International Studies Journal (ISJ)

International Studies Journal (ISJ)

Creating a Negative Self-Image in the International Arena and Relevant Impacts on Iran’s health Tourism Industry

Document Type : Original Article from Result of Thesis

Authors
1 Ph.D. Student of International Relations, Department of Political Science and International Relations, South Tehran Branch, Islamic Azad University, Tehran, Iran.
2 Professor of Political Sciences, University of Tehran.
3 Professor at International Relations, University of Tehran
Abstract
Health tourism is a sector of the tourism industry known as one of the leading industries in the world, attracting more than 800 million people every year. Although the World Health Organization (WHO) estimated that the global turnover of the industry was $2.4 trillion in 2017, factors such negative global image have substantially reduced the chance that people will choose Iran as a health tourism destination. This negative image is primarily due to the actions of the Iranian authorities. Accordingly, the author of this study sought to analyze how a negative global image could affect the expansion of the health tourism economy in Iran. This descriptive-analytical study used the desk research method for collecting the necessary data from reputable domestic and international organizations on the key factors that have created a negative image of Iran in the eyes of health tourists including human rights violations, violation of international conventions on protecting diplomatic personnel and premises, violation of dual citizens’ rights, and improper management of domestic crises. Hence, the author statistically compared Iran with countries operating in health tourism and being less affected by those factors. In conclusion, these factors had significant negative effects on health tourists’ mentality towards Iran and considerably reduced their sense of security, thereby decreasing their willingness to choose Iran as a health tourism destination.

Highlights

Introduction

Some people or groups create a negative image of others to benefit from them at the right moment. Accordingly, many media outlets that depend mainly on a country or a certain group have created a negative image of Iran, thereby having adverse effects on this country, especially the part of Iran’s economy that has not been harmed by international sanctions. However, this study aimed to analyze the issue of “negative self-image”, where Iranian authorities and decision-makers either intentionally or unintentionally take actions that create a negative image of their country in the eyes of the world. This negative image affects the tourism industry more than other sectors.

In the tourism industry, health tourism is considered one of the leading industries in the world with an annual growth rate of 5.6%. In addition, the World Health Organization (WHO) estimated that the global turnover of the industry was $2.4 trillion in 2017. The industry provides active countries with numerous employment opportunities, high foreign exchange earnings, and economic stability. However, despite its great potential, Iran has not adequately utilized the numerous opportunities offered by this profitable industry.

A positive destination image (feeling of security) is the first and most important factor affecting a health tourist’s destination choice. A negative image, on the other hand, makes it very unlikely for a tourist to choose a destination.

 

Research Method

This descriptive-analytical study aims to analyze how a negative global image affects the development of health tourism in Iran. For this purpose, the desk research method was employed to collect the necessary data from reputable domestic and international organizations. The main hypothesis of the study implies that a tourist will choose a destination only if he/she feels that his/her trip is safe, comfortable, and beneficial. After identifying four key factors of human rights violations, violation of international conventions on protecting diplomatic personnel and premises, violation of dual citizens’ rights, and improper management of domestic crises, the author statistically compared Iran with countries operating in health tourism and being less affected by these factors. It was concluded that these factors had significant negative effects on health tourists’ mentality towards Iran and had considerably reduced their sense of security, thereby decreasing their willingness to choose Iran as a health tourism destination.

 

Findings

The information that a tourist receives from the media, magazines, travelogues, and from others, especially from people who have already visited the desired destinations can lead to the formation of either a positive or a negative image in the tourist’s mind. This research addresses four facts that seriously affect Iran’s health tourism industry and are due to the incompetence of statesmen or incompatibility of national laws with international customs or the western model. The incompetence of authorities and statesmen and their unreasonable behavior have laid the ground for hostile propaganda against Iran and created a negative image of the country in the eyes of potential tourists.

 

Results

The four main factors analyzed in this study included human rights violations, violation of international conventions on protecting diplomatic personnel and premises, violation of dual citizens’ rights, and improper management of domestic crises.

Tourism applicants are intimidated by a large number of relatively unanimous resolutions on the violation of basic human rights in Iran, drafted by both the United Nations General Assembly and the European Parliament, and massive media propaganda. Moreover, some of the neighboring countries such as Afghanistan, Oman, Azerbaijan, and post-Saddam Iraq have never voted for anti-Iranian human rights resolutions. Therefore, most of the health tourists visiting Iran come from these neighboring countries, especially from Iraq and Afghanistan. However, these tourists do not bring much to the industry due to their short stays and the use of ground transportation.

