Background National community health worker (CHW) programmes are increasingly regarded as an integral component of primary healthcare (PHC) in low- and middle-income countries (LMICs). At the interface of the formal health system and communities, CHW programmes evolve in context specific ways, with unique cadres and a variety of vertical and horizontal relationships. These programmes need...

Telecommunications in developing countries lack adequate planning and policies, so their telephone densities show the lowest values worldwide. The failure in considering the complexity of the regional telecommunication system in developing policies and technological strategies has increased the telecom gap between other regions and this particular sector of the world. We used a system dynamics ...

electronic health record (ehr) is a repository of patient health information shared among multiple authorized users. as a modern method of storing and processing health information, it is a solution for improving quality, safety and efficiency of patient care and health system. however, establishment of ehr requires a significant investment of time and money. while many of healthcare providers ...

in recent years, the main focus of health sector reforms in iran is the family physician and referral system plan. fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. this study tries to review and summarize all cases about the organizational structure of iran and its challenges in primary health care system.this study...

background: responsiveness is one of the three main goals of the health system introduced by world health organization. this study aimed at examining health system responsiveness after health sector evolution plan in kermanshah, western iran. methods: a sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of kermanshah (iran) in 2...

introduction: the main purpose of this study was to assess fulfillment of goals about “health transformation plan (htp) of ministry of health, treatment and medical education” from the perspective of managers, which is as one of the most important management challenges in the health system reform plan. these goals included six packages determined by the ministry of health, treatment and medical...

1- introduction despite a lot of plans for rural and remote areas in recent years, many of iran’s local community's health and medical needs are not enough supplied, yet. residents of rural and remote community’s situations show that health care services are weaker than urban centers and health and medical indexes in indigenous communities remain unacceptable. many rural and remote communities ...

China’s estimated 114 million people with diabetes pose a massive challenge for China’s health policy-makers who have significantly extended health insurance coverage over the past decade. What China is doing now, what it has achieved, and what remains to be done should be of interest to health policy-makers, worldwide. We identify the challenges posed by China’s two pr...

Background: There is limited understanding about the development of the online one-stop shops for evidence in a limited-resource setting, such as Uganda. This study aimed to provide a comprehensive account of the development process of the online resource for local policy and systems-relevant information in this setting. Methods: We utilized a case study design to address our objective where ...

STUDY OBJECTIVE The aim was to develop a local health information system for monitoring health status and for contributing to the development of local health policy. DESIGN At district or even at neighbourhood level, data are collected on health status and factors related to health, including lifestyle, social and physical and environment, and the health care system. Data are collected from c...