فهرست مطالب معصومه دژمان

Objectives Mental health problems are prevalent especially in women all over the world. These problems have adverse effects on various aspects of life. Interventional programs to mental health promotion related to sociocultural structure and it is needed to know the coping mechanisms and mental health promotion strategies and it is the aim of this study.
Methods This is a qualitative study. The relevant data were collected by in-depth interviews with 15 married women (18-65 years old) in Tehran. Then the obtained data were investigated through content analysis.
Results Married women used four strategies to cope with the stress and promote the mental health status: a) strengthening the spiritual aspects, b) learning the skills of stress management, positive thinking, self-controlling and problem solving, c) seeking help, and d) setting their priorities setting and avoid daily boring tasks.
Conclusion Teaching coping mechanisms based on problem-solving techniques is essential for mental health promotion in married women.

Aim: The aim of this study was to evaluate the relationship of prisoners’ demographic features in 7 provinces of Iran with their crime type and level.
This descriptive study was performed in all 2200 newcomer prisoners of 7 great prisons of Iran (Zahedan¡ Urmia¡ Kermanshah¡ Karaj¡ Bandar Abbas¡ Yazd and Gorgan) during January and February 2009. The analysis of personal properties (age¡ level of education¡ unemployment¡ poverty and place of residence) of prisoners was done in the framework of structuralism and functionalism using SPSS 19 software.
Increasing the age and level of education of prisoners was inversely related to crimes¡ especially theft¡ which was the most frequent among the crimes¡ and only a direct relation to fraud was observed. The amount of crime and its re-engagement with the level of education and income was inversely related and was directly related to urbanization and intercourse. Traffic accidents and accidents with urbanization had a direct relationship with the reverse and fraudulent and drug trafficking¡ as well as the history of their repetition with urbanization.
Demographic factors such as age¡ education¡ and low income play a significant role in committing crimes¡ especially robbery. Also¡ the location agent is also linked to crime types¡ so that drug addiction¡ drug trafficking and fraud and repeat offenders are more likely to occur in the city¡ and driving accidents and accidents and repeat offenses in villagers.

The aim of this study was to understand the experience and meaning of life in children with cancer that in this article present the god concept as one of its themes.
Current study is a qualitative descriptive phenomenological research. The sample includes 7 children with cancer selected using convenience sampling based on the most heterogeneity of samples. They were deeply interviewed. Data were analyzed using Colaizze method.
Based on the analysis of the data, ''the belief in God as being superior", was extracted as one of the main themes. This theme includes two sub-themes: 1) Faith in God and His satisfaction, and 2) Life as a context of divine testing.
Belief in God, play an important role in understanding the meaning of life and the formation of a positive orientation to life in children with cancer. The findings of this study can be used as a conceptual base for explaining the concepts in other research and/or for designing interventional models for this kind of children.

In Iran, Child Labor on the streets has been reviewed repeatedly but only a few studies have taken a qualitative approach towards the experience of child labor on the streets. This study has taken the characteristics of child labor in Tehran into consideration, using a set of qualitative and quantitative methods. The study has been carried out in the years 1391-92. We conducted focused group discussions, in-depth interviews and surveyed 289 children in order to collect the data from the key informants and the street children themselves. According to our findings, most of the children were engaged in customary works like colportage and semi customary works like waste picking. The children’s work places were mostly in municipality districts of 12, 2 and 1 respectively. Half of the children were working two shifts a day (49%) and one fifth of them were working all day. The average of the street children’s income was 200000 Rials a day and 79% of them handed all or part of their income to their families. The income of the street children has an important role in fulfilling the needs of the child and his/her family and is a serious barrier for cessation of the child labor on the streets. These findings emphasize the necessity of regarding the contextual causes of child labor in the strategies related to reducing the child labor and its priority over coercive actions like removal of children from the streets.

Stressful life events during pregnancy are associated with adverse consequences for mother and newborn. The purpose of this study was to understand the effects of stressful life events during pregnancy on low-birth-weight newborn according to social determinants of health.
This study was the second part of a large research project. The main study was conducted using case-control design. Samples were recruited in four stages by selecting 750 mothers with newborns weighing less than 4000 gr using multistage sampling method. The data about women’s lifestyle during pregnancy was collected using a questionnaire which was developed using inductive and deductive approaches based on social determinants of health. This study assessed stressful life events during pregnancy using 18 items.
Findings: The average of stressful life events number and the total score of this domain were different between two groups (p The stressful life events can influence fetal growth independently. Although receiving health care during pregnancy (the biological dimension), has an important influence, the role of stress, the related factors and the coping methods should be considered.

