MarketHealthcare in Iran
Company Profile

Healthcare in Iran

Healthcare in Iran is based on three pillars: the public-governmental system, the private sector, and NGOs. The healthcare and medical sector's market value in Iran was almost US$24 billion in 2002 and $24.3 billion in 2008, and is forecast to rise to US$96 billion in 2017 due to population growth. With a population of 80 million (2017), Iran is one of the most populous countries in West Asia. The country faces the common problem of other young demographic nations in the region, which is keeping pace with growth of an already huge demand for various public services. The young population will soon be old enough to start new families, which will boost the population growth rate and subsequently the need for public health infrastructure and services. Total healthcare spending is expected to rise, reflecting the increasing demand on medical services. Total health spending was equivalent to 6% of GDP in Iran in 2017. About 90% of Iranians have some form of health insurance. Iran is also the only country with a legal organ trade. However, the legal character of organ donations is deemed to be a gifting of organs and not their sale and purchase.

Health services
- population pyramid The largest healthcare delivery network is owned and run by the Ministry of Health and Medical Education (MOHME) through its network of health establishments and medical schools in the country. MOHME is in charge of provision of healthcare services through its network, medical insurance, medical education, supervision and regulation of the healthcare system in the country, policymaking, production and distribution of pharmaceuticals, and research and development. Additionally, there are other parallel organisations such as Medical Services Insurance Organizations (MSIO) that have been established to act as a relief foundation as well as an insurance firm. Some hospitals, such as Mahak for children's cancer, are run by charitable foundations. According to the last census that Statistical Centre of Iran undertook in 2003, Iran possesses 730 medical establishments (e.g. hospitals, clinics) with a total of 110,797 beds, of which 488 (77,300 beds) are directly affiliated and run by the MOHME, 120 (11,301 beds) are owned by the private sector, and the rest belong to other organisations, such as the Social Security Organization of Iran (SSO). There were about seven nurses and 17 hospital beds per 10,000 population. The Ministry of Health and Medical Education (MOHME) operates public hospitals, both general and specialty hospitals, throughout Iran. Public hospitals are typically under the direct management of universities. Since 2009, a new government plan called "the comprehensive insurance plan" provides basic coverage to all Iranians. In 2023, The Iran News Update quoted a 2022 report from the Iranian Statistics Center reinforcing the statement that the regime's policies have made adequate healthcare a commodity that only wealthy families can afford. As a result of the new policies, low-income families face severe difficulties in obtaining essential medications and a large segment of the population, including many senior citizens, has resorted to the dangerous trend of self-treatment. Between 2020 and 2025, Iran experienced a large-scale exodus of healthcare professionals, with approximately 16,000 doctors leaving the Islamic Republic. The migration is due to the government's scrutiny of doctors who treated patients injured during the nationwide protests over the death of Mahsa Amini, in addition to high taxes, low salary, lack of job security, and strict enforcement of the hijab law, among other factors. In 2012, 30,000 people visited Iran each year to receive medical treatment. Most health tourists were from Azerbaijan, Turkmenistan, Iraq, Turkey, Kuwait, Oman and Pakistan. ==Pharmaceuticals==
Pharmaceuticals
The pharmaceutical industry in Iran began in its modern form in 1920 when the Pasteur Institute of Iran was founded. Iran has a well-developed pharmaceutical production capability, however, the country still relies on imports for raw materials and many specialized drugs. The standards regarding pharmaceutical products are determined and modified by the Pharmacopeia Council. As of 2019, Iran says it produces 80-90% of the raw materials needed inside the country. These include microplates, omeprazole, tamsulosin hydrochloride, naltrexone base, sitagliptin phosphate, and pioglitazone in various sizes. Iran's Ministry of Health and Medical Education (MOHME) has a mission to provide access to sufficient quantities of safe, effective and high quality medicines that are affordable for the entire population. Since the 1979 revolution, Iran has adopted a full generic-based National Drug Policy (NDP), with local production of essential drugs and vaccines as one of the main goals. Although over 85 percent of the population use an insurance system to reimburse their drug expenses, due to the severe decline in Iranian economy, in 2018 the government heavily subsidized pharmaceutical production/importation in order to increase affordability of medicines. This tended also to increase