched up to April 2014 (farvardin1393). All papers of community assessment in the country according to our standard community assessment model were included in this study.
Results: Overall 11 studies were evaluated and the common feature of all research is to identify problems of society and local problems. The drug addiction was classified in 3 of the studies as a main problem and in 7 of studies was classified in the ten major problems. Poverty and unemployment are allocated to the next priority, the second priority in 2 studies, the third priority in 3 studies and the fourth priority in 3 studies. Environmental health problems and socio-cultural problems were the next priorities.
Conclusion: The proposed model can be used to suggest new health services with due consideration of community problems, as well as develop suitable, effective intervention strategies. This type of community study should not be conducted only once. Rather, it should be repeated periodically in any community, results compared and used for policy-making.
Behzad Damari, Abbas Vosough Moghaddam, Ahmad Hajebi, Mohammad Hossein Salarian Zadeh, Habib Emami,
Volume 13, Issue 3 (12-2015)
Abstract
Background and Aim: The Pars Energy-Economic Special Zone, as the energy capital of Iran, needs a healthy productive workforce. In order to be able to promote equitable health indicators of the Zone, it is essential to first obtain information about the situation of the health system in the region.
Material and Methods: This was a cross-sectional qualitative study. Data were collected using an essential public health services (EPHS) performance assessment questionnaire and a researcher-developed questionnaire for strengths, weaknesses, opportunities and threats (SWOT) analysis of the Zone health system. In the next phase, stakeholder analysis was done: the major stakeholders were invited and asked, after explaining the methodology to them, to complete, individually, the EPHS performance assessment and the SWOT analysis questionnaires, followed by grouping and summarizing the results. Finally, content analysis of results of the group discussions was done and the main domainsا extracted.
Results: The EPHS overall average score was 37.8 (out of 100, the standard score). The greatest weakness was allocated to information functioning. Delivering public health services by the district health networks was the most important strength. Further analysis of the data showed that the far external environment in all the subdomains was the major threat to the public health in the zone.
Conclusion: Based on the findings, it can be said that the organizational status of the Zone is in a weak and threat position. One of the root causes is poor functioning of the public health system. It is essential that the Ministry of Petroleum and the Ministry of Health and Medical Education find effective ways for integrated leadership of the public health services in the Zone.
Marjan Hossein Pour, Shahrzad Nematollahi, Mohammad Shekari, Abdolhossein Madani, Ali Akbarisari, Ali Ardalan, Elham Torabi, Hossein Shabkhiz, Kourosh Holakoie Naieni,
Volume 13, Issue 4 (3-2016)
Abstract
Background and Aim: Nowadays, in health promotion and disease prevention great emphasis is put on participatory community-based approaches. These approaches are considered as the main strategy of health promotion by using multiple interventions. Community assessment is a participatory research approach in which problems prioritization and resource distribution are done using information collected in a region aiming at promoting health of the community.
Materials and Methods: In this applied research community assessment was made in the Chahestaniha region in the City of BandarAbbas with the objective of identifying and prioritizing the main problems. The assessment consisted of eight phases, namely, the formation of a community assessment team, Primary and secondary data collection, data analysis and interpretation, combining district-level health statistics with community assessment data, reporting to the community, prioritizing health problems, and prepared a community assessment document. In the eighth phase, after considering all risk factors that cause high prevalence of Children head lice, the action plan was designed and implemented to solve the problems.
Results: The Chahestaniha community assessment led to identifying 52 problems. The priority problems were classified. High prevalence of lice on children’s head was chosen as the top major problem to be solved, an action plan for solving it was developed and implemented.
Conclusion: The full cycle of community assessment methodology can be applied, with only some small changes, in most communities with different sizes, cultures, traditions and social habits. The method can obtain participation of the people in conducting the study and implementing interventions.
Behzad Damari, Abbas Vosough Moghaddam, Narges Rostami Gooran, Mohammad Javad Kabir,
Volume 14, Issue 2 (9-2016)
Abstract
Background and Aim: The most important healthcare reform in Iran during the last decade has been implementation of the family physician and referral system in rural areas and small towns with a population of less than 20000. The program was expanded (as a pilot project), with small modifications, to rural areas of 2 provinces, namely, Fars and Mazandaran. This study was initiated to assess the achievements, challenges and weak points of the pilot project before deciding to expand it to other provinces.
