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The Slums in the Mirror of Health: A Systematic Review Analysis from Iran
Abstract
Background: One billion worldwide population is living in slum areas that mostly accompanied with high rates of poverty, illiteracy, unemployment, unhealthy situation, and inappropriate health‑care services. The prediction of enormous growth of slums by 2030 led to a raise to address the “plight of slums” in Sustainable Development Goals (SDGs).
Methods: To address evidence‑based health‑related priorities, we conducted a systematic review to summarizing evidences on health situations of slums population in Iran. Six electronic databases were systematically searched for published studies without any restriction on age, sex, and language to assess health situations of slums in Iran reported by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. All identified articles were screened, quality assessed, and data extracted by two authors independently.
Results: The finding of this systematic review in addition to overall view categorized in five categories: health system, reproductive health, infectious diseases, noncommunicable diseases and their risk factors, social issues besides overall situation of Slums.
Conclusions: Community‑based participatory interventions with socioeconomic approach on modifiable risk factors; active response of health system; establishment new health care centers in slum areas; augmenting the quality of care; active case finding; and elevating health knowledge, attitude, and practice is crucial to achieve SDG’s in Slum area
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Ezeh A, Oyebode O, Satterthwaite D, Chen Y‑F, Ndugwa R,
Sartori J, et al. The history, geography, and sociology of slums
and the health problems of people who live in slums. Lancet
;389:547‑58.
Sahandi IJ. An analysis to challenges of management system
in slum upgrading projects of Iran. In: Zhang M, editor.
Construction and Project Management, Iccpm 2011. International
Proceedings of Economics Development and Research. 152011.
p. 161‑5. ://WOS: 000392456000031.
Sclar ED, Garau P, Carolini G. The 21st century health challenge
of slums and cities. Lancet 2005;365:901‑3.
United Nations. The Millennium Development Goals Report.
New York: UN, Department of Economic and Social Affairs;
June. Available from: http://www.un.org/millenniumgoals/
pdf/mdg2007.pdf.
Skordis‑Worrall J, Pace N, Bapat U, Das S, More NS, Joshi W,
et al. Maternal and neonatal health expenditure in Mumbai
slums (India): A cross sectional study. BMC Public Health
;11:150.
World Health Organization ROftEM. Building the knowledge
base on the social determinants of health: Review of seven
countries in the Eastern Mediterranean Region. 2008.
Jorgenson AK, Rice J. Urban slum growth and human health:
A panel study of infant and child mortality in less‑developed
countries, 1990–2005. J Poverty 2010;14:382‑402.
Kyobutungi C, Ezeh AC, Zulu E, Falkingham J. HIV/AIDS and
the health of older people in the slums of Nairobi, Kenya: Results
from a cross sectional survey. BMC Public Health 2009;9:153.
World Health Organization ROftEM. Message from
Dr Hussein A. Gezairy Regional Director WHO Eastern
Mediterranean Region to the Intercountry meeting on health and
development in slum areas, using the community‑based initiatives
approach and urban health equity assessment and response tool
in collaboration with WHO centre for health development, Kobe,
Japan, Cairo, Egypt, September 27‑29, 2010.
Kahkesh FH. Monitoring the Situation of Slum Dweller, Face of
Urban Poverty the Case of Mallashieh‑Iran. 2011.
Lotfi K. Slum development in Ahvaz with emphasis on the
All‑E‑Saffi sector. Sustainable City III: Urban Regeneration
and Sustainability. Advances in Architecture Series. 182004. p.
‑10.
Asadi‑Lari M, Farshad AA, Assaei SE, Vaez Mahdavi MR,
Akbari ME, Ameri A, et al. Applying a basic development needs
approach for sustainable and integrated community development
in less‑developed areas: Report of ongoing Iranian experience.
Public Health 2005;119:474‑82.
