Willingness to utilize supervised injection facilities among people who inject drugs in Iran: Findings from 2020 national HIV bio-behavioral surveillance survey.

BACKGROUND: Supervised injection facilities (SIFs) have not yet been integrated into Iran's harm reduction programs. This study aimed to report the extent to which people who inject drugs (PWID) in Iran are willing to use SIFs. METHODS: Participants were recruited from 11 major cities using respondent-driven sampling. Willingness to use SIFs was defined as a three-level categorical variable: low, moderate, or high. RESULTS: Of 2,490 PWID, 52.8% and 23.8% reported high and moderate willingness to use SIFs, respectively. PWID with a history of homelessness (relative-risk ratio (RRR): 2.22, 95% CI: 1.76-2.80), incarceration (1.86 [1.48-2.35]), hepatitis C infection (1.49 [1.13-1.97]), and non-fatal overdose (2.30 [1.69-3.13]) were more likely to be willing to utilize SIFs. Willingness to use SIFs was also higher among PWID who reported recent public injecting (2.24 [1.70-2.97]), daily injection (1.82 [1.35-2.45]), stimulants injection (2.39 [1.41-4.07]), syringe sharing (3.09 [1.23-7.74]), harm reduction services utilization (2.80 [2.13-3.68]), and food insecurity (8.28 [5.43-12.63]). CONCLUSION: The majority of PWID in Iran expressed willingness to use SIFs, in particular, those who were involved in higher-risk injection practices, dealing with structural risks, and had experienced drug-related harms. SIFs represent critical opportunities to deliver comprehensive harm reduction services to improve the health and well-being of PWID in Iran.

Satisfaction levels with family physician services: a pilot national health programme in the Islamic Republic of Iran.

Family physicians in the Islamic Republic of Iran have been providing health and medical services to residents from rural areas since 2005, and from 2011 these services have been delivered to urban residents in Fars and Mazandaran provinces. This study was conducted in 2014 to measure the rate of user satisfaction with services provided by family physicians to the rural and urban population of the second most populated county in Fars province (Marvdasht county, population > 330 000). In urban and rural areas, 1650 houses (825 in rural and 825 in urban areas) were selected, of which 1561 houses were inhabited (2908 individuals in urban and 3062 individuals in rural areas) and an interview-administered doorstep questionnaire was completed. Overall satisfaction rate was 59.2%: 54.5% for urban areas and 63.2% for rural areas. This study suggests that satisfaction is higher among rural residents and that better quality services from family physicians are needed in both rural and urban communities.

Satisfaction levels with family physician services: a pilot national health programme in the Islamic Republic of Iran

Family physicians in the Islamic Republic of Iran have been providing health and medical services to residents from rural areas since 2005, and from 2011 these services have been delivered to urban residents in Fars and Mazandaran provinces. This study was conducted in 2014 to measure the rate of user satisfaction with services provided by family physicians to the rural and urban population of the second most populated county in Fars province [Marvdasht county, population > 330 000]. In urban and rural areas, 1650 houses [825 in rural and 825 in urban areas] were selected, of which 1561 houses were inhabited [2908 individuals in urban and 3062 individuals in rural areas] and an interview-administered doorstep questionnaire was completed. Overall satisfaction rate was 59.2%: 54.5% for urban areas and 63.2% for rural areas. This study suggests that satisfaction is higher among rural residents and that better quality services from family physicians are needed in both rural and urban communities

En République islamique d'Iran, les médecins de famille fournissent des services médico-sanitaires aux habitants des zones rurales depuis 2005. Depuis 2011, les habitants urbains des provinces de Fars et Mazandaran bénéficient également de ces prestations de service. La présente étude a été menée en 2014 afin de mesurer le taux de satisfaction des bénéficiaires des services fournis par des médecins de famille aux populations urbaines et rurales du deuxième département le plus peuplé de la province de Fars, à savoir Marvdasht, qui regroupe une population de plus de 330 000 habitants. Dans les zones urbaines et rurales, 1650 maisons [825 en zone rurale et 825 en zone urbaine] ont été sélectionnées, parmi lesquelles 1561 étaient habitées [2908 individus en zone urbaine et 3062 en zone rurale], et un questionnaire a été rempli sur la base d'entretiens [pas de porte] Le taux de satisfaction global était de 59,2%, avec 54,5% pour les zones urbaines et 63,2% pour les zones rurales. Cette étude suggère que la satisfaction est plus élevée parmi les habitants ruraux, et qu'il est nécessaire d'améliorer la qualité des services fournis par les médecins de famille dans les communautés rurales comme urbaines