National Reporting Instrument 2024

The measures taken in this regard are: - Designing a road map and implementing phases zero and one for establishing a human resources observatory system and national health workforce accounts in order to strengthen the data required for managing, planning and organizing the health labor market. - Compilation of the booklet of "standard definitions of health sector jobs in iran" in two volumes for priority fields and health sector jobs - Estimating the required workforce for health service provider centers in the field of health using the WISN model - Compilation of the Ministry of Health's workforce planning document in coordination with the country's employment administrative organization, which led to the issuance of contract employment permits for the number of 25,120 people. - Designing and compiling standards based on the volume of work in order to revise the detailed structures for 1) the Ministry of Health and the structure of the central headquarters of the university/faculties of medical sciences and the structure of hospitals/medical training centers of the country after 7 years 2)for non-faculty employees of medical schools after 35 years and 3) for research centers for the first time - Reveiwing the status of activity and exit rate of medical and dental assistants and graduates in the past ten years

The measures taken in this regard are: -Increasing the capacity of medical fields in order to respond to the demands of volunteers and provide the required workforce according to the approval of the Supreme Council of Cultural Development including: increasing the capacity of registration for specialized medical assistants by 65 percent, for medical specialties 50%, for medical fellowships25%, and increase of more than 20% in the recruitment of general medicine and general dentistry students in order to train and provide specialized medical staff to provide health services. - Planning to deepen the integration of medical sciences education to increase the effectiveness of education in the field of medical sciences.

The measures taken in this regard are: Expanding the penetration rate of accreditation in all undergraduate, graduate (M.Sc. and Ph.D.) and specialized (Postgraduate) educational programs and continuing professional education (CPE) - Institutional accreditation of universities and higher health education centers - Educational accreditation of teaching hospitals in addition to medical accreditation - Increasing the effectiveness of the accreditation process in improving the quality of educational programs and institutions with continuous monitoring of accreditation standards - Increasing the number of academic staff members recruited in order to achieve educational justice and increase the quality of education (recruitment of 4520 people from 2021 to 2023 Recruiting 55 elite people as academic staff outside of call from 2021 to 2023 - Expanding and deepening the analysis of academic progress tests in universities of medical sciences - Improving the quality of medical science education by continuously monitoring the passing rate of students' comprehensive educational improvement tests - Empowering universities of medical sciences in evaluating educational programs and modifying educational processes - Empowering academic staff members in educational design according to the needs of society and learners in each education period

The measures taken in this regard are: -formal employment of 25 thousand health workers to provide fair health services in all parts of the country (7457 people for health, 14286 for treatment and 3500 for pre-hospital emergency) Recruiting and employing 10,800 health workers to serve in the health network system in controlling covid 19 in different ways - Implementation of detailed organizational chart for administrative and financial positions for 486 provinces health centers - Construction, completion, equipping, launching and opening of 4040 5 health and treatment units with the provision and deployment of experienced manpower. -Recruiting 14852 community health workers from 2021 to 2024 in the field of health - Implementation of the family health program in 4 phases for 194 cities over 20,000 population and 6 regions of Great Tehran with a population of 27 million people (issuance of permits for the construction and operation of 213 new family health centers in the morning and evening shifts; issuance of permits and recruitment of 2,241 community health workers and 234 physician In the form of Compulsory services and contracted) -Providing primary health care services and care to 29968166 people from the active rural population, tribes and cities with less than twenty thousand people (implemented in all universities/faculties of medical sciences in the country with 473 networks/city health centers and 4112 centers executing rural family physician program by employing 7350 doctors, 5680 midwives, 806 nurses, 1503 laboratory staff and 98 radiology staff, 1800 dentists, 105 dental hygienists and 146 oral health care workers, 350 nutritionists e, 350 mental health experts, 4661 others Health forces (2021-2023) - Recruiting a rural psychologist in order to achieve justice and fair access to specialized services in the field of mental-social health and addiction prevention with the cooperation of the deputy directorate of health insurance prevention (for the first time) - Development of urban mental health services with a 15% increase in the recruitment of urban psychologists in the 03rd version of the "Family Health" program: assigning one psychologist to every 20,000 people Increasing the number of health service offices from 165 to 465 and creating employment for 1652 people - Organizing the field of employment and entrepreneurship in universities of medical sciences by appointing a person in charge and forming a technical working group for employment and entrepreneurship in all universities of medical sciences to track financial resources and allocate credits for applicants of private sector employment and entrepreneurship projects, support companies and knowledge-based institutions and home businesses, determining the employment status of the provinces, - Determining the status of employment and entrepreneurship and facilities related to employment in universities of medical sciences for use in future planning and creating mechanisms to identify graduates under 40 years old and...

