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Development of the National Health policy with emphasis on PHC

Development of the National Health policy with emphasis on PHC. Dr. Gholamreza Heidari July/ 9/ 2012 PHA3. Azerbaijan. Armenia. Turkmenistan. Caspian Sea. Tehran. Afghanistan. I.R. IRAN. Iraq. Kuwait. Pakistan. Persian Gulf. Saudi Arabia. Oman Sea. Area: 1’648’000 km 2

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Development of the National Health policy with emphasis on PHC

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  1. Development of the National Health policy with emphasis on PHC Dr. Gholamreza Heidari July/ 9/ 2012 PHA3

  2. Azerbaijan Armenia Turkmenistan Caspian Sea Tehran Afghanistan I.R. IRAN Iraq Kuwait Pakistan Persian Gulf Saudi Arabia Oman Sea • Area: • 1’648’000 km2 • Population: • 7496172 • Rural %21 • Uraban%79 • Province: • 30 • District: • 300 • Village: • 65000

  3. Primary Health Care Experience in Iran

  4. Background: • 1972: West Azerbaijan research project on PHC • 1977: Government accepted the concept of PHC network • 1979: Broad programming for Health System Development based on PHC • 1981: Preparation of master plans for countrywide expansion of PHC network • 1985: Establishment of prototype district PHC networks approved by the parliament

  5. The Structure of the Health System in Iran

  6. Major Health Achievements

  7. Trend of Demographic and Health Indicators in I.R.Iran

  8. The causes of all deaths and YLL in provinces in I.R.Iran Percentage the Cause of death in provinces of YLL MI15% CVA and other cerebral dis.5.5% Transport accidents17.3% 3.3% burn Cardiovascular disease 28%% cancer of Stomach2% leukemia1.7% Pulmonary cancer1% Related to length gestation & fetal growth 4.2% Respiratory & Cardiovascular disorders to the perinatal period 2% Non intententional accidents26.5% 11% cancers Antenatal disease . 4.8% 4.8% intentional accidents suicide3.2% violence 1.6% Respiratory disorder4.5% pneomonia1.1%

  9. Consequences • Increase frequency of non communicable diseases • Injuries • traffic accidents • cardiovascular daisies • … • Challenges in Equity and equality in health due to • Increase the needed health expenditures • Decrease the ability of pubic funds to support people • Increase the risk of induced demands and out of packet payments

  10. What are the Challenges for the health care systems in the last decades? • Demographic transition • Epidemiologic transition • New expectations of the clients • Entering new expensive diagnostic and intervention technologies • Changing socioeconomic environment

  11. SO Our Plans

  12. The policies implemented- • Health market regulation • Family physician and referral system • Human resource policy for health • More integrated medical education to health system • Construct out come-based education on the basis of new health needs • Accessibilities • Expand insurance plans for the basic needs

  13. The policies implemented • Regulation of health technology on the basis of the available resources • Priority of prevention in resource allocation • Priority of ambulatory care to hospitalization • Control of entering expensive health technologies • Health finance strategy • Using public funds like as insurance plans • Benefit packages • More performance based payment mechanism • Taxation on tobacco products, 10% for domestic products & 20% for imported • 10% energy subsidies saving goes to Health program .

  14. Leadership for Healthy People 2010 through the 5-year Development Plan • High Council for Health Chair by the President • And secretary of Health Minister Other Departments in High Health Council • Ministry of Agriculture • Ministry of Interior • Ministry of Culture and Guidance • Ministry of Public Highway and Transport • Ministry of Education • Management and Planning (Vice President) • Ministry of Welfare and social security • Ministry of Economy

  15. Thank You for Your Kind Attention

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