Reza Majdzadeh
Biographic Data
| ID | 267009 |
|---|---|
| NAME | Reza Majdzadeh |
| GIVEN NAMES | Reza |
| FAMILY NAME | Majdzadeh |
| SIGNATURE | MAJDZADEH R |
| AFFILIATIONS | Tehran University of Medical Sciences |
| ORCID | 0000-0001-8429-5261 |
| VERIFIED | Yes |
| TOTAL WORKS | 70 |
| TOTAL CITATIONS | 17 |
| AUTHOR COUNT | 67 |
| EDITOR COUNT | 3 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Defining Global Health Diplomacy
The COVID-19 pandemic fundamentally reshaped the field of Global Health Diplomacy (GHD), necessitating a coordinated international response that strived for equitable access to limited health resources. The pandemic, however, also exposed gaps in GHD actors’ preparedness and response capabilities, which impacted their ability to navigate critical global health challenges. Addressing gaps in the knowledge, skills, and competencies of GHD actors is…
Low use of data analytics for health sector priority-setting in Ghana
Ghana has implemented health sector reforms to improve health care access in alignment with Sustainable Development Goal 3. However, Ghana’s health sector faces challenges including persistent overspending of the healthcare budget. These challenges are exacerbated by recent cuts in external aid to Ghana, illustrating the importance of effective health sector priority-setting (HSPS)—the process of determining how to allocate resources best to maxi…
Mind the ‘inequality’ gap
CONTEXT: Health and care workers' well-being is critical for comprehensive human resources for health (HRH) planning. However, system-wide factors such as wage disparities and career advancement barriers remain underexplored, while most existing planning frameworks focus on gender, ignoring other interactions shaping the HRH experiences. OBJECTIVE: To systematically map literature on adverse HRH experiences, underlying inequalities and the result…
Correlation between structural determinants and universal health coverage in 2010 and 2019
Objective To assess the correlation between structural determinants - governance, macroeconomic policies, culture/societal values, and public and social policies - and the Universal Health Coverage (UHC) Effective Coverage Index in 2010 and 2019, in 204 countries and territories. Methods This ecological study analyzed UHC effective coverage in 204 countries and territories using estimates from the Global Burden of Disease (GBD) 2019 study. Struct…
Improving NGOs’ participation in implementing HIV preventive interventions
Establishing research impact assessment in Iran
Background: This study presents the first report on research impact assessment (RIA) in non-high-income countries, undertaken as a pilot initiative in 2021. Within it, we aimed to explore the feasibility of employing the 'payback' model for evaluating the impact of health research and enhancing the accountability of universities. We focussed on three key impact domains: 'production of decision support documents and knowledge-based products,' 'imp…
Impacts of economic sanctions on population health and health system
BACKGROUND: Formal evidence regarding the effects of sanctions on population health status and the health system is scarse in Iran. Given the intricate and multifaceted nature of sanctions, a nuanced understanding of their impact is imperative. We aimed to investigate the magnitude and effects of sanctions on population health and healthcare system during the last two decades in Iran. DESIGN: This is a mixed-methods research. We quantified the im…
Analysis of Iranian health workforce emigration based on a system dynamics approach
BACKGROUND: Emigration of health workers has emerged as a significant obstacle in Iran, compelling policymakers to implement a diverse range of interventions and reforms to enhance healthcare services. It is imperative to comprehend the efficacy of emigration control interventions. To explore the intricate dynamics of elite emigration, this study employs a system dynamics modeling approach. The objective is to scrutinize Iranian health workers' e…
Health burden and attributable economic damage of conflict and terrorism in the Eastern Mediterranean Region
This study aimed to vividly describe the direct and severe health impacts of conflict in the Eastern Mediterranean Region (EMR) using data from the Global Burden of Disease (GBD). It also sought to quantify the staggering portion of economic damage attributable to the health burden of conflict and terrorism. From 1990 to 2019, the region endured the devastating effects of conflict and terrorism. These circumstances led to 64%, 50%, and 35% of all…
Participatory evaluation of municipal obesity prevention clubs in Tehran city
Background and aim: Community-based initiatives are important for obesity prevention. This study aimed to evaluate the activities of municipal obesity prevention clubs (OBCs) in Tehran, Iran, using a participatory approach. Methods: = 97), and 35 interviews with involved stakeholders. The MAXQDA software was used for data analysis. Results: An empowerment training program for volunteers was identified as one of the strengths of OBCs. Despite the …
Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services
This paper reviews the experience of six low-income and lower middle-income countries in setting their own essential packages of health services (EPHS), with the purpose of identifying the key requirements for the successful design and transition to implementation of the packages in the context of accelerating progress towards universal health coverage (UHC). The analysis is based on input from three meetings of a knowledge network established by…
Decision-making processes for essential packages of health services
Many countries around the world strive for universal health coverage, and an essential packages of health services (EPHS) is a central policy instrument for countries to achieve this. It defines the coverage of services that are made available, as well as the proportion of the costs that are covered from different financial schemes and who can receive these services. This paper reports on the development of an analytical framework on the decision…
