http://english.al-akhbar.com/blogs/sandb...ran-part-i
Quote:Seeing is Believing
Other than a frustratingly brief trip some years ago to attend a Tehran conference where I had little opportunity to get around, I had not visited Iran in eight years. In the latter part of 2012, I made three trips to the country – in large part to discover how Iran continues to thrive despite the “biting sanctions†we keep hearing about.
And thrive it does. Visitors land at the brand new Imam Khomeini international airport as a first step in experiencing an utterly revamped Tehran. You drive into the city on new highways, lit up almost excessively by closely aligned lampposts and the Iranian penchant for colorful lighting at major intersections. Streets are lined with trees, shrubs and flowers planted and nurtured by a succession of rather remarkable mayors that Tehran residents like to boast about.
Those are the city planners who develop well-manicured parks and children’s playgrounds to break up the urban monotony, build women’s sports facilities to encourage good health, spearhead campaigns on AIDS awareness, and pass out free condoms and hypodermic needles to prevent infection among drug users.
Tehran feels new and fresh – like it has had a facelift. New buildings abound, each more luxurious than the last, although sales have slowed dramatically in recent years, much like in other capitals hit by economic slowdown and ridiculously expensive housing. I cannot believe the greenery – this is a dry climate and I cannot seem to recall the city ever overflowing with late summer foliage like this.
New restaurants, cafés, and boutiques dot the boulevards; the bazaars are well-stocked and cleaner than I recall. Nothing seems to be in shortage – and Iranians are producing more of the food products on their supermarket shelves than ever before. In 2011, Iran ranked 11th globally in agricultural output, just behind Japan, Russia, Turkey, and Australia – and is ranked first and second worldwide in the production of a variety of fruits, vegetables, spices, and nuts ranging from apricots, cucumbers and walnuts to pistachios, saffron, and watermelon.
This is a country hell-bent on achieving self-sufficiency, after all. Under threat of increasingly punitive US-sponsored economic sanctions, Iran’s Supreme Leader Ayatollah Ali Khamenei last year promised the development of a “Resistance Economy†that will aim to stop all dependence on oil revenues and switch to knowledge-based industries and vital commodities instead.
After eight years away from the country, none of Tehran’s significant advances impressed me as much as the pollution-solution. Surrounded by the Alborz mountain range that traps pollutants, the capital has struggled for decades to lessen air pollution, much of which stemmed from aging vehicles that service a city of more than 12 million residents.
During past trips to Tehran, the stench of petrol from cars was omnipresent in congested areas – you'd have to clean blackened particles from your nose every day. In 2012, I experienced none of these things. The city still has high alerts on dangerous pollution days, but has come a long way from the days when the municipality enforced alternative driving days for cars with even and odd license plate numbers.
For starters, during my eight-year absence, Tehran has launched around 80 subway stations servicing more than 2.5 million passengers daily, and inaugurated a 60-station rapid transit bus system with just under two million daily users.
More impressive yet is the Islamic Republic’s nationwide effort to convert public transportation and privately owned vehicles from petrol engines to ones that run on Compressed Natural Gas (CNG).
Pay attention now. Iran’s experiment to switch to alternative fuel-based vehicles is the kind of super-efficient central government initiative that the country now frequently launches – with varying degrees of success. It is one of many zero-to-a-hundred projects initiated in recent years that seeks to diversify the economy, create jobs, generate revenues or solve a problem. To Iran’s credit, at least they think big and make the effort – few other governments engage in these kinds of expansive nation-building activities anymore.
Partly to help stem air pollution, and mostly to reduce the country’s dependence on imported gasoline – and therefore mitigate the effect of US-backed sanctions against companies that sold refined petroleum to Iran – the Islamic Republic embarked on an ambitious program to adopt Natural Gas Vehicles (NGV) based on alternative fuels.
In just a few years, Iran has established a fleet of around 3 million NGV, the largest in the world (by contrast, the US has just over 200,000) and now has the capacity to domestically manufacture 1.5 million CNG cylinders per year at extremely competitive costs.
Quote:Mississippi Calls on Iran for Help
I next visited the director of the Medical Sciences academy Dr. Alireza Marandi, a pediatrician by training, two-time minister of health, university professor and a current member of the Majlis from Tehran.
In 2009, I had read an article in the UK-based Sunday Times (reproduced on this blog) that told the remarkable story of Iran’s provincial health houses. The post-revolution initiative to rapidly deliver basic medical care to underserved rural areas was able, in a short time, to reduce child mortality rates by 69 percent and maternal mortality in rural areas from 300 per 100,000 births to 30.
So astounding were these results that the US state of Mississippi – which, according to the Sunday Times article, has "some of the worst health statistics in the country, including infant mortality rates for non-whites at Third World levels" – turned to Iran for advice, assistance and training on how to achieve these results back home.
Quote:"During the Iran-Iraq war we had very little oil to export – we were limited to about one million barrels per day. The price of oil had come down to about $7-8 per barrel. The country was under bombardment. Yet during this time, the country still focused on developing a primary healthcare system."
That wasn't even the hard part. When majlis-approved funding finally came in to run one pilot program in each of Iran's provinces, the planners had a difficult time finding local men and women with the required five years of elementary education to staff the health houses – especially the girls. Today, with literacy rates among Iran's youth (ages 15-24) at 98 percent according to the World Bank, all health house workers have at least a high school education.
The women are trained for basic healthcare procedures – monthly check-ups for mothers, vaccines for children, schedules and checklists, breastfeeding guidance, preventive care. The men are largely responsible for environmental health issues like water and sanitation – they check village water supplies, add chlorine where necessary, teach locals personal hygiene, how to disinfect things, install basic toilets, and lay water pipes.
Today, says Marandi, Iran has some 20,000 health houses in 65-70,000 villages around the country and has established a primary healthcare "network" connecting health houses to larger health centers in larger towns, which in turn plug into hospitals and specialized medical facilities in urban areas. Although challenges still exist in this system, Iran has solved a vital social service and healthcare challenge that continues to plague most developing nations.
Despite a lack of funds, Marandi's ministry of health tackled many more major health problems in those early days. In 1983, the highest rate of immunization in Iran was 25 percent. A few years later, that rate skyrocketed to 95 percent throughout the country. Iranians desperately needed more physicians (only 12,000) and a more diversified medical worker base, so the ministry of health under Marandi pushed through a bill that took all health-related schools (midwifery, dentistry, nursing, etc) away from the ministry of education. By streamlining and adding to existing resources, in that first year 1,200 students were increased to 6,000, students were directed into undermanned specialties where jobs awaited, and new schools of medicine were built – at least one for each province.