Skip to main content
Top
Published in: Environmental Health and Preventive Medicine 1/2021

Open Access 01-12-2021 | Environmental Medicine | Research article

What competencies do environmental health graduates need to manage social determinants of health?

Authors: Athar Omid, Fateme Sepyani, Nikoo Yamani, Hamidreza Pourzamani, Pejman Aghdak

Published in: Environmental Health and Preventive Medicine | Issue 1/2021

Login to get access

Abstract

Background

Graduates of environmental health engineering should be able to manage Social Determinants of Health (SDH) and acquire the essential competencies during their studies at university. This study was performed to determine the expected competencies of environmental health graduates in a way to be able to manage environmental and Social Determinants of Health according to their job description.

Methods

This descriptive cross-sectional study was performed using Delphi technique. First, the literature review was done and the Delphi technique was performed in three rounds. The purposeful sampling was used and 50 people were selected among the specialists in the field of environmental health engineering and SDH. Participants answered an open-ended question, for the first round. Then, a questionnaire with 8 areas was designed based on the results of the first round and distributed for the second round. Data analysis was performed using descriptive statistics. The third round was done to reach the agreement on final items.

Results

The agreement on the items of the third round of Delphi was more than 70%. The final results showed eight competency areas under which 29 competencies were defined. Competency areas included expert knowledge, reasoning and planning, advocacy, system-based practice, professionalism, instructional expertise, social and personal skills and, research and self-development. The first three priorities of the required competency areas were expert knowledge (4.46 ± 0.55), professionalism (4.42 ± 0.64), and advocacy (4.32 ± 0.77).

