A report by the Ministry of Cooperatives, Labor and Social Welfare regards high levels of out-of-pocket health financing a major problem in Iran’s healthcare system.
Iran performs worst when it comes to the healthcare access and quality index compared with other health indexes. Iranians paid 35% of total health expenditure directly as out-of-pocket expenses compared to the global average of 18% in the fiscal 2018-19, according to data by the World Bank.
The country ranked 116th among 187 countries in terms of out-of-pocket expenses index in that year. Tehran and Kerman registered the highest and lowest levels of out-of-pocket expenditures respectively.
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