Fatemeh Setoodehzadeh; Kosar Rezaei; Mohammad Khammarnia; Zeinab Almasi; Mostafa Peyvand
Abstract
Background: Iron deficiency anemia in children is one of the most important challenges in the global health system. Also, it is one of the main problems in Iran, especially in the southern regions. Therefore, the aim of this study was to investigate the factors affecting iron deficiency anemia in children ...
Read More
Background: Iron deficiency anemia in children is one of the most important challenges in the global health system. Also, it is one of the main problems in Iran, especially in the southern regions. Therefore, the aim of this study was to investigate the factors affecting iron deficiency anemia in children under two years of age.Methods: This case-control study was conducted on children under two years of age in Sistan and Baluchestan Province in the southeast of Iran with the highest birth rate in 2020. In the study, 760 children were divided into case and control group (380 vs 380). A standard information form was used for collecting data, and the data were analyzed using SPSS-21 by chi-square test and logistic regression.Results: There were significant associations between the child’s iron deficiency anemia and the type of child nutrition (P=0.000), history of child’s food allergies (P=0.021), child’s congenital anomalies (P=0.009), maternal body mass index (P=0.083), number of previous pregnancies (P=0.035), history of abortion and stillbirth (P=0.027), use of postpartum supplementation (P=0.004), mother’s anemia (P=0.000), family marriage (P=0.001), father’s job (P=0.017), father’s anemia (P=0.000), and father’s addiction (P=0.007). Also, based on multivariate regression, the most important predictor of iron deficiency anemia in children was father’s addiction (OR=1.720; 95% CI: 1.067 – 2.773).Conclusion: The findings showed that parental factors could play an important role in causing iron deficiency anemia in children. These risk factors can be improved and prevented by promoting health education, increasing parental awareness and knowledge, and improving the lifestyle of families. Therefore, holding educational and counseling classes for parents is especially recommended.
Mohammad Khammarnia; Mostafa Peyvand; Fatemeh Setoodehzadeh
Abstract
This article has no abstract.
Read More
This article has no abstract.
Mehdi Zanganeh Baygi; Mostafa Peyvand
Abstract
Background: The National Campaign of Blood Pressure Control began for all people over 30 years old throughout Iran in June 2019. The authors conducted the present study to explain the experiences of service recipients about the blood pressure campaign in Iran. Methods: This study that isa qualitative ...
Read More
Background: The National Campaign of Blood Pressure Control began for all people over 30 years old throughout Iran in June 2019. The authors conducted the present study to explain the experiences of service recipients about the blood pressure campaign in Iran. Methods: This study that isa qualitative one was conducted in 2019. The statistical population involved the people whose blood pressure was monitored during the campaign. Researchers applied purposive sampling using snowball technique until data saturation. They used content analysis to analyze the data. Results: 41 service recipients in comprehensive urban and rural health service centers under the coverage of Zaums entered the study. After analyzing the interviews, the researchers, in coding stage, extracted 29 initial concepts, nine sub-categories, and three main categories. Conclusion: Considering various opinions expressed by service recipients in the National Campaign of Blood Pressure Control and according to the analysis of obtained themes and codes, the researchers concluded that hypertension is one of the main concerns of young people, and it is highly significant to provide preventive services in this area, such as screening healthy people in terms of blood pressure and identifying patients
Fatemeh Setoodehzadeh; Mohammad Khammarnia; Mostafa Peyvand
Abstract
Nowadays, information and communications technology (ICT) has deeply influenced different aspects, especially healthcare sector.(1) Increasing public awareness and expectations has encouraged healthcare providers to use modern technologies to improve service quality.(2) Health technologies provide useful ...
Read More
Nowadays, information and communications technology (ICT) has deeply influenced different aspects, especially healthcare sector.(1) Increasing public awareness and expectations has encouraged healthcare providers to use modern technologies to improve service quality.(2) Health technologies provide useful information for improving planning, implementing, monitoring, and policy making based on evidence (3). In fact, an electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. While an EHR contains the medical and therapeutic histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care.(4) From the beginning of applying family physician and rural insurance program in Iran, different software packages have been developed for making EHR; however, due to technical and structural constraints and also different personal motivations, it is removed from the registration process and recording data in the early stages .(5) After implementing the health transformation plan (HTP) in 2014, the Ministry of Health and Medical Education (MoHME) launched the health integrated system (SIB) in 2016 with the aim of recording the EHR of households. SIB system follows valuable goals such as applying electronic health record, creating a national health information base, and providing referral systems in the family physician plan. Now, all health workers such as supervisor, general practitioners and dentists, health care providers, midwives, dietitians, mental health and social workers at the first level of service delivery record information on the SIB system. The information that is registered by users on SIB system are as follows: demographic information, disease reporting, physicians' visit, medical history, medications, vaccinations, and radiology and laboratory results. (6) After four years of SIB implementation at the comprehensive health centers, health centers, and health houses, the significant strengths of this system are:(5) • Possibility of supervision and direct and online evaluation by all managers in the health system • Establishment of a comprehensive EHR system for individuals from birth to end of life • Exclusion of the paper and bureaucratic system and quick extraction of health statistics • Application of new care guidelines and instant access of users On the other hand, constraints of the SIB systems are: • Extensive data recording and time-consuming nature of service registration in the system • Absence of proper internet infrastructure, especially in rural areas • Increase in the possibility of unrealistic data entry by compulsion of officials in order to increase service recordings • Incompatibility of certain system information with community needs and local preferences and specific diseases in each region of the country, and also lack of connection of SIB system information between specialized and sub-specialized centers after five years from the establishment of this system in Iran. Therefore, for successfully implementation of the system in the health field, it is recommended that we should provide hardware infrastructure, rationalize the number of required services in the system in the first years and then add other services in the long term, hold regular training courses, encourage family physicians as primary caregivers of services at the first level to accept this system, and record the information(7). E-health not only could increase the wellbeing of user, but also the pressure on the health care system could be somewhat relieved. By introducing the SIB, we have expanded the toolkit of user-centered design methods for e-health development. The method facilitates easy communication with novices about a future e-health technology, the identification of factors that can hinder or support end-user acceptance of a future e-health technology, and early and cheap possibility for testing functional design decisions (8). Keywords: Information, Health transformation plan, family physician Iran Ethics approval and consent to participate: Not applicable Consent for publication: Not applicable Availability of data and material: Not applicable Competing interests: The authors declare that they have no competing interests. Funding: Not applicable Authors' contributions: All authors have contributed in all sections of the manuscript preparation. Acknowledgements: Not applicable Study highlights: Although Integrated Health System has limitations, by taking some measures, it can be useful for health care system of Iran.
