The Province's health care services delivery system began to work less than half a century ago. Prior to the glorious Islamic Revolution, the activities of this sector, which had been entitled the Organization of health care, were limited to the delivery of treatment services that was incompletely accomplished in two hospitals and few clinics, mainly located in the cities. The centers were mainly run by foreign doctors, and other staff vacancies, including midwife, nurse and health workers, was quite tangible.From the viewpoint of higher education institutions, there were no independent educational centers across the Province, and therefore knowledge seekers would have to migrate to big cities with great suffering.In 1979, immediately after the victory of the glorious Islamic revolution, a fundamental transformation took place in different fields in the country and Province, and between 1979 and 1986, health experts and professionals devote themselves to the design of a system of health care networks for the country. The project, aimed at realizing social justice and meeting the needs of the deprived areas, was supported by the authorities of the country after pilot implementation, and then widely spread across the country, especially in Chaharmahal and Bakhtiari Province.In 1986, the regional Organization of health care was renamed as the University of Medical Sciences and Health Services, its structure was revolutionized, and new missions in relation to health, treatment, education, research, food and medicine, culture, students, and management and resources development were stipulated for it. The study of the growth trend of health care services in the Province between 1987 and 1992 indicates that the health status relatively improved and its growth continued. In the second decade after the formation of the new health care system, i.e., since 1995 until now, and after achieving the quantitative purposes and developing health care units and increasing the people’s access to health care services, certain dimensions of the quality of services have also been taken into account, and as one of the priorities of the University, included into the agenda, leading to the stabilization of health care through the implementation of various national projects, including pilot ones.Chaharmahal and Bakhtiari province in 1979, the year of the Islamic Revolution's victory, with a population of over 433,000, had three hospitals and 258 hospital beds. The health indicators of the Province were not acceptable, and despite the deprivation of most regions of the Province and low living standards of the population, unfortunately, people did not have adequate access to health care facilities to meet their health needs. Immediately after the triumph of the glorious Islamic Revolution and the launch of the Ministry of Health's work plans, increasing hospital beds and resources was included in the agenda of the Ministry, so that in the 1990s, fundamental changes in the treatment area took place at national and provincial scales.
The University began to work in 1986 with the admission of 240 students in three disciplines and two academic degrees in two colleges, and currently has 2,494 students in 38 disciplines and 8 academic degrees consisting of clinical specialized PhD, PhD, professional doctorate, specialized research doctorate, master's degree, bachelor's degree, associate's degree into bachelor's degree program, and bachelor’s degree in seven faculties, namely, Shahrekord Faculty of Nursing and Midwifery, Faculties of Medicine, Paramedicine, Health, New Technologies, and Dentistry, and Boroujen Faculty of Nursing.The number of faculty members of the University is currently 232, consisting of 5 professors, 33 associate professors, 162 assistant professors, 31 trainers and 1 research assistant professor. A total of 10936 students have graduated since the launch of the University, 3,701 (nearly 35%) of whom have been admitted to higher studies programs. The academic achievements of the University include receiving several medals at the Student Science Olympiads between 2013 and 2018 and having 5 students be qualified for the team round of National Science Olympiad in 2018, and gaining specialty board certificate by four people within 2016-2018. The most valuable indicators of the development of medical education in the University includes students’ enjoying 22450 square meters of educational space in colleges and hospitals, modern educational equipment, educational and research aids, the opportunity to benefit from three research centers and a research institute of basic health sciences, two educational hospitals, and two newly equipped specialized libraries with most up-to-date scientific resources, and delivering computer and Internet services to teachers and students.
The Deputy of Health covers nine health care centers, 62 urban holistic health care centers and 60 rural holistic health care centers, three health worker education centers, 300 health houses, 29 urban health care bases and four rural health care bases, and four birth facilitation units. The rate of access to primary health services in cities has increased to 100% and in rural areas to 98%. Population growth rate of the Province is 1.5%, vaccination coverage of under-one-year population 100%, and access to safe drinking water in the Province 99.8%.
The research activities of the University has led to the first rank of research among the medical universities of the same class for 14 consecutive years (2004-2018).In addition, in the field of student research in 2016-2017, for the first time, the University obtained the first rank of research among the universities of the same class and received the Statue of the Razi Research Festival on Medical Sciences.
This area is to pave the way for attracting financial resources, supplying and distributing human resources, managing logistic services, implementing and monitoring the development plans, and developing health infrastructure, all of which contribute to the promotion of health indicators of the Province.
Equipped with over 14114 square meters of student dormitory and 19,000 square meters of sports space, the Deputy provides students with welfare and cultural services, delivering over 711 consulting services and accomplishing over 200 cultural activities for students per year. Gaining the distinguished rankings in different cultural and sports festivals by the University students is also one of the achievements of the Deputy.
Including two teaching treatment centers, eight hospitals, 1367 active hospital beds, 549 general practitioners, 284 specialists and subspecialists, 213 dentists, 1566 nurses, 140 intensive care beds, 98 pre-hospital (115) and hospital ambulances (115), and 51 ambulance centers and diagnostic facilities, angiography, CT scan, and MRI, the Treatment Deputy delivers specialty services in internal medicine and pediatrics, gynecology, general surgery, infectious diseases, anesthesia, ophthalmology, pathology, ENT, radiology, orthopedics, cardiovascular diseases, dermatology, orthodontics, internal neurology, neurosurgery, psychiatry, physical medicine, and burns, and also subspecialty services in facial surgery, radiotherapy, adult pulmonology, adult gastroenterology, liver diseases and gastroenterology and endoscopy, nephrology, rheumatology, pediatrics, pediatric cardiology, echo cardiography, adult oncology, pediatric neurology, eye surgery (corneal transplantation), pediatric infectious diseases, thoracic surgery, and open heart surgery.The activities of the Treatment Deputy have reduced the admission of patients living in the Province to neighbouring provinces between 2006 and 2018.
The right to access the required medications and food and health products and cosmetics is an indisputable right of citizens, which is one of the responsibilities of the Drug and Food Deputy.
The Ministry of Health and Medical Education structuralized two central issues of the health system, namely, social partnerships and intersectoral cooperation, by establishing the Social Deputy, potentially being a source of blessing and goodness for the health care system.
As health experts and professionals acknowledge, social factors account for 75% of the factors effective on health. Therefore, it is important for the health care system to design a structure to improve these factors so that it can take advantage of such capacities.Over the past years, these issues have been mainly people-centered rather than structure-oriented, so at certain intervals, the debates on intersectoral participation and cooperations have been highlighted and prioritized, and at some other intervals, debates on social partnerships and intersectoral cooperation have been overshadowed by other issues. It seems that this action (establishment of a social deputy in the Ministry) can be a good model to finalize and continue the Health Reform Plan and also a desirable model for health care systems in the region and across the world.Hence, the Social Deputy of the Shahrekord University of Medical Sciences, officially beginning to work in February 2017, in addition to cooperating in holding educational and cultural conferences, has entered into action in the health area to inform the public and attract public contributions so that the major health plans can be implemented in the most efficient possible manner.In addition, the Deputy, within a short time, enlisted the requirements of the University, prepared a database of health-related institutions and NGOs and social damages, formed a health messenger council for the universities and governmental organizations and institutions of the Province, formed and commissioned a house of public participation in health for the Province, established a health monitoring committee, developed the health profile of the Province, and provided the ground for codifying a holistic health plan to improve the community health and to make the community healthy, vibrant, and productive.