Browsing School of Public Policy Research & Publications by Author "Khayatzadeh-Mahani, Akram"
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- ItemOpen AccessHow Health in All Policies are developed and implemented in a developing country? A case study of a HiAP initiative in Iran(Oxford Journals, 2016-12) Khayatzadeh-Mahani, Akram; Sedoghi, Zeynab; Mehrolhassani, Mohammad Hossein; Yazdi-Feyzabadi, VahidPopulation health is influenced by many factors beyond the control of health system which should be addressed by other sectors through inter-sectoral collaboration (ISC). Countries have adopted diverse initiatives to operationalize ISC for health such as establishment of Councils of Health and Food Security (CHFSs) and development of provincial Health Master Plans (HMPs) in Iran. The literature, however, provides meager information on how these initiatives have been moved into the top policy agenda, how and by whom they have been formulated and what factors enable or inhibit their implementation. In addressing these knowledge gaps, we employed a qualitative case study approach, incorporating mixed methods: in-depth interviews and a textual analysis of policy documents. Iran founded the Supreme Council of Health and Food Security (SCHFS) at national level in 2006 followed by provincial and district CHFSs to ensure political commitment to ISC for health and Health in All Policies (HiAPs). In 2009, the SCHFS mandated all provincial CHFSs across the country to develop provincial HMP to operationalize the HiAP approach and Kerman was among the first provinces which responded to this call. We selected Kerman province HMP as a case study to investigate the research questions raised in this study. The study revealed two types of leverage, which played crucial role in agenda setting, policy formulation and implementation of HMP including politics (political commitment) and policy entrepreneurs. The multiple streams model was found to be informative for thinking about different stages of a policy cycle including agenda setting, policy formulation and policy implementation. It was also found to be a useful framework in analyzing HiAP initiatives as these policies do not smoothly and readily reach the policy agenda.
- ItemRestrictedObesity prevention: co-framing for intersectoral ‘buy-in’(Taylor & Francis, 2017-01-25) Khayatzadeh-Mahani, Akram; Ruckert, Arne; Labonté, RonaldThe multi-factorial causes of obesity demand integrated prevention policies with the collaboration of diverse sectors, although to date, there is little evidence of engagement by non-health sectors in developing obesity prevention policies. In this commentary, we develop a three-step argument for improving intersectoral collaboration. We first note that to encourage non-health sectors in developing and implementing integrated preventive policies, obesity should be reframed as a systemic problem rather than its dominant framing as a matter of individual behavioural change. We then propose a co-framing of obesity, such that it aligns with the policy goals of diverse non-health sectors. Finally, drawing on the network governance literature, we argue that a network-based governance approach with an independent network administrative organization will best facilitate multisectoral collaboration through a successful co-framing strategy.