Evaluation of Health System Responsiveness to the 2003 Bam, Iran, Earthquake

2005 ◽  
Vol 21 (1_suppl) ◽  
pp. 469-474 ◽  
Author(s):  
M. E. Akbari ◽  
M. Asadi Lari ◽  
A. Montazeri ◽  
M. R. Aflatunian ◽  
A. A. Farshad
Keyword(s):  
Health Services ◽  
Health System ◽  
Health Sector ◽  
Family Health ◽  
Disease Notification ◽  
Bam Earthquake ◽  
Notification System ◽  
Medical Assistants ◽  
Health System Responsiveness ◽  
Iranian Health System

The Bam earthquake on 26 December 2003 was one of the worst natural disasters in Iran in the last century. The Iranian health system responded immediately to the devastating earthquake in various ways including diagnosis and treatment management, providing environmental health services, setting up health facilities and field hospitals with international aid, providing health professionals and medical assistants, and establishing mental and family health services. Ten months after the disaster, temporary housing for survivors was almost completed; mental health, reproductive health, environmental and oral health services were established; offering services of quality comparable or better than what was provided prior to the earthquake. A disease notification system was established within the Primary Health Care network (PHC) to prevent contagious and non-communicable diseases. This paper evaluates the responsiveness of the health sector to the disaster and reviews the strategies employed by national disasters and health managers following the earthquake.

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals Tuberculosis in prison and aspects associated with the diagnosis site

2019 ◽  
Vol 13 (11) ◽  
pp. 968-977
Author(s):  
Melisane RL Ferreira ◽  
Rafaele O Bonfim ◽  
Tatiane C Siqueira ◽  
Rubia L de P Andrade ◽  
Aline A Monroe ◽  
...  
Keyword(s):  
Health Services ◽  
Residue Analysis ◽  
Sputum Smear ◽  
Fisher Exact Test ◽  
Local Health ◽  
Disease Notification ◽  
Cross Sectional ◽  
Significance Level ◽  
Notification System ◽  
X Ray

Introduction: Tuberculosis (TB) is highly endemic in prison environments, and requires special attention in the population deprived of liberty (PDL). Thus, we aimed to describe the epidemiological situation of TB among PDL in a large municipality of the Brazilian Legal Amazon, from 2012 to 2016, and to identify the factors associated with the site of TB cases notification. Methodology: Both descriptive and cross-sectional studies were conducted. Sociodemographic, clinical, diagnostic and treatment data of PDL with TB were collected from the National Disease Notification System - SINAN. Data analysis included frequency distribution, Chi-square test, Fisher exact test and residue analysis, with a significance level of 95%. Results: 256 cases of TB have been notified among PDL in the penitentiary complex situated in the municipality and 100 cases in local health services, such as Primary Health Care units or referral services. Notification in the penitentiary complex was associated with non-X-ray and more than ten contacts identified. An association was found between diagnosis in local health services and female sex, AIDS, alcoholism, illicit drug use, extrapulmonary clinical form, extrapulmonary pulmonary disease, suspected X-ray, sputum smear-negative for diagnosis, HIV positive, culture of sputum not performed/ in progress, DOT ignored/ blank, less than five contacts identified, transfer and others as closure situation. Conclusions: The results show that intricate TB cases were notified by the local health services. Strategies of surveillance and articulation with these health services seem to contribute to the identification of TB cases among PDL.

scholarly journals Seven Decades of Primary Healthcare during Various Development Plans in Iran: A Historical Review

2020 ◽  
Vol 23 (5) ◽  
pp. 338-352 ◽  
Author(s):  
Leila Doshmangir ◽  
Esmaeil Moshiri ◽  
Farshad Farzadfar
Keyword(s):  
Health System ◽  
Primary Healthcare ◽  
Health Sector ◽  
Historical Review ◽  
The People ◽  
Before And After ◽  
History Of ◽  
Development Plans ◽  
Using Data ◽  
Iranian Health System

Objective: To explore historically primary healthcare (PHC) development in Iran in the light of development plans before and after the Islamic Revolution. The results of this study can be used to outline the future of PHC in the Iranian health system. Methods: We conducted a retrospective analysis of the PHC development in the Iranian health system using data from relevant published and unpublished policy documents. The literature was retrieved and reviewed on the basis of predetermined inclusion criteria with no language or date restriction. The data were integrated and analyzed using content analysis. Results: During various upstream development plans, the attitude of the policy makers to PHC has been very different, resulting in fundamental differences in addressing such an important issue and the consequent outcomes. In the aftermath of Iran’s revolution, due to more understanding of PHC services importance and the principal slogans of the revolution to pay attention to villagers and vulnerable people, health policymakers paid more attention to PHC, which was not evident in previous periods. Conclusions: Despite considerable achievements in PHC, the history of PHC in Iran indicates frequent changes in planning and health provision structure. This suggests that the challenges facing the health sector today, the evolving needs and demands of the people, and population changes necessitate reinforcement and reform in the structure of the current PHC network as the main mission of Iran’s Ministry of Health.

scholarly journals Inputs of Iranian health system reform plan from health sector managers and policy-makers' points of view

