Islamic Republic of Iran - Health Sector Review : Volume 1. Main Report
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Washington, DC
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The Government of the Islamic Republic
of Iran has stated its commitment to improving the health
and nutritional status of the population as articulated in
the Interim Country Assistance Strategy (CAS), which lists
as priorities addressing nutritional deficiencies, expanding
coverage of basic health services, and improving efficiency
of the health system and the quality of service at all
levels. This health sector review is consistent with this
in that it provides the platform and evidence base for such
reform. It is also in-line with part three of the current
Fourth Five-Year Plan, which includes health development,
human security and social justice priority, the reduction of
illness from malnutrition, increasing public health service
coverage, and increasing access to quality health services
while reducing the financial burden on the families. The
objective of this study is to provide a comprehensive review
and diagnostic of the performance of the health sector in
the Islamic Republic of Iran. The government is quite
advanced in the type of analysis it already undertakes on
various aspects of the sector (e.g., burden of diseases,
national health accounts, and utilization analysis).
However, a consolidation of this information and analysis
that encompasses several major elements of the health sector
has not been done recently. The health sector review,
through a synthesis of available data and other information
on the health sector attempts to: (i) assess the strengths,
challenges, and opportunities facing the current health
system; (ii) offer analytic assessments of the health
policies and plans; and (iii) provide a framework for
developing strategic options as well as short- and
medium-term recommendations and action plans to achieve the
goals identified in the country's Fourth Five-Year
Plan. The review is also intended to provide a platform for
discussions on possible areas of collaboration between the
Government of the Islamic Republic of Iran and the World
Bank on the health sector.
Palabras clave
AGED, AGING, ALLOCATIVE EFFICIENCY, AMBULANCE, AMBULANCE SERVICE, ANTENATAL CARE, BASIC HEALTH SERVICES, BEDS, BURDEN OF DISEASE, CARDIOVASCULAR DISEASE, CARDIOVASCULAR DISEASES, CHILD MORTALITY, CLINICAL GUIDELINES, CLINICS, COMMUNICABLE DISEASES, COMMUNITY HEALTH, CRITICAL CARE, DECISION MAKING, DENTAL CARE, DIABETES, DIETS, DIPHTHERIA, DISABILITIES, DISABILITY, DISASTERS, DISEASE CONTROL, DRESSINGS, DRUG USERS, ECONOMIC GROWTH, EMERGENCY MEDICAL SERVICES, ENVIRONMENTAL HEALTH, EPILEPSY, ESSENTIAL HEALTH CARE, FAMILIES, FAMILY PLANNING, FEE FOR SERVICE, FERTILITY, FERTILITY RATE, FINANCIAL MANAGEMENT, FINANCIAL RISK, FUTURE GROWTH, GENERAL PRACTICE, GENERAL PRACTITIONERS, GLOBAL BUDGETS, GOOD GOVERNANCE, GROSS DOMESTIC PRODUCT, GROSS NATIONAL INCOME, HASHISH, HEALTH CARE COSTS, HEALTH CARE EXPENDITURES, HEALTH CARE FINANCING, HEALTH CARE ORGANIZATIONS, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH DELIVERY, HEALTH DETERMINANTS, HEALTH EDUCATION, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INFORMATION, HEALTH INFORMATION SYSTEMS, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH MANAGEMENT, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH POLICY, HEALTH POSTS, HEALTH PROFESSIONALS, HEALTH PROGRAMS, HEALTH PROMOTION, HEALTH REFORM, HEALTH REFORMS, HEALTH REGULATIONS, HEALTH RESEARCH, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEM STRENGTHENING, HEALTH SYSTEMS, HEALTH WORKERS, HEPATITIS B, HIV/AIDS, HOSPITAL, HOSPITAL ADMISSIONS, HOSPITAL AUTONOMY, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL OUTPATIENT SERVICES, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HOUSEHOLD INCOME, HR, HUMAN DEVELOPMENT, HUMAN RESOURCES, HUMAN SECURITY, HYGIENE, HYPERTENSION, IMMUNIZATION, INCOME, INDUCED DEMAND, INDUSTRIALIZATION, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFECTIOUS DISEASES, INFLUENZA, INFORMATION SYSTEM, INJECTING DRUG USERS, INJURIES, INTERNATIONAL COMPARISONS, INTERNATIONAL COOPERATION, INTERVENTION, IRON, LABOR FORCE, LAWS, LEVELS OF PRODUCTIVITY, LIFE EXPECTANCY, MANAGEMENT SYSTEMS, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MEDICAL CARE, MEDICAL EDUCATION, MEDICAL FACILITIES, MEDICAL PERSONNEL, MEDICAL RESEARCH, MEDICAL SERVICES, MEDICAL TECHNOLOGIES, MEDICAL TECHNOLOGY, MENTAL ILLNESS, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MODERNIZATION, MORBIDITY, MORTALITY, MOTHER, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, NATIONAL HEALTH INSURANCE, NURSES, NURSING, NUTRITIONAL DEFICIENCIES, NUTRITIONAL STATUS, OBESITY, OCCUPATIONAL HEALTH, PATIENT, PATIENT CARE, PATIENT CHOICE, PATIENT CONFIDENTIALITY, PATIENTS, PHARMACIES, PHYSICIAN, PHYSICIANS, PHYSIOTHERAPISTS, POLICY DEVELOPMENT, POLIO, POLLUTION, POPULATION GROUPS, POPULATION GROWTH RATES, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRISONS, PROVIDER PAYMENT, PUBLIC HEALTH, PUBLIC HEALTH INTERVENTIONS, PUBLIC HEALTH LAWS, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SERVICES, PUBLIC HEALTH STRATEGIES, PURCHASING POWER, PURCHASING POWER PARITY, QUALITY CONTROL, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF LIFE, QUALITY OF SERVICES, RADIOLOGY, REPLACEMENT LEVEL, RESEARCH INSTITUTIONS, RESOURCE ALLOCATION, RESOURCE USE, RISK FACTORS, RURAL AREAS, SANITATION, SCHOOL HEALTH, SECRETARY OF HEALTH, SEXUALLY TRANSMITTED INFECTIONS, SMOKERS, SMOKING, SMOKING CESSATION, SOCIAL JUSTICE, SOCIAL POLICIES, SOCIAL SECURITY, SOCIAL SERVICES, SOCIAL WORKERS, STERILIZATION, STIS, SUBSTANCE ABUSE, TUBERCULOSIS, UNDER-FIVE MORTALITY, UNEMPLOYMENT, UNFPA, UNITED NATIONS POPULATION FUND, URBANIZATION, WHOOPING COUGH, WORKERS, WORLD HEALTH ORGANIZATION