Saber Azami-Aghdash

Introduction: Early childhood development (ECD) interventions within global health systems support children aged 0–5 years across a range of developmental needs, including those who are typically developing (healthy), at risk of developmental delay or living with developmental disorders. These interventions address multiple domains of development, yet their conceptual integration remains variable across contexts. The F-words framework—encompassing Functionig, Family, Fitness, Fun, Friends and Future—provides a holistic, strengths-based lens for understanding child development, yet its integration across diverse health contexts remains underexplored. This scoping review protocol adopts the F-words framework as a guiding premise to examine how these components are reflected in ECD interventions globally. Methods and analysis: This scoping review will follow Arksey and O’Malley’s framework, with guidance from the Joanna Briggs Institute, using the Population–Concept–Context approach. Searches will be conducted in major international databases (eg, PubMed/MEDLINE, Scopus, Web of Science) alongside selected regional sources and grey literature. Studies will be screened independently by two reviewers, with disagreements resolved through discussion or a third reviewer. Data will be charted using structured forms aligned with the F-words domains and synthesised narratively to identify key patterns, gaps and implementation factors. Ethics and dissemination: Ethical approval was confirmed by Tabriz University of Medical Sciences (IR.TBZMED.REC.1404.139); no patient involvemet occurs. Findings will be disseminated through peer-reviewed publication and academic forums to inform research, policy and practice in ECD.

Background. Road Traffic Injuries (RTIs) are the leading cause of injury-related deaths and hospitalizations among pregnant women. This study aimed to review the epidemiology of RTIs in this demographic Methods. This study was conducted as a systematic review and meta-analysis. A comprehensive search of major databases was performed to identify observational studies on road traffic injuries during pregnancy. The screening and data extraction were carried out independently by 2 reviewers based on pre-defined criteria. A random-effects model was used to analyze the quantitative data in STATA version 16. Results. Key findings revealed that approximately 30% of RTIs occur in the first trimester, 30% in the second, and 40% in the third trimester. The rate of RTIs was estimated to be 2.1 per 1000 maternities (95% CI: 0.1–4.1), with frontal crashes being the most common (50.3%). The majority of he pregnant women involved were drivers (57%), and seat belt use was reported in 77.4% of cases, with 43.9% experiencing airbag deployment. Notably, around 14.2% of RTIs were classified as severe. Conclusion. It can be concluded that the high rate of RTIs during pregnancy leads to numerous adverse maternal and fetal consequences, highlighting a critical need for public health intervention. Practical Implications. Road safety interventions should be specifically tailored for pregnant women, emphasizing correct seat belt use and reduced driving exposure, to mitigate the high risk of severe maternal and fetal outcomes from traffic injuries.

Introduction Programmes based on early childhood development (ECD) services play a vital role in improving child health and developmental outcomes. Across many countries, these programmes target children under 5 years of age—including those who are healthy, at risk or with developmental disorders—and are implemented in governmental and non-governmental organisations in both the health and non-health sectors globally. This protocol outlines a scoping review designed to systematically map and synthesise existing evidence on the components, implementation strategies and delivery mechanisms of ECD services worldwide. The review aims to inform the development of optimised and comprehensive interventions that support holistic child development. Methods and analysis This review will be conducted by Arksey and O’Malley’s framework and its recent advances. Several databases, including PubMed/MEDLINE, Scopus, Science Direct and Web of Science, Scientific Information Database, Magiran, IranMedex and Barakat knowledge network system, will be initially searched for studies up to December 2024. All searches will be done for published or unpublished articles/reports without time and language restrictions. Two researchers will independently carry out screening of the included studies and extraction of data. Any discrepancies will be resolved by consensus. In case no initial consensus is reached, a third researcher will be consulted to make a decision. The findings will be synthesised through the content-analysis method. Ethics and dissemination The findings of this review may offer a novel perspective for developing a comprehensive package of ECD services within the Iranian health system. Furthermore, it provides a detailed roadmap for researchers and stakeholders aiming to enhance child health and prevent developmental disorders. This study received ethical approval from Tabriz University of Medical Sciences (ID: IR.TBZMED.REC.1404.139), with no ethical concerns as it involves no patient participation or interventions.

