Design and deployment of health complexes in line with universal health coverage by focusing on the marginalized population in Tabriz, Iran

With increasing rate of urbanization in the globe, the problem of marginalization and health status of marginalized group, although with a different severity has been turned to a big issue for all nations and countries, in a way that slums have been addressed directly in the 11.1 of Sustainable Development Goals. The United Nations Human Settlements Programme estimates that 863 million people living in slum areas (2014), According to the 2015 census of Ministry of Health and Medical Education in Iran 10,280,270 people lived in slum areas (2015) and again according to this census this rate for Tabriz University of Medical Sciences is about 505,356 persons. This article as an independent assessment intends to introduce and discuss the Tabriz experience in this regard in line with universal health coverage for marginalized groups.
This paper has been conducted through qualitative methods, interviews, documents reviewing, data comparison before and after the implementation of health transformation plan and field surveys by two separate teams (national and provincial).
By implementing the health complex strategy in marginalized areas the number of health institutions and healthcare workers has been significantly increased in these areas (a health team for 4000 persons and a 62000 population for a health complex, Diabetes cases detection has been increased from 30 to 621 and detection of heart diseases increased from 5 to 167, Meanwhile essential packages and supportive services provided to the population by governmental subsidy , as well as managerial practices and payment methods were used much more efficiently than in the past.
The implemented structures used to the health transformation plan were varied in different provinces. Recognizing the strengths of different structures and introduce them¡ will provide a structural design based on the experiences of all provinces.