Determining and prioritizing indicators of public health coverage in Iran: A qualitative study

authors:

avatar Sayed Saeed Kassaeian , * , avatar Seyyed saeed kassaeian

Koomesh: Vol.20, issue 2; 410-416
article type: issue_documents_importer
received: May 01, 2017
accepted: January 01, 2018

how to cite: Kassaeian S S, kassaeian S S. Determining and prioritizing indicators of public health coverage in Iran: A qualitative study. koomesh. 2024;20(2):e152972. 

Abstract

Introduction: Universal health coverage is an important step towards achieving and benefiting from health services. To measure universal health coverage, appropriate indicators are needed. This study was conducted to select priority indicators for use in general health measurements. Materials and Methods: This study is a qualitative study. The population of the research was experts in the country and the sampling was done purposefully. The study was conducted in three stages. In the first phase, 393 indicators related to public health coverage were selected by reviewing texts related to international and domestic indicators and use of experts;#39 opinion, and duplicates were removed. In the second phase, using valid sources such as WHO, Millenium Development Goals, and Sustainable Development Goals of Universal Health Coverage, 100- Core Health Indicators and using expert opinions, 40 indicators were selected for the final survey. In the third stage, 47 experts ranked these 40 indicators. Results: The most important indicators of universal health coverage from the viewpoints of experts were death rate of pregnant women, vaccination coverage of children under 5 years old, life expectancy at birth, infant mortality rate, death rate of children under 5 years of age, death rate of children under 1 years of age, high blood sugar levels in adults, access to healthy water, death rates due to cancer and general health insurance. Also in the ranking, according to the Healt Indicators of Iran, amoung demographic indicators, death of pregnant women amoung the indicators of diseases, the coverage rate of vaccinations amoung the indicators of health coverage, access to healthy water and amoung the health system indicators, the amount of public insurance coverage were  the first priorities. Conclusion: In general, until the acquisition, more precise determination and prioritization, the indexes ranked among the top ten amoung 40 indciators, and also the first priotity indicator of each of the four components of population and mortality, diseases and risk factors, the coverage of health services, and the health system should be taken into account in reaching the goals of universal health coverage

References

  • 1.

    Bump JB. The long road to universal health coverage: a century of lessons for development strategy: USA: Rockefeller foundation; 2010.

  • 2.

    Boerma T, Eozenou P, Evans D, Evans T, Kieny MP, Wagstaff A. Monitoring progress towards universal health coverage at country and global levels. Geneva: WHO; 2014.

  • 3.

    Fried ST, Khurshid A, Tarlton D, Webb D, Gloss S, Paz C, et al. Universal health coverage: necessary but not sufficient. Reprod Health Matters 2013; 21: 50-60.

  • 4.

    Islamic republic of Iran's National Institute of Health Research. Universal Health Coverage in Iran. Iran: National Institute of Health Research; 2014.

  • 5.

    Carrin G, James C. Reaching universal coverage via social health insurance: key design features in the transition period. Geneva: WHO; 2004.

  • 6.

    Atun R, Aydn S, Chakraborty S, Smer S, Aran M, Grol I, Nazlolu S, et al. Universal health coverage in Turkey: enhancement of equity. Lancet 2013; 382: 65-99.

  • 7.

    Temkin LS. Universal Health Coverage: Solution or Siren? Some Preliminary Thoughts. J Appl Phil 2014; 31: 1-22.

  • 8.

    Doshmangir L, Rashidian A, Ravaghi H, Takian A, Jafari M. The experience of implementing the board of trustees policy in teaching hospitals in Iran: an example of health system decentralization. Int J Health Policy Manag 2015; 4: 207-216.

  • 9.

    Takian A, Rashidian A, Doshmangir L. The experience of purchaserprovider split in the implementation of family physician and rural health insurance in Iran: an institutional approach. Health Policy Plan 2015; 30: 1261-1271.

  • 10.