overconsumption, overprescription and misuse of drugs, much like the abuse of pharmaceutical opioids in Iran such as the heavily prescribed codeine for moderate to severe pain. The regulatory environment of the country is rather strict on the import of drugs and pharmaceuticals towards companies that intend to enter into the market for the first time. The Ministry of Health and Medical Education is the main stakeholder of pharmaceutical affairs in the country. In 2022, the Iranian government under Ebrahim Raisi halted the subsidies for the production of food and medicine, forcing producers to pay seven times more for the import of raw materials, thereby crippling domestic production of medicines. in 2022, the Iranian Labour News Agency quoted Bahram Daraei, the regime’s head of the Iranian food and drug organization, as saying that the price increase of imported drugs was up to 6 times its original cost "and domestically produced drugs increased in price by 30 to 100 percent, depending on the amount of raw material supply currency". Both Iranian media and government officials have predicted that drug prices will continue to climb up to 700 percent. The rising medical costs for Iranian consumers has pushed thousands of those in need of treatment to the brink of bankruptcy. Melphalan and Thiotepa (chemotherapy), Factor 8 (haemophilia), Interferon Beta and Diphosel (Multiple Sclerosis). Iran's pharmaceutical market is estimated to be worth $1.87 billion (2008), $2.31 billion (2009), $3.26 billion (2011), $3,57 billion (2013) and $3.65bn by 2013 (projected). The drug market in Iran is heavily in favour of generic medicines, which contributed US$1.23bn to the total in 2009, with patented drugs at US$817mn and OTC medicines at US$262mn. The market share of local production (value-wise) has declined from 85.2% to 63.4% over the past 8 (Iranian) years (2009). In this period the value of importation has jumped from 14.8% to 36.6%. The government imposes 90% tariff on the import of drugs. In 2009, 1.8 million units of pharmaceutical products worth $1.2 billion were imported into Iran. As of 2015, Iran's share of global biotechnology products market is half a billion US dollar. In 2010, 50% of raw materials and chemicals used in the drug manufacturing sector were imported. In 2019, Iranian companies were able to produce 80-90% of the raw materials needed inside the country. Iran is the first country in the East Mediterranean region which has the technical and scientific capability to export vaccines to various world countries. Iran will gain self-sufficiency in vaccine production by 2014. As of 2019, Iran produced 8 out of the 18 main vaccines for humans. with five that have received emergency use authorization (COVIran Barekat, Pasteurcovac, FAKHRAVAC, COVAX-19 and Razi Cov Pars). The new drugs launched in Iran for the treatment of MS include an interferon beta-1b by CinnaGen. Iranian researchers have developed 41 types of anti-cancer medications, overcoming the need for importing pricey cancer drugs from abroad (2011). According to the Food and Drug Administration in 2014, trade in counterfeit commercial drugs has become more lucrative than dealing in illegal narcotics. Most of which come from Pakistan. Drugs for sexual enhancement, weight control, aesthetics, height enhancement, hair growth and body building are among the more prevalent fake drugs on the market. Innovation In recent years several drugmakers are gradually developing the ability to innovate, away from generic drugs production itself. only 100-300 of which are being used in pharmaceutical industries at present. Iran has 80 percent of the world medicinal herbs. Due to lack of required technology, they are exported raw and in limited quantities to foreign markets. The leading pharmaceuticals company is Darou Pakhsh, which is majority-owned by the Social Security Organization. The company manufactures, distributes, imports and exports finished products and pharmaceutical raw materials. Darou Pakhsh has an annual turnover of US$400m and claims to have the largest research and development operation of any Iranian drug firm. The company formed a plasmapheresis joint venture with a German medical firm, Biotest AG, in early 2004. The Barkat Pharmaceutical Group is a major pharmaceutical holding that supplied 14% of the pharmaceutical market of Iran in 2016. Iranian pharmaceutical manufacturers are reported to be disadvantaged by the government's poor intellectual property protection regime and lack of foreign direct investment. In 2009, approximately $3.1 billion worth of drugs and medical products were consumed in Iran. This shows an 80% increase from 3 years ago. Iran's per capita consumption is $21, as opposed to the global average of $94 because Iran subsidizes heavily its medical and pharmaceutical industry. In 2009, Iran exported $74 million worth of "medical products" to countries such as Iraq, Afghanistan and Russia. U.S. sanctions against Iran do not apply to medical equipment or pharmaceuticals. There are over 100 Iranian companies representing the international suppliers in this market. ==See also==
tickerdossier.comtickerdossier.substack.com