Presentation by Dr.Mostafa Ghaffari, Occupational Medicine Department Tehran University of Medical Science at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012

1. 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

2. Brief description about Iran
Population=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,,,,

3. Integration was considered
as a fundamental issue in
designing the Health system
in Iran
Ministry of Health, treatment & Medical
Education

4. Health system in Iran
Ministry of health,
treatment and
medical education
University of University of
Medical Science Medical Science
40 and health services

5. Health system in Iran
Medical
university
District Health
District Health
Network
Network
395

6. Health system in Iran
District Health
Center
Urban Health Rural Health
Center Center
2500 2700

7. Levels of Service Delivery and Referral Chain
University Teaching Hospital
District General Hospital
Health Center
Health House Health Post
Satellite Satellite Satellite
Village Village Village

8. Where Are the Facilities
Located?
Satellite
village
Health Center 2400 Master
Health House 16000 Plan
Village
Road CITY

9. Labor force in Iran
Iran
Labor force 23 million
338/1000
Agriculture 30%
Industry 25 %
Service 45 %
Female economic activity 29 %
Female economic activity growth 34 %
Unemployment rate 11.2 %

10. Responciple bodies for
occupational 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.

11. 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.

12. • 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

13. Country Situation:
Number of healthcare sectors in occupational health activities
Number
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