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Setting Research Priorities to Achieve Long-Term Health Targets in Iran Publisher Pubmed



Mansoori P1, 2 ; Majdzadeh R2, 3, 4, 54 ; Abdi Z5 ; Rudan I1 ; Chan KY1, 6, 53 ; Aarabi M7, 8 ; Ahmadnezhad E5 ; Ahmadnia S9 ; Akhondzadeh S10 ; Azin A11 ; Azizi F12 ; Dehnavieh R13 ; Einizinab H14 ; Farzadfar F15 Show All Authors
Authors
  1. Mansoori P1, 2
  2. Majdzadeh R2, 3, 4, 54
  3. Abdi Z5
  4. Rudan I1
  5. Chan KY1, 6, 53
  6. Aarabi M7, 8
  7. Ahmadnezhad E5
  8. Ahmadnia S9
  9. Akhondzadeh S10
  10. Azin A11
  11. Azizi F12
  12. Dehnavieh R13
  13. Einizinab H14
  14. Farzadfar F15
  15. Farzaei MH16
  16. Ghanei M17
  17. Haghdoost A18
  18. Hantoushzadeh S19
  19. Heydari G20
  20. Joulaei H21
  21. Kalantari N22
  22. Kelishadi R23
  23. Khosravi A24
  24. Larijani B25
  25. Mahvi AH4, 26
  26. Massah Bavani AR27
  27. Mesdaghinia A28
  28. Mokri A29
  29. Montazeri A30
  30. Mostafavi E31
  31. Motevalian SA32
  32. Naddafi K33, 34
  33. Nikfar S35
  34. Nojoumi SA36
  35. Noroozian M37
  36. Olyaeemanesh A5, 38
  37. Omidvar N39
  38. Ostadtaghizadeh A40
  39. Pourmalek F41
  40. Rahimi R42
  41. Rahimimovaghar A29
  42. Rashidian A43
  43. Razaghi E44
  44. Sadeghibazargani H45
  45. Zalani GS46
  46. Soori H47
  47. Tabrizi JS48
  48. Vedadhir A49, 50
  49. Yazdizadeh B2
  50. Yunesian M51
  51. Zare M52
Show Affiliations
Authors Affiliations
  1. 1. Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom
  2. 2. Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Community Based Participatory Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Nossal Institute for Global Health, University of Melbourne, Australia
  7. 7. Department of Family Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  8. 8. Diabetic Research Center, Cancer Institute, Mazandaran University of Medical Sciences, Sari, Iran
  9. 9. Allameh Tabataba'i University, Tehran, Iran
  10. 10. Psychiatric Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Reproductive Biotechnology Research Center, Avicenna Research Institute (ACECR), Tehran, Iran
  12. 12. Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  13. 13. Health Services Management Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  14. 14. Shahid Beheshti University of Medical Sciences, Tehran, Iran
  15. 15. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. Pharmaceutical Sciences Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  17. 17. Chemical Injuries Research Center, Systems Biology and Poisoning Institute, Tehran, Iran
  18. 18. HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  19. 19. Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  20. 20. Tobacco Prevention and Control Research Center, National Research Institute of TB and Lung Diseases, Shahid Beheshti University of Medical Sciences Tehran, Iran
  21. 21. Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  22. 22. National Institute and Faculty of Nutrition Sciences and Food Technology, Department of Community Nutrition, Shahid Beheshti University of Medical Sciences, Iran
  23. 23. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  24. 24. Deputy for Public Health, Ministry of Health and Medical Education, Tehran, Iran
  25. 25. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  26. 26. Center for Solid Waste Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
  27. 27. Department of Irrigation and Drainage Engineering, Aburaihan Campus, University of Tehran, Pakdasht, Iran
  28. 28. School of Public Health, Tehran University of Medical Sciences, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
  29. 29. Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
  30. 30. Population Health Research Group, ACECR, Health Metrics Research Center, Institute for Health Sciences Research, Tehran, Iran
  31. 31. Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
  32. 32. Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  33. 33. Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
  34. 34. Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  35. 35. Department of Pharmacoeconomics and Pharmaceutical Administration, Faculty of Pharmacy and Pharmaceutical Management and Economics Research Center, Tehran University of Medical Sciences, Tehran, Iran
  36. 36. Microbiology Research Center, Pasteur Institute of Iran, Tehran, Iran
  37. 37. Memory and Behavioral Neurology Division, Department of Psychiatry, Tehran University of Medical Sciences (TUMS), Iran
  38. 38. Health Equity Research Centre, Tehran University of Medical Sciences, Tehran, Iran
  39. 39. Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition, Tehran, Iran
  40. 40. Department of Disaster Public Health, School of Public Health, Tehran University of Medical sciences, Tehran, Iran
  41. 41. School of Population and Public Health, University of British Columbia, Vancouver, Canada
  42. 42. Department of Pharmacy in Persian Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran
  43. 43. Director of Information, Evidence and Research, Eastern Mediterranean Regional Office, World Health Organization, Cairo, Egypt
  44. 44. Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  45. 45. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  46. 46. Ministry of Health and Medical Education, Tehran, Iran
  47. 47. Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Iran
  48. 48. Tabriz Health Services Management Research Center, Health, Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  49. 49. Department of Anthropology, Faculty of Social Sciences, University of Tehran, Tehran, Iran
  50. 50. UCL Department of Science and Technology Studies, University College London, Gower Street, London, United Kingdom
  51. 51. Department of Research Methodology and Data Analysis, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
  52. 52. Engineering Seismology Department, International Institute of Earthquake Engineering and Seismology (IIEES), Tehran, Iran
  53. 53. University of Edinburgh, Centre for Global Health, Research, Teviot Place, Edinburgh, EH8, 9AG, United Kingdom
  54. 54. Knowledge Utilization, Research Center, Floor 7, 1547 Kargar-e Shomali Street, Enqelab Square, Tehran, 1417993357, Iran

