Background Ongoing conflict and systematic targeting of health facilities and personnel by the Syrian regime in opposition-controlled areas have contributed to health system and governance mechanisms collapse. Health directorates (HDs) were established in opposition-held areas in 2014 by the interim (opposition) Ministry of Health (MoH), to meet emerging needs. As the local health authori...

Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system. This is because decision making has been devolv...

results local level of primary health care system in iran had mechanical structure, but in contextual dimensions the results showed different types. there was a significant relationship between structural and contextual dimensions (r = 0.642, p value < 0.001). goals and culture dimensions had strongest effects on structural dimensions. background in recent years, family physician plan was estab...

abstract background: to get intersectoral collaborations is one of the strategies considered for the goal of health for all by the year 2000 which has been emphasized in the 21th century again. if the members of local organizations are more satisfied, they will collaborate in the improvement of health programs more. this study was performed to assess the satisfaction rate of the members of loca...

increases in incidents involving so-called confused persons have brought attention to the potential costs of recent changes to public mental health (pmh) services in the netherlands. decentralized under the (community) participation act (2014), local governments must find resources to compensate for reduced central funding to such services or “innovate.” but innovation, even when pressure for c...

we aimed to evaluate the timeliness of reporting of malaria surveillance system and understanding the existing problems.the timeliness of malaria surveillance system of iran was evaluated in four provinces of iran including sistan & baluchistan, hormozgan, kerman (as provinces with local malaria transmission) and khuzestan (without local malaria transmission). in this descriptive-analytic cross...

This article focuses on the development of public health in Brazil, with the aim of analyzing the present process of decentralization of health care. The authors argue that the neoliberal or conservative position is unable to offer a reasonable solution to problems in the health care system. On the other hand, the reformist position concentrates its attention on the health system and its admini...

Background Decentralisation in the health sector has been promoted in low- and middle-income countries (LMICs) for many years. Inherently, decentralisation grants decision-making space to local level authorities over different functions such as: finance, human resources, service organization, and governance. However, there is paucity of studies which have assessed the actual use of decisi...

background: following the outbreak of eltor cholera in iraq’s kurdistan, iran was threatened through the western border. therefore, the aim of the present study was to evaluate the health system response of marivan city in kurdistan province (iran) as a risky gateway for the outbreak of eltor cholera epidemic in iran. materials and methods: this cross-sectional study was implemented in marivan ...