Evaluation of provision and availability of health care services in Iran: a human rights approach

Nia, Ahmad Besarati; Bansal, R. K.

doi:10.1016/s0168-8510(96)00883-4

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Currently there are more than 4000 health centers in rural and urban areas [11]. Efforts to remove obstacles on the road to achieving universal access to health care include the ratification of the Social Security law in 1975 [12], establishing the Health Care Network in 1984 with the objective of securing equal and fair access of all Iranian to primary health care services [13], the ratification of health care insurance law in 1994 with the objectives of separating health care service providers from the financiers and covering the entire population by 1999, and finally the ratification of the family physician law in 2004 [14,15]. Health services are now divided into primary health care (PHC) and medical benefit packages, with their related financing systems.…”

Section: Introductionmentioning

confidence: 99%

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

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BackgroundAt the 1994 International Conference on Population and Development (ICPD), held in Cairo, the global community agreed to the goal of achieving universal access to sexual and reproductive health (SRH) and rights by 2015. This research explores the accelerators and decelerators of achieving universal access to the sexual and reproductive health targets and accordingly makes some suggestions.MethodWe have critically reviewed the latest national reports and extracted the background data on each SRH indicator. The key stakeholders, both national and international, were visited and interviewed at two sites. A total of 55 in-depth interviews were conducted with religious leaders, policy-makers, senior managers, senior academics, and health care managers. Six focus-group discussions were also held among health care providers. The study was qualitative in nature.ResultsObstacles on the road to achieving universal access to SRH can be viewed from two perspectives. One gap exists between current achievements and the targets. The other gap arises due to age, marital status, and residency status. The most recently observed trends in the indicators of the universal access to SRH shows that the achievements in the “unmet need for family planning” have been poor. Unmet need for family planning could directly be translated to unwanted pregnancies and unwanted childbirths; the former calls for sexual education to underserved people, including adolescents; and the latter calls for access to safe abortion. Local religious leaders have not actively attended international goal-setting programs. Therefore, they usually do not presume a positive attitude towards these goals. Such negative attitudes seem to be the most important factors hindering the progress towards universal access to SRH. Lack of international donors to fund for SRH programs is also another barrier. In national levels both state and the society are interactively playing their roles. We have used a cascade model for presenting the barriers at the state levels from the strategic planning to implementation. Social factors are to be considered as a background for other factors at all stages.ConclusionAccelerating universal access to SRH requires adequate funding, firm political commitment, creative programming, and the involvement of diverse actors, including faith-based, civil society, and private sector partners.

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Section: Introductionmentioning

confidence: 99%

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Akbari

Ramezankhani

Pazargadi

2013

BMC Health Serv Res

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Demand for medical care in the urban areas of Iran: an empirical investigation

2007

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This paper adapts a multinomial logit model to obtain the parameter estimates of demand with multiple choices for medical care services in the urban areas of Iran. The objective is to verify the effectiveness of the cost recovery policy by the Medical Services Insurance Organization of Iran. The results suggest that an out-of-pocket fee increase will not be conducive to the cost recovery and any increase in price would have a serious negative impact on the likelihood of healthcare utilization. Income appears to have a significant positive effect on the decision to seek medical care and the choice of facilities. Patients from wealthy families seem to seek more health care and prefer private facilities.

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Evaluation of provision and availability of health care services in Iran: a human rights approach

Cited by 2 publications

References 10 publications

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

Demand for medical care in the urban areas of Iran: an empirical investigation

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