Cardiovascular diseases preventive policy-making process in Iran: A framework-based policy analysis

Strengthening countries' policies to prevent cardiovascular diseases (CVDs) relies on their policymaking processes. This study aimed to create a deep understanding of these processes through evaluating preventive and control policies of CVD in Iran, using Walt and Gilson's policy analysis triangle framework to analyze the policymaking process qualitatively. Data were collected using various methods such as reviewing international and national documents and interviewing experts; the framework analysis method was used to analyze the data. Findings were reported in four dimensions of the policy analysis triangle, including content, context, process, and actors. Various social, economic, environmental, and political factors affect the policy's development. Prevention plans emphasize inter- and intrasectorial collaborations and require community-based interventions. Achieving universal health coverage and global attention to the prevention of noncommunicable diseases (NCDs) has put CVD prevention on the agenda in Iran. In addition, the National Action Plan for Prevention and Control of NCDs has been compiled with the participation of all ministries. An Iranian Non-Communicable Diseases Committee has also been established, reflecting the national effort to control CVD. Although Iran has taken important steps to control and prevent CVD, the incidence of CVD is still increasing. Comprehensive action plans should be implemented with extensive intrasectorial cooperation and a clear framework to achieve the desired goals.