Family Physician Program (FPP) has been performed by Ministry of Health and Medical Education in Iran villages, since 2004. Major roles of this program included providing competiveness, permanency, management health services, cooperation with other sectors and presenting healthy packages to population. Due to the importance of public and intersectoral collaboration in achievement of FPP goals, the present study aimed to explore the people and other relevant sectors participation to empower the FPP, and to obtain an appropriate resource allocation.
A Mixed method study was conducted using random, and convenient sampling in quantitative and qualitative studies, respectively. The data was collected using Health Questionnaire (eight dimensions), in quantitative study, and in-depth interviewes and focus group discussions, in qualitative study, in order to explore six objectives. Interviews were conducted with the program managers at the province level, key informants, and people. The results of the qualitative study is presented in this paper.
The results showed that the people have not participated in the program for different reasons (e.g. resource deficiencies, instrumental involvement to provide equipment, and health costs). Different level of Intersectorial interaction, and instrumental involvement could be remarked as the possible reasons for non-involvement of the other sectors participants.
The lack of providing the program prerequisites, and problems in executive process (e.g. limited financial and human resource) were some of weaknesses of the FPP.

Children who work or live on the street are one of key populations at risk for HIV and hard to reach for study or providing services. Here, as a methodological paper, we present the methods and steps of a rapid assessment and response (RARE) project conducted among street children in Tehran. We applied a mixture of qualitative (literature review, focus group discussion, in-depth interview) and quantitative (structure interview) methods to collect data from key informants in non-governmental and governmental agencies as well as street children. We applied targeted sampling to recruit key informants and time location sampling to recruit street children. The study was conducted in eight steps to recognize the involved stakeholders, define target population (street children) and to guide on how to approach them (steps 1 to 2: Initial Consultation, Study Area Profile), to map the venues and gathering spots and ethnographic findings crucial for further recruitment into surveys (steps 3 to 5: Contextual Assessment, Population and Setting Assessment, Health Issues Assessment), assess the risk behaviors (step 6: Assessment Behavior Risk and Health), evaluate the response (step 7: Intervention Assessment), and develop an operational plan for improving the services (step 8: Developing an Action Plan). RARE is a participatory mix research method with sufficient flexibility to study complex health problems such as stigmatized HIV risk behaviors among high risk and hard to reach populations and also to assess the health sector response.

Working in Street as a part of Child Labor is a Global problem. Several studies have focused on familial factors of child labor in Iran. This study is going to present the issue of child labor and its risk factors and impacts on street children in Tehran. This study used rapid assessment and response method in 1391-92 in Tehran. Samples were recruited from street children in Tehran as well as from key informants in field of child labor. Data was gathered through literature review, qualitative interviews using Focus Group Discussion with 13 groups of street children, in-depth individual interview with 16 experts, and interview with 286 street children using structured questionnaires in 128 venues in Tehran. Qualitative data were analyzed by content analysis and quantitative data was analyzed statistically using Chi square tests. Findings showed that earning money to support family financially was the main reason for children being worked in the streets (75.3%). In accessibility to formal education for Afghan children, family conflicts such as violence, drug use and different cultural attitudes between children and parents were considered as other reasons on becoming street children in different ethnic groups. Children were at risk of multiple physical, sexual, and mental health problems specially violence in their homes and streets. As a conclusion, although economic problems have main role in becoming a street child, but it is not an unique reason. Therefore, in planning for street children, other substantial factors should be considered. Besides, future studies are recommended to be concentrated on child laboring in other places than streets.

Mental health has a main role in social productivity. Mental disorders are more prevalent among women. This study aimed to assess the effect of a community-based intervention on mental health in women. This was a community-based participatory research in which the participants included married women aged 18-65 years, lived in the district 22 of Tehran. The experiences of the participants on the processes, structures and concepts of women's mental health were investigated using the grounded theory. Expert's views were asked to identify the needs and priorities. The effectiveness of the designed intervention was assessed using a before-after study with one control group (n=200). The main theme identified through the grounded theory was "seeking comfort”. Identified action-interactions to promote mental health were as "strengthening human essence", "life skills development", and "help seeking". The extracted needs were classified in three groups consisted of structural, context, and process factors. The main priority for developing interventions was “training coping mechanisms to deal with stress". The interventions were implemented through training sessions, booklet, and books within three months. After implementing of participatory intervention, the results showed that the target group used more problem-based coping ways; and the mean score of the planned problem-solving method in the intervention group increased from 11.7 (±3.3) to 14.3 (±1.6) after the intervention. The intervention group showed higher score in the quality of life domains especially mental domain in comparison to the control group. Using qualitative study, we had a deep understanding of mental health promotion processes. Implementation of a community-based participatory approach for needs assessment, priority setting, designing and conducting the intervention helped us to promote mental health in women.