Background and aims: Injuries from Road Traffic Accidents (RTAs), particularly among vulnerable groups such as the elderly, are considered a significant public health concern. The aim of this study was to show epidemiology of RTIs among the elderly people in the Eastern Azerbaijan province of Iran.Method: This cross‐sectional study included all patients over 60 years old who admitted to the Shohada Hospital from 2006 to 2016. Data were extracted from the Hospital Information System. Injuries types were classified based on the International Classification of Diseases (ICD‐10). Descriptive statistics (Mean, median and frequency) and inferential statistics (The Pearson Chi‐square test) were used for data analysis through SPSS‐24 software.Results: A total of 3509 RTAs involving patients over 60 years old from 2006 to 2016. These traffic‐related injuries comprised 15% of all recorded injuries (23,321 cases). The mean age of the patients was 69.91 ± 7.61 years, with a predominant male representation (2324 patients, 64.74%). The median Length of Stay (LOS) in hospital was 3 days. Injuries most commonly affected the knee and lower leg regions (27.5%). The most frequent types of accidents were those involving car passengers (40.47%) and pedestrians (36.33%). The majority of RTAs occurred during the summer season. There was a significant difference in the rate of RTAs based on variables such as sex, age, season, and LOS (p < 0.001).Conclusion: The study highlights traffic‐related injuries among the elderly, mostly affecting the knee and lower leg regions, especially during the summer season. The efforts should include enhancing safety measures for car passengers and pedestrians, particularly during the high‐risk summer months. Also, it emphasizes the need for public transportation to improve safety for older people due to lower accident rates and senior‐friendly features.

Universal Health Coverage (UHC) is one of the most important strategies adopted by countries in achieving goals of sustainable development. To achieve UHC, the governments need the engagement of the private sector. The aim of this study was to identify factors affecting private sector engagement in achieving universal health coverage. The study is a scoping review that utilizes Arkesy & O'Malley frameworks. Data collection was conducted in MEDLINE, Web of Sciences, Embase, ProQuest, SID, and MagIran databases and the Google Scholar search engine. Also, manual searches of journals and websites, reference checks, and grey literature searches were done using specific keywords. To manage and screen the studies, EndNote X8 software was used. Data extraction and analysis was done by two members of the research team, independently and using content analysis. According to the results, 43 studies out of 588 studies were included. Most of the studies were international (18 studies). Extracted data were divided into four main categories: challenges, barriers, facilitators, goals, and reasons for engagement. After exclusion and integration of identified data, these categories were classified in the following manner: barriers and challenges with 59 items and in 13 categories, facilitators in 50 items and 9 categories, reasons with 30 items, and in 5 categories and goals with 24 items and 6 categories. Utilizing the experience of different countries, challenges and barriers, facilitators, reasons, and goals were analyzed and classified. This investigation can be used to develop the engagement of the private sector and organizational synergy in achieving UHC by policymakers and planners.

Background. In recent decades, epidemics of various infectious diseases have occurred. Despite the health authorities' educational efforts to provide people with adequate information, there is not enough evidence regarding the evaluation and effectiveness of educational methods. Therefore, the present study aimed to evaluate the effectiveness of educational methods provided for the public during epidemics of infectious diseases from people's perspective. Methods. This cross-sectional study was conducted in Iran in 2023. The participants included individuals who were older than 15 years and were living in Iran during the recent epidemics. We used a tailored questionnaire consisting of 14 questions to gather information. The validity of the questionnaire was ensured by calculating the content validity index and ratio. Furthermore, its reliability was confirmed through a pilot study. The participants were selected using convenience sampling. In order to collect data, the questionnaire was distributed to the target group both electronically and in person. The collected data were analyzed using SPSS software (version 24) with normality tests conducted, and any P-value below 0.05 was considered significant. Results. A total of 278 individuals participated in the study, with the majority being women (62.3%). The average age of the participants was 33.9 years old. Most of the participants had a bachelor's degree (43.2%). According to the results of the study, social networks were identified as the most commonly used source for receiving educational materials during infectious disease epidemics (76.8%), and they were also considered to be the most effective source (87.6%). Additionally, based on the participants' opinions, social networks outperformed other information sources (78%). Face-to-face education provided by healthcare workers was identified as the most trusted educational source (81.6%), and the participants recommended this method to others more than any other method. (82.4%). Interviews with healthcare experts and in-person education provided by healthcare workers were perceived as the most effective educational methods by the people surveyed (60.4%). Furthermore, the results indicated that as individuals age, their reliance on sources of information like the Internet, social networks, and newspapers tends to decrease. Conclusion. The results of the current study can provide valuable information for policymakers on educating the public during epidemics of communicable diseases, as well as help them make quick, effective, and evidence-based decisions.

