Iranian Journal of

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Background and Objectives: Promoting health indicators is a key issue in most societies. In this regard, health deputies, through stewardship, monitoring, and coordination, take meassures to promote these indicators. The aim of the present study was to design a model for ranking the performance of the deputies.
 
Methods: This applied qualitative study was conducted in 2012. The research team included 12 health experts who were selected according to management records and long experience in the health deputy. In this study, a review of the literature and documents was done and then, with the focus group discussions and expert opinions, key indicators were defined.
 
Results: a model consisting of 9 process criteria (13 general indicators and 15 specific indicators) was identified for ranking of health deputies. The general processes included leadership and management, programs and strategies, resources and partnerships, manpower, and comprehensive information and statistics system And specific processes included primary health care (PHC), family physician (FP), social determinants of health (SDH) and pilot national plans. The range of indicators scores was between 1-8, which were compared with the zero indicator.
 
Conclusion: The findings showed that the process components and indicators were more effective in determining the status of the health deputies’ performance, and the proposed model is based on the matter. So, it is recommended that the Ministry of Health ranks health deputies every two years to improve process components and criteria of the model based on practical results.

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Background and Objectives: The Millennium Development Goals (MDGs) are common goals that were established by the United Nations in 2000. The aim of this study was to compare some of these indicators in Iran, the Eastern Mediterranean Region (EMR), and the world.

Methods: The existing data from the World Health Status in 2014 and some other available sources in Iran, EMR, and across the world were addressed. The most relevant health indicators included decreased childhood mortality, maternal well-being, prevention of AIDS, tuberculosis and other diseases, and environment quality assurance.

Results: The proportion of neonatal mortality to total mortality among those less than 5 years increased from 37 to 44 in the world compared to 39 to 46 in EMRO and 46 to 61 in Iran. About 14.5% (71000 out of 490000) of the AIDS/HIV cases reported in the EMRO belonged to Iran in 2002. The maternal mortality rate (MMR) showed a decline of 72.2%, 50% and 44% in Iran, EMRO and the World respectively. The proportion of delivery by skilled persons and the proportion of pre-delivery care had a positive trend in Iran and were higher as compared to EMRO and the world average.

Conclusion: Iran achieved many MDGs, however, despite a decline in the AIDS/HIV incidence rate, its prevalence rate has increased in Iran, EMRO and the world from 2001 to 2013. The proportion of neonatal mortality rate to under 5-year mortality rate has had an increasing trend. Decision-makers should give priority to indicators that have not achieved MDGs.

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Background and Objectives: The sustainable development goals include 17 goals, one of which is exclusively related to health. The aim of this study was to assess the status of indicators of sustainable development goals related to health in Iran compared to countries in the region and the WHO countries.
 
Methods: Secondary data were used to examine the status of indicators of sustainable development goals related to health. The data reported by the World Health Organization in 2017, the World Bank, and other available resources at the international levels such as the UN and UNICEF were addressed. The indicators according to which the situation in Iran was below the average of the region were selected for further exploration and analysis. A checklist, which met the research objectives, was used for data collection.
 
Results: The status of the maternal mortality ratio (25 in 100,000 people), incidence of tuberculosis) 16 in 100,000 people), and incidence of malaria (0.5 in 1000 people) was favorable. The indicators with an unfavorable status in Iran compared to the regional average were the mortality due to natural disasters, unintentional poisoning, road traffic injuries, and alcohol consumption per capita.
 
Conclusion: Iran has achieved many SDGs goals; however, there is a need for carefully designed plans for controlling and reducing some indicators. Prioritizing indicators in which Iran has had little success should be taken seriously by decision makers.