Nowadays, healthcare systems has encountered challenges due to rapid changes in socioeconomic status, urbanization, changes in disease's patterns and burden of chronic diseases. Health systems should be revised using a social approach to promote equity in health in communities. The purpose of this study was to revise Iran's existing primary health care network addressing social determinants of health approach and to design and propose a model with necessary structures, duties and intersectoral relationships. This qualitative study with content analysis was conductedusing purposive sampling methodin 2011. The data were gathered using semi-structured interviews (11 interviews) and focus group discussions (5 FGDs) with experts, policymakers and managers of Iran's healthcare system. Data analysis revealed three main themes including "national level"، "provincial level"، and "district level"، and two subthemes including "revising existing structure" and "proposed structure". The "revising existing structures"included "country healthcare network" and "intersectoral decision making councils". The "proposed structures"included "community empowerment, intersectoral cooperation and equity in health". Finally, the proposed model of healthcare network in Iran based on the social determinants of health was developed. Considering the importance of social determinants of health in community health promotion, it is essential to provide necessary infrastructures in order to revise the healthcare network based on the social determinants of health.

Among of Underprivileged strata of society in contemporary of our country, women are head of households. Female-headed households are women that should solely take the burdens of life of economic and welfare dimensions and in the same time also have particular attention to their children's social, educational, cultural and breeding issues. Current research performed with the aim of reviewing effective economic and social factors of social health of female-headed household under covering of the welfare organization of Tehran and also offers solutions in order to reduce and or solve them. Method of this research performed descriptive and correlation analysis by survey method.T he statistical society of this research was the entire female-headed households under cover of the welfare organization of Tehran over 5500 people. According to accomplished calculation gained in the Cochran formula, the sample size, number of 200 people. Sampling method in this research is by multi-stage cluster method and used two Questionnaires in order to collecting information. The statistical methods would be come to pass in this proposal proportional with used scales in measurement tool and proportional with considered hypotheses type. Some of them are Pearson Correlation Coefficient in order to measuring relation of variables, means comparison test for difference theory, Regression and analysis of direction path in order to determining direct and indirect relation of dependent and independent variables that all of the above methods will perform through spss software. Findings from the research is indicative of that factors such as age, type of ability and skills, satisfaction of received services from welfare organization with the possibility more than 99% with the social health of female-headed households are related.

In the early decade of 2000, HIV/AIDS was introduced as the main cause of death from infectious diseases and the fourth leading cause of death worldwide. This study aimed to assess the quality of services provided to individuals living with HIV/AIDS in Iran. This qualitative study was conducted in Iran, in 2012. In this study, purposive sampling method was used. Data was collected during the interview via taking participants’ views about the quality of services provided to people living with HIV/AIDS. Data was analyzed through qualitative content analysis method and using open code software. The most common issues raised by participants in this study were:, the need for continuous training of personnel, low awareness of physicians and medical staff, the need for consulting services, inappropriate treatment by health staff, inadequate medical care tools and facilities, dissatisfaction with hospital services, inadequate number of staff in health centers, and dissatisfaction with the quality of methadone maintenance treatment in some centers. Overall, it can be said that the quality of services for people living with HIV/AIDS in Iran is low and is not satisfactory. Recommendations: It seems that the following items are needed to improve the quality of services provided to people living with HIV/AIDS: careful planning and continuous evaluation of services, increased funding, better distribution of human power, employing skilled and experienced staff, continuous training, increased coverage of insurance for people living with HIV/AIDS, controlling and reporting the status of service delivery to improve the quality of provided services.

