1. Health, Core of
Development
Farhad Zargari, MD
drzargari@gmail.com

3. MARTIN LUTHER KING :
“OF ALL THE FORMS OF
INEQUALITY,
INJUSTICE IN HEALTH
CARE IS THE MOST
SHOCKING AND
INHUMANE

4. (WHO)

6. HumanCapital
Theory
Aging

8. -
-
-
--
-

9. -
-
-
-

10. -
-
-

11. -

12. -
-
-
-
-

13. -
-
-
-
-

14. :
.
:
.:
.

.
:
1
.
2
3
4

16. -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

19. 






20. .1
.2
.3
.4
.5
.6
.7
.8

21. package

22. -









23. -package










24. -



Evidence Based





25. -
•
•
-
•
•
•
-
•
•

27.  All Ages
 Both Sexes
 Comprehensive
 Integrated

28. Comprehension
 Social Factors
 Psychological Factors
 Spiritual Factors
 Biological Factors

29. Integration
 Preventive Measures
 Therapeutic Measures
 Rehabilitative Measures

30. -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-Life Style
-Self Care

31. ‫ك‬ ‫ي‬‫ت‬ ً‫ژ‬ ّ ‫ك‬ ‫يْلْژي‬ ‫ب‬ ‫ل‬ ‫سائ‬ ‫ه‬ ‫كي‬ ‫يزي‬ ‫ف‬ ‫يط‬‫هح‬
‫تصادي‬ ‫اق‬ ّ ‫تواعي‬ ‫اج‬ ‫يط‬‫هح‬ ‫تي‬ ‫ساله‬ ‫ذهات‬ ‫خ‬ َ ‫ارائ‬ ‫ًظام‬

33. 



-


34. -
-

35. 

36. 


37. 
---

38. 

-
-

39. 50 1000 2000
5400
19000
‫اّايل‬ 1800 1930 1992 2100
‫هيليْى‬ َ‫ب‬ ‫ت‬ ‫جوعي‬

40. 1.7
0.8
2.25
0.85
2.9
0.9
3.55
0.95
4.2
1
4.9
1.2
5.75
1.25
6.2
1.3
6.65
1.35
7.3
1.4
8
1.5
1950
1970
1990
2010
2030
2050
َ‫يافت‬ َ‫تْسع‬ ‫كوتر‬ ‫كشْرُاي‬ َ‫يافت‬ َ‫تْسع‬ ‫بيشتر‬ ‫كشْرُاي‬

41. 3.8
2.4
2.6
2
2.9
3.6
2
‫ى‬‫ارد‬
‫ق‬‫عرا‬
‫ى‬‫ٌا‬‫ب‬‫ل‬
‫هصر‬
‫ى‬‫تا‬‫س‬‫عرب‬
‫ي‬‫سعْد‬
‫ى‬‫عوا‬
‫ى‬‫سْدا‬

42. 1881
1891
1901
1911
1921
1926
1931
1936
1941
1946
1951
1956
1966
1976
1986
1991
1996
2000
0
1
2
3
4
5

43. Population Pyramid - Iran DHS2000
95+
90-94
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5-09
0-04
0.02.04.06.08.0 0.0 2.0 4.0 6.0 8.0
Female Male

44. 2.71 3.2
2.46 2.3
1.75
1.41
1355 1365 1370 1372 1373 1375

45. 23
26
18
29
48
1335-
1345
1345-
1355
1355-
1365
1365-
1370
1370-
1375

46. -
-
-
-

STD
-

47. IQ
Reproduction
IQ
IQ
IQ

48. -

49. 

50. GDP
GDP


52. Global Health Expenditure 1997 = US$2.6 Trillion
Africa 0.4%
Middle East and N Africa 1.5%
Europe 2.4%
Americas 3.2
Asia 3.5%
Developed Countries 88.9%

53. Out of
Pocket

54. GDP
4.4%
3.7%
5.2%
3.3%
4.2%
2.5%
10.5%
9.8%
9.3%
7.3%
13.7%
8.6%
10.1%
‫ى‬‫را‬‫اي‬
‫هصر‬
‫ى‬‫ارد‬
‫ت‬‫كْي‬
‫ق‬‫عرا‬
َ‫سْري‬
‫ى‬‫وا‬‫ال‬
َ‫س‬ً‫را‬‫ف‬
‫يا‬‫تال‬‫اي‬
‫ي‬‫ژاپ‬
‫كا‬‫ري‬‫اه‬
‫ا‬‫كاًاد‬
‫س‬‫ي‬‫سْئ‬

55. MENAMENA ‫در‬ ‫سالهت‬ ‫ی‬ ٌَ‫ُزي‬ ًَ‫سرا‬
1,747
855
835
666
499
430
352
222
134
122
107
105
58
58
56
38
19
0 200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000
OECD
‫اهارات‬
‫قطر‬
‫کْيت‬
‫لبٌاى‬
‫بحريي‬
‫عربستاى‬
‫عواى‬
‫اردى‬
‫فلسطيي‬
‫ايراى‬
‫تًْس‬
ٍ‫لجزير‬ ‫ا‬
ْ‫هْراک‬
‫دجيبْتی‬
‫هصر‬
‫يوي‬
‫آهريکا‬ ‫دالر‬ َ‫ب‬ ‫سالهت‬ ٌَ‫ُزي‬ ًَ ‫سرا‬

