systems thinking is not a new concept to health system strengthening; however, one question remains unanswered: how policy-makers, system designers and consultants with a system thinking philosophy should act (have acted) as potential change agents in actually gaining opportunities to introduce systems thinking? development of comprehensive multi-year plans (cmyps) for immunization system is on...

introduction: users’ performance and their interaction with information retrieval systems can be observed in development of their mental models. users, especially users of health, use mental models to facilitate their interactions with these systems and incomplete or incorrect models can cause problems for them . the aim of this study was the adjustment and development of health user’s mental m...

while the right to health is increasingly referenced in sustainable development goal (sdg) discussions, its contribution to global health and development remains subject to considerable debate. this hypothesis explores the potential influence of the right to health on the formulation of health goals in 4 major sdg reports. we analyse these reports through a social constructivist lens which view...

introduction: direct cash payments are the principal sources of health care finance in most countries. health services may impose a regressive cost burden on households, especially in developing countries. the purpose of this study was to calculate households encountered with catastrophic healthcare expenditures in qazvin, iran. methods: the statistical society included 100 household equaled to...

conclusions geographic accessibility of pharmacies at night and on holidays has to be addressed by provincial health policymakers. materials and methods the analysis was based on straight-line distance measurements. we considered 150, 300, 450, 600, and 750 m for pedestrians, and 1, 2, and 3 km for driving accessibility as the acceptable distances. we calculated the number and percentage of hou...

the process of planning and initiating health services development has been described as conceived and experienced by the working group of the health services development research project in iran. the technical steps (conceiving and describing the health services system, development of plans, preparatory step and implementation) as well as political support needed are defined and described. the...

the world has made a great deal of progress through the millennium development goals (mdgs) to improve the health and well-being of people around the globe, but there remains a long way to go. here we provide reflections on rwanda’s experience in working to meet the health-related targets of the mdgs. this experience has informed our proposal of five guiding principles that may be useful for co...

lack of scientific and confirmed researches and expert knowledge about evaluation systems for clinical governance development in iran have made studies on different evaluation systems for clinical governance development a necessity. these studies must provide applied strategies to design criteria of implementing clinical governance for hospital's accreditation. this is a descriptive and compara...

While it is important to support the development of methods for public participation, we argue that this should not be at the expense of a broader consideration of the role of public participation. We suggest that a rights based approach provides a framework for developing more meaningful approaches that move beyond public participation as synonymous with consultation to value the contribution ...