Construction and validation of Capses scale as a composite indicator of SES for health research
The CAPSES scale was significantly associated with stroke and hypertension. Our findings showed that the CAPSES index could be useful for public health research
Mapping of national population-based surveys for better reporting of health-related indicators in the Eastern Mediterranean Region
In order to effectively report health-related indicators, HES, DHS/MICS and GSHS are considered essential in national survey timetables. Each country needs to devise and implement a plan for population-based surveys by considering factors such as national health priorities, financial and human capacities, and previous experiences
Cross-Country Study of Institutionalizing Social Participation in Health Policymaking
Strong evidence suggests that interventions based on community participation have a positive effect on a range of health outcomes in different settings. Community participation contributes significantly to the promotion of health at the local level, especially among the more disadvantaged groups of the society. The main goal of social participation mechanisms is to fill the gap between the views of the policymakers and the experiences and needs o…
Strategies to strengthen non-governmental organizations' participation in the Iranian health system
Background: Non-governmental organizations (NGOs) added a new dimension to intersectoral action for health. Involving the NGOs in health system strengthening could lead to a more efficient, equitable, and better-governed healthcare system. This qualitative study explored effective strategies for NGO participation in the Iranian health system to achieve broader health system goals. Method: We conducted 33 semi-structured interviews with health pol…
Two-Step Estimation of the Impact of Contextual Variables on Technical Efficiency of Hospitals
Background: Measuring the efficiency and productivity of hospitals is a key tool to cost contamination and management that is very important for any healthcare system for having an efficient system. Objective: The purpose of this study is to examine the effects of contextual factors on hospital efficiency in Iranian public hospitals. Methods: This was a quantitative and descriptive-analytical study conducted in two steps. First, we measured the e…
Health system to response to economic sanctions
Intersectoral collaboration in the management of non-communicable disease’s risk factors in Iran
A variety of stakeholders influences the risk factors of non-communicable diseases. Through an investigation of stakeholders and their social networks, we determined the primary actors for each risk factor. Through the different (levels and types) of interventions identified in this study, the MoHME can leverage the ability of identified stakeholders to improve risk factors management. The proposed interventions for identified stakeholders could …
Engagement of non-governmental organisations in moving towards universal health coverage
Applying Intersectionality in designing and implementing health interventions
Given the small number of included studies, there is still insufficient evidence within empirical studies to show the implication of intersectionality in designing and conducting health interventions. To operationalize the intersectionality, there is a need to address the principles at various stages of health policies and interventions. To this end, designing and availability of user-friendly tools may help researchers and health policymakers ap…
HIV, migration, gender, and drug addiction
HIV-related stigma has been identified as a major barrier to the diagnosis, prevention, and treatment of HIV among immigrants. The intersection of HIV with other forms of stigma can lead to greater inequality in health outcomes and access to health services. This study aimed to improve the understanding of HIV stigma towards Afghan immigrants in Iran through an intersectional perspective. The data were collected using 25 semi-structured interview…
A dominance approach to analyze the incidence of catastrophic health expenditures in Iran
Pattern and determinant factors of birth intervals among Iranian women
The interval between successive pregnancies (birth interval) is one of the main indexes used to evaluate the health of a mother and her child. This study evaluated birth intervals in Iran using data from the Iranian Multiple Indicators Demographic and Health Survey (IrMIDHS) conducted in 2010–2011. A total of 20,093 married Iranian women aged 15–54 years from the whole country constituted the study sample. Based on the nature of sampling and the …
Assessing horizontal equity in health care utilization in Iran
Disentangle the different contribution of determinants, as well as greater HI in rural areas for outpatient and in non-rural areas for inpatient services, provide helpful information for decision makers to re-design policy and re-distribute resource allocation in order to reduce the socioeconomic gradient in health care utilization
Inequality in household catastrophic health care expenditure in a low-income society of Iran
BACKGROUND: We assessed change in household catastrophic health care expenditures (CHE) and inequality in facing such expenditures in south-west Tehran. METHODS: A cluster-sampled survey was conducted in 2003 using the World Health Survey questionnaire. We repeated the survey on the same sample in 2008 (635 and 603 households, respectively). We estimated the proportion of households facing CHE using the 'household's capacity to pay'. We identifie…
Social Capital in Association with Socioeconomic Variables in Iran
Decomposing socioeconomic inequality in self-rated health in Tehran
