decentralization is the process of dispersing decision-making closer to the point of peripheral area, service or action. basically decentralized governance, if properly planned and implemented, offers important opportunities for enhanced human development. the studies about this issue in different countries show that most of the decentralizations have been implemented in european countries and ...

health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

background informal payments for health care, which are common in many countries, can have negative effects on health care access, equity and health status as they lead people to forgo or delay seeking care, or to sell assets to pay for care. many countries are putting reforms in place with the aim of reducing informal payments. in order to be successful, such policies should be informed by the...

background & aim: prenatal care is a key strategy for achieving public health goals, primary healthcare objectives, and the millennium development goals. the aim of this study was to investigate the factors influencing the use of prenatal care services in order to design suitable interventions and promote the use of these services. methods:in this systematic quantitative literature review, stud...

background in many parts of the world, ongoing deficiencies in health systems compromise the delivery of health interventions. the world health organization (who) identified four functions that health systems need to perform to achieve their goals: efforts to strengthen health systems focus on the way these functions are carried out. while a number of studies on health systems functions have be...

a central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. in tax-funded european health systems up to the 1980s, the state and other publi...

in 2014, a series of reforms, called as the health sector evolution plan (hsep), was launched in the health system of iran in a stepwise process. hsep was mainly based on the fifth 5-year health development national strategies (2011-2016). it included different interventions to: increase population coverage of basic health insurance, increase quality of care in the ministry of health and medica...

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background and objectives: while social network analysis has left a remarkable practical impact in the healthcare field, the potential implication of this methodology in the primary health domain is poorly researched. hence, this study aimed to explore the use and usefulness social network analysis in the context of primary health care. methods: the health volunteers of imam ali health center i...