ArticleArchives of public health = Archives belges de sante publique2023
Developing Iranian sub-national primary health care measurement framework: a mixed-method study.
Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Developing a conceptual framework for relief goods distribution during disasters: a multi-method qualitative study.Journal of health, population, and nutrition · 2025Article
- Take home messages from the implementation of the primary health care measurement and improvement (PHCMI) initiative in the WHO Eastern Mediterranean Region (EMR).Primary health care research & development · 2025Article
- The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study.Journal of education and health promotion · 2025Article
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Authors and funding
6 authors.
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Abstract
backgroundDesired health outcomes are more achievable through strong Primary Health Care (PHC). Using comprehensive and scientific tools, decision-makers are guided to formulate better PHC reforms and policies. This study introduces a sub-national framework based on the World Health Organization (WHO) proposed frameworks for the PHC performance measurement.
methodBy a mixed-method and qualitative approach, the Iranian sub-national PHC Measurement Framework (PHCMF) was developed through a review of the WHO's PHC measurement conceptual framework (for selecting Key Performance Indicators (KPIs)), literature review (academic database), PHC-related national documents, consultations with an advisory committee of national experts (6-meetings), and the Delphi technique for finalizing the framework.
resultsThe Iranian sub-national PHCMF was finalized with 100 KPIs in three components including Health systems determinants, Service Delivery, and Health system objectives. Based on the result chain domain, most KPIs were related to the output (24 KPIs) and the least were related to the input and the process (9 KPIs).
conclusionRegarding the comprehensiveness of the developed measurement framework due to its focus on all PHC operational levers and key aspects of PHC systems' performance, it can be used as a practical tool for assessing and improving the Iranian sub-national PHC system.
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