Materials and Methods: This qualitative study was conducted in winter 2013. Data were collected using document desk reviews, semi-structured interviews with key informants, and focus-group discussions. Relevant family health policy makers, managers and service providers in the two provinces were invited to the meetings. The data were analyzed and categorized based on the content analysis method.
Results: The data showed that the family physician program is faced with several challenges regarding objectives; stewardship; service providing; and human, financial and information resources. It is to be noted, however, that the program has had achievements such as increased access to services, increased coordination among insurance organizations and medical universities, and organizing and managing health files.
Conclusion: The program should not be expanded to other provinces before redesigning in order to assure that it is more complete and comprehensive and create commitment and adequate guarantee among stakeholders. It is essential that all the stakeholders agree on general and specific objectives of a 5-year program and prepare an operational plan for each specific objective.
Zahra Lotfi, Ensieh Gheirati, Fatemeh Tajik, Zohreh Tavakoli, Mahmood Mahmoodi, Kourosh Holakouie Naieni,
Volume 14, Issue 3 (12-2016)
Abstract
Background and Aim: Nowadays, prioritizing problems and distribution of resources is determined according to the basic needs of the individuals in the population. Based on the study done by researchers in Tehran University of Medical Sciences School of Public Health in Golhesar Village, Tehran, taking action about "drug abuse" was ranked by the community as the first priority. Therefore, the present study aimed to estimate the size of the population of drug abusers using the network expansion method.
Materials and Methods: This cross-sectional study was conducted on a purposive sample of 320 persons 15-65 years old. The study included two parts: 1. estimation of the social network based on 32 population subgroups using the frequency of network expansion approach; 2. estimation of the size of the hidden population. The relevant correction coefficients were used for adjusting errors usually observed in this method. Results: The mean of the social network was 160.79±16.68) 95% CIs: 128.78-194.30.(The frequencies of cigarette smoking, hookah smoking, alcohol consumption, opium use, meth use, crack use, heroin use, injecting drugs and ecstasy were 103.43, 88.25, 96.9, 76.46, 69.37, 30.03, 20.48, 7.36, and 4.23 per 1000; respectively. The percentage of drug abusers was higher among men.
Conclusion: As compared to results of previous reports, the size of drug abuser population in Golhesar Village is currently higher. In order to solve this problem an appropriate action plan should be implemented by the planners and policy-makers in partnership with community members.
Sara Shah Abadi, Mohammad Reza Saidi, Seyed Mohammad Mehdi Hazavehei, Saeid Bashiriyan, Manouchehr Karami, Behjat Marzbani,
Volume 15, Issue 2 (9-2017)
Abstract
Background and Aim: Cardiovascular diseases (CVDs) are a major cause of death worldwide. The objective of this study was to determine the most important behavioral (inadequate nutrition, low physical activity, smoking and alcohol consumption) and non-behavioral (stress, high blood sugar, dyslipidemia, hypertension and obesity) risk factors for CVD among CVD patients hospitalized in Kermanshah Heart Hospital. This was a needs assessment study aiming at designing interventions for reducing CVD risk factors.
Materials and Methods: In this cross-sectional study 402 CAD patients (60.4% males and 39.6% females) were selected by consecutive sampling from among those hospitalized in Imam Ali Hospital for the first time. Data were collected using the Iranian version of WHO Stepwise questionnaire and the patients’ files and analyzed using the SPSS-16 software.
Results: The mean (±SD) age of the patients was 54.2 (±8.8) years. About 73% of them had a poor diet and 46.5% had low physical activity; in addition, 36% of the men had consumed alcohol in the previous year and 26.1% were smokers. Non-behavioral risk factors were quite common too. The proportions of the patients suffering from diabetes, hypertension and overweight-plus-obesity and abdominal obesity were 49.3%, 48.0%, 54.7% and 61.0%, respectively. Finally, 43.3% of the patients had high stress, 31.0% were hypertriglyceridemic and in another 21% hypercholesterolemia was seen.
Conclusion: Based on the findings it can be concluded that, as compared to other risk factors, imbalanced nutrition was more prevalent common among the patients. Another major risk factor was obesity, particularly abdominal obesity. In addition, blood glucose disorders were more common than dyslipidemia.
