How health transformation plan was designed and implemented in the Islamic Republic of Iran?

Iraj Harirchi, Mohammad Hajiaghajani, Aliakbar Sayari, Rassoul Dinarvand, Haniye Sadat Sajadi, Mahdi Mahdavi, Elham Ahmadnezhad, Alireza Olyaeemanesh, Reza Majdzadeh


Following his inauguration in late 2013, President Rouhani aimed to boost quality and equity in the
health care delivery system. To fulfill this aim, a set of interventions, called Health Transformation
Plan (HTP), were implemented. So far, it has been a heated debate whether HTP breathes a spirit
of a new reform. HTP has targeted long‑standing historical deficits of the Iranian health system
as well as urgent problems, both of which have been, to some extent, resolved. To decrease
Out‑Of‑Pocket (OOP) health expenditures, HTP has presented new financing mechanisms to expand
a safety net to Iranian citizens fundamentally. HTP also encompassed interventions to overcome
problems in the provision of health care by recruitment of health workforces, establishing new
health facilities, and expanding primary health care to urban and peri‑urban areas. Furthermore,
performance indicators including access, quality, and patient satisfaction have been affected. Given
these changes, HTP is entitled to be a health system reform. However, a new agenda within HTP is
required so that the Iranian health system can obtain better value for money that is to be spending
on it.


Health care reform; health system; health system strengthening; Universal health coverage

Full Text:



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