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Developing a strategic plan for a climate-resilient health system in Iran
Ali Mohammad Mosadeghrad1, Mahnaz Afshari2, Hamed Dehnavi3
1School of Public Health, Climate Change and Health Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
PLOS Global Public Health
|August 7, 2026
Summary
Iran
Area of Science:
- Environmental Science
- Public Health
- Climate Change Adaptation
Background:
- Climate change, exacerbated by human activities, poses significant risks to global health.
- Iran's arid climate and socio-economic factors increase vulnerability to climate-related hazards like droughts and heatwaves.
- Health systems must enhance resilience and reduce their environmental impact.
Purpose of the Study:
- To develop Iran's National Strategic Plan for a Climate-Resilient and Environmentally Sustainable Health System (2023-2027).
- To assess the health system's internal and external determinants for climate resilience.
Main Methods:
- A participatory action research approach was employed.
- A multi-sectoral national committee conducted a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis.
- Quantitative scoring assessed strategic factors, revealing limited internal capacity and significant external threats.
Main Results:
- The health system scored 2.47/4 for internal factors and 2.12/4 for external factors.
- Iran's health system shows strengths in primary care but faces challenges in financing, workforce preparedness, and environmental pressures.
- A strategic plan with a vision, mission, values, seven goals, twenty objectives, and 181 prioritized actions was formulated.
Conclusions:
- The developed strategic plan offers a roadmap for enhancing climate resilience and environmental sustainability in Iran's health sector by 2027.
- Key areas for action include governance, financing, workforce capacity, infrastructure, information systems, and service delivery.
- The plan's strategies may offer valuable insights for other middle-income countries facing similar climate vulnerabilities.
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