Journal of Education and Health Promotion

A comprehensive model of health education barriers of health‑care system in Iran

. Hashem Heshmati; . Elham Shakibazadeh; . Abbas Rahimi Foroushani; . Roya Sadeghi

Volume 10, Issue 5 , May 2020, , Pages 1-12

Abstract

BACKGROUND: According to the importance of health education (HE) in disease control andprevention and inadequacy of HE in the Iran’s health‑care system, clarifying the HE barriers ... Read More BACKGROUND: According to the importance of health education (HE) in disease control andprevention and inadequacy of HE in the Iran’s health‑care system, clarifying the HE barriers isnecessary.OBJECTIVES: This study aimed to clarifying the comprehensive model of HE barriers of health‑caresystem in Iran.METHODS: This qualitative study was conducted in 2019. Twenty‑one health experts and physiciansat different levels of the health system, a former health deputy of the Ministry of Health, and 26community health workers (CHWs) were selected through purposive sampling. Data were collectedthrough semi‑structured individual interviews and group discussions and analyzed simultaneouslyby conventional content analysis.RESULTS: Five themes were extracted including individual barriers (most important categories:inadequate ability of CHWs in HE, poor motivational factors at individual level, and educator’s wrongbeliefs), interpersonal (most important categories: weakness of other health‑care providers in theeducation of CHWs, lack of proper understanding by health authorities of scientific and correct HE,inappropriate communication, unrealistic expectations from CHWs, problems with monitoring andsupervision, poor work commitment, and client‑related problems), organizational (most importantcategories: high workload of CHWs, problems related to educational resources, inappropriate attitudeof managers and officials, and inappropriate evaluation and monitoring), community (most importantcategories: not believing CHWs by people, people’s disinterest and lack of motivation in education,cultural problems, problems with the Internet and virtual social networks, and weak cross‑sectoralcooperation), and contextual barriers (most important categories: barriers related to universities,broadcasting, the nature of HE science, as well as gap between practical education and theory).CONCLUSION: Considering the multidimensional barriers such as individual, interpersonal,organizational, community, and contextual barriers, compiling and executing a comprehensivedocument with the participation of authorities, specialists, and service providers is recommended toremove barriers. This is in line with the Ottawa Charters’ “reorienting health services.”

Development of a comprehensive communication skills curriculum bases on intervention mapping in response to an urgent need for community health workers’ education reform: A study protocol

. Hashem Heshmati; . Elham Shakibazadeh; . Sara Mortaz Hejri; . Abbas Rahimi Foroushani; . Roya Sadeghi

Volume 10, Issue 3 , March 2020, , Pages 1-7

Abstract

BACKGROUND: Communication skills are one of the most important competencies required forcommunity health workers (CHWs); however, there is no systematic evidence‑based communicationtraining ... Read More

Innovative methods in teaching college health education course: A systematic review

. Roya Sadeghi; . Hashem Heshmati

Volume 9, Issue 5 , May 2019, , Pages 1-8

Abstract

BACKGROUND: According to the importance of health education and low capabilities andcompetencies of health workers related to health education, designing and providing innovativemethods ... Read More

Epidemiology of animal bite in Aq Qala city, northen of Iran

. Abdurrahman Charkazi; . Naser Behnampour; . Mehri Fathi; . Abdollatif Esmaeili; . Hossein Shahnazi; . Hashem Heshmati

Volume 3, Issue 3 , March 2013, , Pages 1-5

Abstract

Background: Animal bite is one of the problems of public health which has the potential risk ofrabies disease. This study was conducted to determine the epidemiology of animal bite ... Read More

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Author = . Hashem Heshmati

A comprehensive model of health education barriers of health‑care system in Iran

Abstract

Development of a comprehensive communication skills curriculum bases on intervention mapping in response to an urgent need for community health workers’ education reform: A study protocol

Abstract

Innovative methods in teaching college health education course: A systematic review

Abstract

Epidemiology of animal bite in Aq Qala city, northen of Iran

Abstract