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Search Results: 1 - 10 of 158 matches for " Ameneh Setareh Forouzan "
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Preterm Delivery and Psycho–Social Determinants of Health Based on World Health Organization Model in Iran: A Narrative Review
Mahrokh Dolatian,Arash Mirabzadeh,Ameneh Setareh Forouzan,Homeira Sajjadi
Global Journal of Health Science , 2012, DOI: 10.5539/gjhs.v5n1p52
Abstract: Background: Preterm delivery is still the primary cause of mortality and morbidity in infants, which shows a problematic condition in the care of pregnant women all over the world. This review study describes prevalence and psycho - socio-demographic as well as obstetrical risk factors related to live preterm delivery (PTD) in the recent decade in Iran. Methods: A narrative review was performed in Persian and international databases including PubMed, SID, Google Scholar, Iran Medex, Magiran and Irandoc from 2001 to 2010 with following keywords: preterm delivery and pregnancy outcomes with (prevalence, socioeconomic condition, structural determinant, Intermediary determinants, Psychosocial factor, Behavioral factor and Maternal circumstance, Health system) All of article was reviewed then categorized based on WHO model. Results: Totally 52 article were reviewed and 35 articles were selected, of which 26 were cross-sectional or longitudinal, 9 were analytical (cohort or case-control). The prevalence rates of preterm delivery in different cities of Iran were reported between 5.6% in Quom to 39.4% in Kerman. The most common social factors in structural determinant were educational level of mother, and in intermediary determinants were Psychosocial factor (maternal anxiety and stress during pregnancy), Behavioral factor and Maternal circumstance (violation and trauma) and in Health system, lack of prenatal care. Conclusion: The prevalence rate of preterm delivery is a matter of concern. Since many psycho-social factors may affect on the condition and its high rate in poor communities might reveals a causal relationship among biological and psychosocial factors, performing etiological investigations is recommended.
Psychosocial Needs Assessment among Earthquake Survivors in Lorestan Province with an Emphasis on the Vulnerable Groups
Ameneh Setareh Forouzan,Monir Baradarn Eftekhari,Katayoun Falahat,Masoumeh Dejman
Global Journal of Health Science , 2013, DOI: 10.5539/gjhs.v5n4p79
Abstract: Introduction: Iran is one of the ten most earthquake prone countries in the world. Earthquakes not only cause new psychological needs among the population but particularly so when one considers vulnerable groups. This in - depth study was conducted with the aim of assessing psychosocial needs six months after an earthquake happened in the west of the county in Lorestan province. Methods: This is a qualitative study using focus group discussion that focuses mainly on the vulnerable groups (women, children, elderly and disabled people) after an earthquake in Boz-azna; a village in Lorestan province in western part of Iran. Findings: Results of the psychosocial assessment indicated feelings of anxiety and worries in four vulnerable groups. Horror, hyper-excitement, avoidance and disturbing thoughts were observed in all groups with the exception of the elderly. Educational failures, loneliness and isolation were highlighted in children. All groups encountered socio-economic needs that included loss of assets and sense of insecurity and also reproductive problems were reported in women’s group. Discussion and Conclusion: Modification of a protocol on psychosocial support considering the context of the rural and urban areas with emphasis on the specific needs of the vulnerable groups is an appropriate strategy in crisis management. It seems that appropriate public awareness regarding assistance programs can be effective in reducing stress and needs of disaster survivors.
The Main Advantages of Community Based Participatory Health Programs: An Experience from the Islamic Republic of Iran
Monir Baradarn Eftekhari,Katayoun Falahat,Masoumeh Dejman,Ameneh Setareh Forouzan
Global Journal of Health Science , 2013, DOI: 10.5539/gjhs.v5n3p28
Abstract: Introduction: Community based participatory program is an approach that emphasize on community empowerment as an important tool in health promotion especially in low and middle income countries. This article presents findings from a study of assessing performed participatory community based health programs in the Islamic Republic of Iran. Methods: This study was a qualitative study using focus group discussions. Thirteen community based programs related to health that were active for last five years were selected and assessed. Data analysis was based on deductive-inductive content analysis approach considering the predetermined structure according to study questions. Results: In this study, strengths points of community participatory health programs based on the locality of the implementation of the programs; governmental organization and nongovernmental organizations (NGO’s) were evaluated. The main strengths of these programs were the presence of the spirit of empathy and high motivation in working for community, absorbing the community assistance, community empowerment, presence of female volunteers, using local volunteers, creation of social prestige and evidence based decision making for community problem solving. Conclusion: Capacity building of the community, NGOs and policymakers plays key role in participation mechanisms, partnership, team working and mobilizing of necessary resources in the promotion of participatory community based health programs.
