Submitted: 16 Jun 2020
Accepted: 16 Jun 2020
ePublished: 21 Jun 2020
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Depiction of Health. 2020;11(2): 149-158.
  Abstract View: 104
  PDF Download: 53

Public Health

Original Article

Barriers and Challenges of Health Workers Performance Evaluation in the Hypertension and Diabetes Screening Program: Qualitative Content Analysis

rahim khodayari-zarnaq 1 ORCID logo, Zeunolabedin Tarinajad 2, Kamal Gholipour 1 ORCID logo, Behrouz Fathi 1*

1 Department of Health Policy and Management, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Health Education and Promotion, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran


Background and Objectives: Evaluation and monitoring of implementation for control and prevention of The Hypertension and Diabetes Screening National Program are important. This study was conducted to identify the challenges of health workers performance evaluation in The Hypertension and Diabetes Screening National Program and provide corrective strategies via exploring the viewpoint of the people involved in this program.Material and Methods: The study was a conventional qualitative content analysis as part of a larger multi-method study. It was conducted in Ahar Healthcare Network in Iran, in year 2017. The sampling was done using purposive model with maximum variation, and the data were collected through three focused group discussions.Results: Twenty-seven healrh workers, observer coaches and senior staff who were involved in the blood pressure Program were selected for the study. Four main categories including contextually, structural, process problems, and results of performance evaluation were identified from the concepts derived from viewpoints of the participants.Conclusion: Regardless of the success in preventing and controlling diabetes, Iran's primary health care system faces challenges in reducing and controlling hypertension and diabetes due to the lack of a national plan with comprehensive guidelines. The major problem address the the process of staff performance assessing. Findings of this study will help managers to address the performance evaluation system.
Keywords: Staff Performance Evaluation, Conventional Content Analysis, Conventional Content Analysis, Health Worker, Hypertension, Diabetes
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