The measures taken in this regard are: - Carrying out a research project to investigate the factors affecting the migration of doctors and nursing groups during the corona pandemic and policy solutions for this phenomenon - Organizing the admission of students studying abroad in order to continue their studies inside the country (conducting the scientific evaluation test for in the fields of medicine, dentistry and pharmacy, cases of students with score of 60% could be reviewed in the transfer council of the Vice-Chancellor of Education) - Developing the recruitment of foreign students from 60 countries and increasing the number of foreign students studying in medical universities from 705 in 2016 to 8199 in 2023. - Employing foreign nationals after going through legal procedures and evaluating educational qualifications and declaring the need of public and private centers to them

The measures taken in this regard are: - Determining the research priorities of health human resources with a 5-year approach (2024-2029) -Implementation of a research to formulate an evidence-informed policy model for health human resources decision and policy making -Implementation of a research to determine the required research competencies in the staff of the Ministry of Health - Optimizing and upgrading the comprehensive human resources information system (integrating the identity and employment information of the Ministry of Health employees with other systems and allocating financial resources and budgets based on the data of this system, providing management dashboards to all universities, adding information registration of 50,000 corporate employees to the system, etc.) - Amending and revising the administrative regulations for non-academic staff and compiling its relevant instructions, such as reducing staff working hours and shift, transfers, harsh working environment conditions, etc. - Organizing the job position of contract workers in the country's universities/colleges of medical sciences. - Monitoring and supervising the performance of medical sciences universities in the field of human resources - Conducting educational needs assessment at the organizational, occupational, service unit, problem-oriented and individual levels in the Ministry of Health and Medical Education and providing training and empowerment courses for human resources at the country level in various face-to-face and non-face-to-face, short-term, multimedia and .... - Setting up a system and process for measuring people's satisfaction with government employees -Compiling the job descriptions of 800 organizational posts of universities and colleges for the first time -Revising the employee payment system and implementing following measures: - Unification of the professional part in the public and private sector Tariff after 5 years in accordance with general health policies - Reforming the per case payments with priority for deprived areas and full-time doctors - Removing the per case payments ceiling in order to increase the motivation and longevity of doctors -Improvement of outpatient visit of doctors and dentists in the public sector -increasing the payments of specialist doctors committed to serving in deprived areas - Revision of the residency and retention instructions of specialized doctors and increasing the payments after 5 years. - Reviewing instructions of on-call shifts and payments for specialized doctors -Implementation of the nursing services tariff law after 15 years of delay - Reforming the payment system for service providers in the family physicain program and activating dental units for afternoons by employing public and private sector dentists. - Stepped percase payments according to the increase in the number of births in the population covered by the service provider in 51 universities - Compilation and approval of the guidelines for increase and the restoration of MOH employees' payments

In the emergency situation of the Covid-19 pandemic, the following measures were taken to provide the required workforce, which were outside the usual procedures for recruitment and employment in the Ministry of Health of Iran: - Calling specialist doctors from underprivileged areas to Corona referral centers (infectious, anesthesiology and internal medicine specialists) - Extending the period of use of compulsory committed forces (nurses, midwives and other support forces such as secretaries and receptionists) - Signing short-term contracts of 89 days with the required personnel (doctors, nurses and midwive) - Use of other specialties and subspecialties (pulmonary, digestive, internal, and endocrine subspecialties) for disease management in covid wards - Increasing the number of internal residents in the departments - Increasing mandatory and non-mandatory overtime hours for nurses - Using senior year residents of other specialties as residents in special care departments (internal resident and anesthesiology) - The using other residents(radiology resident, gynecology, pediatrics, emergency medicine) in the Covid department and related departments - Using non-nursing staff (midwives, operating room technicians, and anesthesia technicians) as nurse assistants in administering medication and injections - Using the capacity of volunteers as patient carriers or accompanying patients - Calling up reserve forces for recruitment exams (nurse and anesthesia technician) - Employing final semester nursing students - Use of nursing staff from other university hospitals with a rotation of two weeks and one month (nurses and assistant nurses) - Increasing the working hours (overtime) of corporate staff (doctors, nurses and anesthesiologists)

