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A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications

BACKGROUND: Brucellosis, a major zoonotic disease, is highly present in Iran, especially in Lorestan province. The aim of this study was to understand the issues related to Brucellosis utilizing the multiple streams framework. METHODS: A two-step method was adopted: 1) assessment of brucellosis-rela...

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Autores principales: BEHZADIFAR, MASOUD, SHAHABI, SAEED, ZEINALI, MOHAMMAD, GHANBARI, MAHBOUBEH KHATON, MARTINI, MARIANO, BRAGAZZI, NICOLA LUIGI
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore Srl 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451350/
https://www.ncbi.nlm.nih.gov/pubmed/34604598
http://dx.doi.org/10.15167/2421-4248/jpmh2021.62.2.2041
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author BEHZADIFAR, MASOUD
SHAHABI, SAEED
ZEINALI, MOHAMMAD
GHANBARI, MAHBOUBEH KHATON
MARTINI, MARIANO
BRAGAZZI, NICOLA LUIGI
author_facet BEHZADIFAR, MASOUD
SHAHABI, SAEED
ZEINALI, MOHAMMAD
GHANBARI, MAHBOUBEH KHATON
MARTINI, MARIANO
BRAGAZZI, NICOLA LUIGI
author_sort BEHZADIFAR, MASOUD
collection PubMed
description BACKGROUND: Brucellosis, a major zoonotic disease, is highly present in Iran, especially in Lorestan province. The aim of this study was to understand the issues related to Brucellosis utilizing the multiple streams framework. METHODS: A two-step method was adopted: 1) assessment of brucellosis-related documents and 2) interviews with stakeholders. As a first step, all documents related to Brucellosis were reviewed at provincial and national levels. Policy documentation on health issues included the consultation of guidelines, rules and regulations, websites, reports, books, guides, and conferences. These documents were collected by referring to specialized centers, institutions, and organizations. In the second step, semi-structured interviews were conducted to determine the burden of disease with actors and stakeholders involved with the brucellosis program in the Lorestan province. More in detail, physicians, healthcare workers, managers, policy- and decision-makers were selected for interviews. RESULTS: The problem stream was characterized by: 1) high prevalence of the disease, 2) traditional livestock production, 3) unsafe animal slaughtering, 4) centers for the sale and distribution of non-authorized dairy products, 5) raw milk and 6) traditional unsafe dairy products consumption, 7) incomplete livestock vaccination, 8) lack of knowledge of Brucellosis, 9) neighboring countries with high prevalence of Brucellosis, 10) lack of livestock quarantine, and 10) nomadic immigration. The policy stream was characterized by 1) primary healthcare networks, 2) guidelines, 3) medicines, insurance, and 4) diagnostic services. Finally, the political stream was characterized by: 1) support of the University of Medical Sciences, 2) sponsorship by the Ministry of Health and Medical Education, 3) Health transformation plan, and 4) Working Group on Health and Food Security in Lorestan. CONCLUSION: This study examined the brucellosis-related agenda setting: if different issues are taken into consideration, it can be perceived as a health priority.
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spelling pubmed-84513502021-10-01 A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications BEHZADIFAR, MASOUD SHAHABI, SAEED ZEINALI, MOHAMMAD GHANBARI, MAHBOUBEH KHATON MARTINI, MARIANO BRAGAZZI, NICOLA LUIGI J Prev Med Hyg Review BACKGROUND: Brucellosis, a major zoonotic disease, is highly present in Iran, especially in Lorestan province. The aim of this study was to understand the issues related to Brucellosis utilizing the multiple streams framework. METHODS: A two-step method was adopted: 1) assessment of brucellosis-related documents and 2) interviews with stakeholders. As a first step, all documents related to Brucellosis were reviewed at provincial and national levels. Policy documentation on health issues included the consultation of guidelines, rules and regulations, websites, reports, books, guides, and conferences. These documents were collected by referring to specialized centers, institutions, and organizations. In the second step, semi-structured interviews were conducted to determine the burden of disease with actors and stakeholders involved with the brucellosis program in the Lorestan province. More in detail, physicians, healthcare workers, managers, policy- and decision-makers were selected for interviews. RESULTS: The problem stream was characterized by: 1) high prevalence of the disease, 2) traditional livestock production, 3) unsafe animal slaughtering, 4) centers for the sale and distribution of non-authorized dairy products, 5) raw milk and 6) traditional unsafe dairy products consumption, 7) incomplete livestock vaccination, 8) lack of knowledge of Brucellosis, 9) neighboring countries with high prevalence of Brucellosis, 10) lack of livestock quarantine, and 10) nomadic immigration. The policy stream was characterized by 1) primary healthcare networks, 2) guidelines, 3) medicines, insurance, and 4) diagnostic services. Finally, the political stream was characterized by: 1) support of the University of Medical Sciences, 2) sponsorship by the Ministry of Health and Medical Education, 3) Health transformation plan, and 4) Working Group on Health and Food Security in Lorestan. CONCLUSION: This study examined the brucellosis-related agenda setting: if different issues are taken into consideration, it can be perceived as a health priority. Pacini Editore Srl 2021-07-30 /pmc/articles/PMC8451350/ /pubmed/34604598 http://dx.doi.org/10.15167/2421-4248/jpmh2021.62.2.2041 Text en ©2021 Pacini Editore SRL, Pisa, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en
spellingShingle Review
BEHZADIFAR, MASOUD
SHAHABI, SAEED
ZEINALI, MOHAMMAD
GHANBARI, MAHBOUBEH KHATON
MARTINI, MARIANO
BRAGAZZI, NICOLA LUIGI
A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title_full A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title_fullStr A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title_full_unstemmed A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title_short A policy analysis of agenda-setting of Brucellosis in Iran using a multiple-stream framework: health policy and historical implications
title_sort policy analysis of agenda-setting of brucellosis in iran using a multiple-stream framework: health policy and historical implications
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451350/
https://www.ncbi.nlm.nih.gov/pubmed/34604598
http://dx.doi.org/10.15167/2421-4248/jpmh2021.62.2.2041
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