Journal of Health System Research
Year:2016 | Volume:12 | Issue:3|Papers Count:25

Background: In this study, coagulation efficiency of alum, ferric chloride, polyaluminium chloride (PAC), and lime was investigated in the removal of Navy Blue CE-RN dye from textile wastewater.Methods: Characteristics of dye such as dominant wavelength, hue, luminance degree, and purity of Navy Blue CE-RN were determined through spectrophotometric-multi-wavelength method. Optimum dose, optimum pH, and sludge volume index (SVI) of coagulants were determined using jar test. The efficiency of coagulants was compared in optimum conditions. Cost and removal efficiency were considered in the selection of the best coagulant.Findings: The obtained dominant wavelength, luminance degree, and purity of dye were 473 nm, 19%, and 53%, respectively. PAC (dose of 0.1 g/l and optimum pH =6) had the highest removal efficiency in the removal of Chemical oxygen demand (COD) and dye (84% and 93%, respectively). The SVI of PAC was 1324 l/g. Conclusion: The results of this study showed that PAC can be an appropriate, efficient, and cost-effective coagulant in the removal of Navy Blue CE-RN dye.

Background: The improvement of attitudes and behaviors within a society with the aim of altering wrong beliefs can increase organ donation after brain death. This research aimed to assess the attitudes and behaviors toward organ donation in Isfahan, Iran.Methods: This descriptive study was conducted on 975 individuals of over 15 years of age in Isfahan. The participants were selected from 10 districts of the city using random stratified sampling method. The data collection tool was a researcher-made questionnaire consisting of a demographic form and an attitudes and behavior questionnaire. The data were analyzed using independent t-test and ANOVA in SPSS software. The significance level was considered as less than 0.05.Findings: The mean attitude and behavior scores of the participants were, respectively, 36.8±6 and 0.47±0.2 (out of 1) which were desirable. There was a correlation between gender and attitude. Educational level also had an effect on attitude and performance regarding organ donation (P<0.05). Attitude score was higher in people who had desirable behavior and this difference was statistically significant (P<0.05).Conclusion: This study suggests that attitudes and behavior toward organ donation in Isfahan is at a moderate level. Attitude score was higher in people who had desirable behavior; thus, the donation rate, and consequently, the rate of transplantation can be increased through public education in the community and promotion of positive attitudes.

Background: The purpose of this study was to evaluate the environmental health status of girl’s primary schools in Khomeyni Shahr, Isfahan Province, Iran, in the year 2013.Methods: This descriptive, cross-sectional study was conducted by completing a checklist, and through field measurements in 12 schools. The classroom temperature and size were measured using a thermometer and a tape-measure, respectively. A digital lux meter was used to determine the classroom lighting and reflection. One sample t-test was used to analyze the obtained results.Findings: In this study, 25% of the classes had suitable lighting. However, none of the studied toilets had suitable lighting. About 66.7% of schools had a sufficient number of WC according to the relevant guidelines. The number of water drinking taps in all of the schools was in accordance to the relevant standards. About 91.7% of the studied schools had adequate space for each student according to guidelines. However, the area of playing fields was not sufficient in 91.7% of the schools. None of the schools met the standards for the classroom and corridor walls' conditions in terms of height of stone installation.Conclusion: According to the results, in some of the schools, bench properties, lighting intensity of classrooms, corridors, WC, and the library, and playground area, the amount of light reflection in the classrooms, the distance of water drinking taps from WC, classroom walls' conditions, and solid waste separation were not desirable. Thus, greater coordination is required between schools' health departments, the provincial vice chancellor for health, and the state education and training department to solve these problems.

