Gastrointestinal cancer prevention policies in Iran: A policy analysis of agenda-setting using Kingdon’s multiple streams

Kabiri, Neda; Khodayari‐Zarnaq, Rahim; Khoshbaten, Manouchehr; Arab‐Zozani, Morteza; Janati, Ali

doi:10.1016/j.jcpo.2020.100265

Cited by 4 publications

(7 citation statements)

References 37 publications

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“…Therefore, the change of government in 2013 was another important political factor that caused the Iran ECHO program entered the agenda and implemented in 2016. The effects of change of government and its effect on health system policies in the Kabiri et al study are similar to our study [26].…”

Section: Discussionsupporting

confidence: 89%

“…For a health-related issue to appear on the agenda, the policymaker needs to provide a source of evidence to highlight this issue [26]. In our study, the impact of statistics on the problem of CAOP policies was also important because it was one of the important components of evidence that required action from stakeholders.…”

Section: Discussionmentioning

confidence: 97%

“…High access of children and adolescents to unhealthy food in stores near the schools and sometimes in the schools at low prices, can be one of the important structural factors in this area in Iran. In 2017, the MoHME developed IraPEN (Package of Essential Non-Communicable (PEN) Disease Interventions for Primary Health Care in Iran) program to control NCDs [26], but unfortunately, this program does not pay much attention to children and adolescents.…”

Section: Discussionmentioning

confidence: 99%

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Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams

2021

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Background Pediatric obesity is one of the most important health challenges of the twenty-first century. Primary prevention of childhood obesity, can lessen its consequences. This study aims to assess childhood obesity prevention policies in Iran through a policy analysis of agenda-setting using Kingdon’s multiple streams. Methods A qualitative study was conducted using in-depth interviews with 39 key informants and document review from different stages of the policymaking process of childhood and adolescent obesity prevention programs in Iran. The analysis of documents and interviews were guided based on Kingdon’s multiple streams (problem, policy and political streams). Results The important factors of the problem stream were the high prevalence of childhood and adolescent obesity and its risk factors in Iran. In the policy stream, a focus on preventing non-communicable diseases in the health system, increasing the workforce in health centers, promoting health school programs, and creating healthy eating buffets in schools was identified. Under the political stream, the impact of the WHO ECHO program in 2015 and the implementation of the health system transformation plan in Iran in the new government took place after 2013, caused the Iran ECHO program entered the agenda and implemented from 2016. Conclusions Now that a window of opportunity for childhood and adolescent obesity prevention policymaking has been created, the problems such as the therapeutic approach in the health system, the existence of sanctions against Iran and outbreak of coronavirus disease-19 (COVID-19), have hindered the successful implementation of this policy and the opportunity window has not been well used. However, actors need political support from the high levels of government to keep this policy on the agenda.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams

2021

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“…[7 -8] Cancer is a worldwide health issue that claims the lives of individuals in both developed and developing countries. [9] Even though antineoplastic research commenced around the turn of the century, novel anticancer medications are still needed to counteract the side effects and sensitivity that the majority of already available anticancer therapies induce. As a result, a great deal of effort has gone into creating new strong chemotherapeutic medications that are more selective for cancer cells.…”

Section: Introductionmentioning

confidence: 99%

Novel VEGFR‐2 Kinase Inhibitors as Anticancer Agents: A Review Focusing on SAR and Molecular Docking Studies (2016–2021)

Vishakha

Kajal

Mondal

et al. 2023

Chemistry & Biodiversity

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Cancer growth, annexation, and metastatic spread are all aided by the formation of new blood vessels (angiogenesis). The commencement of the VEGF pathway leads to signal transduction that enhances endothelial cell survival, relocation, and divergence from pre-existing vasculature. The ability of solid malignancies to bloom and spread depends critically on their ability to establish their independent blood circulation (tumor angiogenesis). VEGFR is a major receptor tyrosine kinase that regulates angiogenesis, cell growth, and metastasis, diminishing apoptosis, cytoskeletal function, and other biological processes VEGFR has proven to be a remarkable focus for a variety of anticancer medicines in clinical studies. This Review explores the development of anti-VEGF-based antiangiogenic therapies having different scaffolds. This review had focused on SAR and docking studies of previously reported molecules.

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“…Agenda-setting is the first stage of the policy-making process. According to MSF, when the three problem streams, policy streams, and political streams exist, policymakers consider the issue, and it moves onto the agenda [ 7 , 8 ]. The Problem Streams involve convincing policymakers to pay special attention to one issue due to various statistical indicators, political reports, and pressure from advocacy groups.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Background The 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. Methods We 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. Results Iran’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. Conclusions The 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.

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Gastrointestinal cancer prevention policies in Iran: A policy analysis of agenda-setting using Kingdon’s multiple streams

Cited by 4 publications

References 37 publications

Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams

Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams

Novel VEGFR‐2 Kinase Inhibitors as Anticancer Agents: A Review Focusing on SAR and Molecular Docking Studies (2016–2021)

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

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