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152:oral Challenges of institutionalizing priority setting for universal health coverage in Iran
  1. Haniye Sadat Sajadi
  1. Health Services Management, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran; University Research and Development Center, Tehran University of Medical Sciences, Tehran, Iran


Objective To investigate the challenges of institutionalizing evidence-informed priority setting (EIPS) to develop/revise the health intervention package in Iran.

Methods A qualitative systematic literature review was conducted. Two international and one national database were extensively searched. Google Scholar was also mined to find potential studies. Relevant keywords were used in the English and Persian languages. Two individuals independently screened and extracted studies. The reference list of relevant studies was also scanned for cross-referencing. Studies with the defined inclusion and exclusion criteria were enrolled and relevant data extracted.

Results The socio-economic-cultural context and the perceived need for evidence-informed decision-making were the main challenges of enabling environment. Availability of financial and human resources, advocacy, political will, alignment of policies and guidelines, and the health system governance arrangement were the challenges of organization. The supports required are strategic planning, training and supervision, active stakeholders’ participation, and strong leadership.

Discussion Further progress to achieve universal health coverage needs comprehensive measures to address challenges of EIPS institutionalization to revise the health intervention package in Iran. Besides the technical dimensions of EISP, we should consider motivations, establish structure, and strengthen support processes, which in turn provides a solid social coherence and strong leadership for EIPS.

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