Document Type : Original Article
Authors
Abstract
BACKGROUND: Nongovernmental organizations (NGOs) as entities out of the health sector can
play various roles and functions at different levels of the health systems. The present study was
conducted to investigate NGOs’ potential and actual functions in Iran’s health system.
MATERIALS AND METHODS: This exploratory study was carried out in two parts from April 2020
to December 2020 in Tehran, Iran. For the first part, the statute of 65 NGOs was used for document
review, and in the second part, the required data were collected using semi‑structured interviews
with 26 key informants from the governmental sector and NGOs. Data were analyzed using the
framework analysis method and MAXQDA software.
RESULTS: According to data analysis, the results of this study were classified into two sections
of NGOs’ current functions and expected functions in Iran’s health system. The current functions
of NGOs in Iran’s health system include service delivery, educational, research, and information
activities, financing, supportive and facilitation activities, and advocacy. Other functions in which
NGOs could play a role include health system management, education, and service providing and
support activities.
CONCLUSION: In this study, the various roles of NGOs in Iran’s health system were explained.
NGOs can act actively as the consulting and executive hand alongside the public sector in the lowest
to the highest levels of Iran’s health system. Hence, health sector managers and policymakers must
facilitate NGOs’ involvement in the health sector and use their capacities and capabilities to improve
health and increase public access to health‑care services.
Keywords
on early stages of intersectoral collaboration: The case of the first
1000days Initiative in the Western Cape Province. Health Res
Policy Syst 2020;18:1‑14.
2. Knabe A, McCarthy M. Civil society organisations and public
health research – Evidence from eight European Union new
member states. Cent Eur J Public Health 2012;20:287‑93.
3. Damari B, Vosoogh Moghaddam A. Improving approaches of
intersectoral collaboration for health by health and food security
high council in IR Iran. J Sch Public Health Inst Public Health Res
2014;11:1‑16.
4. AdeleyeOA, OfiliAN. Strengthening intersectoral collaboration for
primary health care in developing countries: Can the health sector
play broader roles? J Environ Public Health 2010;2010:272896.
5. Zabdyr‑Jamróz M. Voluntary (NGO) sector involvement in health
promotion for older population in Europe. Epidemiol Biostat
Public Health 2017;14 2 Suppl 1:e12420‑12.
6. Angwenyi V, Aantjes C, Bunders‑Aelen J, Criel B, Lazarus JV.
Context matters: A qualitative study of the practicalities and
dilemmas of delivering integrated chronic care within primary
and secondary care settings in a rural Malawian district. BMC
Fam Pract 2020;21:1‑2.
7. World Health Organization. The World Health Report 2000:
Health Systems: Improving Performance. Geneva, Switzerland:
World Health Organization; 2000.
8. Biermann O, Eckhardt M, Carlfjord S, Falk M, Forsberg BC.
Collaboration between non‑governmental organizations and
public services in health – A qualitative case study from rural
Ecuador. Glob Health Action 2016;9:32237.
9. Alonazi WB. Exploring shared risks through public‑private
partnerships in public health programs: A mixed method. BMC
Public Health 2017;17:1‑7.
10. Rouhi N, Gorji HA, Maleki M. Nongovernmental organizations
coordination models in natural hazards: A systematic review.
J Educ Health Promot 2019;8:44.
11. Piotrowicz M, Cianciara D. The role of non‑governmental
organizations in the social and the health system. Przegl
Epidemiol 2013;67:69‑74, 151‑5.
12. Damari B, Heidarnia MA, Rahbari M. Role and performance of Iranian NGOs in community health promotion. Payesh
2014;13:541‑50.
13. World Health Organization. Strategic Alliances: The Role of
Civil Society in Health. Geneva, Switzerland: World Health
Organization; 2001.
14. Fryatt R, Bennett S, Soucat A. Health sector governance: Should
we be investing more? BMJ Glob Health 2017;2:e000343.
15. Yagub AI. Collaboration between Government and
Non‑Governmental Organizations (NGOs) in delivering curative
health services in North Darfur State, Sudan – A national report.
Iran J Public Health 2014;43:561‑71.
16. Saber M, Haghdoost A, Taghdisi MH, Eftekhar H, Safinejad H,
Mehri A. Providing and promoting health‑oriented services by
nongovernmental organizations: A qualitative study. J Educ
Health Promot 2021;10:166.
17. Khodayari‑Zarnaq R, Kakemam E, Arab‑Zozani M, Rasouli J,
Sokhanvar M. Participation of Iranian non‑governmental
organizations in health policy‑making; barriers and strategies
for development. Int J Health Gov 2020;25:46‑56.
18. Iran’s Ministry of Interior. Nongovernmental Organization.
Available from: https://www.moi.ir. [Last accessed on
2021 Apr 23].
19. Lincoln YS, Guba E. Naturalistic Inquiry. 1th ed. London: SAGE
Publications; 1958.
20. Mehrdad R. Health system in Iran. JMAJ 2009;52:69‑73.
21. Anbazhagan S, Surekha A. Role of non‑governmental
organizations in global health. Int J Community Med Public
Health 2016;3:17‑22.
22. Ejaz I, Shaikh BT, Rizvi N. NGOs and government partnership
for health systems strengthening: A qualitative study presenting
viewpoints of government, NGOs and donors in Pakistan. BMC
Health Serv Res 2011;11:122.
23. LewisD, KanjiN, ThemudoNS. Non‑Governmental Organizations
and Development. Abingdon: Routledge; 2020.