Abstract
PurposeOne of the priorities of the health system is community health promotion. In this regards, proper development of programs and plans is needed to create a responsive system which leads to health promotion. The aim of this study was to identify the requirements for developing non-communicable disease (NCDs) programs based on CIPP (context, input, process and product) model.Design/methodology/approachThis is a qualitative study. Data were collected through semi-structured interviews with 40 experienced informants in the field of NCDs. The interviewees were selected bases on pre-determined criteria which then were completed by snowball sampling. Analysis was carried out using a content analysis approach that led to identifying program development requirements in four dimensions of context, input, process and product.FindingsTwenty-nine requirements of developing program were categorized in four domains of context, input, process and product. These requirements comprised of pilot studies, the existence of appropriate needs assessment, evidence-based programs, promoting organizational culture, adequacy of resources, identification of stakeholders and comprehensive cooperation and existence of an appropriate evaluation system.Research limitations/implicationsSince this study was performed through a qualitative method, it is possible, some prerequisites of program development may not be encountered. But the extreme effort has been made to perceive diversity and different aspects.Originality/valueThe first study was in the field of appropriate requirements for program development in the context of a centralized health system in a developing country.
Highlights
Non communicable diseases (NCDs), principally cardiovascular diseases, cancer, diabetes and chronic respiratory diseases, are the leading causes of death
NCDs could be prevented through reduction of main risk factors, namely tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity
This study aimed to determine the requirements of developing programs in the field of NCDs based on the CIPP model
Summary
Non communicable diseases (NCDs), principally cardiovascular diseases, cancer, diabetes and chronic respiratory diseases, are the leading causes of death. Necessity of pilot studies Needs assessment Evidence-based programs Promoting organizational culture Consider ethics and confidentiality Comprehensive and holistic view with consideration the four forms: prevention, treatment, eradication and control Building trust in the health system Creating common concepts Existence of policies, rules, protocols and instructions, programs, goals and indicators appropriate Rational governance in program development, implementation and evaluation Service prioritization Epidemiological study Sufficient number of staff according to the number and volume of services Appropriateness of physical structure and equipment Creating organizational and social structural networks Appropriate budget allocation Appropriate payment system Stakeholder identification and involvement Comprehensive medical education system Appropriate decision-making system Adjusting educational curriculum with the field of NCDs Providing services permanently and actively Relationship between service delivery levels Documentation at service delivery levels Paying attention to staff motivation Existence of appropriate evaluation system Continuity in evaluation Updating evaluation process Appropriate evaluation indicators services, appropriateness of the physical structure and equipment, creating organizational and social structural networks, allocating appropriate budget and suitable payment. One of the significant factors that must be cautiously considered in the process of program development is appropriate budget allocation. If there is no budget, the motivation and potential of the organization will be wasted . . . “(Twenty-second participant)
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