After some cases of violations of international conventions on protecting diplomatic premises in Iran (e.g., taking over foreign embassies), the foreign ministries of the destination countries advised their citizens to cancel their trips to Iran.

These unpleasant events, exacerbated by the media propaganda, create a negative image of Iran in the minds of health tourists, discouraging people to choose Iran as a travel destination.

The violation of the rights of dual citizens living abroad is another important obstacle to the development of Iran’s health tourism industry. In other countries such as Turkey, Mexico, South Korea, and England, a large proportion of health tourism applicants are the citizens who live abroad. However, although more than four million Iranians live abroad, only 5% of them return to the country for various reasons. Dual citizens offer great opportunities for countries to strengthen the tourism industries, as these people visit their homelands not only for medical and health purposes, but also to see their nations, visit their relatives and friends, and to learn more about the culture of people who speak the same language.

Crisis management necessitates identifying the source(s) of the crisis and acting to resolve the crisis. Moreover, quick recognition and action can reduce the costs and negative consequences of the crisis, and vice versa. However, in Iran, many crises are recognized and solved quite late, and sometimes unnecessary security measures are used to solve casual crises. Accordingly, turning casual crises into security crises and creating a hostile environment for peaceful protests will cost Iran dearly, form a negative image of the country in the eyes of others, and ultimately discourage people from choosing Iran as a destination for health tourism.