Conclusions

It is necessary that environmental health engineers achieve necessary competencies regarding managing SDH, upon their graduation. It is suggested to integrate these competencies into the curriculum of environmental and health engineering in Iran universities.
Literature
1.
go back to reference World Health Organization. What are social determinants of health? 2021. World Health Organization. What are social determinants of health? 2021.
2.
go back to reference Omid A, Haghjuy Javanmard S, Eghbali B, Hoseini M. General practitioners and patients’ disease in Isfahan: one step toward social accountability. Iran J Med Educ. 2012;11(9):1376–84. Omid A, Haghjuy Javanmard S, Eghbali B, Hoseini M. General practitioners and patients’ disease in Isfahan: one step toward social accountability. Iran J Med Educ. 2012;11(9):1376–84.
3.
go back to reference Yazdanpanah B, Pourdanesh F, Safari M, Rezai M, Ostavar R, Afshoon E, et al. Health research priority setting by needs assessment in Kohgiloyeh and Boyerahmad province. Armaghan Danesh. 2003;8(31):1–20. Yazdanpanah B, Pourdanesh F, Safari M, Rezai M, Ostavar R, Afshoon E, et al. Health research priority setting by needs assessment in Kohgiloyeh and Boyerahmad province. Armaghan Danesh. 2003;8(31):1–20.
4.
go back to reference Malek Afzali H, Bahreyni F, Ala Aldini F, Forouzan A. Health system priorities based on needs assessment & stakeholders’ participation in I.R. Iran. Hakim Res J. 2007;10(1):13–9. Malek Afzali H, Bahreyni F, Ala Aldini F, Forouzan A. Health system priorities based on needs assessment & stakeholders’ participation in I.R. Iran. Hakim Res J. 2007;10(1):13–9.
5.
go back to reference Hamdi MR, Parvaresh A, Amin M. Job description and educational needs of different levels of environmental health graduates. Iran J Med Educ. 2005;5(2):63–71. Hamdi MR, Parvaresh A, Amin M. Job description and educational needs of different levels of environmental health graduates. Iran J Med Educ. 2005;5(2):63–71.
6.
go back to reference Fadaei A, Ghafari M, Amiri M, Shakari K. Investigating environmental health engineering graduates viewpoints about the conformity rate of the curriculum with their professional needs in Chaharmahal and Bakhtiari province. Iran J Med Educ. 2014;14(9):787–95. Fadaei A, Ghafari M, Amiri M, Shakari K. Investigating environmental health engineering graduates viewpoints about the conformity rate of the curriculum with their professional needs in Chaharmahal and Bakhtiari province. Iran J Med Educ. 2014;14(9):787–95.
7.
go back to reference Knechtges PL, Kelley TR. Educating future environmental health professionals. Environ Health Insights. 2015;9:23–6.CrossRef Knechtges PL, Kelley TR. Educating future environmental health professionals. Environ Health Insights. 2015;9:23–6.CrossRef
8.
go back to reference Babaie H, Geraili Z, Asgharzadeh F, Asgharnia H. The views of environmental health engineering graduates working in Mazandaran province, on compliance of curriculum content with occupational requirements. Biannual Medical Education, Babol Univ Med Sci. 2018;6(1):7–13. Babaie H, Geraili Z, Asgharzadeh F, Asgharnia H. The views of environmental health engineering graduates working in Mazandaran province, on compliance of curriculum content with occupational requirements. Biannual Medical Education, Babol Univ Med Sci. 2018;6(1):7–13.
9.
go back to reference Elahi T. Educational needs assessment of environmental health inspectors with in the health system in Iran. [dissertation]. Tehran: Shahid Beheshti University of Medical Sciences; 2012. Elahi T. Educational needs assessment of environmental health inspectors with in the health system in Iran. [dissertation]. Tehran: Shahid Beheshti University of Medical Sciences; 2012.
10.
go back to reference Malakootian M, Parvaresh A. Evaluation of the situation of employment of the graduates of the field of the environmental health in Iran between 1996 to 2003. Koomesh. 2004;5(2):33–40. Malakootian M, Parvaresh A. Evaluation of the situation of employment of the graduates of the field of the environmental health in Iran between 1996 to 2003. Koomesh. 2004;5(2):33–40.
11.
go back to reference Jamali HA, Ghalenoei M. Attitudes of environmental health and occupational health students toward their discipline and future career in Qazvin University of Medical Sciences in 2012. Iran J Med Educ. 2013;13(7):541–50. Jamali HA, Ghalenoei M. Attitudes of environmental health and occupational health students toward their discipline and future career in Qazvin University of Medical Sciences in 2012. Iran J Med Educ. 2013;13(7):541–50.
12.
go back to reference Enteshari Z, Yamani N, Omid A. Assessment of knowledge and skills training needs among employed midwives in health and medical centers, compared to expected duties as a part of Health System Reform Program, 2019. J Educ Health Promot. 2020;9:164.CrossRef Enteshari Z, Yamani N, Omid A. Assessment of knowledge and skills training needs among employed midwives in health and medical centers, compared to expected duties as a part of Health System Reform Program, 2019. J Educ Health Promot. 2020;9:164.CrossRef
13.
go back to reference Humphrey-Murto S, Varpio L, Gonsalves C, Wood TJ. Using consensus group methods such as Delphi and Nominal Group in medical education research. Med Teach. 2017;39(1):14–9.CrossRef Humphrey-Murto S, Varpio L, Gonsalves C, Wood TJ. Using consensus group methods such as Delphi and Nominal Group in medical education research. Med Teach. 2017;39(1):14–9.CrossRef
14.
go back to reference Grimm BL, Johansson P, Nayar P, Apenteng BA, Opoku S, Nguyen A. Assessing the education and training needs of Nebraska’s public health workforce. Front Public Health. 2015;3:161 Grimm BL, Johansson P, Nayar P, Apenteng BA, Opoku S, Nguyen A. Assessing the education and training needs of Nebraska’s public health workforce. Front Public Health. 2015;3:161
15.
go back to reference Damari B, Vosoogh Moghaddam A, Salarianzadeh H. 3 years performances of the Provincial Health and Food Security Councils in I.R. Iran: the way forward. sjsph. 2012;10(2):21–8. Damari B, Vosoogh Moghaddam A, Salarianzadeh H. 3 years performances of the Provincial Health and Food Security Councils in I.R. Iran: the way forward. sjsph. 2012;10(2):21–8.
16.
go back to reference Vahidi R, Koosha A, Kalantari H, Sadegh Tabrizi J. Social determinants of health and related organizations in East Azarbaijan province. J Salamat Va Behdasht. 2013;3(4):20–8. Vahidi R, Koosha A, Kalantari H, Sadegh Tabrizi J. Social determinants of health and related organizations in East Azarbaijan province. J Salamat Va Behdasht. 2013;3(4):20–8.
17.
go back to reference Marandi A, Damari B, Zeinaloo A, Motlagh E, Shadpour K. Review of the thirty years experience of the Islamic Republic of Iran on social determinants of health and health equity the future course: roles and orientations of the Islamic Consultative Assembly. J Med Council IRI. 2012;30(3):225–36. Marandi A, Damari B, Zeinaloo A, Motlagh E, Shadpour K. Review of the thirty years experience of the Islamic Republic of Iran on social determinants of health and health equity the future course: roles and orientations of the Islamic Consultative Assembly. J Med Council IRI. 2012;30(3):225–36.
18.
go back to reference Alami A. Equity in health from social determinants of health’s point of view. J Res Health Gonabad Soc Dev Health Promot Res Center. 2011;1(1):7–9. Alami A. Equity in health from social determinants of health’s point of view. J Res Health Gonabad Soc Dev Health Promot Res Center. 2011;1(1):7–9.
19.
go back to reference DeVoe JE, Bazemore AW, Cottrell EK, Likumahuwa-Ackman S, Grandmont J, Spach N, et al. Perspectives in primary care: a conceptual framework and path for integrating social determinants of health into primary care practice. Ann Fam Med. 2016;14(2):104–8.CrossRef DeVoe JE, Bazemore AW, Cottrell EK, Likumahuwa-Ackman S, Grandmont J, Spach N, et al. Perspectives in primary care: a conceptual framework and path for integrating social determinants of health into primary care practice. Ann Fam Med. 2016;14(2):104–8.CrossRef
20.
go back to reference Wartman SA, Steinberg MJ. The role of academic health centers in addressing social responsibility. Med Teach. 2011;33(8):638–42.CrossRef Wartman SA, Steinberg MJ. The role of academic health centers in addressing social responsibility. Med Teach. 2011;33(8):638–42.CrossRef
21.
go back to reference Ndlela WN, Nkambule SJ, Dlamini SV, Tiruneh AT. Need assessment survey for M.Sc. training in environmental health science in Swaziland. J Environ Health. 2015;77(6):94–100.PubMed Ndlela WN, Nkambule SJ, Dlamini SV, Tiruneh AT. Need assessment survey for M.Sc. training in environmental health science in Swaziland. J Environ Health. 2015;77(6):94–100.PubMed
Metadata
Title
What competencies do environmental health graduates need to manage social determinants of health?
Authors
Athar Omid
Fateme Sepyani
Nikoo Yamani
Hamidreza Pourzamani
Pejman Aghdak
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2021
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-021-01036-x

Other articles of this Issue 1/2021

Environmental Health and Preventive Medicine 1/2021 Go to the issue