This policy brief highlights the critical shortage of healthcare workers in Iran, which hinders access, quality, and patient outcomes. The growing demand from population increases and chronic diseases, coupled with issues like geographic maldistribution, workforce migration, inadequate training, and limited support systems, exacerbates the crisis. Urban areas benefit disproportionately, leaving rural communities underserved and healthcare quality compromised. Evidence-based recommendations include incentivizing rural placements, improving workforce management systems, enhancing salaries and working conditions, expanding education and training, and leveraging digital health tools and task-shifting models. A phased implementation strategy is proposed, combining short-term pilot projects with long-term reforms to build a resilient healthcare workforce.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870130 | PMC |
http://dx.doi.org/10.15167/2421-4248/jpmh2024.65.4.3459 | DOI Listing |
Am J Public Health
April 2025
Kristen M. Brown, Brigette Courtot, Zara Porter, and Sofia Hinojosa are with the Health Policy Center, Urban Institute, Washington, DC.
The Centers for Disease Control and Prevention's Partnering for Vaccine Equity program was developed during the COVID-19 public health emergency to fund more than 500 community-based organizations working to improve vaccine equity. Organizations were supported by a virtual learning community where members received tailored learning content, peer-to-peer learning opportunities, and resources that facilitated deployment of vaccine-related programming during a dynamic pandemic. Process evaluation metrics indicate successful implementation of the learning community.
View Article and Find Full Text PDFAm J Public Health
April 2025
Donrie Purcell is with the Satcher Health Leadership Institute, Morehouse School of Medicine (MSM), Atlanta, GA. Wayne A. Duffus is with the Department of Medicine, Division of Infectious Diseases, University of South Carolina School of Medicine, Columbia. Maisha Standifer is with the Satcher Health Leadership Institute and Department of Community Health and Preventive Medicine, MSM. Robert Mayberry is with the Department of Community Health and Preventive Medicine and the MSM Research Design and Biostatistics Core, MSM. Sonja S. Hutchins is with the Department of Community Health and Preventive Medicine, MSM.
To evaluate the impact of the COVID-19 pandemic on HIV mortality rates with a focus on demographic predictors and Medicaid access. Using Wide-Ranging Online Data for Epidemiologic Research, we conducted a descriptive study comparing HIV mortality in the United States 2 years before the COVID-19 pandemic (2018-2019) and the initial 2 years of the pandemic (2020-2021), and identifying HIV mortality factors during the pandemic. During the first 2 years of the pandemic, crude HIV death rates increased and then decreased marginally.
View Article and Find Full Text PDFAm J Public Health
April 2025
Shoshana V. Aronowitz is with the Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA. Megan K. Reed is with the Department of Emergency Medicine and the Center for Connected Care at Sidney Kimmel Medical College, and the College of Population Health, Thomas Jefferson University, Philadelphia.
Health Syst Reform
December 2025
Department of Obstetrics and Gynecology, University of Benin, Nigeria.
Diabetes mellitus, once a rare diagnosis in precolonial and early post-colonial Nigeria, now has the highest prevalence and fatality rates in sub-Saharan Africa. This increased prevalence is attributed to rising population affluence characterized by sedentary lifestyles and higher consumption of processed and ultra-processed foods. The burden is further exacerbated by a poorly responsive healthcare system.
View Article and Find Full Text PDFPLoS One
March 2025
Sleep Research Institute, Edogawa University, Nagareyama, Japan.
Interoception refers to the sensation of internal and physiological bodily states, such as heart rate, and contributes to the maintenance of bodily internal homeostasis. Some studies showed that interoceptive awareness is related to experiencing nightmares and subjective sleep quality. Similarly to the perception of heart rate variability, sleepiness is thought to be mainly evoked by homeostatic processes and is based on the awareness and recognition of internal body signals.
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