The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study

BACKGROUND: Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenge...

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Main Authors: Elham Shami, Kamal Gholipour, Simin Khayatzadeh, Saber Azami-Aghdash
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:https://journals.lww.com/10.4103/jehp.jehp_1463_23
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author Elham Shami
Kamal Gholipour
Simin Khayatzadeh
Saber Azami-Aghdash
author_facet Elham Shami
Kamal Gholipour
Simin Khayatzadeh
Saber Azami-Aghdash
author_sort Elham Shami
collection DOAJ
description BACKGROUND: Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenges, as well as strategies. MATERIALS AND METHOD: The data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method. RESULTS: PHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID-19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information. CONCLUSION: The results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.
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institution Kabale University
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publishDate 2025-01-01
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spelling doaj-art-709a5c9098434bd389a6d5f76b8573992025-02-06T09:49:49ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402025-01-01141424210.4103/jehp.jehp_1463_23The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative studyElham ShamiKamal GholipourSimin KhayatzadehSaber Azami-AghdashBACKGROUND: Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenges, as well as strategies. MATERIALS AND METHOD: The data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method. RESULTS: PHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID-19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information. CONCLUSION: The results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.https://journals.lww.com/10.4103/jehp.jehp_1463_23covid-19performanceprimary healthcare
spellingShingle Elham Shami
Kamal Gholipour
Simin Khayatzadeh
Saber Azami-Aghdash
The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
Journal of Education and Health Promotion
covid-19
performance
primary healthcare
title The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
title_full The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
title_fullStr The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
title_full_unstemmed The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
title_short The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study
title_sort performance of primary health care in the management of the covid 19 in iran and the existing challenges and strategies on the way to confront the pandemics a qualitative study
topic covid-19
performance
primary healthcare
url https://journals.lww.com/10.4103/jehp.jehp_1463_23
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