Comparative study on Availability of Health Services among Zanjan, Qazvin, Alborz provinces using SARA Model

Background: The Realization of Fair Access to Health Services Is One of the Essential Goals of Health Systems. The Regular Monitoring of Access Is often Considered as a Weak Component in Many Countries Around the World. Objective: This Study Aims to Compare the Availability of Health Services in Zanjan, Qazvin and Alborz Provinces Using the Service Availability and Readiness Assessment Model (SARA). Materials And Methods: This Cross-Sectional Study Was Performed in Qazvin, Zanjan and Alborz Provinces Due to Demographic and Geographic Similarities that Provinces Studies Had Found for These Regions in 1391. The Questionnaire Using Components Available in the Service Availability and Readiness Assessment Reference Book Has Been Prepared and Further Localized for Our Country. This Questionnaire Contains Three Main Components Including Infrastructure, Core Health Personnel, and Service Utilization. The Data is Obtained from the Ministry of Health and Statistics Center of Iran, and Analyzed by Microsoft Excell 2010. Results: Availability of Health Service in Zanjan, Qazvin and Alborz Province Showed Favorable Situation(115,167 and 59 Percent Respectively). Infrastructure (383, 264 and 163 Percent Respectively), Core Health Personnel (307, 223 and 96% Respectively) and the Outpatient Utilization (Respectively 24, 18 and 14 Percent) and Inpatient Utilization (108,44 and 72 Percent Respectively) in Compare to SARA Model. Conclusion: The results Showed That the Availability of Health Services in Zanjan is More qualificated than Qazvin and Alborz, so that Qazvin and Alborz should allocate more costs to provision of health services in both province