Background: Floods are the most common natural disaster which may have substantial impacts on the human health and life and the environment. In recent years, Iran have faced many floods and it seems that increasing impacts of floods in Iran are attributed to inadequate preparation and no well-established strategies and guidelines for response by health sector and other related response organizations. So, this study was conducted to review the current plans in the world to identify the required elements of the flood emergency response plan to prevent its consequences on the health sector in Iran. Methods: A Comprehensive review was performed through search on electronic data bases, including, Medline, Scopus, ProQuest, and e-journals which were accessible during 2010-2020. The keywords were response plan, flood, requirements, guidelines, and health sector. Data were collected using data extraction form and analyzed through content analysis. Results: In the initial search, 960 possible sources of flood response were identified. After excluding duplicate papers and the documents that did not contribute to the flood response plan, 64 articles and programs or guidelines that all them has been reviewed, were obtained. The findings were divided into two groups, response prerequisites and response activities. Conclusion: This review provided a complete view of the flood consequences for the health sector and allows professionals to incorporate facets of the health effect of floods into a flood response plan. The flood response plan was divided into two general categories: Initial and specific, each of which plays an important role in preventing the negative effects of the floods.

2Introduction: The purpose of occupational health is to maintain and improve the health of employees and improve their physical, mental and social well-being through the prevention, control and elimination of occupational hazards. It is necessary to integrate educational, research and health service activities to prevent and control potential occupational health hazards in the community. This study aimed to develop a Joint Comprehensive plan Of Action (JCPOA) for occupational health at Tehran University of Medical Sciences (TUMS). Material and Methods: In this participatory action research, a strategic planning committee was established, whose members were professors of the occupational health department in the school of public health and managers of the occupational health department in the health deputy of TUMS. The strategic planning committee carried out a strategic evaluation of the internal and external environments of both occupational health deprtments of TUMS and identified the strengths, weaknesses, opportunities and threats. Then, the strategic direction of JCPOA including the vision, mission, values, goals and objectives was determined. Also, the strategies and actions to achieve the goals and objectives were identified. Finally, the action plan to achieve these objectives was developed. Results: This applied research led to the strategic evaluation of the internal and external environments of the occupational health depratment of the School of Public health and the occupational health depratment of the health deputy of TUMS, determining the strategic direction, and finally, developing an action plan to achieve the goals and objectives. Conclusion: The JCPOA for occupational health was developed using a collaborative and systemic approach. The proper implementation of this plan can lead to the improvement of occupational health indicators in the community. Cooperation between university and industry is necessary for the sustainable development of society.

By now it is more than four decades from providing and execution of Iran first urban Comprehensive plans. Evaluation of these plans with experts shows the process of these plans not successful. In this paper the fact that lack of coordination between to be urban planning organizations, the manner of providing and execution, and lack of public participation lead to the ineffectiveness of the plans, relying on literature review and field study and finally the comparing the plan document are discussed.Results of this research show that there is lack of coordination of urban management organizations, style of providing and execution and lack of public participation public in urban plans which are inefficient.

Introduction: The present study aimed to design a Comprehensive model to evaluate the health system reform plan so the indicators of this model can lead to the health reform plan's effectiveness. Hence, this plan's effective factors, including policymakers and managers, suppliers, and clients, were identified and explained. Methods: According to the practical purpose and nature of the research, the combined/mixed research method was used, in 2018-2019. For the qualitative phase, the Delphi technique was used in exploratory interviews, and quantitative methods were used to collect data through a questionnaire. In the quantitative phase, 400 employees of 10 hospitals were selected by stratified random sampling; and in the second section, 300 clients were randomly selected in two hospitals with the highest and lowest evaluation scores in the previous phase. Content analysis method and Delphi technique were used for classification and analysis of qualitative data, and SPSS Ver. 22, AMOS Ver. 24 and Expert Choicev24 were used for data description and dimensions and indices' weight extraction. Dimensions under consideration include the financial, social responsibility, growth and learning, citizens and client, and internal process fields. Results: The components with the highest and lowest weight and impact on the effectiveness of the plan were identified in the following dimensions: financial field, Social responsibility field, growth and learning field, citizens and client field, internal process field, including weights 0. 266, 0. 244, 0. 202, 0. 164, 0. 124, respectively. Conclusion: Given the results, the components, indicators, dimensions, and levels of the model designed, the Comprehensive evaluation of the health System Reform plan in Iran (CEHSRP-IR) with the normal mean was confirmed by the statistical population, and this model can be used in all organizations implementing this plan.

