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Abstract：
The objective of this article is to propose a protocol for developing a model for strengthening the public health system in Iran. Currently, there is no clearly articulated model for strengthening public health systems during the pandemic of new emerging respiratory diseases in Iran. The protocol described here aims to: (1) identify components for strengthening public health systems, during the pandemic of new emerging respiratory diseases worldwide, (2) identify components for strengthening Iran\'s public health system, and (3) design a model for strengthening the public health system in Iran during the pandemic of new emerging respiratory diseases. The protocol proposes three phases. In the first phase, a realistic review will be conducted to identify components for strengthening public health systems worldwide based on six building block framework. In the second phase, a qualitative study will be used to identify components for strengthening public health systems in Iran during the pandemic of new emerging respiratory diseases. In the third phase, an initial model will be designed, and the Delphi technique will be used to finalize the model. Due to fragility and the significant strain that public health systems experienced during the pandemic, it is imperative to introduce a model that strengthens public health systems through some initiatives and strategies and explains the mechanisms by which they operate. A realist review and qualitative study will provide the evidence needed to support the effective implementation of public health interventions, taking into consideration the diverse contexts of these interventions in Iran.
摘要：
本文的目的是提出一项协议，以开发加强伊朗公共卫生系统的模型。目前,在伊朗新出现的呼吸系统疾病大流行期间，没有明确阐明的模式来加强公共卫生系统。这里描述的协议旨在：（1）确定加强公共卫生系统的组成部分，在全球新出现的呼吸系统疾病大流行期间，(2)确定加强伊朗公共卫生体系的组成部分，（3）设计一个模型，在新出现的呼吸系统疾病大流行期间加强伊朗的公共卫生系统。该协议提出了三个阶段。在第一阶段,将根据六个基本框架进行现实的审查，以确定加强全球公共卫生系统的组成部分。在第二阶段,一项定性研究将用于确定在新出现的呼吸系统疾病大流行期间加强伊朗公共卫生系统的组成部分。在第三阶段,将设计一个初始模型，和Delphi技术将用于最终确定模型。由于公共卫生系统在大流行期间经历的脆弱性和巨大压力，必须引入一种模式，通过一些举措和战略加强公共卫生系统，并解释其运作机制。现实主义者的审查和定性研究将提供所需的证据，以支持有效实施公共卫生干预措施，考虑到这些干预在伊朗的不同背景。