Children who work or live in the streets are one of the high-risk groups for HIV. The high population of street children and lack of comprehensive intervention programs for them increase their risk for HIV in Iran. This study intended to explore the situation of drug abuse in street children in Tehran، the capital city. This paper reports part of a comprehensive rapid assessment and response (RAR) research project on street children in Tehran during 2012-13. Data were collected by interviewing subjects using questionnaires. The sample size was 289 street children selected by time-location sampling in Tehran. Data showed that about 25. 6% of the street children had had some history of cigarette smoking، alcohol abuse، and/or drug abuse. Most of them were boys aged 15-18 years. The prevalence rate of cigarette and/or hubble-bubble smoking، alcohol consumption and drug abuse during the preceding 6 months 12. 1%، 11% and 6. 9%، respectively. Significant associations were found between alcohol consumption and drug abuse on the one hand and the children’s age، type of occupation and home-leaving experience on the other. Further analysis of the data showed that the main reason for drug abuse was curiosity (56. 6%)، followed by mere enjoyment (39. 6%) and leisure (35. 8%). It can be concluded that drug abuse among street children is highly associated with gender، age، alcohol consumption، cigarette smoking and leaving home experience. Therefore، it is recommended to start drug abuse prevention programs at lower ages، with particular emphasis on boys. In addition، family intervention and improvement of children’s lifestyle aiming at preventing home-leaving could be a main strategic plan for reducing drug abuse among street children.

In recent years, given the accelerated social changes, the prevalence of high-risk behaviors among different social strata has become a major concern for the society. Accordingly, this study was conducted to present proposed interventions for reduction of high-risk behavior of vulnerable women in Iran, based on rapid assessment and response model. This was a qualitative study using rapid assessment and response to identify needs of vulnerable women with such behaviors conducted over 8 months in 2 selected cities in Iran. In the assessment stage, study population consisted of vulnerable women, working professionally and illegally in the sex trade, selling their bodies in the city for money or commodity, during the period of this study and at least three months earlier, and key informants with experience, skill, and sufficient knowledge and history of management in issues of high-risk behaviors among SEX-workers. Semi-structured interview techniques, and question guide and open observations were used to explain high-risk behaviors. According to the results obtained, 3 categories were identified, including high-risk behavior patterns and influencing factors, awareness and attitude, and diagnoses and medical services needs. Based on the 3 categories found, interventional strategies were designed separately for each one. Among benefits of rapid assessment and response methods, is design of interventions with participation of stakeholders and vulnerable groups, which increases the likelihood of interventions becoming operational.

The aim of the present study was to investigate the views of policy makers and key persons about national AIDS control politics. This qualitative study used purposive sampling. To collect data, the perspectives of six experts about AIDS were inspected. Framework analysis was used to analyze the data. The results of this study showed that beside the strengths there are also significant weaknesses in making the policies, administering the existing policies, executing the programs in organizations, and planning new policies to control AIDS; hence these problems and weaknesses must be identified to achieve the main goals of AIDS control program. AIDS is not only a health problem but a social, economical and cultural problem, which requires more attention from authorities and related organizations for developing and implementing policies in accordance with international guidelines. To achieve Millennium development goals (MDGs) in the context of AIDS it is essential for policy makers and key figures to consider more effective activities and measures in their agenda.

Pasteur Institute of Iran was established in 1919 with the aim to produce vaccines and prevent communicable diseases in Iran. Over time، their activities extended into areas of research، education and services. Naturally، such a vast development begs establishment of a comprehensive management and monitoring system. With this outlook، the present study was carried out with the aim to design a performance assessment model for Pasteur Institute of Iran that، in addition to determining evaluation indicators، it could prepare the necessary grounds for providing a unified assessment model for the global network of the Pasteur Institutes. This study was designed and performed in 4 stages: first; design of indicators and determining their scores. Second; editing indicators according to the outcome of discussions and debates held with members of Research Council of Pasteur Institute of Iran. Third; implementation of a pilot model based on the Institute’s activities in 2011. Fourth; providing the pilot model feedback to the stakeholders and finalizing the model according to an opinion survey. Based on the results obtained، the developed indicators for Pasteur Institute of Iran evaluation were designed in 10 axes and 18 sub-axes، which included 101 major and 58 minor indicators. The axes included governance and leadership، resources and facilities، capacity building، knowledge production and collaborations، reference services، economic value of products and services، participation in industrial exhibitions، status of the institute، satisfaction and institute’s role in health promotion. The indicators presented in this article have been prepared based on the balance in the Institute’s four missions، to provide the basis for assessment of the Institute’s activities in consecutive years، and possibility of comparison with other institutes worldwide.