BACKGROUND: Measuring the distribution of health is a part of assessing health system performance. This study aims to estimate health inequality between different socioeconomic groups and its determinants in Tehran, the capital of Iran. METHODS: Self-rated health (SRH) and demographic characteristics, including gender, age, marital status, educational years, and assets, were measured by structured interviews of 2464 residents of Tehran in 2008. A…
Social capital and related socio-demographic variation in women of reproductive age
In this population-based cross-sectional study of women of reproductive age in Tehran, Iran, the social capital integrated questionnaire and socio-demographic questionnaire were used. The highest mean scores were related to social cohesion and inclusion dimension (55.72 ± 11.94) and the lowest mean scores to groups and networks dimension (31.78 ± 19.43). Stepwise multiple linear regressions showed the significant association between dimensions of…
Instruments for assessing organisational capacity for use of evidence in health sector policy making
Background Assessing individual and organisational capacity for evidence use is essential for developing evidence-based strategies. Aims and objectives This study aimed to assess the psychometric and practical properties of existing tools to assess the capacity to use evidence at the individual and organisational levels of health policy and identify the best instruments. Methods A systematic review of the databases of ISI Web of Science, Embase, …
Monitoring of National Drug Policy (NDP) and its standardized indicators; conformity to decisions of the national drug selecting committee in Iran
BACKGROUND: Pharmaceuticals have made an important contribution to global reductions in morbidity and mortality. To help save lives and improve health, it is important to be sure about equity to access to drugs, drug efficacy, quality and safety, and rational use of drugs, which are standardized National Drug Policy (NDP) objectives. NDP's indicators are useful to evaluate the pharmaceutical system performance in a country. Iran has adapted a Nat…
Decomposing socioeconomic inequality in infant mortality in Iran
BACKGROUND: Although measuring socioeconomic inequality in population health indicators like infant mortality is important, more interesting for policy purposes is to try to explain infant mortality inequality. The objective of this paper is to quantify for the first time the determinants' contributions of socioeconomic inequality in infant mortality in Iran. METHODS: A nationally representative sample of 108 875 live births from October 1990 to …
Mothers’ Attitudes Toward Corporal Punishment of Children in Qazvin-Iran
The Role of Sociocognitive Mediators in the Beliefs-Intentions Relationship
The mediating role of the theory of planned behavior (TPB; Ajzen, 1991) constructs in the belief constructs-intention relationship is examined in this study. We investigated the mediation ability of TPB constructs on Iranian adolescents' intentions to consume unhealthy snacks. A sample of 739 adolescents completed questionnaires assessing behavioral, normative, and control beliefs, attitudes, subjective norms, perceived behavioral control (PBC), …
Health-promoting behaviors and social support of women of reproductive age, and strategies for advancing their health
The findings of this mixed methods sequential explanatory study, obtained using a culturally sensitive approach, provide insights into the health behavioral factors that need to be considered if preventive strategies and intervention programs are to be designed to promote women's health in the community
P2-113 Evaluation of vitamin D deficiency determinants in urban areas of Iran by generalised estimating equations analysis method
Introduction Vitamin D plays an integral role in bone mineralisation. Its deficiency has been shown to be associated with some cancers, cardiovascular disease, diabetes and osteoporosis. We aimed to evaluate the factors determining vitamin D levels using Generalised Estimating Equation (GEE). Its main application is evaluation of related data in longitudinal and hierarchal states, especially in cluster samples which can result in an unbiased esti…
P2-257 Social determinants and high risk behaviours in drug users under methadone treatment in Golestan province, North Iran
Introduction Drug users' health is a product of drug-effects and risk behaviours. Social determinants can shape some health behaviours. There has been little research on social determinants and risk behaviours related to drug use in Iran. We aimed to estimate this in patients undergoing methadone treatment in north Iran. Methods 400 addicts were recruited from methadone clinics in 2009–2010. A self-designed questionnaire with excellent reliabilit…
Understanding determinants of socioeconomic inequality in mental health in Iran's capital, Tehran
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
Strengthening evidence-based decision-making
BACKGROUND Health systems worldwide have always suffered resource constraints. Therefore, making decisions informed by scientific evidence to optimize costs and prevent wastage of resources is both important and necessary. The current study was designed to identify barriers to evidence-based decision-making (EBDM) in Iran's health system. METHODS Participants were purposively selected. In-depth interviews with policy-makers and focus group discus…
Inequality in household catastrophic health care expenditure in a low-income society of Iran
BACKGROUND: We assessed change in household catastrophic health care expenditures (CHE) and inequality in facing such expenditures in south-west Tehran. METHODS: A cluster-sampled survey was conducted in 2003 using the World Health Survey questionnaire. We repeated the survey on the same sample in 2008 (635 and 603 households, respectively). We estimated the proportion of households facing CHE using the 'household's capacity to pay'. We identifie…
Decomposing socioeconomic inequality in self-rated health in Tehran