Introduction: The World Health Organization (WHO) recommends focusing on primary health care (PHC) as the first strategy of countries to achieve the improvement of the health level of communities and has emphasized it again in 2021. Therefore, we intend to take a different look at the PHC system with reform, innovation, and initiative by using the experiences of leading countries and identify practical and evidence-based solutions to achieve greater health. Methods: This is a scoping review study that has identified innovations and reforms related to PHC since the beginning of 2000 to the end of 2022. In this study, Scopus, Web Of Science, and PubMed databases have been searched using appropriate keywords. This study is done in six steps using Arkesy and O’Malley framework. In this study, the framework of six building blocks of WHO was used to summarize and report the findings. Results: By searching in different databases, we identified 39426 studies related to reforms in primary care, and after the screening process, 106 studies were analyzed. Our findings were classified and reported into 9 categories (aims, stewardship/leadership, financing & payment, service delivery, health workforce, information, outcomes, policies/considerations, and limitations). Conclusion: The necessity and importance of strengthening PHC is obvious to everyone due to its great consequences, which requires a lot of will, effort, and coordination at the macro-level of the country, various organizations, and health teams, as well as the participation of people and society.

Background: This study has been conducted to analyze the processes, models, and policies to assess fitness to drive and improving driving in the elderly in the world. Methods: The Arkesy and O’Malley frameworks were employed. Articles with at least one aspect of driving eligibility in the elderly were included. Expected data were collected using appropriate keywords from PubMed, Web of Science, Scopus, Embase, IranDoc, SID, and MagIran. Data were analyzed using the Content Analysis method. Results: Out of 675 records, 24 papers and reports were included in the study that all of them were High-Income Countries (HICs). Among the studies that referred to the baseline age, the highest frequency was 70 yr old (4 studies). Vision assessment was the main item to judge driving fitness (mentioned in 75% of the studies). The in-person (5 studies) was the most common method of renewal. General practitioners were the principal performers to measure driving fitness (7 studies). Thirteen studies referred to the road tests as part of the driver's license renewal process. In most all reports and papers, there were policies on empowering the elderly driver, including providing safe driving tips, optional driving skills tests, holding retraining courses, etc. The most frequently supporting policies included introducing alternative transportation. Conclusion: Most HICs have worthwhile experience in measuring and improving the fitness to drive in the elderly and enforce different laws according to social and political conditions. Utilizing these experiences by considering economic and social differences can be useful and practical for middle and low-income countries.

Context: Quality Assessment Frameworks (QAFs) are essential in monitoring progress in the primary health care (PHC) system. Different QAFs are used in countries to assess PHC quality. Objectives: This study aimed to review and compare the QAFs and highlight the most frequent quality indicators and dimensions. Methods: This state-of-the-art review was conducted on PHCQAFs. Required data were collected through search in Scopus, Web of Science, and PubMed databases, World Health Organization and World Bank websites, and Ministry of Health websites up to January 2022. The main keywords were quality, “primary healthcare”, PHC, “primary care”, “primary health services”, “basic healthcare”, assessment, evaluation, monitoring, measurement, improvement, indicator, OR index, pattern, framework, and model. Comparative tables were used to compare the defined quality dimensions (QDs) and quality assessment indicators (QAIs). Results: Finally, 14 PHCQAFs were retrieved, containing 94 QDs and 785 QAIs. Three PHCQAFs were proposed at the international level and others at the national level. Accessibility, coordination, and safety were the most frequent QDs, and QAIs related to smoking, alcohol and substance abuse, diabetes care, vaccination, chronic heart disease care, respiratory/infectious disease care, hypertension care, population coverage, community participation, customer satisfaction, maternal and child health, adverse event, health information management, staff empowerment, referral system, and patient rights were the most frequent among PHCQAFs. Conclusions: The current study illustrates the similarities and differences between PHCQAFs and highlights important QDs and QIs in PHC. Also, it provides a ready way for health policymakers to address key quality aspects that can help countries accelerate progress in the quality of PHC.