Background: Factors affecting lifestyle become one of the most priorities of the research field, especially in adolescents and youth. Using a qualitative approach, this study aimed to understand what factors are affecting young people’s healthy lifestyle.Methods: Using the conventional content analysis, and used the semi‑structured in‑depth interviews, we conducted a qualitative study to elicit the youth opinion considering their lifestyle affecting factors. Initially, purposeful sampling method was considered for data collection. Participants were selected from volunteered youths 18–30 years whom were selected from the Tehran city. Inclusion criteria for the participants were; (a) willingness to participate in the study, and (b) ability to express experiences.Results: According to findings, although the majority of participants agreed on the important role of lifestyle related behaviors in their healthy life, the lack of essential motivation and the pressure of educational assignments remove it from their daily program priorities. The most important barrier to observing the healthy lifestyle was expressed as; the acceptance of the concept by the individual and the social and economic potential of the individual. It was also suggested that practical interventions should focus on improving more participator engagement of all of the related stakeholders.Conclusions: We proposed the participatory strategies for youth healthy lifestyle promotion. Through which based on a specific needs the assessment of different target groups, designing, development, and implementation of health programs led to more effective interventions.

Objective(s): Document and Comprehensive health plan was compiled with the focus of the province's health and Food Security High Council and the participation of public institutions and organizations in a five-year period. Therefore, this study conducted based on systemic view to deal with the analysis and implementation of the document. Methods: This qualitative study was conducted in 2022 with content analysis method in Yazd province, Iran. This study included the evaluation of the progress of the province's Comprehensive health plan with the aim of identifying the province's health problems and solutions and providing suggested interventions for the next 5 years. Participants were selected purposefully using the snowball approach. The data was collected via semi-structured interviews. After conducting 25 interviews with managers and experts, the data saturation was achieved. The data was analyzed using qualitative MAXQDA12 Software. Results: The content of the interviews was categorized into 8 main categories and 44 subcategories. The common problems of the province in the ten priorities as well as the proposed interventions for the better implementation of the compiled document were identified according to the role of each executive body. Conclusions: Reforming the governance system is one of the key prerequisites for the implementation of the Comprehensive provincial health plan of the Yazd Province, Iran. The implementation of the document requires the establishment of an expert team that is exclusively focused on the implementation of the document and with sufficient authority to monitor and evolution the performance.

Objective(s): Document and Comprehensive health plan was compiled with the focus of the province's health and Food Security High Council and the participation of public institutions and organizations in a five-year period. Therefore, this study conducted based on systemic view to deal with the analysis and implementation of the document. Methods: This qualitative study was conducted in 2022 with content analysis method in Yazd province, Iran. This study included the evaluation of the progress of the province's Comprehensive health plan with the aim of identifying the province's health problems and solutions and providing suggested interventions for the next 5 years. Participants were selected purposefully using the snowball approach. The data was collected via semi-structured interviews. After conducting 25 interviews with managers and experts, the data saturation was achieved. The data was analyzed using qualitative MAXQDA12 Software. Results: The content of the interviews was categorized into 8 main categories and 44 subcategories. The common problems of the province in the ten priorities as well as the proposed interventions for the better implementation of the compiled document were identified according to the role of each executive body. Conclusions: Reforming the governance system is one of the key prerequisites for the implementation of the Comprehensive provincial health plan of the Yazd Province, Iran. The implementation of the document requires the establishment of an expert team that is exclusively focused on the implementation of the document and with sufficient authority to monitor and evolution the performance.

