---

ABSTRACT: Introduction & Objective: Nowadays the Health services Unit have limitation in resources in many countries. Thus managers of Health Unit have to attend to limitation resources. According to economic science making use of facilities, equipments and maximum productivity of them is one of principals Health & Medication management system .So managers for doing this issue must use cost – benefit, cost – effectiveness and cost – analysis as the best way for receiving to the goals of organization. This study was done in order to Cost – Analysis in Health& Medication services in Health sector of Kogiluyeh & Boyrahmad Province. Materials & Methods: This was a descriptive, cross-sectional and prospective study which was performed in 2003. The cases study include : 3 District Health Centers 25 Urban & Rural Health Centers and 131 Health Houses were selected by random selection procedure. The way to gather data was use of the report forms of Health and Cure system , Data resulted from the present study were analyzed by SPSS soft ware . Results: Based on the results of this study : In Health houses, public participation and mass education had a maximum cost and first aids had a minimum cost. In Rural and Urban Health Centers dental scaling had maximum cost drug and family planning had minimum cost. Among Urban Health centers the maximum cost was related to Gachsaran district and minimum cost was related to Bourahmad district . Among Rural Health centers and Districts Centers the maximum cost belonged Kogilouyeh district and Bourahmad had the minimum cost . But the cost of Health House , Bourahmad had maximum cost and Kohgilouyeh had the minimum cost . Conclusion: The study say that the services, which have more frequency and time less their cost - price will be less. Thus managers and experts of Health Unit in the line and staff in short and long planning change their methods to give services. But they mustn’t eliminate every service even expensive services.

---

Introduction & Objective: Vaccination is an important and precious intervention which can protect individuals and community against vaccine preventable diseases with low cost. Although vaccines in use including DPT are very effective but there is no vaccine without adverse events. The DPT adverse events can be classified as vaccine reaction, injection reaction, coincidental events and program error. The aims of this study were to investigate the adverse events of DPT and providing measures for improvement of existing surveillance and reporting system. Materials & Methods: in this cross sectional study a total number of 2000 children who were vaccinated with DPT were followed for a 4 month periods from the beginning of June to the end of September for adverse events. Sampling was done by clustering methods in 20% of rural and urban health centers which were randomly selected. A structural questionnaire was completed for each subject along with interview and physical exam. Data were analyzed using SPSS software version 11.5 Results: Systemic reactions including loss of appetite was seen in 4.9%, fatigue in 3%, pallor in 1.8%, crying for more than 3 hours in 1.6% and vomiting in 1.5% of vaccinated children. local reactions was seen in 56% of cases which were including: redness in the injection site (13.5%), swelling without redness (12.2%), swelling with redness (6.2%). Vaccine reaction (fever as the most) was noted in 45% of cases, program error in 7.6% of cases, injection reaction in 3% of children and coincidental in 1.2% of children. Conclusion: the most common adverse event following DPT vaccine was due to vaccine reaction. Injection site had the most quotas in presenting the vaccine reaction. We suggest changing of the DPT injection site from deltoid to upper outer part of thigh. Injection reaction can also be due to first experience of the young children in their first vaccination schedule

---

Background & aim: Brucellosis or Malta fever is a highly contagious zoonosis disease. In addition to clinical complications, the disease leads to an important economic loss. The aim of this study was to determine the demographic and epidemiological prevalence of brucellosis in the Kohgilooye and Boyerahmad province (2009-2013). Methods: The present cross-sectional study was conducted on 374 patients with brucellosis in a period of five-year (2009-2013). Demographic data and address of all patients were obtained from the health centers of Kohgilooye and Boyerahmad province and analyzed based on the statistical methods. For data analysis, descriptive and analytical tests were performed. Results: Distribution of patients in this study showed that the majority of patients were in the Kohgilooye, Boyerahmad and Gachsaran districts, respectively, and the lowest were in Basht and Bahmaei districts. Among 374 patients, 8.5%, 23.5% and 68% of cases showed nomadic, urban and rural origin, respectvely. 84% of patients had a history of contact with animals and 31.5% were ranchers and slaughterhouse workers in the province. 50.5% and 49.5% of patients were female and male respectively.The mean age of patients was 39 years old. Conclusion: Contact with livestock plays an important role in prevalence of brucellosis in this province. Refering to report of notable urban cases, consumption of contaminated diary may have priority in the urban regions. This study provides a guideline for health managers to determine hazard regions of brucellosis and so perform the more efficient and with lower budget control deals in this province.