Decentralization of Health System in Islamic Republic of Iran

Decentralization is the process of dispersing decision-making closer to the point of peripheral area, service or action. Basically decentralized governance, if properly planned and implemented, offers important opportunities for enhanced human development. The studies about this issue in different countries show that most of the decentralizations have been implemented in European countries and in comparison, the Middle East countries have been utilized lower degrees of the decentralization process. In fact, decentralization in the health system is a policy pursued for a variety of purposes including increase in service delivery effectiveness and equity, improving efficiency and quality, fairness of financial contribution and planning for choosing the most appropriate interventions for the health priorities in peripheral regions. To implement decentralized governance, there is a spectrum of different choices that the government should regulate their degrees. Providing an appropriate atmosphere for decentralization is essential, otherwise lack of planning and achievement can result in complications for the system.