Health system profile - Islamic Republic of Iran - What is GIS - World ...

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CONTENTS CONTENTS................................................................................................................ 1 FOREWORD............................................................................................................... 3 1 EXECUTIVE SUMMARY........................................................................................ 5 2 SOCIO ECONOMIC GEOPOLITICAL MAPPING ............................................................... 10 2.1 Socio-cultural Factors ................................................................................ 10 2.2 Economy .................................................................................................. 11 2.3 Geography and Climate ............................................................................. 12 2.4 Political/ Administrative Structure............................................................... 13 3 HEALTH STATUS AND DEMOGRAPHICS ...................................................................... 14 3.1 Health Status Indicators ............................................................................ 14 3.2 Demography............................................................................................. 16 4 HEALTH SYSTEM ORGANIZATION ............................................................................. 18 4.1 Brief History of the Health Care System ...................................................... 18 4.2 Public Health Care System ......................................................................... 18 4.3 Private Health Care System........................................................................ 20 4.4 Overall Health Care System ....................................................................... 23 5 GOVERNANCE/OVERSIGHT ..................................................................................... 25 5.1 Process of Policy, Planning and management.............................................. 25 5.2 Decentralization: Key characteristics of principal types ................................ 26 5.3 Health Information Systems....................................................................... 30 5.4 Health Systems Research........................................................................... 31 5.5 Accountability Mechanisms ........................................................................ 32 6 HEALTH CARE FINANCE AND EXPENDITURE ................................................................ 33 6.1 Health Expenditure Data and Trends .......................................................... 33 6.2 Tax-based Financing ................................................................................. 36 6.3 Insurance ................................................................................................. 38 6.4 Out-of-Pocket Payments ............................................................................ 41 6.5 External Sources of Finance ....................................................................... 42 6.6 Provider Payment Mechanisms................................................................... 43 7 HUMAN RESOURCES ............................................................................................. 44 7.1 Human resources availability and creation .................................................. 44 7.2 Human resources policy and reforms over last 10 years............................... 46 7.3 Planned reforms........................................................................................ 46 8 HEALTH SERVICE DELIVERY.................................................................................... 47 8.1 Service Delivery Data for Health services .................................................... 47 8.2 Package of Services for Health Care ........................................................... 50 8.3 Primary Health Care .................................................................................. 51 8.4 Non personal Services: Preventive/Promotive Care...................................... 54 8.5 Secondary/Tertiary Care ............................................................................ 55 8.6 Long-Term Care........................................................................................ 56 8.7 Pharmaceuticals ........................................................................................ 56 8.8 Technology............................................................................................... 59 9 HEALTH SYSTEM REFORMS..................................................................................... 61 9.1 Summary of Recent and planned reforms ................................................... 61 10 REFERENCES ................................................................................................... 63 10.1 Source Documents................................................................................. 63
Health Systems Profile- Islamic Republic of Iran Regional Health Systems Observatory- EMRO List of Tables Table 2-1 Socio-cultural indicators....................................................................... 10 Table 2-2 Economic Indicators ............................................................................ 11 Table 2-3 Major Imports and Exports .................................................................. 11 Table 3-1 Indicators of Health status................................................................... 14 Table 3-2 Indicators of Health status by Gender and by urban rural ...................... 14 Table 3-3 Top 10 causes of Mortality/Morbidity .................................................... 15 Table 3-4 Demographic indicators ....................................................................... 16 Table 3-5 Demographic indicators by Gender and Urban rural............................... 16 Table 6-1 Health Expenditure.............................................................................. 33 Table 6-2 Sources of finance, by percent ............................................................. 33 Table 6-3 Health Expenditures by Category ......................................................... 35 Table 6-4 Population coverage by source............................................................. 38 Table 7-1 Health care personnel.......................................................................... 44 Table 7-2 Human Resource Training Institutions for Health .................................. 44 Table 8-1 Service Delivery Data and Trends......................................................... 47 Table 8-2 Inpatient use and performance ............................................................ 55 2
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