Abstract
The present study aims to identify and analyze HIV/AIDS stakeholders in Iran. This qualitative stakeholder analysis was conducted in 2018 nationwide, both retrospectively and prospectively. Purposive sampling was applied and followed by snowball sampling until data saturation. Data were analyzed using framework analysis. Also, MAXQDA (Version 11) and Policy Maker software (version 4) was applied. A total of 44 stakeholders were identified and categorized into 23 active and 21 inactive stakeholders. The Ministry of Education and Iran Broadcasting have moderate participation in this regard. Supreme Council of Health and NGOs have low participation. The Ministry of Health (MoH), State Welfare Organization, Blood Transfusion Organization, and the State Prisons are interested in HIV/AIDS policymaking. The MoH is the main body responsible for the stewardship of HIV/AIDS in Iran but does not have enough authority to handle the issue. Considering multidimensional nature of HIV/AIDS, there are many stakeholders regarding HIV/AIDS control. The process of HIV/AIDS -policy making is fragmented in Iran. Despite multiple active and potential stakeholders in this field, there is no integrated system to involve all stakeholders in the process of HIV/AIDS policy-making. Therefore, given the importance of the issue, an upstream entity is needed to coordinate and mobilize all stakeholders associated with managing and controlling HIV/AIDS.
Highlights
HIV/Acquired Immune Deficiency Syndrome (AIDS) phenomenon is one of the most serious public health challenges which includes wide range of epidemiological, social, economic and political dimensions
The Ministry of Health and Medical Education (MoHME), State Welfare Organization of Iran, Iranian Blood Transfusion Organization, the State Prisons and Security and Corrective Measures Organization are interested in HIV/AIDS policymaking
The process of HIV/AIDS policy making is fragmented in Iran and despite multiple active and passive stakeholders in this field, there is no integrated system to involve all stakeholders in the process of AIDS policy-making
Summary
HIV/AIDS phenomenon is one of the most serious public health challenges which includes wide range of epidemiological, social, economic and political dimensions. The HIV pandemic still rages through the world, especially in low-income countries and the vast majority of people living with HIV are in Low- and Middle-Income Countries (LMICs) [1]. This threat is dominant for countries in East Mediterranean Region such as Iran [5, 6]. Iran is the only Fast-Track country in the Middle East and North Africa region and its national strategy is structured around the 90–90–90 targets and ending the AIDS epidemic by 2030 [9], the reduction of HIV/AIDS cases in Iran is lower than the global rate and since 2010, the worldwide reduction in new HIV infections was 18% while it was 10% for Iran [7, 8]
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