Table 4 Councils and Stakeholders involved with the process of NCDs-related policymaking in Iran rated according to four items (interest, position, power, and influence)
Number of Stakeholders (Members) | MoHME (Has a leadership role in the council: a green label) | Interest | Position | Power | Influence (on) | Type of influence | |
|---|---|---|---|---|---|---|---|
1. Supreme Council of Health and Food Security | 16a | Yes | High | High | High | High, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High fasting plasma glucose, High body mass index, High systolic blood pressure, High LDL cholesterol, Ambient ozone pollution, Occupational risks, Lead exposure, Ambient particulate matter air pollution, Impaired kidney function | Legislation, research, inter-sectoral cooperation, awareness |
2. Supreme Council for Justice | 10 | No | Low | Low | Medium | Medium–high, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, Ambient ozone pollution, Occupational risks, Lead exposure, Ambient particulate matter air pollution, Occupational risks | Creating or amending judicial laws |
3. Supreme Council for Centers of Excellence in Medical Sciences | 15 | Yes | High | High | Medium | High, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High fasting plasma glucose, High body mass index, High systolic blood pressure, High LDL cholesterol, Ambient ozone pollution, Occupational risks, Ambient particulate matter air pollution, Impaired kidney function | Specialized research in the field of each risk factor |
4. Supreme Council for Youth & Sports | 18 | Yes | Medium–high | Medium–high | High | Medium, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High body mass index High, systolic blood pressure | Expansion of public sports facilities, awareness among youth about risk factors |
5. Supreme Council for Standards | 29b | Yes | High | High | High | High, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High fasting plasma glucose, High body mass index, High systolic blood pressure, High LDL cholesterol, Ambient ozone pollution, Occupational risks, Lead exposure, Ambient particulate matter air pollution | Create or modify standards for sources of risk factors |
6. Supreme Council for Water | 10 | No | Medium | Low-medium | Medium | Low, Dietary risk | Water policy for food production |
7. Supreme Council for Education | 15 | No | Low | Low | Medium | Medium, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High body mass index, High systolic blood pressure, | Educate students and incorporate health-oriented lessons into their courses |
8. Supreme Council for Insurance | 11 | No | Medium–high | Low-medium | Medium–high | Low, Dietary risk | Provision of minimum salaries for retirement and sickness |
9. Supreme Council of Health Insurance | 14 | Yes | High | High | High | Medium–high, Drug use, Smoking, Alcohol use, High fasting plasma glucose, High body mass index, High systolic blood pressure, High LDL cholesterol, Occupational risks, Lead exposure, and Impaired kidney function | Preventive services coverage Set franchise Covering the uninsured and the poor |
10. Supreme Council of the Cultural Revolution | 43 | Yes | Medium–high | Medium | Medium | Medium, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, and High body mass index | The main cultural policymaker in Iran |
11. Supreme Council for Science, Research & Technology | 24 | Yes | Low-medium | Medium | Low-medium | Low-medium, Ambient ozone pollution, Occupational risks, Lead exposure | Research, especially in the field of industry |
12. Supreme Council for Environmental Protection | 13 | Yes | High | High | High | Medium–high, Dietary risk, Ambient ozone pollution, Occupational risks, Lead exposure, Ambient particulate matter air pollution | The main policymaker in the field of soil, air, and water pollutants |
13. Supreme Council of Welfare and Social Security | 13 | Yes | Medium–high | Medium–high | Medium–high | Low, Dietary risk | Welfare Policy Making |
14. Supreme Council for Labor and Employment | 22 | Yes | Low-medium | Medium | Medium | Low-medium, Dietary risk, Occupational risks | Employment promotion and determination of workers' rights and working conditions |
15. Supreme Council for Tax | 25 | No | Low-medium | Low-medium | Medium–high | Medium–high, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, Ambient ozone pollution, Occupational risks, Lead exposure, Ambient particulate matter air pollution | Determining tax policies in the area of risk factors resources |
16. Supreme Council for Urbanization | 14 | No | Low-medium | Medium | Medium–high | Medium, High body mass index, Ambient particulate matter, air pollution, Lead exposure | Policymakers to build healthy cities in terms of physical activity, pollution, etc |
17. High Council for Land Preparation and Analysis | 20 | No | Low | Medium | Medium | Low, Dietary, Ambient particulate matter air pollution | The exponential location of the creation of cities, agricultural areas, Estimating the reception capacity of the population of the regions |
18. National Council for the Elderly | 18 | Yes | Medium–high | High | Medium | High, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use, High fasting plasma glucose, High body mass index, High systolic blood pressure, High LDL cholesterol | Determining welfare and health policies for the elderly |
19. Social Council of the country | 26 | Yes | Medium–high | Medium–high | Medium–high | Medium, Dietary risk, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use | Fighting social harm and protecting people exposed to social harm |
20. Iran Drug Control Headquarters | 12 | Yes | Medium–high | Medium–high | High | Medium, Second-hand smoke, Drug use, Smoking, Chewing tobacco, Alcohol use | Policy on tobacco, alcohol, and drugs |
21. Hygienic monitoring and control committee on toxins and chemicals | 6 | Yes | Medium–high | High | High | Medium, Dietary risk, Occupational risks, Lead exposure | Main policymaking in the field of agricultural pesticides and hazardous chemicals |