نوع مقاله : مقاله پژوهشی
نویسندگان
1 گروه علوم اجتماعی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.
2 استادیار، گروه سیاست گذاری، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسندگان [English]
Introduction: Public health crises, particularly the COVID-19 pandemic, exposed significant challenges in the effectiveness of formal health system responses while simultaneously highlighting the critical role of community participation in enhancing health system resilience. Despite its importance, indigenous and context-specific models of social participation in health crisis management in Iran have not been sufficiently theorized. This study aimed to develop a grounded model of resilient community participation in health crisis management based on the Iranian experience of the COVID-19 pandemic.
Method: This qualitative study was conducted using a grounded theory approach. Data were collected through in-depth semi-structured interviews with health system managers and policymakers, community-based health volunteers, academic experts, and media actors. Participants were selected through purposive and snowball sampling. Data analysis was performed through open, axial, and selective coding, and data collection continued until theoretical saturation was achieved.
Results: The findings led to the identification of the core phenomenon of “resilient popular participation,” which can be conceptualized as an indigenous model of participatory governance under crisis conditions. Institutional inefficiency, bureaucratic weakness, and declining vertical trust were identified as the causal conditions for the emergence of this phenomenon. Within the context of local social capital and digital communication networks, strategies such as local volunteer organization, the active role of scientific and religious elites, and mobilization through networked media facilitated popular participation. The outcomes of this process included increased social resilience, strengthened collective solidarity, the realization of indigenous forms of participatory governance, and, simultaneously, challenges related to institutional coordination.
Conclusion: The findings suggest that community participation in Iran should be recognized as a structured and sustainable component of health governance rather than a temporary or reactive response. The proposed model of resilient community participation underscores the necessity of shifting from centralized state-led management toward facilitative, network-based, and community-centered health governance in responding to public health crises.
کلیدواژهها [English]
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