Razzaghi EM, Movaghar AR, Green TC, Khoshnood K. Profiles
of risk: A qualitative study of injecting drug users in Tehran,
Iran. Harm Reduct J 2006;3:12.
Joulaei H, Lankarani KB, Shahbazi M. Iranian and American
health professionals working together to address health disparities
in Mississippi Delta based on Iran’s Health House model. Arch
Iran Med 2012;15:378‑80.
Joulaei H, Bhuiyan AR, Sayadi M, Morady F, Afsar Kazerooni P.
Slums’ access to and coverage of primary health care services:
A cross‑sectional study in Shiraz, a metropolis in southern Iran.
Iran J Med Sci 2014;39 (2 Suppl):184‑90.
United Nations Human Settlements Programme. The Challenge
of Slums: Global Report on Human Settlements 2003. London, UK: UN Habitat [and] Earthscan; 2003. 1‑345 p. Availabe
from: https://unhabitat.org/books/the‑challenge‑of‑slums‑global
‑report‑on‑human‑settlements‑2003/.
Khayatzadeh‑Mahani A, Sedoghi Z, Mehrolhassani MH,
Yazdi‑Feyzabadi V. How health in all policies are developed and
implemented in a developing country? A case study of a HiAP
initiative in Iran. Health Promot Int 2016;31:769‑81.
Radovic V, Kekovic Z, Agic S. Development a comprehensive
food safety system in serbia‑ A narrative review article. Iran J
Public Health 2014;43:889‑902.
CASP Appraisal Checklists. Available from: https://casp‑uk.net/
casp‑tools‑checklists/.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA
Group. Preferred reporting items for systematic reviews
and meta‑analyses: The PRISMA statement. PLoS Med
;6:e1000097.
Rajabi Gilan N, Ghasemi S, Reshadat S, Zanganeh S, Saedi S.
Measurement quality of life associated with the health of
women in the marginal slums of Kermanshah and some factors
associated with it. J Kermanshah Univ Med Sci 2014;18:547‑56.
Sajadzadeh H, Lotfi A, Shahbazi M. Evaluating the quality of
life dimensions in marginal urban communities to take advantage
of development stimulus projects, case study: Dizaj town of
Hamedan. Armanshahr 2017;10:121‑31.
Ghasemi R, Rjabi Gilan N, Reshadat S, Tavangar F, Saedi S,
Soofi M. Quality of leisure time in women resident in marginal
neighborhoods and its relation with health related quality of life.
J Mazandaran Univ Med Sci 2015;24:14‑24.
Ghasemi SR, Zangeneh A, Rajabi‑Gilan N, Reshadat S, Saeidi S,
Ziapour A. Health‑related quality of life in informal settlements
in Kermanshah, Islamic Republic of Iran: Role of poverty and
perception of family socioeconomic status. East Mediterr Health
J 2019;25:775‑83.
Barak M, Sadeghieh Ahari S, Amani F, Asadi G, Rahimi G,
Khadem E. Causatives and risk factors for deaths among infants
under 1 year old in Ardabil slums during 2008‑2009. J Ardabil
Univ Med Sci 2012;12(5):40‑7.
Keyghobadi K, Siasi F, Malek Afzali H, Jar Elahi N,
Sadrzade H, Moatabar A, et al. Impacts of mothers’ education
on the nutritional status of children among households living in
outskirts of Kerman. Hakim Res J 2002;5:49‑56.
Asefzadeh S, Jouafshani MA, Samieefard F, Kalantari Z.
Situation analysis of the health of AB.Gilack slum area of
Qazvin. J Qazvin Univ Med Sci 2001;42‑51.
Hoseinpoor R, Karami M, Mohammadi Y, Soltanian A.
Evaluation of Active Case Finding (ACF) of tuberculosis in
slums population in north of Iran. Int J Pediatr 2017;5:4867‑75.
Saberifar R. Effective environmental and demographic factors on
incidence of tuberculosis in Mashhad, Iran. J Mazandaran Univ
Med Sci 2017;27:404‑8.
