Agenda-setting of tobacco control policy in Iran: a retrospective policy analysis study

BMC Public Health

Rahim Khodayari-Zarnaq¹  Jalal Arabloo²  Sogand Tourani³  Hamid Ravaghi³  Azita Pishgoo⁴  Baharak Aghapour⁵ 

[1]Department of Health policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran

[2]Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran

[3]Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran

[4]School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

[5]School of Health Management & Information Sciences, Iran University of Medical Sciences, Tehran, Iran

[6]School of Public Health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

[7]Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

[8]Department of Community Nutrition, School of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran

关键词: Health policy;    Agenda-setting;    Tobacco control;    Multiple streams framework;    Iran;   

DOI  :  10.1186/s12889-021-12339-7

来源: Springer

【 摘 要 】

BackgroundThe prevalence of tobacco use, especially hookah, has increased in Iran In recent years, particularly among young people and women, and the age of onset of use has decreased. Tobacco use is the fourth leading risk factor for non-communicable diseases in Iran. These issues cause concerns in the country and led to the present study on tobacco control agenda-setting in Iran over a 30-year timeframe.MethodsWe conducted this retrospective analytical study to investigate process analysis in Iran using Kingdon’s multiple-streams framework (MSF). We collected the data using semi-structured interviews with key informants (n = 36) and reviewing policy documents (n > 100). Then, we analyzed the policy documents and in-depth interviews using the document and framework analysis method. We used MAXQDA 11 software to classify and analyze the data.ResultsIran’s accession to the Framework Convention on Tobacco Control (FCTC) opened a window of opportunity for tobacco control. The policy window opens when all three streams have already been developed. The adoption of the comprehensive law on the national control and campaign against tobacco in the Islamic Consultative Assembly in 2006 is a turning point in tobacco control activities in Iran.ConclusionsThe tobacco control agenda-setting process in Iran was broadly consistent with MSF. The FCTC strengthened the comprehensive plan for national control of tobacco as a policy stream. However, there are several challenges in developing effective policies for tobacco control in the Iranian setting.

【 授权许可】

CC BY