Source: Journal of Global Health Published:2018


Abstract

Background In 2015, it was estimated that the burden of disease in Iran comprised of 19 million disability- adjusted life years (DALYs), 74% of which were due to non-communicable diseases (NCDs). The observed leading causes of death were cardiovascular diseases (41.9%), neoplasms (14.9%), and road traffic injuries (7.4%). Even so, the health research investment in Iran continues to remain limited. This study aims to identify national health research priorities in Iran for the next five years to assist the efficient use of resources towards achieving the long-term health targets. Methods Adapting the Child Health and Nutrition Research Initiative (CHNRI) method, this study engaged 48 prominent Iranian academic leaders in the areas related to Iran's long-term health targets, a group of research funders and policy makers, and 68 stakeholders from the wider society. 128 proposed research questions were scored independently using a set of five criteria: feasibility, impact on health, impact on economy, capacity building, and equity. Findings The top-10 priorities were focused on the research questions relating to: health insurance system reforms to improve equity; integration of NCDs prevention strategy into primary health care; cost-effective population- level interventions for NCDs and road traffic injury prevention; tailoring medical qualifications; epidemiological assessment of NCDs by geographic areas; equality in the distribution of health resources and services; current and future common health problems in Iran's elderly and strategies to reduce their economic burden; the status of antibiotic resistance in Iran and strategies to promote rational use of antibiotics; the health impacts of water crisis; and research to replace the physician-centered health system with a team-based one. Conclusions These findings highlight consensus amongst various prominent Iranian researchers and stakeholders over the research priorities that require investment to generate information and knowledge relevant to the national health targets and policies. The exercise should assist in addressing the knowledge gaps to support both the National General Health Policies by 2025 and the health targets of the United Nations' Sustainable Development Goals by 2030. © 2018, Journal of Health Global.
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