Ghahremani L, Azizi M, Moemenbellah‑Fard MD, Ghaem H.
Malaria preventive behaviors among housewives in suburbs of
Bandar‑Abbas City, south of Iran: Interventional design based on
PRECEDE model. Pathog Glob Health 2019;113:32‑8.
Khayat S, Dolatian M, Navidian A, Kasaeian A, Mahmoodi Z.
Association between style of living and general health in
suburban women: A cross‑sectional study in south east of Iran.
J Clin Diagn Res 2017;11:LC09‑13.
Esmailnasab N, Salehiniya H, Hatamian S, Ghoncheh M.
Lifestyle and the prevalence of non‑communicable diseases risk
factors in women aged 30 to 60 years in Tehran, Iran. Res. J
Pharm Biol Chem Sci 2016;7:1435‑40.
Yazdanpanah B, Safari M, Yazdanpanah S, Angha P, Karami M,
Emadi M, et al. The effect of participatory community‑based
diabetes cares on the control of diabetes and its risk
factors in western suburb of Yasouj, Iran. Health Educ Res
;27:794‑803.
Faghir Ganji M, Asgari E, Jabbari M, Nematollahi S, Hosseini M,
Ahmadi‑Gharaei H, et al. Community health assessment:
Knowledge, attitude and practice of women regarding water‑pipe
smoking in Bandar Abbas. MethodsX 2019;6:442‑6.
Ghadirian L, Sayarifard A. Depression literacy in urban and
suburban residents of Tehran, the Capital of Iran; recognition,
help seeking and stigmatizing attitude and the predicting factors.
Int J Prev Med 2019;10:134.
Taghaddosinejad F, Sheikhazadi A, Behnoush B, Reshadati J,
Anary SHS. A survey of suicide by burning in Tehran, Iran. Acta
Med Iran 2010;48:266‑72.
Mahdi A, Pourahmad A, Hataminezhad H. The study and
analysis of health‑life and availability of health indicators in
slum neighborhoods case study: District of Shadgholikhan in
QOM city. J Geography Planning 2014;18:259‑93.
Darvishi Y. Marginalization and its role in the occurrence and
spread of drugs and addiction (Case study: Ardebil). Hum Geog
Res 2014;46:603‑14.
Nourbakhsh Y, Heidarkhani H, Mohammadi A. Investigating
the relationship between social support and underlying variables
with social health of young people in marginalized areas of
Kermanshah. Iranian Journal of Social Problems. 2017;8:233‑57.
Zahraei M KN, Mohammadi N. Vaccination coverage in 24 to
months old children at marginalized area of Kermanshah.
IJIDTM 2015;20:1-6.
Rejali M, Mohammadbeigi A, Mokhtari M, Zahraei SM,
Eshrati B. Timing and delay in children vaccination; evaluation
of expanded program of immunization in outskirt of Iranian
cities. J Res Health Sci 2015;15:54‑8.
Jadidi R, Mohammadbeigi A, Mohammadsalehi N, Ansari H,
Ghaderi E. Inequity in timeliness of MMR vaccination in
children living in the suburbs of Iranian cities. Int J Biomed Sci
;11:93‑8.
Amiresmaili M, Yazdi‑Feyzabadi V, Heidarijamebozorgi M.
Health services utilization among slum dwellers: An experience
from Iran. J Educ Health Promot 2019;8:210.
Farid M, Tizvir A, Fashi Z. Health care status of residents of the
slum areas of Karaj 2015. Alborz Univ Med Sci J 2017;6:276‑82.
Tavakoly Sany, SB, Doosti H, Mahdizadeh M, Orooji A,
Peyman N, The Health Literacy Status and Its Role in
Interventions in Iran: A Systematic and Meta-Analysis. Int. J.
Environ. Res. Public Health 2021;18:4260.