    Takian A, Doshmangir L, Rashidian A. Implementing family physician programme in rural Iran: exploring the role of an existing primary health care network. Fam Pract 2013; 30: 551-559.

  • 11.

    WHO. Global refrence list of 100-core health indicators. Genevva: WHO; 2015.

  • 12.

    United Nations. MDG report 2015. United states ofAmerica:un; 2015.

  • 13.

    Ardalan, A-Banar, A-Safi Khani. Compilation of index and performance indicators in health programs. Iran: Azarbarzin 2015 (Persian).

  • 14.

    WHO. World health statistics 2016: monitoring health for the SDGs, sustainable development goals. Genneva: WHO; 2016.

  • 15.

    WHO, WORLDBANK, UNICEF. Stateof the worlds vaccines and immunization.Genneva: WHO; 2009.

  • 16.

    Malek A, fzali H, Mohammad K, Marzadeh M, Abdi A. National indicators of health. Iran: kelke dirin; 2003 (Persian).

  • 17.

    Ministry of Health. National non-communicable disease prevention document. Iran: Ministry of Health; 2015 (Persian).

  • 18.

    WHO. Tracking universal health coverage. first global monitoring report-Genneva:WHO; 2015.

  • 19.

    Haghdoust A. Mohammad al-Hassan M. Khawaja Kazemi. Evaluation indicators, development plan, health system. Hakim 2015; 16: 171-181 (Persian).

  • 20.

    WHO. Research for Universal Health Coverage. genneva: WHO; 2013.

  • 21.

    Unicef. Reaching Universal Health Coverage through District Health System Strengthening: Using a modified Tanahashi model sub-nationally to attain equitable and effective coverage. newyork:unicef; 2013.

  • 22.

    Public Health Evaluation and Impact Assessment Consortium" (PHEIAC). Evaluation of the Use and Impact of the European Community Health Indicators. Europa: European Commission; 2013.

  • 23.

    National Health Research Institutu.Health Services Survey. Iran: National Institutes of Health Research; 2014.

  • 24.

    Ministry of Health. Ministry. Health and Population Survey in Iran. Iran: Ministry of Health. 2011.

  • 25.

    WHO. Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. Genneva: WHO; 2016.

  • 26.

    AAAS Science and Human Rights Program. Manual On Environmental Health Indicators and Benchmarks. Newyork: AAAS; 2013.

  • 27.

    Usaide. Indicators for measuring an universal health coverage: A five-country analysis. United states of: USAID; 2012.

  • 28.

    WHO. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies.Genneva: WHO; 2010.

  • 29.

    Ministry of Health. Justice Indicators in Iran. Iran: Ministry of Health; 2008.

  • 30.

    Statiscal Center for Iran. National health accounts classification in Iran. ran: statiscal Center for Iran; 2009 (Persian).

  • 31.

    WHO. Arguing for universal health coverage. Genneva: WHO; 2014.

  • 32.

    Khosravi A, Motagh A. Health indicators in the islamic republic of Iran. Iran: National Library of Iran 2012 (Persian).

  • 33.

    Ebadi Fard F, Karimi J. Health Index. Isfahan: Isfahan University of Medical Sciences; 1995. (Persian).

  • 34.

    WHO, UNICEF, World Bank, Unfpa trend in maternal mortality1990 to 2013-.Genneva: WHO; 2014.

  • 35.

    USAID. Universal health coverage measurement in a lower-middle-income context: Asenegal case study.United states of:USAID 2014.

  • 36.

    WHO, World bank, UNICEF. State of the worlds vaccines and immunization. Genneva: WHO; 2009.

  • 37.

    Murray CJL, Salomon JA, Mathers CD, Lopez AD. Summary Measures of Population Health: concepts, ethics, measurement and applications. Geneva: World Health Organization; 2002.

  • 38.

    PoorMalek F, Abolhasani F, Naghavi M, Mohamad K, Majdzadeh R, Holakooi K, et al. Direct estimation of life expectancy for population of Iran in year 2003. A.M.U.J 2007; 10; 1-13. (Persian)##.