IR of Iran National Mobilization against COVID-19 Epidemic

Authors: Alireza Raeisi , Jafar Sadegh Tabrizi , Mohammad Mehdi Gouya 

The 2019 novel coronavirus (SARS-CoV-2), which was first reported in December 2019 in Wuhan, China has since spread across the world. Iran has one of the fastest doubling rates for SARS-CoV-2 infection and hence a high rate of morbidity and mortality for CIVD19. The Health Care Networks of the Islamic Republic of Iran (HCNIR)1,2 played a major role for control of epidemic in Iran.The Health Care Networks of the Islamic Republic of Iran were launched in 1985 and extended to the entire nation in 1990.1The Networks mostly covered rural areas while urban areas lacked complete coverage. Following the implementation of the Health Transformation Plan (HTP) in 2015, the Network witnessed an improvement in status in urban and suburban areas, yielding acceptable coverage to all urban and rural populations.3 Currently, primary health care is accessible to all people within a 10-min commute on public transportation. In rural areas, the Network comprises health houses (HHs) and rural comprehensive health centers (RCHCs). Each RCHC covers, on the average, five health houses. Through rural community-based health workers (CHWs) known as Behvarz, each health house covers an average population of 1000 individuals, providing active preventive care, health promotion, screening, and simple symptomatic treatment services for predefined conditions as well as referrals to RCHCs (in cases requiring medical care) and district hospitals (in emergency cases). In rural areas, more than 17800 health houses employing 31000 Behvarzes, as well as about 2794 RHCs employing 6642 family physicians and 5852 rural midwives are offering their services to the 28-million-person rural population. Thus, 98% of the rural population is actively covered by primary health care (Figure 1). Health posts (HPs) constitute the first line of health care provision in urban areas, offering services (similar to those of rural health houses) to urban and suburban populations through urban community-based health workers (Moragheb-e-salamat). Each urban CHW is responsible for providing active primary care to an average of 2500 individuals. Each Urban Comprehensive Health Center (UCHC) covers an average of three health posts.

تاریخ انتشار اولیه: ۱۳ فروردین ۱۳۹۹
تاریخ رصد: ۱۸ مرداد ۱۳۹۹


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