Stakeholder Analysis for Tuberculosis Prevention and Control: A Qualitative Policy Analysis in Iran
نویسندگان
1 School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2 Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
3 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
4 Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
doi
10.22034/ircmj.2025.519047.2109چکیده
Background and Objectives: Tuberculosis (TB) remains the leading cause of mortality from infectious diseases globally. Effective prevention and control depend on coordinated efforts among various organizations. This study analyzes stakeholders involved in TB prevention and control in Iran. Methods: Using Varvasovszky and Brugha’s framework, a qualitative stakeholder analysis was conducted, focusing on roles, interests, positions, power, and influence. Stakeholders included governmental institutions, NGOs, healthcare organizations, and international bodies. Data were gathered through semi-structured interviews with 29 key stakeholders, analyzed using MAXQDA V.11 and Policymaker V.5 software. Results: 22 stakeholders were identified, grouped into governmental, semi-governmental, and international organizations. The Ministry of Health, Masih Daneshvari National Research Institute of Tuberculosis, Prisons Organization, and World Health Organization (WHO) showed high interest, significant influence/power, and strong support for TB policies. Conversely, Islamic Republic of Iran Broadcasting (IRIB), Ministry of Education, Islamic Consultative Assembly, Armed Forces, Ministry of Sports and Youth, NGOs, International Organization for Migration (IOM), and Relief Committee displayed low interest, low influence, and weak support. The United Nations Development Programme (UNDP), WHO, United Nations High Commissioner for Refugees (UNHCR), and Welfare Organization exhibited high interest and moderate influence. The Red Crescent Society, despite low interest, had high influence and strong support. The Association for the Support of Patients with Special Diseases showed high interest, low influence, and strong support. Conclusion: Effective TB prevention and control require robust stakeholder coordination. Enhanced management among stakeholders can significantly improve TB program outcomes.