Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model
Background & Objectives: It is important to promote normal delivery due to the potential risks of cesarean section and its economic burden on families. The aim of the present study was to analyze the factors influencing the agenda setting of normal delivery policy under the health system reform...
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Kerman University of Medical Sciences
2018-03-01
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doaj-d213b42cb93d4ccd81158eec840a41ff2020-11-25T02:00:25ZfasKerman University of Medical Sciencesپژوهشهای سلامتمحور2423-76392018-03-0134367378Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams ModelMohammad Mehdi Kiani0Maryam Tajvar1Ph.D. Student, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranBackground & Objectives: It is important to promote normal delivery due to the potential risks of cesarean section and its economic burden on families. The aim of the present study was to analyze the factors influencing the agenda setting of normal delivery policy under the health system reform of Iran, using the "Kingdon Multiple Streams" model. Methods: In this retrospective case study, the agenda setting of the normal delivery promotion policy in Iran was qualitatively analyzed using documentary analysis and reviewing the available documents and evidences and applying Kingdon multiple streams model. Results: The effective factors on agenda setting of normal delivery promotion policy in Iran were the role of media in revealing high cesarean section rate (problem stream) and their ability to force the government to reduce it and gaining the support of gynecologists. Moreover, the setting of the new government and presenting the new health system reform (policy stream), the full support of the Supreme Leader, the President and the Parliament of Iran, as well as the key role of health insurance and other bodies of the system (Politic stream) provided the opportunity for the implementation of normal delivery promotion policy in 2015. Conclusion: Analysis of normal delivery promotion policy in Health System Reform of Iran using Kingdon multiple streams model helps to understand the content of this policy and the reasons of its agenda setting better. Keywords: Health Policy, Cesarean Section, Natural Delivery, Kingdon Multiple Streams Model, Iran Citation: Kiani M, Tajvar MM. Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model. Journal of Health Based Research 2018; 3(4): 367-378.http://hbrj.kmu.ac.ir/article-1-180-fa.pdfHealth PolicyCesarean SectionNatural DeliveryKingdon Multiple Streams ModelIran |
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DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Mohammad Mehdi Kiani Maryam Tajvar |
spellingShingle |
Mohammad Mehdi Kiani Maryam Tajvar Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model پژوهشهای سلامتمحور Health Policy Cesarean Section Natural Delivery Kingdon Multiple Streams Model Iran |
author_facet |
Mohammad Mehdi Kiani Maryam Tajvar |
author_sort |
Mohammad Mehdi Kiani |
title |
Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model |
title_short |
Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model |
title_full |
Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model |
title_fullStr |
Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model |
title_full_unstemmed |
Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model |
title_sort |
analyzing normal delivery promotion policy in health system reform of iran: an application of kingdon multiple streams model |
publisher |
Kerman University of Medical Sciences |
series |
پژوهشهای سلامتمحور |
issn |
2423-7639 |
publishDate |
2018-03-01 |
description |
Background & Objectives: It is important to promote normal delivery due to the potential risks of cesarean section and its economic burden on families. The aim of the present study was to analyze the factors influencing the agenda setting of normal delivery policy under the health system reform of Iran, using the "Kingdon Multiple Streams" model.
Methods: In this retrospective case study, the agenda setting of the normal delivery promotion policy in Iran was qualitatively analyzed using documentary analysis and reviewing the available documents and evidences and applying Kingdon multiple streams model.
Results: The effective factors on agenda setting of normal delivery promotion policy in Iran were the role of media in revealing high cesarean section rate (problem stream) and their ability to force the government to reduce it and gaining the support of gynecologists. Moreover, the setting of the new government and presenting the new health system reform (policy stream), the full support of the Supreme Leader, the President and the Parliament of Iran, as well as the key role of health insurance and other bodies of the system (Politic stream) provided the opportunity for the implementation of normal delivery promotion policy in 2015.
Conclusion: Analysis of normal delivery promotion policy in Health System Reform of Iran using Kingdon multiple streams model helps to understand the content of this policy and the reasons of its agenda setting better.
Keywords: Health Policy, Cesarean Section, Natural Delivery, Kingdon Multiple Streams Model, Iran
Citation: Kiani M, Tajvar MM. Analyzing Normal Delivery Promotion Policy in Health System Reform of Iran: An Application of Kingdon Multiple Streams Model. Journal of Health Based Research 2018; 3(4): 367-378. |
topic |
Health Policy Cesarean Section Natural Delivery Kingdon Multiple Streams Model Iran |
url |
http://hbrj.kmu.ac.ir/article-1-180-fa.pdf |
work_keys_str_mv |
AT mohammadmehdikiani analyzingnormaldeliverypromotionpolicyinhealthsystemreformofirananapplicationofkingdonmultiplestreamsmodel AT maryamtajvar analyzingnormaldeliverypromotionpolicyinhealthsystemreformofirananapplicationofkingdonmultiplestreamsmodel |
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