Fard FA. Limiting the imbalanced development of large cities by
granting immediate accessibility to Amenities in suburban region
case study: Rasht city. AJBAS 2011;5:405‑19.
Morris T, Hanlon C, Wee LH, Teo EW, Adnan Y, Brolan CE,
et al. Universal health coverage’s evolving location in the
post‑2015 development agenda: Key informant perspectives
within multilateral and related agencies during the first phase of
post‑2015 negotiations. Springerplus 2016;31:514‑26.
Khayat S, Dolatian M, Navidian A, Mahmoodi Z, Sharifi N,
Kasaeian A. Lifestyles in suburban populations: A systematic
review. Electron Physician 2017;9:4791‑800.
Peykari N, Djalalinia S, Qorbani M, Sobhani S, Farzadfar F,
Larijani B. Socioeconomic inequalities and diabetes: A systematic
review from Iran. J Diabetes Metab Disord 2015;14:8.
Lilford RJ, Oyebode O, Satterthwaite D, Melendez‑Torres GJ,
Chen YF, Mberu B, et al. Improving the health and welfare of
people who live in slums. Lancet 2017;389:559‑70.
Wu C, Guo X, Zhao J, Lv Q, Li H, McNeil EB, et al. Behaviors
related to mosquito‑borne diseases among different ethnic
minority groups along the China‑Laos border areas. Int J Environ
Res Public Health 2017;14:1227.
Fallah MP, Skrip LA, Gertler S, Yamin D, Galvani AP.
Quantifying poverty as a driver of Ebola transmission. PLoS
Negl Trop Dis 2015;9:e0004260.
Pini A, Stenbeck M, Galanis I, Kallberg H, Danis K, Tegnell A,
et al. Socioeconomic disparities associated with 29 common
infectious diseases in Sweden, 2005‑14: An individually matched
case‑control study. Lancet Infect Dis 2019;19:165‑76.
Corburn J, Vlahov D, Mberu B, Riley L, Caiaffa WT, Rashid SF,
et al. Slum health: Arresting COVID‑19 and improving well‑being
in urban informal settlements. J Urban Health 2020;97:348‑57.
Snyder RE, Rajan JV, Costa F, Lima H, Calcagno JI, Couto RD,
et al. Differences in the prevalence of non‑communicable disease
between slum dwellers and the general population in a large
urban area in Brazil. Trop Med Infect Dis 2017;2:47.
Rawal LB, Biswas T, Khandker NN, Saha SR,
Bidat Chowdhury MM, Khan ANS, et al. Non‑communicable
disease (NCD) risk factors and diabetes among adults living in
slum areas of Dhaka, Bangladesh. PLoS One 2017;12:e0184967.
Peykari N, Hashemi H, Dinarvand R, Haji‑Aghajani M,
Malekzadeh R, Sadrolsadat A, et al. National action plan for
non‑communicable diseases prevention and control in Iran;
a response to emerging epidemic. J Diabetes Metab Disord
;16:3.
Rani D, Singh JK, Acharya D, Paudel R, Lee K, Singh SP.
Household food insecurity and mental health among teenage
girls living in urban slums in Varanasi, India: A cross‑sectional
study. Int J Environ Res Public Health 2018;15:1585.
Eftekhari MB, Mirabzadeh A, Forouzan AS, Dejman M,
Afzali HM, Djalalinia S, et al. A qualitative study of
community‑based health programs in Iran: An experience of
participation in I.R. Iran. Int J Prev Med 2014;5:679‑86.
Peykari N, Larijani B. A multi‑sectoral approach to combatting
non‑communicable diseases: Iran’s experience. J Diabetes Metab
Disord 2019;18:719‑20.
Danaei G, Farzadfar F, Kelishadi R, Rashidian A, Rouhani OM,
Ahmadnia S, et al. Iran in transition. Lancet 2019;393:1984‑2005.
Unger A, Riley LW. Slum health: From understanding to action.
PLoS Med 2007;4:e295.