Background: Cardiovascular diseases (CVDs) are the most important cause of death and reduce quality of life (QOL). Rehabilitation services promote health in these patients; however, their usage status is not desirable. Therefore, the aim of this study was to examine the effect of educational intervention on patients' knowledge, perceived barriers, and referral status of the coronary heart diseases rehabilitation ward of Shahid Chamran Hospital in Isfahan, Iran.Methods: This quasi-experimental intervention study was performed on 69 cardiac patients (intervention group= 35 individuals, control group= 34 individuals) referring to Shahid Chamran Hospital of Isfahan in 2013. Eligible patients were randomly assigned to one of the two groups. Data were collected using a researcher-made questionnaire approved by the experts. The intervention group received face-to-face educational intervention, pamphlet, film, power-point slides, and telephone calls. The referral status and number of referrals to the rehabilitation program was investigated through telephone follow-up and reviewing the list of clients 2 months after the first referral. Data were analyzed using relevant statistical tests in SPSS software. The significant level was considered as 0.05.Findings: The mean age of the intervention and control group participants was 58.57±2.1 and 55.94±1.8 years, respectively. The results showed a significant increase in knowledge (P<0.001) and a significant decrease in perceived barriers (P<0.01) in the intervention group compared to the control group. The number of referrals to rehabilitation programs in the intervention group was significantly higher than the control group (P<0.03). Patients who referred to the rehabilitation unit obtained higher mean knowledge score (P<0.001) and lower mean perceived barriers score (P=0.03) than others.Conclusion: Educational intervention program aimed at increasing cardiac patients' awareness regarding the benefits of rehabilitation programs and decreasing their perceived barriers increased their adherence to the rehabilitation program.

Background: The aim of this investigation was to synthesize ZnO nanoparticles and compare their photocatalytic activity with its commercial form in terms of photocatalytic oxidation of methylene blue dye in aqueous environment.Methods: In this study, ZnO nanoparticles were prepared using hydrogen peroxide treatment and were immobilized on glass surface using thermal immobilization. The prepared glasses were placed inside the reactor. Finally, the photocatalytic degradation of methylene blue in the reactor was investigated using different parameters.Findings: The results of the study showed that the photocatalytic process with the synthesized catalyst (96.35%) had higher efficiency compared to the commercial catalyst (82.87%) in terms of degradation of 5 mg/l methylene blue within 120 minutes. Subsequently, using the synthesized catalyst, at distances of 2, 3.5, and 5 cm between the UV lamps and glass plates containing immobilized ZnO nanoparticles, the dye removal rates were 96.35%, 63.34%, and 45.31%, respectively.Conclusion: According to the findings, it can be concluded that synthesized ZnO nanoparticles can be applied as an efficient catalyst in photocatalytic processes.

Background: Musculoskeletal disorders (MSDs) are the major health problems in nurses. One of the main reasons for the prevalence of MSDs among nurses is patient transfer tasks.Methods: This descriptive, cross-sectional study was conducted on 200 nurses working in 30 wards in 5 hospitals. Data were collected using a demographic characteristics form, and Nordic Musculoskeletal Questionnaire (MNQ), and the Movement and Assistance of Hospital Patients (MAPO) index checklist. Data were analyzed using SPSS software and Microsoft Excel.Findings: The average of daily working hours for both men and women was 7.31±0.46 hours. According to the results, there was a significant statistical relationship between MSDs and gender, age, years of work experience, occupation, BMI, and exercise (P<0.05). The results of the MAPO index revealed that 21.1% of participants were in region 1 (negligible risk), 52.6% were in region 2 (short-term and long-term interventions), and 26.3% were in region 3 (instant intervention to improve the conditions).Conclusion: The prevalence of MSDs is high among nurses. In order to reduce MSDs in nursing personnel, purchasing modern equipment for patient transfer and training of nurses on how to use the equipment, and employment of sufficient number of nurses in each ward to reduce the pressure caused by lack of work force is recommended.

Background: Comparison of the quality of life (QOL) of patients with cancer from two different cultures can provide valuable information about the possible positive and negative aspects of care and strategies for QOL improvement. However, no research study was found to compare QOL between Iranian and Australian patients with cancer. Therefore, the aim of the present study was to compare QOL between Iranian and Australian patients with cancer in several domains (physical, psychological, social, and environmental).Methods: In this trans-cultural, descriptive study, data on QOL of 166 patients with cancer from 3 referral hospitals in Australia were compared with corresponding information of 198 Iranian patients with cancer from 1 referral hospital. Both groups of patients completed the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire.Findings: The most common cancers in Australia were breast cancer, non-Hodgkin lymphoma, colorectal cancer, lung cancer, and leukemia, respectively. In Iran, leukemia, colorectal cancer, non-Hodgkin lymphoma, and breast cancer were the most common cancers, respectively. In all domains, mean QOL scores of Australian patients were significantly higher than Iranian patients.Conclusion: The lower QOL of Iranian patients with cancer compared with Australian patients might encourage policy makers and health care providers to provide better infra-structures and resources and focus on improving cancer patients' QOL.