The measures taken in this regard are: - The development of new places and new fields in line with the high-level documents and the needs of the health system and educational justice and the document for the balanced development of medical science education in the whole country with priority in deprived areas including The establishment of various educational institutions : 1 university, 73 research centers, 10 faculties of medical sciences, 2 Science and Technology Park, 13 faculties, 5 research institutes, 1 higher health education complex and 2 growth centers between 2021-2023

The measures taken in this regard are: - Compilation of the law "Amendment of the Law on the Establishment of Educational Justice in the Admission of Students in Advanced and Specialized Education Courses" and the compilation of its implementation instructions - Increasing the localization capacity by 30% of the total specialist physician student capacity

The measures taken in this regard are: - Increasing the subsidies of specialized and subspecialized clinical assistants - Setting up a supplementary insurance to reduce the worries of assistant and doctoral students by covering the costs of childbirth, infertility and dental services without considering the basic insurance. - Implementation of a research to examine the challenges and solutions of turning the residency period into a job

The measures taken in this regard are: Holding several empowerment and development courses for managers and employees of health ministries (2021-2023) icluding: - Conducting 759 training courses for 598,386 employees of the Ministry of Health and Medical Sciences Universities - Conducting 100 training courses and webinars for 48,724 hours of training to empower presidents and vice presidents and managers of medical sciences universities in the country. -Holding international courses such as - Mass Casualty Management and Basic Emergency Care trainer training courses for senior managers in the field of emergency and crisis management of universities of medical sciences and training workshops for national health systems in cooperation with the World Health Organization, empowerment courses for managers of G5 member countries The titles of some important specialized courses are: -Implementing the socialization plan and holding a comprehensive pre-service orientation course for the staff of the headquarters and universities of medical sciences and holding the national society test for 102,953 people - Conducting several training courses for the purpose of empowering the members of the scientific board and Iranian medicine specialists and traditional pharmacists. - Holding a three-day TOT training course for new managers and three two-day workshops on GIS basics for managers of the disaster risk management group. - Training of 998 instructors on the topic of the Law of Family and Youth Protection, Fetal Life Protection and Infertility Prevention (Hadian Zedagi) -Organizing a management workshop to improve the quality of neonatal care and outcomes for experts and respected managers of population, youth, family and schools health's group. - Holding many training courses to empower midwives working in government and non-government hospitals across the country. - Holding a training course for elites applying to enter executive bodies - Preparing and editing training packages and conducting training workshops related to pre-hospital emergency with the titles of clinical skills (680 courses), telephone triage (110 courses), PHCLS (540 courses), PHTM (768 courses), AMLS (68 courses) ), instructor training (16 courses) and ambulance dispatch and management unit, training course for doctors of operation guidance, ambulance bus, motorlance, instructor training, defensive driving, ambulance repair and maintenance for the staff of operation and dispatch and guidance units Operations and doctors (186 courses )

The measures taken in this regard are: - Decentralization and revision of educational programs based on the needs of society, upstream documents, territorial preparation and local needs of universities of medical sciences and health care services - Changing the general medical curriculum for the presence of students in the field (developing and implementing the family medicine internship program as relatively long-term courses) -Reviewing the educational content of psychologists working in comprehensive health service centers based on the determined 12 main psychological problems of the country adjusted to the Iranian-Islamic culture.

