Department of Infectious Diseases, Iran University of Medical Sciences and Health Services, Tehran, Iran.
Iranian Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran.
Front Public Health. 2023 Feb 1;11:1073259. doi: 10.3389/fpubh.2023.1073259. eCollection 2023.
This article is part of the Research Topic 'Health Systems Recovery in the Context of COVID-19 and Protracted Conflict'. The considerable human, social, and economic impacts of COVID-19 have demonstrated a global lack of health system resilience, highlighting gaps in health system capacities due to fragmented approaches to health system financing, planning, and implementation. One of the key actions for ensuring equitable essential health services in all countries in normal situations as well as emergencies is through strengthening the primary healthcare (PHC) system. In the context of the unfolding pandemic, the Iranian Ministry of Health and Medical Education (MoHME) undertook a variety of strategic actions to ensure the sustainability of health services during the current health emergency and to promote health system resilience against future shocks. Right after the Alma-Ata declaration in 1978, MoHME pursued the PHC philosophy incorporating the principles within the WHO health system framework and its six building blocks. In response to the evolving pandemic, MoHME put in place several interventions to ensure the maintenance of essential health services in addition to the provision of response. Some interventions were new, informed by global experience with COVID-19, while others leveraged existing strengths within the existing health system. Those were taking a whole-of-government approach; leveraging the PHC capacity; supporting the workforce; strengthening preparedness and response; improving access to medicines, vaccines, and health products; and leveraging the health information system into the pandemic response. Health system strengthening that promotes resilience is imperative for governments as health systems are fundamental to sustainable socioeconomic development. In recognition of this, the WHO Eastern Mediterranean Regional Office (EMRO) has recently outlined regional priorities for advancing universal health coverage (UHC) and ensuring health security. Iran's approach both prior to and during the pandemic is strongly aligned with those regional priorities, which are "
本文是“COVID-19 和长期冲突背景下的卫生系统恢复”研究专题的一部分。COVID-19 对人类、社会和经济造成了巨大影响，这表明全球卫生系统的弹性不足，凸显了由于卫生系统筹资、规划和实施方法分散，导致卫生系统能力存在差距。在正常情况和紧急情况下确保所有国家公平获得基本卫生服务的关键行动之一是加强初级卫生保健 (PHC) 系统。在大流行背景下，伊朗卫生部和医学教育部 (MoHME) 采取了多种战略行动，以确保在当前卫生紧急情况下卫生服务的可持续性，并增强卫生系统抵御未来冲击的弹性。早在 1978 年《阿拉木图宣言》发布后，MoHME 就追求 PHC 理念，将原则纳入世卫组织卫生系统框架及其六个组成部分。针对不断演变的大流行，MoHME 采取了多项干预措施，除了提供应对措施外，还确保维持基本卫生服务。一些干预措施是新的，借鉴了全球 COVID-19 经验，而另一些则利用了现有卫生系统内的现有优势。这些措施采取了全政府的方法；利用 PHC 能力；支持劳动力；加强准备和应对；改善药品、疫苗和卫生产品的获取；并将卫生信息系统纳入大流行应对。促进弹性的卫生系统加强对政府来说是必要的，因为卫生系统是可持续社会经济发展的基础。有鉴于此，世卫组织东地中海区域办事处 (EMRO) 最近概述了推进全民健康覆盖 (UHC) 和确保健康安全的区域优先事项。伊朗在大流行之前和期间的做法与这些区域优先事项非常一致，即“