Social Support Network among People Living with HIV/AIDS in Iran
Ameneh Setareh Forouzan,Zahra Jorjoran Shushtari,Homeira Sajjadi,Yahya Salimi,Masoumeh Dejman
AIDS Research and Treatment , 2013, DOI: 10.1155/2013/715381
Abstract: This study considers social network interactions as a potential source of support for individuals living with HIV/AIDS in Iran. This cross-sectional study was conducted on 224 people with HIV/AIDS who refer to behavioral counseling centers. Participants were randomly selected among all people with HIV/AIDS from these centers. Relatives were more reported as sources of support than nonrelatives. They were closer to participants, but there was difference between the closest type among relative and nonrelative supporters . Mean of functional support with considering the attainable range 0–384 was low . Social support of participants has been found to be associated with CD4 cell count , sex , and network size after adjusted for other variables in the final model. Totally, in this study, many of participants had the static social support network that contained large proportions of family and relatives. The findings contribute to the evidence for promotion of knowledge about social support network and social support of people living with HIV/AIDS. 1. Introduction AIDS is a disease that affects not only physical health but also mental and social conditions of patients because of the negative attitude of society, discrimination, and stigmatization [1–3] especially in the developing countries [4]. People living with HIV/AIDS (PLWHA) may experience social drift [5], changing pattern of sexual behaviors and self-image. They may lose employment, financial resources, and even family and friends as major sources of support [1, 3, 6]. Approximately 22727 cases of HIV/AIDS have been identified in Iran [7]. It is estimated that this number will increase to 106000 patients up to 2015 [8]. On the other hand, due to progress of antiretroviral therapy that increases life expectancy in patients [9], improvement of the quality of life in PLWHA is important [10, 11]. Previous studies suggested that social support can be an important factor for influences on well-being and quality of life [12, 13]. Researchers have been provided evidence that social support as an aspect of psychological adjustment [14] can improve physical and psychological health outcomes, increasing motivation for treatment [15], self-care behaviors [13], and also prevention of transmission of infection during HIV/AIDS disease [16–18]. Many PLWHA may facilitate living with HIV/AIDS by their social support networks (SSN). SSN as a subset of a larger social network, consisting of some individuals who are linked to ego and roles such as emotional support, financial aid, guidance, and advice offered to him/her in
Testing the WHO responsiveness concept in the Iranian mental healthcare system: a qualitative study of service users
Ameneh Forouzan, Mehdi Ghazinour, Masoumeh Dejman, Hassan Rafeiey, Miguel Sebastian
BMC Health Services Research , 2011, DOI: 10.1186/1472-6963-11-325
Abstract: In this qualitative study, four mixed focus group discussions were formed, comprising 53 mental health service users in Tehran, Iran, in 2010. Content analysis was performed for data analysis. Responses were examined in relation to the eight domains of the WHO's responsiveness model.There were many commonalities between the findings of this study and the eight domains of the WHO responsiveness model, although some variations were found. Effective care was a new domain generated from our findings. In addition, the domain of prompt attention was included in two new labelled domains: attention and access to care. Participants could not differentiate autonomy from choice of healthcare provider, believing that free choice is part of autonomy. Therefore these domains were unified under the name of autonomy. The domains of quality of basic amenities, access to social support, dignity and confidentiality were considered to be important for the responsiveness concept. Some differences regarding how these domains should be defined were observed, however.The results showed that the concept of responsiveness developed by the WHO is applicable to mental health services in Iran. These findings might help policy-makers' better understanding of what is useful for the improvement of mental health services.Individuals' experience when interacting with the healthcare system has a significant impact on their overall health and well-being [1]. This includes the manner and environment in which people are treated when they seek health care. To relate patients' experiences to a common set of standards, the World Health Organization (WHO) developed the concept of health system responsiveness [2]. This concept, based on the Donabedian framework of quality of care, reflects how well the healthcare system responds to the population's expectations regarding non-health aspects of health care [3]. Responsiveness is also one of the three fundamental objectives of a health system, together with goo
Health Research Evaluation and Its Role on Knowledge Production
Sh Djalalinia,P Owlia,A Setareh Forouzan,E Habibi
Iranian Journal of Public Health , 2012,
Abstract: Background: Knowledge production and evaluation are two important functions of health research system (HRS). In this article, we aimed to reveal the correlation between evaluation of health research organizations and health knowledge production promotion.Methods: A comprehensive evaluation system was developed to evaluate the academic performance of national medical science universities on an annual basis. It assess following domains; stewardship, capacity building and knowledge production. Measurable indicators for each domain were assigned, a research profiles; for each department was provided. In this study, we compared the results of annually national Health Research System evaluation findings during 2005-2008.Results: The number of scientific articles has been increased from 4672 to 8816 during 2005 to 2008. It is mentionable that, the number of articles which has been published in indexed data bases has risen too. This fact could be related to directed policy for more international publication of scientific articles from Iran. The proportion of total articles to the number of academic members was 1.14 in 2008, comparing to 0.84 in 2005. It means that this proportion have increased about twice (0.7 Vs 0.45) during mentioned time. Moreover, other scientific products such as authored books based on domestic researches and cited articles in textbooks have increased according to special attention to knowledge production by policy makers.Conclusion: We conclude that Health System Research evaluation could be used as a mean for implementing policies and promoting knowledge production.