Regional planning in Iran have a long period background. In spite of this background of 50 years old, these plans have less and less reached to implementation stage. The aim of this study is analysis of Comprehensive development plan of Central Zagros Region. The main reason for selection of this subject for evaluation, firstly was the importance of regional planning, especially in a expand country like Iran, and the second, was necessity of continoues analysis and review on the plans in both cases of aims and methods.This research in its evaluation process, initially tried to answer to the three following questions:1-The rate of compatibility between the plan and scientific bases2-Harmony and answering between the aims and the tar targets of initial contract of the plan3-The rate of applicability and implementation of recommended plan.Methodology of research in this thesis is the descriptive and analytical method, and is divided on two sections: One is formal evaluation and the other is containing evaluation Formal evaluation is to compare of such cases of the survey that is out of purport, and only concentrate on formal part of the work The aim of containing evaluation, is indeed to analysis and evaluate such part of survey that has the considerable meaning, and is comparable with the scientific terms and literature review of regional planning Output of the research -in short- is that In typical regional plans -in general- and the case of the recommended plan of Central Zagros -in special- the formal methods of planning are done in a fair level. But the matter on which is in a neglect, is not to pay enough attention to initial stage and also last stage of planning process, that means: how to be philosophical and ideological terms of planning at the first and how to execute or to program the plan at the end of planning process. In other words, the regional plans are suffered from two things more than the others; "Poverty in Theory and Poverty in Execution.