The measures taken in this regard are: - Special scholarships (for certain geographical areas and universities of medical sciences) in exchange for services after graduation for specialized doctorate courses

The measures taken in this regard are: - Determining 16 job fields based on the analysis of the existing situation and the needs of the units providing services to jobs according to the standards and manpower indicators as fields with compulsory service after education and sending eligible workers to serve in universities of medical sciences under the title of Tarhi (compulsory services of 28558 people in 2022 including and 24765 in 2023, including the distribution of more than 12 thousand doctors, dentists and pharmacists with a focus on less privileged areas and a 50% increase in the distribution of specialist doctors by compulsory commitments to provide medical services in universities/colleges of medical sciences with Focusing on depriver and rural areas (distribution of 6,750 specialists between 2018 and 2023- , increasing the number of annual distributions from 1,784 in 2018 to 2,800 in 2023) - Revision of the executive instructions for the distribution of the graduates of clinical specialties in order to compulsory services in order to increase the longevity of the doctors in the required native areas and with the approach of supporting the family and the population's youth with priority deprived areas (increasing the native score and giving priority to women married specialists with children to determine the place of commitment)

The measures taken in this regard are: -Inclusion of Iranian medical specialists in the cycle of the referral system based on the coordinated national guidelines for the prevention, timely diagnosis and treatment of infertility in the form of the referral system and the level of services (under the insurance coverage of the visit of Iranian medicine and 3 selected services (Badeksh, Hijamat and Fasad) , Compilation of 33 clinical guidelines of Iranian medicine for assistants and specialists in this field and establishment of Iranian medicine specialists in 33 infertility centers( -Adding the nutrition improvement service package to the rural family medical service package - Adding the package of mental health services to the package of rural family medical services

The measures taken in this regard are: -Creating a large network of social participation and health promotion with 9 million ambassadors and expert health volunteers to strengthen poverty reduction and education programs and to attract the participation of the central neighborhood (attracting 5000 foreign citizen health volunteers, -attracting 7000 student ambassadors and 202 voluntary service to reduce poverty) In the emergency situation of the Covid-19 pandemic: - Use of other specialties and subspecialties (pulmonary, digestive, internal, and endocrine subspecialties) - Using senior year residents of other specialties as residents in special care departments (internal resident and anesthesiology) - The activity of other residents in the Covid department and related departments (radiology resident, gynecology, pediatrics, emergency medicine) - Using non-nursing staff (midwives, operating room technicians, and anesthesia technicians) as nurse assistants in administering medication and injections - Using the capacity of volunteers as patient carriers or accompanying patients

The measures taken in this regard are: - People who have been admitted to the general medical course using the native quota of disadvantaged areas, according to the law on establishing educational justice, will be allowed to participate in the higher level (specialized) exam if they have completed at least half of their obligations. -According to the law amending the law to establish educational justice in the admission of students in post-graduate and specialized education courses (native quota of underprivileged areas), graduates of general medical courses are admitted to the quota of this law, who have the conditions of the regulations of brilliant talent approved by the Minister of Health, Medicine and Education, only in the same year of graduation, they are allowed to participate in specialized assistantship exams in the field required by the university/medical science faculty of the place of commitment, and if they pass, will spend the total commitments of the two courses after graduation in the place of commitment.

The measures taken in this regard are:- Sending managers to training courses abroad

The measures taken in this regard are: - Guiding and developing the knowledge management system and recording and evaluating the experiences and suggestions of the employees and managers of the headquarters of the Ministry of Health, universities and medical schools of the country. - Compilation of tools for assessing the competence of managers and setting up centers for evaluating the competences of managers in the eight regional centers - Updating and developing the database of health system managers (authentication of 16,402 people in the database so far) - Competency assessment of about 26,000 people from the new workforce in 69 job titles in the universities/faculties of medical sciences for the first time.

The measures taken in this regard are: - The annual festival of creative, innovative and energetic human resources -Appreciation from the editors of advanced medical science journals in international journals - Support for the world's 1% most cited researchers, young professors with index.h more than 20, and health technologists by giving research grants - Notification of instructions to support the activities of researchers and technologists of medical sciences universities of the country - The addition of the best student researcher section in the Razi research festival in order to increase the motivation and attention of the elites to the quality of science and technology seen in the national scientific and technological community; - Encouraging entrepreneurial professors and students through excellence, entrepreneurship and technology festivals - Increasing counseling and job support centers for entrepreneurship and creating knowledge-based businesses in the health system

The measures taken in this regard are: - Honoring the deceased health workers during the corona era (335 people) and declaring them as martyrs so that their families can enjoy the relevant benefits - Holding appreciation festivals and sharing experiences of social responsibility of professors and students of medical sciences universities - Encouraging social activities through increasing the impact of social resume in education and providing health services for the admission and promotion of academic staff members of medical sciences universities and in the progress and academic advancement of students of medical sciences universities.