Community-Based Participatory Research; an approach to Deal with Social Determinants of Health
R Majdzadeh,A Setareh Forouzan,F Pourmalek,H Malekafzali
Iranian Journal of Public Health , 2009,
Abstract: "nIn Iran, Population Research Centers, which were established in medical universities in 2001, were working for the aim of health promotion in particular and human development in general. These centers were based on community participation in their activities to develop the necessary capacity to allow people "more control over their own health and development". Iran's experience reveals that Community-Based Participatory Research is an approach that uses community knowledge and local resources. Its objective is to empower all stakeholders of development. The priority in local communities and the grass-root of health problems were mainly social determinants of health. On the other hand, both approaches of top-down and bottom-up approaches must be simultaneously considered for dealing with these determinants. Establishment of such centers can create good opportunities for developing original solutions for dealing with social determinants of health. The success of Population Research Centers depends on policy makers' concepts and attitude toward social determinants of health and the role of community participation in this regard. It seems that a more extensive engagement of different sectors including universities, governmental and non-governmental organizations is also vital for such movements.
Understanding determinants of socioeconomic inequality in mental health in Iran's capital, Tehran: a concentration index decomposition approach
Esmaeil Morasae, Ameneh Forouzan, Reza Majdzadeh, Mohsen Asadi-Lari, Ahmad Noorbala, Ahmad Hosseinpoor
International Journal for Equity in Health , 2012, DOI: 10.1186/1475-9276-11-18
Abstract: In a cross-sectional observational study, mental health data were taken from an Urban Health Equity Assessment and Response Tool (Urban HEART) survey, conducted on 22 300 Tehran households in 2007 and covering people aged 15 and above. Principal component analysis was used to measure the economic status of households. As a measure of socioeconomic inequality, a concentration index of mental health was applied and decomposed into its determinants.The overall concentration index of mental health in Tehran was -0.0673 (95% CI = -0.070 - -0.057). Decomposition of the concentration index revealed that economic status made the largest contribution (44.7%) to socioeconomic inequality in mental health. Educational status (13.4%), age group (13.1%), district of residence (12.5%) and employment status (6.5%) also proved further important contributors to the inequality.Socioeconomic inequalities exist in mental health status in Iran's capital, Tehran. Since the root of this avoidable inequality is in sectors outside the health system, a holistic mental health policy approach which includes social and economic determinants should be adopted to redress the inequitable distribution of mental health.Mental health is an integral and essential component of health; undeniably, there can be no health without mental health [1,2]. Mental health influences a large range of qualities for individuals and communities, including higher quality of life, better physical health, productivity, social cohesion, and wellbeing [1]. However, mental health is unequally distributed in our societies, meaning that people who live in a socially and economically disadvantaged situation suffer from a disproportionate burden of mental disorders and subsequent adverse consequences [2,3].The etiology of mental disorders is multifactorial; risk is determined by a combination and interaction of biological, psychological, and social determinants [2]. Social determinants have been shown to account for a remarkabl
The Survey of Graduated Accounting Students’ Interest in Management Accounting: Evidence of Iran  [PDF]
Rezvan Hejazi, Ameneh Bazrafshan
Open Journal of Accounting (OJAcct) , 2013, DOI: 10.4236/ojacct.2013.23011
Abstract: The purpose of this study is to investigate the perceptions of graduated accounting students in universities of Iran regarding their interest in management accounting versus other fields of accounting. Furthermore, this study determines the main factors that influence students’ interest in management accounting. In order to compile the necessary information, a questionnaire was prepared and distributed to 75 graduated accounting students. The results show that accounting students prefer financial accounting and auditing rather than management accounting. Moreover, findings indicate nine factors decline students’ interest in this branch of the accounting. Finally, using factor analysis, the results confirm the significant effect of three factors on students’ interest: education, profession, research. The paper provides additional empirical evidence to clarify which factors cause a low interest in management accounting.
Numerical Analyses of Seepage from Behesht Abad Dam Foundation  [PDF]
Ameneh F. Dardashti, Rasoul Ajalloeian
Open Journal of Geology (OJG) , 2012, DOI: 10.4236/ojg.2012.23015
Abstract: In this article, seepage phenomena through the karstic limestone foundation of Behesht Abad dam are investigated. In order to get a state of seepage and determine the depth of grouting curtain, it has been tried to evaluate the seepage of Behesht-Abad dam foundation and its abutments by the help of numerical analysis and UDEC 4.0 software. To perform this research, firstly, geological data during a study phase in Behesht Abad dam site was gathered, and then different methods have been used to calculate the engineering properties of rock mass. Therefore the structural model of dam foundation based on the geological data constructed and various boundary conditions including different heads were applied on the model and the suitable depth for the grouting curtain was proposed.
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