[000:00:00;00] then in the village, how about the cities below 25 thousand villages, these are the targets that have been set in the villages, cities below 20 thousand people and 93 cities where the family health program started this year , 100 of these should be covered in the population over 18 years old and 70 in other regions of the country. the audience above 18 years should be covered. well, thank you very much, because we are arriving at 10:00 pm. the news of channel 1 will end at this time. dear viewers, you can watch the continuation of the news discussion on khabar channel. just watch a video and then we will be at your service. .

well, we are at your service with a special news talk program , the topic of the program is the national health campaign, which it started yesterday and continues until dima. we were talking with mr. etemad, the director of the non-contagious coulter of the ministry of health . they are big cities , if they read it, they will know where they should go if they have blood pressure or diabetes, because there is an idea that there is a possibility that you have asthma in your house, do you have asthma in your house or not? it is in the fixed places of the predetermined discussion the first priority is the service community centers, not now. where do they go in rosettas? in rosettas, they will go to health centers and community health service centers , but in smaller cities, in smaller cities, as well as in big cities, the same way, and

in the same way, government hospitals and clinics. i'm sorry, mr. etamad, you trust me. are these hospitals in smaller cities where there is a hospital, is this done there, or is it in big cities, not anywhere, in any city, there is a hospital , blood pressure and diabetes will be measured and blood sugar will be done later. these are hospitals in general the government is correct, in the private sector, this plan of yours will not be carried out. after that, there is a discussion that because some of the villages are now all your villages, do those villages have health houses and mine? some villages do not have health houses or are transit areas, for example , dining areas, which are mainly possible in the west of the country. okay, they are covered by the ministry of health's planetary teams. well, health issues by car. now that's all. it's not necessarily possible to go to a small area every day to build a general health facility. in fact, this can be done with these

mobile cars. yes, you are actually visiting the house actually, people, now there is a discussion here, diabetes, blood pressure can be taken at any moment , of course, he also has a condition, the party says that maybe he came from work , maybe at that time you want to take his blood pressure , maybe he is upset or someone has a work problem, because this blood pressure maybe it should go up and down. the time is important. in fact, now, especially during the day, it is your reference. and secondly, in the matter of diabetes , this issue is also in the fasting after fasting, or is it, as you say, fasting, or is it the hour after breakfast. this is actually diabetes. what are your times? it does this, our preference is that if possible blood sugar should be taken fasting, but if fasting is not possible, based on the possible interpretation , there is the ability to give the necessary warnings and the necessary training for future reference. later, why

is that moment also measured by the glucometer device there is probably a little diabetic, because as far as we know, as far as tradition is concerned, people know that they say, sir, either fasting or 2 hours after breakfast and food, and what about these words . two hours after eating and so on the basis of the recommendation, other than this, it is recommended to measure in these two cases, two of these conditions should be measured, either empty or two hours after eating breakfast. the arrival time of the mobile teams will be notified in days to measure the test . yes, there is a point here. you will come. the person will visit your centers now. tell me the year, 20 years, 30 years, 40 years, 50 years, you will get diabetes in about 60 years, you will see that it is showing that in fact

he takes his blood sugar test and says he has diabetes. or he has blood pressure, so maybe there is a prescription for what will happen after that, will the patient be the same or not , will he monitor you until the end. even in the next 5 years, even in the next 3 years, and even in the next year. diabetes and high blood pressure are diseases that do not have a definite cure, and based on the recipes that you follow, definitely based on the recipe. for example, diabetes should be visited by a doctor at least once a year. every two years, every six months , by health and blood sugar meditation in the time intervals defined based on kidney care, eye care , all of these have instructions to prevent complications, and our goal is to identify these and

follow up on them in the form of this instruction. if there is a follow-up question for me, see if we have been seen before. well, this is not a new plan . you have had similar things before. you come to the side , you get a blood sugar test. he's going to leave, somehow he won't be asked later or followed up now your health status is important to be followed up after that. those who have diabetes and hypertension in their electronic file will enter an active care system and they will never be left. well, what exactly does that system do? this care system is based on defined procedures that, for example, based on the severity or age of the disease, they must be visited by a doctor or non-physician every 3 or 6 months, he calls them and makes appointments for referrals and visits and control of their disease . this is the main goal. we didn't find that people just didn't find

