Cutaneous leishmaniasis situation analysis in the Islamic Republic of Iran in preparation for an elimination plan.

Iran has invariably been under the growing public health threat of cutaneous leishmaniasis (CL), a significant barrier to local development that hinders the prevention and control efforts toward eliminating the disease. So far, no comprehensive and in-depth epidemiological analysis of the CL situation has been carried out nationwide. This study aimed to employ advanced statistical models to analyze the data collected through the Center for Diseases Control and Prevention of Communicable Diseases during 1989-2020. However, we emphasized the current trends, 2013-2020, to study temporal and spatial CL patterns. In the country, the epidemiology of CL is incredibly intricate due to various factors. This fact indicates that the basic infrastructure, the preceding supports, and the implementation plan related to preventive and therapeutic measures need crucial support. The leishmaniasis situation analysis is consistent with desperate requirements for efficient information on the control program in the area. This review provides evidence of temporally regressive and spatially expanding incidence of CL with characteristic geographical patterns and disease hotspots, signifying an urgent need for comprehensive control strategies. This information could be a suitable model and practical experience in the Eastern Mediterranean Region, where over 80% of CL is reported.

Assessing health worker's duties from the viewpoint of principals and pupils concerning healthcare of students in the rural areas of Iran.

OBJECTIVES: To evaluate the duties of regional healthcare workers (Behvarzes) regarding healthcare of pupils in the rural areas of Iran. METHOD: This descriptive, cross-sectional study was conducted in 2007-2008 on 384 pupils and their school managers in the rural areas of Sharbabak in Kerman, Iran. The research population was evaluated with separate questionnaires for the managers and the pupils. The results were analysed using descriptive statistical methods. RESULTS: The study showed that 250 (65%) of the total participants believed that the Behvarzes performed the minimum required duties for supervision of the pupil's personal health, and 257 (67%), 173 (45%), 269 (70%) and 269 (70%) thought they performed the minimum for promoting the environmental health status of the school, for pupils' nutrition, for accident prevention, and for disease control respectively. CONCLUSION: Behvarzes have been very successful in promoting healthcare among villagers in Iran, but they should pay more attention to the nutritional status of the students.

Weaknesses and challenges of primary healthcare system in Iran: a review.

While the primary healthcare (PHC) services in Iran were appropriate to the needs of the population in the late 1970s and 1980s, the changing burden of disease and shifting demand patterns have rendered the existing PHC system no longer suitable for meeting current and emergent needs. This has serious implications for the PHC system in Iran, which has clearly succeeded in addressing high levels of communicable diseases, maternal deaths and infant mortality, but appears less well prepared to address the emerging challenges of noncommunicable diseases (NCD). We conducted a systematic review of the available literature in the past 10 years related to the PHC system in Iran to assess its weaknesses and challenges. This paper categorizes PHC system weaknesses from the studied articles into two groups: (i) those related to the key functions of PHC, and (ii) others, which refer to health system weaknesses existing with the current PHC model. Iran can draw on international experience and evidence regarding interventions, which can be used to develop an effective and responsive PHC system designed to address current and emerging needs, in particular the NCD burden.