Physical zoning of the provinces of the country based on the health of urban households In the period of time (1395-1389)

Payments out- of- pocket is one the major sources of financing health services in the most developing countries, including Iran. These payments be caused households confront with catastrophic healthcare expenditure if it would be more than 40% of households’ ability to pay.The purpose of this study is to investigate the physical zoning of Iran’s provinces based on the proportion of urban households facing catastrophic healthcare expenditure, using the income-expenditure data of urban households of the Iranian Statistical Center during 2010-2016. The results indicate that the proportion of urban households facing catastrophic healthcare expenditures with a relatively constant trend is 10.3% in average for entire country during the mentioned period. Also, by comparing the provinces’ proportion of urban households facing catastrophic healthcare expenditures can figure out that in spite of its more or less pendulous trend, increased for 63.3% of provinces and decreased in 23.3% of provinces, during that period. Therefore, it can be declared that the health system cannot achieve the goal of reduceing the proportion of households facing catastrophic healthcare expenditure based on Article 78 of the Law of the sixth five year Economic, Social and Cultural Development Program.