The main activities of the family physician are health based and its goal is maintaining and improving the health of the community. Overall health status is determined based on genetic، economic، social، cultural and environmental factors. In contrast، the development of society and its associated components، including cultural، economic and educational can impact on health status. Therefore، it is expected the outputs and results of health programs to have an important role in mentioned factors. This study has been conducted to understand the role of the family physician program on economic، culture and social situation on defined population in rural area from executive manager''s، decision makers'' and people point of view. this qualitative study with using focus group discussion (FGD) and individual interview technique was conducted in three universities of medical sciences; and analyzed by content analysis approach. Totally، 12 FGDs with population (60 persons)، 6 FGDs with family physicians (34 persons)، 8 individual interviews with key informant of health sector and 14 individual interviews of other sectors have been done. seven categories have been extracted by analyzing data including the goals of family medicine program، role of the program on economic and welfare situation of the community، role of the program on culture and life style (changing of the beliefs and culture، health nutrition، education، social determinants of health and the program)، social capital. (justice an and community participation). Based on opinion of participants family medicine has a role on some economic and social factors but there hasn''t any relation between the program and change of the community culture and life style. They believed that program mainly decreased the therapeutic expenses and provided feasible accessibility to health care. This has contributed to people''s quality of life and welfare situation

Women''s health is a broad concept that includes physical، psychological، social، cultural، and spiritual aspects، and is influenced by social، political، economic and biological factors. This definition offers a conceptual framework for an effective and relevant approach to women’s health promotion and disease prevention. Understanding women’s health is not only an emphasis on influences of biological factors and health care but also in a wider range of determinants of health such as education، culture and economy. There is no known national women’s health model to identify influencing factors، show their relationships and correlations in a schematic collection، and able to be used as a tool in defining indicators of health status، health promotion strategies and priorities for Iranian women. Women’s Health Scientific group in IRI Academy of Medical Sciences recognized this need and attempted for a theoretical model to explain the factors affecting health of Iranian women. This paper reviews and evaluates existing theoretical frameworks and models for health، and introduces a designed women’s health model (Farmehr) regarding aspects of the national، local، religious and cultural life of Iranian women. In this qualitative study، authoritative medical information were searched and collected from national and international databases. Documents were content analyzed by holding 23 expert meetings and based on concepts from existing models by which the content analyzed matrix was designed. Analyzing was used to facilitate the understanding and conceptualization of the findings; and preliminary model was developed. Then in two stages of six deep interviews and one focus group discussions with 15 key health experts and policy makers، their comments were considered and applied to the model. The women’s health model for I. R. I. Academy of Medical Sciences (Farmehr) was finalized. The constituent elements in Farmehr women''s health model include 53 elements، in which 17 elements are in individual level، 8 elements are in family level، and 24 elements are in social level. They all are divided in four subject groups. There are also four basic and fundamental elements affecting women’s health in an underlying subject group in the model. The Farmehr conceptual framework and model can be used as a tool for better understanding of women''s health، its affecting factors، data analysis and evaluation. In this model، relations between different aspects of women’s health، their multiple roles in life and external affecting factors are considered in one collection. It can be used to describe gender relations in the family، community، and to define appropriate health indices compatible with the conditions. So it makes possible to compare and evaluate women‘s health care and status more sustainable and credible in national and international levels.

Understand and identifying of the experiences of meth addicted persons while withdrawal، could provide a worthwhile apprehension of how being experienced of the method of treatment and its effect on patients. The purpose of this research was to explore the experiences of meth addicted persons during treatment by the “rebirth” method. This study was accomplished by qualitative approach and content analysis method. Verdigs rehabilitation center، one of the subsets of Charitable Societies of rebirth locating in Karajs Vardavard، was the place this study accomplished. Data collection has done through deep semi-structured interview and field’s observation. Sampling methods were a mixture of purposive and snowballing that continued until data saturation reached to 15 in number. Results of the study، through the treatment and recovery tunnel imply that the experiences of participants، is dividable to three main steps including: the first week presence in rehabilitation center، participating in programs and recovery. It seems that the treatment programs of the center، considering extracted categories of this study، was relied on participants needs and participants described the treatment positive and successful.

