Introduction: The family physician programme (FPP) was implemented nearly two decades ago as a major health reform. Since the health system and FPP function in a rapidly changing social and economic environment, successful expansion of the programme requires a detailed analysis of its multiple major challenges, including the crucial aspect of its funding system. This systematic review aimed to assess the challenges in the FPP relative to its financing.
View Article and Find Full Text PDFBackground: There are various approaches in primary health care regarding the key role of nurses. This systematic review investigates the roles of nurses, as part of the family medicine team.
Materials And Methods: All published articles related to the role of nurses in the family medicine team from January 2000 to March 2022 were the subjects of this study.
Background: Iran has implemented the Family Physician Program (FPP) in 2005 in 4 provinces. This program was supposed to be expanded across the country; however, it faced various challenges. Considering the impact of the referral system on the quality of the FPP implementation, different studies were conducted to evaluate the performance of this system.
View Article and Find Full Text PDFThe family physician program (FPP) is one of the most significant health care reforms in Iran; however, many studies showed that this program has not been able to achieve its intended objectives because of a variety of challenges. This program, despite the existing challenges, is going to be expanded across the country. To improve the likelihood of its success, identification of the structural and infrastructural challenges is necessary.
View Article and Find Full Text PDFBackground: Cervical cancer is a growing health concern, especially in resource-limited settings.
Objective: The objective of this study was to assess the burden of cervical cancer mortality and disability-adjusted life years (DALYs) in the Eastern Mediterranean Region (EMR) and globally between the years 2000 and 2017 by using a pooled data analysis approach.
Methods: We used an ecological approach at the country level.
Health needs assessment (HNA) is essential for allocation of limited resources to the most prioritized problems. HNA in work places has gained increasing importance. Kaveh industrial city is the largest and oldest industrial city in Iran, with a wide range of different industries, making it an exemplary industrial city in Iran.
View Article and Find Full Text PDFUnder-five mortality (U5M) is an important indicator of the overall health and development of society. There is a wide gap in U5M among different countries and also within the countries. This study was carried out to assess the prevalence, as well as the socio-demographic, and health-related causes of U5M in the region of study.
View Article and Find Full Text PDFPreterm birth is the leading cause of neonatal and infant mortality and a substantial portion of neonatal morbidities. The perinatal mortality and morbidity statistics in developing countries are inadequate. In this study, we assessed prevalence and health outcomes of preterm deliveries in tertiary care university hospitals.
View Article and Find Full Text PDFBackground: Seafaring is a risky occupation that is associated with a high incidence of lifestyle-related diseases. The present study was carried out to examine health promotion behaviour and its associated factors in seafarers of the National Iranian Tanker Company.
Materials And Methods: A cross-sectional study was performed on 200 Iranian male seafarers in 2015.
Background: Antimicrobial resistance (AMR) adversely impacts the prevention and treatment of a wide range of infections and is considered as a serious threat to global public health. Occupational-related AMR is a neglected area of research.
Objective: To assess exposure to penicillin dust, penicillin active materials, and to report the frequency of penicillin resistance among pharmaceutical workers in Tehran, Iran.
Int J Occup Saf Ergon
September 2016
Background: Although petrol pumps are a very common and highly used simple technology, their design consideration for comfort and safety to prevent high-pressure load and musculoskeletal injuries to the body is a neglected area in many countries including Iran.
Objectives: This study attempted to design a new pump nozzle, and to assess the differences in musculoskeletal load related to body posture when a price/volume display is mounted on the pump nozzle.
Methods: For postural analysis, photographs recording the posture of 100 randomly selected customers while fueling at petrol pumps and the rapid upper limb assessment (RULA) technique were used.
Introduction: Survival analysis for patients with end-stage renal disease and factors influencing their survival is crucial due to the increase in the number of these patients along with their high mortality rate. This study aimed to analyse the survival rate of patients in north of Iran undergoing hemodialysis and to assess factors influencing their survival.
Materials And Methods: A historical cohort study was conducted on 500 patients on maintenance hemodialysis in 3 hospitals of 2 cities (Sari and Babol) in Mazandaran province during a 6-year period from 2007 to 2013.
Objectives: The purpose of this study was to assess living and workplace safety conditions of construction workers in Tehran, Iran.
Methods: This cross-sectional study was conducted among 410 construction sites in a municipal area of Tehran whose municipal building permits were issued in 2011. Data on ventilation, workplace safety and hygiene were collected by direct observation and interviews with site foremen.