Background: Today, due to the discharging of different types of pollutants into groundwater resources, the quality of these resources has reduced. Therefore, this study was conducted for qualitative assessment of groundwater resources of Qaleeh Shahin Plain, Iran, in terms of Pb and Cd pollution using the heavy metal pollution index (HPI) during the winter and summer of 2014.Methods: In this descriptive study, groundwater samples were collected from 20 stations selected according to the 3010-B guideline. After preparation of samples in the laboratory, metal concentrations were determined using inductively coupled plasma atomic emission spectroscopy (ICP-OES). Qualitative assessment of groundwater resources and all statistical analyses were performed using the HPI and SPSS statistical package, respectively.Findings: The results showed that the mean concentrations of Pb and Cd in groundwater samples in winter were 4.52±1.47 and 0.48±0.62 ppb, respectively, and in spring were 6.46±2.22 and 1.21±2.36 ppb, respectively. Moreover, the computed mean values of HPI were 4.73 and 11.74 in winter and summer seasons, respectively, and were much lower than the critical value for drinking water.Conclusion: Although currently the groundwater resources of Qaleeh Shahin Plain are not polluted with Pb and Cd, according to the twice a year cultivation potential in the study area, the periodic monitoring of the groundwater resources of this region for heavy metal concentration is recommended.

Background: One of the consequences of the increasing urban development is an increased production of urban waste including waste from construction activities. Therefore, planning based on management principles is necessary to organize this kind of waste. No previous studies have been conducted on suitable landfill site selection for construction wastes in Isfahan, Iran. Thus, this study attempts to determine land suitability in terms of construction waste disposal in Isfahan through weighted linear combination (WLC) method and Geographic Information System (GIS).Methods: The present study was a practical and developmental study. In order to identify the best locations for disposal of construction wastes in the study area, 19 data layers were classified in two main branches of ecological and socio-economic factors. Then, weighting of each layer was performed using expert views in the form of pairwise comparison matrices (Analytical Hierarchy Process). Moreover, the layers were standardized using the relevant fuzzy logic model and fuzzy membership functions. Finally, the map of land suitability for construction landfill was weighted by overlaying of the standardized map layers, and 16 limitation layers were obtained.Findings: Classification of the final construction landfill suitability map indicated that more than 95% of the study area was completely unsuitable for construction landfill. Areas with the highest suitability constituted less than 2% of the city area. Finally, 4 areas were identified as alternative construction landfills in Isfahan.Conclusion: The efficacy of GIS in the implementation of multi-criteria decision-making methods for landfill site selection and combination of different qualitative and quantitative criteria was approved in the current study. Determination of only 1.78% of the study area as completely suitable for construction disposal reflects the high sensitivity of the WLC model and the limitation of the area for waste disposal.

Background: In recent years, the functional benefits of probiotics, vitamin D3, and Cuminum cyminum essential oil have been separately considered in diabetes management. In this study, production of probiotic yogurt containing different concentrations of vitamin D3 and C. cyminum essential oil through applying different fermentation times was investigated in order to develop a new probiotic product with the highest probiotic bacterial cell count which was added through response surface methodology (RSM). The ultimate goal of the study was the production of a probiotic product with additional health benefits for diabetes patients.Methods: RSM with central composite rotatable design was used to analyze the effect of different factors (essential oil extract, vitamin D3, and fermentation time) on the population of Lactobacillus plantarum A7 probiotic strain in the product. C. cyminum essential oil concentrations of 0.01, 0.02, 0.03, and 0.05%, vitamin D3 concentrations of 20, 40, 400, 1000, and 2000 IU/100 ml, and fermentation time of 3 6, 9, 12, and 24 hours were considered as the variables of the study. According to the model used, 15 experimental designs were determined in 20 replications and the results were analyzed using Statistical Analysis System (SAS) software. The effect of each factor was considered significant at P<0.05.Findings: The interactive effect of C. cyminum essential oil and fermentation time was the most significant effect, followed by the interactive effect of C. cyminum essential oil and vitamin D3, and vitamin D3 with power of 2 and D3 with power of 1 on the maximum bacterial strain growth rate, respectively. C. cyminum essential oil with a power of 1 and time power of 1 had a minor effect on bacterial growth rate. Optimized conditions for production of a probiotic with highest possible probiotic strain were obtained for the median level of all three variables.Conclusion: The probiotic yogurt formula optimized with vitamin D3 and C. cyminum essential oil allows probiotic survival of 107 cfu/ml. This product can be considered as a functional food for individuals with diabetes.