Keywords

Subjects


  1. A/RES/41/159. (1986). 4 December, at: https://digitallibrary.un.org/search?ln=en&cc=Voting+Data&p=A%2FRES%2F41%2F159&f=&action_search=Search&rm=&ln=en&sf=year&so=d&rg=50&c=Voting+Data&c=&of=hb&fti=0&fti=0
  2. Amirkabiri, A. (1997). Crisis Management, Tadbir, November, 78. (In Persian)
  3. Ardakani, F. YazdanPanah, L. (2019). Conceptual and Theoretical Analysis of Security and Sense of Security, Journal of Social Sciences Studies, 5(1), 22-32. (In Persian)
  4. Chelliah, S.Khan, M.J. Atabakhshi Kashi, A.B.(2021), Antecedents of Perceived Beneficial Destination Image: A Study on Middle-Eastern Medical Tourists Visit Iran. International Journal of Pharmaceutical and Healthcare Marketing, 15(1), 43-63.
  5. Cull, J.N. (2009). Public Diplomacy: Lessons from the Past. Los Angeles: Figueroa Press.
  6. Dehshiri, M. (2015). Current and international issues and critical Regions (International Relations Ph.D. course), Islamic Azad University South Branch. (In Persian)
  7. Emami, A., & Ranjbarian, B. (2019). The Perceived Risk of Iran as a Tourism Destination (A Mixed Method Approach). Iranian Journal of Management Studies, 12(1), 45-67. doi: 10.22059/ijms.2018.245946.672909 (In Persian)
  8. Erdogan, Z.Y., Zengin, B. (2019). Istanbul’un Tarihi ve Kültürel Degerleri Kapsamında Arz Saglayıcılar Perspektifinden Destinasyon Imajının Degerlendirilmesi ve Analizi / Destination Image Evaluation and Analysis from the Suppliers’ Perspective within the scope of Historical and Cultural Values of Istanbul. Tarih Kultur ve Sanat Araştirmalari Dergisi, 8(1), 409-424. At: https://doi.org/10.7596/taksad.v8i1.1879
  9. European Parliament Resolutions, European Parliament Delegations. at: https://www.europarl.europa.eu/delegations/en/d-ir/documents/ep-resolutions
  10. Gharib, H. (2017). Rational State. Institute of Human Sciences and Cultural Studies Publications, 2nd (In Persian)
  11. Gurgue, E., & Cociuban, A. (2016). New Public Diplomacy and Its Effects on International Effects. Journal of Economic Development, Environment and People, 5(3), 46.
  12. Hamzeian, M. (2016). A Selection of Data for International Tourists to Iran. Tehran: Tourism Planning, Support, and Development Office. (In Persian)
  13. Hezar Jaribi, J. (2011). Feeling Social Security from the Viewpoint of Tourism Expansion. Geography and Environmental Planning Journal, 22(2), 121-143. (In Persian)
  14. Marie-Stephano, R. (2015). Perception of a Destination: Medical Tourism Index. Medical Tourism Magazine, 33, at: https://www.magazine.medicaltourism.com/article/perception-of-a-destination-medical-tourism-index
  15. Mathijsen, A., Mathijsen, FP. (2020). Diasporic medical tourism: a scoping review of quantitative and qualitative evidence. Global Health, 16(1), 27. at: doi: 10.1186/s12992-020-00550-x.
  16. Melissen, J. (2005). The New Public Diplomacy, Soft Power in International Relations, London: Palgrave Macmillan
  17. Mirzaie, R., Nasiri, H., & Mira, S. (2016). From European Tourists ‘motivations to choose a trip destination. Journal of Business Management, 7(4), 921-940. (In Persian)
  18. Motor Intelligence. (2018). Global Medical Tourism Market, April, at: https://www.researchdive.com/75/medical-tourism-market#:~:text=The%20Medical%20tourism%20market%20size,12.2%25%20in%20the%20forecast%20period.
  19. Nezhadifar, F., Zakerian, M., & Ahadi, P. (2022). The Universality of Human Rights from the Viewpoint of Saudi Arabia and the Islamic Republic of Iran with Emphasis on Power Structure Relation. International Studies Journal, 18(4), 121-137. (In Persian)
  20. Nye, J.S. JR. (2204). Soft Power and American Foreign Policy, Political Science Quarterly, 119(2), 255–270. https://doi.org/10.2307/20202345
  21. Paraskevas, A. (2006). Crisis Management or Crisis Response System? A Complexity Science Approach to Organizational Crises. Emerald Group Publishing Limited, 44(7), 892-907.
  22. Rahmati, F., Dehshiri, M., Simbar, R., & Keshishian Siraki, G. (1400). How Identity Affects Iran-European Union Relations? (2003-2020). International Studies Journal, 18(3), 77-94. (In Persian)
  23. Sajadpour, S.M.K., & Mohammadi, F. (2009). International Aspects of Human Right and the Sovereignty of States: Case Study; Analysis of the UN Resolutions Concerning Human, Rihjts in Iran (1379-2009). Research Letter of Political Science, 4(2), 59-92. (In Persian)
  24. Sakti, I. Trirahayu, D. Oktrivina, A. (2023). Understanding Revisit Intention During Covid-19: A Protection Motivation Theory Perspective. Jurnal Manajemen, 27(1), 1-20. at: https://doi.org/10.24912/jm.v27i1.1014
  25. Sametti, M. Hosseimi, M. Ehsani Farid, M. (2016). The Impact of Political Instability and Rule of Law on Tourist Arrival: A Case Study of Selected Islamic Countries (1996-2012). Strategic Research on Social Problems in Iran. 4(3).1-14. (In Persian)
  26. Siyamiyan Gorji, A. Almeida Garcia, F.  Mercadé-Melé, P. (2022) How tourists’ animosity leads to travel boycott during a tumultuous relationshipTourism Recreation Research0:0 pages 1-18.
  27. Siyamiyan Gorji, A., Almeida Garcia, F., & Mercadé-Melé, P. (2022). How tourists’ animosity leads to travel boycott during a tumultuous relationship. Tourism Recreation Research, 1–18. https://doi.org/10.1080/02508281.2022.2124023
  28. Steven, F. (1986). Crisis Management: Planning for Inevitable. US: American Management Association
  29. Strategic Majlis Research Center (1964). Vienna Convention on Diplomatic Relations, 23(5), (In Persian)
  30. Tontus, O. (2019). Diaspora Medical Tourism, Destination Health Magazine, 2019(2), 52-57.
  31. UN General Assembly Resolutions Tables (2023-2024). Dag Hammarskhold Library. at: https://research.un.org/en/docs/ga/quick/regular/78
  32. Yazdani, E. Shaikhoon, E. (2012). Soft power in U.S Foreign Policy with an Emphasis on Culture, Soft Power Studies, 2(5), 95-120. (In Persian)
  33. Zakerian, M. (2022). Islamic Law, Society and Human Rights, Karaj & Tehran: Polities World Publication & International Studies Journal. (In Persian)
  34. Ziaie Bigdeli, M. (2010). Public International Law, Ganj Danesh Publications, 31st Edition. (In Persian)