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At the request of the Kurdistan Regional Government (KRG), RAND researchers undertook a yearlong analysis of the health care system in the Kurdistan Region of Iraq, with a focus on primary care. RAND staff reviewed available literature on the Kurdistan Region and information relevant to primary care; interviewed a wide range of policy leaders, health practitioners, patients, and government officials to gather information and understand their priorities; collected and studied all available data related to health resources, services, and conditions; and projected future supply and demand for health services in the Kurdistan Region; and laid out the health financing challenges and questions. In this volume, the authors describe the strengths of the health care system in the Kurdistan Region as well as the challenges it faces. The authors suggest that a primary care–oriented health care system could help the KRG address many of these challenges. The authors discuss how such a system might be implemented and financed, and they make recommendations for better utilizing resources to improve the quality, access, effectiveness, and efficiency of primary care.

Table of Contents

  • Chapter One


  • Chapter Two

    Current Health Care System in the Kurdistan Region — Iraq and Vision for the Future

  • Chapter Three

    Projecting Future Health Care Utilization

  • Chapter Four

    Health Care Financing: Overview and Lessons

  • Chapter Five

    Organization and Management of Primary Care Services

  • Chapter Six

    Health Workforce

  • Chapter Seven

    Health Information Systems

  • Chapter Eight

    Summary and Conclusions

  • Appendix A

    Graphs of Modeling Results from Chapter Three

  • Appendix B

    Monitoring Progress in Health Service Delivery

  • Appendix C

    Human Resource Indicators

  • Appendix D

    KRG Health Care Congress Presentation: Financing

  • Appendix E

    KRG Health Care Congress Presentation: Primary Care

  • Appendix F

    KRG Health Care Congress Presentation: Quality

The research described in this report was sponsored by the Kurdistan Regional Government and was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity.

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