Background: The importance of risk factors in the prevention of suicide has been recognized. The aim of this study was to identify important risk factors associated with the repetition of suicide attempts in adolescents and adults using one-inflated positive count model.Methods: The subjects of this research consisted of 701 patients (183 adolescents and 518 adults) with at least one unsuccessful suicide attempt in Isfahan, Iran. Data were collected using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSMIV). The collected data were analyzed through descriptive statistics and positive one-inflated regression models.Findings: The one-inflated positive Poisson was the best fitted model for adolescents in this study. The factors of age and family history of suicide had a positive effect, and adjustment disorder, compared to depression disorder, had negative effect on repetition of suicide attempts among adolescents. The results of one-inflated positive negative-binomial model for adults suggests that rural inhabitancy, family history of suicide attempts, and impulsive suicide attempts had positive effects on repetition of suicide attempts. In addition, a higher rate of repetition of suicide attempts was observed in individuals with bipolar disorder than subjects with depression.Conclusion: The factors of adjustment disorder and age had significant effects in adolescents, and rural inhabitancy and bipolar disorder were effective factors in adults. Moreover, family history of suicide was associated with repeated suicide attempts in both adolescents and adults.

Background: Although aging population is a positive result of development, many negative consequences may occur if policy makers are not prepared for the related changes. Therefore, the researchers decided to determine the health status indices in Isfahan elderly for future interventions.Methods: This descriptive, cross-sectional study was conducted on 4321 individuals. The subjects were selected through random stratified multistage cluster sampling. Data were collected using the 36-item Short Form Health Survey (SF-36) and Iranian Elderly Lifestyle and Health Status Questionnaire with approved reliability and validity. The data were analyzed using descriptive statistics and t-test in SPSS software.Findings: In the present study, 78.5% of the subjects had a chronic disease; 62.8%, 44.1%, and 43.6% sleep disorders, hypertension, and forgetfulness, respectively. With mean scores of 143.5 and 58 in healthy lifestyle and quality of life (QOL), respectively, men had a better health status compared with women.Conclusion: Chronic diseases are prevalent among the elderly. Therefore, policy makers should pay more attention to the health demands of this age group. In addition, the lifestyle and QOL scores of the elderly was higher than average; thus, more comprehensive and detailed healthy lifestyle education and health care programs can improve their QOL and health status.

Background: Doping of some metals by photocatalysts and increasing of their surfaces result in the improvement of their photocatalytic activities. In this study, nickel dopant and Iranian natural zeolite were used to increase the efficiency of titanium dioxide nanoparticles for photocatalytic removal of azonium components from water.Methods: Ni-doped titanium-coated clinopetilolite zeolite surface with Ni/TiO2 ratios of 0.17, 2, and 9, and pure TiO2 were made through sol-gel method and studied through analytical methods of X-ray powder diffraction (XRD), scanning electron microscope (SEM), and induced coupled plasma (ICP). Then, the efficiency of photocatalytic activities of different ratios of nickel dopant were investigated under ultra-violet (UV) ray in 25 and 50 mg/l concentrations of aqueous solution of safranin (phenazine compound).Findings: In the present study, TiO2 nanoparticles in the anatase and rutile phases obtained via sol-gel method were found at a frequency of 86.33% (34.44 nm particle size) and 13.67% (18 nm particle size). Nickel dopant samples exhibited better photocatalytic efficiency in comparison with samples without nickel. In addition, the addition of nickel to samples caused a reduction in anatase phase frequency of samples and increase in photocatalytic reaction rate. N9TC sample, with photocatalytic removal efficiency of 93% and 79% for safranin concentrations of 25 and 50 mg/l, had the highest photocatalytic removal efficiency among the samples.Conclusion: The use of Iranian clinopetilolite as a substrate is the most cost-effective way to increase photocatalytic activity. Moreover, adding nickel to titanium dioxide increased safranin removal efficiency. Increasing of the Ni/TiO2 ratio to 9% increased photocatalytic removal efficiency of samples in comparison with samples containing only pure titanium dioxide.