The measures taken in this regard are:- Changing the contract of more than 100 thousand health workers to permanent contracts(2021-2023) - Compilation of the educational package of basic health services for government employees with the aim of providing, maintaining and improving the health of employees and creating a healthy work environment - Improving the welfare and subsistence services of the Ministry of Health employees through the payment of cash and non-cash welfare and subsistence allowances. -Development of recreational, pilgrimage and accommodation services by setting up a reservation system for the guest house of the country's medical sciences universities and providing travel facilities. - Inauguration of the national plan for monitoring and screening of health system workers and implementing this plan in the headquarters of the ministry - Promotion of sports and health services of health system employees (formation of sports committees, participation in sports competitions of government employees, holding men's and women's sports olympiads of the Ministry of Health and medical sciences universities of the country) -Settlement of bonus accounts for retirees of the country's universities of medical sciences

The measures taken in this regard are:-Utilization of 12 married student dormitories with a capacity of 194 units and an area of 17,943 square meters and 32 single student dormitories with a capacity of 7,366 units and an area of 104,449 square meters in medical universities (2021-2023) 10%- increase in the number of beds for medical students in single dormitories in 2023 - Construction and operation of 243 housing and residences for specialists, doctors and health teams in all parts of the country and equipping them - Development of support for students of medical sciences in line with the implementation of population increase policies by paying loans for marriage, childbearing, etc. -Financial support for holding medical student marriage celebrations

The measures taken in this regard are:- Implementation of retraining and continuous education programs for medical sciences (34,800 webinars and non-attendance courses during the years 2021 to 2024) - Launching and completing the comprehensive online system of training and empowering human resources of the Ministry of Health and holding 759 training courses for 598,386 people, 45% of these courses are online (2021-2023).

Foreign nationals who wish to work in Iran, after obtaining a license from the Ministry of Labor in accordance with Articles 120 to 122 of the Labor and Social Security Law), and certifying their educational qualifications by the Ministry of Health and Iranians educated abroad, in all employment conditions are similar to those of other Iranians in the country.

Foreign nationals who wish to work in Iran, after obtaining a license from the Ministry of Labor in accordance with Articles 120 to 122 of the Labor and Social Security Law), and certifying their educational qualifications by the Ministry of Health and Iranians educated abroad, in all employment conditions are similar to those of other Iranians in the country.

Foreign nationals who wish to work in Iran, after obtaining a license from the Ministry of Labor in accordance with Articles 120 to 122 of the Labor and Social Security Law), and certifying their educational qualifications by the Ministry of Health and Iranians educated abroad, in all employment conditions are similar to those of other Iranians in the country.

- Anticipating and implementing strategies such as recruitment as academic staff, helping to create knowledge-based companies, creating opportunities to cooperate with first-rate knowledge-based companies in the country, defining cross-border cooperation projects with Iranian elites abroad to replace military service To facilitate the return of elites to the country

The rules and regulations in this field are: 1-Article 5 of the Social Security Act: “Foreign nationals in respect of insurance premiums and legal benefits other than unemployment insurance benefits shall be similar to other insured." 2- According to Article 64 of the Administrative Code for the Recruitment and Organization of Non- academic Staff of the Ministry of Health and Medical Education: the rights and benefits of Foreign national’s are similar to other Iranian official and contractual workforce and determined by the provisions of this Act. 3-According article 34 of the Administrative Code of the Ministry of Health and Medical Education of the non-academic staff of the Ministry of Health and Medical Education: Recruitment of foreign nationals is in accordance with their own laws and regulations, but their salaries and benefits shall be determined in accordance with the provisions of these Regulations.

For Iranians who travel abroad, issued goodstanding or job certificate (report card) by with the approval of relevant organizations such as the Ministry of Labor, Iran Medical Council, Iran nursing Council or the Ministry of Health by their request

- Anticipating and implementing solutions such as recruiting elites who have emigrated as academic staff, helping to create knowledge-based companies, creating opportunities to cooperate with first-rate knowledge-based companies in the country