Passive Defense

Passive Defense

Challenges of the Islamic Republic of Iran's Health System Response Program to the Crisis and Exit Strategies (Case Study: Qom Provincial Health Center)

Document Type : Original Article

Authors
Abdul Rahman Keshvari 1
ali Saeidi 2
sadeghe molaghen 3
ali Khalaj 3
1 Assistant Professor, Imam Hussein University, Tehran, Iran.
2 Associate Professor, Imam Hussein University, Tehran, Iran.
3 Master's degree, Imam Hussein University, Tehran, Iran.
10.47176/pd.2026.1536
Abstract
Due to its geographical location and cultural, political, social, etc. conditions, Iran has always been prone to various crises. For this purpose, the Ministry of Health has developed a program entitled "Health System Response to Disasters" for crisis management in the health system and communicated it to the universities of medical sciences. Considering the history of implementation of this program in the Qom Provincial Health Center, it seems that it has not been able to fully meet the needs of crisis management and, consequently, passive defense in this area. The aim of this research is to identify the challenges of implementing this program in the Qom Provincial Health Center and provide solutions to overcome these conditions. This research uses a qualitative descriptive-analytical method and, citing research literature, organizational information, and expert interviews, has extracted the program's challenges based on 12 criteria of the Burke-Litwin model. 45 important challenges have been extracted based on categorization, with 4 main categories and 12 subcategories. By providing exit strategies and solutions, it is expected that the following results will be achieved: implementation, promotion, effectiveness, efficiency and productivity of the program, response to the crisis, recording accurate information, staff performance, community behavior, crisis management, public participation, and program monitoring. The achievements of this research in the field of crisis management and passive defense are effective improvement of the health care system, promotion of the components of the health care system with respect to disasters, and reduction of the risks and consequences of disasters at the community level. Finally, the results of these steps have been summarized in a model.
Keywords
Health Center
Response Program
Burke-Litwin Model
Crisis Management
Solutions
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Passive Defense
Volume 17, Issue 2 - Serial Number 66
Serial number 66. Summer 2026
Summer 2026
Pages 19-44

  • Receive Date 05 May 2025
  • Revise Date 03 June 2025
  • Accept Date 20 September 2025
  • Publish Date 23 July 2026