Background: Para-nitrophenol is one of the most important nitrobenzenes and is widely used in the synthesis of different industrial compounds. It remains in the soil, groundwater, and air for a long time and has toxic effects, and thus, poses a threat to humans, animals, and plants. In order to evaluate the safety of water and food resources, it is important to develop efficient, simple, and reliable methods for the determination of trace amounts of p-nitrophenol.Methods: In the preset work, in order to determine the trace amount of p-nitrophenol, a very simple and sensitive sensor was fabricated through the in situ electrosynthesis sequestration of nickel oxide nanostructure on the surface of a glassy carbon (GC) electrode. Cyclic voltammetry and electrochemical impedance spectroscopy (EIS) were used for the investigation of the electro-deposited film.Findings: Results showed that the electro-deposited film had very good electrocatalytic properties for p-nitrophenol degradation. Through the modification of the glassy carbon electrode surface with this nanostructured film, a sensitive electrochemical sensor was fabricated for the determination of p-nitrophenol using cyclic voltammetry method. The detection limit (signal/noise= 3), sensitivity, and linear range of the sensor were 40 nM, 0.3245 mA/mM, and 40-750 μM, respectively.Conclusion: Results showed that the designed sensor can be used for sensitive determination of para-nitrophenol.

Background: Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic information on health services in order to make appropriate health decisions. The purpose of this study was to determine the effect of a health literacy educational program for the staff of health centers in Mashhad on promoting self-efficacy in patients with chronic diseases.Methods: This randomized clinical trial was conducted on 240 patients with chronic diseases in two experimental and control groups in pre-intervention and post-intervention stages. The participants were selected using multistage random sampling. The intervention was designed based on the 4 communication skills of speaking, writing, enabling, and improving support systems. The intervention was performed in 3 sessions of focus group discussions and a workshop for 12 personnel (doctors, nurses, dietitians, and disease experts) in the experimental group. The data collections tools consisted of the Health Literacy Assessment Questionnaire, Adult Primary Care Questionnaire, and Chronic Disease Self-Efficacy Scale. Data were analyzed using independent t-test, chi-square test, and ANOVA in SPSS software. The significance level in all tests was considered as less than 5%.Findings: The patients in the two groups did not differ significantly in terms of demographic variables before the intervention (P= 0.063). Significant differences were observed in personnel’s health literacy (P= 0.007), patients’ health literacy (P< 0.001), and patients' self-efficacy (P= 0.003) in the experimental group after the intervention.Conclusion: Based on finding, educational interventions to improve the health literacy of staff are more effective on the improvement of patients' self-efficacy in comparison with education programs provided in health centers.

Background: In this study, formaldehyde degradation rate was investigated through ZnO sonophotocatalist process using an oxidation reactor with a volume of 2 l.Methods: This was a fundamental, applied, and cross-sectional study. During various experiment steps (30 steps), the influence of important operational parameters, such as solution pH (3-8), initial CH2O concentration (20-100 mg/l), ZnO nanoparticles dosage (10-60 mg/l), ultrasonic wave power (40-150 W), and reaction time (10-60 minutes), was investigated.Findings: Maximum formaldehyde removal ratio (78%) occurred with a ZnO dosage of 60 mg/l, solution pH of 8, ultrasonic wave power of 40 W, initial formaldehyde concentration of 50 mg/l, and a contact time of 30 minutes.Conclusion: It can be concluded that the sonophotocatalytic process is effective in the treatment of solutions containing low formaldehyde concentrations.

Background: Celiac disease or gluten-sensitive enteropathy is an immune-related disease which is defined as a permanent sensitivity to wheat gliadin or barley prolamin in individuals who are genetically predisposed. Gluten is a protein found in wheat, barley and rye. Gliadin causes the stretching of the dough and crunchy texture of the final product. Gluten is composed of two subunits, gliadin and glutenin. Gliadin is alcohol-soluble and glutenin is only soluble in bases and diluted acids, and gliadin can be isolated based on these features. The assessment of gluten in gluten-free bread flour can verify the manufacturers' claims on these products.Methods: A total of 24 samples of flour were collected and isopropanol was used as the alcoholic solvent. In the next step, through sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE), the composite extracted after preparation with buffer and pure gluten, as a positive control, were injected into the acrylamide gel. Upon completion of this step, the gel solution was stained using Coomassie Blue, and then, de-stained using bleach solution.Findings: Compared with the positive control sample and the standard protein marker, gliadin bands were not visible within the obtained gel, indicating the absence of gluten in the flour samples.Conclusion: The SDS-PAGE technique, due to its high sensitivity, can measure trace amounts of gluten. Therefore, the incidence of clinical symptoms in patients with celiac disease can be prevented through the determination of this amount in flour and the prohibition of its use. The other advantages of this technique are its high speed and low cost.

