Level | Proposed Intervention | Appropriateness | Feasibility |
---|---|---|---|
Paradigm | 1. Continuous insistence and emphasis on health in all policies in the approaches of the Councils to attract attention and change the attitudes and values of key council members (changing the values of key individuals) | High | Medium |
2. Planning to reform and improve the organizational culture with health values in councils and members (ministries) (changing organizational values) | High | Low | |
3. Frequently challenging hypotheses, values, and priorities that are harmful to health in supreme councils | High | Very low | |
4. Identifying the educational and social centers in which council members were trained before reaching their positions and inject health-oriented principles into the training of these centers and communities | Medium | Low | |
Goals | 1. Developing new health-related goals for supreme councils to improve community health | High | Medium |
2. Preparing the essential prerequisites for achieving the national health goals related to the responsibilities of each council and delivering them to the secretariat of the supreme councils | High | High | |
System structure | 1. To membership in supreme councils with significant effect over health determinants | High | High |
2. Using weighted ballots in supreme councils with more weight of votes of the representative of the Ministry of Health in health-oriented affairs | Very High | Low | |
3. Combining supreme councils (with relevant specialized committees), for example, combining councils dealing with welfare, social affairs, and community health | High | Low | |
4. Expanding health secretariats in other ministries and directing them to influence representatives of relevant ministries in supreme councils | High | Medium | |
5. Improving the communication structure of the representative of the Ministry of Health in the supreme councils with the management body and units, offices, and specialized centers of the MoHME | Medium | High | |
6. Creating a database and developing the health-based information flow system related to the tasks and mission of each council | Medium | High | |
7. Establishing inter-ministerial committees and working groups at the level of experts in the sub-councils | High | Medium | |
Feedback and delays | 1. Monitoring policies and approvals of councils to respond immediately to possible undesirable approvals | Medium | Medium |
2. Creating negative feedback loops (e.g., legal and punitive action against harmful approvals) | High | Medium | |
3. Defining index-based critical values to provide negative feedback on councils (Like a thermostat, it prevents the system from collapsing and keeps it within safe boundaries) | High | Medium | |
4. Controlling and slowing down positive feedback loops in the relationship between councils and their members (for example, ministers use their influence on council members to advance their programs that harm public health) | High | Low | |
5. Organizing lectures, meetings, and specialized publications related to councils and their field of work | Low | High | |
6. Providing feedback on the effects of the activities of high councils and ministries and organizations to people and specialized communities to create sensitivity and awareness in society | Low | Medium | |
7. Creating feedback loops in places that did not exist before and involving a wide range of stakeholders in feedback | Medium | High | |
Structural elements | 1. Allocating a special workforce to deal with the affairs of each council in the MoHME | Medium | High |
2. Using human resources training (representative of the MoHME and following team in councils) to improve leadership skills, promote cooperation, and manage conflict of interest situations | High | High | |
3. Extracting policies and inter-sectoral interventions of national health programs and network them with supreme councils | Low | High | |
4. Trying to commit commitment to allocate resources to members of the councils until the commitment to goals without the operational program | Medium | Medium | |
5. Prioritize public health issues related to supreme councils based on disease burden and mortality or approximate time for reform | High | High | |
6. Establishing a health-oriented point in the process of reviewing, approving, and evaluating policies in councils | High | Medium |