active follow-up care for this should be done because less than 50% of diabetes and hypertension in our society are under control, but within the system, the network of their control indicators increases and improves . our goal after this campaign, which is after 15th of december, is to activate their follow-up and care. then there is a point that is raised here, you are checking this now. if you said what was the design of that cycle, did you name it? is the family health system correct? yes, health, if it is outside of that , it should not be a party to these plans. how do you track and monitor this person there? well, one more thing. fortunately, there is a data connection between the ministry of health and insurance organizations , well, the insurance coverage in the country is high. through the insurance data, those who take diabetes drugs

are identified and introduced to the service system that is provided in the network system. from there, active follow-up is done for them, that is, in the community center, tulit health services are not only for those who go there, those who do not go there are also followed up through the data connection. if we do this campaign, we say, well, this is the end of my statistics let's say how many millions of people, how many hundreds of thousands of people have been identified, this is right, this is a good thing, well, the next important thing is that because you see some of these diabetics , they are obese, well, by losing weight, their diabetes will be cured , that means they will return to normal or many other things , the important thing is that next let's follow up so that this is not the case. he is in danger of limiting his health. now, the things you said will happen and are being done, god willing, so let's see a short report so that we can continue the conversation. fasting sugar should be less than 10. two hours later, it should be 140 because their blood sugar

is high. dangerous, yes, why is it like this? there are another 7 million people with diabetes in the country. a disease that kills 33 thousand compatriots every year. on the other hand, diabetes. the population over 25 years old was 18 years old until now , all over 25 years old have diabetes. patients with high blood pressure and diabetes are the people of the society with a suitable approach that, god willing, for high blood pressure and diabetes, which has now started in this project, but officially in the form of mobilization. god willing, in the next few days, it will be said that we will be able to do this in our centers in one phase

, now a month, a month and a half, the majority of our population over the age of 20 will have this happen to them at least once . the unveiling of a project called the national health survey plan has started, and this plan will actually continue from today, november 20th to december 15th, god willing. we hope that in this campaign we will be able to include 70% of our country's population, god willing. the priority of prevention and treatment is one of the upstream documents of the health field that if it is implemented, the death of 300,000 people can be prevented every year. well, we saw the report together, let's go

to mr. mohsen. baroni, head of the health network management center of the ministry of health, mr. baroni, hello, good night, peace be upon you, and may god's mercy be upon you, i say hello to my dear viewers and host of tamand, mr. hosseinibai, and your dear guest, mr. dr. edemad, we are at your service. thank you very much , mr. baroni. what is being done , the national health survey, a large part of it is up to you , this is the issue of infrastructure , it is the issue of electronic files. first of all, tell me in terms of numbers how many health centers and health centers want to do this? it's great. i want to tell you this valuable plan that is very effective for the government and from the people's point of view. we have more than 18,000 health centers in our country.

who will be involved in this campaign plan, in fact, we have 560 community health centers and 550 urban health centers, in total, we have about 29,000 service providers who will be involved in this campaign. in fact , more than 70,000 people will be involved in our centers regarding the issue of diabetes and blood pressure, in terms of equipment and facilities, we made an initial evaluation. the places that had issues and problems were actually checked this week and we are waiting for the allocation to be made, god willing. do it, and the ministry of health, the network management center will also follow, god willing, if there are any issues and problems , you are at your service

. we said in the family doctor discussion that we need 21,000 more than 210 doctors. but how many doctors did we have, 15 thousand? with a deficiency the doctor we are in the middle of. in the discussion of human resources , is this the doctor that i gave an example? did you supply all these 70,000 units or not? yes, we now have this number. the forces are actually our account and we have a contract with them. a part of these are officially planned or in the form of a contract. they are actually working . at the moment, we are without our health liaisons. i told you that we have 70,000 people in in fact , they are the forces that take care of our health and our dear patients. how is the doctor, mr. baroni, the doctor?

