Ministry of Health and Medical Education

Ministry of Health and Medical Education

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The Ministry of Health and Medical Education (MOHME) has executive responsibility for health and medical education within the Iran
Iran
Iran , officially the Islamic Republic of Iran , is a country in Southern and Western Asia. The name "Iran" has been in use natively since the Sassanian era and came into use internationally in 1935, before which the country was known to the Western world as Persia...

ian government.

Iran's health system is highly centralized, and almost all decisions regarding general
goals, policies and allocation of resources are made at the central level by MOHME. The Ministry has the legal authority to oversee, license and regulate the activities of the private health sector.

An elaborate system of health network provides Primary Health Care
Primary Health Centre
The Primary Health Centre is the basic structural and functional unit of the public health services in developing countries. PHCs were established to provide accessible, affordable and available primary health care to people, in accordance with the Alma Ata Declaration of 1978 by the member...

 (PHC) to the vast majority of the Iranian public. MOHME owns and runs Iran's largest health care delivery network of health establishments and medical schools. MOHME is in charge of provision of healthcare services through its network, medical insurance, medical education
Medical education
Medical education is education related to the practice of being a medical practitioner, either the initial training to become a doctor or additional training thereafter ....

, supervision and regulation of the healthcare system in the country, policymaking, production and distribution of pharmaceuticals, and research and development.

The Third Socio-economic Development Plan in 1999 authorized MOHME to adopt move towards public–private partnership in health care delivery. According to the 2003 Statistical Centre of Iran census, Iran has 730 medical establishments (hospitals, clinics,...) with 110,797 bed
Bed
A bed is a large piece of furniture used as a place to sleep, relax, or engage in sexual relations.Most modern beds consist of a mattress on a bed frame, with the mattress resting either on a solid base, often wooden slats, or a sprung base...

s in all, of which 488 (77,300 beds) are run by the MOHME, 120 (11,301 beds) are privately owned, and the rest belong to other organisations, such as the Social Security Organization of Iran (SSO)
Social Security Organization (Iran)
Social Security Organization is a social insurer organization in Iran which provides coverage of wage-earners and salaried workers as well as voluntary coverage of self-employed persons...

. According to the World Health Organization, private hospitals also do not prefer to contract with the Ministry of Health and Medical Education, because of low tariffs, extra paperwork and delays in payment.

Since the 1979 revolution, Iran has adopted a full generic-based National Drug Policy (NDP), with local production of essential drugs and vaccines as one of the main goals.. MOHME has a mission to provide access to sufficient quantities of safe, effective and high quality medicines that are affordable for the entire population.

MOHME is the main stakeholder of pharmaceutical affairs in the country. However, the Social Security Investment Co. (SSIC), Iran's largest holding company, which owns and controls 22 pharmaceutical manufacturing companies with a 40% share of total pharmaceutical production in Iran, is affiliated to the Ministry of Welfare.

In 2006, 55 pharmaceutical companies in Iran produce more than 96 percent (quantitatively) of medicines on the market, worth $1.2 billion annually in a total market worth $1.87 billion (2008) and $3.65bn by 2013 (projected). Although over 85 percent of the population use an insurance system to reimburse their drug expenses, the government heavily subsidises pharmaceutical production/importation.

The MOHME Department of Medical Equipment supervises imports of medical equipment, its import and distribution is mostly handled by the private sector
Private sector
In economics, the private sector is that part of the economy, sometimes referred to as the citizen sector, which is run by private individuals or groups, usually as a means of enterprise for profit, and is not controlled by the state...

.