Systematic and cooperative interactions among parent industry and contractors are necessary for a successful health, safety, and environmental management system (HSE-MS). This study was conducted to evaluate the HSE-MS performance in contracting companies in one of the petrochemical industries in Iran during 2013. Managers of parent and contracting companies participated in this study.
View Article and Find Full Text PDFBackground: Al-Anon self-help group is the sole source of assistance for families whose members suffer from alcohol abuse problems in Iran.
Objectives: To assess the effects of Al-Anon meeting attendance on family function and quality of life of women living with husbands with alcohol use disorders.
Methods: The study was conducted among two groups of women first time participants in Al-Anon (n = 40) and participants who had attended Al-Anon for at least six months (n = 40) in Mashhad, Iran.
Arch Environ Occup Health
January 2017
The objective of this study was to assess the level of exposure to BTEX (benzene, toluene, ethylbenzene, xylenes) in petrol pump stations in Ahvaz City. Two of the biggest fuelling stations were selected randomly among total 12 fuel stations of Ahvaz City, Iran, during September 2013. Thirty air samples were taken from different positions in the fuelling stations and 15 samples were taken from the personal breathing zone of operators and of customers in fuelling stations.
View Article and Find Full Text PDFBackground: The purpose of this study was to determine the level of heat stress to construction workers using Thermal Work Limit (TWL) and Wet Bulb Globe Temperature (WBGT) indices and by measuring Urine Specific Gravity (USG) among construction workers in Iran and comparing the appropriateness of these indices for measuring heat stress in Iran climate.
Methods: This comparative and experimental study was conducted during September 2012 in Baghe Ketabe Tehran, one of the large size construction sites in Tehran City, Iran. Sixty participants were randomly selected in two groups (exposed to sun and non-exposed) among the construction workers in a construction campus with similar work type, climate and diet.
Int J Occup Environ Health
September 2014
Background: The safe management of hospital waste is a challenge in many developing countries.
Objectives: The aim of this study was to compare volatile organic compounds (VOCs) emissions and the microbial disinfectant safety in non-incineration waste disposal devices.
Methods: VOC emissions and microbial infections were measured in four non-incineration waste disposal devices including: autoclave with and without a shredder, dry heat system, and hydroclave.
Subway transportation system is a new phenomenon in Iran. Noise annoyance interferes with the individual's task performance, and the required alertness in the driving of subway trains. This is the first study conducted to measure the level of noise and noise annoyance among conductors of subway organization in Tehran, Iran.
View Article and Find Full Text PDFObjectives: The aim of this study was to assess the relationship between occupational cognitive failures (OCFs) and unsafe behaviors, accidents and driving offences among municipal bus drivers in Tehran, Iran.
Methods: Systematic random sampling was used to select 190 drivers from 3 transport and traffic Tehran districts. Data were collected with the occupational cognitive failure questionnaire (OCFQ), the driver behavior questionnaire and a data collection form.
Int J Occup Med Environ Health
October 2013
Objectives: The study objective was to assess hydration status by measuring USG among construction workers in Iran.
Materials And Methods: The study design was comparative and experimental. Sixty participants were randomly selected from the construction workers from a construction campus with a similar type of work, climate and diet and formed 2 groups (individuals exposed to the sun and non-exposed individuals).
Int J Inj Contr Saf Promot
July 2015
This study was an attempt to investigate the socio-economic determinants of helmet wearing in an urban setting of India. A household survey using multistage cluster random sampling was conducted among 9014 individuals in Pune city from March 2008 to February 2009. Among 2259 individuals who reported driving two-wheeled vehicles, 1509 (66.
View Article and Find Full Text PDFInt J Inj Contr Saf Promot
December 2014
Most injury-related studies in developing countries are hospital based. In India, where there is a high level of poverty, limited access to the health care, many unregistered slums and pavement dwellers, this study attempted to use an innovative sampling method to identify the magnitude of injuries in a population of an urban city in India. Totally, 9014 individuals (2100 households), representative of more than 3.
View Article and Find Full Text PDFIndian J Community Med
October 2009
Introduction: Behavior pattern influences the risk of unintentional injuries. This study was conducted to identify the pattern of household unsafe behavior in different socioeconomic strata, in Pune city, India.
Materials And Method: Population-based, cross-sectional study.