A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran

Abstract In June 2024, Iran reported a dengue fever outbreak beginning in Hormozgan province and spreading to several other provinces, raising significant public health concerns. To mitigate the disease’s impact, multiple meetings were held to explore control strategies, emphasizing community partic...

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Main Authors: Razie Toghroli, Abdoljabbar Zakeri, Mehdi Hassani Azad, Minoosadat Mousavi Nik, Roghayeh Ezati rad, Zohre Eftekhari, Mehdi Sharafi, Manoj Sharma
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-11423-x
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author Razie Toghroli
Abdoljabbar Zakeri
Mehdi Hassani Azad
Minoosadat Mousavi Nik
Roghayeh Ezati rad
Zohre Eftekhari
Mehdi Sharafi
Manoj Sharma
author_facet Razie Toghroli
Abdoljabbar Zakeri
Mehdi Hassani Azad
Minoosadat Mousavi Nik
Roghayeh Ezati rad
Zohre Eftekhari
Mehdi Sharafi
Manoj Sharma
author_sort Razie Toghroli
collection DOAJ
description Abstract In June 2024, Iran reported a dengue fever outbreak beginning in Hormozgan province and spreading to several other provinces, raising significant public health concerns. To mitigate the disease’s impact, multiple meetings were held to explore control strategies, emphasizing community participation through focus groups. This study aimed to identify the determinants, priorities, and control strategies for combating dengue fever and breeding sites of Aedes mosquitoes in Hormozgan province, Iran. This qualitative study employed purposive sampling with maximum variation to conduct 13 focus group discussions (FGDs) with 163 participants (8–13 per group) in Hormozgan Province during June-July 2024. Participants included health department officials, municipal managers, port authorities, and community leaders. Data were analyzed using thematic analysis following Braun and Clarke’s six-phase approach, with trustworthiness ensured through member checking and peer debriefing. These FGDs included health department officials, governors, municipal managers, medical university representatives, Shipping offices, and influential community leaders involved in dengue prevention education. Through these discussions, seven key determinants for dengue fever control in Iran were identified. The primary factors were: (a) Environmental (b) Therapeutic and health care (c) interdisciplinary cooperation (d) Administrative, legal, and regulatory determinants (e) Financial and budgetary (f) Educational determinants and (g) Social determinants. Effective community empowerment and health program decision-making require cooperation across various organizations, enhancement of high-risk environments, and fostering a sense of responsibility and participation among community members. Given the rise of re-emerging diseases globally, identifying their determinants is crucial for quick disease control in the region and for preventing global pandemics.
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spelling doaj-art-6dfe0ecf779d41cbb6ef64a195203faf2025-08-20T03:42:35ZengNature PortfolioScientific Reports2045-23222025-08-0115111010.1038/s41598-025-11423-xA qualitative study to identify the determinants and strategies for the prevention of dengue fever in IranRazie Toghroli0Abdoljabbar Zakeri1Mehdi Hassani Azad2Minoosadat Mousavi Nik3Roghayeh Ezati rad4Zohre Eftekhari5Mehdi Sharafi6Manoj Sharma7Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical SciencesSocial Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical SciencesSchool of Medicine, Infectious and Tropical Diseases Research Center, Hormozgan Health InstituteSurgical Oncology Research Center, Mashhad University of Medical SciencesFertility and Infertility Research Center, Hormozgan University of Medical SciencesBiotechnology Department, Pasteur Institute of Iran Cellular and Molecular Research Center, Gerash University of Medical SciencesDepartment of Social and Behavioral Health, School of Public Health, University of Nevada Las Vegas (UNLV)Abstract In June 2024, Iran reported a dengue fever outbreak beginning in Hormozgan province and spreading to several other provinces, raising significant public health concerns. To mitigate the disease’s impact, multiple meetings were held to explore control strategies, emphasizing community participation through focus groups. This study aimed to identify the determinants, priorities, and control strategies for combating dengue fever and breeding sites of Aedes mosquitoes in Hormozgan province, Iran. This qualitative study employed purposive sampling with maximum variation to conduct 13 focus group discussions (FGDs) with 163 participants (8–13 per group) in Hormozgan Province during June-July 2024. Participants included health department officials, municipal managers, port authorities, and community leaders. Data were analyzed using thematic analysis following Braun and Clarke’s six-phase approach, with trustworthiness ensured through member checking and peer debriefing. These FGDs included health department officials, governors, municipal managers, medical university representatives, Shipping offices, and influential community leaders involved in dengue prevention education. Through these discussions, seven key determinants for dengue fever control in Iran were identified. The primary factors were: (a) Environmental (b) Therapeutic and health care (c) interdisciplinary cooperation (d) Administrative, legal, and regulatory determinants (e) Financial and budgetary (f) Educational determinants and (g) Social determinants. Effective community empowerment and health program decision-making require cooperation across various organizations, enhancement of high-risk environments, and fostering a sense of responsibility and participation among community members. Given the rise of re-emerging diseases globally, identifying their determinants is crucial for quick disease control in the region and for preventing global pandemics.https://doi.org/10.1038/s41598-025-11423-xDengue feverAedes mosquitoPrevention and controlSocial participationOne healthQualitative research
spellingShingle Razie Toghroli
Abdoljabbar Zakeri
Mehdi Hassani Azad
Minoosadat Mousavi Nik
Roghayeh Ezati rad
Zohre Eftekhari
Mehdi Sharafi
Manoj Sharma
A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
Scientific Reports
Dengue fever
Aedes mosquito
Prevention and control
Social participation
One health
Qualitative research
title A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
title_full A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
title_fullStr A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
title_full_unstemmed A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
title_short A qualitative study to identify the determinants and strategies for the prevention of dengue fever in Iran
title_sort qualitative study to identify the determinants and strategies for the prevention of dengue fever in iran
topic Dengue fever
Aedes mosquito
Prevention and control
Social participation
One health
Qualitative research
url https://doi.org/10.1038/s41598-025-11423-x
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