Participation of nongovernmental organizations in Iran's health-care system: Challenges and suggestions for improvement

Ebrahimi, Parvin, Rajabi, Mohanna and Aryankhesal, Aidin ORCID: https://orcid.org/0000-0002-6695-227X (2021) Participation of nongovernmental organizations in Iran's health-care system: Challenges and suggestions for improvement. International Journal of Health Governance, 26 (4). pp. 397-407. ISSN 2059-4631

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Abstract

Purpose: Nongovernmental organizations (NGOs) play a critical role in modern health-care systems complementing state organizations. The purpose of this paper is to investigate the challenges of NGOs' participation in Iran's health-care system. Design/methodology/approach: This qualitative study was conducted in 2020. Data were collected through semi-structured interviews with 26 participants: 11 managers and experts at the office of NGOs in the Ministry of Health (MOH) and universities of medical sciences and 15 chief executive officers (CEOs) of health-related NGOs in Tehran, Iran. The participants were chosen using the non-probabilistic approach of purposive sampling with maximum variation. Data analysis was performed using the thematic analysis method and MAXQDA 10 software. Findings: Challenges of NGOs' participation in Iran's health-care system are categorized into external and internal challenges. Financial issues, the process of getting permissions, lack of trust in NGOs, weak relationships with the public sector and lack of law are identified as main challenges. Building trust in NGOs, passing the NGOs' law, making people more familiar with NGOs and capacity development are the most important measures that improve the role of NGOs and resolve barriers to their participation in Iran's health-care system. Originality/value: In this study, for the first time, the challenges of NGOs' participation in Iran's health-care system are investigated by examining the views of both the public sector and NGOs. Improving the participation of NGOs in the health-care system provides Iran's MOH with the opportunity to make use of the NGOs' capacities to eliminate public health issues.

Item Type: Article
Additional Information: Funding Information: This study was a part of a Ph.D. thesis entitled “Developing a model for partnership of nongovernmental organizations in Iran's health system” and supported by Iran University of Medical Sciences (grant No: IR.IUMS.REC.1397.1330).Conflict of interest: There are no conflicts of interest. Publisher Copyright: © 2021, Emerald Publishing Limited.
Uncontrolled Keywords: anthropology or sociology,communication,health law or regulation,health-care quality,management,partnership working,qualitative research,business, management and accounting (miscellaneous),health policy,public health, environmental and occupational health,strategy and management,palaeontology,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/1400/1401
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 09 Feb 2023 12:30
Last Modified: 06 Jun 2024 15:23
URI: https://ueaeprints.uea.ac.uk/id/eprint/91093
DOI: 10.1108/IJHG-02-2021-0021

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