Integrated Occupational Health Services in Islamic Republic of Iran
What Role For Occupational Health In Primary Health Care The Hague ,The Netherlands 29-1December 2011 Integrated Occupational Health Services in Islamic Republic of Iran Dr. Mostafa Ghaffari Occupational Medicine Department Tehran University of Medical Science I.R.IR
Brief description about IranPopulation=75,000000-GDP/Cap= 7000 $-31 province-400 city-Industries including:Oil,gas and petrochemical,Mines,car manufacturing, Cement factories, Food industry,Metal and still industry, agriculture,,,,
Integration was consideredas a fundamental issue indesigning the Health systemin Iran Ministry of Health, treatment & Medical Education
Health system in Iran Ministry of health, treatment and medical education University of University of Medical Science Medical Science 40 and health services
Health system in Iran Medical university District Health District Health Network Network 395
Health system in Iran District Health Center Urban Health Rural Health Center Center 2500 2700
Levels of Service Delivery and Referral Chain University Teaching Hospital District General Hospital Health Center Health House Health PostSatellite Satellite SatelliteVillage Village Village
Where Are the FacilitiesLocated? Satellite village Health Center 2400 Master Health House 16000 Plan Village Road CITY
Labor force in Iran IranLabor force 23 million 338/1000Agriculture 30%Industry 25 %Service 45 %Female economic activity 29 %Female economic activity growth 34 %Unemployment rate 11.2 %
Responciple bodies foroccupational health:• Ministry of labour and cocial affairs responsible for occupational Enviroment safety.• Ministry of Health & Medical Education responsible for policy and decision making process as well as occupational health services and medical exam.• Social security organization responsible for pre employment medical examination.
Main policies and programs:• Integration of occupational health services in PHC.• Providing Occupational Health services in three different levels:• Occupational Health center for factories more than 500 workers.• Worker Health House for factories with 50- 500 workers.• Behgar project for work places with 20-50 workers.
• Occupational Health Center should have at least one occupational medicine physician, occupational hygienist, Nurse• Workers Health House should have occupational health expert (Bsc or trained person in this field• Behgar project- one of the employess selected and trained for 6 months about occupational health and safety as well as first aids
Country Situation: Number of healthcare sectors in occupational health activitiesNumber 1400 1314 1179 1200 1000 800 600 400 268 200 26 0 sectors BEHGAR station Occupational health Occupational Health Social security House center organization health No.occupational health care sectors centers