Irdc.ir The victory of the Islamic Revolution of the Iranian people in February 1979, led to progress and progress in all fields, one of which was in the field of health. According to statistics, after the victory of the Islamic Revolution, many advances were made in various fields, including health, which had a great quantitative and qualitative growth compared to the rule of the Pahlavi regime. Improving the general health of citizens, increasing medical products in different parts of the country, increasing the level of life expectancy and reducing mortality are among the things that show growth and progress in the field of health. This article is made to review the achievements of the Islamic Revolution in the field of health.
1- Life expectancy index
According to the United Nations Development Program, from 1960 to 1979, the life expectancy index at birth increased from 49.5 years in the initial year to 51.5 years in the final year; In other words, life expectancy among Iranians on the eve of the victory of the Islamic Revolution has been among the lowest in the world. While after the victory of the revolution, although we were involved in the war for 8 years, but life expectancy in Iran in 1988 has reached 61.5 years. That is, in the first 10 years after the victory of the revolution, 10 years of life expectancy for Iranians has increased.
The World Bank report shows that the life expectancy of the Iranian people has increased for 22 years since the beginning of the revolution. World Bank statistics show that in 1976, the average Iranian population lived only 55 years, which in 2017 increased to 76.2 years.
2- Reducing mortality from infectious diseases
With the advancement of medicine and health system in the Islamic Republic of Iran, the causes of mortality have decreased and deaths due to infectious diseases and pregnancy and childbirth problems in Iran have decreased. Increasing health services in the Islamic Republic of Iran has caused a change in the composition of death and transformation in the composition of diseases. Raw mortality rate in Iran, according to statistics, has decreased from 13 people per 1000 live births in 1970-1975 to 5 people in 2005-2010. According to studies, there has been a general decrease in child mortality in Iran over the last four decades. The expansion of the public health network has also led to a significant reduction in the mortality of children under the age of five, which has increased significantly compared to the pre-revolutionary period.
According to the World Bank, during the Pahlavi regime, more than 140,000 infants were dying annually, a figure that has dropped to less than 20,000 in recent years.
3- Increasing the number of hospitals and medical centers
At the end of the Pahlavi regime, there were about 558 medical institutions with 57,927 beds in the country, which was considered an unsuitable statistic based on the country's population. While in the fourth decade of the Islamic Revolution, primary health care (PHC) has been associated with improving coverage of 100% of the urban population and more than 94% of the country's rural population. At the same time, the establishment of a health care network system as a global model has taken place with more than 18,000 health centers and 5,000 health care centers. This care has been created by increasing the number of medical centers and hospitals, and in this regard, we can see the distribution of hospitals in different provinces and the observance of health justice in all parts of the country.
4-the growth of the number of doctors and health professionals
In the Pahlavi era, for the total population of 36 million in Iran, in the size of all cities in the country, there were only a limited number of doctors, and the country's villages were suffering from only 1,500 rural health centers without doctors and specialists. The number of doctors in the country, including general practitioners and specialists in various fields, was about 14,000 in 1978, while a significant part of this number also included foreign doctors. On this account, there were still about 9.3 doctors per 10,000 people. According to the World Bank, the doctors-to-population ratio has improved sixfold in the post-revolutionary period.
5-The growth of medical universities
Before the victory of the revolution, about seven medical schools were established in universities, but now there are about fifty medical universities across the country. The number of medical students admitted from about 600 before the victory of the revolution to about 6,000 a year. In 1957, the total number of doctors with medical system cards was about 17,000, while in previous years, about 140,000 doctors were trained in medical universities across the country. In the last four decades, the outstanding growth of the number of medical universities in all provinces of the country, especially the deprived provinces, the increase in the number of graduates of medical sciences, especially women, and the laws related to the presence of these graduates in deprived provinces are among the successes of the medical education.
6. Upgrading medical equipment and treatment; Self-sufficiency in medical supplies
During the Pahlavi regime, there were about 50 medical equipment companies in the country, all of which imported raw materials and assembled them inside Iran. These companies were only able to supply 3% of the country's needs. At present, medical equipment manufacturing units in the country produce more than 8,000 types of medical devices in different classes and supply them to domestic and foreign markets.
The Secretariat of the Working Group for Evaluation and Qualification of Knowledge-Based Companies and Institutions and Execution Supervision emphasizes that Iran has made great progress in various fields of advanced machinery and equipment in the field of pharmacy, which can be seen in various fields of design and construction. And some of this equipment is as follows; achieving the first rank of drug production in the region, Production of 97% of required drugs and export of drugs, including biotechnology drugs. Self-sufficiency in the production of vaccines, eradication of polio and other epidemics, vaccination coverage from 30% to 100%, increasing the number of hospitals and treatment centers, the country's health development and success in prioritizing prevention over treatment, and finally increasing life expectancy and reducing mortality in children under one year, Reducing maternal mortality is another scientific achievement in the field of medicine that can be called the medical revolution.
Tuberculosis, diphtheria, measles, typhoid, cholera, pertussis, leprosy and hepatitis B were common diseases of the pre-revolutionary period. After the victory of the revolution, the widespread coverage of vaccination of children, under 5 years of age against infectious diseases increased from 20% to 95% in 2001. All children in the country are now vaccinated against some of these diseases from birth, even in the most outlying areas.
Production of four pharmaceutical raw materials to make new pulmonary hypertension drugs, making medicine for the treatment of coagulation problems and Production of chemical drugs.As statistics show, the health situation in the Islamic Republic of Iran has increased quantitatively and qualitatively compared to the Pahlavi regime, and the welfare, health and well-being of the people has improved. In the field of health services, increasing the quality of doctors, increasing the number of doctors and nurses in different parts of the country, providing medicines needed by the community, developing stem cells, expanding social security and support projects, reducing medical costs, reducing mortality, increasing hope To life and ... in Iran after the victory of the revolution, many achievements can be felt and seen.