Mahdieh Keykavoos Iranag, Hadi Pashapour, Azam Jafari, Khadijeh Keshavarzian, Mahmoud Khodamoradi, Abass Ali Dorosti, Asghar Mohammadpoorasl,
Volume 16, Issue 3 (12-2018)
Abstract
Background and Aim: Developing appropriate programs for community problem solving and community development and prosperity will be possible only after realistic identification of the community’s problems. Community health assessment is a process by which researchers and community members understand the health care system and community concerns through data collection and analysis, determining strengths and weaknesses and defining the community’s resources and demands. Basmenj is a town located 10 kilometer from the metropolitan City of Tabriz, Iran and on the verge of adjoining this metropolis. This paper reports results of the community assessment of this town.
Materials and Methods: This study was conducted in autumn 2017. The methodology used for community assessment was based on the eight-stage model of North Carolina. In the first seven stages the Basmenj community problems were identified and prioritized, followed, in the eighth stage, by developing an action plan for solving the problems in order of priority.
Results: Approximately 100 different problems were identified at the end of the first stage. Based on the Hanlon classification model, the top prioritized problems of the region were found to be, in that order, youth addiction, urban trashes, stray dogs, environmental pollution caused by Pars Color Company, narrowness of the main street, inner-city livestock farming, early marriage among girls, wastewater problems, youth unemployment, and high consumption and self-administration of anti-biotics.
From among these problems, the urban trashes problem was studied briefly. Factors playing a role in its causation were found to be as follows: lack of waste reduction and waste sorting programs, low citizens’ knowledge about trash gathering, absence of an appropriate urbane wastewater system, and, finally, lack of participation of citizens and the private sector in trash gathering and burying
Conclusion: A wide range of social, cultural and economic problems was identified. The top priority was found to be focusing on problems related to urban trashes. However, it should be noted that solving all the community problems identified requires the co-operation and support of all the governmental organizations, as well as involvement of the community at large.
Masoomeh Parvaneh, Solmaz Babaei Bonab,
Volume 19, Issue 1 (6-2021)
Abstract
Background and Aim: Although staying at home seems to be the best way to reduce the risk of Covid 19 virus and stay safe from it, the home has physical and psychological effects on people, especially vulnerable populations. Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine disorders in women which, in addition to many physical problems, it has many psychological manifestations. Thus, the present research was conducted to determine the effect of home-made aerobic activity on the psychological state of adolescent girls with PCOS in home quarantine conditions.
Materials and Methods: In this 12-week study a sample of 40 adolescent girls with PCOS participated ─ 20 in the intervention, and 20 in the control, group, the intervention group performing home-based aerobic training for the whole period. In both groups anxiety and depression, as well as body image concern were determined at the beginning and at the end of the period, using the Hospital Anxiety and Depression and Littleton Body Image Concern questionnaires, respectively; so was body composition by weight and height. The data were analyzed using the SPSS-22 software, the statistical tests being the Kolmogorov-Smirnov test and Analysis of covariance.
Results: Before the intervention, the experimental and control groups did not differ significantly as regards anxiety, depression, body image concern and body composition (p> 0.05). Further analysis of the data revealed significant differences between the two groups regarding these variables (p = 0.001) at the end of the period.
Conclusion: Supervised aerobic exercise in the home has a favorable effect on the psychological state of adolescent girls with PCOS and can be recommended as a safe therapy for these patients in corona conditions.
Farhad Shekari, Hadi Jalilvand, Asghar Mohammadpoorasl,
Volume 20, Issue 2 (9-2022)
Abstract
Background and Aim: The promotion of the health of the members of a society is based on the assessment of the situation of that society. This study was conducted in the Soufian district of Shabestar city with the aim of identifying and prioritizing its problems and needs with the direct participation of the people.
Materials and Methods: This was a cross-sectional study conducted in the Sufian District of Shabestar city in 2019, the methodology used being based the 8-phases model of North Carolina. The community health assessment was performed in 8 phases. The first seven phases included identifying and prioritizing the problems of the District, and the eighth was developing operational plans to solve its priority problems.