Background and aims: Promoting health and responding to the health needs of people and communities is the most important mission of any country's health system. In recent years، the concept of health and its determinants and on the other hand the health needs and demographic structure of societies have undergone many changes. Fair access to High quality health care seems impossible without formulating appropriate strategies and planning and utilizing human resources management principles. In other words, establishing a balance between workforce and the workload of health workers working in different areas, including suburban areas that have different demographic structure and needs compared to the urban population, is one of the health management requirements. To date, numerous studies have been done in Iran and other countries, but it can be said that the studies are mainly focused on specific areas such as treatment and have included one of the urban or rural contexts of research. Considering the variety of forms of health care systems in different countries as well as the type and variety of services and methods of study, the above studies have had a different approach than the present study. Also، timing of service delivery as the most important factor in improving productivity and optimizing the use of all available health resources and facilities، is necessary for rational and realistic human resource estimation as well as standard time setting. This study was designed to compare the timing of primary health care and the workload of staff working in Qom city Comprehensive health bases in urban and marginal areas. Methods: This cross-sectional study was conducted in the second half of the year 1396 (Solar-Hijri) through random sampling from two bases located in two marginal bases of the city and two urban texture bases of Qom. Over a 3-month period, 1000 people-care at Comprehensive health bases and age groups for infants, children, adolescents, youth, middle aged, elderly, mothers (prenatal, pregnancy and postnatal cares) were timed. The number of bases and sample size required for the study were determined by Systematic Random Sampling and according to the population of each geographical area in Qom. The four sites studied in this study were selected from four different urban areas. The present study was conducted in 4 stages. In the first phase, in order to coordinate the supervisors and health care providers, an 18-hour workshop was held for uniformizing the method of work, the variety of services, the type of care and the content of the training provided to the target group. During this period, 10 health educators were trained. In the second phase, out of 10 trained caregivers, 4 caregivers with the highest agreement rate in terms of service time, work experience, degree and field of study were selected. Each caregiver was referred to one of the health bases studied each day. In the third step, the timing was done by the Stop Watch method. In this process, the timing of services was recorded by a stopwatch in a complete care consisting of new or periodic care and from verbal communication with the caregiver to the end of full care. Also timing of each service and its components was measured by another stopwatch. Other references to follow-up or examination of tests or referral for purely special care were not subject to timing. In addition, in the event of a power failure or the Internet, the timing process was stopped and the time was recorded, and the duration of the power outage or the Internet was calculated separately and the necessary explanations were noted at the end of the checklist. In the fourth step, after recording the service times and their components in the standard timing checklists, data analysis was performed in SPSS software version 22 using descriptive and analytical statistics including mean and standard deviation and independent t-test. Results: In this study, 96. 1% of clients were Iranian and 3. 9% were non-Iranian. Also, 497 people (49. 7%) of all target groups were living in the marginal areas of the city and 503 people (50. 3% of the samples) were living in urban areas of Qom. Out of 92 referrals for healthy reproductive care, 46 subjects were timed in the marginal areas and the same number in the urban context. The mean age of the subjects was 28. 5 and 31. 5 years in urban and suburban areas, respectively. Also out of 88 referrals that were timed for pregnancy care (including 44 subjects in urban tissue and 44 subjects in marginal areas) the mean age of mothers in urban and suburban contexts was 28. 8± 5 and 27± 6 years, respectively. The mean age of women was 28. 8± 5 and 27± 6 years for prenatal care so 25± 5 and 28. 6± 5 years for postpartum care (respectively at the Comprehensive health base in urban and marginal areas). in the case of neonatal and child care the mean age was considered in terms of day (for neonatal care) and month (for child care) and it was 18± 11 as well 20± 11 days (for neonatal care) and 19± 15 as well17± 16 month (for child care) in urban and suburban areas. The mean age (in terms of year) for adolescent and youth care in this study was 11± 4 as well 11± 5 (for adolescent care) and 25± 3 as well 23. 5± 4 (for youth care) in urban and marginal texture, respectively. Based on the findings of this study, the mean age of female middle-aged women cares in urban and suburban areas was 42± 8 years. Similarly, the mean age for middle-aged men in both areas was 40± 7years. Finally, the mean age for the elderly cares was 64± 4 in urban context and 66± 6 in marginal context. In all service packages, except for prenatal care, there was no significant difference between the mean age of the subjects in urban and marginal areas (p <0. 05). In this study, the mean of total time for prenatal and postpartum care was 23 ± 6 and 20± 5 minutes. The mean time of postpartum care was 21. 5 ± 4. 5 and 18 ± 3 minutes (in marginal and urban context, respectively) and the difference was not statistically significant (p = 0. 08). But, unlike postnatal care, the timing of prenatal care showed a significant difference in the marginal (27. 4 ± 4min) and urban (18 ± 3min) tissue (p = 0. 001). Also, pregnancy care with a total mean of 35 ± 9. 5 minutes was the most time consuming care and there was a significant difference in the mean time allocated to this care in the urban (28± 7min) and suburb (39± 8min) context (p =0. 005). Mean timing of healthy reproductive care was 7. 7± 3 and 6. 8± 2. 7 minutes in marginal and urban areas respectively (the total time devoted to these cares was 7. 4 ± 2. 8 minutes. According to statistical tests, the difference between the time of healthy reproductive care in the marginal and urban context was not significant (p = 0. 139). While the results obtained from the timing of other cares provided in the health Reform plan package, the average overall time for infant and children cares were 24. 7 ± 5 and 22 ± 6, respectively. The mean time of neonatal care was 27± 7 and 22± 4 minutes (respectively at the Comprehensive health base in marginal and urban areas) and the observed difference was statistically significant (p =0. 004). Also, there was a significant difference between the timing of child care in the urban and marginal areas (19± 3. 5 and 25± 6 minutes respectively). In the case of middle-age women care the average overall time was 26. 5 ± 4. 5 min and the difference observed in timing of care (33± 6 and 23± 5 in marginal and urban areas) was significant (p =0. 001). In contrast, the results of the study showed no significant difference between the timing of middle-aged men care in urban (26± 6 min) and suburban (34± 8 min) area (p =0. 29) and the total time of care in this case was 31± 9 minutes. The total time of the elderly care was 33± 9 min (37± 8 and 27± 8 in marginal and urban areas), which showed significant difference between urban basin health and urban areas (p =0. 001). In addition, the mean of total time for adolescent and youth cares were, 32. 5 ± 5. 8 and 24 ± 6. 4 min which did not show any significant difference between urban basin health and suburban areas (p = 0. 1). The mean of time taken to care for adolescents and youths was 40± 6 and26± 6 min in suburban texture 38± 8 as well 23± 7 min in urban area. Conclusion: Differences in the timing of health services and work load in suburban and urban texture health contexts can be used in planning the number of appropriate manpower by the type of care, service location, and needs of the target group in order to provide high quality care in accordance with the principles of human resources. In other words, fairer access to primary health care requires more attention from planners and policymakers to demographic differences and the needs of urban and marginal regions. Further studies are recommended to compare the timing of services in different age and sex groups. A comparative study with other developing and developed countries can also highlight the strengths and weaknesses of the program.