Psychosocial status such as psychosocial stressors and social support can affect health. Furthermore mental pathology diagnosed during pregnancy can affect pregnancy outcomes. However، little information is available، so this study was done to investigate Association maternal stress and social support with preeclampsia. This case-control study includes 110 multipara pregnant women، 55 as case group (preeclampsia) and 55 as control group (normal pregnancy)، who had inclusion criteria. All participants were selected through based on target sampling method. Perceived Stress Scale and Vaux social support appraisals was used as data gathering tools. The results of this study showed that there is a significant differences between two groups in terms of perceived stress (p=0. 02) and social support، and the total score of social support (p=0. 006)، family (0. 04)، acquaintances (0. 006) and friend (0. 04) social support subscale and preeclampsia. Among cofounders، numbers of prenatal cares and history of preeclampsia was controlled by entering in logistic regression. The combined effect showed that just social support was effective at incidence of preeclampsia (P-value 0. 02; OR 0. 86; CI 95%: 0. 76-0. 98). According to the significant differences between two groups in terms of stress and social support، midwives and health care worker''s attention to psychological health specially stress of pregnant women during prenatal period and providing appropriate support to reduce maternal stress is one of the most important matters that should be emphasized.

Nowadays، the development of participatory approaches with emphasis on community empowerment is recognized as an important tool in health promotion. The present study was conducted to assess the strengths، weaknesses، challenges and lessons learned from participatory community-based programs in the Islamic Republic of Iran. In this qualitative study، thirteen community-based participatory programs related to health have been assessed in leadership، community participation/other stakeholders and capacity building themes. In this study، the main strength of leadership was volunteers` motivation in service delivery and community resource mobilization. The weak points were lack of community participation in decision-making process in national level، lack of regular monitoring and evaluation programs، and lack of appropriate policymakers` supports. In participation axes، the partnership of women was as the strength and lack of male participation and weakness of team working were as the challenges of the programs. Moreover، the participatory process of community empowerment was important as well as the other strengths in many programs and lack of appropriate update was the weak point. Capacity building of community، NGOs and policymakers are important in cooperation mechanisms، partnership، team working and resource mobilization fields in development of participatory community-based programs.

Birth weight is one of the most important, simplest and common determinations for assessments infants status in each country. this study has been designed to investigate the articles that published in its prevalence and related factors.

this study is a review articles that focuses on the prevalence and association factors whit low birth weight in the last 10 years. Articles were searched in 6 data base (PubMed، Iranmedex، SID، Irandoc، Scholargoogle، magiran)، the refrences of each articles with the use of keywords: low birth weight, infant mortality, risk factors, related factors, prevalence and social determinants of health.

Overall, 36 articles were assess, 14 article reported low birth weight related factors and 22 articles reported prervalence and its related factors, that in 70% prevalence was (5-12%) and in 5 articles prevalence were reported (13-19/1%). association factors that were reported include demographic, socioeconomic, lifestyle factors and social support. demographic factors had the most relationship whit low birth weight.

Although there was some different in their studies (differences in the definition of low birth weight, non or low reporting, low sample size, etc), the overall prevalence of low birth weight is relatively high in Iran so we suggest education, increasing prenatal care particularly for high –risk age groups that can be useful for reducing the consequences of this adverse pregnancy outcome

The assessment of "scientific excellence" is taking on increasing importance in the development of research policies. Evaluation of Medical Excellence Centers makes it possible for stakeholders to promote and establish the quality of scientific activities. Despite such importance, efficient methods to identify and evaluate the function of these scientific institutions, is not well known. Thus in 2009 the Ministry of Health and Medical Education Deputy for Medical Education ordered the design of appropriate assessment and evaluation tools. The goal of this activity was to implement an assessment system for centers of excellence and find a true understanding of their performance.The evaluation was performed using the tools and indicators based on a systematic approach for evaluating "input", "process" and "output ". This present study reports the findings of this evaluation.The findings suggest that 85.7% of the institutions studied have been stationed in Tehran. From total scientific institutions assessed 66.6% had a documented strategic plan. Although the evaluation report of these strategic plans were not provided by any of excellence centers. These institutions mainly relied on government resources for their activities. Over 50% of academic institutions had no report of financing from charity organizations, NGOs, private organizations and overseas sources. In the area of capacity building the highest median score was 7.5, and related to the existence of proper structure for international scientific communication. Fifty percent of the centers had no demand oriented projects and no partnerships with other academic institutions abroad. The main output of these institutions was indexed scientific articles. No report based on the academic achievement which leads to health services in the field was provided by these institutes.Based on the finding of this evaluation center of excellence's scientific performance is contrary to the main mission of these centers. Predicting the future by western universities led them to realize that if they did not change their strategies their will not succeed. For developing countries such as Iran learning from this experience is an opportunity.