Results: A total of 23 different problems were identified. Prioritizing the problems according to the Hanlon method showed the ten main and priority problems to be, in a descending order, as follows: marriage of girls at an early age (21.01), excessive use of chemical fertilizers in farmlands (20.89), lack of social security clinics (20.51), unemployment (20.38), severe air pollution caused by incineration of industrial waste (20.01), accumulation of municipal waste in the city (19.89), high hardness of city water (19.76), lack of property deeds (19.63), lack of a specific unit in the industrial town to separate waste (19.38), and lack of a gas supply to Mehr Housing and lack of asphalted roads (19.28). Marriage of girls at an early age was identified as the main problem and with the first priority, and a general preliminary study was done on it; it was found that in about 43% of all marriages registered between 2014 and the first half of 2021 the ages of girls were under 18 years. Factors causing and increasing marriage of girls at an early age were identified to be as follows: low awareness of girls' families and girls themselves of the consequences of early marriage, social acceptance of early marriage in the area and low parental literacy.
Conclusion: In this study a wide range of social, cultural, economic and health problems were identified in the population studied. Marriage of girls at an early age is an important social problem with serious undesirable consequences. In an attempt to solve this problem it is essential to consider, in addition to legal and legislative strategies and actions, appropriate scientific, social, cultural and economic strategies and applied research.
Hamed Yeganeh, Hossein Parvaresh, Mohsen Dehghani Ghanataghestani, Mohammadreza Mohammadi Soleimani,
Volume 20, Issue 4 (3-2023)
Abstract
Background and Aim: The health, safety and environment (HSE) system is an integrated system that tries to create a healthy, pleasant and lively environment with no accidents, damages and injuries by converging and synergizing human resources, facilities and equipment. The purpose of the present study was to investigate the validation of the revised scale of HSE performance.
Materials and Methods: This was a descriptive and analytical research conducted using the psychometric method. The statistical population included all workers of the steel companies in Kerman Province, Iran in 1400. Using the cluster sampling method based on psychometric criteria a sample of 100 was selected for the convergent validity and a sample of 578 for the construct validity section. Data were collected through two scales of HSE performance and job stress (Cohen et al., 1983). Content validity, convergent validity and factor analysis methods were used to check the validity of the scale. The reliability of the scale was checked using the internal homogeneity and classification reliability (dividing in 2 haves). The SPSS version 22 software was used for data analysis.
Results: Confirmatory factor analysis confirmed the six-factor model. The questionnaire was used along with the 35-item occupational stress questionnaire of Cohen et al. (1983) which had good reliability and validity. The alpha coefficient obtained for the whole scale was 0.79, and for the subscales as follows: resilience 0.93, demand 0.90, role 0.93, control 0.85, support 0.72 and relationships 79.0. In addition, the reliability coefficient of the scale was also calculated using the classification method. The classification coefficient for the first and second halves of the data was 0.87 and 0.62, respectively, the correlation between the two halves being 0.248. These findings indicated a favorable internal consistency coefficient for the HSE performance scale (P<0.001).
Conclusion: According to the findings obtained based on the HSE validation, which showed that the fit of the model is high and also that the evaluation of HSE performance has a great role in the health of employees, more attention should be paid to the establishment and implementation of HSE management in Kerman steel companies.
Maryam Tajvar, Mohammad Sarkout Ghosi, Elham Ehsani-Chimeh,
Volume 21, Issue 2 (9-2023)
Abstract
Background and Aim: Assessment of disease risk with the ultimatevaim of implementing preventive strategies in the workplace is a necessity. This study was conducted to assess the risk of COVID-19 in hospital occupational groups in Saghez city, Iran.
Materials and Methods: This cross-sectional study was conducted in 2021 among three hospital occupational groups (total sample size = 300) in Saghez city, Iran, including physicians and nurses, as well as laboratory, administrative, financial, radiology and general service personnel, using the COVID-19 rapid risk analysis technique. Data were collected using a valid questionnaire based on the Likert scale and analysed (to determine acceptable, tolerable and intolerable risks) using the descriptive and inferential methods, the software used being SPSS-26.
Results: As regards the probability variable, the highest probability of occurrence of COVID-19 was related to the general service and administrative-financial occupational groups with an average of 1.6 and 1.5, respectively. The level of attitude was generally good and excellent. The analysis of the severity of the outcome variable was at a critical level in the physicians group (42.5) and at a catastrophic level in the other groups. In total, all occupations were rated at an unacceptable risk level (H), the general service and administrative-financial occupational groups being at a higher risk than other groups. There were statistically significant differences between the types of occupation on the one hand and the variables studied, as well as the individual characteristics and COVID-19 morbidity on the other hand.
Conclusion: Considering the high risk of occurrence of COVID-19 among the hospital professionals it is essential to develop and implement plans aiming at preventing and reducing the disease risk in them.