56. $20
$11
$20
$42
$17
$17
$30
$1,402
$2,125
$2,365
$3,724
$1,322
$2,644
$1,757
‫ى‬‫وا‬‫ال‬
َ‫س‬ً‫را‬‫ف‬
‫يا‬‫تال‬‫اي‬
‫ي‬‫ژاپ‬
‫كا‬‫ري‬‫اه‬
‫ا‬‫كاًاد‬
‫س‬‫ي‬‫سْئ‬
َ ً‫سرا‬
‫ن‬ ‫ي‬‫ق‬‫ت‬‫س‬ ‫ه‬ ‫ن‬ ِ‫س‬

57. $13
$57
$73
$33
$41
$66
$178$118
$200
$110
$2
$605
‫ى‬‫را‬‫اي‬
‫هصر‬
‫ى‬‫ارد‬
‫ت‬‫ْي‬‫ك‬
‫ق‬‫عرا‬
َ‫سْري‬
َ ً‫سرا‬
‫ن‬ ‫ي‬‫ق‬‫ت‬‫س‬ ‫ه‬ ‫ن‬ ِ‫س‬

58. 0
5,000 ,000 ,000
10 ,000 ,000 ,000
15 ,000 ,000 ,000
20 ,000 ,000 ,000
25 ,000 ,000 ,000
30 ,000 ,000 ,000
35 ,000 ,000 ,000
40 ,000 ,000 ,000
45 ,000 ,000 ,000
50 ,000 ,000 ,000
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
íÑÇÌ íÚÇãÊÌÇÑæãÇ íäÇÑãÚíÚÇãÊÌÇÑæãÇ íÑÇÌåí ÐÛÊ æäÇãÑÏ ¡ÊÔÇÏåÈáÕÝ íä ÇÑãÚ åí ÐÛÊæäÇãÑÏ¡ÊÔÇÏåÈ áÕÝ

59. -
95
120 130
166
200
221 230
256
280
326
268
253 254 252 245
202
175 167 172
202
298
283
268 266
214
238
325 323
50 55 60
96 95 93 100
117
135
158
195
236
300
351
337
278
320
383
354
406
459
442
335
368
396
358 354 354
140
180
210
262
300
315
345
373
400
484
463
489
560
603
582
480
515
550
526
608
757
725
603
634
610
596
679 677
0
100
200
300
400
500
600
700
800
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
165
1366
1367
1368
1369
1370
171
1372
1373
1374
1375
1376
1377
‫ت‬ ‫دّل‬ ‫ش‬ ‫خ‬‫ب‬ ‫اى‬ ‫دره‬ ّ ‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫اي‬ ُ َ ٌ ‫زي‬ ُ ‫ل‬ ‫ك‬ ‫ي‬‫خصْص‬ ‫ش‬ ‫خ‬‫ب‬ ‫اى‬ ‫دره‬ ّ ‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫اي‬ ُ َ ٌ ‫زي‬ ُ ‫ل‬ ‫ك‬
‫ى‬‫ا‬ ‫دره‬ ّ ‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫اي‬ ُ َ ٌ ‫زي‬ ُ ‫ل‬ ‫ك‬

60. 0
50
100
150
200
250
300
350
400
450
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1371
1372
1373
1374
1375
1376
1377
1378
‫ي‬‫ٌگ‬ ‫ذي‬ ‫ق‬ ً G.D.P ‫اري‬‫ج‬ ‫ت‬ ‫دّل‬ ‫ـ‬ ‫اى‬ ‫دره‬ ّ ‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫اري‬‫ج‬ ‫اي‬ ُ َ ٌ ‫زي‬ ُ ‫شْر‬ ‫ك‬ ‫ـ‬ ‫اى‬ ‫دره‬ ّ ‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫اي‬ ُ َ ٌ ‫زي‬ ُ

61. 0
100
200
300
400
500
600
700
800
1338
1340
1342
1344
1346
1348
1350
1352
1354
1356
1358
1360
1362
1364
1366
1368
1370
1372
1374
‫ت‬ ‫ش‬ ‫ذا‬ ِ‫ب‬ ‫در‬ ‫ْرم‬‫ت‬ ‫ل‬ ‫ك‬ ‫شاخص‬

62. Out of Pocket

-
-
-
-
CatastrophicNon-Catastrophic

63. 0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Catastrophic NonCatastrophic
Drug
Dental
Outpatient
Inpatient
Out of Pocket

64. Other
Government
Incomes
Household
Income
Public
Fund
Insurance
Fund
Health
Care
Facility
Health
Care
Provider
Resource
Generators
Client
Foreign
Resources
Tax
Premium
Out of Pocket
Charities

65. Out of Pocket









66. 35%
65%
0%
10%
20%
30%
40%
50%
60%
70%
Insured UnInsured