Stewardship of rehabilitation services in Iran: a qualitative study exploring current challenges and solutions

Unclear stewardship of rehabilitation services has created various challenges and barriers to their effective provision in Iran. The purpose of this study was to identify the challenges and solutions for improving the stewardship of rehabilitation services in Iran in 2024.

This study employed a qualitative methodology using a framework analysis approach. Data were collected through in-depth semi-structured interviews. Purposive sampling with maximum variation was used. To ensure the data trustworthiness, Lincoln and Guba's criteria were applied.

Sixteen interviews were conducted. Key challenges included: fragmented and unclear stewardship of rehabilitation services; lack of integration of rehabilitation services into the health system; absence of sustainable funding mechanisms. Key strategies include: establishing the High Council for Rehabilitation under the supervision of the President; expanding comprehensive rehabilitation services at all health system levels; optimizing the utilization of existing capacities to enhance rehabilitation services; securing sustainable financing; and creating an information management infrastructure.

The findings highlight two critical strategies for robust rehabilitation service stewardship, fostering coordination and integration among policymaking entities and establishing a comprehensive rehabilitation information system. Such a system would enable the identification of priority needs and groups requiring services, facilitating targeted planning and resource allocation.