BACKGROUND: Measuring the distribution of health is a part of assessing health system performance. This study aims to estimate health inequality between different socioeconomic groups and its determinants in Tehran, the capital of Iran. METHODS: Self-rated health (SRH) and demographic characteristics, including gender, age, marital status, educational years, and assets, were measured by structured interviews of 2464 residents of Tehran in 2008. A…
Social Capital in Association with Socioeconomic Variables in Iran
Revealing mental health status in Iran's capital
Partner's engagement in community-based health promotion programs
Community-based health promotion requires effective participation and partnership of diverse and numerous stakeholders from community as well as external professional organizations. Although effective partnership of stakeholders is often the key for success of health promotion practice and research, but this has proved to be a complex and challenging task. This study is an exploratory study to identify professional stakeholder's perspectives and …
A population-based study of health-promoting behaviors and their predictors in Iranian women of reproductive age
Health-promoting behaviors have been recognized as major factors for maintenance and improvement of health. The objective of this study was to determine the status of health-promoting behaviors and their predicting factors in Iranian women of reproductive age. This was a population-based cross-sectional study in which 1359 Iranian women of reproductive age were selected by proportional random multistage cluster sampling in Tehran. Questionnaires …
Maternal mortality
BACKGROUND: Although most of maternal deaths are preventable, maternal mortality reduction programs have not been completely successful. As targeting individuals alone does not seem to be an effective strategy to reduce maternal mortality (Millennium Development Goal 5), the present study sought to reveal the role of many distant macrostructural factors affecting maternal mortality at the global level. METHODS: After preparing a global dataset, 4…
Food insecurity, socio-economic factors and weight status in two Iranian ethnic groups
These findings show that the association between moderate-to-severe FI and risk of general/central obesity varies in Azeris, compared to Kurds. However, better SES decreased the chance of general/central obesity in both ethnic groups
Empirically derived dietary patterns in relation to psychological disorders
Objective Psychological disorders are highly prevalent worldwide. The present study aimed to investigate the relationship between major dietary patterns and prevalence of psychological disorders in a large sample of Iranian adults. Design A cross-sectional study was done to identify dietary patterns derived from factor analysis. Dietary data were collected through the use of a validated dish-based semi-quantitative FFQ. Psychological health was e…
Major dietary patterns in relation to demographic and socio-economic status and food insecurity in two Iranian ethnic groups living in Urmia, Iran
Objective To identify major dietary patterns and their association with socio-economic status (SES) and food insecurity in two major ethnic groups living in Urmia, north-west Iran. Design A cross-sectional study. Setting All four geographical zones of Urmia city. Subjects Participants ( n 723; 427 women and 296 men), aged 20–64 years, from two ethnic groups (445 Azeri Turks and 278 Kurds). Results Three major dietary patterns were extracted: ‘Tra…
Social capital and related socio-demographic variation in women of reproductive age
In this population-based cross-sectional study of women of reproductive age in Tehran, Iran, the social capital integrated questionnaire and socio-demographic questionnaire were used. The highest mean scores were related to social cohesion and inclusion dimension (55.72 ± 11.94) and the lowest mean scores to groups and networks dimension (31.78 ± 19.43). Stepwise multiple linear regressions showed the significant association between dimensions of…
Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries
BACKGROUND: The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of "leaving no one behind". Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990-2016 for 188…
Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016
BACKGROUND: As mortality rates decline, life expectancy increases, and populations age, non-fatal outcomes of diseases and injuries are becoming a larger component of the global burden of disease. The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of prevalence, incidence, and years lived with disability (YLDs) for 328 causes in 195 countries and territories from 1990 to 2016. METHO…
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016
BACKGROUND: Monitoring levels and trends in premature mortality is crucial to understanding how societies can address prominent sources of early death. The Global Burden of Disease 2016 Study (GBD 2016) provides a comprehensive assessment of cause-specific mortality for 264 causes in 195 locations from 1980 to 2016. This assessment includes evaluation of the expected epidemiological transition with changes in development and where local patterns …
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016
BACKGROUND: The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of risk factor exposure and attributable burden of disease. By providing estimates over a long time series, this study can monitor risk exposure trends critical to health surveillance and inform policy debates on the importance of addressing risks in context. METHODS: We used the comparative risk assessment framework dev…
Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016
BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and …
Medicine (61 works) · Environmental health (44 works) · Population (32 works) · Global Maternal and Child Health (29 works) · Public health (26 works) · Political science (25 works) · Demography (24 works) · Economics (21 works) · Sociology (19 works) · Health care (18 works)