Provision of Disrupted Essential Health Services during COVID-19 Pandemic in the Islamic Republic of Iran: The Third Phase of National Mobilization against COVID-19

Abstract

Background. COVID-19 is a global pandemic and has plagued many countries with unprecedented management problems. The rapid spread of COVID-19 around the world has reduced the ability of countries to address and respond to essential health services. Most countries have taken steps to prevent the spread of COVID-19 and improve essential services. The National Mobilization Plan (NMP) against COVID-19 in Iran’s healthcare system was implemented in 5 stages until September 2021. This study aimed to assess and review medical universities' performance in the third step of management and control of COVID-19 to provide documents and reports to be used in similar experiences. Methods. This research is a cross-sectional descriptive study. Data were obtained from electronic records at the primary health care facilities and were analyzed and reported using descriptive statistical methods, including comparative tables and graphs. In order to prepare the report, Excel 2016 software was used. The third step of the NMP against COVID-19 was implemented from August 10, 2020, to November 10, 2020. In this step, while re-emphasizing the importance and necessity of verbal and laboratory screening of COVID-19, essential health services provision was highlighted as "in-person and remote services" for the covered population. Results. In the third step of national mobilization, 59,109,413 people were screened for COVID-19. During the third step, non-COVID essential services increased compared to the previous three months, with the most significant increase in middle-aged care. Conclusion. Implementing the third step of NMP against COVID-19 in Iran increased the healthcare service delivery to all target groups, indicating the effectiveness of the third step in the fight against COVID-19 and the provision of Essential Health Services.