Background: Smear positive pulmonary tuberculosis (TB) patients are the main source of TB infection in the population and could be the cause of drug-resistant TB transmission. Therapeutic interventions without attention to causes of behaviors associated with treatment will not be successful. This study aimed to explore behavioral factors influencing the treatment of tuberculosis patients.Methods: This study was a qualitative research. The subjects were selected using purposive sampling with maximum variance. Data were obtained through unstructured in-depth interviews with 37 individuals (21 men and 16 women), and using patients' medical records and information recorded in the Tuberculosis Register Program and TB patients registration office in provincial health centers. Interviews continued for a period of 13 months until data saturation was achieved. All interviews were recorded and transcribed verbatim. Data were analyzed, simultaneous to data collection, using constant comparison.Findings: The behavioral factors facilitating treatment were classified into 6 categories of drug and tobacco use cessation during treatment, methadone therapy during treatment, lack of travelling during treatment, lack of exhaustion and being serious in the correct use of medicines until the end of the treatment period, hope of improvement and health as a factor for treatment adherence, and normalization of medications use for patients.Conclusion: The results showed that behavioral factors affect the treatment of patients with TB. Therefore, appropriate educational interventions with the aim of influencing treatment should be planned and implemented to strengthen facilitating behavioral factors.

Background: One of the most important health indicators for the health planning within a society is the rates and causes of mortality within that society. The aim of the present study was to investigate the causes and the 5-year trend of mortality (from 2007 to 2011) in Ilam Province, Iran.Methods: This descriptive, analytical, and cross-sectional study was conducted on the documented mortality data of Ilam Province divided by urban and rural areas from 2007 to 2011. Data were collected using a researcher-made questionnaire from the statistics units of the provincial health center (death registration system) and the provincial Civil Registration Organization.Findings: The mortality rate in urban and rural areas of Ilam Province was, respectively, 3.3 and 5.2 per 1000 persons in 2007 and about 4.6 and 3.6 per 1000 persons in 2011 years. During these years, the mortality rate increased from 3.1 to 3.6 among women and from 4.8 to 4.9 among men. The highest number of deaths in urban and rural areas was observed in the age group of 70 years and older. In addition, cardiovascular disease was the most prevalent cause of death.Conclusion: The results of this study showed that in urban and rural areas, respectively, 43.9% and 36% deaths in 2007, and 52.9% and 39.1% of death in 2011 were caused by cardiovascular diseases. During the study period, the trend of mortality due to cardiovascular diseases, cancers, accidents, suicide, aging, and other cases, respectively, increased, decreased, fluctuating but overall decreased, somewhat decreased, decreased, and were almost constant. Given that the incidence of these diseases is largely dependent on lifestyle, it seems that strategies to improve lifestyles through education and laws and regulations on risk factors such as smoking, lack of exercise, diet, stress, and etcetera provide the basis for reducing these diseases.

Background: Today, health literacy is a challenge for health care providers and health systems, and thus, must be considered in all aspects of health. This study aimed to determine the association between health literacy and health status among the staff of Guilan University of Medical Sciences, Iran, in 2014.Methods: The participants of this analytical, cross-sectional study were selected through census method. Data collection was conducted through a questionnaire with 3 sections; Demographic information form, health status form, and Health Literacy for Iranian Adults (HELIA). The collected data were analyzed using descriptive and analytical statistical tests in SPSS software.Findings: The health literacy of all staff (n= 186) was at a good and moderate level. In addition, 81 personnel (44.8%) reported their health status as moderate. Significant statistical relationships were observed between health status and marriage (P= 0.03) and economic status (P< 0.001), and between health literacy and education (P= 0.034) and insurance status (P= 0.044). However, no significant relationship was observed between health literacy and health status.Conclusion: The health literacy of all personnel was good and moderate and the most important factors related to health literacy were education and insurance coverage. Therefore, attention to these variables may have an important role in promoting the health literacy of personnel. It is suggested that special attention be paid to maintaining and improving health literacy in personnel through educational planning by the health care system to ultimately improve public health and the quality of their services.