our comprehensive health system actually exists now. we have a series of doctors. how many doctors do you need? how many doctors do you have? yes , we have about 14,000 doctors in these cities . we need doctors in 93 cities and in the cities he is considering , we have divided them into blocks of 30 people and we must be present. that means we have a shortage, right ? there are currently 14,000 doctors , how much should it be, mr. baroni, how much should these 14,000 be? we should have an alternative strategy. in fact, we chose to use health insurance doctors who are not actually direct supporters of the health sector , and these

are about 4,000 doctors. the direct side of the contract of the health insurance organization, which is included in this plan to cooperate with the health field , means that we got help from the private sector and from the health insurance organization for our lack of doctors, and today it was approved that in fact, our doctor friends who have health insurance in the outskirts of the city and in the regions are actually less privileged to participate in this plan and lack in these two months, the doctor is actually active on the internet , please help us. we also have a discussion about the electronic file. mr. doctor, in this field, well , the patient who comes in, this discussion is actually the same verse as it is said, what does this electronic file do in this field? i would like to inform you that we have an electronic health record unit in the network management center, and we believe that every national code should have an electronic health record

. the number means that we now have all these numbers and digits you said that 500 health centers, 180 health centers and 5 thousand health centers are connected electronically? yes, yes, these are connected to the level one systems that this department is currently doing, which means that now every iranian with a national code can actually enter the center, and with his reference , his electronic file will actually be created. some of the people of the population are once-served and now they have a case in the syed system , in the sina system, in the nab system, in different provinces, now some of our provinces do not have the sib system, but in some provinces, someone like mashhad has the sina system. or a system in golestan province

now, all of these are ready for every iranian to enter our centers and bases , in fact, their electronic health records will be created and actually tracked. it doesn't work like that. now, i don't want to mention his name. yes, the service. well, the issue is the internet infrastructure . it depends on what areas it is. many times, we have a situation where the person who is actually yovez may cause dissatisfaction. this is also related to communication issues. let's not blame the internet for a part of the infrastructure itself i am doing it, mr. dr. etemad, i have complete confidence in this matter now, but the fact is that the electronic file is now in the form of that system, and we have really made reforms in many iranian countries, which was just today in the ministry of health, where there was a meeting in which many of the processes that are not it is definitely supposed to be removed so that the burden of the apple tree and other systems will be reduced

in reality so that we can have programs that are effective. we have devices, excuse me hey, now we have a place in a public place like the airport terminal where , for example, a person can go and measure his blood pressure, in fact, his blood sugar. we have now compiled the future of our primary health care and that is our perspective that we must use artificial intelligence techniques and every iranian actually has a health kiosk at home or in the city. inshallah, some distance actually

thank you very much, sir. please, we are at your service. we are very grateful to those who are active in this field . we hope that the temperature does not hurt. it is very important that blood pressure and diabetes are identified. it is a very important issue that needs to be followed up. the equipment of the hospital should be provided. thank you to mr. mohsen baroni, the head of the health network management center of the ministry of health . we have a video link with mr. rezaei, the deputy of the health insurance organization. yes, yes, i am at your service. how are you? good night , mr. rezaei. there is a discussion about diabetes a person's illness that he can understand with these tests that you take , he will be able to correct his rise in this study. for example, if he is infected, he will go to

treatment. there is also a discussion about prevention , there is a discussion about nutrition, about exercise, about his lifestyle . dear viewers , i am at your service as a precious guest of mr. dr. etemad and mr. hosseini vai. doctor, can you hear me now? well, a time difference because the medium is skype. there is a time gap, i am asking a question , mr. doctor. let me answer the question to the end . the point here is that a person who is infected with diabetic disease to treat him for insurance because today we had a news that four of his drugs were covered by insurance, what do you want to do for someone

who is diagnosed with diabetes? we have a time difference, we have to wait for the sound to arrive, well, i said we have a sound difference because the image is skype and there are these foods , mr. doctor, i also have a question for you. in terms of insurance, these diseases should actually be helped . well, one of the very good things, as you mentioned, is that a series of expensive drugs the price of those who had good control over diabetes was being covered by the health insurance organization, of course, it was the previous service package, as well as tests and examinations related to kidneys and eyes, which were defined periodically for these

patients who please help to better control this disease. anyway, our main problem for diabetic patients is to prevent and delay the complications caused by this disease, including kidney failure, diabetes , and eye problems, in addition to controlling the blood sugar level. in the end , it will lead to dialysis, control and care these and their support in the form of a basic service package in insurance can reduce their costs and make their recovery better and reduce those complications . finally, in my opinion, preserving financial resources is both for the benefit of heat insurance organizations and for it would be beneficial for the people, mr. etemad, if this work is done now, how much will it cost us, both financially and in terms of money. now, he mentioned the deaths. in fact , this unpleasant incident can be prevented. see