2018 ◽  
Vol 7 (1) ◽  
pp. 126 ◽  
Author(s):  
Mahan Mohammadi ◽  
MohammadHossein Yarmohammadian ◽  
Elahe Khorasani ◽  
MohsenGhaffari Darab ◽  
Manal Etemadi
Keyword(s):  
Health System ◽  
Health Sector ◽  
System Reform ◽  
Policy Makers ◽  
Health System Reform ◽  
Reform Plan ◽  
Points Of View ◽  
Iranian Health System

scholarly journals Health services utilisation and responsiveness profiles in Iran: a provincial household study

2019 ◽  
Vol 7 (1) ◽  
pp. e000007 ◽  
Author(s):  
Mostafa Farahbakhsh ◽  
Homayoun Sadeghi Bazargani ◽  
Mohammad Saadati ◽  
Jafar Sadegh Tabrizi ◽  
Mina Golestani ◽  
...  
Keyword(s):  
Health Services ◽  
Health System ◽  
Health Resources ◽  
Cross Sectional ◽  
The Public ◽  
Significant Difference ◽  
System Responsiveness ◽  
Health System Responsiveness ◽  
East Azerbaijan ◽  
Barriers To Health

ObjectiveThe aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province, Iran.DesignA cross-sectional household study as part of a larger research on primary healthcare system.SettingWe carried out the study in East Azerbaijan Province, northwest Iran from July to September 2015.ParticipantsA total of 1318 households were included.ResultsMost of the participating households had social security health insurance. Heart failure or hypertension care, general outpatient care and arthritis care were the most used services. High services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample (PRS), respectively. Health system responsiveness mean score (the maximum is 100) was 33.71±16.15 (95% CI 32.45 to 34.97) in Tabriz and 32.02±14.3 (95% CI 30.9 to 33.13) in PRS, which showed significant difference (p≤0.02).ConclusionsDifferences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and PRS. Evidently, health system responsiveness in both Tabriz and PRS was at low level. The results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.

scholarly journals Donors' Participation in Iran's Health System: Challenges and Solutions

2021 ◽  
Author(s):  
Ali Mohammad Mosadeghrad ◽  
Maryam Tajvar ◽  
Fatemeh Ehteshami
Keyword(s):  
Health System ◽  
Health Sector ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Ethical Considerations ◽  
Senior Managers ◽  
Department Of Health ◽  
The Social ◽  
The Right ◽  
Iranian Health System

Background: Philanthropic activities play an important role in health systems. Donors contribute to financing, generating resources, and providing healthcare services in Iranian health system. However, they face many challenges. This study aimed to identify barriers to donors' participation in the Iranian health system and to provide solutions. Methods: This qualitative study was performed using semi-structured interviews with 38 donors and 26 policymakers and managers in the social affairs department of health ministry and medical universities in 2018. In addition, document analysis was performed and the relevant data were extracted. Thematic analysis was used for data analysis. All ethical considerations were followed in this research. Results: Insufficient structures, poor communications, low trust, ineffective working processes, bureaucracy, insufficient senior managers’ support, weak legal support and poor monitoring were the most important challenges for donors’ participation in the Iranian health system. Effective donor participation in the health system requires the creation of an appropriate system including the right structures, processes, culture, and management. The necessary changes must be planned, led and monitored to promote donors’ participation in healthcare. A conceptual model was developed to strengthen donors’ participation in the health system. Conclusion: Iranian donors face structural, procedural, cultural, and managerial challenges when financing the health system, generating resources, and providing health services. Policymakers and managers should tackle these challenges and adopt strategies to reinforce donors' participation in the health system. Planning, organizing, leading, monitoring, evaluation, transparency, accountability, and a commitment to meet donors’ needs are necessary for successful philanthropy initiatives in the health sector.

scholarly journals Black-skies planning? Prioritising mental health services in times of austerity

2010 ◽  
Vol 196 (6) ◽  
pp. 423-424 ◽  
Author(s):  
David McDaid ◽  
Martin Knapp
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Health System ◽  
Health Sector ◽  
Economic Benefits ◽  
Economic Downturn ◽  
Evidence Based

SummaryDuring the period of austerity that we now face, the National Health Service (NHS), including mental health services, will have to make efficiency savings at a time when demand for services is likely to rise. It is critical to highlight that investment in evidence-based prevention, early intervention and treatment for mental disorders can have economic benefits that go far beyond the health sector. Many potential areas for efficiency savings, such as resources invested in management and administration, are relevant across the whole of the health system. The economic downturn may, however, also present a specific opportunity for radical innovation within the mental health system.

The Financing Health System Problem in Algeria

2016 ◽  
Vol 3 (7) ◽  
pp. 48
Author(s):  
Ali Dehmene Mohammed
Keyword(s):  
Health Services ◽  
Private Sector ◽  
Health System ◽  
Health Sector ◽  
The State ◽  
Social Changes ◽  
The Public ◽  
Demand For Health ◽  
Great Development

The health sector in Algeria witnesses a great development, especially during the last two decades of the last century to coincide with the economic and social changes of the country. But despite the enormity of what the state spends on this sensitive sector in order to meet the growing demand for health services provided by the public or private sector, which, however, take advantage of these services was still below the required level where the sector remains vulnerable to various problems

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