Which groups of the poor are supported more by the law? Pro-poor health policy network in Iran

Manal Etemadi, Kioomars Ashtarian, Hasan Abolghasem Gorji, Hananneh Mohammadi Kangarani*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

6 Citations (Scopus)


Background: Considering the challenges of health services utilization of the poor in Iran, it is necessary to examine the supportive policy documents about the poor in order to identify such challenges. Methods: This study is a policy documents analysis that has evaluated the legal documents in the health financial support to the poor. The researchers looked in the websites for documents and referred to related organizations. Social network analysis approach and UCINET software were chosen for data analysis. Results: Twenty-seven different disadvantaged groups were identified for financial support in the legal documents. The main focus was on “poor people,” “unsupported women and children,” and “disabled and elderly poor people.” There is a bundle of confusion about the number of supporting institutions for different groups and the amount of support in the network. Conclusion: The coverage of the poor in Iran has been impaired by a lack of clear boundary in their support. Because of the interorganizational partnership challenges, much more promising results would have been achieved if there was only one administrative institution for the Iranian poor. Given the inconsistencies seen in the support types and levels for the poor to access health services, it is inevitable to amend the laws.

Original languageEnglish
Pages (from-to)e1074-e1086
JournalInternational Journal of Health Planning and Management
Issue number2
Publication statusPublished - 1 Apr 2019

Bibliographical note

Funding Information:
This study was part of a PhD dissertation supported by the School of Health Management and Information Sciences,

Funding Information:
Iran University of Medical Sciences (grant no: IUMS/SHMIS_1394/9221557206).

Publisher Copyright:
© 2019 John Wiley & Sons, Ltd.


  • health
  • Iran
  • law
  • pro-poor
  • social network analysis


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