, i will give you a statistic in the period from 1401 to 14099 , approximately . we can have 20,000 avoidable deaths for diabetes and high blood pressure which 200,000 means that if we control blood sugar, for example , we can control approximately 20,000 deaths due to high blood sugar, of which approximately 500 are related to diabetes and 50% are related to others, that is, only by controlling blood sugar. we can avoid about 20,000 deaths within 8 years. let's prevent it. this is only a matter of health. the same issue is in the issue of prevention of the hospital. the same number that you say is a matter of death. before that, we will be admitted to the hospital, the beds, the treatment staff, the costs. the

current issue is that they say that prevention is a priority this is exactly where it is showing itself that if we prevent it, apart from the fact that we save people's lives , there is also the cost of treatment and facilities in the middle of the discussion . according to a study that was done 5 years ago, only the economic burden of diabetes i would like to say that there is one thousand billion rials only for diabetes in one year, where is this 5 negative study? these iranian statistics are from 5 years ago. it is only one disease of diabetes that if we prevent this, and it is interesting that if we prevent the risk factors of this, people 5 to control their weight up to 700 , exercise, 70 of the new cases of diabetes prevention

actually, my blood sugar is high. by taking about 20 kilos now, everything became normal . this is what i saw myself. let me contact mr. rezaei. he has another phone. there is no video . please solve this problem, mr. rezaei. hello, i am also at your service. dear viewers, also dear guests, mr. dr. etemad, and also you , mr. hosseini bai, i am at your service, mr. rezaei . i do n't know if you understand our question. the topic of this national health survey is the topic of treatment for those who are affected my treatment comes at a cost. it's one of the same. it's also one of the same. especially in diabetes. what did you do to expand your insurance coverage? even though four of your drugs

were actually insured today, this is actually a diabetes drug. yes, let me tell you that fortunately , during the last year , good steps have been taken to properly cover the services related to diabetes. a special insurance has been established to cover their insurance, because they are relatively new drugs reduce the out-of-pocket payments of diabetic patients and we have so far identified more than 76,000 patients who have health insurance, or so to speak, marked them, so that these marked patients

can use special services or our service packages that in addition to being able to benefit from the special coverage of our diabetic patients, they can also take advantage of other services, including services related to treatment problems related to eye problems caused by diabetes, such as laser therapy and oct. another news is that we are for patients. our own diabetic for the control stage of diabetes we also provided glucometer devices to our patients who have diabetes, including the glucometer and the needles that are needed for this blood sugar measurement, which

are covered by insurance up to a certain level every month. it can be effective for controlling diabetes. if you just say that what you said is for all public hospitals , it is not a private hospital. it is true that in the case of medicine, which is universal in the whole country, it is under our obligation whether it is the public sector or the private sector regarding accessories. to measure blood sugar, these are in the form of damages each of these has a ceiling that the insured can pay after actually receiving or buying these goods for glaucoma up to 400 thousand tomans to get a blood glucose test strip 14 thousand tomans for a needle to measure my blood sugar 50 thousand tomans per month for to receive damages, please refer to our offices. thank you very much. of course

, mr. rezaei , i want to open this discussion now. it will be very long, but i will just say that the problems you mentioned have been seen sometimes. mr. etamed aziz, time nadim how can you do this with a one-minute limit? one minute, according to the evidence that is available in the network system of the people who are covered by the country's health network system, their control indicators of diabetes and high blood pressure are much higher than the national and global average. we are looking for the same achievement , god willing, for my dear people. thank you very much, thank you very much, and thank you. at this moment , our special news chat program has ended

. good night and god bless you. in the name of god, ladies and gentlemen, hello, i am alireza hashemgan with the world today. demonstrations against the occupiers continue today all over the world