Banafsheh Aleyaran, Zahra Delavari, Fatemeh Fayyaz, Hamed Moslehi,
Volume 21, Issue 2 (9-2023)
Abstract
Background and Aim: Social health is one of the most basic criteria of social well-being and an effective factor in improving the quality of life of any society. .In Iran, the Office of Mental Health, Social Health and Addiction (OMSHA) is responsible for planning, implementing, monitoring and evaluating social health programs. The purpose of this research was to criticize and assess the contents of the social health component of the primary health care (PHC) system in an attempt to revise the contents.
Materials and Methods: The method used in this study was the deconstruction method. The research environment was all the contents of the social health component provided by OMSHA, and in order to obtain precise data the entire statistical population was taken as the study sample.
Results: In general, data analysis indicated the following: inappropriate screening, cultural adaptation, unidimensionality, role and responsibility adaptation, the preference of treatment to prevention, updating, comprehensiveness and adequacy of basic contents, and comprehensiveness and adequacy of practical suggestions.
Conclusion: It can be concluded that revision of the contents of the social health component of the Office of Mental health, Social Health and Addiction is a necessity in order to improve the delivery of mental health services..
Seyedeh Maryam Pourmousavi, Zoha Hajiha, Mohammad Marfat, Iman Zaghian, Hamed Moslehi,
Volume 21, Issue 4 (3-2024)
Abstract
Background and purpose: The purpose of this research was to write a critical review of the available service packages in the Mental and Social Health and Addiction Office (MSHAO) of the Ministry of Health and Medical Education in the areas of drugs, alcohol and tobacco, which are currently used in the primary health care system. The content analysis method was used to extract the specialists’ critiques.
Materials and Methods: Initially the MSHAO sent 1362 pages of information in the form of 47 files to researchers to be reviewed. The files were classified, eliminating/removing additional, unrelated and duplicated items; finally 840 pages in 29 files were studied and carefully examined. Then, seven experts in the field of addiction were asked to criticize the packages, using the content analysis method to extract the experts' critiques.
Results: The findings showed that comprehensive information about drugs, alcohol and tobacco addiction is provided to the clients. However, based on a critical review of the existing packages four main critiques were extracted, namely, sources/references, epidemiology, incompatibility of Iranian-Islamic culture, and technical-specialist issues. In addition, criticisms were also extracted in the following areas/services: the number of files and the variety of interventions, editing and writing problems, interventions and discussions with inappropriate in-text sources/citations, some old sources/references (published in 2013 and 2014), old interventions, lack of appropriate compatibility with the culture of the Islamic society of Iran, and direct translation of some parts of the original texts and documents of international meetings/gatherings.
Conclusion: Despite the efforts of the Mental and Social Health and Addiction Office to cover the needs of the majority of people referring to the primary care system, it seems that the high number of interventions and additional information can cause confusion of/for the physician, mental health care provider, family health care provider, general health care provider and other relevant individuals. It is, therefore, suggested that some packages be merged with each other, duplicate items be removed and specific sections be added, some packages be fundamentally revised based on the suggested items, and updated packages be developed with due consideration of to the culture of the Iranian society.
Aram Halimi, Goljamal Jorjani, Leyla Sharifi Aliabadi, Mohammad Reza Taherian, Haniyeh Yeganeh, Matin Shokrgozar, Gholamreza Ebrahimi, Mohammad Hossein Panahi,
Volume 22, Issue 1 (10-2024)
Abstract
Background and Aim: This study aimed to assess and prioritize the health needs of a community served by the Imamzadeh Ghasem Health Center in Tehran city, Iran.
Materials and Methods: This study was conducted based on the North Carolina model for comprehensive community health assessment. General information and available facilities were extracted from secondary sources, while insights into specific community needs were gathered through interviews with 76 individuals representing diverse demographics. The assessment was made by secondary data analysis and direct interviews.
Finally, the prioritization of health needs of the community was based on a scoring system based on severity, extent, and ease of being solved.
Results: The findings revealed that sewage problems, construction issues and waste management were considered to be the primary health concerns in the region. Comparative analysis with the situation in other regions in Iran emphasizes the unique challenges faced by the community in the present study.
Conclusion: The prioritized health issues highlight the community's urgent needs, requiring targeted interventions. Proposed solutions include legal measures, public education and municipal interventions to address the sewage, construction and waste management problems.
