case study on iran: the success of the primary health care network farzaneh roudi population...
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Case Study on Iran: The Success of the Primary Health
Care Network
Farzaneh RoudiPopulation Reference Bureau
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Global and national efforts
International call: “Health for All” by 2000
Pilot projects in Iran: early 1970s
International Conference on Primary Health Care: Alma Ata 1978
Iranian revolution: 1979
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Major change to the health system
+
Ministry of Health
Office of Higher Education for Medicine
Ministry of Health and Medical Education
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Primary Health Care Network District Health
Network Management
Urban Health
Centers
Health Station
Health Station
Health Station
Rural Health
Centers
Health House
Health House
Health House
District Health Center
General Hospital
Behvarz Training
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Population increasing rapidly
34
49
1976 1986
Millions
Growing at
3.9% a year
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National and global efforts
War ended in 1988: reconstruction efforts
Data collected: grim economic outlook
National family planning program: 1989
International Conference on Population and Development (ICPD): 1994
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Fertility by province, 2000
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Child mortality declined
70
33
1985 1996
5> deaths per 1,000 live-births
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Maternal mortality declined
140
37
1985 1996
Maternal deaths per 100,000 live-births
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Family Planning Use
75 75 74 73 71
6360
56
France Germany Iran UnitedStates
Turkey Tunisia Egypt Jordan
Percent of married women (15-49) using family planning
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Family planning use, 2000
Percent married women using contraception
55 57
2210
Urban Rural
Modern Traditional
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Women’s literacy increased
17
62
1976 1996
Percent of rural women who are literate
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Population by sex and age, 2000
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Conclusions
Iran’s primary health care network is both elaborate (but not complex!) and simple at the same time.
Other countries can benefit from the Iranian experience.