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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
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Measuring Equality in Primary Health Care Budget Allocation in Iran, Using the Gini Coefficient Method.

Mohsen Barouni1, Hossein Farshidi2, Somayeh Karimi3

  • 1Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Medical Journal of the Islamic Republic of Iran
|December 16, 2024
PubMed
Summary

Iran

Keywords:
EqualityGini CoefficientIranPrimary Health Care budget

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Area of Science:

  • Public Health
  • Health Economics
  • Health Policy

Background:

  • Government budget is a primary financing source for Primary Health Care (PHC) in Iran.
  • Evaluating PHC budget allocation and resource equality is crucial for equitable healthcare access.

Purpose of the Study:

  • To assess the allocation of Iran's Primary Health Care budget.
  • To evaluate the equality of PHC resource distribution across provinces.

Main Methods:

  • Applied descriptive-analytical study utilizing data from Iran's 31 provinces (2021-2022).
  • Employed Gini coefficient and Lorenz curve to measure budget allocation equality.
  • Data sourced from the Ministry of Health and Iranian Statistics Center.

Main Results:

  • The PHC budget saw a 50% increase in 2022 compared to 2021.
  • 20 provinces received below-average PHC budget allocations, while 11 received above-average.
  • Gini coefficients of 0.20 (2021) and 0.19 (2022) indicate relatively unequal budget distribution.

Conclusions:

  • The Gini coefficient reveals disparities in PHC budget allocation across Iranian provinces.
  • Evidence-based reallocation of health sector resources, considering deprivation, is essential for supporting less developed regions.